Care Home: Glen Cottage

What the care home does well The person who lives at this home benefits from having their personal and everyday care support needs clearly identified and written up into a care plan that provides step by step instructions regarding the level and type of support needed with their various care needs. This is especially important when the person cannot easily verbally communicate their needs. The person living a the home is supported and actively encouraged to make choices about their life style, to take part in various activities, try new experiences and to keep in contact with friends and family. The person living there has access to a full range of health-care support as necessary and receives personal support in the way they prefer and according to their needs. Their privacy and dignity is respected and taken into account. Staff are appropriately trained and recruitment procedures offer the people living at the home protection. What has improved since the last inspection? There were not any issues identified at the last inspection requiring improvement. The manager has continued to keep policies and procedures under review. The decor and physical environment have been updated. What the care home could do better: There were no requirements or concerns as a result of this inspection. The only issue identified during this inspection is that pathways in the back garden need to be made wider to enable the person living there to be able to access the garden fully. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Glen Cottage 2a Glen Road Sarisbury Green Southampton Hampshire SO31 7EL     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: Chris Johnson     Date: 0 9 0 2 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 29 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 29 Information about the care home Name of care home: Address: Glen Cottage 2a Glen Road Sarisbury Green Southampton Hampshire SO31 7EL 01489574214 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Community Integrated Care Name of registered manager (if applicable) Mrs Samantha Smith Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability physical disability Additional conditions: The maximum number of service users who can be accommodated is: 1 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 Glen Cottage is a purpose built care home providing personal care for one person. CIC (Community Integrated Care), a national care provider, is the registered organisation and is responsible for the running of the registered home. Accommodation consists of one bedroom, a large en suite bathroom, a large, spacious entrance lobby with wheelchair access to the lounge/dining room, a kitchen which is wheelchair user designed as well as level access to the patio area in the back garden There is a car Care Homes for Adults (18-65 years) Page 4 of 29 care home 1 Over 65 0 0 1 1 Brief description of the care home available for the use of the service user with support of CIC staff. There is a twentyfour hour service provided, with one to one support in the home. The home is situated in a residential area with easy access to community facilities and the larger towns and cities. Care Homes for Adults (18-65 years) Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The purpose of this inspection was to assess how well the home is doing in the meeting of all key National Minimum Standards, compliance with regulations and to assess what the outcomes are for people who live at this home. The findings of this report are based on a number of different sources of evidence. These included an unannounced visit to the home, which was carried out over one day on 9th January 2009 whereby we looked at all key standards. Previously to this, we carried out an annual service review of the home on 30th April 2008 and this did not raise any issues of concern. All regulatory activity since the last inspection was reviewed and taken into account including any notifications sent to the Commission for Social Care. The manager completed an Annual Quality Assurance Assessment (AQAA) Care Homes for Adults (18-65 years) Page 6 of 29 prior to the annual service review and again prior to this inspection. Information recorded in that document was taken into account and forms some of the evidence for this report. During this visit we looked at the physical environment including, the persons bedroom and all communal areas of the home. Staff and care records were inspected. Some members of staff were spoken with and others were observed during their day to day interactions with those living at the home. We examined records, policies and procedures. Due to communication difficulties and the complex needs of the person living at the home the inspector was not able to hold in depth discussions with them. However the inspector was able to talk to them briefly, interact with them and spend time observing the care being given to them. The manager was present throughout the visit to answer questions and discuss issues. 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 29 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 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs are assessed prior to admission so that the individual and the home can be sure that the home is right for them and will meet their needs. Evidence: No one has moved into this home since our last inspection. The person living at the home has lived there since the home was built in the mid nineteen nineties. The last inspection of the home did not raise any concerns with this outcome area. Our judgement following that inspection was that, Systems of assessment were available that could be used should a different or new service user be admitted only. Such assessments would be undertaken by people competent to do so, involving the prospective service user, using an appropriate communication method and with an independent advocate as appropriate. During this visit to the home we discussed