Care Home: Elizabeth House

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What the care home does well Elizabeth House creates a comfortable, fresh, clean and homely environment for the people who live there, and supports residents to live a fulfilled lifestyle within work, educational and recreational activities. The home has a staff team who are committed to meeting the needs of the residents, and keeping those residents safe. Staff always treat residents with dignity and respect. Staff receive excellent opportunity within training to support and meet the needs of the residents who live there. Residents and their representatives tell us that they know how to complain and who to speak to if they are not happy, and know that staff and managers within the home would listen and act upon any concerns or complaints that they may have. Resident and their representatives` views are listened to by management and this helps the home to decide what works best for the people who use the service. What has improved since the last inspection? The service has a new manager who was registered by the commission in March 2009. The home has recently recruited more care staff to promote the choices and lifestyle of the residents. What the care home could do better: Elizabeth House ensures they have the information they need to meet the needs of anyone who is new to the service. The manager could do better by ensuring the home has an up to date needs assessment from the persons care manager prior to the person`s admission, or within a reasonable timescale of an emergency admission. The home has produced good guidelines on the disposal of unused medication, but should monitor medication stock more closely to ensure they are not overstocking on residents prescribed medication. Key inspection report Care homes for adults (18-65 years) Name: Address: Elizabeth House 14 Huckleberry Close Purley on Thames Reading Berks RG8 8EH     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: Yvonne Souden     Date: 1 8 0 8 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 28 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) 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 28 Information about the care home Name of care home: Address: Elizabeth House 14 Huckleberry Close Purley on Thames Reading Berks RG8 8EH 01189427608 01189426671 rachelk@purleyparktrust.org Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Purley Park Trust Limited Name of registered manager (if applicable) Miss Belinda MacLeod Type of registration: Number of places registered: care home 7 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability physical disability Additional conditions: The maximum number of service users to be accommodated is 7 The registered person may provide the following category of service : Care home only (PC) to service users of the following gender: Either whose primary care needs on admission tothe home are within the following category: Learning disability (LD) Physical disability (PD) Date of last inspection Brief description of the care home Elizabeth House is a residential care home providing care and accommodation for seven adults with learning disabilities. The home is part of the Purley Park Trust. Purley Park Trust has eight registered Homes, comprising a variety of accommodation and support facilities. All of these homes are situated in Purley Park and all residents have access to the grounds and other services provided by the Trust including, Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 0 7 7 Brief description of the care home horticultural therapy, day services, social, recreational and leisure pursuits and the onsite club house. Purley Park is close to Reading town centre and the shopping and recreational facilities that the town has to offer, and is close to public transport facilities. Parking is available within the grounds of Purley Park. Care Homes for Adults (18-65 years) Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The date of the homes last Key Inspection was 4 September 2007, and the date of the homes last Annual Service Review was the 5 September 2008. The quality rating for this service is 3 stars. This means the people who use this service experience excellent quality outcomes. The manager completed an Annual Quality Assurance Assessment (AQAA), which is a legal document provided, by the commission. The AQAA was used by the manager and provider to review their service and inform the commission of their findings. The AQAA was used as part of the evidence to inform this report. Other evidence used to inform the report included a 5.5 hour site visit to the service by one inspector. This enabled the inspector to observe care practices and speak to people who use the service, staff and management of the home. Care Homes for Adults (18-65 years) Page 6 of 28 The Care Quality Commission received completed questionnaires from people who use the service and from health and social care professionals who have regular contact with the people who live in the home; their views of the service provided have been used to inform the report. Other evidence used to inform this report was documentation viewed by the inspector during the site visit. Care Homes for Adults (18-65 years) Page 7 of 28 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 28 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who want to live in the home have their needs assessed prior to their admission, and have their health and social care needs reviewed regularly following admission to the home. Evidence: A health care professional said, The homes assessment arrangements usually ensure that accurate information is gathered and that the right service is planned for the people who use the service. Most of the residents have been at the home for many years, but there have been two emergency admissions since the last inspection by the commission in 2007. There was a great deal of information within the file of one resident who has lived in the home since 2008, that included full assessments, care plans, risk assessments and health information, and there was clear evidence of continual review and assessment of a resident recently admitted. The written assessments of both residents, as completed by the operations manager, Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: gave the home the information they needed to make a decision on whether they could meet the persons individual needs, but there was no written assessment on the file of the person most recently admitted from the placing authority. The manager should discuss this with the placing authority to ensure the service always receive a written needs assessment of a prospective resident on referral, so that they are fully informed and up to date with the persons health and social care needs from the date of the persons admission, or within a reasonable timescale of an emergency admission. Care Homes for Adults (18-65 years) Page 11 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service have a care plan that promotes their independence and decision making, whilst risk assessments promote their safety within the decisions they have made. Evidence: A senior carer said, I have been completing most of the information about our new resident, for example, risk assessments, care plans, and their all about me book. The all about me book is individual to each resident and is used to help everyone who cares for the person to understand the persons