Care Home: Chatterton Hey

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What the care home does well Before people moved into the home they were given a copy of a DVD which gave them information about life at Chatterton Hey and the rehabilitation programme. One person said, "I was welcomed and settled in straight away." People using the service said they were treated with respect and were positive about the help and support they received. One person said, "Staff are brilliant, always there for you. I can talk to them and know it won`t go any further." Another person said, "It`s saved my life." Leisure activities, educational opportunities and voluntary work were included in the rehabilitation programme. One person told us he liked to watch television and loved going to the gym. Another person said he was doing a distance learning course. One person explained that his key worker was going to arrange some voluntary work for him. What has improved since the last inspection? All the requirements made at the last key inspection of 28 May 2009 had been met by the time of the random inspection of 1 September 2009. It was encouraging to find that the manager has also taken action to ensure the good practice recommendations made at the last key and random inspections have also been addressed. Care plans include more information about the healthcare needs of people using the service. This makes sure members of staff know what to do if a person using the service has a health problem such as diabetes or epilepsy. People approaching the end of the rehabilitation programme are encouraged to look after their own medication. This will help them to manage their medication safely when they are living in the community again. The procedure for safeguarding vulnerable adults states the action that must be taken if allegations of abuse are made. What the care home could do better: No requirements or recommendations have been made as a result of this inspection. However, the manager is advised to look at how the service can be continually improved and the standards exceeded. Key inspection report Care homes for adults (18-65 years) Name: Address: Chatterton Hey Exchange Street Edenfield Ramsbottom Lancashire BL0 0QH     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Susan Hargreaves     Date: 2 3 1 1 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 27 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). 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 CQC 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: Chatterton Hey Exchange Street Edenfield Ramsbottom Lancashire BL0 0QH 01706824554 01706828761 Chatterton@langleyhousetrust.org www.langleyhousetrust.org Langley House Trust - Northern Regional Office care home 18 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) : Number of places (if applicable): Under 65 past or present drug dependence Additional conditions: The registered person may provide the following category of service only: care home only - Code PC To people of the following gender : male Whose primary care needs on admission to the home are within the follwoing categories: Past or present drug dependency - Code D The maximum number of people who can be accommodated is: 18 Date of last inspection Brief description of the care home Chatterton Hey is a large detached property in its own grounds and is situated in Edenfield on the outskirts of Rawtenstall. The home provides a programme of rehabilitation and accommodation for up to 18 men recovering from substance misuse. This rehabilitation programme usually lasts from 6 to 12 months. The house is comfortable with domestic style furnishings and fittings. The accommodation reflects normal living as far as possible and both single and twin-bedded rooms are available. Communal rooms are spacious and a television, music centre and snooker table are available for residents to use in their free time. Residents and staff liaise with local Care Homes for Adults (18-65 years) Page 4 of 27 Over 65 0 18 2 8 0 5 2 0 0 9 Brief description of the care home educational services to provide for residents educational needs. The current fee charged at Chatterton Hey is £525 per week. Additional charges are payable for personal items. A copy of the statement of purpose and service user guide is available to prospective service users and their relatives on request. Care Homes for Adults (18-65 years) Page 5 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: A key or main unannounced inspection, which included a visit to the home, was conducted at Chatterton Hey on 23 November 2009. As part of the inspection process we looked at all the information we have received about Chatterton Hey since the last key inspection which took place on 28 May 2009. This included a random inspection on 1 September 2009 to monitor compliance with the requirements made about the management of medication at the last key inspection. Information about the last key inspection and the random inspection can be obtained from Chatterton Hey or www.cqc.org.uk The manager completed an quality assurance assessment before the last key inspection. Most of the information was still relevant so we did not request another one. This document is a self-assessment that focuses on how well outcomes are being met for people who use the service. It also gives us some numerical information about the service. Care Homes for Adults (18-65 years) Page 6 of 27 At the time of this visit fourteen people were living at the home. A tour of the premises took place and we looked at staff files and care records. We also spoke to members of staff on duty and people who use the service. Discussions also took place with manager regarding issues raised during the inspection. Care Homes for Adults (18-65 years) Page 7 of 27 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 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 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 