Care Home: Chasefield House

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What the care home does well People who live in this home will receive the care and support that they need because their needs will have been properly assessed. The care planning processes ensure that each person is cared for in the way they want. Risk assessments are completed to safeguard people and not deter them from trying new experiences. People who live in this home are able to spend their time as they wish and will be supported to achieve their personal goals. They are supported to try new experiences. People who live in Chasefield will receive the personal and healthcare support that they need. Medication systems are safe. Good procedures are in place to ensure that people who live in this home can raise concerns or complaints, and will be listened to. They will safeguarded from harm. Chasefield provides a homely environment for the people who live there however the external and internal structures are in need of major repairs. There are no health and safety concerns and the home is safe, clean and tidy. People who live at Chasefield are looked after by a staff team who are skilled and competent and able to meet their needs. The home is well managed and run in the best interests of the people who live there. It is safe and the welfare of the people is protected. What has improved since the last inspection? The few repairs that were referred to in the last report have been addressed. It is recognised that that there is an ongoing concern regarding the general upkeep and maintenance of the property. What the care home could do better: No requirements or recommendations have been issued as a result of this inspection. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Chasefield House 888 Fishponds Road Fishponds Bristol BS16 3XB     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: Vanessa Carter     Date: 1 6 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. 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 27 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 27 Information about the care home Name of care home: Address: Chasefield House 888 Fishponds Road Fishponds Bristol BS16 3XB 01179653750 01179709301 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) : Aspects and Milestones Trust care home 11 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: 11 The maximum number of service users who can be accommodated is 11. The registered person may provide the following category of service only: Care home providing personal care only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Learning disability (Code LD) Date of last inspection Brief description of the care home Chasefield is registered as a Care Home with nursing for 11 adults with learning difficulties. The home is primarily for people aged 18-65 years although there are currently a number of people in residence, aged over 65 years. The house is situated in an urban location and can easily be accessed by car or bus. The nearby Fishponds Road high street is a busy shopping centre and has various social and community facilities. The house is a converted older property providing double and single rooms in three areas. There are two lounges, a dining room and other shared spaces. The house has an extensive rear garden and vegetable garden, which the people who live in the home can help maintain. Care Homes for Adults (18-65 years) Page 4 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The last inspection of this service was undertaken in June 2007 and our overall judgement about the quality of the service provided for the people who live in Chasefield was that people received a good service. After that inspection we planned to visit again within two years. In the meantime, we completed an annual service review on 25 June 2008 and were assured that the service was still providing good quality outcomes. Prior to this inspection the registered manager completed the annual quality assurance assessment (AQAA). This is a self assessment document that focuses on how well outcomes are being met. The assessment had been completed in detail and told us about the improvements that have been made over the last 12 months and identified Care Homes for Adults (18-65 years) Page 5 of 27 those areas where they felt they could do better. We sent Have your Say survey forms to the home prior to our visit and eight completed forms were returned to us. During the inspection we looked at records kept by the home, including care records and those that are kept in respect of the running of the home. We spoke to those staff on duty, the registered home manager and we observed the interactions between people who live in the home and the staff team. We did not confirm with the manager the current fee levels however this is not relevant as there are no places available in the home. 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 7 of 27 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 8 of 27 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 who live in this home will receive the care and support that they need because their needs will have been properly assessed. Evidence: Most of the 11 people who live in Chasefield have lived together in the home for many years and there have been no new admission since the last inspection. It was therefore not possible to look at the pre-admission assessment procedure that is followed before any new person is admitted into the home. We could only look at the assessment process that is used to work out how care is delivered for people who are already living in the home. From discussions with the staff team it is evident that they know each person well and have extensive knowledge of the care and support needs of each individual. The assessments that had been completed for two of the 11 people were examined as part of the