Care Home: Deyes Lane, 14

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What the care home does well Before anyone decides if they want to move into Deyes Lane they meet with staff to tell them about the things they like and the support they need. They can also visit the home lots of times. This helps them to decide if they will enjoy living there. The people living at Deyes Lane can make decisions about the things that they want to do. Staff support people with their hobbies and to get out and about. The people living there particularly enjoy going on holiday several times a year. Staff also support people with looking after their health and becoming more independent. The people living at Deyes Lane said that they like the staff. They said staff listen to what they say and act upon it. The Manager and Staff do regular checks to make sure that Deyes Lane is a safe place to live in. They meet with the people living there and their relatives to get their views on things. This means they can plan what people want. What has improved since the last inspection? Since the last inspection staff have had more training. This helps to make sure that staff know how to support people safely. Some of the bedrooms and other areas in the home have been decorated. This helps to make the home a nice place to live in. What the care home could do better: Information about the home should be provided in different ways. If it was provided with pictures or tapes this might help people thinking about moving into the home to understand it better. We saw the way some medicines are stored and think that this could be improved so that they are more secure. We discussed ways in which people can be assessed to include whether they can make decisions for themselves and we would recommend that this is developed further. Key inspection report Care homes for adults (18-65 years) Name: Address: Deyes Lane, 14 14 Deyes Lane Maghull Liverpool Merseyside L31 6DJ     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: Michael Perry     Date: 3 0 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 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) © 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 29 Information about the care home Name of care home: Address: Deyes Lane, 14 14 Deyes Lane Maghull Liverpool Merseyside L31 6DJ 01515311792 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Parkhaven Trust Name of registered manager (if applicable) Mrs Ann West Type of registration: Number of places registered: care home 9 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The registered person may provide the following category/ies 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 The maximum number of service users who can be accommodated is: 9 Date of last inspection Brief description of the care home 14 Deyes Lane is owned and operated by Parkhaven Trust, a local organisation who are based in Maghull and provide care services to people with different support needs. The home is registered to provide support for nine adults who have a learning disability. The house was originally two semi-detached properties and both externally and internally presents as a family type home, in keeping with the surrounding area. There Care Homes for Adults (18-65 years) Page 4 of 29 9 Over 65 0 Brief description of the care home are nine single bedrooms, two lounges, a dining conservatory and enclosed back garden. Some parking is available at the side of the house. Located in a residential area of Maghull it is within walking distance of local shops, transport and facilities. Staff are available throughout the day and night and provide support to people in all areas of daily life, including household tasks and getting out and about in their local community. The current fees for the service are 632.66 pounds weekly. 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: Before we visited we sent letters to the people living at Deyes Lane and their relatives. Their replies helped us to write the inspection report. We called at Deyes lane and spent the day to see how people were living and being supported. We looked at some care records and other records to make sure everything was running well. We looked around the home at the kitchen, bathrooms and lounges and some of the people living there showed us their bedrooms. This helped us find out if the home is clean and tidy and a nice place to live in. We spoke with the people living there. They were able to tell us about their life in the Care Homes for Adults (18-65 years) Page 6 of 29 home. We also spoke with visitors and staff. Before the inspection we asked the person in charge to tell us about any changes and plans for the home and she filled in a form called an AQAA. We looked at this and it gave us a good idea of the home and how it is run. 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. Care Homes for Adults (18-65 years) Page 8 of 29 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assessed and admitted appropriately so their care needs can be met. Evidence: We looked at the sort of information available for people when they are first admitted to the home or are making inquiries. We were shown the Service User Guide which is available for people and gives information about the service. This was last updated in 2003 and currently there is no easy read or other version available for people with a learning disability to access more easily. This was discussed with the manager and we would recommend that this is given consideration so that people living in the home can more easily access information. [This has been recomended previosly]. We looked at how the home assesses people as suitable for admission. There have been no admissions for about 2 years. We looked at the last admission and saw that appropriate assessments had been made and the social work team and family were very involved at the time. The person also had a number of visits to the home over a month period to meet staff and other residents and to become familiar with the home. This process helps the person to settle and make sure they are suited to the home and Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: staff can meet their needs. We discussed the new Mental Capacity Act and the need to formally assess peoples mental capacity as part of the admission. We would recommend that this is included in the assessment documentation. Such assessments are important as they form the basis of decisions about care. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living at Deyes Lane are supported to make choices, live the lifestyle they choose and increase their independence Evidence: The people living at Deyes Lane who completed survey forms all said that they can make decisions and choices about what they want to do each day. A relative said that the people living at Deyes Lane get very good care: The home takes good care of [my relative] and looks after her wellbeing. One person living at the home commented: They help me to go out on trips. I like living here. Another said: I get looked after well . Its very nice here. Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: Individual care plans are in place for everyone. Plans contain information about the person, their choices and the support they need. This is individual to the person, for example plans have a who am I document that is completed by the person with family input and this gives a good outline of the individual and there likes and dislikes. The plan includes any communication needs with the person and how to explain things so that staff were seen to routinely follow these guidelines. Plans were up to date and had been reviewed. They contain information about possible risks for the person and how to lessen these. A resident confirmed that he follows these guidelines with staff support. The level of information recorded in care plans helps the person and staff to identity peoples individual needs and choices and make sure these are routinely met. Regular house meetings are held which are attended by the people living in there and the staff team. This provides everyone with the opportunity to discuss plans and any issues that arise [Any body new to the house is also introduced at these meetings]. Discussions with the people living at Deyes Lane confirmed that they are confident in expressing their opinions to staff and aware of future plans. They explained that they are involved in all aspects of life in the home from preparing meals to recruiting new staff. We saw one person helping put in the kitchen while we were visiting. During the site visit staff were seen to regularly consult with people and respond positively to their choices and requests. Staff provide support to the people living at Deyes Lane to manage their money as independently as possible. The manager explained that everyone has been supported to set up their own bank account and pay their fees by direct debit. This support enables people to be more involved in the day to day running of their lives and increase their independence. 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 living at Deyes Lane are fully involved in life within the home and local community and so are able to make decisions and live a lifestyle of their choice. Evidence: We collected alot of feedback from people living at Deyes lane and also their relatives. The feedback was very positive concerning the daily life in the home. Comments included: The staff look after all my needs on a daily basis. They makes sure i get out and have a good life. I have no complaints only total respect for all staff and all they do for me. All the staff are very kind and caring and have the residents interests at heart. As Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: parents we can call at any time and are always made very welcome. We cannot think of anything the home could do better. Since moving in our daughter has settled well and is very happy. The home provides plenty of activities in leisure and development. Its a friendly home and the environment is excellent. There is freedom of choice in all activities and socially. During the site visit all of the people living in the home were engaged in different activities according to their individual preferences. One man was watching a favorite TV programme, then spent time talking with staff and joining in the party which had been organised for a persons birthday. Other people were helping with baking, going shopping with staff, or spending time in their room. Records showed and the people living there confirmed, that they received a lot of support to pursue activities of their choice both at home and in the wider community. The AQAA completed by the manager explains: Service users access community facilities such library, shop, pubs, cinema and places of worship. Service users have had lots of days out during the year visits to Wales, Blackpool, lake district, Yorkshire, chester zoo, southport, nature walks, picnics and visits to the theater. Two holidays abroad and a turkey and tinsel weekend in Llandudno. In house activities include cooking, gardening, art and craft, music afternoons, house hold tasks and out side clubs two evenings a week. Service users families are frequent visitors and are made welcome by all staff. Those people spoke with conformed that they went out frequently and enjoyed their holidays abroad which a planned every year. Throughout the site visit the people living at Deyes Lane and staff were seen to interact with each other and spend time together engaged in activities, household tasks and chatting. All communal parts of the home were used freely by the people living there and one lady explained that everyone has a key for their bedroom and can choose to lock it or not as they prefer. Menus showed that there are a variety of meals provided for people and discussions with the people living there and staff confirmed that meals are made to suit peoples preferences and health needs. People are free to go into the kitchen and could make drinks as they needed. The birthday party organised for one person was enjoyed by Care Homes for Adults (18-65 years) Page 16 of 29 Evidence: all. Care Homes for Adults (18-65 years) Page 17 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. The people living at Deyes Lane receive individual support with their personal and health care so they are supported to be as independent as possible and seek medical advice if needed. Evidence: The AQQA for the service explains: Staff support service users to be as independent as possible with their personal care and provide support where needed in the way the service user chooses. In their care plan details include service users preference e.g bath or shower products which are to be used or not to be used. All service users are supported to monitor their health and to attend health care appointments. All have attended well being checks for men and women. All attend dentist, chiropodist and optician. We also work the learning disability team who do a yearly assessment on the service users. Care plans give detailed information about the support people prefer with their personal care. One man explained that since moving to the home staff are supporting him to become more independent with his personal care. Care notes contain Care Homes for Adults (18-65 years) Page 18 of 29 Evidence: references to assessments completed so that people can maintain their personal care. For example assessments around safe showering so that people can be supported to maintained good standards of personal hygiene. All people spoken with were dressed appropriately and displayed good standards of personal hygiene. Records in the home confirmed that staff support people to attend and make any health care appointments and to monitor their health. This includes regularly monitoring their weight and altering their diet if needed. The people living there are supported to attend regular health appointments such as the dentist and well woman clinic. This support ensures that any changes to the persons health are quickly noted and expert advice obtained where needed. Risk assessments are in place so that the people living in the home are able to manage their own medication as much as possible. For some people this means keeping it locked in their room and taking it with staff support. This practice enables the people living there to have more control over their lives and increase their independence. We looked at where medicines are stored. Currently they are in a locked filing cabinet in what doubles up as the laundry area making temperature control an issue [medicine need to be stored below 25c]. The security of this area is also an issue as windows to the side of the room make the area very visible. Although there are no current residents who are prescribed controlled medication the home does not have any facility for storage in the event. We discussed this with the manager and would strongly recommend that an assessment is conducted as the the suitability of drug storage and preferably a more appropriate storage area is found. Care Homes for Adults (18-65 years) Page 19 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. Peoples