Care Home: Autism Initiatives

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What the care home does well Training opportunities and development of staff skills continue to be a priority, so that staff have the confidence and competencies to provide the care and support people who live at the home need. Comments from staff about access to training and courses available to attend relating to specifically autism were positive they included,"This is the best home I have been in where training is a priority", Also, "You are always supported to go on courses". And, "I felt I needed specific training around autism awareness and was supported by the management to attend courses". Care records examined were informative and up to date, they clearly identified the physical and social needs of people living at the home to ensure they receive the right care. Staff members spoken to had a good knowledge of autism and what support and care is required to help people who live at the home achieve their aims. One staff member said, "We try and encourage people to live an independent lifestyle and help them achieve things they want to". We spoke to staff and information in the AQAA confirm the staff team have been together for a number of years with little change, which helps staff understand each other better, develop relationships and provide quality support for people. One staff member spoken to said, "We can spot if someone has a problem because we know all the residents that well". One person who lives at the home spoken to said, "They are all nice". What has improved since the last inspection? The requirement for medication procedures from the last inspection has been met . A new storage facility and a new cabinet for controlled drugs is in place so that medication is stored correctly. A member of staff spoken to said, "We have the proper storage facility now for all medication". Improvements have been made to the general decoration of the building such as redecoration of rooms, the communal areas and new dining room/lounge furniture which we looked at during our walk around the building. One staff member said, "Its much better now". Maintenance records are now kept and we confirmed a book is available for inspection which identifies any repairs and what action is taken to ensure they are done quickly. The manager informs us in the AQAA of all the dates when electrical and fire equipment was checked to ensure people are kept safe and protected. We conformed during the visit these are now completed and up to date. The manager has now completed the necessary qualifications required to manage a care home and ensure the home runs smoothly. The home is now being monitored by a person who is responsible for the service by monthly visits to the home. A report is produced and we looked at these to confirm the home is managed well and is meeting its aims and objectives, and also ensure the people who live at the home are well cared for. One staff member spoken to said, "We now are having regular visits by the management". What the care home could do better: Walking around the building we found some carpets in the hallways and stairs are worn and should be replaced, to ensure people live in a pleasant home. One staff member spoken to said, " They will be done shortly". Although there has been very little change in staff one recruitment record we looked at did not contain copies of qualifications declared on the application form. Copies should be on file to ensure the information given on the application form regarding qualifications is correct. Key inspection report Care homes for adults (18-65 years) Name: Address: Autism Initiatives 90 All Hallows Road Bispham Blackpool Lancashire FY2 0AY     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Kevan Royston     Date: 1 2 0 5 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 28 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: Autism Initiatives 90 All Hallows Road Bispham Blackpool Lancashire FY2 0AY 01253592284 01253352302 allhallows@autisminitiatives.org Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Autism Initiatives Name of registered manager (if applicable) Miss Jeanette Kenworthy Type of registration: Number of places registered: care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD The maximum number of service users who can be accommodated is: 6 Date of last inspection Brief description of the care home The home is registered for six adults who have Autistic Spectrum Disorders and associated learning disabilites. It is situated in the Bispham area of Blackpool, within walking distance of Bispham Village. The home is in a residential area with shops and other community resources in the close vicinity. Regular bus services into Blackpool run from close by, and public transport to a number of locations runs from the village. The house itself is situated next to All Hallows church and the exterior is completed in the similar stone fascia as the church. The house is set back from the Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 6 1 1 0 6 2 0 0 9 Brief description of the care home road and has a parking area to the front. The grounds are tidy and offer a good deal of privacy for the people who live there. There are six registered single rooms within the home. There are also two main bathrooms and a separate shower facility on the first floor. One of the bedrooms is situated on the ground floor and has en-suite facilities. Information relating to the home?s Service User Guide and Statement of Purpose is included in the welcome pack, which would be given to all prospective residents. This information explains the care service that is offered, who the owner and staff are, and what the resident can expect if he or she decides to live at the home. At the time of this visit, the information given to the Commission showed that the fees for care at the home range from, £1,411.63 to £3,390.73 per week. Care Homes for Adults (18-65 years) Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This unannounced visit was part of the key inspection process and took place on the 12/05/10. We spoke to a person living at the home, staff and the person in charge. Care, maintenance, previous inspection reports and other records were looked at, as well as a walk around the building. As part of the inspection process we talked briefly to a person living at the home and asked staff about the care of the person. We also looked at residents rooms, care plans and daily notes, this is called case tracking. We received responses from surveys/ questionnaires sent to people who are living at the home and staff for their views on how the home is run. Comments we did receive were positive and some are included in this report. Every year the person in charge or manager is asked to provide us with written Care Homes for Adults (18-65 years) Page 6 of 28 information about the quality of their service they provide and to make an assessment of the quality of their service. This document is called an Annual Quality Assurance Assessment (AQAA). We use this information, in part, to focus our inspection activity. Care Homes for Adults (18-65 years) Page 7 of 28 What the care home does well: What has improved since the last inspection? The requirement for medication procedures from the last inspection has been met . A new storage facility and a new cabinet for controlled drugs is in place so that medication is stored correctly. A member of staff spoken to said, We have the proper storage facility now for all medication. Improvements have been made to the general decoration of the building such as redecoration of rooms, the communal areas and new dining room/lounge furniture which we looked at during our walk around the building. One staff member said, Its much better now. Maintenance records are now kept and we confirmed a book is available for inspection which identifies any repairs and what action is taken to ensure they are done quickly. The manager informs us in the AQAA of all the dates when electrical and fire equipment was checked to ensure people are kept safe and protected. We conformed during the visit these are now completed and up to date. The manager has now completed the necessary qualifications required to manage a care home and ensure the home runs smoothly. The home is now being monitored by a person who is responsible for the service by monthly visits to the home. A report is produced and we looked at these to confirm the home is managed well and is meeting its aims and objectives, and also ensure the people who live at the home are well cared for. One staff member spoken to said, We Care Homes for Adults (18-65 years) Page 8 of 28 now are having regular visits by the management. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 28 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The admission and assessment procedures are clear to ensure the care and support needs of people who live at the home can be met. Evidence: This is a small home with five people living here and no new admissions for over four years. We looked at assessment information for the people who live at the home and it contained good information before the person moved in from both social services and the managers own assessment. We spoke to the person in charge about the assessment process and although there has been no admissions for a while, the policy is for plenty of visits, and overnight stays before a decision is made to move in. One staff member spoken to said, We encourage a number of visits which included overnight stays. A person who lives at the home wrote in a survey about the time when he moved in , I liked it when I first came. Social Services assessments and mental health information had been obtained by the manager before people moved in to ensure they have all the information needed to provide the care, support and develop a care plan for each person. Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: There is a brochure available which contains all the information on how the home is run and services and staff information so that potential residents and their families can make an informed choice. Care Homes for Adults (18-65 years) Page 12 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at the home are supported to make decisions, which help them in daily life whilst taking risk into account. Evidence: We looked at care planning records and action staff are taking to provide the support people need to have an independent lifestyle as possible. Care records clearly identified the physical and social needs of people living at the home to ensure they receive the right care. Staff members spoken to had a good knowledge of autism and what support and care is required to help people who live at the home achieve an independent life as they can. One staff member said, To give each service user as much independence as possible is our aim. Talking to staff and information in the AQAA confirm staff work closely with the residents to develop a plan of daily life with short and long term goals, which promotes independence and allows risks to be taken with support and guidance. One staff member wrote in a survey, To allow people as much choice and independence Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: as possible helps the individual. One person living at the home who sent in a survey said, They help and prompt me with day to day life. Records looked at show risk assessments are completed for each person and reviewed on a regular basis and where needed are updated, to ensure risk taking is part of the plan to improve confidence and independence. People who live at the home are involved in decision making within their individual care plan to build help build confidence and enjoy the activities they do. One staff member spoken to said, We work through daily routines individually. Care Homes for Adults (18-65 years) Page 14 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Opportunities for development are provided through each individuals daily plan. Meals are managed well and provide a wholesome nutritious diet. Evidence: We looked at what people who live at the home do during the day, activities, education, employment at the day centre, and spoke to staff who confirmed opportunities to take part in the local community is available according to each persons daily programme. One person who lives at the home was getting ready to go out with a member of staff and help with the shopping. Each individual has a daily plan which includes attending day centers, and learning life skills ensuring residents have community contact and develop confidence and independence. One staff member wrote in a survey, Its important to provide the right support for people living here. The manager tells us in the AQAA the importance of supporting and encouraging people who live at the home to promote a lifestyle they want and help Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: them achieve their aims. This is a small home and the kitchen area is of a domestic character. We had a look in the kitchen and found fresh produce and fresh vegetables in the fridge. One staff member spoken to said, We provide good wholesome meals. One person who lives at the home spoken to when asked if the food was good replied Yes. We looked at records and confirmed food intake is monitored to ensure any issues are picked up on and action taken. People who live at the home are encouraged to keep in touch with family and friends and at the time of the visit staff said family and friends are encouraged to visit. Families are welcome to come and stay at the home whilst visiting. One member of staff spoken to said, We welcome visitors any time. Care Homes for Adults (18-65 years) Page 16 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Promotion of health is taken seriously and systems are in place to monitor the health of people who live at the home. Evidence: The manager informs us in the AQAA how people who live at the home are encouraged to look after their personal care needs independently with prompting support if needed. One member of staff spoken to said, We help only when needed. We observed staff during the day talking to a resident about the day ahead and what they would be dong and encouraging people to make decisions independently. One person who lives at the home wrote in a survey, They help me day to day. Records looked at of people who live at the home and talking to staff confirm health checks including, dental, opticians and other health professionals are involved in the welfare of residents to ensure they remain healthy and any issues are addressed. One staff member wrote, We know the residents well so are able to spot any health problems early. We went through the medication procedure with a staff member and looked at people Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: we case tracked medication. We found good procedures to follow to ensure medication is handled and given out correctly to ensure people who live at the home are safe. Improvements have been made to the storage of medicines and a new cabinet for controlled drugs is in place so that medication is stored correct. A member of staff spoken to said, We now have proper storage for all medicines