Care Home: Corner House Nursing Home

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What the care home does well At the last inspection the service was rated poor and was given zero stars. Many improvements were needed to keep people safe and give them a good quality of life. Since then an experienced manager from within the company has come to the home to make the improvements needed and is working through the improvement and transition plan. The new manager is working hard to make as many changes to improve the service for the people who live there as swiftly as possible. She has prioritised the improvments well starting with supporting people`s health and making sure people are safe. This means that people are receiving the right support for them, as individuals. They are in safe hands and their wishes and feelings are being listened to. What has improved since the last inspection? There is a new manager who is making the improvements necessary and to make people`s lives better living at Corner House. Each person has a plan of care that has pictures of them and clear instructions for what the staff to give them the support they prefer. It also says what people like and where they like to go. People have been referred to the speech and language therapist and other specialists to support them with their communication and personal care needs. There are clear guidelines for staff to follow like support for eating and drinking. Each person has a health action plan folder and the manager is working through them to make sure that all their health needs are identified and are being supported. People have been referred to specialists for medical intervention. Improvements have been made to the home to make it safe and more comfortable. Some of the bedrooms have been decorated and people have been offered a choice of colours for their room. The home was clean, fresh and airy. What the care home could do better: The home have produced a clear improvement plan and are carrying out the areas identified, as agreed with us and in a timely way. The people living in the home are being assessed by care managers for a more suitable place to live. They have also been referred to specialists like the speech and language therapist to support them to develop their communication and make their needs and choices known. This is so that they can participate as much as possible in deciding where they want to live. Key inspection report Care homes for adults (18-65 years) Name: Address: Corner House Nursing Home 116 Cheriton Road Folkestone Kent CT19 5HQ The quality rating for this care home is: one star adequate 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: Julie Sumner Date: 0 8 0 6 2 0 0 9 This report is a review of the 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 stars – excellent  2 stars – good  1 star – adequate  0 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. They reflect the things that people have said are important to them: 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 30 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 30 Information about the care home Name of care home: Address: Corner House Nursing Home 116 Cheriton Road Folkestone Kent CT19 5HQ 01303258892 01303258922 cornerhouse@counticare.co.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) : Counticare Ltd care home 19 Number of places (if applicable): Under 65 Over 65 19 19 0 0 learning disability physical disability Additional conditions: The maximum number of service users to be accommodated is 19. The registered person may provide the following category/ies of service only: Care home with nursing - (N) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD) Physical Disability (PD). Date of last inspection 1 2 0 1 2 0 0 9 Care Homes for Adults (18-65 years) Page 4 of 30 A bit about the care home Corner House is a large building in Folkestone. The building is in keeping with the local area and is close to the town centre, the local leisure centre and parks. It is owned by Counticare Ltd which is part of CareTech. This is an experienced provider for care homes for people with learning disability. The bedrooms are on three floors. There is a passenger lift so that people in wheelchairs can get to each floor. There are 9 single bedrooms, 5 shared bedrooms and 2 with their own bathroom. The home provides care and support to adults with physical and learning disabilities, who also have nursing needs. Fees are arranged on the individually assessed needs of the people. They currently range from £856.04 to £1387.39 per week, with additional charges for hairdressing and personal items. Care Homes for Adults (18-65 years) Page 5 of 30 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: one star adequate 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 Care Homes for Adults (18-65 years) Page 6 of 30 How we did our inspection: This is what the inspector did when they were at the care home We looked at the annual quality assurance assessment (AQAA) that the manager gave us and planned our inspection using this information. The information was clear and gave us a good picture of what the home is like. We visited the home without telling anyone we were coming. We arrived at 2 oclock in the afternoon and stayed until 7 oclock. 13 people were living in the home. We talked to the manager and the area manager. We spoke to the nurse on duty and two of the staff. Three of the people who live in the home were involved in the inspection. We looked at individual person centred plans, health plans, guidelines for eating and drinking in the dining room, training records, staff files, medication records and storage and looked round parts of the home. Since the last inspection there has been a social services led safeguarding adults investigation at the home. This means the safe guarding team has concerns about the home. They have offered support, advice and input from multidisciplinary agencies to try and move the home Care Homes for Adults (18-65 years) Page 7 of 30 forward in the right direction. As a result the company assessed the home and looked at its future. They decided that it was unsuitable to meet the needs of the people currently living there and each person has been reassessed to look for a better place for them to live. Corner