Care Home: Fleetwood House

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What the care home does well This home makes sure that it can meets peoples needs before they admit them to the home. People who are considering moving into the home can visit and stay overnight to help them make a decision. People are involved in planning their own care and are made aware of any restrictions imposed on them whilst living at the home. The people who live here are supported to live the lifestyle they choose and lead active lives. People are supported to attend colleges in the areas and to peruse their interests and hobbies int their free time. People are able to take part in the running of the home if they choose and are supported to prepare their own food and shop for ingredients. People are supported to become independent and to gain the skills they need to move out of the home into a more independent setting. Staff recruitment practices are safe and staff are trained to be able to meet the needs of the people who live in the home or are going to move into the home. The management make sure that the home is run in the best interest of the people who live there. Staff are supported by management and receive appraisals of their work. The health and safety of the people who live and work here are protected. Four people who were given questionnaires to complete said that the staff Always treat them well What has improved since the last inspection? As this home has only been in operation for 5 months this was our first inspection. What the care home could do better: The manager should review the reasons why some people do not have their own bank accounts. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Fleetwood House 9 Maltravers Drive Littlehampton West Sussex BN17 5EY     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: Elaine Green     Date: 0 7 0 1 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. the things that people have said are important to them: They reflect 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 28 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.csci.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: Fleetwood House 9 Maltravers Drive Littlehampton West Sussex BN17 5EY 02085024466 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Aitch Care Homes (London) Ltd care home 11 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 11. The registered person may provide the following category/ies of service only: Care home only ? (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD) Date of last inspection Brief description of the care home Fleetwood House is a large detached property in a residential area of Littlehampton, a short walk for the sea front and the town centre. The property can accomodate 11 people in 10 ensuite bedrooms over the first 2 floors and one self contained flat which is on the second floor. There is a lift to all floors and there is level access to the front and rear of the property. The home is decorated and furished to a high standard and is modern in style. On the ground floor there is a dining room, communal lounge, kitchen, communal bathroom, staff office and 4 en-suite bedrooms. On the second floor there is a laundry, sensory room, medication room and the remaining bedrooms. On the second floor is a self comntained flat comprised of kitchen, bed sitting room, bathroom and seperate W.C. There is a car park to the front of the property offering ample parking. To the rear of the property is a large lawned garden which is fenced on Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 11 Brief description of the care home all sides. The local town of Littlehampton is a seaside resort. There are a range of restraunts and takeaways, a cinema, swimming pool, shops and pubs all within walking distance or a short drive away. Littlehampton has regular bus and train services. Fees are assessed on an indiviual basis and currently start at £1,200 per week. Fees include all hotel costs and in house activities. 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: 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: An Unannounced visit was made to this home on the 7th January 2009. Before the visit to the home we looked at all the information we have received from the home. This information included an Annual Quality Assurance Assessment (AQAA) which is a document completed by the home. This document gives the home the opportunity to say what it does well and provide evidence of that. It also gives them the opportunity to say what they feel they could do better and what their future plans are, how it dealt with any complaints and concerns, any changes to how the home is run, the providers view of how well they care for people, the views of the people who live there, their relatives, staff and other professionals who visit the service. Care Homes for Adults (18-65 years) Page 6 of 28 During the visit we talked to people who live in the home, the staff and the manager. We looked at information about the people who live in the home and how well their needs are met. We looked at other records that must be kept and checked that staff had the skills, knowledge and training to meet the needs of the people they support and care for. We also looked around the building to make sure it was clean, safe and comfortable.We checked what improvements had been made since the last visit and before we left we told the manger of the home what we had found. 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.