Care Home: Gibraltar Crescent (36a)

Similar services:

• The Royal School for Deaf Children - Westgate College
• 89 Hastings Avenue
• 39 Westway
• 24-26 St John`s Road
• David Gresham House
• Denecroft
• 4 Malham Drive
• 7 - 8 Hawthorn Way (RNIB)

What the care home does well The service provides a good standard of accommodation which was welcoming, comfortable and homely. The home is well maintained and decorated and is provided with equipment which assists people with hearing impairments to maintain their independence and ensures that their privacy is respected. A care manager surveyed said, "The home is well run, happy and welcoming". People living in the service benefit from a stable staff team who have a good knowledge of their needs and who are able to communicate effectively by various means including, makaton and some staff have obtained qualifications in British sign language (BSL). People are supported to make decisions and choices in their daily lives. The home holds regular consultation meetings and holds two weekly communication groups which are chaired by an independent advocate. The home has adapted a lot of their information in accessible format. The home has developed detailed person centred care and health action plans which people have been involved in making. Care plans have been made made accessible to people being formulated in pictures and symbols. What has improved since the last inspection? The homes safeguarding vulnerable adults procedure has been reviewed to make reference to the local authority policy and procedure. The homes complaints procedures includes response time scales. Information seen during this visit demonstrated that arrangements have been made for staff and managers to receive safeguarding vulnerable adults from abuse training Significant improvements have been made to address the decor and maintenance issues in the home Staff personnel files contained the required documents Policies and procedures identified at the previous inspection have been reviewed What the care home could do better: No requirements were made resulting from this key inspection. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Gibraltar Crescent (36a) 36a Gibraltar Crescent Epsom Surrey KT19 9BT     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: Lisa Johnson     Date: 0 6 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. 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 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: Gibraltar Crescent (36a) 36a Gibraltar Crescent Epsom Surrey KT19 9BT 02083930865 02083938649 christine.obrien@rnid.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): RNID Care Services South West and London Name of registered manager (if applicable) Mrs Christine Ann Downing Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability sensory impairment Additional conditions: The maximum number of service users to be accommodated is 6 The registered person may provide the following category 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 category: Sensory impairment (SI) Learning disability (LD) Date of last inspection Brief description of the care home Gibraltar Crescent is a purpose built detached home offering accommodation for up to six people with a learning disability, who have a hearing impairment. Service users have individual bedrooms, one of which has an en-suite bathroom. The bedrooms are set over two floors, access to the first floor is by stairs. The home has a large rear garden with patio area. The service has its own vehicle, a people carrier. Care Homes for Adults (18-65 years) Page 4 of 28 care home 6 Over 65 0 0 6 6 Brief description of the care home The home is situated in a quiet residential area on the outskirts of Epsom. A number of local shops are close by. Epsom town centre with a larger variety of shops and facilities is a short distance away. The area is well served by public transport. The service is managed and staffed by the Royal National Institute for deaf people a registered charity. The property is maintained by Hyde Housing Group In touch The weekly fee is £934.24 to £961.47 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: This visit was carried out as part of a key inspection. The site visit was unannounced and took place over five hours commencing at 9:30am and finishing at 2:40pm. Mrs. L Johnson Regulation Inspector carried out this visit and the service was represented by Mrs. C Downing Registered Manager. Information was provided to us by the service prior to this visit in the Annual Quality Assurance Assessment( AQQA ). This is a self assessment that focuses on how well outcomes are being met for people using the service. Reference is made to this document throughout this report. We were informed that people living in the service prefer to be acknowledged as residents. Care Homes for Adults (18-65 years) Page 6 of 28 At the time of this visit we were unable to talk to people who live in the service as they were all out attending activities, however we received five feedback surveys from residents who had been supported by staff to complete these using a range of communication methods. We also received two feedback surveys from two care managers and a number were received from staff. During this visit we spoke with four members of staff. During this visit we conducted a full tour of the premises, looked at care plans, risk assessments, medication procedures , staff personnel and training records and some of the homes policies and procedures. The inspector would like to thank the people living in the service, their representatives, managers and staff for their time, assistance and hospitality in carrying out this inspection. 