Care Home: Clare Walk, 3

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What the care home does well Good information about the home was available and is given out to people who are interested in living there. Strict processes are in place to ensure people choose a home, which is right for them. Good care plans were in place, which the residents helped put together. The plans, which have been regularly reviewed and up dated provided staff with all the information they need to support residents so that they can live independent and safe lives. The residents health and personal care needs were well recorded, supported and monitored to ensure they stay well and the staff respect their privacy and dignity all the time. The residents were given lots of opportunities to take part in the things they like to do both at home and in the local community and they have been encouraged and supported to keep in touch with their friends and family. Procedures, which were in place at the home make sure that residents are protected from abuse or neglect and staff were confident about dealing with an incident of abuse. All parts of the home were safe and comfortable and an ongoing programme of maintenance was in place to ensure that residents continue to live in a nice home. Staff have been recruited in the right way and they have received training so that they have all the skills and knowledge to meet the needs of the residents. The home was being well run in the best interests of the resident and staff. What has improved since the last inspection? All the required checks had been carried out on new staff before they were allowed to start work at the home, ensuring they are the right people for the job. What the care home could do better: Reports must be made available to show that the quality assurance checks, which are required by law have been carried out at the home. Key inspection report br Care homes for adults (18-65 years) br Name: Address: Clare Walk, 3 3 Clare Walk Fazakerley Liverpool Merseyside L10 4YG br br     br br The quality rating for this care home is: br   br br two star good service br br 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: Janet Marshall br     br br Date: 1 9 0 8 2 0 0 9 br br 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. br br 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 br br 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. br 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 br br 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. br This is what people staying in this care home experience: br br 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) br Page 2 of 27 br br 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. br br Reader Information br 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 br br Internet address br br Care Homes for Adults (18-65 years) br br Page 3 of 27 br br Information about the care home br Name of care home: Address: Clare Walk, 3 3 Clare Walk Fazakerley Liverpool Merseyside L10 4YG 0151-523-5402 br br Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: br br Clare Care care home 3 br br Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The registered person may provide the following categories of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD The maximum number of service users who can be accommodated is: 3 Date of last inspection Brief description of the care home Summary br 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 br br Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home br peterchart br br Poor br br Adequate br br Good br br Excellent br br How we did our inspection: The Quality rating for this service is 2 star. This means the people living at the home experience good outcomes. This was a key inspection. We consider 22 out of the 43 National Minimum Standards for this type of service, Care Homes for Adults (18-65) as the key standards, which have to be inspected during a key inspection. The key standards are highlighted in bold in the different outcome sections of this report. A key inspection is a planned inspection, the report has been put together using information gathered in a number of different ways, which helps us decide the overall rating of the service. We keep all information we receive about the home in a file, we looked at all the information we have received since the last inspection. We sent out a form to the home called an Annual Quality Assurance Assessment (AQAA). The AQAA has to be filled in and returned to us by a set date usually before Care Homes for Adults (18-65 years) br Page 6 of 27 br br the site visit takes place. The AQAA was filled in by the registered manager and returned to us on time, it provided us with all the information we asked for about the service and was used to support some of the judgments we have made. We carried out an unannounced visit to the home, this is when we visit the home with out any body knowing. Two residents who were at home, the registered manager and support staff that were on duty helped with the inspection and discussions took place with all of them. Also during the site visit a selection of records and certificates, which have to be kept in the home by law were looked at and checked to make sure they were up to date and accurate. Two residents were case tracked. This is a process we use to find out whether the people that live at the home are receiving good quality care that meets their individual needs. It is done by talking to people, looking at results of surveys and reading the records of a sample of people that live at the home to give us a good idea of what it is like for them. Before the site visit took place we sent out Have Your Say surveys to people asking them about what it is like to live and work there. Information has been used in the report from surveys, which were returned to us at the time of writing the report. br br Care Homes for Adults (18-65 years) br br Page 7 of 27 br br 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. br br Care Homes for Adults (18-65 years) br br Page 8 of 27 br br Details of our findings br Contents br br 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 br br Care Homes for Adults (18-65 years) br br Page 9 of 27 br br Choice of home br 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. br br 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. Procedures followed at the home ensure that people choose a home which is right for them. br br Evidence: No new residents have been admitted to the home since the last inspection. Therefore key standard 2 could not be fully assessed on this occasion. However, at the last inspection visit