House will be closed and refurbished to provide a different service more suited to it. What the care home does well At the last inspection the service was rated poor and was given zero stars. Many improvements were needed to keep people safe and give them a good quality of life. Since then an experienced manager from within the company has come to the home to make the improvements needed and is working through the improvement and transition plan. The new manager is working hard to make as many changes to improve the service for the people who live there as swiftly as possible. She has prioritised the improvments well starting with supporting peoples health and making sure people are safe. This means that people are receiving the right support for them, as individuals. They are in safe hands and their wishes and feelings are being listened to. Care Homes for Adults (18-65 years) Page 8 of 30 What has got better from the last inspection There is a new manager who is making the improvements necessary and to make peoples lives better living at Corner House. Each person has a plan of care that has pictures of them and clear instructions for what the staff to give them the support they prefer. It also says what people like and where they like to go. People have been referred to the speech and language therapist and other specialists to support them with their communication and personal care needs. There are clear guidelines for staff to follow like support for eating and drinking. Each person has a health action plan folder and the manager is working through them to make sure that all their health needs are identified and are being supported. People have been referred to specialists for medical intervention. Improvements have been made to the home to make it safe and more comfortable. Some of the bedrooms have been decorated and people have been offered a choice of colours for their room. The home was clean, fresh and airy. Care Homes for Adults (18-65 years) Page 9 of 30 What the care home could do better If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Julie Sumner Care Homes for Adults (18-65 years) Page 10 of 30 The Oast Hermitage Court Hermitage Lane Maidstone Kent ME16 9NT 01622724950 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 11 of 30 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 12 of 30 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 people living in the home can be confident that their needs will be assessed by a person competent to do so and that their assessed needs will be met. Evidence: The service provided in the home is going to change and the people who currently live in the home are going to move out over a phased period of time. Each of the people currently living in the home has been reassessed by their care manager or representative to determine their current needs. The manager explained that she is establishing systems of communication support to enable the people living in the home to express their wishes. The manager explained that people will be supported with the move to new placements and that the amount of time this will take and how each person will need to be supported will vary from person to person. Care Homes for Adults (18-65 years) Page 13 of 30 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service recognises the right of individuals to take control of their lives and to make their own decisions and choices. They are in the process of finding ways to support peoples communication to enable this. Evidence: The new management team and staff team have worked together with the people living in the home to review the original care plans. We saw that all the new draft person centred plans are in place. We looked at three of these plans. The staff are being encouraged to give their views and check for accuracy. They are also asked to make sure that if something changes or is wrong that the plan is updated to reflect this. We saw post-it notes with suggested amendments in the plans we looked at which shows that the staff are doing this. We saw that the plans are very easy to follow with clear information supported by photos of the people and the equipment and places referred to in the plan. All the people living in Corner House need support with their communication so that they can say what they want and have contact with other people. In each persons plan there is a communication assessment. This describes how the person expresses themselves in Care Homes for Adults (18-65 years) Page 14 of 30 Evidence: different situations. All the people in the home have been re-referred to the speech and language therapist and the support needed is being identified. The manager described some of the communication aids they are designing. This includes producing large photos, that will be laminated so that they can be held, of places that the person visits and activities that they participate in. For people who relate less well to pictures there will be objects of reference. The risk assessments have been reviewed along with the original care plan information. All the relevant ones have been updated and transferred into the new my health plan or care plan depending what they are for. The assessments include guidelines for staff to minimise risk. The risk assessments are currently in the old Caretech format but the manager said they will be updated into the new format. Care Homes for Adults (18-65 years) Page 15 of 30 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home are starting to get out more and the staff are making an effort to find out what they like doing and provide activities that are meaningful. Evidence: We saw descriptions of what people like written in their care plan. Photos of the person out at a place they like to visit were also included in the plan. The staff are purchasing equipment and developing a range of activities in the home. One of the bedrooms has been turned into a sensory room with soft mats and wedges to sit and lay on and light and sound equipment. On the day of the visit some of the people living in the home had gone out with the staff to buy a CD player for this room. We saw that activities were taking place. One person was sitting at the table with a member of staff participating in an art activity. One person was watching a