Care Home: Frays Avenue, 32

What the care home does well The home is well managed. The Registered Manager provides Staff with the motivation to assist each Service User to achieve their individual potential. Service Users continue to show improvement in their personal development and general behaviour. Residents benefit from a well established staff team who is fully aware of their needs, likes and dislikes. Health records are of very high standard and peoples health care needs are fully met. What has improved since the last inspection? The home met all requirements made during the last key inspection. Staff has received Health and Safety training and is aware of the homes health and safety procedures. A business plan has been produced and service users views have been included. What the care home could do better: We have made one requirement during this key inspection. The home must ensure that a valid Landlord Gas Safety certificate and periodic elelectrical installation certificate is in place, this ensure residents safety is maintained. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Frays Avenue, 32 Frays Avenue, 32 West Drayton Middlesex UB7 7AG     The quality rating for this care home is:   three star excellent 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: Andreas Schwarz     Date: 0 7 1 0 2 0 0 8 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 © (2008) 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: Frays Avenue, 32 Frays Avenue, 32 West Drayton Middlesex UB7 7AG 01895447639 Telephone number: Fax number: Email address: Provider web address: hm32frays@ealing.org.uk Name of registered provider(s): Name of registered manager (if applicable) Mrs Derrie Helen Evans Type of registration: Number of places registered: Support for Living care home 3 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 3 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 categories: Learning disability - Code LD Date of last inspection Brief description of the care home 32 Frays Avenue is a very large family house situated in a quiet residential area in West Drayton. The home is registered for three people with learning disabilities who have a high level of dependency through challenging behavioural difficulties. There are currently two male and one female Service Users and there are no vacancies. The staffing levels in the home reflect the need for one to one care at certain times and there are a minimum of two staff on duty at any time. Male staff do not provide personal care for the female Service User and the home is generally sensitive to gender issues. The Registered Manager is supported by a team of two Senior Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 3 Brief description of the care home Careworkers and seven Careworkers. The Property is owned by a Housing Association and the care staff are employed and supplied by Support for Living. Ealing Consortium has merged with Harrow Consortium and is now trading as Support for Living. The home has a large comfortable lounge/dining room overlooking landscaped gardens. The Service Users bedrooms are on the first floor and are accessed by a staircase. The home is not suitable for anyone who uses a wheelchair. The West Drayton shopping centre and good public transport links to Uxbridge and the surrounding areas are within walking distance of the home. Service Users require two escorts for outings in the community and health related appointments and, therefore, requires the use of the homes mini bus or private cars for trips. Fees and charges can be obtained from the registered manager. 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: This key inspection took place in October 2008. The registered manager or deputy managers were not available during this key inspection. A senior support workers assisted us during this inspection. The home forwarded a completed Annual Quality Assessment within the given time scale. Service users and staff surveys have been returned. We spoke to two members of staff and one relative during this key inspection. We looked at two care plans and case tracked two residents. We would like to thank everybody involved in this key inspection. Care Homes for Adults (18-65 years) Page 6 of 28 Care Homes for Adults (18-65 years) Page 7 of 28 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. We looked at National Minimum Standards 2 during this inspection. People using the service are involved in the assessment process and the home is only admitting people if the needs of the person can be met. Evidence: The home had no admissions since the last key inspection. National Minimum Standards have previously been assessed as met and assessments were judged as comprehensive. Care Homes for Adults (18-65 years) Page 10 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. We looked at National Minimum Standards 6, 7 and 9 during this inspection. The care plan is a working document reviewed regularly involving the person and their representatives, as appropriate. Staff are able to communicate with people using the service, and understand what their needs are. The management of risk is positive in addressing safety issues while aiming for improved outcomes for people. Evidence: You told us in your Annual Quality Assurance Assessment: We are improving and adapting our communication skills with a view to informing the service users of the choices available to them. This is done in varying ways according to their ability and includes strategies such as visual aids such as pictures and objects of reference, makaton, gestures and speech. Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: This is what we found during this inspection: We looked at two care plans during this key inspection. Both care plans were of very good standard and have been reviewed in April 2008 and March 2008. The home has a key worker and co-key worker system. During this inspection we observed a care plan review, which was attended by the service user, relative, key worker and co-key worker. During the review, family and residents were fully involved to feedback on achievements and setting of new goals. Various issues such as going to church, visit a Hindu temple, go to Wembley, watch a football match, weight gain etc. have been discussed during the review. The key worker told us that she has never chaired a review, but dealt with this confidently. The home informed us that they are planning to use pictures and photos in the future. Care plans viewed were holistic and addressed all aspects of the service user live. We observed residents making choices during this inspection, for example residents choose their own breakfast, choose what they wanted for lunch. The home cooked Couscous and chicken for lunch. One of the residents does not like rice and the home cooked potatoes separately. We checked residents’ finances, money is checked during each handover and records of income and expenditure are of very good standard. Money is spent for lunch, purchasing clothes and toiletries, etc. The home manager manages benefits. The home has a wide range of risk assessments in place. All risk assessments viewed have detailed risk management plans for staff attached. Risk assessments viewed are individual; assessments such as having a bath and environmental risk assessments, such as using the cooker and collective risk assessments such as residents doing activities together. We observed risk assessments being discussed during the review meeting. Staff spoken to informed us were the risk assessments are kept and that the they find them very useful when working with the residents. Care Homes for Adults (18-65 years) Page 12 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. We looked at National Minimum Standards 12, 13, 14, 15, 16 and 17 during this inspection. The home supports Service Users and ensures their wishes and choices are taken into account. Service Users are encouraged to take part in social activities outside the home to promote their personal development. Evidence: This is what you told us in your Annual Quality Assurance Assessment: Integrating our service users into the local community by frequenting the local shops, church, cafés, restaurants, cinema, etc. Due to the nature of behaviors and abilities of the service users we have been limited as to the extent of outside education we can Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: access and therefore we look to the local community where the service users can learn practical, everyday skills such as shopping, handling money, road safety, awareness of other people (social skills) by waiting their turn in a queue, not pushing past people, etc. In the home the service users are encouraged to learn and improve on domestic skills such as helping with their personal laundry, keeping their bedrooms clean and tidy and cooking. We also encourage our service users to attend parties and discos where they can meet others in their peer group and hopefully make new friends. Families and friends of the service users are always welcome to visit although visits have diminished somewhat over recent months. This is what we found during this inspection: Due to behaviors and abilities residents do not work or access colleges. Residents have programmers such as road crossing in their care plans and we observed that they are discussed during review meetings. We observed residents painting and doing puzzles during this inspection. Staff told us that the home has good links with their neighbours and local community. Records and pictures seen during this inspection showed residents going to Wembley Stadium, restaurants, café’s, play bowling, etc. Community based activities are discussed during review meetings and new achievable goals are set for the coming months. Residents are supported by staff to go to church if they choose to do so. Staff told us that two residents are going on holiday for a long weekend and we observed that holiday plans are discussed during care plan reviews. Families are involved in people’s care and support. We observed family members attending and contributing to care plan reviews. Families told us that they are very happy with the care and support provided by the home. Residents can make contact with non-disabled and disabled people during community based activities, which happen regularly. We observed staff entering rooms together with residents. Staff demonstrated respect when interacting with residents and we observed staff asking rather then telling people what is going to happen next. We observed residents moving around freely in the home and accessing all areas. Residents are involved in the cleaning and upkeep of the home. We observed residents emptying the bins and setting the table for lunch. The home is providing freshly cooked meals twice a day. Meals consumed by residents are recorded in their daily log. During the day of this inspection staff prepared Couscous and chicken for lunch. One of the residents does not like rice or couscous and staff cooked potatoes for him separately. The home has a picture menu and Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: picture recipe book; this allows people living at the home to make clearer choices of what they would like to eat. The home is recording residents likes and dislikes separately. The fridge and freezer was well stocked and residents were observed making themselves drinks. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. We looked at National Minimum Standards 18, 19 and 20 during this inspection. Service Users are able to express their preferences as to who provides their personal care and the manner in which it is carried out. The home ensures that the Service User’s health is monitored and documented. Evidence: This is what you told us in your Annual Quality Assurance Assessment: During personal care the service users are always encouraged to do as much as possible for themselves. We communicate effectively with the service users to ensure that the support we give them meets their needs and wishes and also to support them with their emotional and daily needs. We make sure that all service users are given the necessary information to make informed choices.We continue to improve our communication techniques and the way we encourage service users to participate in their daily lives. Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: This is what we found during this inspection: We viewed detailed personal care guidelines in care plan folders. We observed staff supporting one resident during his morning personal care routine, the bathroom was closed ensuring the persons privacy. We observed residents being dressed appropriately and comfortably. Staff told us that they go clothes shopping with some of the residents, which is depending on their behaviour. None of the residents has mobility problems and equipment is not required. The home has a key worker and cokey workers system. General health care and psychiatric care is accessed through the local Health Center and noted in the Care Plan. The home has detailed records of visits to and from health care professionals. Outcomes and any follow up visits are clearly documented. Residents weight is regularly monitored. Staff told us that one of the residents has recently lost a considerable amount of weight. The home has contacted the persons General Practitioner and the person was referred to the hospital. The weight loss was investigated in the hospital and following a diagnosis treated. This process was recorded in great detail and it shows the commitment of the staff team to support residents health care needs. The home is using Boots Monitored Dosage System; a signatory list of staff competent in the administration of medication is in the medicines folder. Allergies are recorded on the Medication Administration Sheet. There are no gaps in the recording of medication. Staff confirmed of having received medication training, a member of staff told us that she is going on a refresher training course the week following this key inspection. Some medication was not packed in doset boxes; the home has a separate recording sheet to document the number of tablets in stock. The home is using a return book which is provided by the dispensing pharmacist. Service Users’ representatives sign a permission form to agree for the home to administer their medication. 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. We looked at National Minimum Standards 22 and 23 during this inspection. Service Users and their representatives are confident that their views and complaints are heard and dealt with fairly and without fear of reprisal. Evidence: This is what you told us in your Annual Quality Assurance Assessment: The complaints procedure is always on display on the notice board in the hallway and we try to ensure that the service users are supported to make a complaint if they wish to do so. The staff team are also aware of the procedure for making a complaint on their own behalf or on behalf of the service users if they are unable to do so for themselves.Staff are trained to deal with physical and, or verbal aggression towards themselves or other service users. We have found that a consistent approach and a variety of communication techniques has minimized aggressive outbursts from service users.Service users are discussed during team meetings and staff supervisions and in this way we pick up on whether a service user is showing any concerns or is unhappy or if the staff have any concerns over the service users. This is what we found during this inspection: Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: The home did not receive any complaints since the last inspection. Relatives told us that they know whom to complain to and were satisfied with the actions taken following a concern was raised in the past. The homes complaints policy is displayed in the hallway and is available in pictorial format. Staff spoken to demonstrated understanding of how to deal and record complaints. Staff confirmed of having received Safeguarding adults training and demonstrate understanding of the common forms of abuse and how to report and record safeguarding adults allegations. The home has a Safeguarding adult’s policy in place, which is based on the local councils procedure. 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. We looked at National Minimum Standards 24 and 30 during this inspection. The home has received major renovation work both internally and externally and this has improved the general appearance and comfort of the environment for both Service Users and Staff. Evidence: This is what you told us in your Annual Quality Assurance Assessment: We maintain a clean and tidy environment and encourage the service users to take an active part in this aspect of their lives. We promote the service users right to privacy and respect the house as the service users home. Monitoring visit reports, health and safety checks, maintenance reports, test certificates, risk assessments will demonstrate this. This is what we found during this inspection: The home has discussed maintenance issues during team-meetings and a list of outstanding maintenance work is displayed on the wall in the office. It is clearly Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: recorded who is responsible ensuring the work is completed. Staff informed us that all communal areas have recently been redecorated. Staff are allocated