Care Home: Colwill Lodge

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What the care home does well The home continues to update and maintain the decoration of the home and upgrade the environment as needed. People staying for respite care are encouraged to enjoy outside interests and maintain their independence. What has improved since the last inspection? The home has benefited from fitting overhead hoist in all the adapted bathrooms to aid people who require assistance with mobility. The rear garden has been redesigned with people`s needs and accessibility in mine and is therefore accessible to all who stay for respite care. The garden has a pond, covered sitting area and a raised planter. A very large TV has been donated to the home and will enable everyone in the lounge area to view programmes of their choice. What the care home could do better: No Requirements were made in this report. A recommendation that all staff files should hold coincident information on their recruitment and training records and courses should be updated and maintained. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Colwill Lodge Leypark Walk Estover Plymouth Devon PL6 8UE     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: Kim Fowler     Date: 1 4 0 5 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 29 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 29 Information about the care home Name of care home: Address: Colwill Lodge Leypark Walk Estover Plymouth Devon PL6 8UE 01752768646 01752776255 colwill.lodge@plymouth.gov.uk 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) : Plymouth City Council care home 12 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: Service Users Age 18 - 65. 12 Service Users with Learning Disabilities who may also have physical disabilities or sensory impairment. Date of last inspection Brief description of the care home Colwill Lodge is a respite care home that provides short-term accommodation for up to 12 people who have a learning disability. It is owned by Plymouth City Council and provides a respite service for the Plymouth area. The home is located at the end of a Cul-de-sac in the residential area of Estover in Plymouth. This is close to pubs, shops and other local amenities. The home was opened in 1990 and is a detached bungalow. There are adapted bathing and toilet facilities close to bedrooms and communal areas. There are two lounge areas, one of which is designated as a quiet room, a dining room that is also used for various activities, and a sensory room. There is a call bell system throughout the home. There are attractive, spacious gardens that are accessible to people who may use a wheelchair. Current fee levels can be obtained from the home or Plymouth City Council. Care Homes for Adults (18-65 years) Page 4 of 29 Care Homes for Adults (18-65 years) Page 5 of 29 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 unannounced inspection took place over 1 day on the 8th June 2009 and started at 10:15am and finished at 4:15pm. The Registered Manager Andy Rowing-Parker was available throughout the inspection. We made a tour of the building and spoke to some of the people currently staying in the home. Documentation relating to the care planning process and the management of the home were examined. We also spoke to the manager and the staff members on duty during the inspection. We also spoke to some visiting relatives during the inspection. Any comments received during the inspection are in the relevant section of the report. Care Homes for Adults (18-65 years) Page 6 of 29 Care Homes for Adults (18-65 years) Page 7 of 29 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 29 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 29 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. Prospective new admissions referred to the home for respite stays can be assured that they will be provided with sufficient information for them to make an informed choice about staying at this service. Evidence: Colwill Lodge only admits people for respite care and short stay placements and all referrals for admission come from the local council Care Management team. This local authority owned home has a referral and eligibility criteria for new admissions to the respite care service or for short stay placements. Staff are involved in the admissions of new people for respite as much as possible. The file for the last new admission to stay for respite care was examined and showed a reason for referral form and this form is supported by the placing authorities admission care plan. Care Homes for Adults (18-65 years) Page 10 of 29 Evidence: This information is important so prospective admissions are assured that not only can their health care needs but also their physical needs are managed and met by the home. For any emergency admissions the service has a clear process in place. This includes arranging a strategy meeting within one month of admission involving the home, Care Management team, and any other agencies involved and the individual concerned. The homes AQAA returned to the Commission states, People based with us on an emergency basis are able to stay with us until a resolution to the emergency can be found. Other files examined held information that other agencies were involved in individual care, including Physiotherapist assessment and details of any day care placements these individuals may attend. Care Homes for Adults (18-65 years) Page 11 of 29 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. People staying for respite are encouraged and supported to make daily decisions about their own lives during their stay at Colwill Lodge. Evidence: The files for four people who regularly come into Colwill Lodge for respite care were examined. Each file examined held individual care plans in place and the details held on these files are needed by staff to met individual needs. These care plans show a breakdown of the services and facilities provided by the home as well as current needs, specialist input and guidelines for staff to