Care Home: Bella Care Home

Similar services:

• 2 Perhaver Park
• The Vicarage
• St George`s
• 5 Seafield Road
• Radfords
• Honeybourne House
• 32 Beaumont Way

What the care home does well The home continues to update and maintain the decoration of the home and upgrade the environment as needed. The owner of Bella Care Home, Jayne Page, encourages staff training and development ensuring that people who live at the home receive the best possible service. The home encourages people to have outside interests including with a variety of leisure activities available inside the home and in the community. People living in the home are able to enjoy a stimulating lifestyle with a varietyof options to choose from. People who needed help supported and staff support people in a relaxed and helpful way. The staff ensures that the care provided is flexible, consistent and is able to meet the health acre needs of individuals. A professional survey returned to the home wrote, "Bella care home has provided a very stable home, within a warm and caring environment, well done team". What has improved since the last inspection? All the people living in the home have new beds with the last new admission also having purchased new bedroom furniture. Many areas have had new curtain and one person living in the home choosing a new window blind instead of curtains for their bedroom. What the care home could do better: No Requirements or Recommendation were made in this report. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Bella Care Home 12 Carmarthen Road St Judes Plymouth Devon PL4 9EW The quality rating for this care home is: three star excellent 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: Kim Fowler Date: 0 1 0 6 2 0 0 9 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 30 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.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 30 Information about the care home Name of care home: Address: Bella Care Home 12 Carmarthen Road St Judes Plymouth Devon PL4 9EW 01752246145 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Jayne Page care home 3 Number of places (if applicable): Under 65 Over 65 3 0 learning disability Additional conditions: Three service users with a Learning Disability (LD) Age 18-65 The Registered Provider to complete NVQ4 and the Registered Manager`s Award by December 2006 Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 30 A bit about the care home Bella is a care home providing personal care and accommodation for three people, aged 18 - 65, with learning disabilities. It is privately owned by Mrs Jayne Page, who is in day to day control of the home. The current fee start at 700 pounds but this may vary depending on individual needs. The home is a twostorey mid-terraced house, located in the residential area of St Judes. It is close to Plymouth city centre and all local amenities including public transport. All the homes bedrooms are single. On the ground floor there is a through lounge/dining room, and a kitchen/diner, as well as sleeping accommodation for the staff. At the front of the home is a small paved area and there is a much larger paved/concrete area at the back of the house. There is no dedicated parking for the home, although on street parking is available nearby. Care Homes for Adults (18-65 years) Page 5 of 30 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: three star excellent 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 30 How we did our inspection: This is what the inspector did when they were at the care home The unannounced inspection took place over 1 day and started at 10:30am and finished at 1:45pm on the 1st June 2009. The Registered Manager and provider, Jayne Page was available throughout the inspection. We made a tour of the building and spoke to one of the people living at the home. Documentation relating to the care planning process and the management of the home were examined. What the care home does well The home continues to update and maintain the decoration of the home and upgrade the environment as needed. The owner of Bella Care Home, Jayne Page, encourages staff training and development ensuring that people who live at the home receive the best possible service. The home encourages people to have outside interests including with a variety of leisure activities available inside the home and in the community. People living in the home are able to enjoy a stimulating lifestyle with a variety Care Homes for Adults (18-65 years) Page 7 of 30 of options to choose from. People who needed help supported and staff support people in a relaxed and helpful way. The staff ensures that the care provided is flexible, consistent and is able to meet the health acre needs of individuals. A professional survey returned to the home wrote, Bella care home has provided a very stable home, within a warm and caring environment, well done team. What has got better from the last inspection All the people living in the home have new beds with the last new admission also having purchased new bedroom furniture. Many areas have had new curtain and one person living in the home choosing a new window blind instead of curtains for their bedroom. Care Homes for Adults (18-65 years) Page 8 of 30 What the care home could do better 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 Kim Fowler 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. Care Homes for Adults (18-65 years) Page 9 of 30 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 10 of 30 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 11 of 30 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Prospective new admissions referred to the home can be assured that they will be provided with sufficient information for them to make an informed choice about living at this care home. Evidence: The home has not had any new admission for some time, however the last admission file was examined and the admission process discussed with the manager. The manager confirmed that this admission had come for several trial visits before admission and this included meal visits and whole day visits. This admission was supported by the Learning Disability services and medical services to ensure the home was able to meet this persons needs. The pre-admission form held on their