Care Home: David Lewis Centre

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What the care home does well There is information about how the home works and who it is for (the statement of purpose) so people wishing to move in have the information they need to make an informed choice about moving there. The person centred plans (care plans) for the people who live in the home accurately reflect their care needs. They include up to date information and guidance for staff so they know what they must do to meet the needs of each person. Information about people`s health care needs is up to date and shows how these needs are being met by staff at the home. There are enough staff available to meet the needs and choices of the people who live in the home. There is a complaints procedure in place that ensures complaints are recorded to show how they have been investigated and what action has been taken to resolve them. This shows that complaints and concerns about the home are taken seriously and acted upon. The general decor and appearance of the home, both inside and outside, is of a high standard so ensuring the people live in comfortable and safe surroundings. Staff have received training which includes safeguarding adults, moving and handling, fire safety, first aid, food safety and medication awareness. This will make sure that staff know how to provide safe care, in line with up to date practice, for the people who live in the home. The registered manager has, with the support of the community homes manager and other staff within the David Lewis Centre, put procedures in place so ensuring a good quality service for the people who live in the home. We saw that people living in the home were comfortable with staff who were working with them. Over half the staff at the home have achieved a National Vocational Qualification in health and social care at Level 2 or above. This is a nationally recognised qualification for people involved in providing care and shows they have the skills to make sure that the needs of the people they work with are met. What has improved since the last inspection? Since our last inspection of this home, it has changed from providing temporary accommodation for students who attend college at David Lewis in Great Warford to become one of three homes run by the organisation for people to live in the community. The people living in the home had previously lived and worked on the main David Lewis site for a number of years. They are now involved in various employment opportunities and social activities in Macclesfield. Since the current group of people moved into the home in August 2009 they have registered with a local GP surgery and have developed positive relationships with other community services such as the local pharmacy. The people who live in the home are, as part of their person centred plans, being supported by staff to develop their independent living skills such as managing their medication, attending doctors appointments and using local shops. Risk assessment are in place covering all areas of daily living, to ensure the safety and well being of the people who live in the home. What the care home could do better: We consider that 94/96 Mill Lane provides excellent outcomes for the people who live there so would expect that the home continues to review its practice in order to ensure that the high standard of care provided to the people at the time of the inspection is maintained and where possible improved. Key inspection report Care homes for adults (18-65 years) Name: Address: David Lewis Centre 94/96 Mill Lane Macclesfield Cheshire SK11 7NR     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: Val Flannery     Date: 1 8 0 3 2 0 1 0 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 28 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) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: David Lewis Centre 94/96 Mill Lane Macclesfield Cheshire SK11 7NR 01565640000 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): lorraine.riley@davidlewis.org.uk www.davidlewis.org.uk David Lewis Centre Ltd Name of registered manager (if applicable) Ms Lorraine Riley Type of registration: Number of places registered: care home 8 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability physical disability Additional conditions: The registered person may provide the following category of service only: Care home only - Code PC. To service users of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD. Physical disability - Code PD. The maximum number of service users who can be accommodated is: 8. Date of last inspection Brief description of the care home The David Lewis Centre, 94/96 Mill Lane, Macclesfield is registered to provide care and support for eight people, aged between eighteen and sixty-four. It is in the centre of Macclesfield, within easy reach of public transport with a train and bus station nearby. The house is made up of three flats each with a bedroom, bathroom or shower, kitchen and living room, and five single bedrooms, which all have en-suite facilities. The house also has a shower room, bathroom, toilet, kitchen, lounge and computer room. The Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 0 8 8 Brief description of the care home house is close to local shops, takeaway food shops and pubs. The people living in the house are supported to take part in community based activities and to use leisure facilities. Care Homes for Adults (18-65 years) Page 5 of 28 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: The overall quality rating for the home is three stars. This means that the people who live in the home experience excellent quality outcomes. This visit took place on the 16 and 18 March 2010. It was carried out by one inspector and took a total of 6.5 hours. The report will say we when referring to what we did and what we found because it is written on behalf of the Care Quality Commission. During our visit we spoke with the people living in the home, the