Care Home: Derwent House

What the care home does well Skilled and experienced staff ensure good outcomes for people who use the service. People`s involvement in planning their care and risk assessments promote the individual`s rights, choice and independence. Access to a clear complaints procedure, written in a format people understand ensure their rights are respected. Staff practices support people to live a lifestyle of their choice ensuring their best interests. What has improved since the last inspection? No requirements were identified at the last inspection visit. The home continues to provide positive outcomes for people. What the care home could do better: The Annual Quality Assurance Assessment did not provide detailed information to reflect the service provided and or outcomes for people. Key inspection report Care homes for adults (18-65 years) Name: Address: Derwent House 206/8 Lightwood Road Longton Stoke-on-Trent Staffordshire ST3 4JZ     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: Dawn Evans     Date: 1 3 0 5 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: Derwent House 206/8 Lightwood Road Longton Stoke-on-Trent Staffordshire ST3 4JZ 01782599844 01782318281 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr Alan John Bradshaw,Mrs J Bradshaw care home 14 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 14 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 (LD) 14 Date of last inspection Brief description of the care home Derwent House is a residential home that provides a service for adults who have a learning disability. The home is accessible to all local amenties including, shops, resturants, pubs and the local bus. The property provides single and shared bedrooms situated on three floors. Five bedrooms are equipped with en suite, the remaining rooms have a washbasin. Due to the design of the property it would not be suitable for people who have Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 14 Brief description of the care home restricted mobility. Bath/shower rooms and toilets are located near to bedrooms and communal areas. The property also provides a lounge, dining room, kitchen and laundry situated on the ground floor. People also have access to a well maintained garden. Staffing is provided on a 24 hours basis ensuring people have access to the support they need to meet their care and social needs. People also have access to relevant healthcare services promoting their health and wellbeing. People have access to previous inspection reports enabling them to find out about the quality of service provided. Information about the fees charged for the service provided at the home was not made available. The reader is advised to contact the service directly for this information. 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: 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 last inspection of this service was completed on 01 June 2007. This inspection was carried out over one day; the home did not know we were going to visit. The focus of inspections we, the Care Quality Commission, undertake is upon outcomes for people who live in the home and their views of the service provided. This process considers the care homes capacity to meet regulatory requirements, standards of practice and focuses on aspects of service provision that need further development. Prior to the visit taking place we looked at all the information that we have received, or asked for, since the last key inspection . This included notifications received from the home. These are reports about things that have happened in the home that they have to let us know about by law, and an Annual Quality Assurance Assessment. (AQAA). Care Homes for Adults (18-65 years) Page 6 of 29 This is a document that provides information about the home and how they think that it meets the needs of people living there. These documents did not show any significant events to compromise the service provided to people. Three people living in the home were case tracked. This involves establishing individuals experiences of living in the care home by meeting them, observing the care they receive, discussing their care with staff, looking at care files, and focusing on outcomes. Tracking peoples care helps us understand the experiences of people who use the service. We spoke to six people who use the service and two staff members. Their comments are included in this report. We looked around some areas of the home. A sample of care, staff and health and safety records were also looked at. Where people who use the service were able to comment on the care they receive their views have been included in this 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 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 8 of 29 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The admission process ensure people have the information they require and they can be confident assessments will ensure staff know how to meet their individual needs. Evidence: The service provided people with a Statement of Purpose and a Service User Guide before they move into the home. These documents told us about the accommodation, staff members experience and qualifications, access to healthcare services, how to make a complaint amongst other things. Staff said these documents were provided in large print and pictorial to ensure everyone understands them. Staff told us no one had been admitted to the home in recent years. However, people who lived at the home said they had received relevant information about the service before they moved in. This should ensure people have the information they need, to find out if the service Care Homes for Adults (18-65 years) Page 10 of 29 Evidence: would be suitable to meet their assessed care and social needs. Two people told us they visited the home several times before they moved in. This enabled them to make a decision whether or not they wanted to live at the home. The AQAA shows people have a needs assessment before they move into the home. This was also confirmed by care records we looked at and people we spoke to. A needs assessment should enable the home to find out the persons care needs and tells staff how to meet these needs to enable the person to live a lifestyle of their choice. Care Homes for Adults (18-65 years) Page 11 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be assured their assessed care and social needs will be met, enabling them to live a full and active lifestyle. Evidence: The AQAA shows people have a care plan. A care plan should tell staff about the persons assessed care and social needs and how these can be met, so their health and independence can be assured. People told us they were actively involved in planning their care enabling them to maintain daily routines that reflected their culture, religion, gender and sexuality. One person showed us their care plan, they told us about their healthcare needs and how this affected them. The care plan showed information about their healthcare needs and told staff how to support the person. Staff spoken to also confirmed they knowledge of the assistance this person would require. This person could be confident staff members would know how to assist them to ensure their health and welfare. Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: People were also supported to write a 24 hour care plan, telling staff how they like their daily routine to be. One person showed us their plan. It told us about their preference of having a bath in the morning and that they like to prepare their own breakfast. It also told us about college and social activities they were involved in. This should ensure peoples right to live a lifestyle that promotes their choice and independence. The AQAA shows meetings were undertaken with people who use the service. This was also confirmed by people we spoke to. One person showed us minutes of these meetings and said, We talk about all issues to ensure we are happy. The minutes of meetings showed discussions about food, domestic chores and health and safety. Two people said they were actively involved in the daily routine, including care planning, menu, domestic tasks, amongst other things. The AQAA also showed people had access to a self advocacy service. This service provided independent support to people. We saw information relating to this service in the home and people we spoke to, also confirmed they had access to this service. One person said, We are involved in decision making and we are aware of the self advocacy service. Regular meetings with people and access to a self advocacy service, enhances peoples rights to make decisions in areas affecting their lifestyle and ensure they have a say on how the home is managed. The AQAA shows risk assessments were in place, we saw these assessments within peoples care records. They provided detailed information about potential risk to people and told staff how to reduce these risks and the support required to ensure peoples independence and safety. This supported peoples right to independence and maintained their safety whilst doing so. One person showed us their risk assessment and said with the training staff provided, they were now able to cross the road on their own. This enabled them to access facilities within the community independently. This person said they assisted with cooking; information on how to ensure their safety whilst doing so was also contained in the risk assessment. Care Homes for Adults (18-65 years) Page 13 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live a lifestyle that meets their individual needs and preference so they are able to lead a fulfilling life. Evidence: The AQAA stated. We try extremely hard to enable our service users to access lots of daily activities. We enable all service users to take part in appropriate activities for their age and peer group. Care records showed peoples daily activities which, included college and work placements. College placements included, maths, English, hairdressing, art, gardening, sewing, amongst other things. This enabled people to learn and enhanced their skills. One person said they worked on a farm and in a cafe on a voluntary basis. They said it Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: was their choice and they enjoyed these work placements. One person said the did not want to go to work or college and staff respected this. Practices within the home support peoples right to work and learn new skills. People can be confident the home will be run in a way to support their rights, choice and independence. Three people told us they had access to their local community, such as the pub, going bowling, social clubs and having meals out. We saw people getting ready to go to their local social club. Staff said people are able to pursue activities of their choice. This supported people to live ordinary and meaningful lives, reflecting their social interests. The AQAA shows people are able to maintain contact with family and friends. One person said, I am going to visit my parents tomorrow. Another person told us they visited their father on a regular basis. Two people said they were able to have visitors. This means people are able to maintain contact with people important to them. We observed the daily routine to be relax, people were involved in pastimes of their choice, including listening to music, getting ready to go on social events and one person assisting staff with the cooking. Staff said people can do want they wish during the day. This was also confirmed by people we spoke to, they said the staff were very helpful. We observed staff giving people their mail. Staff members and people confirmed their mail was always given to them unopened. One person said, If I dont understand it, they will help me read it. These practices promoted peoples right to privacy. The AQAA stated, Service users are offered a healthy, varied and nutritional diet. They can choose what they wish to eat. Discussions with people confirmed they were actively involved in planning the menu. Staff members and people told us they did not have a set menu, this was discussed on a daily basis. Three people told us the meals were good and they had a choice. One person said they had a health condition, which required a special diet and staff supported them in choosing appropriate meals to ensure their health. Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: We heard staff asking people what they would like for their lunch and observed their choice of meal being given to them. Staff said no one required a special diet due to their culture or religion but efforts would be made to meet any future dietary needs. 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 excellent 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 they will receive the support required to meet their personal needs and access to healthcare services ensures their physical and mental wellbeing. Evidence: Care plans told staff what support people needed to assist with their personal needs. Discussions with staff and information contained in one care plan showed the person required assistance to select appropriate clothing. We saw this person and others were dressed smartly and appropriate for the weather. Further discussions with two people confirmed male staff were employed within the home. They told us they could choose who assisted them with their personal needs. One female said, I prefer the women staff to assist me when I have a shower. She confirmed this was respected. The AQAA shows people have access to healthcare services, including General Practitioner, Optician, Dentist and Chiropodist. Information contained within care records and discussions with people also confirmed this. One person told us they had Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: just been to see their nurse for their routine health visit. Access to these healthcare services ensure peoples mental and physical health are met. The AQAA stated, Our Pharmacist regularly reviews the medication. Staff have received medication training. We looked at the services medication system and practices. All medicines were securely stored to ensure safe practices. Medication administration records, these are records of peoples prescribed medicines. These were signed to show people were receiving their medicines regularly. Training records showed staff had receive medication training. This was also confirmed by staff. This should ensure they have the skills to support people to take their medicines and enhanced safety standards. The AQAA stated, Service users who self medicate are checked twice a week to ensure they take them correctly. Staff told us two people managed their medicines. We saw risk assessments in place ensuring people took their medicine regularly and safely. We also saw records showing these medicines were checked twice a week. These practices should ensure peoples wellbeing. 