Care Home: Fernleigh Resource Centre

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What the care home does well Fernleigh care home provides a good standard of respite care for users of the service. The premises are of a very good standard and allows users of the service the space and amenities required to benefit from a short stay away from their home environment. The home is well managed and has an experienced staff group with good knowledge of the needs of users and how to meet them. People who use the service who were interviewed were very complimentary about their care in the home. Typical quotes were "staff treat me well" and "staff are approachable". They felt the service was very beneficial to them and expressed anxiety about any possible change to this provision. The home operates on the basis of sound principles and has a full range of policies and procedures to underpin their performance. It actively seeks users` viewpoints so it can adjust its care to meet changing needs. What has improved since the last inspection? This is the first inspection since the re-registration of these premises. What the care home could do better: The home has a reasonable standard of documentation but could improve by a fuller recording of complaints and a review of care plans more regularly so that the information is up to date and accessible. Within the context of a pleasant environment for the accommodation of users of the service, the home could improve its smoking facility and, most importantly, implement quickly the recommendations of the fire officer in respect of exits so that the safety of people using the building is improved. The training and formal supervision needs to be improved and better documented to show a greater support for staff. Within this context, the management structure needs to be strengthened so that supervision can be delegated and improved, amongst other matters. Most of all, the staffing of the home must be reconsidered to ensure that staff numbers are sufficient to meet the needs of users of the service. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Fernleigh Resource Centre Twickenham Drive Leasowe Wirral Cheshire CH46 1PQ     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: John Mullen     Date: 1 6 0 3 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. 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 Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI 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 27 Information about the care home Name of care home: Address: Fernleigh Resource Centre Twickenham Drive Leasowe Wirral Cheshire CH46 1PQ 01516385602 01516663603 sheilaosborne@wirral.gov.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Metropolitan Borough of Wirral care home 19 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Additional conditions: 19 The registered person may provide the following category of service only: Care home only - Code PC To people of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Mental disorder, excluding learning disability or dementia - Code MD The maximum number of people who can be accommodated is: 19 Date of last inspection Brief description of the care home Fernleigh was re-registered on 29th August 2008 to provide personal care and accommodation to a maximum of nineteen users in the category of mental disorder. The home is a respite facility managed by Wirral Council and the manager is Mr T Shewhorak who has applied to be registered with us. The home was previously a care home for older people and is spacious, well furnished, well decorated and homely in appearance. All bedrooms are for single occupancy and are en-suite. The premises occupy two floors and four of the bedrooms are on the ground floor. The home has a number of lounge areas as well as a games room and a Care Homes for Adults (18-65 years) Page 4 of 27 Brief description of the care home training room. It has a large kitchen and excellent laundry facilities. It has a lift to connect floors and has a number of aids to assist users of the service who have a disablity, including bathing aids. The current staffing establishment is a manager, two support officers, nine support workers, three part time domestic staff, two cooks, one gardener/handyman and one administrator/secretary. The home provides respite care but has a total of four crisis beds for emergency situations which means that stays can be extended. There is no charge for this service. Care Homes for Adults (18-65 years) Page 5 of 27 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: The quality rating for this agency is 2 stars. This means that the people who use this service experience good quality outcomes. This was the first key unannounced inspection of Fernleigh Care Home since its reregistration which included a visit to the service. All key standards were assessed in addition to a selection of other standards. This inspection included information received since the re-registration of the home. In addition it included information provided by the agency through its Annual Quality Assurance Assessment document (AQAA). The AQAA gives an overall picture of the performance of the agency as well as factual information about the service. Care Homes for Adults (18-65 years) Page 6 of 27 Interviews took place with the manager and two support workers. Three users of the service were case tracked, that is their support was examined in detail and they were also interviewed. Other users of the service were observed and spoken to during the visit to the home. Comment cards were received from members of staff. The premises were inspected and a large amount of documentation examined. 