Care Home: Conquest House

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What the care home does well The home is fully staffed and staffed according to the residents identified needs. Some residents have one to one support. Staff spoken to were experienced and showed an in-depth knowledge of the residents needs. Staff stated that they were well supported by the manager and felt that the home had good supervision arrangements in place. The training provided by the organization was of a good standard. From the surveys, we were told that communication with family were good. The home is always clean, and staff are always welcoming. Staff stated that they were able to meet clients needs. The environment is well maintained and fit for purpose. The home were able to provide evidence that it has good self-auditing tools in place. This meant that they identify for themselves where they are performing well and where they need to improve. This is one reason for maintaining its excellent rating. What has improved since the last inspection? The home has maintained its excellent rating. On-going improvements to the environment are made. Staff spoken to stated there had been a shift in culture from staff doing things for residents to staff enabling residents to be more self sufficient. The home has benefited from a period of stability both in terms of senior management and the core staff team. What the care home could do better: We were concerned about the lack of confidentiality. It is a very busy environment and we were constantly interrupted when trying to talk to staff and, or residents. Suitable arrangements to ensure people can talk in confidence should be made. One of the surveys we received from a visiting professional made the same comment stating that when they had conducted reviews there are frequent interruptions by residents and staff leaving to deal with situations. Feedback received included a number of comments about the range of activities available to residents and they felt this was restricted and the home should make more efforts to increase opportunities for all residents. Several professionals felt record keeping could be improved and one person stated that sign language should be used more readily for the benefit of residents who use sign language. Another person commented about the environment and suggested it needed modernizing especially residents bedrooms. We only looked at two bedrooms on the day of inspection, so cannot comment, but did feel the home needs to be more personal for the residents. Key inspection report Care homes for adults (18-65 years) Name: Address: Conquest House Straight Drove Farcet, Cambridgeshire PE7 3DJ     The quality rating for this care home is:   three star excellent 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: Shirley Christopher     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: Conquest House Straight Drove Farcet, Cambridgeshire PE7 3DJ 01733244623 01733245845 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conquest Care Homes (Peterborough) Limited care home 14 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability mental disorder, excluding learning disability or dementia Additional conditions: MD only in association with LD Date of last inspection Brief description of the care home Conquest House provides support and accommodation for up to 20 younger adults with a learning disability which may be coupled with a mental disorder. Some service users have complex needs including behaviours which challenge the service. The home is in a converted farm house near to the Fenland village of Farcet. An additional bungalow on the same site provides care and support for up to six permanent residents, however, at the time of this inspection it was empty and the building was being decorated in preparation for the admission of new residents, or changing the purpose. The organisation are in the process of deregistering it. Conquest House is registered fro 14 residents. A maintenance person is also employed, while the cooking is overseen by one of the senior carers. The home is owned by Craegmoor Group Ltd; Conquest Care Homes (Peterborough) Limited is a subsidiary of the organisation, and continues as the registered provider. Care Homes for Adults (18-65 years) Page 4 of 27 Over 65 0 0 14 14 Brief description of the care home The fee was in the range of 1,044.97 to 1,900-00 per person. 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: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: We the Care Quality Commission, (CQC) carried out an unannounced inspection to Conquest House on the 23 November 2009. The manager and the deputy manager were on duty. There were six care staff on duty. We looked at a number of records including: staff and resident records and a sample of health and safety records and medication records. We interviewed staff and spoke to residents. We looked around the home and observed care practices. Before the inspection we asked the manager to complete an annual quality assurance assessment, (AQAA) which is a detailed self assessment and provides evidence of how they are meeting national minimum standards. The organization have their own internal quality system and had carried out an audit in November 2009. This gave an accurate reflection of the service and they identified eight areas where they would measure their performance. Their scores ranged from adequate to excellent. We were satisfied that the home were fully aware of what they do well and where they need to Care Homes for Adults (18-65 years) Page 6 of 27 make improvements. We have not made any requirements as a result of this inspection. We sent out surveys for the home to distribute. We received 16 completed surveys from staff, residents, relatives and health and social care professionals. We have put a number of comments from these surveys in the second two paragraphs. 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. Care Homes for Adults (18-65 years) Page 8 of 27 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 9 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 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has good pre-admission policies and processes in place to ensure that potential residents can have their needs met by the home. Evidence: We looked at the statement of purpose and service user guide. These were satisfactory. We asked to case track a person that had been admitted to the home in the last year. The pre admission assessment was thorough. The assessment clearly involved the person in its process. The home was asked about its admission procedure. The manager stated that after an initial assessment, potential residents are encouraged and given every opportunity to come to the home, look around and spend time there. Sometimes residents may already be familiar with the home because they have taken a short break there. 