Care Home: Basra

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What the care home does well Basra is a detached bungalow. It has been adapted to provide a domestic style home environment. There is a pleasant, friendly and relaxed atmosphere here. If a person chooses to come to move in, there is information for them about what it is like to live here. The manager also gets pleantly of information to make sure that Basra is the right place for them. This is so there is the right sort of equipment and that staff have the right knowledge to understand and meet each person`s needs.Each person`s care is explained in a care plan. Care plans include picture prompts to aid discussion and understanding for people who find it hard to use the written word. The health and personal care needs of the people living here are well understood and met by an experienced qualified team of staff. The home is well managed, by an experienced and appropriately qualified nurse manager. What has improved since the last inspection? The manager, and the people who oversee this home, carry out regular checks to ensure the quality of care offered here is maintained, and improved where needed. Since the last inspection, the manager has obtained an NVQ level 4 in management, and advocates have been arranged for the people living here. This is so the opinions of the people who live here can be taken into account by Gateshead Council who are reviewing whether they wish to carry on paying for the care provided here, or if they intend to move people to different services. The people living here cannot directly make their wished known, so independant people have been brought in to find out what their views might be. What the care home could do better: A review of this service is being carried out by Gateshead Council. This has been going on for over 18 months, with no indication that this will be concluded soon. This has created a climate of uncertainty among the staff team, and resulted in long term staff leaving. It also has resulted in the care provider being willing to invest in a service that it does not know whether it will be running for much longer. This means that several items around the home have not been attended to. This includes the need to provide a tumble drier, re-decorate the home and attend to a leaking gutter that has led to water pouring onto an exterior electric light, causing a safety hazard. Care plans are not being kept up to date, and are not always being used as a guide to care practice. There need to be a suitable number of staff [including enablers] to meet peoples needs. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Basra Station Road Rowlands Gill Gateshead Tyne & Wear NE39 1JP The quality rating for this care home is: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Lee Bennett Date: 0 3 0 9 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. They reflect the things that people have said are important to them: 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 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 Commission for Social Care Inspection aims to:  Put the people who use social care first  Improve services and stamp out bad practice  Be an expert voice on social care  Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information Document Purpose Author Inspection report CSCI Page 2 of 31 Care Homes for Adults (18-65 years) Audience Further copies from Copyright General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 31 Information about the care home Name of care home: Address: Basra Station Road Rowlands Gill Gateshead Tyne & Wear NE39 1JP 01207545879 01207545879 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Northumberland, Tyne & Wear NHS Trust Name of registered manager (if applicable) Mrs Donna Batey Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 4 4 2 2 care home 4 learning disability physical disability Additional conditions: Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 31 A bit about the care home Basra is a home run by Northgate and Prudhoe Trust, which provides residential care for four people who have learning and physical disabilities. The home is a large bungalow situated in Rowlands Gill in a quiet setting yet close to local shops and a variety of amenities. There are gardens to all sides of the bungalow that are accessible to all service users. Within one section of the garden is a gazebo, a sensory footpath and two solar water features. The bungalow has been adapted to meet the needs of the people living there. There is an overhead tracking system, a raised bath and other relevant aids that enable and encourage comfort, safety, and independence. The home is staffed by home support workers, who support service users with their personal care and activities, and enablers, who solely enable service users to access activities outside the home. The activities available are varied and include short breaks away from the home. The home does not provide nursing care. The current fee rates are #1287.89. Care Homes for Adults (18-65 years) Page 5 of 31 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 Care Homes for Adults (18-65 years) Page 6 of 31 How we did our inspection: This is what the inspector did when they were at the care home The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. Before the visit we looked at; Information we have received since the last visit in October 2006. How the service dealt with any complaints and concerns since the last visit. Any changes to how the service is run. The care providers view of how well they care for people. The views of people who use the service and their relatives, staff and other professionals. The visit; An unanounced visit was made on 19th August 2008. This lasted about 4 hours. A further follow-up visit was made on 3rd September. This lasted about 3 hours. During the visits we; Talked with people who live here, some of the staff and the manager. Observed life in the home. Care Homes for Adults (18-65 years) Page 7 of 31 Looked at information about the people who use the service and how well their needs are met. Looked at other records, which must be kept here. Checked that staff had the knowledge, skills and training to meet the needs of the people they care for. Looked around parts of the building to make sure it was clean, safe and comfortable. Checked what improvements had been made since the last visit. We told the registered manager what we had found. What the care home does well Basra is a