records, which were looked at for a new resident showed that all the correct pre assessment and admission procedures were followed. But some important assessment records were not in the residents care file. They have since been put in the residents file along with all their other records. Records looked at during this inspection showed that current residents needs are being assessed on a regular basis to ensure that they can continue to be met at the home. Available at the home were policies and procedures for assessing and admitting a new resident to the home and they were clearly described by the manager. br br Care Homes for Adults (18-65 years) br br Page 10 of 27 br br Individual needs and choices br 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. br br 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 have the information they need to support residents to live independent and safe lives. br br Evidence: Each of the residents had a set of care plans covering their care and support needs, such as health, social and personal care, communication and financial. Each persons care plans were kept in a locked cabinet in their own rooms so that they can look at them when ever they want. Care plans for 2 residents were case tracked. This showed that both sets care plans have been reviewed and updated on a regular basis and with the involvement of the residents, staff at the home, residents relatives and in some cases their social workers. Care plans included a good amount of information about the persons individual needs and the choices they have made about how they want to live their lives. During the inspection visit residents were seen making choices and decisions for themselves such as what to eat and what activities they wanted to take part in. Staff spoken with said they always encourage residents to make decisions for themselves and they give them all the help they need to make other decisions, which br Care Homes for Adults (18-65 years) Page 11 of 27 br br Evidence: they find difficult to make on their own. Some residents have difficulties communicating verbally although they are able to communicate in a number of other ways. Information about how and what they comunicate was recorded in their care plans. Pictures, sign language, body language and gestures are some of the ways residents make choices and decisions about their own lives. New communication picture boards, which are used by residents were being made at the time of the inspection visit. Staff were seen interacting and communicating well with residents. Records looked at showed that residents are given information about advocates and if they need one they are given the right help to find the right advocate for them. Choices and decisions that residents can make and the help they need to make others were recorded in their care plans. Residents told us in surveys that they always make their own choices and decisions about everything in their lives. Each of the residents have their own bank account in their own name and address. They are supported to access their money as and when they need to. Financial records for each person, which were looked at were well kept and in good order. Risk assessments were part of each of the residents care plans. They have been carried out for tasks and activities, which are likely to pose a risk to the resident and are followed by staff to help them lead independent lives in a safe way. Risk assessments, which were looked at were detailed and up to date. br br Care Homes for Adults (18-65 years) br br Page 12 of 27 br br Lifestyle br 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. br br 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. Residents live active and healthy lives. br br Evidence: Discussion with the manager and information we were given in the AQAA showed that residents are offered opportunities to take part in educational and training courses. A resident who works at a local farm said she really enjoys it. One resident chooses to attend a day care services several days a week. The AQAA told us that residents access community facilities such as shops, cinemas, restaurants and pubs. Daily records, which were looked at as part of the casetraking process also showed this. Residents have also enjoyed a recent holiday away together. Displayed around the home were photographs of residents enjoying special occasions and events such as holidays and birthdays. Activities at home include making jigsaws, baking and arts and craft. Pieces of art work made by residents were also on display around the home. Each of the residents have relationships, which are very important to them. br Care Homes for Adults (18-65 years) Page 13 of 27 br br Evidence: Information about those relationships and how they need to be supported by staff was recorded in their own care plans. During discussions staff showed that they respect the important relationships that residents have with each other, their family and friends. All of the residents have regular contact with their families through visits, telephone contact and letters. Residents are all encouraged and supported to help around the house with things such as cleaning and cooking. One resident said, they always clean and tidy their own room and help with other chores around the house, such as hovering and polishing. Their care plans included information about the things they are able to do independently and the help they need from staff so they are able to do other things. The AQAA told us that residents eat healthy and balanced diets and that meal times are flexible and relaxed. On the day of the inspection visit residents were seen sitting together at the dining table eating their lunch, they appeared relaxed whilst chatting with each other and staff during their meal. Menus, which were displayed on the wall in the kitchen showed a variety of nutritious and healthy meals. One resident said that they liked the food very much and are involved in putting together the menus. Residents were seen making themselves drinks and snacks in between their main meals. The manager said all the residents help with the weekly food shop as well as daily trips to local shops for essentials such as bread and milk. One resident said they like to help shop for their food. br br Care Homes for Adults (18-65 years) br br Page 14 of 27 br br Personal and healthcare support br 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. br br 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. Residents personal and healthcare needs are well recorded and supported to make sure they stay well. br br Evidence: Care plans, which were looked at included information about