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. Residents can expect the home to meet their needs and facilitate their independence. Care records are comprehensive and regularly reviewed. Evidence: We looked at one care plan in great detail. This person had complex needs and the home were working in unison with other agencies to support their needs. It would be advantageous for this person to have an independent advocate. The care plan was acceptable but some information had not been completed because of the length of time they had been in the home. There was good evidence of health care. Weight records were not seen and there was no evidence of the persons skin condition. This resident was supported to attend main stream community health facilities. The resident needed particular support around a number of health issues and these were documented. Their circle of support was not completed and there were significant gaps in this persons life story, although the manager explained reasons for this and was working Care Homes for Adults (18-65 years) Page 12 of 27 Evidence: towards establishing more detailed information. The care plans included details of what the resident could do for themselves, particularly life skills and there was a health and keeping safe plan. Risk assessments were in place. Care plans are reviewed monthly. Risk assessments are in place and reviewed. We did have a concern about confidentiality. The home has policies and procedures in place, but throughout the inspection when having discussions with residents and staff we were constantly interrupted, by both staff and residents. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provide a good range of activities and social opportunities for residents but should give further thought to how they promote individual interests. Evidence: The home is in a remote location and access to the local village is along an unlit road. The home has several minibuses and staff endeavor to provide a range of meaningful activities for residents, but this is restricted. Some residents have been identified as needing one to one staffing and staffing levels are based on identified needs. We spoke to most of the residents throughout the day and they were mostly able to answer our questions. They were engaged in a range of activities. Some going out through the day to community based activities, some were in the home. There was art therapy taking place. A resident told us they go swimming and the key workers organise a range of activities for residents including, parties and barbeques in the Care Homes for Adults (18-65 years) Page 14 of 27 Evidence: summer. This resident had been supported to go to college and had learned basic life skills and cooking. When asked if they were involved in preparing meals they said no. The manager stated this was not true and at the weekends particularly residents are encouraged to be involved in meal preparation. Most residents spoken to had been to a holiday camp for their holiday this year. We were told by one member of staff that one resident did not cope with it too well possibly because they were in a different chalet from last year. Residents should be assessed individually in terms of what type of holiday they would enjoy particularly as staffing is based on individual need and residents needs are not all compatible. We spoke to another resident who also stated they had been to the holiday camp for a holiday. They said they went out to the cinema or into town and was involved with the salvation army. A further resident needed support to access the community and staff would take them where they wanted to go and agree a time to collect them. We asked if there was a risk assessment in place should anything go wrong with the arrangement. For example the resident could be facilitated to use public transport or have a mobile phone to call for assistance if necessary. Social needs and how they could be facilitated were clearly described within the care plan we looked at. We spoke to staff about the range of needs residents had and the range of activities provided. Staff told us that residents social needs are met and gave us examples of what residents do. The list included the promotion of life skills and the expectation that residents will be as independent as possible. This may be through making a cup of tea, to taking responsibility for their own laundry. Residents are not involved in the household shop which is disappointing. Bulk shopping is purchased through a national supplier who delivers to the home. However the manager stated residents purchase their own toiletries and one person has specific dietary needs so shops separately. The home employs a house keeper and staff said it was sometimes difficult to promote residents independence but every effort is made. Staff stated there are always two drivers per shift and they regularly access Huntington and Peterborough, attending Ice hockey matches, football, sailing, car boot sales, cinema, leisure centres and pubs. One staff member described one resident as a recluse and not liking noise. The manager stated that assessments had been carried out and this person prefers time by themselves. Their bedroom has been personalised and they had multi-sensory equipment in place to relax. One staff member stated that residents used to have everything done for them, but the culture had changed and residents are now Care Homes for Adults (18-65 years) Page 15 of 27 Evidence: supported to be self sufficient, which is good but it is sometimes difficult to motivate residents. We were told that the kitchen is locked and the reason for this was explained. Residents have their main meals prepared by a cook but were said to be involved in some meal preparation. On the day of inspection residents were offered a simple choice of lunch and we did not observe residents being involved with food preparation. Care Homes for Adults (18-65 years) Page 16 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. Residents can be assured that their health care needs will be met and changes in their health status will be acted upon. Evidence: We talked to staff about residents health care needs. They felt that they were well met. We looked at a sample of health care records. The home has a health care action plan, which it completes for residents, giving specific health care concerns and past history/medical intervention. We saw good use of outside health care agencies and good health care records. Care plans could be more person centred clearly stating how people wish to be supported. We spoke to the senior person responsible for medication that day. The homes medication records and stocks are audited twice a year by the pharmacy supplying the medication. The home complete its own audits. Insulin records are counter signed by staff and there are clear protocols for residents with specialist health care needs. Medication supplies are checked in by two members of staff. We looked at medication supplies and they were individually prescribed to individuals. Staff are sufficiently trained. 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. The home have robust policies and procedures in place and staff are sufficiently trained to ensure that they are aware of what actions they must take to protect people. Evidence: The home has a good complaints procedure and adult protection policy. We looked at records and saw the home have had a number of complaints which have been dealt with in line with company policy. We have not received or been made aware of any concerns about the service. The home have had two safeguarding issues. One related to a member of staff. The matter was thoroughly investigated and appropriate actions taken. A second incident related to a resident. This was considered to be the wrong placement and they were supported in finding a more appropriate place. 