music channel with a member of staff in the lounge. The manager makes sure that everyone goes out during the week. During the day of the visit some people had visited a farm and some people had gone to the local supermarket and had a coffee. Care Homes for Adults (18-65 years) Page 16 of 30 Evidence: Staff are allocated to work with individuals each shift and then they write the report care staff encouraged to add to the reports now not just nurses as before. Each person has a bound record book for all activities including day to day personal care records. We looked at four of these with the area manager. We saw that staff regularly make entries about personal care given but do not always write about activities the person has taken part in. The manager said that she is arranging report writing training and intends to discuss this in one to one supervision and the next staff meeting so that staff understand the importance of record keeping. Information about who is important to each person and contact details is kept in each persons plan folder. Each person also has a pen picture giving the story of their background to help people get to know them. Some of this information has been difficult to obtain where people do not have regular contact with relatives. The speech and language therapist has assessed the eating and drinking needs of the people in the home who need support with this. The guidelines for staff have been written and laminated into place mats so that they are easy to refer to. We saw that the guidelines are clear and also include illustrations and photos. The manager said this is helping with consistency of care. Care Homes for Adults (18-65 years) Page 17 of 30 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care needs of the people living in Corner House are being monitored and appropriate action and intervention is being taken. Evidence: We discussed how the people living in the home are supported with their health care with the manager. The manager has prioritised peoples health care making sure when they have a medical condition that either needs investigation or treatment that this is being followed up. Each person has a health action plan folder and these are being updated from current assessments and previous information that is still relevant. We looked at four of these. We saw that appointments to specialists have been made for those who need it. The manager explained that peoples current health needs are being assessed and guidelines for support have been updated. We saw that the guidelines for treatment are clear. The support staff are being guided and trained by the manager to make observations and report any changes. They are also expected to write in the care and health plans which they did not do previously. The current people living in the home need support by the nurses to take their Care Homes for Adults (18-65 years) Page 18 of 30 Evidence: medication. We looked at the medication storage in the homes clinical room with one of the nurses. The nurse explained the medication administration procedures. We saw that the clinical room is well organised. There is a medication fridge. There is a metal medication cabinet with a small cabinet locked inside for controlled drugs. None of the people living in the home is prescribed controlled drugs at present. The medication administration records are clear and were accurately completed. Special instructions for medication to be administered are signed and agreed by the GP, for instance, if people need to take it with food. We talked to the manager about auditing and managing medication administration errors and found that there is a good system of following and managing and errors that have occasionally occurred. Care Homes for Adults (18-65 years) Page 19 of 30 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living in the home are protected from the current policies and procedures. Evidence: The safeguarding alerts that were open at the previous inspection visit, remain open for all the people living in Corner House. Kent Social Services and the other funding authorities have been working closely with the home to make sure people are safe and they are receiving the care that they need. Care management reviews have taken place. Multi agency adult protection meetings are being held at regular intervals to monitor progress and visits from health care professionals have been on going. This work is continuing. The home has a complaints procedure which, the manager said, is kept in view for all to follow and for staff to read if any changes arise. We looked at the complaints log and discussed recent issues. There have been four complaints since our last inspection visit and three of these have been resolved. One complaint is being followed up by the area manager. The manager acknowledged that at present the people living in the home do not have a complaints procedure that works for them. The manager and staff team are working with the speech and language therapist to develop communication support so that people are able to make their needs and wishes known. Caretech have a clear safeguarding policy. The safeguarding policy was given to each staff at the staff meeting that was held on the same day as the inspection visit. Safeguarding training is being organised to update all the staff and the manager said this Care Homes for Adults (18-65 years) Page 20 of 30 Evidence: was also discussed at the staff meeting. The manager has attended mental capacity act training. The manager has also attended Deprivation of Liberty Safeguards awareness sessions with the local authority. The manager says in the AQAA that staff are more confident to raise issues. There has been good communication from the service with us and the relevant funding authorities so that is an issue has been raised that needs to be reported it has been. This indicates that staff do report issues as they occur. We checked the financial procedures with the manager and found these to be robust. Care Homes for Adults (18-65 years) Page 21 of 30 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is reasonably comfortable and has a programme to improve the environment for the people who live in it. Evidence: The manager stated in the AQAA that improvements have been made to the home so