the residents routines and the kind of personal and health care support they they prefer and need. Case tracking showed that residents are properly supported to help them stay well. During discussion staff said they encourage residents to carry out what ever personal care they can for themselves. During the inspection visit, staff were seen talking to residents in a polite and respectful way. Staff also talked about the some of the things they do to ensure residents privacy and dignity, which included shutting doors and curtains when helping residents with personal care, knocking on doors before entering bedrooms and bathrooms and making sure the rooms used by residents are clean and warm. One member of staff said, I always knock on doors before entering a bathroom or a residents bedroom. Each of the residents care plan included a section about their health and personal care needs. This section provided staff with important information about these needs and how best to support them in a way that ensures their privacy, dignity and independence. The AQAA told us that residents are br Care Homes for Adults (18-65 years) Page 15 of 27 br br Evidence: supported to attend regular health care checks with their doctor, chiropodist, dentist and opticians as well as attending hospital appointments when they need to. Medical records, which were seen also showed this, they were well kept, detailed and up to date. Staff said, they know when a resident is in pain or discomfort and were confident about what they would do if a resident suddenly became ill. On the day of the inspection visit, residents were clean in appearance and smartly dressed. One resident said, I always choose what clothes I wear. Medication and medication administration records (MAR) sheets for one resident were checked and found to be in good order. The AQAA told us that available at the home are up to date policies and procedures for the safe handling and administration of medication. It also told us that staff have received training in the subject of medication. Staff training records, also showed this, copies of up to date certificates for attendance to medication training sessions were seen in staff files. br br Care Homes for Adults (18-65 years) br br Page 16 of 27 br br Concerns, complaints and protection br 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. br br 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. Residents are safeguarded by the homes complaints and protection procedures br br Evidence: The AQAA told us that no complaints have been made directly to the home since the last inspection and our records showed that we have not received any complaints about the home during this time. The AQAA detailed a number of policies and procedures, which are in place at the home and aim to protect both residents and staff. They included procedures about complaining, whistle blowing and protection of vulnerable adults. Copies of these procedures were available in both written and picture format and were on display in a rack in the entrance hall, so that people can read them whenever they need to. Also available there was a visitors book, which has to be signed by all visitors when they enter and leave the home. For the protection of residents no visitor is allowed to gain entry unless they produce some form of identification. The manager was able to clearly describe how she would deal with a complaint made to her. Staff spoken with knew about the homes complaints procedure and said they were confident about complaining if they needed to. One staff member said, I would definitely complain if I needed to. Staff told us in surveys that they know what to do if a resident has concerns about the home. They commented that they would speak to a manager and keep the resident safe. Detailed in the AQAA and available at the home were a number of policies and br Care Homes for Adults (18-65 years) Page 17 of 27 br br Evidence: procedures relating to protection of vulnerable adults (POVA). They included the companies own version and a copy of Knowsley Local Authority procedures. Staff training records, which were looked at and discussion with staff showed they have received POVA training . Staff spoken with were able to describe correctly what they would do if they witnessed or suspected abuse of a resident. One member of staff said, I would definitely report abuse with no hesitation, I would make sure the residents were made safe and then report the incident straight away. br br Care Homes for Adults (18-65 years) br br Page 18 of 27 br br Environment br 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. br br 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. Residents live in a home, which is comfortable and safe. br br Evidence: The home is an extended four bedroom town house located in a popular residential area of Fazakerely Liverpool. One of the three bedrooms upstairs is used as an office and staff sleep in room, The fourth bedroom, which has an en suite bathroom is on the ground floor. The front of the home is off the road although parking is available on the road to the side and the back of the house. There is a yard at the back of the house with potted plants and a lawn at the front with planted out borders. At the time of the inspection visit gardeners were attending to the front garden. One resident said they help keep the garden tidy and enjoy potting plants and shrubs. A tour of the home took place during the visit and all parts were clean, warm and bright and there were no hazards found. The AQAA told us about the improvements, which have been made to the home since the last inspection visit. They included new furniture in the lounge, newly fitted kitchen and new appliances, the redecoration of all residents bedrooms and repairs to fencing outside. Residents said they helped to choose colour schemes and the new furniture for their home. All the improvements, which were checked on the day of the inspection visit have been carried out to a good standard. The AQAA showed there are plans to continue to make improvements to the home making sure that it is always clean and safe. The AQAA told us that available at the br Care Homes for Adults (18-65 years) Page 19 of 27 br br Evidence: home are all the required policies and procedures, relating to the environment, they included disposal of clinical waste, infection control, health and safety and food hygiene. There were cleaning routines in place, which staff and residents follow to make sure the house is clean, tidy and hygienic. br br Care Homes for Adults (18-65 years) br br Page 20 of 27 br br Staffing br 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. br