special needs and requirements. The manager reports that the home has made some improvement to records of care planning. Records that we viewed were well written clear and concise for example, review documentation that included a health needs update and a day care review report. Other information included the persons essential life care plan that details the persons individual day to day preferences and routines, and a relationship map that identifies the people who are involved in the persons life, for example family, friends Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: and health and social care professionals. The records of care planning and risk assessment demonstrate that the service promotes the residents chosen lifestyle around the decisions they have made. Risk assessments clearly outline how staff can support the person whilst minimising any associated risks. For example, a resident who has seizures was observed to choose where they wanted to to go, and what they wanted to do within the home and grounds. The resident was continually monitored by staff without staff infringing on the persons personal space, and the risk assessment detailed how staff were to support the person should the person have a seizure. It was evident from our observation of a staff handover meeting that staff complete daily reports on each resident that describes how the resident was supported within their chosen daily living activities. Care Homes for Adults (18-65 years) Page 13 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are supported to maintain contact with family and friends, and are supported to maintain their chosen lifestyle. Evidence: Care plans and risk assessments support residents to attend day care, work and college placements, and support residents within their chosen lifestyle. Residents said that they are happy in the home and have a good relationship with staff and fellow residents. One resident said that they had received lots of support from staff to arrange their marriage to a resident who also lives in one of the Trusts residential homes. We observed that residents are able to access areas of the home freely and independently, and access the community with support to maintain a lifestyle that Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: respects the choices they have made, within a risk management framework. On the day of the inspection four residents had went out with staff on a picnic by the river, and on returning all said they had enjoyed their day out. Purley Trust has a day care service that employs a team of staff separate to those employed within the residential homes. Residents from Elizabeth House and other houses within the complex attend the day care service to participate in various educational and recreational activities. We spoke with the day care organiser who was very enthusiastic in describing the service provided, for example, the service encourages a good community spirit within the establishment, and encourages good community links with external organisations. The day care organiser said that professionals from Thames Valley University (TVU) visit the service for those people who cannot attend an external college placement to cover topics of numeracy, literacy and photography, and said that students from a local school visit the day care centre to participate in art as delivered by a professional tutor in exchange for the use of the schools swimming pool for the residents of the Trust. The care organiser said that a third of the carers employed within the residential care homes within the Trust help the day care staff team to deliver and support the residents within the various programmes of activities. Some residents within the Trust work within a horticultural team that sell an array of plants that they have cultivated within the grounds of the Trust. A resident said, Staff are all very nice, I dont need them to help me with anything, but I know they are there if I need them. The resident said that their independence is promoted and that they are supported to access the community on their own. For example the resident said, I go out on my own, staff let me do whatever I want because they know I am all right on my own. The resident spoke of the support received from staff to keep in touch with family and friends and spoke of residents meetings and of staff supporting them within menu planning. Staff said that menus are completed on a Thursday for shopping on a Friday, and said that menus are discussed at the residents meetings to ensure residents are involved in menu planning. Plenty fresh fruit and vegetables were observed in the home, and observation of staff using fresh ingredients to prepare the residents tea. A notice board was observed to display information about a pending barbeque at a local church that residents were invited to, and information of evening entertainment that was available on site, for example, Scottish fiddlers, a disco and a games night. Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: The notice board gave detail of the residents next meeting agenda, and also had photographs of staff who were on shift to ensure residents were informed. Care Homes for Adults (18-65 years) Page 16 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service receive support from staff to meet their health, physical, emotional and personal care needs in a dignified and respectful manner, and as identified within their care plan. Evidence: The homes Annual Quality Assurance Assessment (AQAA) as required by the commission said, All our residents are registered locally with a GP, optician, dentist and chiropodist, and appointments are kept up to date. The AQAA stated that all residents have individual health plans and have an all about me book, and this was evident from the three residents files that we viewed. Information within each file clearly records the health care needs of the resident and details the support they require to ensure their health care needs are met, for example, diaries record residents health appointments and care plans and a key worker system supports and enables residents to receive personal care in the way they prefer. A health care professional said, The home does well by looking after individual care needs and sharing any medical concerns early on. Staff have received training so that they have the skill and knowledge to support the resident within their Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: personal and health care needs, for example, training within dementia care, epilepsy, autism and emergency aid that includes the use of a defibrillator that is stored within the home. Staff were observed to be polite, caring and respectful towards the residents and residents appeared well cared for and comfortable with staff. The home has regular pharmacy inspections. The last pharmacy report said that all standards were met and recommended more written guidance on the disposal of unused medication, with an action date by March 2009. There was evidence to show that the home had produced guidelines by the given date. We observed some overstocking of residents medication, and therefore recommend closer monitoring by the service to discourage this practice. Procedures are in place to minimise the risk of mistakes happening within the administration of residents medication by staff, for example, a member of staff is always witness to the member of staff who is administering the residents medication, and