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 Care Homes for Adults (18-65 years) Page 8 of 28 240 7535. Care Homes for Adults (18-65 years) Page 9 of 28 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assessed prior to admission to the home ensuring that it is able to meet their needs. Evidence: Residents currently living in the home have lived there for a number of years and there have been no new admissions to the home since our previous visit. The home has an admission procedure and a pre- admission format which would be completed prior to any person moving into the home. The manager told us that would obtain a community care assessment and reports from health care professionals as part of this process. Information supplied in the AQAA states that prospective people would be able to visit the home, meet residents and staff and spend time in the home including,overnight stays 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides each person with a care plan that they have been involved in making and they are able to make decisions about their lives because staff promote their rights and choices. People are supported to take risks as part of an independent lifestyle. Evidence: Each person has a care plan in place which is person centered in approach and is made available in accessible formats During this visit three residents care plans were sampled. Care plans included profiles and life histories. Information seen demonstrated that residents are involved in their care plan with their key worker. Care plans had been signed by people to confirm their agreement. Regular care review meetings take place,which was demonstrated by detailed reports and annual reviews are conducted where residents are involved in setting the agenda and these are typed using wigit symbols. An interpreter is also available for communication support. The manager has implemented robust auditing systems to ensure that all parts of the care Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: planning process take place which highlights any shortfalls. Residents are involved in making decisions in their daily lives.Where residents may need support to manage their finances this was recorded in their care plan.The service holds regular house meetings and communication groups take place every fortnight which ischaired by an independent advocate from the Royal Association for the Deaf (RAD). This person also carries out a yearly quality assurrance questionairre prior to a local support group meeting to find out residents views. The home has adapted a range of information in symbols and pictures to ensure it is accessible to residents living there. The manager has stated in the AQAA that residents have the opportunity to meet prospective new staff and they are able to feedback any preferences which they may have,which is taken into consideration when appointing staff. Four residents surveyed stated that they are able to make decisions and choose what they would like to do during the day. One person responded Yes by using signs. Staff work with residents to identify any possible risks which is discussed with them. Information supplied in the AQAA states that staff have completed risk training. Risk assessments sampled during this visit included, health and safety in the home, moving and handling, bathing, cooking and community access. 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 living in the service are supported to take part in appropriate activities and in the local community. People maintain links with their family and friends and their rights are respected. people are are offered a well balanced diet. Evidence: At the time of this visit there were no residents present as they were all out attending day activities. Residents are supported to make choices about the activities they choose to participate in which meet with their individual preferences. Residents care plans identified their daily activities which is provided in symbol format One persons care plan identified that they work in a cafe at the nearby day service. Residents are supported by staff in developing life skills,which was demonstrated by information seen in their care plan including, purchasing ingredients for cooking, using Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: the bank and household tasks which residents participate in such as cleaning and laundry. One persons care plan identified that are being supported to pay their news paper bill and we were informed that they attended the Chelsea football club shop and attend football matches as this is their personal interest. Photographs were compiled in folders of residents confirming some of the activities that they take part in and this also assists each person to see what they have achieved. Peoples preferred activities are supported such as visiting the pub, going bowling, attending scouts club and visiting places of interest. There is also an in house activities programme which includes, art, bingo and cookery. We were informed that people receive holidays and they chose to go to Devon last year. Information supplied in the AQAA states that the home supports residents in using and integrating with the local community by meeting local residents and holding coffee mornings and cake sales. People are supported to attend church if they wish to attend. Care plans contained a people important in my life section which contained pictures of residents families and friends. Some people visit their families and one person is supported to write letters. Information supplied in the AQQA states that the home actively encourages residents families and friends to visit and holds social events such as barbecues and family Christmas parties where residents invite who they wish and help with the invitations. Residents are supported to make choices and their rights are respected. Information has been supplied in wigit symbols. We were informed that residents vote in elections. The service has provided equipment to meet the the needs of residents with hearing impairment to maintain their Independence and right to privacy. The home provides a weekly menu which is agreed with residents involvement and based on their preferences. The menu is is formulated in pictures and symbols and each persons file contained pictures and symbols of their favourite foods to assist them. 