detached bungalow. It has been adapted to provide a domestic style home environment. There is a pleasant, friendly and relaxed atmosphere here. If a person chooses to come to move in, there is information for them about what it is like to live here. The manager also gets pleantly of information to make sure that Basra is the right place for them. This is so there is the right sort of equipment and that staff have the right knowledge to understand and meet each persons needs. Care Homes for Adults (18-65 years) Page 8 of 31 Each persons care is explained in a care plan. Care plans include picture prompts to aid discussion and understanding for people who find it hard to use the written word. The health and personal care needs of the people living here are well understood and met by an experienced qualified team of staff. The home is well managed, by an experienced and appropriately qualified nurse manager. What has got better from the last inspection The manager, and the people who oversee this home, carry out regular checks to ensure the quality of care offered here is maintained, and improved where needed. Since the last inspection, the manager has obtained an NVQ level 4 in management, and advocates have been arranged for the people living here. This is so the opinions of the people who live here can be taken into account by Gateshead Council who are reviewing whether they wish to carry on paying for the care provided here, or if they intend to move people to different services. The people living here cannot directly make their wished known, so independant people have been brought in to find out what their views might be. Care Homes for Adults (18-65 years) Page 9 of 31 What the care home could do better A review of this service is being carried out by Gateshead Council. This has been going on for over 18 months, with no indication that this will be concluded soon. This has created a climate of uncertainty among the staff team, and resulted in long term staff leaving. It also has resulted in the care provider being willing to invest in a service that it does not know whether it will be running for much longer. This means that several items around the home have not been attended to. This includes the need to provide a tumble drier, re-decorate the home and attend to a leaking gutter that has led to water pouring onto an exterior electric light, causing a safety hazard. Care plans are not being kept up to date, and are not always being used as a guide to care practice. There need to be a suitable number of staff [including enablers] to meet peoples needs. Care Homes for Adults (18-65 years) Page 10 of 31 If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Lee Bennett 33 Greycoat Street London SW1P 2QF 02079792000 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 set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 Care Homes for Adults (18-65 years) Page 11 of 31 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 12 of 31 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Detailed assessments of need are in place before a persons admission to make sure the home and the staff team can meet peoples identified needs, however, this are not being kept up to date. Evidence: All of the people living here have done so for some time now, with the last person moving here two years ago. Before these people moved here information was obtained from a social worker to ensure that their needs could be properly met at the home. This is so the manager had sufficient information about each person, and could make a judgement about whether the staff had the right skills and the home was physically suitable for the people concerned. The assessments provided by social workers include information about diversity needs, such as those relating to disability, gender, race and culture. After a person moves here their needs are periodically reviewed and if necessary reassessed. This is done with the involvement of a social worker as well. This is to make sure Basra remains the right place for people to live. It is from these reviews and reassessments that plans of care are developed. These reviews are now overdue, Care Homes for Adults (18-65 years) Page 13 of 31 Evidence: as the last were carried out in 2006. Social Workers have reassessed each service users needs, as the Council is reviewing this care home as a whole. These assessments have not been passed on to the manager of the home. Care Homes for Adults (18-65 years) Page 14 of 31 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . All of the people here have care plans and risk assessments, but these are not kept up to date. These means that staff dont always have clear guidance to provide consistency of care. Evidence: To help guide the care that staff offer to the people living here, a care plan file is compiled. All of the people living here have had one developed. These are all written up, evaluated and reviewed by the manager and a key worker; a member of staff who works with a named service user and takes a lead on the planning and delivery of care. The care files contain detailed information on each persons needs, and are written in a person centred way. However, these have not been updated for some time [over 18 months]. Also the practice that we observed did not always reflect the guidance in the care plans, for example where a person is restricted from using the kitchen, where a person is supported with their communication, and the support offered to help a persons mobility. Care Homes for Adults (18-65 years) Page 15 of 31 Evidence: Closely linked to care planning arrangements are risk assessments. These are written up by a key worker when there is an identified area of risk, either to the service user, or to others by that persons behaviour or needs. They follow a standardised format, and detail the area of risk, consider the benefits of certain risks being present, and outline how unnecessary risks are to be managed. We found that areas of risk were being documented for one person, but not for another, in spite of certain risks to health [malnutrition] being present. Both care plans and risk assessments are a formal way of documenting decisions about important matters affecting a persons care and lifestyle. The people living here find it hard to make direct comments about the care and support they receive, long term plans, and so on. This is because they may use different means of communication, such as facial gestures, body language, noises, and so on. They