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 arrangements are in place to listen to their views and protect them from harm. Evidence: The AQAA stated, Service users know they are able to express any concerns and have access to a complaint procedure. Four people told us that information on how to make a complaint was contained within the Statement of Purpose. One person took us into the reception area of the home and gave us a copy of this document. People also had access to a complaint procedure written in a format they could understand. Four people said if they had a complaint they would tell the staff. These practices and procedures supported peoples rights. The AQAA shows staff members have received safeguarding training. Training records and discussions with staff also confirmed this. Safeguarding training should ensure staff have the skills to recognise various forms of abuse and know what to do to protect people. The AQAA also shows and discussions with staff confirmed they have not received any safeguarding referrals since the last inspection visit. A safeguarding referral is where there has been an allegation of abuse or where care practices may compromise peoples health and safety. Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: We have not received any complaints or safeguarding referrals since the last inspection visit. Staff told us people required some assistance to manage their financial affairs. One person showed us their balance sheet. This was a record of all financial transaction. This person said they needed assistance to budget their money, they also confirmed their involvement in up dating their balance sheet. People can be confident their financial affairs will be well managed to protect them from potential financial abuse. 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 home that meets their needs and expectations. Evidence: The AQAA stated, Service users live in a comfortable homely and safe environment. The home is accessible to local amenities including shops, pubs, restaurants and local bus route, which are in walking distance. There is no suitable car parking within the grounds, visitors to the home use the neighbouring street to park their car. The property provides single and shared bedrooms situated on three floors. Five rooms were equipped with en suite, the remaining rooms were provided with a washbasin. People told us they were happy with their bedrooms and facilities provided in the home. Five people showed us around their rooms, these were personalised to reflect their interests. Bath/shower rooms and toilets were situated near to bedrooms and communal areas. Due to the design of the property the home would not be suitable for individuals with Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: restricted mobility. The property also provided a lounge, dining room, kitchen and laundry. People also had access to a well maintained garden. Facilities provided in the home promoted peoples comfort and security. Discussions with staff members and people who use the service confirmed they all helped to keep the home clean and tidy. Care records showed what support people needed to maintain hygiene standards within the home. We observed that all areas of the home was clean. This should promoted peoples health, safety and comfort. 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. People are supported by staff who have been suitably recruited, skilled and experienced to meet their needs. Evidence: The AQAA showed staff members were skilled and experienced, with 15 out of 20 staff achieving the National Vocational Qualification level 2 and above. Training records and discussions with staff confirmed they had received this training. This should ensure staff have the skills to meet peoples assessed care needs. The AQAA told us staff have a Criminal Record Bureau (CRB) clearance and are checked on the Protection of Vulnerable Adults (PoVA) register. These safety checks should ensure staff members are suitable to work in the home and people are protected from potential abuse. We looked at one staff personnel file, which contained evidence of the necessary safety checks. Staff said only one person had been recruited since the last inspection visit, they also told us that people who lived at the home were involved in the recruitment of staff. Two people spoken to confirmed this practice but because only one staff member had Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: been recruited within the last two years they had not yet had the opportunity to be involved in the recruitment process. These practices should support peoples right to choose who works with them. The AQAA and training records showed staff had received the following training: Deprivation of Liberty Safeguarding, Mental Capacity Act, Fire Safety amongst others. Staff said they had received this training and also Health and Safety, Management of Aggression and Medication. This means staff should have the skills to support peoples health and best interest. 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 can be assured the service will be managed in a way to support their rights, choice and independence so they can live a lifestyle of their choice. Evidence: The previous inspection report showed the Registered Manager was experienced in social care. The Senior Deputy was in charge of the home on the day we visited and assisted with the inspection. Discussions with people and staff members confirmed quality assurance questionnaires were regularly given out. These questionnaires gave people an opportunity to express their views about the service they receive and allowed them to be involved in the management of the the home. We looked at these questionnaires, they asked questions about social activities, meals, access to other services outside the home and comments on how to improve the service. People said staff do feedback information obtained from these Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: questionnaires and where necessary standards are improved. These practices encourage peoples involvement, so their rights and choice are respected. The AQAA was sent to us within the required timescale. It provided reasonable information to reflect the service provided in the home. Some core standards were not completed fully to show how the service ensure good outcomes. For instance, there was no information about the Registered Managers qualifications and experience or recent training undertaken. There was also very little detail about how the home maintains health and safety standards to ensure peoples wellbeing. We looked at systems and practice that ensure peoples health, safety and welfare. An up to date fire risk assessment was in place. This ensured people and staff knew what do in the event of a fire. Records were also maintained of the servicing of fire fighting appliances to enhance safety standards. Care Homes for Adults (18-65 years) Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 39 To ensure future Annual Quality Assurance Assessments provides more detail about the service provided and outcomes for people. 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. 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