manager and staff. We looked around the premises and looked at various records held by the home. The visit was just one part of the inspection. The manager had completed a questionnaire to provide up to date information about the home. CQC questionnaires were made available to the people living in the home and staff who work there so they could tell us what they think about it. The previous key inspection of this service was carried out on the 12 July 2007 Care Homes for Adults (18-65 years) Page 6 of 28 Care Homes for Adults (18-65 years) Page 7 of 28 What the care home does well: What has improved since the last inspection? Since our last inspection of this home, it has changed from providing temporary accommodation for students who attend college at David Lewis in Great Warford to become one of three homes run by the organisation for people to live in the community. The people living in the home had previously lived and worked on the main David Lewis site for a number of years. They are now involved in various employment opportunities and social activities in Macclesfield. Since the current group of people moved into the home in August 2009 they have registered with a local GP surgery and have developed positive relationships with other community services such as the local pharmacy. The people who live in the home are, as part of their person centred plans, being supported by staff to develop their independent living skills such as managing their medication, attending doctors appointments and using local shops. Risk assessment are in place covering all areas of daily living, to ensure the safety and well being of the people who live in the home. Care Homes for Adults (18-65 years) Page 8 of 28 What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 28 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 28 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 who live in the home were given a lot of information about moving in there and staff worked hard with them to make sure that the move was a successful one for them. Evidence: We saw a copy of the information about how the home works and who it is for (the statement of purpose) which sets out the aims and philosophy of the home. This document also included details on how to contact the Care Quality Commission and how to make complaints and raise concerns. The people living in the home have moved there from other homes run by David Lewis. We saw a copy of the Transitional plan - Moving Home for one person who lives in the home. This included information for the person about the move, the reasons for moving, people who would support the person with the move, getting ready for the move, planning ahead for the move and moving on. The document was provided in picture book format to help the person understand what was happening. We spoke with the people who live in the home. They told us that they like living in Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: their new home. They also told us that before they moved they were able to visit the home and also spend time together to get to know each other. We were also told that the families of the people living in the home were fully consulted about the move to the home and were kept up to date so they knew what was happening. Care Homes for Adults (18-65 years) Page 12 of 28 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. The people living in the home are supported by staff to be as independent as possible and to take responsible risks so ensuring life at the home meets their expectations Evidence: During our visit we looked at the care folder of one person who lives in the home. Included in the folder were person centred plans that showed how the person wished to live their daily lives, how any changes to their care needs would dealt with by the staff, a list of the people (including the person and their family) who were involved in drawing up the plans of care and a copy of an evaluation of the plan that was carried out with the person. We spoke with staff who told us that the people living in the home are always consulted about their care plans and that their views and wishes are included in the plans. During our visit we saw staff support two of the people who live in the home with a wish list of things that were important to them and should be included in their person centred plans. We spoke with four of the people who told us that staff ask them what they want to do and that they are happy living in the home. Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: We saw the people who live in the home moving freely between their bedrooms and the communal areas in the home. We saw risk assessments in the care plans that showed that level of support required by the person to ensure their safety and well being and also to help them maintain their independence. The risk assessments covered the level of support people needed whilst in the home and whilst using community facilities. We were told that the people who live in the home required the support of staff when using community facilities so as to ensure their safety. We were also told that action will be taken to minimise risk so that the people can use community facilities without endangering their safety and well being. Care Homes for Adults (18-65 years) Page 14 of 28 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. People are supported to take part in activities that suit their lifestyle and interests so ensuring their expectations about their chosen lifestyle are met. Evidence: During our visit we spoke with the people who live in the home who told us that they like living in the home. We saw them being supported by staff to visit the local shops and go to the town centre. We saw one person who lives there visit the local shop by themselves. During the visit we saw staff supporting one of the people who lives in the home to walk to their job in a local shop. People who live there were seen returning from various community based activities. We saw the