inspection process to determine how effectively peoples needs are assessed. The assessments were thorough and provided a very detailed picture of what each Care Homes for Adults (18-65 years) Page 9 of 27 Evidence: person needed. The assessments included information about the persons physical needs, social needs, behavioural needs, mental and emotional needs and healthcare needs. These assessments form the basis of the plan of care devised for each person and evidenced that preferred routines and personal choices are respected. Care Homes for Adults (18-65 years) Page 10 of 27 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The care planning processes ensure that each person is cared for in the way they want. Risk assessments are completed to safeguard people and not deter them from trying new experiences. Evidence: My life at Chasefield files are prepared for each person and we looked at two of them. They record the preferred daily routine, the evening and night time routine and a weekly timetable of activities. The plans are person centred and reflect the persons needs, wishes, likes and dislikes. One persons plan was written along the lines of needs to have, likes to do, wont do, and needs support with. They detail the way in which support is to be provided to be of most benefit to the individual, and there are clear instructions for all staff to follow so that they know how to support the person both emotionally and mentally. The written plans are supported with a pictoral person centred plan, and these are used as a discussion aid during care plan reviews. Care and support plans will be updated following the reviews. Care Homes for Adults (18-65 years) Page 11 of 27 Evidence: A personal profile is completed for each person and this includes their personal history, information about their physical and mental health history, as well as a record of people who are important to them such as family and friends. People are encouraged to make decisions about their lives and observations made during the inspection evidenced that the support workers ask the person they are looking after what they would like to do, and work alongside them, supporting them to make decisions. Support staff will make best interests decisions when caring for people, when this is necessary. Risk assessment processes will ensure that any identified hazards are identified and either eliminated or reduced. A plan of action or a risk management strategy will be devised to support the person and avoid any undue limitations being placed upon their daily lives. We saw risk assessments around the use of community facilities, crossing the road, and specific behaviours - these assessments are reviewed regularly. Care Homes for Adults (18-65 years) Page 12 of 27 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. People who live in this home are able to spend their time as they wish and will be supported to achieve their personal goals but trying new experiences. Evidence: Some of the people who live here have in the past attended college courses and one person goes to an art group. Each person has a weekly timetable of activities that will include one to one time with a support worker, or group activities with other people who live in the home. On the day of inspection, one person was attending the local leisure centre with their day care worker, and three people went out in the homes minibus for a picnic by the lake. Another walked down to the local shops with a support worker. People will be supported to follow their hobbies and we saw that one person goes on regular train trips, whilst another enjoys art work. We were told that two people who live in the home will have some of their work displayed in an official Care Homes for Adults (18-65 years) Page 13 of 27 Evidence: Paintworks Art exhibition in October. The local amenities are well used by the people who live in the home and regular visits are made to the cinema, theatre and pubs for meals. We saw photographs of recent visitors to the home - Bristol Zoo brought in small creatures for the people to see and a musical entertainer had visited the previous evening. One person attends church each Sunday with a support worker. A relexologist visits the home on a weekly basis. Some people have weekly treatment, others once or twice monthly. Those people who will benefit from a holiday will have one arranged on a yearly basis. Four people are going to North Devon later on in the year. There were photographs hung on the walls of other holidays taken in the past. For some people though a holiday is too disruptive to their daily routine and they benefit better from day trips to the seaside or other places of interest. People will be supported to maintain contact with family and friends. The home is arranging a garden party in August and everyone will be able to invite others along, who are important to them. We were told that one person regularly visits their sibling in another county and another person visits their friend in another group home. The home has a menu plan but this was not inspected on this visit. Ideas for meals are discussed in house meetings. Records of the food offered were seen though. The home have obtained dietary advice where this has been required and we saw that guidelines had been included in the persons care plan to prevent the risk of choking. We were told that the staff serve meals to one person in a particular way, in order to encourage them to eat, and that this works - their body weight is maintained. We saw the measures that were in place to help one person who had recently been ill, regain some weight. This evidences that the home take seriously their responsibility in ensuring that people receive an adequate diet. Care Homes for Adults (18-65 years) Page 14 of 27 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. People who live in Chasefield will receive the