Care Home: Belmont Road (9 & 10)

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What the care home does well The atmosphere was friendly and congenial. Staff enable people to make choices and treat them with respect, interaction observed between the staff and people living in the home was observed to be friendly and open. When talking about people, staff did so in a supportive and respectful manner and written notes were also written appropriately. The program of redecoration and maintenance is ongoing and the house is well maintained. The weekday activities provided are varied and well suited to people`s individual needs. The house is clean and homely and people are able to personalise their rooms. The home is excellently managed and there is an experienced and trained staff team. What has improved since the last inspection? The bathrooms have been made more accessible to people and all the fire officer`s recommendations made during his visit have been carried out. What the care home could do better: During this inspection we didn`t identify any areas that needed improvement that have not already been identified by the home. Any that we mention during the inspection, such as issues with the medication, were dealt with immediately while we were still in the building. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Belmont Road (9 & 10) Belmont Road (9 & 10) March Cambridgeshire PE15 8RQ     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: Janie Buchanan     Date: 2 2 0 4 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. 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. 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. Care Homes for Adults (18-65 years) Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI 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 28 Information about the care home Name of care home: Address: Belmont Road (9 & 10) Belmont Road (9 & 10) March Cambridgeshire PE15 8RQ 01354660623 01354653851 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) : Conquest Care Homes (Peterborough) Limited care home 13 Number of places (if applicable): Under 65 Over 65 0 0 learning disability physical disability Additional conditions: PD only in association with LD Date of last inspection Brief description of the care home 13 13 9/10 Belmont Road provides accommodation for 13 adults with a learning disability, many of whom have an associated physical disability. The home is purpose built and operated by Craegmoor Healthcare. The accommodation consists of two bungalows linked together at the end of a small cul-de sac in the Cambridgeshire town of March. The bedrooms are all single, and each has its own washbasin. Each bungalow has its own lounge and dining room and separate kitchens and bathrooms. The two bungalows share a sensory room There is a shared garden, which can be accessed directly from a number of the bedrooms. It is used extensively in the better weather. Fees charged range between £701 and £1387 per week, depending on assessed need, and copies of previous reports are available either in the reception area or from the office. Care Homes for Adults (18-65 years) Page 4 of 28 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: 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 peterchart Poor Adequate Good Excellent How we did our inspection: This was an unannounced inspection; we arrived at 8am in the morning and left soon after 3pm. The manager was not on duty when we first arrived but returned soon afterwards. The senior support staff on duty facilitated the beginning of the inspection and the manager took over when she returned. During the whole inspection staff were open and helpful. Whatever files and documents we asked to see were quickly produced and were well ordered. During the day we had a look around the home and talked to some of the staff and some of the people who live in the home. We looked at information belonging to three people and the available personnel information of three of the staff. We also assessed some of the homes policies and procedures and sampled a random selection of the health and safety files and records. Care Homes for Adults (18-65 years) Page 6 of 28 Before the inspection the manager had sent us the Annual Quality Assurance Assessment (AQAA) she had completed. The AQAA is a self-assessment that focuses on how well outcomes are being met for people living in the home. It also gave us some numerical information about the service. The AQAA was sent to us within our set timescales, was very well written and contained a lot of information and showed that the home recognised areas that need further improvement. We had sent surveys to the home for distribution amongst the people in the home, their relatives and the staff. The response was very good. We received eight back from people living in the home, seven of their relatives and ten of the staff. The overall comments were positive about the home and the service provided. People told us that they were happy living in the home. One relative said, My family have always found the carers to be kind and caring - we cannot praise them enough and we are grateful to them. Another person said, (I am) very pleased with Belmont Road and the service they provide. Staff are very caring and welcoming to the families visiting as well as to the residents. Someone else commented, There are a range of needs in the home and they try to cater to them all. My relative is given the opportunity to go to church. What the care home does well: What has improved since the last inspection? 