including controlled drugs. The manager tells us in the AQAA how they conduct a weekly spot check to ensure medicines are received, administered and any returns recorded properly to ensure people have the right medication and are kept safe by the policies in place. Care Homes for Adults (18-65 years) Page 18 of 28 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Procedures for complaints are in place to ensure people feel listened to. Evidence: There is a complaints policy and procedure available and on show in the home so that families and visitors are aware of the procedure for making a complaint. A staff member spoken to said, There is a complaints procedure information document now on view in the hallway. No new persons have been admitted to the home for over three years however the policy has been updated by the manager, copies of compliments and complaints policies were available for us to see. There has been no complaints since the previous inspection. We found from training records and talking to staff safeguarding adults training has been completed by the small staff team and updated when necessary so that staff are aware of any signs of abuse and are confident they can take the appropriate action . One staff member spoken to said, We all have done safeguarding training and when needed attended updated training. Care Homes for Adults (18-65 years) Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The building is kept clean and tidy and maintained well. Evidence: We had a walk around the premises and found it to be clean and tidy and looked after to a good standard. The building is a large detached home and the furnishings and decoration are homely and ensure people live in comfortable, pleasant surroundings. The manager tells us in the AQAA of improvements such as a redecoration of rooms and the communal areas which we looked at during our walk around the building. Also the manager explains in the AQAA how they consult service users with the decorating and choosing furniture for their own rooms by looking at colour charts and pointing to their chosen colour. One staff member spoken to said, We have done a lot of work to improve the look of the premises. However the carpets in the hallways and stairs are worn and should be replaced to ensure residents live in a pleasant home. One staff member spoken to said, I know we need new carpets. Records are now being kept of any repairs or ongoing maintenance required so that staff are aware of what needs doing and repairs are attended to quickly. There is a laundry facility which is situated away from the kitchen and food preparation area. Policies and procedures are in place for the control of infection to protect and safeguard people. Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: Care Homes for Adults (18-65 years) Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The availability of training and good access to courses means the staff are well trained and have the skills to support people who live at the home. Recruitment procedures are in place to make sure suitable staff are employed. Evidence: We looked at staffing rotas, spoke to staff and watched people being helped in a sensitive way, and found sufficient numbers of staff on duty to ensure the needs of people who are living at the home are being met. On the day of the visit all but one of the residents were out on their daily programme. One staff member wrote in a survey, The staff work well as a team to provide the correct support. Recruitment procedures are in place to ensure suitable people are employed. We looked at staff records for recruitment and found checks required were in place and each staff member had been checked properly and received induction training. However no copies of qualifications were evident, Copies should be on record to ensure the information given on the application form regarding qualifications is correct. One staff member spoken to about the selection process said, Good induction training. Speaking to staff and information in the AQAA confirm there has been little change in Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: personnel for a long time which helps staff understand each other better and provide quality support for people living at the home. One staff member spoken to said, Most of us have been here for a while which helps understand the residents better. One resident survey returned commented, The staff help a lot. Training opportunities are good for staff to develop their skills and ensure people living at the home receive the right care and support from a competent staff team. One staff member said, Training opportunities are very good. The manager tells us in the AQAA over 50 of care staff have completed the National Vocational Qualification (NVQ) to level 2 which is a recognised qualification in care. One staff member spoken to said, Some staff are completing NVQ level 3. Staff spoken to said they are clear about their role and work well as a staff team to ensure the individual and collective needs of people who require a lot of care receive it. The AQAA tells us how staff are well trained to support people who are autistic. One staff member said, We all receive proper training around autism. Care Homes for Adults (18-65 years) Page 23 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is run well with good systems in place for the protection of people who work and live at the home. Evidence: The manager has now completed the necessary qualifications and has the skills and experience to support staff and people who come and live at the home, and ensure Autism Initiatives meets it aims and objectives. Comments from staff and surveys returned praised the manager on how the home is run,they included,The home is run so that the people get the best support, also,The manager is supportive. There are good systems in place to get together staff, relatives and residents views on how the home is developing and how they feel the home is run. There are regular staff, resident meetings and questionnaires given out periodically to get opinions on how the home operates. One staff member wrote in a survey,There are regular team meetings to discuss anything to improve the home. The overall running of the home is now being monitored on a month to month basis by the person who is responsible for the service. These visits are required under regulation 26 of the Care Standards Act, Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: to ensure the home is meeting its aims objectives and providing good quality care. A report is produced and we looked at these, and confirmed how the home is now well managed and continues to meet the needs of the people who live here. Records looked at for people living at the home we case tracked were found to be comprehensive,well written, easy to follow and up to date, ensuring the information contained was correct and health and social care needs are continuously monitored. We looked at health and safety records and found a procedure in place for recording any accidents, regular checks on fire safety procedures and all equipment checked, ensuring the people who live and work at the home are kept safe. Care Homes for Adults (18-65 years) Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 2 24 34 Furnishings and fittings should be of good quality to ensure people live in pleasant surroundings Copies should be kept on staff files of qualifications obtained to ensure the information given on the application form regarding qualifications is correct. Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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