personal and healthcare support that they need. Medication systems are safe. Evidence: The manager and support workers spoken with during the course of the inspection all demonstrated a very thorough knowledge of each persons specific healthcare and personal needs, and could state who liked what and what types of things may trigger an upset. The staff team know whether each person has a preference for a male or female carer, to help them with any personal care tasks. Personal care statements are discussed and where able, the person signs their agreement. In each persons notes there is information included about specific healthcare needs and how these are to be monitored. One person is helped to visit the diabetic specialist nurse on a regular basis, another has their blood pressure monitored. Records are kept of all contacts with other healthcare professionals such as psychiatrists, psychologists, chiropody, dentists, opticians and dieticians. Care Homes for Adults (18-65 years) Page 15 of 27 Evidence: The homes medication procedures are safe. For each person a medication protocol is completed - this includes information about what the medicine is for, how it may affect the person and how the person likes to take their medications. A daily medication stock check completed by two staff is undertaken plus a weekly check of all stock. A photograph of each person is kept with their medication administration record along with information about those medications that are only taken as and when needed (called PRN medication). Staff have had recent safe medication administration training and the manager will check ongoing competency. There are safe procedures in place for the ordering, receipt, storage and disposal of medications. All these measures will safeguard the people who live in the home and will ensure they receive the medications they are prescribed. Care Homes for Adults (18-65 years) Page 16 of 27 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. Good procedures are in place to ensure that people who live in this home can raise concerns or complaints, and will be listened to. They will safeguarded from harm. Evidence: The home has a complaints procedure in both written and picture format, and a copy of the picture format is displayed on the homes noticeboard by the front door. A copy is kept in each persons care file and referred to during discussions with them about their care - they will be reminded at each meeting how to complain and to whom. We were told that each person at Chasefield is able to communicate their feelings and would be able to let the staff know if they are unhappy. We observed six of the nine people, during the course of the inspection, interacting with the support workers and they each looked relaxed and content. The manager has not dealt with any complaints since the last inspection and the Care Quality Commission have not received any either. The manager demonstrated her ability in ensuring that the people who live in the home are safeguarded from abuse, harm or neglect. The manager has attended Mental Capacity Act (MCA) and Deprivation of Liberty Safeguards (DOLS) training and has given information to the staff team. There are plans for the staff to also receive this training. All staff will receive safeguarding training and those spoken with during the inspection demonstrated good awareness of safeguarding issues and reporting Care Homes for Adults (18-65 years) Page 17 of 27 Evidence: protocols. Care Homes for Adults (18-65 years) Page 18 of 27 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Chasefield provides a homely environment for the people who live there however the external and internal structures are in need of major repairs. There are no health and safety concerns and the home is safe, clean and tidy. Evidence: Chasefield has a prominent position at the junction of Downend and Fishponds Road and is within short walking from local shops and amenities. It is a detached property set in its own grounds with a small car parking area to the front of the house. The secluded gardens to the rear of the home are large and contain well established trees and shrubs. The gardens are well maintained, can be accessed from the lounge room via a metal staircase or through a locked side gate. The gardens provide a pleasant area for people to use, in warmer weather. A gardener visits the home each week and maintains them looking nice. A tour of the home was made and all areas were noted to be clean and tidy. We were told that the carpets in the corridor upstairs are steam cleaned every two months they were very worn and shabby however were clean. There are no plans for the floor coverings in the communal areas to be replaced however, bedroom carpets will be renewed as and when required. The accommodation is spread over three floors - upper Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: floor, ground floor and the basement. All the bedrooms were inspected and each reflected the occupants own style and personality, and we were told that some have been redecorated and re-carpeted since the last inspection. In general the home does look very tired and worn out but there is an ongoing programme of maintenance to keep the home safe and sound. We were told that there is a Health and Safety Audit being completed on the 17 June as a means of identifying any works that does need to be complied with. The home is not fully wheelchair accessible as there are different floor levels on the ground floor and there is no lift access to the first floor. Those who need to access the first floor must be able to climb stairs to get to the bedrooms. The main entrance is in to a large hallway. Several of the people who live at Chasefield like to spend their free time time in this space and they have specific areas set up with their personal belongings. On the ground floor there are two large lounge rooms