Care Home: Eden Place Residential Home

What the care home does well Lots of people said that the home had a real family atmosphere. There is genuine affection between people living in the home and the people providing the care. There are systems in place to make sure that the needs of people are assessed before they move into the home. People have a care plan and risk assessments are in place, although these need to be updated to be more person centred and accessible to help people to understand them and to be more involved. Links with the community are good and support people to use community facilities, engage within the community and take part in social and educational opportunities. People have health care plans to make sure that they receive the health care that they need and there is clear system for the administration, recording and storage of people`s medication. There are systems in place to support people who want to make a complaint and systems in place to safeguard people from abuse. Staff know what to do if they suspect any type of abuse. People live in a homely, safe, well-maintained home that is clean and hygienic. The manager operates a thorough recruitment procedure that protects and safeguards people who live at the home. What has improved since the last inspection? Because of a change in circumstances the provider has re-applied and been granted registration with the Commission. What the care home could do better: People`s care plans and risk assessments can be written in a more person centred and accessible way to help people living in the home to be more involved in their assessments and plans. To support this we recommend that staff have training in person centred planning and risk assessment. Key inspection report Care homes for adults (18-65 years) Name: Address: Eden Place Residential Home Pontefract Road High Ackworth Pontefract West Yorkshire WF7 7EE     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Caroline Mitchell     Date: 1 4 0 1 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 26 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 26 Information about the care home Name of care home: Address: Eden Place Residential Home Pontefract Road High Ackworth Pontefract West Yorkshire WF7 7EE Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Rita Jackson Type of registration: Number of places registered: care home 12 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: 12 The registered person may provide the following category of service only: Care home only - Code PC, to service users of thefollowing gender: Either whose primary care needs on admission to the home are within the following categories: Learning disabilities - Code LD Date of last inspection Brief description of the care home Eden place is a care home providing personal care and accommodation for up to twelve adults with a learning disability some of who are over retiring age. The home is owned and run by a private individual. The home is a grade two listed Georgian house within an enclosed courtyard sited in the middle of the village of High Ackworth near Pontefract. The house has an extension and is over two floors. Three of the bedrooms can be shared and the rest provide Care Homes for Adults (18-65 years) Page 4 of 26 Over 65 0 12 Brief description of the care home single accommodation. There are two communal living areas and a separate dining room. There are secluded gardens and a small car park to the front of the house. There is easy access to local towns and there are some local community facilities. At December 2009 the manager said the service costs £400 and £600 per week, depending on peoples particular needs. The manager makes sure that information about the service is available by way of the homes statement of purpose, the service user guide and through CQC inspection reports. These documents are available upon request to the registered manager. Care Homes for Adults (18-65 years) Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: A visit to the home took place as part of this key inspection. Whilst at the home we looked at key documents such as care assessments, care plans, risk assessments, daily records and the homes policies. We saw the staff records for two staff and the minutes of residents and staff meetings. One of the people who live at the home showed us their private accommodation and we had a general tour of the home. We spoke with two people who live at the home at some length, and with the manager and three members of care staff, including the deputy manager. We sent out surveys to people living in the home and to staff. We got surveys back from all ten people living in the home and from four staff members. All of the surveys were very positive about the home. Care Homes for Adults (18-65 years) Page 6 of 26 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 7 of 26 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 8 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are 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. Evidence: We saw the most recent statement of purpose for the home and it includes all of the information needed to help people and their relatives to decide if the home is suitable for them. The service user guide explains that potential residents are invited to visit the home before they decide if they want to move in. The manager told us that the person who moved in most recently visited several times before making their decision. The manager explained that an assessment of need would done before offering a place to a potential resident. At this inspection we saw the records of two people. One has lived in the home for several years and one moved in in the last two years. Each person had assessments on their files. These had been done by their social workers and given to the home before they moved in. This shows that the home had plenty of Care Homes for Adults (18-65 years) Page 9 of 26 Evidence: information about each person before deciding if the home could meet their needs. The manager said that most people have lived in the home for a long while. Several people have lived in the home for over twenty years. One or two others moved in as recently as two years. Some of the comments in the surveys that people sent back to us were, Its like a family home. Comfortable. Warm atmosphere. The two people we spoke to during the inspection said they were very happy living there. One person said, I like it. Very nice place. They are good to me. Care Homes for Adults (18-65 years) Page 10 of 26 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 home has a plan of care that the person, or someone close to them, has been involved in making. Some peoples plans need to be updated. 