the assessment process with the manager and it was reported that it was unchanged from our previous inspection. Care Homes for Adults (18-65 years) Page 10 of 29 Care Homes for Adults (18-65 years) Page 11 of 29 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. Care plans provide clear instructions for staff to follow and provide support and care in a way that people prefer. This is important for the person living at the home as they are not able to verbally communicate their needs. Evidence: The last inspection of the home did not raise any concerns with this outcome area. During the visit to the home we looked at the care plan and associated information held on file for the person living at the home. The Annual Quality Assurance Assessment (AQAA) completed by the manager prior to this inspection listed areas where the home considered that they did well under this outcome heading. These were that they; Responded quickly to the views and wishes of the person living at the home. That the person had a full up to date care plan which has been put into pictorial and audio format and that information recorded in the care plan is regularly reviewed and Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: updated. The care plan examined during the visit contained a pen picture of the person in a section entitled about me. This provided a lot of information about the person such as their likes and dislikes, who they were, where and how they spent their time, what they did including a description of their typical week. We saw recorded evidence that the care plan and associated information had been regularly and recently reviewed. Due to the persons communication needs we were unable to discuss their care needs with them or whether or not their care plan reflected their actual care and support needs. However on arrival at the home staff were observed to be providing support and care to the person as recorded and described within their care plan. The care plan provided detailed instructions for communicating with the person and gave examples of sounds that they used to indicate different emotions such as happiness, unhappiness and distress. Additionally the care plan provided information regarding the persons non-verbal communication methods such as how they indicated and made choices and how to meet these needs. Care plans and daily recording sheets provided evidence that the person is encouraged and supported to make decisions about their life and that this is respected. Detail recorded within the care plan provided details of the persons abilities as well as their support needs. An example of this being the care plan for supporting the person with their personal hygiene and care needs. This provided clear instructions to staff of the persons abilities to care for them-self as well as their needs. Instructions and detail were clear and provided step by step instructions. It was evident that a lot of thought had gone into the care plan and that the persons wishes were being respected and that their independence was being encouraged and supported. The quality of information in all other sections of the care plan were consistent with this. Care plans offered guidance for staff for anyone who may become anxious or exhibit challenging behaviour and described what approaches to use how to offer reassurance and key terms to use. We saw that evidence in the care plans that the person living at the home could take risks as part of their everyday life and that risk management plans were in place to minimise risks. Each staff member had signed to indicate that they had read and understood the different sections of the care plan and all risk assessments. Care Homes for Adults (18-65 years) Page 13 of 29 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 at the home are able to make choices about their life style, and are supported to develop life skills. People are supported to engage in activities and to keep in contact with friends and family. Evidence: The manager stated in the Annual Quality Assurance Assessment (AQAA) that, As a team we respect and listen to the service user encourage her individuality, uphold her rights, privacy and dignity. Support and encourage her with new activities and challenges whilst respecting her right to refuse or withdraw from anything she doesnt want to do. Evidence gathered throughout this inspection would support this. Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: We examined daily record sheets during our visit to the home. These are compiled at the end of each shift to document what care and or support has been provided alongside any important issues from that shift and provided detail of what activities the person had done during the day. The daily record sheets provided evidence that people have the opportunity to take part in a range of leisure, and social activities as well as the opportunity to learn and improve on daily living and other skills. For instance, we saw that in the days running up to our visit the person had been out for lunch, out in the car, been to the hairdressers, shopping for the household food and a trip to Portsmouth. We also saw that they had been supported to take part in domestic tasks of their own choosing We saw recorded evidence that the person had been provided with choices and that their right to refuse to do something had been respected. The type and level of support recorded as provided was as described within the care plan. When asked how they had improved since the last inspection the manager told us in the AQAA that they had more staff and that this had enabled them to reorganise the rota. The manager said that this had provided the person with more choice in who she would like to support her. I feel we have better use of our staffing when doing the rotas and as a result the service user has had the choice of going out to events and we have been able to be more flexible if she hasnt wanted to do something at the planned time we have