can make their immediate needs and wishes known to the staff here, and this is helped as staff have got to know these people over a long time. As there is currently a review of this service being held by Gateshead Council, independent advocates have been sought to help in making decisions about possible moves to other services. Care Homes for Adults (18-65 years) Page 16 of 31 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The people living here are assisted to spend their time in an active and fulfilling way, but this has been diluted by a reduction in staffing levels and failure to re-recruit Enablement Workers. Evidence: On the two days of the inspection, the people living here were supported with some activities in the home. A planned activity, provided with the help of an activities Enabler had to be cancelled due to staff shortages at another service. A musician called to play for the people here, which they appeared to enjoy. One person does not like to go out, so they have a limited range of activities offered in the home. Another person tends to get out more often, but opportunities have been restricted due to staffing shortages. The people living here no longer have their own vehicle, but a shared minibus can be booked up for pre planned outings and appointments. As well as going out and about or being occupied whilst in the home, contact with Care Homes for Adults (18-65 years) Page 17 of 31 Evidence: friends and relatives can affect the quality of life enjoyed by people. Only one person living here has regular family contact, but this is assisted by staff where necessary. As well as having rights to keep up family contacts and to lead a varied and fulfilling lifestyle, the people here retain rights around how they are helped, and what staff do when they put themselves at risk of harm. To help meet these rights there is some guidance in care plans and risk assessments. It has been some time since these have been updated, so some of this information is now out of date. Nevertheless, staff were able to explain to us clearly the individual needs of each person living here, any risks they may face, and how these are managed. Meals form an important part of peoples daily routine and lifestyle, and are normally taken separately due to each persons differing needs. The dietary needs of each person are detailed in their care plans, and there is a record kept of meals planned and provided. Where help and prompting is needed staff were able to explain the help they offer, but again care plans need to be updated to reflect and guide staff on peoples current needs. Care Homes for Adults (18-65 years) Page 18 of 31 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 . Each individuals personal care and healthcare needs are well supported by systems that ensure privacy is respected and that health and welfare is monitored and maintained. Evidence: The people living here have their personal and healthcare needs outlined within their case files. Their needs are supported and met, where appropriate, in private. Specialist support and input has been sought and obtained where necessary, and multidisciplinary input (such as that from the Speech and Language Therapist, or with diet and nutrition) is made available. As well as making sure healthcare advice is sought, the registered manager, and other staff in the team, help the people living here to access healthcare treatment. This is so people get the help and healthcare they need to keep well. The results of healthcare visits and routine monitoring is recorded within each persons care file. This can help ensure that staff follow any advice and guidance that has been made by the healthcare professional. Linked to these health and personal care arrangements is the support given with Care Homes for Adults (18-65 years) Page 19 of 31 Evidence: medication. Due to their levels of need, service users are not able to administer their own medicines, and designated staff will help in this area. Some, but not all, staff at the home have had medication administration training (the safer handling of medication course). This has been suplemented by in-house guidance and competency testing. The medicines themselves are stored in a locked cupboard to keep them safe. There is only a small amount of loose stock, the rest being held in a monitored dosage system. This is where tablets are placed into a blister pack system by the pharmacist. Once given out staff write down who has had what medicine on printed administration records. An audit of the medicines used here was carried out by us. All of the medicines we looked at were properly accounted for. Care Homes for Adults (18-65 years) Page 20 of 31 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 . Clear systems help protect people from neglect, abuse and self-harm. Evidence: A clear, written complaints procedure is available at the home. There have been no complaints reported to us since the last inspection. Because of peoples communication needs it is not possible for people to make direct comments on the quality of care they receive. Staff have therefore to be mindful of each persons behaviour, gestures, and body language to gauge how they feel. The staff here have also received training on adult safeguarding and abuse awareness matters. Both the care providers and the local councils adult protection procedures are available here for staff to refer to. Care Homes for Adults (18-65 years) Page 21 of 31 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 . Basra provides a homely and comfortable environment, with adaptations available to meet people current and changing needs. Evidence: Basra is an adapted bungalow, that allows for easy access for people who are physically frail or disabled. It is domestic in style, and each persons bedroom has been personalized to suite their tastes. The home is clean throughout and there is good odor control. Several items require alternative storage, including records held on open shelves in a lounge, a hoist stored in a corridor and Christmas decorations stored in a persons bedroom. Also the tumble drier does not work, and an external light has failed due to water pouring on it from a broken gutter. Overall Basra is a comfortable home, and the people living here appear relaxed and comfortable in their surroundings. Care Homes for Adults (18-65 years) Page 22 of 31 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The people living here are supported by a well trained and qualified staff