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. Although some peoples risk assessments need to be updated. Evidence: We saw the records for two people who live in the home. Their care plans are clear and say what their needs and goals are. It is also clear that they were involved in putting their plans together and they had signed them. The plans cover peoples health, personal and social care needs and contain information about their support and health care needs. One persons plan was in larger print, but not supported by photos or pictures, and as staff have not yet had training in person centre planning a recommendation is made about this. The plans had not been updated for a while and, although nothing significant has changed they are a little out of date. A Care Homes for Adults (18-65 years) Page 11 of 26 Evidence: recommendation is also made about this. Discussions with one staff member showed that they have a good understanding of the risks relevant to peoples lives. People had risk assessments on their files. One person had a risk assessment about the risks involved in them travelling to their voluntary work on their own. Again, they had not been updated for a while and a recommendation is made about this. In one persons notes from their most recent placement review they said that they were happy in the home. In the surveys that people sent back to us some of the comments included that the home is good at giving people, independence and choices. Other comments included, No problems. I have choices. Like a family, helps me to keep my independence. One of the staff who sent a survey back to us said, The home runs a very homely atmosphere both for the residents and the staff. The residents feel they are more independent living here as if they were in their own homes. Another said, The establishment provides a very caring warm service for each individual, that promotes their health and well being status. Also treats and values staff very much, the home has a very warm feeling, where it seems like family which is a lovely feeling to it. Care Homes for Adults (18-65 years) Page 12 of 26 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. 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. Evidence: In the surveys that people sent back to us people said I like to help do cleaning to keep my independence, Im happy where I am. Nice meals and activities. Nice food, Care Homes for Adults (18-65 years) Page 13 of 26 Evidence: take me out, like a family. and Nice warm family home, happy with all meals. People are enabled to enjoy a full and stimulating lifestyle with a variety of options to choose from. Some people go out to do voluntary work or to a day centre, others will stay within the home or go out shopping or to local community projects. There is a pool room in the house, with a pool table, a large screen TV and lots of games, videos and DVDs. There is a computer in the pool room and the manager said that she wants to get it connected to Broadband for the people living in the home to use. It is clear that the views of the people living in the home are sought and their varied interests considered when planning the routines of daily living and arranging activities in the home and the community. People said they the staff talk to them about their interests and what they want to do. The manager told us that the day centre that most people go to is discontinuing the full time service in March. The staff in the home are planning ways of working with people, to make sure that they keep active. The manager said that she wants to set up a gardening group, to use the local sports centre and she said that several people like bowling and fishing. We met one person who told us that they had been out to a cafe. We sat and talked to another person at some length. They said that they were happy in the home and are always busy, with the voluntary work that they do and the groups that they attend. People said they the staff talk to them about their interests and what they want to do. People said that staff support them to use community activities, go on holiday and to see friends and family. This was reflected in the written records that we saw. We saw in the minutes of the residents meetings that people are asked about the quality of the food and choose what they like to eat. We saw the menu, which was varied and balanced. We asked two people what they thought about the food. They told us that they are happy with the food and they have a lot of input into planning the menu, and that they can eat their meals where they want to. Care Homes for Adults (18-65 years) Page 14 of 26 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People 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. Evidence: We looked at the written records for two people and these had good records of medical appointments, showing when people last visited services like the chiropodist, dentist, GP, Hospital and optician. We talked to two people when they returned from their appointments with the dentist. If people need hospital treatment or have out patient appointments staff support them to attend and to follow any advice given by the specialist. Care staff said that they are involved in supporting people with personal care, and that wherever possible,they support people to self-care. People living in the home said that the staff are always willing to help and that they listen to what they say. They added that staff support them to make and attend appointments. The records we saw also Care Homes for Adults (18-65 years) Page 15 of 26 Evidence: showed this. We saw the health action plans for people. The manager told us that these have recently been introduced to make sure that people get good heath care support and each person has been to their GP as part of this. The manager told us that the support provided by the GPs in the area is excellent. She said that one GP is particularly responsive and makes timely referrals. We spoke to one person said the GP was lovely One person showed us their certificate that they got for giving up smoking and was very proud of their achievement. Another had a certificate to show that they has done a course in dental health. We were shown the system used by the home for handling medication and found it to be safe, records were clear and accurate. Medication is in a monitored dosage system. Staff who give people medication have been trained and those we spoke with understood the system. A Pharmacist comes in to do training for new staff. Care Homes for Adults (18-65 years) Page 16 of 26 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. 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. Evidence: There is a clear complaints procedure, which includes the stages of, and time scales, for the process. The two people we spoke with showed that they know how and to complain about their care, or any other aspect of the service. The records show that there have not been any complaints since the last inspection. The service has an appropriate adult protection and whistle blowing policy in line with guidelines. Discussion with staff members showed that they had a good understanding of how to respond to suspected or alleged abuse, and that they were aware of the signs of abuse. The training records demonstrated that staff had attended relevant training in safeguarding vulnerable adults. Discussions with the staff showed that they take peoples comments, about the quality of the service they provide and their experiences of it seriously. One person living at the home said that they are confident in speaking up for themselves, and would do so if there were a problem. The person said that they had nothing to complain about, as the staff were great. Care Homes for Adults (18-65 years) Page 17 of 26 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 stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. Evidence: In the surveys that people sent back to us one person said I like where I live. Its comfortable, and I have a nice bedroom. I would like to stop at Eden Place. The manager told us that the house is a listed