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 set out 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 8 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 9 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. People thinking of moving into Belmont Road are offered enough information to enable them to make an informed choice about moving into the home and everyones needs are assessed before they move in. Evidence: There have been no changes in the group of people living in the home in the last year and no changes are expected as the service is intended to provide a long-term home for the people living there. The homes statement of purpose was recently updated and is available in a clear and comprehensive format. The organisation has an admittance and discharge policy, which was also updated in February 2009. In the introduction to the policy it says, ...it is recognised that admission to any of our services should be considered as a step for the individual. For many people that step will be temporary as their health and/or skills improve or worse. Craegmoor promotes the value of providing the right care at the right time. Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: The policy sets out that assessments should be done by visiting the persons home and should be done in a person centred way, using the appropriate tools provided by the company. It also says that once the manager has decided to admit the person, she should write a letter to them confirming they will be able to meet their needs and a service users agreement must be signed by the individual or by a person legally authorised to act on their behalf. We looked at three peoples files and saw that comprehensive assessments had been carried out. We were shown a form that is completed when people move on. It was also detailed and, if filled in properly, would contain information that would be important and helpful to the persons new carers. People thinking of moving into the home are given the opportunity to visit it before they decide to move in. This would include tea visits and overnight stays, before the move becomes permanent a review will be held. Care Homes for Adults (18-65 years) Page 11 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in this home have care plans and are assisted to make decisions about their life and are consulted about the way they want to live. People who live in the house are enabled, through risk assessments, to take risks as part of an independent lifestyle. Staff are trained to respect confidences and to handle personal information in a way that will maintain confidentiality. Evidence: We examined three peoples care plans, the format demonstrated a very person centred approach and clear involvement of the individuals themselves in the process. They were concise but still provided detailed information for any staff new to the service and clearly show how people living in the home wish their identified needs to be met. They have been updated recently and have are reviewed monthly. People who live in the home make decisions about the home and the things they do, the care plans detail Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: how people have made their choices, and how these choices are achieved, for example where people have chosen to go on holiday. The individual plans also include risk assessments which ensure that people living in the home can lead a safe life but still undertake activities of their choice. House meetings are held where everyone gets a chance to make suggestions for what they would like to do when they go out and two of the people living in the home act as house representatives and attend the organisations Your Voice Forum. They attend with a staff member, where they join in with others that live in Craegmoor homes and promote their own views regarding issues within the home, their goals, the activities they enjoy and share other news. In the AQAA the manager says that, All staff, from manager to support worker and ancillary staff are expected, encouraged and trained to listen and spend time with people on a one-to-one basis. This enables people to discuss issues and interact with all staff members. Induction training includes keeping confidences. When not in use, private information is stored in a locked cupboard in the office and is not left lying around in communal areas. Care Homes for Adults (18-65 years) Page 13 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are able to advance personal development by attending a day centre and Adult education classes. A very full range of activities is offered in and out of the house that makes people a part of the local community. Friends and family are welcomed in the home and peoples rights and responsibilities are recognised and upheld. Food offered is varied and they eat it in comfortable surroundings. Evidence: People are able to develop their personal development by attending local further education classes and the next steps college. Despite a lack of day centre availability, the home continues to maintain its excellent links with the local community, and people living in the home enjoy a variety of local facilities and pursuits including local pubs and restaurants, shopping, sports and Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: leisure facilities, they go to the local theatre together and there is a variety of structured daytime activities. A senor care staff member has been allocated as the activities coordinator. We saw the program she had produced, each persons individual needs are considered when developing the plan, records are kept of the activities that occur and whether they were popular or not. We saw certificates of peoples achievement and there were many photographs of activities taking place and there was the produce of the arts and craft sessions displayed around the home. We also saw evidence in records that showed the involvement of people living in the home in deciding what they wanted to do, and where to go, including a variety of holiday options. When staff talked to people it was evident that they had an excellent understanding of peoples communication needs, they took time to talk to people in a way they understood and gave them plenty of time to reply. Since a new computer has been provided for the office the old one has been set up