team, but one whose numbers have beed depleted to a point where regular activities are no longer guaranteed, and staffing consistently has reduced. Evidence: There have been no new staff recruited here since the last inspection. Overall staffing levels have been reduced, as there are now fewer people living here. Several staff have also left due to the uncertainty caused by the Councils longstanding review of the service. In the past there was a team of Enablers employed both here and at other homes. These workers were originally allocated to each home to offer activities support, but a central team was later set up who offered service users guaranteed time for activities. However, due to staffing shortages there is only one Enabler employed across the whole Gateshead area. This has meant that the people living here no longer receive the same level of support that they did in the past. At the time of the inspection, five out of the eight support staff were qualified to NVQ level 2 in care [or higher]. Nevertheless, staff have not received the five days per year recommended within the National Minimum Standards. We found that all staff had received a one day mandatory course, covering topics such as first aid, health and safety, fire safety and moving and handling. Some staff have also attended intensive Care Homes for Adults (18-65 years) Page 23 of 31 Evidence: interaction and a knowledge and skills workshop. Training is one of the topics discussed at each staff members supervision session. These are one to one meetings that are held between a staff member and manager to discuss their performance, training needs, personnel and personal matters. Actions are agreed where necessary. These occur on a regular basis, to allow staff to feel supported and informed about developments at the home. Care Homes for Adults (18-65 years) Page 24 of 31 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 . Service users benefit from a well managed home, where quality and health and safety matters are regularly checked. This can help ensure the service remains focused on the needs and safety of the people who live here. Evidence: Service users benefit from a well managed home, where quality and health and safety matters are regularly checked. This can help ensure the service remains focused on the needs and safety of the people who live here. Basra is overseen, on a full time basis, by the registered manager. She is supported by a deputy manager. The registered manager is a qualified nurse, and has also obtained an NVQ in management. She has also attended a range of training to keep her knowledge and skills up to date. Training she has attended has included a mandatory safety course, a key skills workshop, Mentor Assessors training, Mental Capacity Act and separate Mental Health Act awareness. As well as ensuring her own knowledge and practice remains up to date, the registered manager undertakes a number of quality checks and audits to ensure the standard of Care Homes for Adults (18-65 years) Page 25 of 31 Evidence: care is up to current good practice levels. More senior managers also carry out monthly inspections. Just as the quality of the care provided is checked, so are matters affecting health and safety. Therefore regular checks on the building are carried out, water and fridge / freezer temperatures are monitored, and working practices that could present a risk are looked at, and safe ways of working (for instance by the use of lifting aids) introduced. Other than the light fitting and hoist noted above, there were no other hazards to health and safety observed. The chemical information sheets obtained to inform staff of what to do if they have an accident with a chemical product are not up to date, and some chemicals used do not have corresponding data sheets. Care Homes for Adults (18-65 years) Page 26 of 31 Are there any outstanding requirements from the last inspection? Yes  No  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 1 24 23 The registered persons must 09/01/2009 ensure that the redecoration and refurbishment of the home continues with records kept. Care Homes for Adults (18-65 years) Page 27 of 31 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 Description Timescale for action 1 30 16 The registered person must ensure that the tumble drier is repaired or replaced. 11/11/2008 This is so service users have access to basic equipment and that laundry can be dried in an efficient manner that does not impact upon other services and staffs limited time. 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 Description Timescale for action 1 6 15 The registered manager must ensure that each service users care plan is regularly monitored, reviewed and thereafter updated. 09/01/2009 This is so there is clear information and guidance on peoples needs and how these are to be met. 2 30 13 The registered manager must ensure that items 09/01/2009 Care Homes for Adults (18-65 years) Page 28 of 31 including the mobile hoist, records and Christmas decorations, are stored in a safe, and secure manner, that does not impinge on service users personal space. This is so people remain safe, confidences are respected, and service users bedrooms are not used to store shared items. 3 33 18 The registered manager 09/01/2009 must ensure there are sufficient numbers of staff on duty (including Enablers) to ensure service users needs are being met. This is so service users needs (including social needs) are being adequately addressed. 4 42 13 Data sheets need to be obtained for all chemical products used here. 09/01/2009 This is so staff have readily accessible information on the chemical products used here, know how to use them safely, and can get information on what to do in case of an accident. 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 12 The manager should ensure that service users receive the activities that have been timetabled with the Enabling Care Homes for Adults (18-65 years) Page 29 of 31 service. 2 35 Staff should receive a minimum of 5 days paid training each year. This is to ensure that their knowledge, skills and competency is kept up to date, and service users needs met. Care Homes for Adults (18-65 years) Page 30 of 31 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone : 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web:www.csci.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. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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