Care Home: Daleholme

Similar services:

• Larch Avenue
• Alderson Road 12
• Cranworth Close Registered Care Home
• The Cornerstone
• John Street Nursing Home
• Pennine Camphill
• Whitwood House
• Whitwood Hall

What the care home does well People who use the service are given good information about what is provided. This helps them decide if the home is right for them. People who would like to move into the home have a full assessment to make sure the home can meet all their needs. People are involved in deciding what care they need and a plan is then drawn up. This gives everyone a say in planning services they will receive. Staff observed at the home showed a good understanding and knowledge of people they supported. Individuals are well supported with their health care. People see their GP, Dentist, Optician, District Nurse, Occupational Therapist, and Chiropodist whenever they need to. Individuals are asked what they think about the service provided so that the staff team can make changes to improve their quality of life. The staff support people to live a fulfilling life within the home and in the community. People living at the home are also well supported to enjoy their own interests and hobbies and have many opportunities for days out and visits to places of interest. What has improved since the last inspection? The home has increased the opportunities for people who live at the home and the staff to formally meet, this is important so that everyone can take part in the running of the home. Staff have good training and all staff now have further training in managing challenging behaviour in the home to make sure that people are safe from harm. One bedroom has been redecorated and new LCD TV and garden furniture have been purchased for the home. What the care home could do better: The recruitment records must be complete and available at the home and more staff need training in NVQ level 2 and above. This is to make sure people are supported by safely recruited and well trained staff. The policies and procedures, service user guide and people`s terms and conditions need to be reviewed to reflect the current practice where individuals pay for staff meals and drinks when eating out. This is important to make sure that staff have the right guidance and people are protected from financial abuse. Key inspection report Care homes for adults (18-65 years) Name: Address: Daleholme Station Road Settle North Yorkshire BD24 9AA     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Linda Trenouth     Date: 0 6 0 8 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 29 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 29 Information about the care home Name of care home: Address: Daleholme Station Road Settle North Yorkshire BD24 9AA 01729825769 F/P01729825769 info@st-annes.org.uk www.st-annes.org.uk St Anne`s Community Services care home 5 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Persons in the category of LD(E) are restricted to current service users who reach that age whose needs can still be met within this service. Registered for 5 Service Users with Learning Disabilities some or all of whom may also have Physical Disabilities Date of last inspection Brief description of the care home Daleholme is a care home registered by St. Annes Community Services to provide personal care and accommodation for up to five adults with learning disabilities some or all of who may have physical disabilities. The home consists of a purpose built, detached bungalow situated on a busy road on the outskirts of the market town of Settle. The town is within easy walking distance of the home and has numerous and varied facilities including shops, cafes, churches and pubs. All five bedrooms are for single accommodation, one of which has en-suite facilities. Shared areas consist of a kitchen, a dining room/lounge and a conservatory. It also has a separate wellequipped laundry. The home has a garden area to the side and rear of the premises with an area of hard standing for parking to the front. There is level access to the home. Care Homes for Adults (18-65 years) Page 4 of 29 5 Over 65 1 Brief description of the care home Current information about services provided at Daleholme is available in the form of a statement of purpose and service user guide that is available in other formats and explains the care and services on offer at the home. The home has a copy of the most recent inspection report on display and copies can be made available on request to the manager of the home. The fee charge is £1033.20 per week and does not include charges for personal items, trips out, staff meals when dining out and people at the home pay a contribution to the vehicle for the home. 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: This report follows a unannounced visit to the home. The inspection also included gathering information and facts before and after the visit to decide the overall judgement. The registered manager Sean Martin has moved to manage two other homes in the area and acting manager Denise Jabbi is now managing the home. The acting manager was on leave during the inspection. Staff working at the home were available throughout the visit. During the visit the care and staff records were reviewed and we watched staff working, and talked to people who live at the home. We also looked around the building. The main purpose of this inspection is to make sure that the home continues to provide Care Homes for Adults (18-65 years) Page 6 of 29 a good standard of care. Comment cards were sent to people who use the service and the staff, to give them the opportunity to comment on how well they thought the home had done. Eight comment cards were returned and information from these is included in the report. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as commendations, but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. Feedback was given to the acting Manager by telephone after the visit. The requirements made during this visit can be found at the end of the report. 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 Care Homes for Adults (18-65 years) Page 8 of 29 following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 9 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 10 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. People are well assessed and given good information before they move into the home. Evidence: The service user guide is available for everyone and tells people what they can expect when they live at the home. Individuals all have a contract which is important to make sure that their rights are protected. Staff tell us that individuals are encouraged to visit and stay at the home to help them decide if the home is right for them. They also say it is very important in such a small home that everyone is happy with the move and people living at the home get the opportunity to see if they are happy too. People living at the home tell us that they have chosen to live in the home and that they were given information about the home to help them decide. The Care Manager will arrange a Care plan review meeting within a week of the person moving in and a further review at six weeks. The opinions of the person, their Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: relatives, and carers are important as well as the views of other people living in the house. Care Homes for Adults (18-65 years) Page 12 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. Individuals are supported