Care Home: Glyn Residential Care Home

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What the care home does well Health care professionals and staff report that the home is good at meeting the care needs of the residents and that the residents are encouraged to be independent. Staff made the following comments: `makes sure the clients are happy, well cared for and entertained,` `maintains a happy, secure and friendly atmosphere for service users as well as making it homely.` There are opportunities for residents to engage in activities including leisure and social pursuits. Holidays are arranged and the home has its own transport so that residents can access community facilities such as shops and pubs. Adaptations have been made to the environment so that residents can be as independent as possible. Staff were observed to be skilled in communicating with residents using specialist communication techniques and equipment. Staff report that the home is clean and hygienic. Sufficient numbers of staff are provided to meet residents` needs. There is a staff training programme and staff are supported in developing their skills and knowledge. Staff recruitment procedures protect the residents. The home has procedures for reviewing its service provision. Checks are made regarding the home`s health and safety. What has improved since the last inspection? Staff have received training in the confidential storage of documents, safeguarding of vulnerable adults, infection control and in person centred planning. The aspirations of residents has been included in the care planning. The supervision of staff has been developed and each staff member now has a training profile. Menu plans have been revised in consultation with the residents. Ongoing improvements have been made to the environment such as new flooring in a bedroom. A quality assurance system has been introduced whereby the home`s management checks various aspects of the home`s operation including consultation with residents, professionals and relatives. The home has reviewed its fire safety procedures. What the care home could do better: The home`s assessment pro forma for those referred for possible admission to the home is for domiciliary care for people with a hearing impairment. A format more appropriate to those with a physical and learning disability should be devised. Care plans specific to individual residents need to be devised for those proceduresbeing carried out under the direct supervision of a community nurse. Greater security of residents` belongings is needed. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Glyn Residential Care Home 6 Dudley Avenue Hordle Lymington Hampshire SO41 0HY     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: Ian Craig     Date: 2 2 0 4 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.cqc.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: Glyn Residential Care Home 6 Dudley Avenue Hordle Lymington Hampshire SO41 0HY 01425614595 01425614595 info@glyn-residential.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Glyn Residential Ltd care home 7 Number of places (if applicable): Under 65 Over 65 0 0 0 learning disability mental disorder, excluding learning disability or dementia physical disability Additional conditions: 7 7 7 The maximum number of service users who can be accommodated is: 7 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 Mental Disorder, excluding learning disability or dementia - MD Physical disability PD Date of last inspection Brief description of the care home Glyn Residential Care Home is one of three homes owned by Glyn Residential Limited and currently provides personal care and accommodation for seven people with learning and physical disabilities. An additional three service users, from one of the other homes, go daily to Glyn for day care. The home is located in a quiet rural area of the New Forest but is within reach of local shops. Glyn has a mini-bus to access wider Care Homes for Adults (18-65 years) Page 4 of 28 Brief description of the care home community networks. The home is a large chalet style bungalow accommodating six people on the ground floor and one person upstairs. Six of the bedrooms have en-suite facilities. Communal space consists of a lounge/dining room, conservatory and a good size and accessible garden. The cost of living at the home ranges from 507.50 to 1109.00 pounds a week. Additional charges are made for hairdressing, chiropody, toiletries, some activities and transport. 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: We visited the service for approximately 4 hours during which we spoke to 3 residents and 2 staff. Discussions with the manager also took place. A tour of the building was undertaken when residents bedrooms and the communal areas of the home were seen, including the garden. Surveys were sent to staff, residents and health and social care professionals. These asked people to give their views of the service. These were returned by 3 health care professionals, 6 staff and 5 residents. Relatives supported residents in completing the surveys. Records, documents and policies and procedures were looked at. Care Homes for Adults (18-65 years) Page 6 of 28 Registered care services are required to complete an Annual Quality Assurance Assessment (AQAA). This was completed by the home and returned to the Commission. Information contained in the AQAA has been used for the purposes of this report. What the care home does well: What has improved since the last inspection? What they could do better: The homes assessment pro forma for those referred for possible admission to the home is for domiciliary care for people with a hearing impairment. A format more appropriate to those with a physical and learning disability should be devised. Care plans specific to individual residents need to be devised for those procedures Care Homes for Adults (18-65 years) Page 8 of 28 being carried out under the direct supervision of a community nurse. Greater security of residents belongings is needed. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 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. Prospective residents are able to make an informed choice about moving into the home. The service takes steps to ensure that it accommodates those whose needs can be met. Improvements are needed to the documentation used by the home for assessing prospective residents needs and for giving information about the home to prospective residents. Evidence: The home has a Statement of Purpose and a Service Users Guide. These contain information about the services provided by the home. These are not in an easy read format for people with learning disabilities. The documents should be reviewed, updated and consideration given to being a useful document that residents can use. Three of the four surveys returned by residents relatives state that enough information was received about the home before their relative moved in. One person said that enough information was not provided. Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: The current residents have lived at the home for a number of years. The home has not admitted any new residents for more than 6 years. The home has an admissions policy, which refers to an assessment being completed on anyone referred for possible admission to determine if the home is suitable for the persons needs. The procedure does not refer to prospective residents being able to spend time at the home to see if it meets their needs, but the manager confirmed that this would be the usual practice. The manager said that an assessment pro forma is used to assess the needs of anyone referred for possible admission. This includes reference to obtaining reports form social services. This assessment pro forma is entitled, Assessment for domiciliary care. Deaf services. A domiciliary care agency for people with a hearing impairment runs from the homes office. The home should devise an assessment pro forma for people referred for possible admission that is appropriate to the needs of those with a physical and learning disability. Care Homes for Adults (18-65 years) Page 12 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans and risk assessments show that each person is able exercise choice and control over their lives, although care plans need to be updated to show procedures being followed by staff. Evidence: Care records and care plans were looked at for 4 people who live at the home. These follow a set format. There is a page detailing each persons personal details such as name, date of birth, next of kin and doctor. Care plans include details of the individuals preferred times for getting up, meals, and preferences of how they like to spend their day. Social needs are also recorded and include details of activities attended, outings, communication and educational needs. There was a variation in the amount of detail recorded about residents social needs with some having more information recorded than others. Details of how each person manages their finances is recorded. Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: Seven staff have completed a course in Person Centred Care Plans. Records show that residents needs are reviewed and assesed by social services. Assessments and risk assessments are also carried out and recorded for moving and handling and pressure sore prevention. Each person has a nutrition assessment and details are recorded for staff to follow so that residents have adequate food and fluids. Each persons weight is monitored and recorded. Assessments are carried out and recorded for areas or activities where there is an element of risk and for the use of equipment where there is also a risk. These include guidleines for staff to follow to minimise risk. It was noted that for one person the risk assessment had not been updated to reflect a recent change in how someone is supervised when going out which was detailed in a letter. Surveys received from 4 residents relatives state that residents are able to make choices about what they do each day. One relative said that this is usually the case and 2 others sometimes. One person did not give a full reply but added that stimulation and activites are provided. The surveys confirmed that residents are able to choose what they want to do in the day, evenig and at weekends, although one person said this choice was only availbale at weekends. The home supports residents to have their own meetings to discuss life at the home. These are recorded. The Lifestyle section of this report details that more information is needed to show that individuals needs and preferences are recorded for social, recreational and leisure needs. The Personal and Healthcare Supporet section refers to the lack of care plans for staff to follow when involved in procedures normally carried out by registered community nurses. Care Homes for Adults (18-65 years) Page 14 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. Residents are able to spend time as they choose and have opportunities for stimulation and meaningful activities suited to their individual needs. Evidence: Residents were observed watching a DVD movie on a projector. A resident showed the inspector his/her room. He/she had photograph albums of recent social events, attendance at his/her family celebtations and outings. Staff were observed to have skills in communicating with the resident using recognised pictorial interaction. The bedroom included specialist equipment so that the person can operate his/her television independently. The home has links with a local college who assess the educational needs of each resident on an annual basis. The college provides courses for the residents in computer Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: skills and other subjects. Records show that another person has a private tutor, attends a communication course, goes to hydrotherapy and swimming, attends music classes, goes on trips out, on bus rides as well as to the shops and to pub lunches. The home has access to a mini bus which is specificaly adapted for the residents. Residents were seen returning from their attendance at a nearby day centre. The