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. People receive support from staff in the way they prefer and their personal and health care needs are met. People are supported by robust medication policies and practices Evidence: Each resident has a health care plan in place. Peoples strengths and needs are documented and their preferences for support are respected. Care plans sampled during this visit confirmed that residents health care needs are supported and that they have access to health care specialist services. Since our previous visit, information seen on one persons file demonstrated that had attended a well mans clinic and that they also attend regular orthotic appointments for footwear. Another person was identified as having emotional needs and clear guidance to staff was available with their care plan so that staff know how to support them. Each plan contained detailed information about each persons methods of communication. Each persons care record documented the outcome of all health care appointments Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: such as visits to the General Practitioner, chiropodist, dentist and optician. Peoples weights are monitored which was confirmed by written records. Residents have also been provided with accessible information about consent relating to health care. Two care managers surveyed said that peoples health care needs are monitored and attended to and the service respects individuals privacy and dignity. One person commented, Staff are very quick to pick up issues and communicate well with the professionals involved. During this visit it was observed that a record book for recording seizures was maintained iin one persons file, although there was no reference made to this in their care plan. This matter was discussed with the manager who said that this had not occurred for a number of years but described the kind of episode that may occur. The manager stated that they would review this with the relevant care professionals. However it is recommended that until this review takes place this should be recorded in the persons care plan to provided guidance to staff should they ever witness this event. The homes medication policies and practices were examined. Medication was stored appropriately and medication administration records were found to be in order. Medication is dispensed using the monitored dose system (MDS).Staff receive annual refresher training and a list identifying staff that are trained to administer medication is maintained. Medication profiles are in place for each person and any allergies that they may have are identified. Currently people living in the service require their medication to be administered and their written consent had been obtained . The local pharmacist has recently carried out a medication audit in the home which did not identify any concerns. 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. The home has a complaints procedure in place which is made available to people living in the home. Policies and procedures are in place which protect people from abuse. Evidence: The home has a complaints procedure in place, which is made available to residents in an accessible format with the use of symbols. The service also provides a British sign Language DVD that also explains the organisations complaints procedure. Since our previous visit no complaints have been received by the home and none have been brought to the attention of the Commission. Three people surveyed said that they know how to make a complaint and that staff listen and know who they would talk to if they were not happy. Two feedback forms said that that people pointed to pictures of staff members. The home has a safeguarding vulnerable adults from abuse policy which now makes reference to the local authorities procedure. The manager had not obtained the up to date local authority procedure which was brought to their attention. During this visit the manager acquired a copy of this document from the local authority website. The staff training records were sampled which demonstrated that they had received safeguarding training. This training takes place both internally and externally through Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: attendance at courses run by the local authority. Four members of staff spoken with during this visit confirmed their attendance at training and said that policies and procedures are brought to their attention. Staff were clear in their responses about their responsibilities should they ever witness or be made aware of any incident where the safety or protection of the a vulnerable person his compromised. Since our previous visit there has been no safeguarding matters referred. Care Homes for Adults (18-65 years) Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a safe, well maintained, comfortable and clean home. Evidence: The home is situated in a residential area and local amenities and facilities are near by. The service provides a homely atmosphere and is decorated and furnished to a good standard and is modern in style. Since our previous visit communal areas have been redecorated, new carpets and sofas for the sitting room have been purchased. Residents have been involved with choosing colour schemes and furnishings. The home provides a comfortable sitting room and has a large modern kitchen/diner. There is an accessible, well maintained garden to the rear of the home. There are two bathrooms,one is on the ground floor and has been adapted to meet the needs of one person who has physical disabilities. All bedrooms are fitted with flashing fire alarm lights and door bell lights to assist people who have hearing impairment to know when someone is calling. Bedrooms were comfortable, well maintained, reflected residents gender and were personalised to meet residents individual preferences and interests. One person has an Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: interest in Chelsea Football club and a range of memorabilia was seen on display. During this visit the home was cleaned to a good standard and was hygienic. Infection control procedures are in place. Since our previous visit the home has received an inspection from the Environmental Health office which was satisfactory. 