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 set out 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 27 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 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home receives sufficient information to allow work to be planned appropriately. Evidence: One comment from a member of staff received prior to the visit to the home was critical of the assessment material which they felt was not always sufficient to guide them. The manager felt this was not the case although he thought that this comment referred to some emergency admissions where, clearly, the information is not as detailed as usual. He stated that he insisted on full written information prior to a planned admission and as much verbal information as possible when admission was on an emergency basis. An examination of files of people who use the service confirmed full documentation in place to guide staff. An interview with a staff member also confirmed that she felt the material provided was very good so that work could be planned appropriately and effectively. Care Homes for Adults (18-65 years) Page 10 of 27 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 practices of the home result the promotion of individual choices within a safe context. Evidence: The AQAA stated that there were full, individualised care plans which allow a personalised approach to care. The visit to the home found this to be correct with individualised care plans in each file examined so that work is appropriate. However, the manager stated, and this was confirmed by care plans seen, that they are reviewed at a twelve month interval which is too long a period to enable the plans to be updated. Interviews with staff found them well aware of the needs of people using the service and this was confirmed by interviews with the latter who felt that staff were helpful and approachable in meeting their needs. Prior to the visit to the home one user of the service was not entirely complimentary about the homes promotion of their individual needs. This was not borne out by Care Homes for Adults (18-65 years) Page 11 of 27 Evidence: interviews with users of the service during the visit who felt that they were encouraged to make their own decisions and that the staff were approachable and supportive in this. Documentation seen included residents forums and feedback forms which showed that users views are actively sought by the home and acted upon where possible. An interview with the manager confirmed his awareness of the importance of risk assessments given the homes remit. He confirmed that risk assessments are taken routinely and are reviewed every twelve months so that they remain current. He emphasised the involvement of Wirrals Crisis Team in assessing users of the service and their continued involvement where necessary to support the home. Examination of files of people who use the service found risk assessments in each to guide staff. Staff interviewed were well aware of the risks involved with individual users of the service and could demonstrate a positive attitude to these. Care Homes for Adults (18-65 years) Page 12 of 27 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. The home provides an individual lifestyle for users of the service based on personal choice. Evidence: This home provides short term respite care for users of the service. An interview with the manager confirmed that education and occupation is not particularly within its remit for these reasons. The AQAA stated that the home is fully integrated into the community so that users of the service can access facilities as they require. The staff reported some difficulty with the neighbourhood, although not to the extent that it causes concerns with the use of local amenities. The manager stated, in particular, that users of the service use the local centre which provides a variety of amenities to ensure individual interests and Care Homes for Adults (18-65 years) Page 13 of 27 Evidence: participation. Users of the service who were interviewed during the visit to the home confirmed that they were free to use local facilities as they wished although they were not particularly motivated to do so due to their individual circumstances. The manager stated that families and friends are welcome to visit the home although there are limits on the times due to the needs of users of the service. Users of the service who were interviewed confirmed that they were free to receive visitors and that the times available for this were convenient and caused no problems. They also stated that they were expecting visits and that these were facilitated both by staff in the home and by others, so that they did not feel isolated following admission. An interview with the manager confirmed that any intimate personal relationships are respected by the home as long as they do not cause difficulties for other users of the service. The AQAA stated that the home promotes independence and encourages its users to participate in their care. This was confirmed by the manager who stated that they are encouraged to use the home extensively to the extent that it is compatible with their safety. Users of the service who were interviewed were positive about their experiences in the home and felt that they were supported by staff in a responsible manner. Observed interaction during the visit to the home showed a pleasant and positive relationship between staff and residents which confirmed the promotion of individual choice. Interviews with the manager and cook showed that there is individual choice of food which is chosen daily and can meet individual preferences, including dietary needs. Interviews with users of the service found a mixed response to the food provided with the majority in favour but some dissatisfaction, particularly in the area of healthy options. However, one user of the service who was interviewed particularly stated that a salad was made available to her on request. A tour of the premises included an observation of a lunch time meal which was a pleasant and quiet occasion enjoyed in a spacious dining room. Care Homes for Adults (18-65 years) Page 14 of 27 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. The homes policies and practices ensure that users of the service are cared for correctly in the area of personal and healthcare support. Evidence: The manager confirmed that there was very little personal care being provided to its residents. In addition, there is a difficulty in providing a key worker role for staff because of the respite nature of the service provided. However, users of the service who were interviewed were very complimentary about the personal support being provided by staff which they felt was meeting their needs. One stated that staff treat me well and another said that staff are approachable. The manager confirmed that there were a minimum of