Care Home: Elpha Lodge Residential Care Home Limited

What the care home does well Good assessments are carried out before people come to live in the home to ensure that the service is can meet peoples` needs effectively. People using the service receive good care that is organised to suit their individual needs. Staff have appropriate training to meet the needs of the people at Elpha Lodge. Good information is kept about peoples` care and health needs that ensures that they get consistent care. Care plans are updated to reflect any changes to peoples` care and health needs. The systems in place for managing medicines protect people living at Elpha Lodge. Social activities are very well organised and planned to suit the individual needs of the people using the service. The people using the service enjoy the varied programme of events. The food is well cooked and presented taking account of individuals` taste and specific needs. Elpha Lodge provides comfortable accommodation that suits the needs of the people living there. Appropriate aids and equipment is available to ensure that each person is appropriately supported in their daily lives. Good levels of staff who are well trained are available to meet the needs of the people staying at the home. Recruitment practices and procedures are clear and protect people using the service. Good management systems are in place and these ensure that good quality care and support is provided. What has improved since the last inspection? A new format for care planning has been devised and introduced. This provides good information about peoples` needs and how these are met. A computer is now available for use by people living in the home. This is equipped with games software and internet connection and this is well used by people living in the home. Ongoing improvements have been made to ensure that the home is furnished and equipped to suit peoples` individual needs including the replacement of flooring in four bedrooms and the dining room. There is an ongoing programme of redecoration and people are encouraged to make choices about colour schemes. External paving has been relaid to ensure that a smooth surface is provided for the people living in the home. What the care home could do better: No recommendations or requirements have been made in this report. Key inspection report Care homes for adults (18-65 years) Name: Address: Elpha Lodge Residential Care Home Limited Elpha Lodge Residential Care Home Limited South Broomhill Morpeth Northumberland NE65 9RR     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: Anne UrwinBrown     Date: 1 5 0 3 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 28 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: Elpha Lodge Residential Care Home Limited Elpha Lodge Residential Care Home Limited South Broomhill Morpeth Northumberland NE65 9RR 01670-760397 01670761351 elsie@elpha.totalserve.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mrs Elsie Hazel Dixon Name of registered manager (if applicable) Mrs N Nicholson Type of registration: Number of places registered: care home 24 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 physical disability Additional conditions: The maximum number of service users who can be accommodated is: 24 The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: Physical disability code PD, maximum number of places: 24 Date of last inspection Brief description of the care home Elpha Lodge is in South Broomhill, near Morpeth. It is within walking distance of local shops and community facilities. The home is on a bus route and a short distance from Amble. Twenty-four adults with a physical disability or illness live at Elpha Lodge. The home is split between Elpha Lodge and the newer Sydney House. All the bedrooms in Sydney Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 24 1 6 0 6 2 0 0 9 Brief description of the care home House have en-suite shower rooms. All bedrooms are at ground floor level except for three in the main house that are on the first floor. There are three double bedrooms in the main house. There is a mini bus that people who live in the home can use to go to college, social events and on outings. Nursing care is not provided but staff have been trained to carry out delegated nursing tasks. The homes Statement of Purpose and Service User Guide contain a lot of information to help people who may wish to use the service decide if their needs can be met. Copies of CQC reports are displayed in the home for anyone who wishes to read them. Fees range from £621.65 to £858.05 per week. 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 quality rating for this service is 3 stars. This means that the people who use the service experience excellent quality outcomes. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use the service are not put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. How the inspection was carried out Before the visit: We looked at: Information we have received since the last visit. How the service dealt with any complaints & concerns since the last visit. Any changes to how the home is run. The providers view of how well they care for people. The views of people who use the service & their relatives, staff & other professionals. Care Homes for Adults (18-65 years) Page 6 of 28 The Visit: An unannounced visit was made on 15 March, 2010, which lasted seven hours. During the visit we: Talked with people who use the service, staff and the manager. Looked at information about the people who use the service & how well their needs are met. Looked at other records which must be kept. Checked that staff had the knowledge, skills & training to meet the needs of the people they care for. Looked around the building to make sure it was clean, safe & comfortable. Checked what improvements had been made since the last visit. We told the manager what we found. 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: Care Homes for Adults (18-65 years) Page 8 of 28 No recommendations or requirements have been made in this report. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 28 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs are assessed before and after they move in to ensure that staff are able to provide the appropriate care and support to meet their needs. Evidence: The Statement of Purpose and Service User guide provides good information for people thinking about using the service at Elpha Lodge. There are good systems in place for planning an admission to Elpha Lodge that focuses on the personal needs of the individual. Prospective residents and their families are fully involved and are central in making decisions about how the process of admission is managed. There is emphasis placed on responding to individual needs for information, reassurance and support. Often permanent admissions are organised after planned respite support has been provided for some time and this means that people are familiar with the service and the staff. One person said that he knew the staff well before he came to live at Elpha and that this was reassuring for him and his family. Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: A comprehensive needs assessment is undertaken before admission by staff. The home obtains a care management assessment and care plan before admission. Individuals are supported and encouraged to take part in the admission process. Information is collected from a range of sources including professionals working with the person, relatives and from pre-visits to the service by the individual. Before agreeing to an admission the service carefully considers the assessment information and the capacity of the home to provide a suitable service. One relative said From the first day my brother was admitted... I have had the utmost confidence in the Care Manager and staff at Elpha Lodge who I have found to be the most caring, conscientious and dedicated group of people I could ever wish to meet. Care Homes for Adults (18-65 years) Page 12 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Elpha Lodge get the care and support they need and their privacy and dignity is respected. Evidence: There is a care plan for each person that is based on a central assessment. The assessment is added to during their placement and the plan is developed to suit the needs of the person concerned. Plans include reference to equality and diversity issues relevant to each person. There is clear information to show the development of plans and peoples changing needs. Information about peoples health care needs is clearly recorded. Care plans are up to date and there is evidence of good recording. Systems for reviewing plans are in place and are well used. People are actively encouraged to make decisions about their care and support and records confirm this. People living in the home said that they feel able to put forward their views about their care and about the operation of the service. They said that they are satisfied that their views are Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: taken into account by the manager and the staff. There is regular discussion about peoples care at handover and staff meetings so that all staff are clear about any changes for individuals. Each plan included comprehensive risk assessments that were up to date and clear. The service has a positive view towards risk assessments and focuses on supporting people to live the life they want to lead. Records show that assessments are regularly updated. Any limitations on freedom, choice or facilities are in peoples best interests and these are well documented and agreed with peoples representatives. Care Homes for Adults (18-65 years) Page 14 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have a good quality lifestyle and links with family and the local community are fostered. Good opportunities are provided for people to take part in appropriate leisure activities. Evidence: People are encouraged and supported to live an ordinary, meaningful life that is suited to their individual needs. Staff recognise the importance of enabling people to follow their own interests and to take an active part in life in the local community. Policies and procedures for staff at Elpha Lodge take account of the need to respect peoples rights and their equality and diversity. People living at the home are able to enjoy full and stimulating lives that suit their abilities to participate in daily life. People are given opportunities to take in educational and social activities that suit their needs and interests. Outcomes for people are very positive and relatives said in Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: the questionnaires that staff support people well. People were relaxed and looked happy during the inspection and one person said he lived a full and stimulating life with the support he needed available to him. Staff were respectful towards people and it was evident that individuals preferences were well known to the staff. Staff said that service users are out regularly in the local community using local services and facilities including shops, swimming pool, local walks, shopping, leisure facilities and having meals out. Visitors are always welcome at any time and links with family and friends are supported and encouraged. Menus show that meals are well balanced and nutritious and are based on healthy eating principles. Alternatives are available for people so that there is a choice, although individual likes and dislikes are well known to staff. Staff provide assistance to those who have difficulty with feeding and special diets are provided. Mealtimes are relaxed and staff were aware of those who needed help and allowed plenty of time for them making the meal a pleasant social event. Particular dietary needs are identified within individual care plans and peoples nutritional intake is carefully monitored as necessary. Two people said that the food was good and that they were happy with the quality and quantity of food provided. Snacks and drinks are available throughout the day. Kitchen staff have completed Food Hygiene training. Care Homes for Adults (18-65 years) Page 16 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Personal and healthcare support is well planned and delivered taking account of multi agency intervention to ensure that peoples privacy, dignity and independence is respected. Evidence: Good arrangements are in place to ensure that personal support is provided in a way that respects peoples individuality, privacy, dignity as well as promoting independence. Individual plans provide good information about the personal and healthcare support provided to each person living at Elpha Lodge. Staff demonstrated a good knowledge of the care and support needed by each person. Support is organised to suit the preferences of each individual for example rising and retiring times, bathing and other activities. Specific staff training has been provided to ensure that staff are able to effectively meet individual needs. One person said he was very satisfied with the care and support provided. One relative said that there is Excellent level of care, professional staff and excellent communication at all levels. Records show that health needs are identified and met. All service users are supported to access specialist support from healthcare professionals as needed. Evidence was Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: available that peoples health care needs are monitored and potential problems identified and treatment sought. Records show that there is ongoing support for individuals from healthcare professionals. Staff training to ensure that staff have appropriate skills to support individuals is given. Privacy and dignity is respected at all times. The home fully respects the rights of people living at Elpha Lodge in the area of healthcare and medication. Staff are alert to changes in mood, behaviour or general well-being and understand how they should respond and take action. There are good procedures and policies in place to protect service users receiving medication. Arrangements for the administration of medicines protect people living in the home. Records are well maintained and arrangements for the storage of medicines are satisfactory. Staff training in administration of medicines has been provided for all staff. Care Homes for Adults (18-65 years) Page 18 of 28 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Elpha Lodge are protected by the homes procedures for dealing with complaints and allegations. Evidence: A good complaints procedure is in place that is clearly written and easy to understand. There is a good system in place to ensure any complaints, the investigation and outcome are well recorded. Two people living in the home said that they felt able to raise concerns or complaints and both were satisfied that these would be taken seriously. Ten relatives surveys were returned and all said that they knew how to make a complaint. There has been one safeguarding referral made since the last inspection and the management took appropriate steps to report and deal with this matter. Clear policies and procedures are in place for safeguarding adults. Staff at the home demonstrated that they are aware of what the procedure is and how to respond. They have received appropriate training and staff records confirm this. Individual risk assessments are comprehensive and protect residents from potential harm. 