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 home provides spacious accommodation which is well maintained and decorated to high standards. Aids and adaptations are fitted if necessary to ensure residents maintain their independence. Evidence: We looked around the home briefly. There were decorators in and the main, large dining room and hallway were being painted. The home was in a good state of cleanliness and repair. The home is light and airy. Recently the home had a burst pipe and this had been corrected. The bedrooms are large, spacious and personalised. There are a number of bedrooms downstairs to accommodate residents with physical disabilities. They all have sinks. We asked the manager about security and she said that residents have key coded safes for their bedrooms and can have keys to their rooms. The environment was painted in light pastel colours and had fresh pictures on the wall, but we did not see anything personal to residents in the communal areas such as photographs. We looked at the last internal report completed by the provider in November 2009 in which it identified improvements to the service. It stated that the home would have a conservatory and a sensory area. Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: We looked at one residents records and a number of issues had been identified and a full assessment had been carried out by an occupational therapist. Equipment had been supplied to this person so they could continue to bath independently. The kitchen is locked through the day, but the manager stated that they had completed assessments for all residents and residents are able to access the kitchen with staff support, but the risks from an open door policy outweighed the benefits. The gardens are extensive and beautifully maintained by the gardener. They provide significant outside space. The home has not been specifically adapted but radiators are covered and water temperatures are thermostatically controlled. Window restrictors are fitted. The home employs a part-time maintenance person. High levels of cleanliness were observed. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home benefits from a core group of staff who are well trained and effectively supported by the current manager. Staff recruitment is a pressure on the service. Evidence: The manager stated that there are two full-time staffing vacancies at the home and they do not use agency staff. Conquest House had 11 residents at the time of inspection. There is a registered manager, a deputy manager, two senior staff and a team of care staff, some who are registered as casual staff and will cover staff vacancies. We saw evidence of regular staff supervision and yearly staff appraisal. The home have established night staff who do not attend team meetings during the day. They receive their supervision during their normal hours of work. We looked at three staff recruitment files and these were largely satisfactory. We saw evidence of induction and new staff completing their mandatory training as soon as possible, before being offered the opportunity to do a national vocational course. We saw evidence that staff competence is tested through question and answer sessions. Training audits are completed and training needs of staff are discussed in staff supervision and appraisal. The organization provide specialist training as and when it Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: is needed. We looked at a copy of the staffing rotas and these were satisfactory. There are more staff on duty through-out the week than weekends and the shift pattern at the home is 8.00 am to 8.00 pm. There is always a minimum of five staff on except weekends when there are two staff on duty. We spoke to all the staff on duty and asked them for their feedback on the organization. In summary they all thought it was a good organization to work for and cited the support, communication and training as positive things in the work-place. One staff member said there are two different teams which sometimes makes effective communication difficult. Another staff member stated that the autism training could be better. This was passed on to the manager who agreed. Another staff member felt the training was very good and that the organization had very good policies and procedures. They referred to the training that assist staff in managing challenging behaviour through non physical intervention and distraction. They said this training was not service specific. On the day of inspection the manager and deputy manager were on duty. There were six care staff, one who was a senior. The home has a cook who prepares the main meal. Care staff cook at the weekends. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and the home has good self -auditing tools, to ensure the standards in the home remain high. Evidence: The manager has been in post just under two years and is very experienced. She completed a detailed audit of the service as required by The Care Quality Commission. This is known as an AQAA and was received before the planned inspection. This told us that residents benefit from a well planned, well managed service. We asked care staff about the management arrangements in the home and how effective the manager was. We got good feedback from staff. This home is consultative. Regular residents meetings take place every six weeks. There is an agenda and minutes from this meeting. Senior staff have regular meetings, in addition to all staff meetings. We audited two residents finances and these were correct. Financial records are supported with receipts and two staff sign the records. These are subject to external Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: audit. One person manages their own finances and is supported by staff to get to the bank. We were concerned that this person is vulnerable and we did not see a financial assessment/risk assessment for this person which would be helpful. The manager confirmed that the local authority had carried out an assessment and deemed this person competent to manage their own finances. The home did not have a copy of it. We looked at a sample of maintenance records and these were satisfactory. In the last year the home had been monitored by the environmental health officer, fire authority, and the local authority. They were awarded four stars by the environmental health department. They were also awarded the Investors in People Award. Records we looked at included: Fire records and maintenance checks, servicing records and fire drills, accident records, a sample of generic risk assessments, monthly provider visits and the homes quality assurance systems. Every month the home completes a detailed audit on a particular area of its performance, such as medication, finance, environment. Percentage scores were consistently high. The home monitor their own performance and assess their performance against national minimum standards. They scored themselves from adequate to excellent. The ovaral outcome for service users was high. We looked at accident/incident records and they were satisfactorily recorded. The home have notified us of events affecting the well being, and, or safety of residents. A number of residents have the potential to challenge the service through physically or verbally challenging behaviour. Staff are employed in sufficient numbers and are there-fore not placed on their own with residents. They receive internal training about how to manage challenging behaviour. They all receive first aid training. 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. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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