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents needs are assessed and they are provided with the information they need to decide whether or not the home would be right for them. Evidence: This home helps prospective residents to identify whether it will meet be able to meet their needs and preferences. It has developed information to help them understand what specialist services the home can provide. This includes a pictorial service user guide and a statement of purpose and everyone who lives in the home is provided with a copy of these documents. The home told us that when family or care managers are looking for a new home for their person, placement managers at the organisations head office take initial calls and answer any questions. The placement team oversee all stages of interest including the persons assessment and transition into the home. The home manager works closely with the placement manager. Documents and records seen confirm this. Records also show that admissions are not made to the home until a full needs assessment has Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: been undertaken. These assessments involve the person and their family or representative and other people who support them where appropriate. Records seen show that the home only offers someone a place a the home if they are confident that the staff have the skills, ability and qualifications to meet the assessed needs of anyone considering moving into the home. The manager stated that additional staff training is provided to meet people needs when needed and an examination of records confirmed that the staff have had the specialist training they need to support the people who live here. Any person considering moving into the home is given the opportunity to spend time in the home including being able to stay over night and a member of staff or key worker is allocated to them give them information and to help them understand how the home is organised and run. Two people admitted to the home in recent months were admitted on an emergency basis. Records confirmed an assessment had taken place and discussions with staff on duty confirmed they had been made fully aware of the needs of these people and how they should be met. The assessments and care plans for both these people showed that the manager had gathered information from as many sources as possible and that the home were continuing to gather information and update the assessments. The manager has made referrals to health care professionals for these people so that further assessments can be made. Documents seen confirm that the people who live here have contracts. 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. The people who live in the home make their own choices, are involved in decisions about their lives and play an active role in planning the care and support they receive. Evidence: The home told us that during the first six weeks of a person moving into the home a care plan is created. This is based on observations, the individuals views and getting to know them. From getting to know people steps are taken to reduce the risk harm happening to the person and guidelines are written in their care plan for staff to follow. Documents examined confirmed this. We looked at four peoples care plans. These were clearly written, easy to understand, person centered, look at all areas of the individuals life and are written with the individual where possible. They detail the support each person needs from staff to live the life they choose. Some parts of the plans used photographs and symbols as well as text which means that they could be more easily understood by the person whose plan Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: it is. One plan we looked at included lots of photographs of the people who are important to that person and alongside the photograph was a brief explanation of who this person was. There was also a symbol alongside the photo to illustrate the sign that the individual would use for the person in the photograph. This will be extremely useful for staff to help them communicate with this person and help them to get to know them well. The people who live here are encouraged to make choices on a daily basis with regard to what to eat, how to spend leisure time, when to go to bed, what to wear. There is a section to in the care plan called What I like best there is also a section to explain to staff things they need to know so that they can support people in the way they prefer e.g. Likes to have a bath as apposed to a shower and Doesnt get on with food that requires dexterity to eat. this sort of information makes sure that staff support people to meet their needs in the way that they prefer. Staff were seen to be supporting people to make choices throughout the day of the visit to the home. For example people were offered a choice of what to eat and drink, when they ate, where they ate, one person chose to eat in their own room others at the dining table. Other choices seen to be offered were about going out, wasting television and what to wear. A key worker system allows staff to work on a one-to-one basis with people who live in here and this helps them get to know each other well. When people are ready to, they will be supported to move into a more independent setting. One person living in the home has already been assessed as being ready to move into a self contained flat which is on the top floor of the home. They will continue to be supported by staff in the flat but will be able to improve their independent living skills and work to wards living in the community. The information provided by the home states that Regular meetings are offered with the with the people who live in the home to discuss their issues and ideas. The home told us that their plan for the next twelve months will include trying to build trusting relationships with the people who live in the home. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at this home are able to make choices about their life style and supported to develop their life skills to live the life they choose. Evidence: People who live here are supported to develop their skills, including social, emotional, communication, and independent living skills. Individuals are supported to identify their goals, and work to achieve them. On the day visited the home five people were out at three different colleges. A referral has been made for one person to go horse riding locally and the manger told us that there are plans for a trampoline to be purchased so that the people who live here can use it in the garden. One person in particular is keen to do trampolining and This is recorded in their care plan. People who live here have the opportunity to develop and maintain important personal Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: and family relationships. Two of the people who live here spoke about their relationships and how they stay in touch with their family and Friends. Records seen confirmed that people do stay in touch with their families and participate in the activities that they like. Two people went out with