care folder of one person who lives in the home. This had information about the persons daily routines, their likes and the involvement of their families in their care. During our visit we saw one of the people who lives in the home receives Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: support from staff to use the internet. We spoke with the staff who told us that relatives and friends are encouraged to maintain contact with the people living in the home. The care folder seen during the visit had a record of contact made by the persons family. We saw one of the people who lives in the home helping staff prepare for the evening meal. People are offered a choice of meals and are actively involved in buying the food and planning the menus. We saw support being given to the people with their meal; this was done in a caring and sensitive manner. The meal time seen during our visit was relaxed and unrushed. Care Homes for Adults (18-65 years) Page 16 of 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The personal and health care needs of the people living at the home are well managed so ensuring their care needs are met in a way they prefer. Evidence: We saw the care folder of one of the people who lives in the home which included their person centred plans. The plans showed the level of support the person required with their personal and health care needs and how staff should support the person with those needs. Included in the care plans were the level of support the person required with personal care such as using the bathroom, meals, and when using the local community facilities. The care plans also showed the support required by the person with their medication and attending doctors and hospital appointments. We were told each person who lives in the home has a patient passport which contains information about the person and their health care needs. The person takes the passport with them when they attend doctors and hospital appointments. The people who live in the home are registered with a local GP practice. They also receive visits from health care professionals from the main David Lewis site who advise and make recommendations on their specific Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: health care needs. One of the people had visited the GP surgery by themselves and also collected their prescription from the local pharmacy. There was information in the care folder about the specific health care needs of the person and the action staff should take to ensure the persons safety and well being. We were told that one of the people who lives in the home is being supported by staff to eventually manage their medication. We were told that the people living in the home need help to make sure they take their medications safely as prescribed. The record of the medication administered by staff to one of the people living in the home was seen and was satisfactory. The medication is kept in a secure cupboard in a room which is kept locked. We spoke with senior staff during our visit and they told us they have received medication awareness training and also receive regular updated training so they are able to maintain the well being of the people living in the home. We were provided with a record of staff training during the visit; this showed that all staff have received training on administering medication to the people who live in the home. We could see that the health care needs of the people who live in the home was being monitored to make sure that the right actions were being taken to keep them well and healthy. During our visit we saw staff helping people with their meals and with their day to day needs. The support was offered in a caring and sensitive manner so that the persons privacy and dignity were maintained. We saw staff knock on bedroom doors before entering; they were also seen speaking with the people who live in the home in a respectful and kind manner. We also saw a member of staff discreetly monitor the safety of a person who was having bath by standing outside the door in case they were needed. We spoke with the people who live in the home who told us that staff help them, they also said they like to do things for themselves and that living in the home was better then living at the main David Lewis site. Care Homes for Adults (18-65 years) Page 18 of 28 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 living in the home are protected by the complaints and safeguarding procedures in place so ensuring they are safeguarded from harm and possible abuse. Evidence: During our visit we saw a copy of the complaints procedure for the home which included details on how to contact the Care Quality Commission. The staff told us that there had not been any complaints or concerns raised about the home but were able to show us the record that would be used if a complaint was made. This would mean that the way the complaint or concern was investigated and the outcome would be properly recorded so that people raising concerns could be confident that these would be taken seriously and looked into. The procedure for raising concerns or making complaints was available in picture format for people who may have communication difficulties. There is a safeguarding adults policy for the home and the procedures in place include the Department of Health guidelines No Secrets. We were told by senior staff that the home has not made any referrals under the safeguarding procedures. Staff also told us that they have received safeguarding adults training and will be receive refresher training every two years. Care Homes for Adults (18-65 years) Page 19 of 28 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 is well maintained so the people living there do so in safe, comfortable surroundings that suit their needs. Evidence: During our visit we were shown around the home. We saw the communal lounge, dining area, kitchen, communal bathroom and toilets. We also saw the activity room which had two computers with links