building. The home is very homely and is decorated in a charming way that is in keeping with the age of the house. The design and layout of the house help to make sure that people can enjoy living in safe and comfortable surroundings. There is disabled access to the rear of the building, and to some downstairs rooms. We were shown around and noted that there is a main kitchen and two other, small kitchenettes used by people living in the home, to help people be as independent as they can. There are three bathrooms. One has a shower and the other two have baths. The manager said that shed like to redesign the bathroom in the old part of the house. Care Homes for Adults (18-65 years) Page 18 of 26 Evidence: The bedrooms are personalised. We spoke to one person who showed us their room, which they were very pleased with. They said, Nice and warm and nice and clean. I like it. Very nice place. There is a small laundry area, equipped with a washing machine and tumble dryer. The home was clean, free from any offencive smells and intrusive noise throughout. There are systems in place to control the spread of infection. Care Homes for Adults (18-65 years) Page 19 of 26 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 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. Peoples needs are met and they are supported because staff get the right training, supervision and support they need from their managers. Evidence: Records show that the service has proper recruitment policies and procedures and makes sure that staff are trained and updated in a good range of care related topics. The recruitment records show that two written references are obtained before appointing a member of staff. New staff are confirmed in post only after a Criminal Records Bureau (CRB) check. The roles and responsibilities of staff are clear and based on accurate job descriptions. The manager, who is also the registered provider said that she has worked at the home for over twenty years and that staff retention is good. We spoke with care workers who said that they enjoyed working at Eden Place and that they feel trained and competent to perform their role within the home. Staffing levels reflect the needs of the people living at the home, and rotas are flexible Care Homes for Adults (18-65 years) Page 20 of 26 Evidence: to fit around peoples lifestyles. There are always one or two people on duty and sometimes three; this depends on the needs of people and what they want to do. Waking night staff are employed to make sure that people are supported during the night if required. The manager lives on site. The service does not employ agency workers. This means that people are supported by people they know. The training record was last updated in November 2009. It shows that staff have had training in different aspects of care and support. Staff were mostly up to date with mandatory training, and where updates are needed, training is planned. It shows that training is booked for food hygiene in March 2010. About half of the staff have National Vocational Qualifications (NVQ) at level 2. The manager told us that three staff are going to do NVQ level 3 with Leeds College in early 2010. One person has got NVQ level 3 and is going to do level 4. One we spoke to who lives in the home said The manager is nice, a lovely person. The rest of the staff are nice too. We got four surveys back from staff, all were wholly positive and offered no criticism of the home at all. When asked what the home does well, one person said Provide warm and welcome services to residents and staff, value all as equal, promote health and well being to service users and encourage their independence as much as possible. When asked what the home does well one staff member said, Provide warm and welcome services to residents and staff, value all as equal, promote health and well being to service users and encourage their independence as much as possible. Another staff member said, We give more independence for residents. But if they need something (some help) we are there for them, listening and helping sorted things out. I think our residents are very happy been here. Because we have good manager and staff looking after them. Other comments included, I have been here four Christmas and feel I have a sense of satisfaction in my role and achievement in my job. and, Ive worked at Eden Place for a short time and feel at home and part of a team. All staff are up to date with mandatory training courses also have understanding of certain legislation, policies and procedures. We spoke to some of the staff at the time of the inspection and they all said that they were very happy to work in the home. There were lots of comments like, Like a family and Look after each other. Care Homes for Adults (18-65 years) Page 21 of 26 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 have confidence in the care home because it is run and managed appropriately. Peoples 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. Evidence: The manager was contacted and she came to meet with us and assisted with the visit. She has been running the home for over twenty years. We saw records of regular residents meetings and, as part of the quality assurance system, people living at the home are asked what they feel about the quality of the service regularly using the homes own surveys. The results are written down and used to make improvements were necessary. The home has sound policies and procedures, which are reviewed and updated. This means that management and staff have guidelines to work from that put people who Care Homes for Adults (18-65 years) Page 22 of 26 Evidence: live at the home first. We also saw the records of regular staff meetings. We toured the home and read health and safety documents that tell us that the manager makes sure that people who live in the home and staff who work in the home are safe. The health and safety and fire safety records are of a good standard. This means that we know how that the service is safe for people who live there. We got ten feedback surveys back from people living in the home. Everyone said that a staff member had helped them to fill it in. All were positive. No one made any suggestions for improvement. Several said that the home was like a family home, warm and friendly and that they were very happy and comfortable there. Some people said the home was clean, others that the food was nice and some said the home supported them to keep their independence. Some said they particularly like it that they have choices. Care Homes for Adults (18-65 years) Page 23 of 26 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 24 of 26 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 6 It is recommended that peoples care plans be updated made more person centred, for instance written in the first person, and where relevant, using photographs and pictures to help people to understand them. It is recommended that staff be provided with training in person centred care planning. It is recommended that peoples risk assessments be updated. It is recommended that staff be provided with training in risk assessment. It is recommended that staffs Criminal Record Bureau checks are updated if they are more than 3 years old. 2 3 4 5 6 9 9 34 Care Homes for Adults (18-65 years) Page 25 of 26 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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