with a sliding screen in between. This screen can be opened up to make one large area. Both rooms were comfortably furnished and homely. One of the doors was used as a notice board and displayed information about recent and future events. The staff office is located on the ground floor and is also used by the people who live in the home. The dining room is in the basement, along with the kitchen and a small kitchenette where people can do supervised cooking with their support worker. Each person has their own bedroom. Wash hand-basins are fitted in each. Only 11 of the bedrooms are currently occupied and the vacant rooms will not be used again. There are two bathrooms and a shower room located throughout the home and these facilities are adequate to meet the needs of the current people who live there. One of the bathrooms has a hoist to assist those with impaired mobility. The bathrooms and toilets were clean, and were well stocked with hand towels and soap to help minimize risk from cross infection in the home. Toilets are situated in accessible parts of the Home near to communal areas and bedrooms. Care Homes for Adults (18-65 years) Page 20 of 27 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 who live at Chasefield are looked after by a staff team who are skilled and competent and able to meet their needs. Evidence: There are currently a team of 13 support workers of which half have either have already achieved National Vocational Qualifications (NVQ) at Level 2, or are working towards the award. We were told that two members of staff have obtained their NVQ Level 3 in Promoting Independence. This means that the people who live in the home will be looked after by support workers who are trained and are competent in meeting their needs. In addition to NVQ training, examination of the staff files evidenced that training has been attended in respect of safe medication administration, vulnerable adult alerter, diabetes, infection control, supporting older people who have learning disabilities and dementia, makaton and person centred planning. Mandatory training that will be completed by all staff includes fire safety, safeguarding, first aid, manual handling, health and safety and food hygiene. There have been no new members of staff recruited to the staff team since the last Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: inspection and therefore it was not possible to evidence the procedures that are followed before new staff work at the home. However, the home has previously demonstrated that they follow safe vetting procedures to ensure they employ suitable staff. We know that it is Aspects and Milestones policy that any prospective member of staff will need to complete an application form, and attend for interview. Satisfactory written references from previous employers, CRB/POVA1st clearance and medical fitness for the job will all be confirmed before employment starts. We know that new recruits will complete an induction training programme at the start of their employment. The files of three staff members who have worked at the home for some time were looked at and verified all these arrangements. Care Homes for Adults (18-65 years) Page 22 of 27 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and run in the best interests of the people who live there. It is safe and the welfare of the people is protected. Evidence: The registered manager Liz Rattigan is a qualified learning disabilities nurse. She has completed the Registered Managers Award (RMA) and has the necessary skills and competencies to run the home in the best interest of the people who live there. She cooperated with the inspection process, was knowledgeable about the specific care and support needs of each person, and was fully aware of the services strengths and weaknesses. Regular house and staff meetings are held where people, and the staff who work there, are able to express their views about things that are important to them. For those that need support in voicing their concerns, independent advocates are used to speak up on behalf of them. Monthly monitoring visits are made by a senior Aspects and Milestones Trust Manager who reports on standards within the care home. We Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: were told that a full health and safety audit is due to be completed. Prior to this inspection the home manager completed an Annual Quality Assurance Assessment (AQAA)- this is a self assessment document that details what the service is doing well, how they can show they are doing well, what they feel they could do better, and their plans for improvement. The document had been completed in detail and was found to be a true reflection of what we found when we visited the home. The home has in place, all the policies and procedures necessary to safeguard and protect the health and well-being of the residents. All the records that were seen during the course of the inspection were well maintained, and easily produced upon request. The records of any accidents, incidents, or events were examined and found to be in order. We are notified of any incidences that occur within the home. All staff will receive manual handling training, health and safety and food hygiene training as part of the common induction standards training programme but also on an ongoing basis. Staff records confirmed this. The fire safety records were in order, and all the necessary weekly, monthly, quarterly and bi-annually checks had been completed. The staff team cover both day and night shifts, therefore all have fire awareness updates on a three monthly basis. Care Homes for Adults (18-65 years) Page 24 of 27 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 25 of 27 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 26 of 27 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. 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