to broadband. The home was clean, tidy and did not have any unpleasant odours. The accommodation for the people who live in the home consists of five bedrooms with en suite toilets and showers, two self contained flats with a toilet and bath and one self contained flat with a shower and toilet. Each of the flats has a lounge, kitchen and dining area. The communal kitchen is very spacious and has plenty storage space. The home is furnished and decorated to a high standard throughout. There is a separate laundry room for use by the people who live in the home. We spoke with the people who live in the home, they told us they were very happy with their bedrooms/flats and that they did not want to leave. There is a ramp to the front door for the people who may have mobility problems. The Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: environment, including lighting, doors and windows is checked regularly to ensure it is safe for the people who live there. Care Homes for Adults (18-65 years) Page 21 of 28 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 living in the home are supported by well trained and qualified staff so ensuring they are cared for by people who have the skills to support them Evidence: The staffing rota we saw during our visit showed that there are normally two/three staff on duty during the day/afternoon/evening and that there is one person on waking night duty. Information provided by the manager showed that the ten staff who work in the home have completed an induction programme and that six staff have achieved an National Vocational Qualification (NVQ) Level 2 or above in health and social care. These are nationally recognised qualifications for staff working in care and show they have been assessed as competent to provide good quality care. The training record we saw during our visit showed that all staff receive yearly training updates that include medication awareness, safeguarding adults, health and safety, epilepsy, infection control, food safety/hygiene, equality and moving and handling. The staff we spoke with during our visit said they receive regular support and supervision from the senior staff who manage the home. They also confirmed they had received the training identified on the training record we saw. The staff personnel files are kept at the main David Lewis Centre offices and have Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: been checked as part of inspections for other David Lewis services. We spoke with the residential manager who confirmed that there are thorough recruitment checks in place that include criminal record bureau checks, and that two written references are obtained on each person before they are offered employment by the organisation. Care Homes for Adults (18-65 years) Page 23 of 28 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 home is run in the best interests of the people who live there so ensuring their welfare is promoted and protected. Evidence: The manager for the home is also registered with the commission as the manager for a number of services run by David Lewis. She has worked for the organisation since 2002 and has other areas of responsibility in her role as Head of Community and Business Development. The information received in the managers application to the Care Quality Commission to be the registered manager for the home showed that she has achieved an NVQ Level 4 in Care and and NVQ Level 4 in Management. She has also completed a degree in autism and has attended periodic training in order to up date her knowledge and skills in managing a care home. We were told that residents meetings, residents reviews and one to one meetings are used to find out the views of the people living in the home on the quality of the service offered. Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: During our visit to the home we looked at the fire safety record. There was a fire risk assessment for the home. The record showed that three evacuation drills had been carried out since August 2009 and that these had involved all the people who live in the home and the staff group. The record also showed that checks on emergency lights are carried out monthly and that staff training sessions on fire safety had been carried out. These measures all help to make sure the home is safe and that everybody knows what to do if a fire breaks out. We also saw a copy of the Gas Safety certificate and a copy of the Portable Appliance Test record A copy of the health and safety procedures are available in the home, as is a file on the safe use of all chemical products used in the home. This helps to make sure that staff have guidance to be able to make sure the home is a safe place to live and work in. Four of the people who live in the home and two staff who work there sent us back their completed comment cards. The sections of the cards completed by the people living in the home showed that they are satisfied with the care and support they receive. The staff comment cards told us what they do well; very person centred and promotes choice. provides opportunities for residents to experience new things. regular staff meetings, meetings for supervision, It encourages choice and independence with all the service users. The home is a small unit so everyone works well as a team (staff and service users. Care Homes for Adults (18-65 years) Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes R 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 1 2 14 The needs of all students must be assessed before they are admitted to the home, so that they can be assured their needs can be met there. 31/08/2007 2 18 13(4) A system must be in place to 31/08/2007 alert staff that students may need help without students putting themselves at risk of further injury. Care Homes for Adults (18-65 years) Page 26 of 28 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 27 of 28 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. 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