manage individuals. Each individual plan provides staff with the information on how to care for each person and ensure continuity in care and have been completed to enable staff to carry out their duties. All plans ensure that all aspects of health, personal and social needs will be met. One person staying for a short term break thought they had attended a review meeting. The homes files and care plans were supported by the placing authority care Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: plan and each showed that they had been reviewed regularly and updated when needed. Individuals and family members are invited to attend review meetings and participate as much as possible. Several files held completed PCP (Person Centred Plan) in place and they showed comprehensive detailed information on the individual. Some PCPs were not yet completed for every one but the manager has plans to complete this task as soon as possible. Observations throughout the inspection were staff assisting one person to make decisions about everyday issues. This included a trip out they were planning with a additional support worker. Due to being respite care home no one has a holiday booked, however the home do go out doing the day as much as possible. The homes AQAA under their plans for the next 12 months states that, Ensure that every service user has a new service user plan written and developed in a person centred way. One person spoken to was able to confirm that they had just come back from the city centre and they go out regularly into the community. All care plans held risk assessments to cover all aspects of risk. These risk assessments included independent living skills and for trips out into the community. All restrictions on going out are recorded into individual files and supported by a risk assessment. Additional risk assessments were completed with the support of other agencies including Speech and Language Therapist. This information is important to minimise risk. Each individual bedroom holds a safe for peoples valuables. One person said the staff supports them to manage their money. Each person is provided with a book to hold the balance of the money held and booked in when they are admitted for respite or short term care. Care Homes for Adults (18-65 years) Page 13 of 29 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. Everyone staying for respite can be confident that Colwill Lodge will promote and provide support for them to access the local community and leisure activities as much as possible. Evidence: As the people coming into Colwill Lodge only stay for respite or short term care all day care arrangements for each person is made before admission, usually by family/carers or the placing authority. On first arriving at Colwill Lodge all the people due to stay that night were at their own day care placements and observed later in the day were people being dropped off from the day placements they had attended. Information was recorded into individuals files on the day centre they attended. One person spoken with confirmed they have a support worker to arrange day activities for Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: them and they had been shopping that day with this support worker. They also said they go to the local shops and cafe. Trips out are arranged and photo showing different trips were displayed for all to see. Colwill Lodge has the use of a vehicle and local bus stops are close by to the local town. Two relatives spoken with confirmed that they were aware that their family members go out on trips when they are staying for respite. Both relatives spoken with confirmed that they call to see there family member at any reasonable time. And one person staying at the home said they saw their family sometimes. One relative wrote on a survey returned to the home, We find the meetings keep us in touch with information and what is going on, very happy about it. Most people admitted live with family or relatives and are regular respite users. Observed during the inspection was relatives discussing with staff further respite dates. Everyone staying at Colwill Lodge is encouraged to remain as independent as possible and all rooms have a key and a safe for money and valuables. One person said, I have been to town shopping. The homes AQAA records under what they do well, We encourage the development and gaining of personal skills. A duty cook was spoken with and showed the displayed 4 weekly menu and confirmed their is an additional choice of food available if needed. There is an area in the lounge were it is possible to make drinks and snacks are available at any time. The evening meal being prepared consisted of either a chicken or prawn curry or another choice of cheese and potato pie. The cook stated that they were always plenty of provision available and plenty of fresh fruit and vegetables. One person was spoken to about the food and made positive comments and said they let me have a second choice if I dont like what is offered. . Care Homes for Adults (18-65 years) Page 15 of 29 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. Any access to health care services is maintained to promote the wellbeing of all who use the respite service. Evidence: All personal support is recorded into individual care plans and these are easily accessible for staff. People who require assistance with personal care have clear instructions recorded to assist the staff where needed. All rooms are single so all personal care is carried out in private. Anyone requiring staff support with moving has a moving and handling plan and risk assessment to assist staff on how each person prefers to be supported. Any specialist advise or guidance is obtained from the relevant professional and one file held a support plan from a Speech and Language Therapist. All health care needs are recorded into the individual file and the local community nurse will assist people if required. One professional stated on a survey returned to the home, Spot on with individual health needs. Care Homes for