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 living at Elpha Lodge have a comfortable, clean, well maintained home that suits their individual needs. Evidence: The premises consist of a main building has been converted to suit its present purpose and a detached new build across the courtyard. The houses are well maintained and good systems are in place for ensuring maintenance is kept up to date. Each house was clean, tidy and in good decorative order at the time of the inspection. People living in the home said they were happy with their accommodation. The surveys returned from ten people living in the home said that Elpha Lodge was clean and tidy. There is level access to both houses and the exterior paving has recently been redone and further work is planned. There is a pleasant garden area and seating outside. Public areas of the home are well furnished and decorated. Furniture is organised to suit clear access for people in wheelchairs and those with mobility problems. The decor throughout the building is good. There is an ongoing programme of refurbishment and redecoration. Flooring in four bedrooms and the dining room has been replaced in the last year. All accommodation is on the ground floor and bedrooms are personalised and very Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: attractive. People have music systems and televisions in their rooms as well as ornaments and pictures to suit their taste. Equipment including bed rails, air mattresses and hoists are available in bedrooms to suit the identified needs of residents. Records show that equipment is regularly checked and serviced. People are encouraged to be involved in the choice of decor for their own and for the public areas of the home. Appropriate aids and equipment are available so that people can be moved safely from their wheelchair to the bath or shower. There are sufficient toilets and bathrooms to meet peoples needs. No odours were evident during the inspection. Cleaning materials and other potentially hazardous substances were safely stored. Policies and procedures were in place relating to the Control of Hazardous Substances and Infection Control and other Health and Safety matters. Training is provided in Health and Safety and Food Hygiene. The laundry is beside the boiler in a small room off the main hall. The floor has been painted since the last inspection to provide an impermeable surface. There is a washer with sluice facility and a dryer provided. The laundry is clean, well equipped and organised. Washers have a sluice facility so that soiled linen can be cleaned. Staff have received infection control training. Care Homes for Adults (18-65 years) Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good staffing arrangements mean that people get good quality care from appropriately qualified and experienced staff. Good recruitment practices protect people living at Elpha Lodge. Evidence: Staff are experienced and have appropriate training to meet the needs and aspirations of the people living at Elpha Lodge. Records showed that sufficient staff are available to meet peoples needs. Staff had a good rapport with people living in the home and spoke respectfully to them. People living in the home said that staff provide good support to them and are kind and helpful. One person said that he felt very satisfied with the staff and that they were aware of his needs. All six professionals surveys returned commented very positively on the caring and professional staff working in the home and the high standard of communication maintained with them. One person said Staff are valued and encouraged to take part in education and training. All staff demonstrate a high level of professionalism and care. Records showed that good recruitment procedures are in place and that appropriate reference and other checks are made before employment commences. Staff records are well organised and information is readily available. Training certificates and evidence of induction training is available in individual files. Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: Seventeen out of twenty four staff have completed national qualifications in care. Good training opportunities are provided for staff to ensure that they have the skills to meet peoples needs. Training has included equality and diversity. Training is linked to the homes aims and to service users needs. Staff supervision is not up to date and there has been a shortfall in meeting supervision targets. This is recognised by the manager who is taking steps to address this. Staff said during the inspection that they get good support from the manager and she is always available to them if they wish to discuss any concerns or issues. There are regular staff meetings. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good systems are in place for monitoring the quality of the service that take account of the views of the people living in the home. Evidence: The manager is experienced and qualified to run the home and meet its stated aims and objectives. She is aware of the need to undertake regular training and has had appropriate training opportunities in the past year. She is well supported by the owner and has a good knowledge of the financial planning systems. She communicates a clear sense of direction and has a good understanding of the need for continuous improvement and quality assurance. She understands the importance of equality and diversity and person centred planning in planning the services development. One professional said in a survey returned that Elpha Lodge provides Excellent person centred approach with pro-active leadership in the manager. There is a good system of quality assurance in place that takes account of the views of people involved with those using the service. Staff said that the manager is open and responds positively to suggestions from staff. Relatives questionnaires are used as Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: part of the quality assurance process. All working practices are regularly reviewed. Good systems are in place for checking on health and safety in Elpha Lodge. Records are kept in good order to show regular checks or tests of equipment. Appropriate training in safe working practices is provided for staff and regularly updated. Risk assessments for the premises and for fire are in place. Fire alarm tests are carried out weekly and records were available to confirm this. Accident records are kept in an appropriate form. 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. 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