staff support during the day, one person told us they were going to the swimming later that day and another was going to go with staff to collect some people from college. The manager stated that each person will be provided with the opportunity to go on holiday every year. The staff team help with communication skills and we saw staff supporting people with communication by encouraging and prompting when needed. Staff appeared to have a good understanding of how people are feeling by reading their body language and responded appropriately when needed. People who live here are involved in the running of the home and each person takes responsibility for their own room. They can be involved with menu planning and cooking meals, if they choose and are able to enjoy the food they prefer and like. The menu is varied with a number of choices including a healthy option. It includes a variety of dishes that encourage individuals to try new and sometimes unfamiliar food. The meals are balanced and nutritious and meal times are flexible. The people who live in the home are accompanied by staff to do the food shopping which is done on a daily basis. Staff told us that there is one person in particular who really enjoyed preparing food with staff support and that they also do this whilst at college. Where there are restrictions on peoples liberties for example that they cannot go out into the local community on their own or to access areas of the home that are usually kept locked like the medication room this is written up in the persons risk assessment and care plan. Care Homes for Adults (18-65 years) Page 15 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. The health and personal care that people who live in the home receive is based on their individual needs. People are treated with dignity and respect and their privacy is protected. Evidence: Personal health care needs are clearly recorded in each persons care plan and in the health plan for those who have them. This makes sure that staff are aware of what support each person needs and how this should be provided. Personal support is responsive to the individual needs and preferences of the people who live here. Staff respect privacy and dignity and are sensitive to changing needs. People are supported and helped to be independent and can take responsibility for their personal care needs and staff will prompt and encourage people when needed. Residents have access to health care services when needed and are supported to access them by the staff team. Records seen included a clear record of medical appointments made to health care services such as peoples GP. This also includes a record of the outcome of the consultation and any treatment to be provided. Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: Documents looked at confirm that the home acts responsibly and appropriately when health care support is needed and that they support the people who live in the home to access the sort of treatment they need. The home has an efficient medication policy supported by procedures and practice guidance, which staff understand and follow. Medication records seen were fully completed, contained the required entries, and were signed by staff. The manager stated that staff complete an appropriate medication course and as assessment to ensure they are competent to handle, record and administer medication properly prior to them administering medication. Details of what medication is taken by each person and why is detailed in their care plan. There are guidelines for when people should take as and when medication and how often this should be administered. Care Homes for Adults (18-65 years) Page 17 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 who live in the home are able to express their concerns and have access to a robust, effective complaints procedure, are protected from abuse and have their rights protected. Evidence: The home has a complaints procedure that is clearly written and easy to understand. The complaints procedure is supplied to everyone living at the home. Four people who live in the home that we asked to complete a questionnaire about the home, all told us that they understand how to make a complaint. Records show that the home keeps a full record of complaints, including details investigation and any actions taken. The policies and procedures for safeguarding adults are available in the home and give clear specific guidance to those using them. Staff working at the home know when incidents need to be referred to the local authority. The home understands the procedures for safeguarding adults and has attended meetings and provided information to external agencies when requested. Records show that staff training in safeguarding is arranged by the Home. Other training around dealing with physical and verbal aggression are made available to staff as needed. Appropriate, specialist training is provided when needed as requested by the manager. Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: All staff have had the relevant identity and security checks prior to them starting work in the home and have all received some training in the protection of vulnerable adults. 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. The physical design and layout of the home provides people who live here with a safe, warm and homely environment which encourages independence. Evidence: Fleetwood House is a new home that opened in August 2008. It can provide accommodation for 11 people. There are ten bedrooms over the ground and first floors and a self contained flat on the second floor. All rooms are en-suite, some of which have showers so there is an additional bathroom for those who would like to have a bath. The home is fully accessible to all the people who live there with ramps at the front and rear doors and there a lift to the first and second floors. The home is decorated and furnished to a high standard and is homely, warm and comfortable. Each persons room was decorated and furnished prior to them moving in but can be personalised as they wish. The lounge area is large, bright and airy. There is a large flat screen television, 2 coffee tables and a range of different types of seating including settees, bucket chairs, straight backed chairs and a reclining chair which is specially for one of the people who lives there. There is also a dining room that can seat all the residents should they choose to eat at the same time. Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: There is a fully equipped laundry on the first floor and there is also a sensory room which the manger stated they are still developing. The home has a big lawned garden which is fenced to the rear and a large car park at the front. The organisation who own the home, have a maintenance team who deals with all maintenance matters promptly and damaged items are replaced as soon as possible. Currently there is no covered smoking area however there is a designated smoking area outside and to the rear of the building. The manager stated that should anyone move into the home permanently who did smoke then they would review this and give consideration to providing them with an alternative place to smoke. Four of the people who live here completed a questionnaire about the home. When asked is the home fresh and clean 3 people said always and one person said sometimes. 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. Staff in the home are trained, skilled and in sufficient numbers to support the people who live there, in line with their terms and conditions, and to support the smooth running of the service. Evidence: We examined the recruitment records of four staff who had been appointed. We found that all appropriate information and checks were in place to ensure vulnerable residents have been protected. This included two written references, proof of identity and criminal record checks (CRB). We looked at staff training records. They demonstrated that newly appointed staff undertake structured induction training. This includes providing an understanding of the principles of good care practices and covers the promoting of residents rights, independence, choice and dignity. We asked one new senior member of staff about their induction to the home and they confirmed that they were qualified and experienced in working in care homes but that they were not able to work unsupervised until they had completed their induction period. They stated that they had been shown the fire panels, policies and procedures, been shown around the home and introduced to everyone who lived here and been told about everyones daily Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: routines. They said that they had had the opportunity to read the care plans and that they were working alongside an established member of staff. We looked a the training program that demonstrated the type of training all staff will receive over the coming months. Training that staff will receive includes mandatory training that covers manual handling, first aid, abuse awareness, fire safety and health and safety and specialist knowledge in areas pertinent to the needs of the people who live in the home including specialist needs. There was also evidence that demonstrated they receive regular support and supervision from a senior member of staff. Staff also told us they found the management does provide staff with the support they need. They were also able to clearly explain their role within the care home and what was expected of them when working with residents. 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. This home is well managed and run in the best interest of the people who live here. Evidence: The manager has the required qualifications and over twenty years experience and is competent to run the home. The manager and both assistant managers have worked for the organisation who owns the home in a similar setting and are familiar with its policies and procedures. Management processes ensure that staff receive feedback on their work. All staff receive supervision, probationary reviews and appraisals and an examination of records confirmed this. The manager leads and supports a strong staff team who have been recruited and trained to be able to safely support the people who live here. The manager ensures staff follow the policies and procedures of the home. One of the ways she does this is to make sure staff sign documents that the provide guidance and information they need to do their job. This is to show that they have read and understood them. Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: Regular meetings are held with the people who live in the home and these meetings are documented. Regular staff meetings also take place and minutes taken. Information is handed over by one of the senior on shift to the staff team coming on duty. We sat in on one of these hand overs and can confirm that the information handed over was relevant and included a summary of the emotional and physical welfare of everyone living in the home and a brief outline of what they had been doing and what they planned to do that day. The senior management undertake unannounced visits to the home to check on the homes performance. As part of these visits the people who live in the home and the staff have the opportunity to give their opinions. A record of these visits is held in the home and where shortfalls are identified and action plan is put into place with a timescale for this to be completed. Records confirmed that the manager had completed everything she had been required to do. The home told us that health and Safety checks are working well. None of the people in the home manage their own bank accounts and must request money from their appointees when they need it. This means seven of the people who live here may be missing out on any interest their money is accruing as the bank accounts are not held in their own names. Whilst the systems in place to record the money that is held at the home for people are safe and receipts and records are kept of any money they spend it would be preferable if everyone had their own bank account and was supported to manage this themselves. This was discussed with the manager who gave assurances that this would be looked into. We recommend that the management look the publication In Safe Keeping which is about service users finances and can be found on our website . 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: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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 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!