Adults (18-65 years) Page 16 of 29 Evidence: These details held ensure consistency in the care provided. These care plans are based on assessed needs and evidence was recorded that these are regularly reviewed and then signed. Guidance on personal care is clearly recorded into individual files and this ensures that staff are aware of peoples needs and will promote consistency in care. The home also has overhead hoist fitted and adapted bathrooms to assist staff support people while meeting individuals personal care needs. One relative confirmed that when they visit or their relative comes home after their respite stay they always appear well groomed and well cared for. Other professionals involved in the home include the SALT (Speech and Language Team), Physio and Learning Disability team and evidence on their input is recorded into individual plans. This includes guidelines on how best to support people when carrying out personal care needs. The homes AQAA states on what they would have improved over the last 12 months, Form more official links with local GP surgery. Anyone coming into Colwill Lodge for respite to required to retain their own GP. However local GP are available if required. The duty manager discussed the medication system and showed the medication system that the home uses and how the system works. The home controlled drug record was checked and provided evidence that this was clearly recorded and the correct amount held. Only duty managers are able to dispense medication and one duty manager was observed administrating medication and showed a clear audit trail of administration administered, recorded and dispensed. The home holds clear records on Staff designated to administer medication and have received medication training and a staff member was able to confirm they had received medication training. Care Homes for Adults (18-65 years) Page 17 of 29 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. People coming into Colwill Lodge for respite care can be assured that any complaints or concerns raised will be listened to, acted upon and well managed by the home, which protects the welfare of all. Evidence: Colwill Lodge respite home is owned by Plymouth City Council and the local authority has its own complaints department and any complaints received are documented with outcomes and actions taken recorded. The Commission has not received any complaints about Colwill Lodge. The local authoritys complaints procedure is clearly displayed in the main entrance area for all to access. This procedure is also in also available in sign to assist people. The relatives spoken with confirmed they would speak to either the homes manager or a duty officer if they had any concerns. Both felt that any concerns would be listened to and acted upon. One person staying at Colwill Lodge for a short stay when asked if they were aware of the complaints procedure said, I did not like one person and I spoke to Andy (the manager) and he helped me and went onto say, I can talk to staff if I am unhappy and I have no concerns. Care Homes for Adults (18-65 years) Page 18 of 29 Evidence: A relative stated they had raised a minor concern with the manager and it was dealt with straight away. The home also homes a minor complaints folder to deal with everyday issues of concern raised by people coming into the home for respite. The manager confirmed that most staff had completed POVA training and this was updated by the local authorities Service Manager at a recent staff meeting. The homes AQAA states, Service users have a monthly forum in which they can raise their concerns or complaints. Care Homes for Adults (18-65 years) Page 19 of 29 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 local authority who owns Colwill Lodge continues to update and upgrade a clean and suitable environment for its stated purpose and people living at the home can be assured that they will live in a comfortable home that is regularly maintained. Evidence: Colwill Lodge is a purpose build unit and is fit for its stated purpose. A tour of the premises showed the building to be light, clear and odour free. It is within walking distance of local shops and buses into the town centre. All rooms are single and as the home only provides respite care were people only stay for a few days or weeks. Therefore all bedrooms were decorated individually but possessions where few. All bedrooms contain lockable storage space and bedroom doors were fitted with appropriate locks. One relative stated that when ever they visit the home it is always clean and tidy. The home is accessible for wheelchair uses and has the benefit of being fitted with adapted toilets and bathroom with overhead hoists in place and the use of a shower Care Homes for Adults (18-65 years) Page 20 of 29 Evidence: trolley in a wet room with a further a wet room is planned in the near future. The home has plenty of shared space including a quiet lounge area. The garden has been redesigned to include a sheltered seating areas, pond and planter. Also the home now has a new very large TV in the main lounge area. The homes laundry was found to be satisfactory and the process for the removal of clinical waste was discussed and was satisfactory dealt with the manager confirming a contract with a local company. A certificate was held on one member of staffs file confirming they had undertaken Infection control training. The homes AQAA states that, Service users are also able to use a sensory room. A survey returned to the home said, The environment is fit for purpose and well maintained, there is a friendly atmosphere and it is homely and welcoming. Care Homes for Adults (18-65 years) Page 21 of 29 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 staying in Colwill Lodge are supported by well-motivated and caring staff in sufficient numbers to meet the needs of those coming in for respite care. Staff training is carried out regularly for all staff to ensure that all assessed needs of the people living at the home are met. Evidence: Throughout the inspection the