been able to offer it at a time the service user has been happy with. Observations during the visit to the home were that the person living there had the freedom to choose whether or not to engage in activities and how to spend their time. It was clear that the routines around the house are totally driven by the needs and wishes of the person living there with no restrictions, other than health and safety related matters in place the resident is free to move around her home as and when she likes. Evidence was seen that people are offered a balanced menu and that meals are chosen based on individual likes and health care needs. Care plans reflected the persons dietary needs and provided guidance for staff. The resident is supported and encouraged to maintain links with her relatives and they are regularly involved in reviews and other decision-making areas that may affect the person. Care Homes for Adults (18-65 years) Page 15 of 29 Care Homes for Adults (18-65 years) Page 16 of 29 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 person living at this home is fully supported with their health-care needs and have access to a range of health-care support. They receive personal support in the way they prefer and according to their needs. Evidence: From evidence recorded in the care plans and from observations and discussion it was evident that people were receiving support with their personal care needs in line with their needs and preferences. Care plans, the Annual Quality Assurance Assessment (AQAA) and associated documents examined during our visit, provided us with enough information to demonstrate that health care needs are being met and that the person living at the home had access to a range of health services. Records seen during the visit demonstrated that the home liaises with outside professionals and other agencies as appropriate and that people had access to a range Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: of health care services such as GPs and dentists and. We saw evidence that the persons health care support needs are monitored and that they were supported to attend appointments as necessary and received regular medical reviews. Within the care plan was an individual health support plan. This included risk assessments associated with supporting the person with health, mobility, moving and handling needs and those associated with diet. There were clear and specific guidelines within the care plan regarding supporting the person with their personal care and needs. Detail within the care plan was very person centred and described the way, methods to use and the order that they liked things done. This demonstrated that the persons personal preferences were being respected. This is particularly important as the person has complex communication needs and as such someone unfamiliar with the person would be able to provide care and support to the person in a way that respected their wishes. The values of privacy, respect and choice were all addressed within the care plan. We examined the medication administration records during the visit our visit. From examination of these records it was evident that staff were following correct administration recording procedures. The home has a written medication policy and clear procedures. Evidence was seen to demonstrate that staff undergo training before being able to administer any medication. Care Homes for Adults (18-65 years) Page 18 of 29 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. Satisfactory systems are in place for people to address any concerns or complaints that they may have. Procedures are in place to offer them protection. Evidence: No complaints regarding the home have been reported to the Commission for Social Care Inspection since the last inspection. Data in the Annual Quality Assurance Assessment (AQAA) told us that the home had not received any complaints in the last twelve months and examination of the homes complaint log supported this. The findings of the previous inspection were that the home had a clear and effective complaints procedure and that procedures within the home protected people from abuse. The Annual Quality Assurance Assessment (AQAA) stated that the home had made further improvement in this outcome area by, putting the complaints procedure on to CD format and by discussing with staff their responsibility to report any concerns and making sure that they were aware of the procedures. Evidence recorded in the AQAA and through discussion with the manager Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: demonstrated that the home continues to try and improve on the accessibility of information such as the complaints procedure to the person living at the home. Evidence was seen that the homes complaints procedure had been supplied to the persons family and that the person had access to an independent advocate should the need arise. The home has the facility to looks after peoples money. We looked at the procedures for looking after peoples money and checked the records for the person living at the home. All transactions had been recorded and receipted as per the homes policy and the storage facilities were safe and secure. The home has adequate policies in place regarding responding to issues of potential or suspected abuse and we saw evidence that staff at the home receive adult protection training. Care Homes for Adults (18-65 years) Page 20 of 29 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 person living at the benefits from living in a comfortable, safe and clean home. The widening of paths in the rear garden would enable them to have more independent access. Evidence: We looked at all areas of the home during our visit. The home is a purpose built bungalow with wheelchair accommodation on all ground floor areas and access to the gardens front and rear for the sole use of the person living at the home. There is staff accommodation and a small office provided via a stair to the upper floor