in one of the lounges and has been made available to people living in the home. It has Internet access. People are able to use it unsupervised or with support if they need help. One person told us that they were happy they could use the computer and said they enjoyed using the Internet. The manager assured us that family members and friends are encouraged to visit and join in the life of the home and that people are also helped and supported to visit their families. We were also told that people are encouraged to contribute to the day-to-day working of the home, such as tidying their personal rooms, laundry and helping with housework. The menu, which is produced in consultation with people in the home, offers a varied and appetising diet, the AQAA tells us that, there is always a choice of two main dishes, while other options are readily available if requested, including a vegetarian alternative. New furniture has been provided in the dinning rooms, it has been especially designed to enable people in wheelchairs and those using specialised walking frames to easily gain access to the table. Care Homes for Adults (18-65 years) Page 15 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. This home records peoples personal care needs in a way that enables them to be supported as they want to be. People have access to doctors and specialist care and medication is managed properly. Evidence: We looked at three care plans and found that, peoples support needs were recorded and they were written in a way that reflected their personal preferences. The care plans were reviewed regularly, which gives people an opportunity to change their minds about how they want to receive personal care and have it recorded. We found evidence, in the files we examined, that people have access to medical practitioners as and when they need to, they also get support from specialists such as speech and language therapy, psychology, psychiatric, dentists and opticians. We examined the medication and its records and found that they were mainly as required. The way the home managed medication that is needed occasionally when people have bad epileptic incidents, was not done in a way that met national Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: medication guidelines. Once the manager was made of aware of the situation it was immediately put right and by the end of the day everyone who needed it had their own individual pack that included their own named medication, properly labelled to carry with them when the go out. We also noticed that the home needs to develop a way to track the medication while it is in the home, so that they are always able to be sure exactly what they have in the home. Ways of keeping this audit trail was discussed with the manager and the senior staff member who is responsible for managing the medication and an undertaking was given to make sure the necessary changes are made. Apart from these two errors the medication is managed well. Checks done by the pharmacy who dispenses the medication for the home did not raise any areas of concern. Our professional website is available to everyone and contains guidance on many topics including medication. Care Homes for Adults (18-65 years) Page 17 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. Complaint policies and procedures are in place and complaints are investigated in line with them. There are systems are in place to properly record complaints and concerns and peoples money is managed appropriately. People are protected from abuse by staff being properly trained in safeguarding and managing challenging behaviour. Evidence: The home has complaint and safeguarding policies and the complaints procedure is displayed throughout the home. Complaints and concerns are recorded in a way that makes it possible to follow them from start to finish easily. We havent received any complaints made directly to us and there havent been any formal complaints made to the home since the last inspection. The manager told us that she is always available to talk to people and prefers to deal with issues before they become a problem. We examined the way that the home looks after peoples personal money. The money spent is recorded and receipts are kept. Peoples money in the home is stored in individual purses that are locked away in the office for safe storage. We examined three purses and found that the amount of cash in the purses corresponded to the totals recorded in the cashbooks. People do not have separate bank accounts in their own names, Craegmoor Healthcare has a central bank account but everyone who has money in that accounts gets Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: monthly statements and receive interest on their savings. A copy of the Multi-Agency Vulnerable Adult Protection document No Secrets is available for staff and their training includes safeguarding and managing challenging behaviour. 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. This home is safe, comfortable, clean and hygienic. Bedrooms suit peoples needs and lifestyle and there are sufficient bathrooms and toilets. Evidence: The home is in an attractive building; it is homely and well decorated. There are lots of photographs displayed of people while on holiday and out on day trips, there are also plants around the home that are well tended and attractive. There is a large garden that is well maintained and planted with trees and bushes, there is also a large patio with easy access for wheelchairs which makes the garden accessible to everyone. There is a wheelchair swing and trampoline in the garden that are kept in a safe condition by the maintenance person. There is an excellent sensory room, which is being improved to incorporate ideas from people in the home. After a visit from the fire officer a fire path has been extended around the building, which is properly lit to make leaving the building in an emergency easier. Other recommendations made by the officer have also been met. Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: There are sufficient bathrooms and toilets to meet peoples needs and they have been made more accessibility since the last inspection. All of the bathrooms have been fitted with equipment and aids to maximise independence. All of the communal rooms are clean and hygienic and bedrooms are individual and reflect the personality of the people who occupy them. The homes improvement plan includes new windows and the kitchens being updated, which is needed as the kitchen units are becoming worn and dated. 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. Staff are aware of their roles and responsibilities and are qualified. The home has recruitment policies and procedures in place to safeguard people and we saw that they are being followed. Training is in place and staff are receiving supervision. Evidence: Staff records were examined as part of the inspection process, and clearly demonstrated that the recruitment processes are robust and offer protection to people living in the home. The providers deal with recruitment centrally, but local interviews are held, and all the required records were available in the home. During the inspection we spoke to several staff members and observed them working with people. It was evident that they have a good knowledge of the needs of the people they care for and have developed good communication with them. Staff were clear in their roles, and the staff group appear to work extremely well as a team. The training provided to staff is comprehensive, and a record of the training received was seen on the three staff files examined, which included all mandatory training as well as other more service users specific courses. Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: The staff we spoke to on this occasion confirmed that all the checks that safeguard people are being carried out before staff start work in the home. Information given to us in the Annual Quality Assurance Assessment (AQAA) completed by the manager tells us that the home has met the required minimum of 50 of its staff having attained the NVQ 2 in care or its equivalent, in fact we were told that all the staff have either attained the qualification or are working towards it. One the day of our visit levels of staffing was seen to be adequate to offer people individual uninterrupted time, continuity of care and to be able to manage emergency situations. The rota shows there are always three staff members on duty in each bungalow at all times and that they are supported by a senior support worker. The home offers a wide range of training, in the last year training has included managing challenging behaviour, health and safety, manual handling, safeguarding vulnerable adults, basic food hygiene, first aid, risk assessments, COSHH and equal opportunities. Information given to us in the AQAA says that supervision is carried out and staff we spoke with confirmed this. We also saw the supervision notes in the staff files we looked at. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. This home is excellently run and the ethos of its management is empowering to the people living in it and their views underpin its running. The policies and procedures and the record keeping protect peoples rights and best interests. Health and safety is promoted and necessary checks are made and records kept. Evidence: The manager wasnt at the home at the beginning of this inspection but came back soon after we arrived. We found that she was organised and well liked by the people living in the home and the staff. She has attained her management qualification and has been working in the home for twelve years and has been running it for the last five. In the AQAA the manager tells us that, Primary importance is placed on service users opinions and the homes activities are resident led. We saw evidence that this statement is true. People were asked their opinions while we were at the home on all aspects of the days activities. Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: In the managers temporary absence the senior support staff facilitated the inspection, she was confident and able to find everything we asked for, she was knowledgeable about the running of the home and the people living in it. The home sends annual surveys to staff, people in the home and their relatives. Once they are returned the information is collated and action is taken when shortcomings are highlighted. House meetings are held where people are encouraged to speak their mind about how the home is run and how it can be improved. Records are kept of these meetings and we were able to see them. The organisations polices and procedures are comprehensive and are reviewed and updated as legislation dictates. Records are kept up to date and are stored appropriately. Personal details are stored in a locked cupboard in the office and are not left unattended, staff are asked to read and sign the organisations policy on confidentiality when taking up post. The organisation carries out very stringent internal audits in all aspects of the running of this home. We saw copies of the audits and found them to be detailed and noted that a high standard is expected from their managers. The audits for this home were scored very highly and in our opinion were well deserved. The manager shows excellent management skills and is running the home to a high standard. A sample of health and safety records was inspected and was found to be in order. A fire risk assessment has been carried out and the fire folder shows that the fire points are tested weekly and fire equipment is tested annually. Fridge and freezer temperatures are taken and recorded daily. 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 Care Homes for Adults (18-65 years) Page 27 of 28 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. 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