both staff sign in agreement. Care Homes for Adults (18-65 years) Page 18 of 28 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are listened to and know how to make a complaint should they have a concern. Policies, procedures and staff training at this home should protect the people who use the service from abuse. Evidence: The home has a complaint procedure that is accessible to the residents, and is in a format that they can understand. We asked two residents what they would do if they had a concern about the service; both were very clear in their response that they would go to the manager or to the operations manager with any concerns that they may have. Residents were observed to talk to staff at ease, and staff were observed to listen. There has been no complaints recorded within the homes complaint logbook since their last inspection by the commission in 2007. The commission has not received any complaints about the service provided within the home. Staff said that they would not hesitate to protect residents from abuse, and know the procedures to follow to protect residents from abuse. The home has a copy of Berkshire Safeguarding Adults Policy and Procedures 2008, and a whistle blowing policy. Staff have received training to protect the people who use the service from abuse that is regularly updated. Care Homes for Adults (18-65 years) Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service live in a comfortable, homely and hygienic environment that has adaptations to meet their diverse needs. Evidence: On the day of the inspection a tour of the premises took place. The home is purpose built, and very spacious. It is easily accessible for those with walking aids, wheelchairs and motorised mobility aids. The home offers a safe and comfortable environment for residents that is bright, fresh, homely and clean throughout. The furnishings and fittings are domestic in character, supplemented by specialist equipment such as hoists and a special bath. Television and music facilities are fitted in the lounge area and residents are able to access a paved and furnished patio area from the lounge. Residents have personalised their bedrooms and have adjoining washing and toilet facilities. Infection control procedures are used to promote infection control, for example, protective clothing was available for staff to use when assisting residents with personal care, and to use within the laundry and kitchen. Staff have received training within food handling, infection control and fire safety. Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: Regular checks on fire extinguishers, fire alarms and emergency lighting take place, and the homes fire safety risk assessment is regularly reviewed. On site maintenance staff and gardening staff ensure the premises and surrounding gardens are well maintained. Care Homes for Adults (18-65 years) Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience excellent 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 trained staff team who are caring, enthusiastic and sufficient in numbers to support and meet the needs of the people who use the service. The homes recruitment procedures protect the people who use the service. Evidence: We saw at this inspection that staff were very caring and attentive towards the people who use the service, and that this contributed to a happy and homely atmosphere. The homes annual quality assurance assessment (AQAA) as required by the commission, states that new staff are given a good comprehensive induction, and introduction to Purley Park Trust. The AQAA states that new staff spend two weeks shadowing other staff to ensure they have a greater knowledge of the Trusts aims in supporting the residents who live there. It was evident from training records viewed and discussions with staff that induction and training for staff is of a high standard. A new member of staff who confirmed an initial two week induction of shadowing staff, and confirmed details of training received so far through the trust, for example, fire safety, medication administration introduction and non violent crisis intervention, also said that they have received continual support from staff and from the management team. The AQAA states that staff are required to attend 13 separate training courses Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: before starting a National Vocational Qualification in Care (NVQ). Training records of staff identify that care staff are supported to meet their training and development needs by accessing internally and external training. Records show that most staff have an NVQ, or are in the process of completing an NVQ with exception to new staff. The AQAA states that the Trust has a low turnover of staff, and that the use of agency staff is low. The operations manager said that they have recently recruited staff to Elizabeth House. We looked at the file of a new carer employed by Elizabeth House. Records within the file demonstrate that the service follows a thorough recruitment process that includes a criminal record bureau check (CRB), and references from previous employers. The AQAA states that residents are encouraged to be involved in the recruitment process, but the manager said that at this inspection that no residents within Elizabeth House have chosen to be involved. Care Homes for Adults (18-65 years) Page 23 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager is a competent and caring manager who has the qualifications and experience to ensure the safety of the people who use the service and staff team, and experience to promote continual improvement of the service provided. Evidence: A new manager had been appointed by the provider since the homes last inspection. The manager has the qualifications and experience to manage a care service and was registered by the commission in March 2009. The manager said that she receives the support she needs from her line manager to manage the service well, and spoke of some changes to documentation that she has implemented to improve the service provided. The operations manager and the responsible individual who is registered with the commission oversee the care on site. Regulation 26 visits are undertaken by the operations manager, responsible individual or by a person who is a member of the Board of Trustees and reports are written of their findings. Records show that regulation 26 inspections are undertaken regularly as part of the homes quality Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: assurance monitoring. Other quality assurance procedures are in place to gain the views of the people who use the service and stakeholders to ensure the views of the residents are listened to, for example, surveys and residents meetings. Policies and procedures are regularly reviewed and an annual development plan is in place to promote the aims and objectives of the service provided. Health and safety checklists are completed to ensure the safety of residents, staff and visitors that includes fire safety, safety checks of specialist equipment used within the home and water, fridge and freezer temperatures. Staff attend training and refresher training within health and safety of the residents that covers for example minimal handling, fire safety and containment of substances hazardous to health (COSHH). Care Homes for Adults (18-65 years) Page 25 of 28 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 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!