9 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Thorough admission procedures ensured people were suitable and had sufficient information about the rehabilitation programme before they were admitted to the home. Evidence: A copy of the statement of purpose and service user guide is available to people who are considering using the service and their relatives on request. These supply information about the rehabilitation programme and facilities provided at the home. People considering using the service are supplied with a copy of a DVD about the home to help them decide if this is the right place for them. This DVD was made by member of staff and people living at the home and gives an overview of life at the home, the rehabilitation programme and leisure activities. The manager explained that people seeking admission to the home are required to complete an application form and provide information about their lifestyle including any offences they have committed. The manager or a senior member of staff then arrange to interview and assess the person to determine their suitability for the Care Homes for Adults (18-65 years) Page 10 of 27 Evidence: rehabilitation programme offered at Chatterton Hey. If possible this interview takes place a the home but if necessary the person would be visited in prison. Further information is obtained from drugs workers and other healthcare professionals. This process ensures the health, social and drugs related problems of people considering using the service are identified before they before they are accepted for the programme. A record of the pre-admission interview and assessment was seen in the files of two people using the service. When someone has been accepted for admission to Chatterton Hey a buddy system is then put in place. This involves a senior resident chatting to them by telephone so that they know someone who is progressing through the rehabilitation programme and what to expect on arrival at the home. A person new to the home told us he had he had settled in and had been welcomed straight away. Care Homes for Adults (18-65 years) Page 11 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 involvement of people using the service in planning their care makes sure they are given the support they need in order to progress through the rehabilitation programme. Evidence: We looked at the individual care records of three people who use the service. Two of these included care plans which provided information about the care and support this person needed to help them progress through the rehabilitation programme. People using the service were involved with developing their care plan and with help from their counsellor set goals and recorded the action they needed to take to meet their goals. People using the service signed the care plan to indicate their agreement with the support provided. The care plans were reviewed every three months with each person. This made sure they were kept up to date with the changing needs of people as they progressed through the programme. Key workers and counsellors also supported people to make decisions about changes in their lifestyle that would aid their recovery and help prevent a relapse. Care Homes for Adults (18-65 years) Page 12 of 27 Evidence: However, care plans were not in place for a person admitted to the home the previous week. The manager explained these would be completed when this person next had a meeting with his counsellor. The manager was advised to ensure care plans were in place for new people within a few days of admission. Appropriate risk assessments had been completed and risk management plans were in place. These plans gave clear directions for staff to follow about how to manage the risks associated with mental health problems, addictive behaviour and group activities. On admission to the home people signed a contract agreeing to keep the house rules and the restrictions which were imposed as part of the twelve steps rehabilitation programme. These included not going out alone for the first few weeks, receiving visitors only by prior arrangement and attending individual and group therapy sessions. One person said, Ive only been here a week and Ive already moved on. Care Homes for Adults (18-65 years) Page 13 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The structured daily routine, therapeutic, educational and recreational activities provided helped people using the service to make progress through the rehabilitation programme. Evidence: Discussion with people using the service and members of staff confirmed that a structured daily routine was in place. This was compulsory for everyone and designed to help and and support people through the twelve steps rehabilitation programme. People using the service were required to attend group therapy sessions where a variety of issues were discussed including anger management. In addition to this people using the service attended narcotics anonymous meetings on two evenings each week and some people also attended weekly meetings of alcoholics anonymous. One person said, The groups give a strong message about addiction and helps me to understand what to do about it. Care Homes for Adults (18-65 years) Page 14 of 27 Evidence: Household tasks and leisure activities were included in the daily routine. People using the service said they worked in teams to do the cleaning, cooking and gardening. Each person, in turn, was given the responsibility of being team leader. Some of the leisure activities organised were compulsory and designed to promote team building for people using the service. These included a walk one afternoon per week and a weekly visit to the gym. People could also choose to go to the gym one day at the weekend and another evening during the week if they wanted. Leisure activities available at the home included, snooker, darts, football, table tennis, books and karaoke machine. Trips out to the