br 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. Residents are supported by the right staff who are properly recruited and trained. br br Evidence: The AQAA told us that there are the right amount of staff employed at the home to support the needs of the residents that live there. Staffing rotas, which were looked at showed that there is at least one staff on duty during the day and each night. A member of staff said, Yes I think there is always enough staff on duty to meet the needs of the residents and if we need more staff they are brought in. There was one member of staff and the manager on duty at the time of the inspection visit with two residents at home. They both showed good knowledge and understanding of the needs of the residents and clearly explained what their role and responsibilities were. Staff recruitment, selection and equal opportunities policies and procedures were available at the home. A requirement was given as part of the last inspection report because staff recruitment records showed that a member of staff had been allowed to start work before their police check had come back. therefore there was no guarentee that the person was right for the job. The AQAA told us that all the required checks are carried out on new staff before they are allowed to start work at the home and that they have all completed induction training. A number of staff files, which were looked at also provided evidence of this. The manager explained the induction programme, which br Care Homes for Adults (18-65 years) Page 21 of 27 br br Evidence: covers things such as health and safety, the needs of the residents and the homes policies and procedures. Staff surveys which returned to us showed that the induction covered everything that they needed to know to do the job before they started work at the home and that they are being given training, which is relevant to the work they do. Information we were given in the AQAA, discussion with staff and records looked at during the inspection showed that staff have completed mandatory training, which is training they have to complete by law so that they have the right knowledge and skills to do their jobs. Mandatory training recently completed by staff includes, manual handling, POVA, health and safety, medication, fire awareness and food hygiene. Staff have also completed other specialist training to help them understand and manage certain conditions that residents have. A member of staff said, We get all the training we need on a regular basis. The AQAA told us that more than half of the staff team have got or are working towards a National Vocational Qualification (NVQ) in Care level 2 or above. The AQAA told us about other training, which has been planned for the future this included updates in all mandatory subjects and further NVQ training. A staff survey returned to us included the following comments, we have regular staff meetings and supervisions this keeps all up to date if there are any problems or if we have any training needs they can be sorted out. br br Care Homes for Adults (18-65 years) br br Page 22 of 27 br br Conduct and management of the home br 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. br br 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. Residents benefit from a well managed service. br br Evidence: There has been no change to the management of the home since the last inspection visit. The current manager Lisa Smith has many years experience of working in the field of care and has NVQ level 4 and the Registered manager Award. The manager said she continues to attend regular training, which is relevant to her role as manager. Staff were complimentary of the manager and the way she runs the home, they made the following comments to support this, the manager is very good at her job, she is supportive and approachable, The AQAA told us that there are processes in place to check the quality of the service. They include giving out questionnaires to residents and their families to find out what they each think about the home and the way it is run. A service manager also visits the home each month to check on things such as health and safety records, residents care records and the environment. During the visits they also talk to residents and staff to get their opinion about the home and the way it is run. After the visit the service manager has to write a report detailing their findings. Copies of the reports br Care Homes for Adults (18-65 years) Page 23 of 27 br br Evidence: must be kept at the home but they could not be found during this inspection. These reports, which are required by law need to be made available at the home to show that the required quality checks are being carried out when they should be. Records seen showed that other quality checks have been carried out by the manager and staff including, monthly care plan reviews and weekly checks on the environment and residents finances. The AQAA told us that the home has available all the health and safety policies and procedures, which they have to have by law to ensure the health safety and welfare of the residents and staff. It also told us that the required checks have been carried out on the gas and electricity systems and equipment used at the home to make sure they are safe. Discussions with staff during the inspection visit and information provided in the AQAA showed that staff have recently received training in subjects of health and safety such as fire awareness, lifting and handling and first aid. br br Care Homes for Adults (18-65 years) br br Page 24 of 27 br br Are there any outstanding requirements from the last inspection? Yes £ No R br br Outstanding statutory requirements br 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. br No. Standard Regulation Requirement Timescale for action br br Care Homes for Adults (18-65 years) br br Page 25 of 27 br br Requirements and recommendations from this inspection: br 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. br No. Standard Regulation Requirement Timescale for action br br 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. br No. Standard Regulation Requirement Timescale for action br br 1 br br 39 br br 26 br br Quality monitoring reports must be kept at the home to show that the visits required by law are being carried out in the best interests of the residents. br br 30/09/2009 br br 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. br No Refer to Standard Good Practice Recommendations br br Care Homes for Adults (18-65 years) br br Page 26 of 27 br br 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). 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