concerns are listened to so that any issues are managed appropiatly and people are kept safe. Evidence: Although no complaints or concerns have been made about the service provided at Deyes Lane, the people living there and their relatives all said that they are confident any concerns they had would be listened to. One person said I am happy here but if I was worried I would speak to Ann [manager] and she would help. People were observed to be relaxed and open with staff and it was clear that they felt comfortable about approaching them. There are polices in place within the organisation to deal with any complaints or safeguarding / protection concerns that arise. This includes the local safeguarding procedures from social services. Staff have received training in how to recognise and report abuse which helps ensure that people are protected. The current current complaints procedure does not include any easy read or picture format and this was discussed. Like the recommendation around the other information available we would suggest that more easily accessible versions of the complaints procedure are made available. This information helps ensure that people are aware of their rights and know what they can do about it. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The accommodation is well maintained so that people are living in comfortable surroundings. Evidence: Deyes Lane was originally two semi detached houses and still appears as such. It is located in a residential area of Maghull and fits in well with other domestic houses in the area. Everyone has their own bedroom, which is decorated and personalised to suit their needs and their hobbies. Three downstairs bedrooms are available, other bedrooms are on the first floor. All areas of the home were bright, clean and furnished in a homely fashion. There are two lounges available for people to use. A conservatory is used for dining and outside there is an enclosed garden. Throughout the visit the people living there were seen to make use of all shared areas, including the kitchen. They said that the garden is used a lot in the Summer for barbecues and garden projects.The AQAA completed by the manager conforms that there has been ongoing upgrading and decor of the home. There are polices in place to control any risk of infection spreading and staff have Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: completed training in this area. There are also supplies of gloves and aprons to use if an outbreak of infection occurred. This helps to ensure that good standards of hygiene are in place and any occurrences can be dealt with swiftly. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff are recruited and trained appropriately so that peoples care needs can be met. Evidence: The people living at Deyes Lane said that staff treat them well and listen to what they say. Their relatives said that staff have the skills and experience to look after people. All of the feedback from both surveys we sent and people we spoke to was positive regarding the quality of the staff are their ability to meet the needs of the people in the home. Throughout the day staff were seen to spend time with the people living at Deyes Lane, supporting them with household tasks, hobbies and chatting. They communicated well with people and took time to establish their choices and views.Discussions with the people living there confirmed that they are comfortable with the staff team and confident that they will get support when needed. Staff had a good understanding of peoples individual support needs, including how to support them with their personal and health care as well as with socializing and increasing their independence. Records showed that before employing a new member of staff checks are carried out, including obtaining references and a Criminal Records Bureau Check (CRB). These Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: checks along with the interview process carried out, help to ensure that new staff are suitable to work with the people living at Deyes Lane. Once employed new staff receive regular supervision and have a probationary period and induction programme. This regular supervision and support ensures new staff are aware of their role and the standards expected of them. Staff explained that the manager supports them well so that they are able to do their job. That they regularly attend courses that will help them support the people living there and ensure they are safe. A high percentage of staff are trained to National Vocational [NVQ] standard. The organisation has a training department and records showed that the manager identifies with staff their training needs and arranges courses for them to attend. The manager was able to discuss new developments in the care of people with learning disability such as the Mental Capacity Act and Deprivation of Liberty safeguards and said that staff will be receiving updates around these. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are good processes in place so that the home is well run in the best interests of the people living their. Evidence: Mrs Anne West is the registered manager of Deyes Lane. She holds qualifications in care and management and is experienced in managing a care service for adults with a learning disability. Throughout the site visit the manager was observed spending time with the people living in the home and ensuring that their views were listened to and acted upon. She explained that Deyes Lane is run with the interests of the people living there as the focus. Support is based on involvement and getting people to try and make their own decisions.There are several systems in place to support this including regular surveys of people living there as well their relatives. We looked at some comments from surveys carried out and one summed up the service as: This is an excellent home which I could recommend to any relative or friend. It has a Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: very homely atmosphere. There are also systems in place for monitoring the quality of the service. This includes the organisation carrying out monthly visits to check the quality of the service. The manager meets regularly with staff to discuss their work and any support or training they need. This provides everyone with the opportunity to express their views and enables the manager, staff team and people living there to plan further improvements to the service offered. Regular checks are carried out on the building and equipment in the home to ensure they are safe to use. Training is provided to staff in areas of health and safety such as fire and infection control. We checked some safety records and found these were up to date. This helps to ensure that the people living at Deyes lane are supported safely and live in a safe environment. 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 1 The service user guide needs updating to include more easily accessible formats such as easy read or picture book. We discussed the new Mental Capacity Act and the need to formally assess peoples mental capacity as part of the admission. We would recommend that the current facilities are reviewed and, preferable, alternative arrangements are made to secure medicines safely. We would recommend that more easily accessible versions of the complaints procedure are made available. This information helps ensure that people are aware of their rights and know what they can do about it. 2 2 3 19 4 22 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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