cinema, bowling, go-karting and other local amenities were also arranged. People using the service were allowed to choose what they wanted to do on Saturday afternoons and all day Sunday. The manager said that some people who wished to practice their faith attended various local Churches on a Sunday. Information about all the local places of worship was included in the service user guide so that people knew what was available in the area. It was not appropriate for people using the service to seek employment during the rehabilitation programme. However, voluntary work locally and further education was encouraged for people who were making good progress and had been at the home for more than three months. Two people were doing voluntary work at an animal sanctuary and three at local charity shops. People using the service were also encouraged to continue with their education. Tutors from two colleges visited the home to teach maths and English and the skills necessary for job applications. This included help with CVs and interview skills. One person told us he was doing a distance learning degree. The manager explained that visiting was only allowed by prior arrangement and usually only at the weekend. However, the manager was sensitive to individual and circumstances and would allow visiting at other times if necessary. People using the service were responsible for preparing and cooking the meals. On the day of this visit the meal served at lunchtime was beans on toast. The main meal was serviced in the evening. Although a choice of menu was not offered alternatives were readily available. People using the service and members of staff ate their meal together in the dining room. Lunch was unhurried allowing time for people to chat and enjoy their meal. All the people asked said the meals were alright. The manager has taken action to improve the quality of the meals by appointing a cook. This person will be eligible to start work when all the relevant pre-employment checks are completed. Care Homes for Adults (18-65 years) Page 15 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 using the service were treated with dignity and respect. Medication was managed safely. Evidence: Although people using the service had to comply with the house rules imposed as part of the rehabilitation programme they said that they were treated with respect. Care plans provided information about the health needs of people using the service. One care plan for a person suffering from epilepsy gave clear directions for staff to follow if the person had a seizure. To ensure healthcare needs were met people using the service were registered with a GP. Appointments to visit the surgery were made when requested by living at the home. A healthcare notice board in the hallway provided information of people using the service and staff about how to access healthcare. There was also advice displayed about what to do if someone had a fit or problems with diabetes. Care Homes for Adults (18-65 years) Page 16 of 27 Evidence: A specialist pharmacist inspector looked at all aspects of the management of medication and reported as follows. We looked at how medication was stored, administered and recorded. We checked the storage area and a sample of stock and records. We found that the standard of medicines management within the home was much improved since the last key inspection. We found that medicines were stored safely and securely in order to prevent them from being misused. There was a separate locked medication fridge available for storing medicines that need to be kept cold. This meant that these medicines were safe, at the correct temperature and not at risk of being contaminated by food. Records of receipt, administration and disposal of medication were clear, complete and accurate. It was easy to check the quantities of medicines present and see that people living in the home were being given their medication correctly. Records of receipt, administration and disposal of medication were clear, complete and accurate. It was easy to check the quantities of medicines present and see that people living in the home were being given their medication correctly. The receipt, administration, recording and disposal of medicines was done by two members of staff working together. This system allows staff to double check each others work and reduces the risk of mistakes being made. One member of staff stated that the medicines system is much safer now because there is always two of us. There were no Controlled Drugs, these are strong medicines that may be misused, in stock when we visited, but the home had a suitable CD cabinet and register for storing and recording them if necessary. Staff authorised to handle medicines have all received medicines management training and have also been tested to make sure that they deal with medicines safely in practice. having well trained staff who are competent to carry out their duties helps to protect the clients health and well being. People are supported to look after their own medicines where appropriate. In particular, clients are encouraged to do this before they leave the home in preparation for their move back into community living. This helps to ensure that people have the correct skills to manage their own medicines safely. The manager carries out regular and frequent checks on all aspects of medicines management within the home. Any issues or discrepancies are recorded together with any actions that have taken to address them. The findings and actions are then shared with all staff in order to learn and improve practice throughout the staff team. Care Homes for Adults (18-65 years) Page 17 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. Complaints would be taken seriously and investigated. Members of staff had the training necessary to ensure people who use the service were protected from abuse. Evidence: A copy of the complaints procedure was included in the statement of purpose and service user guide. The procedure for making a complaint was discussed with people using the service during group sessions. The manager said no complaints have been made since the last key inspection. No complaints have been made directly to the Commission about Chatterton Hey. We looked at the policies and procedures for safeguarding vulnerable adults. The procedure has been changed since the last key inspection and clearly states the action that staff take if allegations of abuse are made. Discussion with two members of staff confirmed that they had received training in safeguarding vulnerable adults. They both said they would report any concerns and knew the procedure they must follow. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The premises provided a comfortable, peaceful and homely environment for people using the service. Evidence: A tour of the premises confirmed that the home was clean, tidy and well maintained. People using the service were given responsibility for all household tasks to help them develop the skills they would need to live independently. This included, cooking, cleaning and gardening. People using the service had recently redecorated the television lounge and were pleased with the result. Furnishings and fittings were domestic in style and provided a suitable and homely environment for people using the service. To improve facilities in the kitchen a new cooker had been installed. The extensive grounds and gardens were well kept by the people using the service. People using the service were also responsible for doing their own laundry. A suitably equipped laundry room was available for this purpose. Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: Policies and procedures for the control of infection were available and staff said gloves were available to protect protect themselves and people using the service from infection. 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. Members of staff are encouraged to acquire the skills and knowledge necessary in order to meet the needs of people using the service. Recruitment procedures were thorough. Evidence: The duty rota provided details about the grades and number of staff on duty for each shift. The number of staff on duty varied according to the needs of people using the service. Throughout the night when only one member of staff was on duty the manager or a senior member of staff was on call. Trained counsellors were employed at the home. They were responsible for running group therapy sessions and for providing counselling individually to people who use the service. These sessions were a vital part of the twelve steps rehabilitation programme. We looked at the file of one member of staff appointed since the last key inspection. This file indicated that all the required information had been obtained before this member of staff had started working at the home. This included two written references and a Criminal Records Bureau check. These checks ensure people who use the service are protected from the employment of unsuitable staff. The manager Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: explained that one person using the service was involved as a member of the interview panel to help choose new members of staff. Discussion with members of staff and the manager confirmed that training for members of staff was encouraged. This included induction training for new employees, basic food hygiene, first aid, safeguarding vulnerable adults, fire safety, medication and health and safety. In addition to this four support workers had achieved National Vocational Qualifications at level 3 in health and social care which included units about substance misuse. 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 has a competent manager and is run in the best interests of people recovering from substance misuse. Evidence: The current manager was appointed a few months ago and when her position has been confirmed she will need to apply for registration with the Care Quality Commission. The manager is experienced and qualified to support people recovering from substance misuse. Members of staff interviewed during this visit said the manager was approachable and supportive. They also told us about the improvements she had made in the last few months. These included organisation of records to make them more user friendly and putting in place procedures to ensure medication is managed safely. Discussion with the manager confirmed that she was committed to listening to the views of people using the service. the Langley House Trust organises regular conferences to which representatives of people using the service are invited. People using the service were asked to complete anonymous satisfaction questionnaires Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: annually. These were evaluated at head office and the manager informed of the outcome. People were also encouraged to write their comments on feedback cards available at the home and post them in the box provided. As a result of listening to people using the service a cook has been appointed and will start working at the home within the next few weeks. This will improve the quality of the meals provided especially at lunchtime. Policies and procedures for safe working practices were in place. These help to make sure the home is a safe place to live and work. Fire alarms were tested weekly and emergency lighting monthly. An up to date fire risk assessment was in place and fire drills took place regularly. We looked at the records of routine servicing of equipment. These included evidence that the testing of small electrical appliances was carried out annually. 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 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) Care Quality Commission (CQC). 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. 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