sited in the roof space. This includes a sleep in facility and a staff toilet / bathroom and some storage space. The home was found to be clean and tidy and homely. Cleaning schedules are in place that require staff to undertake household cleaning tasks on a daily basis and these include vacuum, kitchen cleaning, bathroom cleaning and washing all floors. Other tasks such as cleaning fridges are scheduled to take place on at least a weekly basis. From observation the person living at the home was relaxed and at home in their environment and were able to pursue their own interests around the home as they Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: chose. The person living at the home allowed us to look at their bedroom and we saw that their room contained personal possessions and was personalised and appeared in good decorative order. Risks to the person living at the home from the physical environment had been identified and systems had been put into place to minimise these risks. Adaptations were in place as necessary. The manager told us that several furnishings had been replaced in the last twelve months and all communal areas of the home were scheduled to be redecorated within the forthcoming month. Personal photographs of the person and their family were on display around the home and this assisted in creating a homely feel. The manager reported that the housing association who own the property had agreed to remove some large trees form the rear garden to enable the person living there more access to the garden. Staff told us that the person spends a lot of time in the garden during the summer. However we saw that currently the paths in the rear garden need to be widened to enable the person to access the lawned areas independently. At present access is limited to the patio area only. Care Homes for Adults (18-65 years) Page 22 of 29 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 are employed in sufficient numbers to meet the needs of people living at the home. They are well trained and undergo a thorough recruitment process. Evidence: We looked at the staff rota for the day of the visit and this proved to be a true reflection of the actual staff on duty. The home had employed some additional staff since the last inspection. As discussed in the lifestyle section of this report the home had employed these people so that they could offer the person living at the home more choice and a greater opportunity to take part in activities at a time of their choosing rather than this being determined by staffing levels. We looked at the recruitment records for two members of staff who had been recruited to work at the home since our last visit. The recruitment records of two members of staff who had been employed by the home since the last inspection were examined. These demonstrated that the home follows procedures and carries out all relevant checks on staff prior to recruitment. This was supported by evidence supplied in the AQAA and was consistent with the findings of previous inspections. We saw evidence that new staff had undertaken skills for care linked induction Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: training and a basic induction into the home. Equally we saw that staff receive appropriate and regular training and that they are required to attend courses to update their training and skills. At the time of this visit all staff were trained to at least an NVQ level two in care. Care Homes for Adults (18-65 years) Page 24 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed. The home is well maintained and equipment is serviced to keep everyone safe. Evidence: At our last inspection of this home in January 2007 we judged this outcome area to be good and found that, The registered manager is qualified, competent and experienced to run the home and meet its stated purpose, aims and objectives. When we carried out an Annual Service Review of this service in April 2008 the conclusion was that, the home was still providing a good service and that they knew what further improvements they needed to make. Since the last inspection the registered manager has completed a Registered Manager Award qualification. Data and information recorded in the Annual Quality Assurance Assessment (AQAA) proved to be a true and accurate reflection of the service and demonstrated that the manager regularly reviews the quality of the service and knows Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: what is needed to continue improving the service. Data recorded in the AQAA told us that policies and procedures are kept under regular review and examination of a sample of these confirmed this. The AQAA also gave details and evidence that maintenance checks, tests and servicing of equipment are carried out on a regular basis evidence seen during the visit substantiated this. Examination of the fire logbook demonstrated that regular and thorough testing and servicing of the homes fire detection and fire-fighting equipment was being carried out and other appliances as appropriate. The home has systems in place to monitor the quality of service that it provides. A representative of the organisation regularly undertakes visits to the home and reports of these visits were available for examination. From these we saw that during these visits the views of those living at the home are listened to, records are checked and the safety and upkeep of the environment monitored. Additionally to the this the manager reported that they were in the process of trialling a new system whereby a manager from another service visits and audits the service. There were not any concerns with regard to safety within the home environment. Care Homes for Adults (18-65 years) Page 26 of 29 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 27 of 29 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 28 of 29 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 29 of 29 - 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!