file was examined and was comprehensive in the details held. Information was also held to show several meeting had been arranged, based on the person capacity under the Mental Capacity Act, to include all people involved in this person care to ensure the home suitability of their needs. Care Homes for Adults (18-65 years) Page 12 of 30 Evidence: This information was supported by the previous placements care plan and the placing authority provided additional information. This information is important so prospective admissions are assured that not only can their health care needs but also their physical needs are managed and met by the home. Recorded into this person file were the dates and times of trial visits to the home and included visiting the home for meals and overnight stays. The homes AQAA returned to the Commission said, We ensure detailed assessments are made before admission. Care Homes for Adults (18-65 years) Page 13 of 30 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People are encouraged and supported to make daily decisions about their own lives to maintain their independence as much as possible. Evidence: The files for two of the three people living at the home were examined. Both files examined held individual care plans in place and the details held on these files are needed by staff to met individual needs. These care plans show a breakdown of the services and facilities provided by the home as well as current needs, specialist input and guidelines for staff to manage individuals. Each individual plan provide staff with the information on how to care for each person and ensure continuity in care and have been completed to enable staff to carry out their duties. All plans ensure that all aspects of health, personal and social needs will be met. Each person has a PCP, (Person Centered Plan), held on there file and these are being developed and extended to include all information on individuals. Care Homes for Adults (18-65 years) Page 14 of 30 Evidence: The homes files and care plans were supported by the placing authority care plan and each showed that they had been reviewed regularly and updated when needed. Individuals are invited to attend review meetings and participate as much as possible. At the start of the inspection two of the three people living in the home were leaving to go away for a weeks residential holiday. On arrival at the home observations showed staff assisting one person about the decisions on what they plan to do on holiday. This included trips out that day and the choice for lunchtime meal. The manager stated that each person is given options about were to go on holiday or day trips and then the options available are discussed and destination chosen. The homes AQAA states that, staff support the service users to be as independent as is possible and to be consulted on an involved in all aspects of the daily running of Bella. One person was able to confirm that they out at visit places of interest to them. This person said, I go to see the trains. The manager confirmed that everyone is involved in discussions about trips out of the home and to make decisions about everyday issues including planning meals. Each single room hold a safe to keep valuables and the manager confirmed that each person holds their own bank account. All individuals money is paid into their own bank accounts and the hold supports individuals to withdraw money from via a cash machine. One person signs for their own personal money and other are supported with this task by the staff or manager of the home. All care plans held risk assessments to cover all aspects of risk. These risk assessments included independent living skills and health care risk assessments with assistance on assisting one person who has particular health care needs. This information is important to minimise risk. Care Homes for Adults (18-65 years) Page 15 of 30 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 . The people living in Bella Care Home can be confident that the home will promote and provide support for them to access the local community and leisure activities as much as possible. Evidence: Only one person was spoken with during this inspection as two of the three people were leaving to go on holiday. However this person was able to confirm that they go out to different places and include pubs and places of interest to them. The manager stated that the home has the use of holiday accommodation where people can go for weekend and week trips away. One person was observation discussing with staff the plans for their week away including going to the cafes and eating out. Care Homes for Adults (18-65 years) Page 16 of 30 Evidence: The manger confirmed that one person attends college to improve their independent living skills. Courses attended include cooking and music sessions. Both people had information recorded into their files of the places they attend. The manager confirmed that the home arranges different activities within the home and in the community to ensure each person has a wide range of activities. Social activities arranged include trips to the local cafe and shopping trips. The home has its own transport and staff arranged regular trip out based on individuals preferences. Trip arranged included visiting a seaside town and a zoo. Each file examined confirmed recorded information and a detailed list of activities undertaken including sing a longs and dancing. One person living at the home said, I like going to see the trains. One person wrote in their quality assurance survey sent to the home, I like going to art and crafts at college. Evidence was recorded in the files examined of input from relatives and friends. The manager confirmed that several people have regular visits from family members and some people visit the families at home. One person said nodded in agreement when asked if they see their family. Information held on files is used to promote the respect, privacy and dignity of each person living in the home and the home and the staff had attended a Privacy and Dignity forum. No one was spoken to about the food available. The manager confirmed that the home has a menu, and this was seen displayed, However the menu is flexible as only three people living in the home and everyone is encouraged to participate