rules and those that are in place are for the convenience and support of others. Those interviewed felt there were no unnecessary restrictions on their movement or activities to limit their choices. One user of the service interviewed had a physical disability and was using a walking aid in consequence. She said the premises were fully accessible to her and that the home had appropriate aids, particularly to assist bathing, so that her disability did not reduce her lifestyle. Care Homes for Adults (18-65 years) Page 15 of 27 Evidence: The AQAA stated that there is full healthcare provision in place to ensure that the needs of users of the service are met. An interview with the manager confirmed that this was the case, particularly in the area of emotional needs, which is to be expected given the nature of the service. He stated that the home enjoys a good relationship with professionals concerned with mental health needs. This was confirmed on the day of the visit to the home when three separate visits by healthcare professionals were observed bringing support to the home and the people who use the service. Examination of files of people who using the service showed that their healthcare needs are documented and met depending on individual circumstances. A tour of the premises found that medication was being safely managed for the safety of users of the service. This included a separate storage facility for controlled drugs and included a controlled drugs book so that any such drug could be appropriately recorded. An interview with the manager and other staff confirmed that medication training has been provided recently for staff although this was not always recorded in training records so that this could be verified. An examination of medication records seen during the visit to the home both confirmed that users of the service are being encouraged to self-medicate when this is safe and that medication records are being generally correctly completed. There was a minor exception to this which the manager said he would rectify so that the records are comprehensive. Care Homes for Adults (18-65 years) Page 16 of 27 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. The homes policies and procedures ensure that users of the service will be protected. Evidence: The AQAA stated that there is a full complaints procedure which is easily accessible to users of the service. An examination of the Service User Guide which is given to all new residents contained reference to the complaints procedure and our telephone number. Prior to the visit to the home a user raised concerns about the home and did state that he was not willing to raise the matter directly because he felt that he would not be allowed to attend again. The manager was very adamant that the home has an open approach to concerns and complaints so that users of the service can have no fears about raising such matters. He gave evidence of user forums and feedback forms as proof of this and evidence seen during the visit to the home did show an open approach, with the managers response to any individual point. An examination of the complaints book did show that complaints were being recorded but they did not always have evidence of the dates and nature of the outcome or of a regular check of the record to ensure that these matters had been addressed. As a council service the home uses Wirrals safeguarding policy which is comprehensive and appropriate for the protection of users of the service. The home has had one issue of potential financial abuse of its users outside the home. The manager explained his actions in response to this and the documentation supported Care Homes for Adults (18-65 years) Page 17 of 27 Evidence: this response and showed that appropriate action had been taken. Care Homes for Adults (18-65 years) Page 18 of 27 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. The premises of the home provide a good environment for the care of people who use the service. Evidence: The home has moved to these new premises which were formally used to accommodate older people. As a result, it is spacious, very well equipped and easily maintained. A tour of the premises found a high standard of accommodation including good decoration, floor covering and furniture to maintain standards. All the bedrooms are for single occupancy and are en-suite so that privacy can be maintained. An interview with a user of the service who has a physical disability confirmed that she can easily manage the premises and that the aids available, particularly bathing aids, promote her independence. She noted that any damage to the property is quickly repaired so that standards are maintained. A comment from one user of the service prior to the visit to the home was critical of the smoking arrangements. This area is cramped and open and would benefit from improvement to make it less uncomfortable. A fire audit undertaken by the fire officer in Februrary 2009 noted that some external doors need altering to allow easy evacuation of the building in an emergency and this must be complied with for the safety of staff and users alike. Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: A tour of the premises found it a clean and hygienic facility for the care of residents. It is well equipped with handwashing facilities and laundry and drying rooms so that linen can be dealt with properly. The home has a sluicing facility although this is not required at the present time. The manager stated that the home employs three part time domestic staff to maintain standards and this was evident by the visit. Users of the service who were interviewed were very pleased with the standard of accommodation in the home which they felt was well maintained and gave them a pleasant environment. Care Homes for Adults (18-65 years) Page 20 of 27 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staffing, training and supervision of staff must be reconsidered so that the home can fully meet its remit. Evidence: Comment cards received prior to the visit to the home commented on the shortage of staff which impinged on the effectiveness of the home. The manager felt he had an effective and experienced workforce but admitted that the rota is fixed to one manager plus two support staff each day however many