to make their own choices about how they wish to live their lives. Evidence: Assessments and care plans were complete and reviews regularly undertaken. This makes sure that the changing needs of people living at the home are continually met. It was evident from the care records that people make their own decisions about what they do from day to day. Staff were able to give examples of how they support people to make their own decisions from day to day, this can be a trip or outing or how to decorate their room. Staff commented, the home actively promotes clients rights and choices. Enables clients to be independent Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: the home cares for our clients in a relaxed atmosphere and encourages Independence and helps them to achieve this where possible People living at the home confirmed that they make their own decisions from day to day. one person told us that they like going to the supermarket with the staff to help with the shopping. They also confirmed that they choose the activities that they like to be involved in. The care plans recorded examples of how staff enabled people with their personal care, detailing how people should be supported to do as much as possible for themselves. This is important to make sure people maintain their independence and dignity. The care plans help guide staff to support people with their communication needs. This is important to enable individuals to make day to day decisions and help people express their concerns or opinions. Individuals are encouraged to be involved with the planning of menus and shopping for food in the home. Staff said that they encourage everyone to be involved and individuals have the opportunity to eat what they like and try different foods. A well balanced diet is encouraged. Each individual has a special worker called a key worker, who includes them in their care planning. All staff are involved with supporting individuals and there are regular house meetings where people were able to further express their views. Care Homes for Adults (18-65 years) Page 14 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live at the home have excellent opportunities to experience and enjoy fulfilling lives both within and outside the home. Evidence: There are many varied activities happening throughout the week, which are appropriate to the needs, age and abilities of the people living at the home. Activities include personal shopping, walking, swimming, horse riding, ten pin bowling, visiting family, eating out and day trips. Everyone attends the local resource centre through the week participating in various activities. One individual delivers the Settle News, a local community pamphlet on a monthly basis. Some individuals are supported by Avalon, a organisation that enables people to participate in their interests and hobbies in the community. Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: From the eight questionnaires received some said there should be more activities at the weekend. The manager said that this has been a problem in the past due to staffing levels but this has now been resolved and there are more activties and choices at the weekend. The staff at the home encourage people to choose where they would like to go. In addition to this there are regular outings to places of interest, lunches, and meals out. Staff tell us that peoples birthdays are always celebrated with special birthdays being a big event. People are supported to develop and maintain relationships with families and friends. They are assisted to visit their families and can meet their visitors in private. There was a positive comfortable atmosphere and friendly banter between the staff and people living at the home. The home has use of a car for transporart arangements for individuals at the home. Some individuals wish to travel independently and have access to a Dales rail card and local bus pass. People are offered a varied and nutritious diet and are involved with the menu planning at the home. People are encouraged to try different and new foods and meals, the manager tells us, We have staff that offer good quality food and are skilled at cooking ethnic, vegetarian, low fat and varied meals. We offer a wide range of dishes and can accommodate all requests. Clients are encouraged to choose meals. Meals with high nutritional value are encouraged. As much as possible clients are encouraged to make their own meals or to be involved in the preparation. The staff tell us that people living at the home are supported to eat together and the staff join them to encourage a relaxed meal time. Most main meals are eaten together at the home and staff told me that individuals also eat out regularly at pubs, cafes, and restaurants. Care Homes for Adults (18-65 years) Page 16 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. People were well supported with all their health needs by caring staff. Evidence: Everyone has care plan, which details how they will be supported with their health and care needs. The care plans look at general health including Optical, Podiatry and Dental needs. People visit their GP regularly and their medication is reviewed. Where Health Professionals make recommendations these are included into the care plans. Everyone has their medication administered by staff. The medication was reviewed and found to be safely stored. The staff administer and record medication safely and make sure any unused medicines are appropriately returned to the chemist. When staff make any errors they follow the correct procedures to make sure that people are kept safe. The medication provided to the home is in a monitored dosage Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: system supplied by the local Chemist. Staff have had training in the administration of medicines. The manager tells us, All clients are registered with a GP. The local Town Head surgery has number of GPs. There is a local dentist, or clients are supported to access specialised care further afield. The current clients are encouraged to maintain good podiatry by accessing a local chiropodist. People living at the home also access the CTLD (Community Team for Learning Disabilities) , which consists of a multi skilled team who support people in a variety of ways. Care Homes for Adults (18-65 years) Page 18 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 can be confident that their concerns will be taken seriously. Evidence: The complaints procedure is available in the service user guide in an easy read style and staff have access to grievance and complaints procedures in their own policies and procedures. Staff have a good understanding of the communication needs of people living at the home and therefore interpret when individuals may have concerns. There are also regular house meetings and people are supported to talk about issues in the home. Staff tell us that they have completed training in adult protection and understand their responsibilities when they have concerns for a persons welfare. There is an adult protection procedure in place which everyone has access to. There have been no complaints received by CQC (Care Quality Commission) or the home regarding this service during the last year. The staff tell us that there are robust Policies and Procedures in place around adult protection. They receive regular refresher training in Safeguarding Adults. Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: All financial transactions are accurately recorded in the individuals personal money record. These records are checked daily by a designated member of the team. It was noted that when people who live at the home eat out they pay for staff food and drinks, this is not taken from the food budget. The staff tell me that this has always been the case. This needs reviewing in terms of the service user guide and terms and conditions of living in the home and financial policy as there appears to be no guidance to staff regarding this practice. There also needs to be greater protection for the people living at the home. All visitors are required to establish their right to enter the home and are required to sign the visitors book. The manager is required to submit on a monthly basis forms that monitor Violence and Aggression in the home. This helps establish patterns and highlight issues. Staff have received additional training in PBSG (Positive Behaviour Support Group) which looks at positive ways to manage challenging behaviour. This is BILD (British institute of Learning Disabilities) accredited. St Annes carry out an annual client satisfaction survey again in an effort to obtain the views of people using the service. Care Homes for Adults (18-65 years) Page 20 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. People live in a comfortable and safe home. Evidence: This was an unexpected visit and the home was welcoming, clean, and well maintained. The staff contact the maintenance department if there are any problems in the home. The rooms are all for single occupancy and meet peoples needs. Each of the bedrooms were individualised with personal furniture and decor. The bedrooms reflected peoples individual personalities and tastes. Staff have supported individuals to make the best of their environment with comfortable and restful bedrooms. One bedroom has recently been redecorated. One of the clients benefits from the use of an en suite shower room, this increases his independence. Communal areas were comfortable and homely and provide a safe environment for everyone. Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: The home has a domestic sized kitchen, a laundry room, a dining/lounge area and a conservatory which is also a designated smoking area for the clients who smoke. The gardens were well maintained and people have a good outdoor area to sit out in or walk around if they wish. The home has purchased a new Gazebo and garden furniture for people to sit outside and enjoy the garden. There are planned maintenance visits where repairs are carried out by the maintenance department of St Annes. Care Homes for Adults (18-65 years) Page 22 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. The people at the home benefit from a well-supported and trained staff team who are competent and understand their needs and work in the best interests of each individual. Evidence: Staff rotas showed that there was always a minimum of three staff on during the day with two on late afternoon and evening. The people living at the home were also supported by an organisation called, Avalon, who provide activities for people on an individual basis. Staff tell us that there has been an increase in sickness recently but the home has still been well covered with existing staff filling in shifts or the use of agency staff. The needs of one individual has recently increased and further staffing hours have been provided to meet their needs. The recruitment records were reviewed, important information regarding recruitment was unavailable. It could not be clarified that the home recruited staff safely making sure all the right checks had been undertaken.This information must be available in the home. Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: All staff are given a job outline and a copy of the homes code of conduct. Roles and responsibilities are also clearly explained to individual team members. New staff complete LDIA (Learning Disabilities induction award), which is important to make sure they are competent to support people safely. Staff tell us that they are well trained, I have done all sorts of training, infection control, adult protection, medication and first aid and they encourage you to do all the training . Staff are required to undertake National Vocational Qualification, (NVQ) at level three and the service offers training specific to the home, however only 30 of the staff are trained to this level. The home must work to wards meeting 50 of the workforce achieving this standard. The staff are also required to undertake regular Food Hygiene, Fire, Health and Safety, Moving/Lifting and Emergency Aid Training. A staff training profile is in place and copies of certificates are kept within individual staff files. Staff tell us that they had regular supervision with their manager and that team meetings are held regularly. 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. People are supported by good management. Evidence: The home has an acting manager, a permanent manager has not yet been appointed. The Acting Manager has worked at Daleholme since May 1997 as a residential care officer and then since October 05 as the deputy home manager and then since February 09 as the Acting Home Manager. Staff tells us that they feel the home is well managed, the manager is always here when we need her good management regular supervision and team meetings Supported me when I was off recently made sure I was ok and supported me when I came back to work Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: Staff said that they had regular staff team meetings and supervision and felt that the home is well managed. Monthly Health and Safety checks are completed with staff at the home being given delegated responsibilities for specific areas. The following areas were reviewed at the visit and were satisfactory, Electrical, Gas, and Fire safety systems. The home has notified us when there has been any occurrence affecting the well being of people living at the home. The monthly audits of the service have taken place and reports issued were available during the inspection. These are important to make sure that the quality of care is maintained. People living at the home, relatives, staff, and visitors have been asked to complete quality questionnaires. The views of people living at the home are also sought, making sure that everyone has a say in running the home. Staff receive regular supervision, both formal and informal from the Manager. During supervision, training and developmental needs are identified. There are monthly client meetings and issues raised are also discussed at regular team meetings. There are robust Policies and Procedures contained within the staff manual around Equality and Diversity. Equality and Diversity training is up-dated on a two yearly basis. 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 1 30 Staff must be safely 30/10/2009 recruited and evidence must be available in the home. To make sure everyone is safe. 2 23 13 The manager must make sure that the service user guide terms and conditions and fianancial policy reflect current staff practice of charging individuals for staff food and drink. To protect people from fianancial abuse 30/10/2009 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 33 The organisation should ensure that 50 of the staff team are trained to NVQ level 2 and above. Care Homes for Adults (18-65 years) Page 28 of 29 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 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!