in the preparations, shopping and cooking of all meals. One person was observed having their lunch time meals with the manager offering support and choice at all times. Specialist diets are catered for and one person has information recorded on how this is managed by the home and the involvement of the Dietitian and SALT. (Speech and Language Therapist). The home quality assurance surveys recently completed held comments from people living in the home about the food offered. Comments included, I like my food and I like eating healthy food. The homes AQAA states, We encourage service users to take a more active part in the day to day running of Bella. Care Homes for Adults (18-65 years) Page 17 of 30 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Information is recorded into individual files for staff to promote individuals independence and provide good personal support promoting privacy and dignity at all times. Access to health care is maintained to promote the wellbeing of all who live in the home. Evidence: Both the files examined showed that personal support is recorded into individual care plans and these are easily accessible for staff and all rooms are single. People who require assistance with health care needs have clear guidelines recorded and held in their file to assist staff on how best to support each person. Each person has a health action plan in the individual file and the local Health Team assisted in producing this document. This ensures consistency in the care provided. These care plans are based on assessed needs and evidence was recorded that these are regularly reviewed and then signed. Guidance on personal care is clearly recorded into individual files and this ensures that Care Homes for Adults (18-65 years) Page 18 of 30 Evidence: staff are aware of peoples needs and will promote consistency in care. Other professionals involved in the home include the local Clinical Psychologist, Learning Disability team and District Nurses. The homes AQAA states on what they would have improved over the last 12 months, By working closely with Health and Social Sevices and ensuring we ask for the appropriate training for our staff. One person living at the home also requires specialist input and evidence was recorded that the District Nurse and Dietitians teams had assist in providing an assessment and input to the home to ensure this persons changing needs are met. A professional quality assurance survey return to the home from a visiting professional ticked, yes, when asked if people privacy and dignity was maintained. A relative recorded onto their survey, I have never seen my relative looking so well. The medication system was checked during this inspection and found to be well recorded and documented. Staff designated to administer medication have received medication training and the manager confirmed that they had received medication training from the local pharmacist. Care Homes for Adults (18-65 years) Page 19 of 30 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 . The people living at Bella care home can be confident that any complaints or concerns raised will be listened to, acted upon and well managed by the home, which protects the welfare of all. Evidence: The home has a complaints procedure in place and is clearly displayed on the homes notice board and is also available in the homes Statement of Purpose and Service Users Guide. This information included how to contact the CQC and the process of how a complaint is dealt with including timescales. The home nor the Commission had received any complaints. All staff have undertaken Mental Capacity Act training and Safeguarding training to ensure staff are aware on how to assist people with concerns and complaints. The owner, who is also the registered manager, Jayne Page, is in the home most days and is able to speak to people to deal with concerns or other issues raised immediately. The manager confirmed that all staff has completed the POVA (Protection of Vulnerable Adult) training with the local authority. Staff files showed certificates held to confirm that staff had attended this training. No staff were available for interview as they had taken people away on holiday. Care Homes for Adults (18-65 years) Page 20 of 30 Evidence: One person living in the home recorded onto their survey returned to the home, If I was worried I would tell Jayne or my Care Manager. The homes AQAA states under plans for improvments over the next 12 months, To empower service users to know they are respected as an individual. Care Homes for Adults (18-65 years) Page 21 of 30 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 . Bella care home continues to update and upgrade a clean and suitable environment for its stated purpose and people living at the home can be assured that they will live in a comfortable home. Evidence: A full tour of the premises showed that the home is suitable for its stated purpose. The home is well kept, safe and accessible for all the people currently living at the home. This home is for 3 people and is spacious and comfortable. Individual bedrooms showed that peoples rooms contained personal items including furniture, ornaments and pictures that reflect their personality and interests. All bedroom doors now have locks fitted and each has a safe fitted for people to keep valuables. Individual bedrooms showed that peoples rooms contained personal items including furniture, ornaments and pictures that reflect their personality and interests. All bedroom doors now have locks fitted, however some people choose not to hold Care Homes for Adults (18-65 years) Page 22 of 30 Evidence: keys. Risk assessments are held on individual files reflecting these choices. The home has a large lounge and dining area as well as a kitchen dinner, one bedroom is en-suite and two other people have the use of one other toilet and a separate bathroom with overhead shower. There were some minor repairs to be carried out and the Registered Provider confirmed that these were being dealt with. This included repairing and sealing the kitchen floor. The manager called the Commission soon after the inspection to state the floor had been sealed. The care staff carried out all domestic tasks and encouraged people living in the home to participate as much as