people are accommodated. One person who uses the service was spoken to and felt that staff were too busy to spend time with her and this was also a comment from a meeting for people who use the service. Staff spoken to during the visit to the home also felt that staff numbers were insufficient at times and this was further evidenced on the day of the visit when the illness of some people using the service meant that staff time was limited. Those staff seen were very experienced in the work and seemed very motivated towards providing a good service. The AQAA stated that there was a thorough recruitment procedure in place to ensure a safe service. It also stated that the recruitment files were not held within the home but centrally which is common practice with councils. As a consequence, very little Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: recruitment and selection material was on site, so that the procedures could not be verified. However, there was evidence of police checks being acquired to ensure that staff are suitable for their jobs. Previous inspections of Wirral Councils services have raised no concerns about the recruitment processes so that a visit to the Human Resources department was not necessary on this occasion. The manager stated that the council has a full and excellent training programme to ensure that staff remain up to date in their knowledge. Comment cards from staff and interviews with them did not entirely bear this out. Some staff felt that the training programme had declined over the recent past so that opportunities for training were limited. In addition, examination of staff records could not verify the training undertaken by all staff due to a lack of documentation. The home does have a well appointed training room but the training programme itself was not easily identified during the visit to the home. The AQAA admitted that there were problems with the formal supervision of staff because of the status of the support officers which means that all formal supervision has to be given by the manager. The structure of the team does not allow at present any delegation of this function which means that it all falls to the manager. Interviews with staff, confirmed by comment cards received revealed that they were well supported by the manager but admitted that there is a large deficit in the amount of formal supervision being made available. This was confirmed by examinations of staff files which found that the manager himself had been frequently supervised but this was not the case with the other staff of the home so that formal direction was lacking. There was evidence of regular team meetings which serve as a means of communication between staff. Care Homes for Adults (18-65 years) Page 22 of 27 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 home is well managed in the interests of people who use the service. Evidence: An interview with the manager showed that he was well equipped for the post in terms of his qualifications and experience. He has applied to be registered with us so that his position is confirmed. An examination of his staff file confirmed that he has been undertaking regular training to further his knowledge and has received regular supervision to support him in his work. All comment cards and interviews with staff were complimentary about the support they were receiving, one describing him as the best manager. This was confirmed by interview with people who use the service who were equally complimentary about the support given to them. The manager could give evidence of users views being sought systematically as a method of informing practice. Because of the respite nature of the service, the home uses three link people as a means of communication between users of the service. Documentation seen during the visit to the home included minutes of users meetings Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: and feedback forms on the performance of the service. This documentation showed that the views of people who use the service were taken seriously and that the manager responded to any suggestion in a positive manner. The main concern from users of the service, confirmed in interviews with them, was about the future direction of the service which has caused some anxiety and which the home is attempting to lessen. The manager also stated that the home has regular contact with other agencies in this area and this was confirmed on the day of the visit to the home by frequent contacts by them to offer assistance. A tour of the premises found it a safe environment for the accommodation of is users. A random check of water temperatures found them correct and the premises were being maintained generally in a safe manner. Documentation seen during the visit to the home showed that there had been tests of water, gas and electricity and that fire risk assessments were in place, so that the safety of users of the service and staff was being maintained. The home has full policies and procedures in the area of health and safety to underpin practice and appropriate staff induction and training is in place although this needs better documentation so that information is readily accessible. Care Homes for Adults (18-65 years) Page 24 of 27 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 25 of 27 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 1 32 18 The numbers of staff 01/06/2009 employed must be sufficient. So that the home is able to fully meet the needs of all people who are accommodated. 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 2 3 4 6 22 35 36 The service users plans should be reviewed at least every six months to ensure that they remain up to date. The home should more fully record complaints, including dates of outcome, so that a complete record is available. The training undertaken by staff to be fully documented so that their training needs are easily identified. The formal supervision of staff to be increased so that they are further developed and directed in their work. Care Homes for Adults (18-65 years) Page 26 of 27 Helpline: Telephone: 03000 616161 or Textphone: or 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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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