preferred options for each persons daily liestyle were recorded. A health care professional states that the residents are able to spend their time as they wish. The home previously maintained a weekly planner for each person showing what they are doing on each specific day. It was also noted that the home does not carry out its own assessment of the social, recreational, educational and leisure needs of the individuals who live at the home. It was highlighted that this may be beneficial to the individual people who live at the home. Residents are supported to have a holiday. Three residents referred to having holidays and the manager said that residents often have a holiday with relatives and sometimes abroad accompanied by 2 staff. A residents relative commented that the home provides stimulation and interest to their relative living at the home. Each person has a diet specific to their needs and choices. This may involve the preparation of liquidised food. A lunch menu plan is displayed in the kitchen area. The residents choose the meals for the 4 week menu plan. Staff were observed helping residents with their food at meal times. The home has a dedicated chef for 5 hours each day including weekends. The layout of the kitchen means that residents are not able to take part in cooking activities. The manager explained that opportunities for cooking are available by food preparation in the dining room and by using the cooking facilities at another home. One staff member said that there could be more group activities for the residents, such as cooking. Care Homes for Adults (18-65 years) Page 16 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. Although the health and personal care needs of the people who live in the home are met improvements are needed so there are clear guidelines for staff to follow when carrying out specific care routines. Evidence: Records show that the home is involved in working with community and hospital health services in arranging healthcare for the residents. This includes appointments for services by speech and language therapy services, general practitioners, the dentist, the optician, chiropody services, physiotherapy services and community nurses. Each person has a 21 page assessment of their health needs which is recorded in written and pictorial format for easier understanding by the residents. Staff are involved in some procedures normally carried out by registered community nurses. Records show that the community nursing service has trained these staff to a standard that allows them to complete these tasks. Care staff spoken to on the day of the visit said that the had received this training and were aware of what to do. It was Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: noted that for 3 people having a similar procedure that there was no care plan giving instructions on what staff should do and what the persons preferences are. For catheter care for one person there was a record of a health service guidleines. The manager agreed that these procedures should be recorded in a care plan specific to each person. Surveys were received from 3 healthcare professionals, including a general practitioner. Each person said that the home always meets the health care needs of the residents and that the home always promotes the dignity and privacy of the residents. Comments included the following: Excellent staff. Seek advice appropriately. Have great sensitivity to the health needs of the residents. I honestly think they do a great job. The home takes on board the advice and preventative care as advised by the dental team. Always bring patients to their appointments and support them throughout treatment in whatever form it takes e.g local anaesthetic, sedation or general anaesthetic. Staff said that the home meets the personal and healthcare needs of the residents and that the staff are given up to date information about the residents care needs. The homes medication procedures were looked at. The home has a copy of the Royal Pharmaceutical Society Guidelines for administering medication. This is held with the medication administration recording sheets. Staff record their signature each time they administer medication to a resident. Medication is securely stored. Staff receive training in handling and administering medication from a local pharmacist and on a Care of Medicines course. Care Homes for Adults (18-65 years) Page 18 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 residents are protected from possible harm and the hom ehas an effective complaints procedure. Evidence: There is a complaints procedure which is also available in an easy read format so that residdnts can understand the process. The home has not received any complaints. The home has a written policy on protecting vulnerable adults as well as a copy of the local authority safeguarding and adult protection procedures. Staf have completed training in the Safeguarding Vulnerable Adults and certificates of attendance were seen. Staff also confirmed that they have attended this training. The home supports residents to manage their finances and holds money and valuables on their behalf. Records are kept of any amounts depositted or withdrawn plus a corresponding balance. The records were checked against the amounts being held for 2 people. One persons record did not correspond with the amount being held. This was checked against historical records where an error was found to have been made. The record was corrected. For the second person the record tallied with the amount being held. It was noted that the storage of valuables was not secure. Care Homes for Adults (18-65 years) Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides good facilities for the residents who are able to personalise their rooms. Evidence: A tour of the home took place which included the communal areas, bedrooms and the garden. Residents were seen using their bedrooms and communal areas. This included residents who were watching a movie on a large screen in the lounge. Three residents were sat for a time enjoying the spring sunshine in the garden. Bedrooms contain numerous items of personal possessions. A resident was keen to show the inspector his/her bedroom and the photograph displays he/she has. Adaptations have been made to bedrooms including the use of profile beds and equipment so that residents can be independent in daily tasks. Ramps are used so that residents in wheelchairs can access the garden. There is a stair lift for the resident whose bedroom is on the first floor. Residents are able to have a key to their bedroom door. At the time of the visit none of the residents wished to have a key to their room according to the manager. Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: Each bedroom has either an en suite toilet or an en suite bathroom, with one exception where the resident has exclusive use of an adjacent bathroom. The home was found to be clean. Each of the residents or their relative who returned a survey say that the home is always fresh and clean. 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. The home provides sufficient numbers of well trained staff so that residents needs are met. Staff recruitment procedures prootect residents. Evidence: The home aims to provide between 2 and 3 care staff from 8am to 6pm each day. From 6pm there are 2 care staff on duty. Night time staffing consists of one waking and one sleep in staff members. The sleep in staff member is on waking duty from 5.30am to cater for a resident who likes to get up at this time. The staff rota and observation shows that the home maintains these staffing levels. The manager explained that staffing levels can be increased at short notice by using a bank of relief staff so that residents changing needs can be met. The staff who returned surveys state that the home either always or usually has enough staff to meet residents needs. Staff spoken to on the day of the visit also said that there are sufficient staff on duty. In addition to the above staffing levels, the home has a cook for 5 hours each day and a cleaner for 3 hours each day. Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: Staff confirmed in the surveys that they receive an induction which prepares them for work at the home. A record of induction is maintianed to show that each person is prepared for the job. This includes an assessment of the persons ability including understanding of confidentiality and equal opportunities. One peson added that they are informed of any changes. A handover sheet is used to communicate information about residents needs, and other matters about the home, from one staff shift team to another. Staff said that they have the right skills and experience and that they receive support so that residents needs are met. Staff meetings are held and a staff member said that there are opportunities to discuss any matters about the home. Staff confirmed that they receive supervision and records of individual staff supervision were seen. The training needs of staff are assessed and the home has a training programme. The home has links with a local college and with Hampshire County Council for the provision of staff training. Each staff member has to attend training in health and safety, first aid, moving and handling, infection control, adult protection, fire safety and food hygiene. Some staff have attended training in the Mental Capacity Act 2005 and there are plans that each staff member will complete this training. Other courses attended by staff include epilepsy, Huntingdons Chorea, Cerebral Palsy and challenging behaviour. Training in medication and person centred planing has been attended by some of the staff. This was confirmed from training records and from staff. 4 staff have attained National Vocational Qualification (NVQ) level 2 in care and 2 staff are studying for NVQ 2 and one for NVQ level 3. One new staff member has been recruited since the last inspection. Records show that the required checks were carried out before the person started work. 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. The home is well managed and run in the best interests of the people who live there although the inspection identified that procedures need to be recorded in more detail to ensure that staff have clear guidance. Evidence: The manager has completed the Registered Managers Award (RMA) and has managed the home for several years. Staff say that they feel comfortable approaching the manager and the senior carer. Staff also report the homes manager, and the owner, to be supportive and helpful. Since the last inspection a quality assurance system has been introduced. This includes obtaining the views of residents, health care professionals, staff and residents relatives. Staff are also asked about their training needs. Audits are carried out and recorded for the following: health and safety, medication, employment and accidents in the home. A record is made of any faults or repairs that need to be attended to. The homes management is devising an annual development plan which should be ready by Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: October 2009. The AQAA shows that the homes appliances and equipment are tested and serviced by suitably qualified persons. Checks are made on the possibility of legionnaires disease. The home was recently inspected by the Environmental Health Department when one recommendation was made. Measures are taken to protect residents from the possibility of scalds from hot water and burns from hot radiators. 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 19 15 Care plans must include 01/06/2009 guidance for staff when carrying out health and personal care procedures under the supervision of community nursing services. So that staff have guidance that ensures health and personal care is delivered consistently and as instructed by district nursing services. 2 23 16 Residents valuables and money must be securely stored. So that residents valuables and money is protected. 29/05/2009 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: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). 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