that it is a safe and more comfortable place to live. It is also stated that since the decision to close the home, only maintenance considered essential for the health, safety and welfare of the people living in the home will be carried out. When we visited the home looked much better than at the last key inspection visit. The way the space in the home is used has been rearranged so that people are able to participate in different activities without all being too cramped together. One of the vacant bedrooms was being turned into a sensory room. The staff had removed the furniture and placed various vinyl covered foam shaped wedges around the floor and up the walls. Different lighting projectors and a bubble machine have been purchased. And during the day of the visit two of the people living in the home had been out to buy a music player. The unused conservatory at the side of the building has been removed and outside space altered to make a sheltered seating area. There is a low brick wall and hanging baskets to make it safe and more attractive for the people to sit out in. Care Homes for Adults (18-65 years) Page 22 of 30 Evidence: The home looked clean and smelled fresh. Staff have received infection control training and those that need it are booked on refresher training. Care Homes for Adults (18-65 years) Page 23 of 30 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are sufficient staff to support individuals with their personal care, health care and lifestyle. The manager is aware that there are some gaps in training and plans to deal with this. Evidence: We looked at the staff rota and discussed the staffing with the manager. She explained that the shifts are covered by the staff team and some regular agency staff. There are six care staff in the morning and five care staff in the afternoon. An additional staff works in the evening to cover the tea time. All staff have food hygiene training and this was confirmed in the staff files looked at. This means there are sufficient staff in the home to support people with their personal and health care needs. People are also able to go out and participate in different activities in the home. We looked at three staff files. We found the information well organised with recruitment information referred to, as the main information is kept at head office. There have been no new staff as the home is closing. Training is being organised to make sure everyone has up to date training essential for the health, safety and wellbeing of the people living in the home. Nurses have received updated training and specific training to support individuals with changing health care needs. We looked at the training records and saw certificates in the staff files. The Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: manager was organising further moving and handling training, communication skills and report writing on the day of the visit. The manager is balancing providing training and providing the right level of staff to meet the day to day needs of the people in the home. One of the managers in the company is carrying out staff supervision so that this can be carried out every six weeks. We saw that all the staff have had the opportunity for a oneto-one meeting in the last month and the next ones were scheduled. Care Homes for Adults (18-65 years) Page 25 of 30 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 manager has a clear understanding of the key principals and focus of the current service and is working hard to increase the quality of life for the people living in the home and to make a smooth transition. Evidence: The registered manager has left the home since the last key inspection visit and an interim management team from within the company have been put in place, who have experience and qualifications in managing care services. The interim home manager, operations manager and area manager are working together to make sure the people living in the home are safe and their needs are being met. Whilst they work through the agreed transition plan for the people living at Corner House to move to new homes. The company has a quality monitoring system and the quality support manager has been involved in designing the improvement plan for the home. In addition to this, a representative of the company has been carrying out the monitoring visits each month to check progress. The quality monitoring manager and the home manager have kept us informed of all the developments and any issues. We looked at the last three reports and could see that the service is working its way through the improvement plan and providing Care Homes for Adults (18-65 years) Page 26 of 30 Evidence: an improved and safe environment for the people who currently live there. A new fire panel has been installed and key pad systems have been fitted to the doors that are linked to the fire alarm system. The manager has updated the fire risk assessments and refresher fire training has been booked for the staff for the beginning of July. A fire drill was carried out at the end of May using the new guidelines and everyone was evacuated quickly and effectively. The maintenance work as agreed within the homes improvement plan is ongoing. Radiator guards have been fitted, the boilers have been repaired and the urn has been replaced. We could also see from the AQAA that all the servicing and maintenance checks of heating, electrical and equipment including the lift have been carried out. The manager explained that as the home is closing the work being done has is on the grounds of health and safety and the wellbeing of the people living in the home rather than anything cosmetic. Care Homes for Adults (18-65 years) Page 27 of 30 Are there any outstanding requirements from the last inspection? Yes  No  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 28 of 30 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 Description 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 Description 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 29 of 30 Helpline: Telephone: 03000 616161 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) 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 30 of 30 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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