responsibilities such as Health and Safety, Fire safety, medication, maintenance, training, etc. There is a large lounge and dinning area. Bedrooms are located on the first floor. Staff told us that the current project is to maintain the front and the back garden of the home. Pictures and ornaments are displayed throughout the home. A picture rota is displayed in the hallway informing residents of staff on duty. The home was clean and free of any offensive odours during the day of this key inspection. The utility room was clean and a washing machine, dryer and lockable Control of Substances Hazardous to Health cupboard is available. Staff informed us of the infection control policy and confirmed that they have attended Health and Safety 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. We assessed National Minimum Standards 32, 34 and 35 during this inspection. The Service Users benefit from a well-trained staff team who receive regular supervision with the Registered Manager. Evidence: This is what you told us in your Annual Quality Assurance Assessment: The staff team have regular supervision. We ensure that staff training is up to date. Al staff is given an extensive induction package, both in house and through the training schedule. All staff coming into post after 2003 have either completed their Learning Disabilities Award Framework and or LDQ. The award must be completed before the staff member is able to pass their probationary period. Most of the staff team have gained or are undergoing National Vocational Qualification in Care Level 2 and 3. All recruitment is done in accordance with policies and procedures. Eight out of nine permanent members of staff have or work towards their National Vocational Qualification in Care. This is what we found during this inspection: Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: The home is currently not fully staffed and has two vacancies. Staff told us that this makes it difficult at times to accompany residents to activities. This has been discussed with the manager and plans to reduce the staff vacancies are in place. Currently two staff work in the morning and two staff work during the afternoon. A mid shift is available during most days, which is either one or two people depending on service users activities. The manager and assistant manager was not available during this key inspection. Staffing records were therefore not assessed during this inspection. We spoke to two members of staff who informed us that they had to provide names of two referees and documentation for Criminal Records Bureau checks, prior to being offered the post. Previous inspection noted no problems with recruitment practices. We viewed the training folder; staff has attended a wide range of training. Ranging from mandatory training such as Food hygiene, moving and handling, first aid, to specialist raining such as diversity, recruitment and selection, challenging behaviour, etc. Staff informed us of having a induction and probationary period. Both staff spoken to was very positive about the training provision and accessibility. 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. We looked at National Minimum Standards 37, 39 and 42 during this inspection. The home is well managed and the Service Users benefit from the open atmosphere and clear aims and objectives. Evidence: This is what you told us in your Annual Quality Assurance Assessment: The registered manager has got 23 years experience in the field and 11 years in management. She is qualified in the Registered Managers Award and also in the A1 and V1 award. The manager keeps up with training to maintain knowledge skills and competence whilst managing the home in line with policies and procedures. Quality assurance forms are filled out monthly. We also have monthly monitoring visits and health and safety checks. The manager deals with accidents, incidents and any emergencies in line with organisational and local authority policies and procedures. The manager is responsible for the safety and well being of service users and staff and Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: including investigation of any Protection of Vulnerable Adults related incidents. She is also involved in recruitment, training and induction of new staff to ensure that high standards of care are maintained. This is what we found during this inspection: There has been no change in management and the registered manager as well as the two deputy managers have been in post for a number of years. Staff spoke very highly of the support they receive from the management team. The home has a range of quality assurance measures in place. Health and Safety checks are done monthly and annually audited. The environmental health officer visited in August 2008 and issued the home with a 3 stars rating. Residents meet regularly to choose their menu and discuss issues important to them. A business plan is in place and staff informed us that regular surveys are undertaken. We looked at a range of Health and Safety certificates and noted that the Periodic inspection for electrical installation certificate expired in January 2007 and the Landlords Gas Safety Certificate expired in July 2008. We informed the home that these need to be renewed. Fire safety is taken serious and regular fire checks and drills are undertaken. Staff informed us that they have attended Health and Safety training. 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 1 42 23 The responsible person must 01/12/2008 ensure that a valid Landlords Gas Certificate and electrical installation is in place This is to ensure that residents live in a safe environment. 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 © (2008) 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. 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