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. People are supported by competent staff who are regularly supervised. People living in the service are protected by the homes recruitment policies and practices Evidence: As well as the manager and a deputy the home employs a senior support worker and four support workers. The home uses bank staff who are employed by the organisation. People living in the service benefit from a stable staff team who have worked in the service for a number of years and have a good knowledge of their needs. Five support staff have gained National Vocational Qualifications (level 3). One person is near to completing the qualification and another member of staff is due to commence shortly. The service is registered with Skills for Care and the home is regularly offered training. New staff are provided with induction which was demonstrated by records seen on one member of staffs file. Since our previous visit the service have developed staff training schedules and there is a staff development plan in place. The training records were sampled for three members of staff, which confirmed that they had completed all statutory training. Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: which was also confirmed by them during this visit. Staff receive a range of training which meets the needs of residents living in the service which includes makaton sign language and some staff have gained qualifications in British sign language(BSL). Information supplied in the AQAA states that staff have received training in the mental health capacity act, dementia awareness and equal opportunities. Staff spoken with during this visit said that there are opportunities to attend a lot of training. During this visit we sampled three members of staff recruitment files. Improvement had been made in ensuring that each persons file contained two written references and information seen demonstrated that enhanced criminal record bureau checks (CRB) are carried out prior to any person commencing employment. The manager was advised to organise the staff files as the current system is not in order. A shortfall was identified in the application form for the last person to be employed in the home. There was a gap in their work history.Since this inspection the registered manager has provided further information to confirm that this matter was followed up prior to the person commencing employment in the home by the organisations human resources department, although this information was not passed to the home. The registered manager is advised to ensure that this information should be available for all future staff employed in the home prior to commencing employment in the home and be made available for inspection. Staff receive regular formal supervision from the manager which was demonstrated by information seen on staff files and during discussion with members of staff. 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. There is an experienced manager which is run and managed appropriately. The views of people and their representatives are sought and acted upon. Peoples health, safety and welfare is in the main protected. Evidence: There is an experienced registered manager in post who has had many years experience of working within a residential service and working with people with learning disabilities and has knowledge of working with people who have hearing impairments. The manager holds a National Vocational qualification (Level 4) in Health and Social Care and holds the Registered Managers Award. Regular staff meetings are held which was being conducted at the time of this visit. Staff spoken with said that they felt well supported by the management structure. One member of staff stated, There is good teamwork and quick responses are recieved when raising any issues. The responsible individual conducts monthly quality monitoring visits and the reports were available for viewing. These were detailed and informative and included feedback Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: gained from residents.The home conducts annual feedback surveys which are provided to residents, their representatives, care managers and health care professionals. Surveys sampled during this visit contained positive comments about the care and support provided. Information supplied in the AQAA states that the manager completes an annual operational plan which identifies areas for improvement and sets goals for the future of the service. The home produces a regular news letter which is in an acessible format which gives information about achievements and events. The home has also provided information to people in symbols and pictures about the role of the Commission. There are a range of policies and procedures in place. During this visit staff spoken with said that these are brought to their attention and that there is a read and sign system in place. There are a range of systems in place ensuring the safety and wellbeing of residents. Regular health and safety audits are conducted, water temperature monitoring is recorded. Electrical testing of equipment is carried out annually and information supplied in the AQAA indicates that routine servicing and maintenance of equipment is up to date. 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 1 19 It is recommended that the health matter identified for one person is recorded in their care plan. 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!