possible. A washing machine and tumble dryer were located in a cupboard under the stairs to ensure that soiled laundry was not carried through any areas where food was cooked, prepared or eaten. The process for the removal of clinical waste was discussed and was satisfactory dealt with and the manager confirmed that the home provided disposable aprons and gloves for peoples protection. The manager confirmed that staff has completed an infection control course and the premises were clean, hygienic and free from offensive odours The recent improvements to update the home have included all new beds curtains and blinds with the last new admission having new bedroom furniture. Further planned purchases include a new dinning room table on order and due at any time and the purchase of new garden furniture. The homes AQAA says, The service users bedrooms are furnished with decor they have chosen and they have their own personal possessions. Care Homes for Adults (18-65 years) Page 23 of 30 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 . People living at the home are supported by caring staff in sufficient numbers to meet the needs of those currently living at the home. Staff training is carried out regularly for all staff to ensure that all assessed needs of the people living at the home are met. Evidence: The staff were observed, while waiting to go on holiday, on arrival at the inspection responding sensitively and respectfully to the person wanting their attention and were able to use their knowledge of this individual to encourage choice and independence were possible. This staff member and the manager were observed to be friendly, good-natured, courteous and respectful to individuals. They interacted well with the people living in the home and showed that the staff and the people living in the home being relaxed and with a friendly atmosphere. As previously stated two of the three people living in the home were leaving to go on holiday. Only the manager remained behind with one person living in the home with plans to go out later in the day. The manager stated that there are usually 2 staff Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: members, with the manager as an extra when needed, with the three people living in the home. The home has one sleep in staff with the manager on call when needed. Examination of staff files showed that all staff had the required pre-employment checks, including CRB (Criminal Record Bureau Disclosure) in place ensuring as far as possible unsuitable staff are not employed. Discussions with manager and the staff showed that all staff participate in and update training course when needed. The training recorded in individuals files show that PCP (Person Centered Plan), Safeguarding, fire safety and Infection control. The last new member of staff employed is near completion of their NVQ (National Vocational Qualifications) with all other 5 staff employed already holding a NVQ level 2 with two of these staff now completing an NVQ at level 3. The staff have also completed the Mental Capacity Act and Best Interest training to assist staff with helping people make decisions were possible or were to seek further advice when needed. The homes AQAA records that in the next 12 months they will, All staff have an excellent rapport with the service users.. Care Homes for Adults (18-65 years) Page 25 of 30 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 management of this home is very good and ensures that records are effectively maintained. And the staff team are well trained to meet the needs of people living at the home. Evidence: The Registered Manager and owner, Jayne Page, continues to be manage and run the home and has for a number of years. Jayne has now completed a level 4 National Vocational Qualification (NVQ) in Care and has completed the Registered Managers Award, thereby demonstrating that she keeps herself up to date with current good practice in social care The manager has also attended the Mental Capacity Act and Best Interest training course. The home has carried out a Quality assurance survey with response available for Care Homes for Adults (18-65 years) Page 26 of 30 Evidence: inspection. The home has also developed an Annual Development plan and this showed that the home plan to update care plans and further develop the PCPs (Person Centered Plans) for all individuals. The AQAA states, I consult with the services users and staff in all decisions of the running of Bella. Sampling of servicing records indicated that equipment is serviced regularly and maintained in good working order, including the fire alarm system. Certificates were available on all Health and Safety equipment i.e. hoist and electrical equipment ensuring all have been checked However it was found that the Gas boiler had not been tested and serviced for a number of years. The manager was aware of this and will have this carried out as a matter of urgency with a notification sent to the Commission stating that this has been carried out. The manager contacted the Commission to say the gas boiler service has now been carried out. The fire protection system was well maintained. Maintenance checks are being carried out. Staff are receiving appropriate fire protection training to ensure they have the skills to deal with emergencies and all staff have attended a fire safety training course. Good health and safety practices reduce any unreasonable risk, affecting people living at the home, to an acceptable level. One quality assurance survey returned to the home by a visiting professional wrote, Bella care home has provided a very stable home, within a warm and caring environment, well done team. Care Homes for Adults (18-65 years) Page 27 of 30 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 Care Homes for Adults (18-65 years) Page 28 of 30 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 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 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 Care Homes for Adults (18-65 years) Page 29 of 30 Helpline: Telephone: 03000 616161 or Textphone : or 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. 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. Care Homes for Adults (18-65 years) Page 30 of 30 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!