staff on duty were observed responding sensitively and respectfully to each person arriving at the home for respite care and were able to use their knowledge of individuals to encourage choice and independence where possible. All staff were observed to be friendly, good-natured and courteous at all times. They interacted well with the people staying in and arriving at the home for respite breaks and observation showed that one person staying in the home was having fun with the staff on duty in a relaxed friendly atmosphere. One person spoken with thought there were sufficient staff on duty to meet the current needs of people living in the home as did the staff members spoken with. With additional staff bought in when needed. On arrival for the inspection their was no one Care Homes for Adults (18-65 years) Page 22 of 29 Evidence: staying in the home, however as the inspection progressed people were arriving for their stay and the staffing number increased to provide care for individuals. There was a manager, duty manager and clerical staff available through out the day to assist the inspector. Observation showed staff members arriving for duty were aware of who was coming into Colwill for respite, of individuals needs and how best to support people when they arrived. One person agreed that the staff team were very good when asked and two relatives both spoke highly of the staff with one comment, The staff are excellent and another saying, My relative is well cared for. Examination of the staff files showed that some staff had the required preemployment checks, including CRB (Criminal Record Bureau Disclosure) in place ensuring as far as possible unsuitable staff are not employed. The manager confirmed that Plymouth City Council (PCC) Human Resources department obtain all the relevant employment checks and inform the manager when this person is cleared to commence work. Not all files checked contained all the relevant information required. However the manager confirmed that PCC recruitment checks are thorough and no staff would be employed without all satisfactory checks in place. The homes AQAA returned to the Commission states. No new member of staff can take up their post before relevant checks have been satisfactory completed. The home would benefit from holding a consistent filing system to provide information relevant to meet this requirement. One staff member spoken with confirmed that they are offered and attend regular training and had completed Fire Safety training and Manual Handling training with regular updates. Supervision records were examined and showed that supervision was provided regularly and well documented and recorded. One staff commented that, I have worked here for many years and really enjoy it. One person staying in the home said of the staff, They help me. The AQAA states, The Council has a well established and robust recruitment policy which has to be followed by the Unit Manager. Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: Discussions with manager and the staff showed that all staff participate in and update training courses when needed. The training recorded in individuals files show that Safeguarding, medication, Fire Safety and a Learning Disability Qualification and other courses related specifically to working with people with learning disabilities is regularly undertaken. The homes AQAA records, The involvement of the Human Resources Department in the recruitment process can mean the storing of information in a single place can prove difficult and goes onto say, This needs to be addressed. Several staff members were spoken with during this inspection and all confirmed regular training was offered. These staff also felt that they were able to express their view at staff meetings held in the home. Regular consultation with staff ensures staff can contribute to the running of the home and are aware of the homes aims and objectives, philosophies of care and promotes consistency and improvement. Care Homes for Adults (18-65 years) Page 24 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management and staff at Colwill Lodge is very good and has the respect of the people who use the service and thier relatives. Evidence: The Registered Manager for the home, Andy Rowing-Parker was available throughout the day and he was supported by a duty manager and clerical staff. Mr Rowing-Parker has worked at the home for a number of years and also holds the Registered Managers award. The relatives, staff and one person staying in the home all agreed when asked, that the manager is approachable. The manager confirmed that a quality assurance survey was carried out and the last one being completed in October 2008. This was sent to parents, carers and professionals. The Manager has published the results and a copy was discussed with the manager. Comments received under the strengths of the home included, Provide a good service and another stated, Excellent Communication. A family member Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: commented on the homes strengths in the survey returned, They are always there for us, which is a great help. Sampling of records indicated equipment is serviced regularly and maintained in good order including the fire alarm system. Certificates were available on all Health and Safety equipment i.e. hoists ensuring all have been checked. Gas and electrical appliances were being routinely serviced and checked. The fire protection system was well maintained and weekly fire alarm testing has been carried out regularly. Good health and safety practices reduce any unreasonable risk, affecting people staying in the home to an acceptable level. Care Homes for Adults (18-65 years) Page 26 of 29 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 27 of 29 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 1 34 All staff files should hold copies of the required documents including CRB checks, references and application forms Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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