Care Home: Hampton House

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Hampton House Tonmead Road Lumbertubs Northampton Northants NN3 8JX The quality rating for this care home is: 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: Ansuya Chudasama Date: 1 8 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. They reflect the things that people have said are important to them: 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. Reader Information Document Purpose Author Inspection report CSCI Page 2 of 35 Care Homes for Adults (18-65 years) Audience Further copies from Copyright 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 35 Information about the care home Name of care home: Address: Hampton House Tonmead Road Lumbertubs Northampton Northants NN3 8JX 01604403733 01604413832 richard.heap@scope.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): SCOPE Name of registered manager (if applicable) Richard Heap Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 27 27 0 0 care home 27 learning disability physical disability Additional conditions: The primary need of all service users is Physical Disability. Service Users may also have a Learning Disability. To include within the total of 27, a maximum of 1 service user in need of Personal Care by reason of Physical Disability and Learning Disability over the age of 65 years. Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 35 A bit about the care home Hampton House looks after people who need care. The people who live at the home have a physical disability and learning disability. The people and their family are given information about the home to find out if their needs can be met Care Homes for Adults (18-65 years) Page 5 of 35 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: 1 Star rating (adequate) Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 6 of 35 How we did our inspection: This is what the inspector did when they were at the care home We inspected the home on the 18th of January 09. We spoke to the staff We spoke to some of the people living in the home. We looked at information about some of the people living in the home Care Homes for Adults (18-65 years) Page 7 of 35 We looked at information about policies and procedures, which tells the staff how to do things in the home. We looked at the training staff carried out to look after the people living in the home. We watched how the people living in the home and staff got along together. We looked at surveys we received from the people and the staff to tell us how the Care Homes for Adults (18-65 years) Page 8 of 35 home was meeting their needs. What the care home does well One person said its great living here. All the people spoken to say that they like the food. They have different ‘take away food’ on Saturdays that they choose. Care Homes for Adults (18-65 years) Page 9 of 35 The staff help people make decisions. One person said ‘I like going to college’. A few people go to the day centre. The people know who to tell if they are not happy and one person said ‘if I am not happy I will tell the staff’. Page 10 of 35 Care Homes for Adults (18-65 years) The people do cooking with staff and enjoy this. The home has an advocate who chairs the people’s meetings. The people like their bedrooms. Care Homes for Adults (18-65 years) Page 11 of 35 The staff enjoy working at the home. They do training so they know how to look after the people’s needs. They get support from management. Care Homes for Adults (18-65 years) Page 12 of 35 What has got better from the last inspection What the care home could do better Provide accommodation that meets all the people’s needs. Care Homes for Adults (18-65 years) Page 13 of 35 Review the care plans. Provide information about the home that the people will be able to understand. Increase the staffing levels at the weekend so the people are able to go out with staff. Care Homes for Adults (18-65 years) Page 14 of 35 If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Ansuya Chudasama 33 Greycoat Street London SW1P 2QF 02079792000 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 15 of 35 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 16 of 35 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The people and their representatives are provided with information and encouraged to visit the home prior to making a decision to stay Evidence: The home has a Service User Guide but this has not been updated as stated in a user friendly format that the people in the home can understand since the last inspection. The information about CSCI is also not correct in the document. The fees charged for staying at the home needs to be recorded in the Statement of Purpose. We were told that no new people have been admitted to the home for a long time. However we are told that when a new person is admitted to the home, an assessment would be undertaken involving the persons funding authority, and their family. The questionnaires returned from the people say that they were asked if they wanted to come to the home and their family were given information about the place before they moved in to the home. The people in the home have contracts with the organisation of the home. Care Homes for Adults (18-65 years) Page 17 of 35 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 planning systems are in place to provide staff with the information they need to meet the needs of the people Evidence: Evidence showed that all the people living in the home had care planning documents. Information read in the plans showed that the people had personal, and health care needs recorded. Information on potential restrictions on choice, freedom, and services also needs to be recorded in the plan. The staff spoken to said that they look at the peoples care plans to find out how to meet their needs, and they also contributed to updating the plans. Evidence showed that many care plans were implemented in 2005 and these were not always being reviewed on a six monthly basis and when changes occurred. The files also needed to be organised better. Discussion with senior staff stated that they were in the process of reviewing all the care plans in a format that the people can understand. This new process sounded very Care Homes for Adults (18-65 years) Page 18 of 35 Evidence: good. We were also told that the people had their own care plan document in simple picture format, which they kept in their room, and they had been involved in doing these plans. The manager told us after the inspection that some staff had attended the person centred planning (PCP) training provided by the Local authority. We were told that the home has started doing PCP in line with this training with one person in the home, and this was going to be completed with all the people in the home. The home undertook risk assessments for people living in the home when undertaking activities to minimise potential risks. We had a discussion with the senior staff to explain that the home could have risk assessments developed in a user friendly format that the people living in the home could understand and some of the information needed expanding. Also when a risk assessment is undertaken for a person, this information needs to be recorded in their care plan. For example information such as choking, hitting out in temper was not recorded in the care plan seen. Care Homes for Adults (18-65 years) Page 19 of 35 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 . The people in the home choose the menus and enjoy the food they are served. Evidence: Some of the people in the home attend day centres during the week. The home had an activity room and this room had a big television and the people were able to see the picture better. We were told that the daily activities in the home varied from day to day for the people and this also depended on what staff were available on duty. Some of the activities consisted of doing art and craft and going out in the community to do activities such as shopping, eating out, and going to the cinema. Once a week the people do cooking as an activity and enjoy this. We were told that a student from a college comes once a week and helps with the gardening. The home needs suitable chairs and a table in the garden, and a gazebo to Care Homes for Adults (18-65 years) Page 20 of 35 Evidence: protect the people from the sun when out doors. The people from the college also come once a week during term time and do music sessions with the people. On the day of the inspection a member of staff was observed doing Sound beam which enabled the people to listen and produce music using ultra-sonic waves. The people were observed enjoying doing this activity. Two people had gone to church on the day of the inspection and we were told that the people had a Chinese take away food yesterday and every one enjoyed this and this happened on most Saturdays. The staff use a book with pictures of meals for the people to choose from, and this is discussed in their meetings. Those people spoken to say that they get on well with each other and this was observed on the day of the inspection. We were told that they like the staff and the food. But some said that they wanted to go out with staff but could not do this due to being short staffed. We observed lunch being served and the staff were observed serving the people in a helpful manner. The staff showed that they had good understanding of the peoples dietary needs, and there was information kept in the kitchenette area for staff who were not sure of this. We observed staff standing up when feeding people who needed this support. We were informed and evidence showed that the staff did not have enough room to sit in the dining room to help feed the person. All those people spoken to said that they enjoyed the Sunday roast dinner and this was also observed by watching peoples facial expressions. One person was observed asking staff to give them a napkin and this was provided. The home needs to ensure that there are napkins on the table at meal times. We were told that the old aprons were being replaced with new ones for the people to use when having their meal. We spoke to a relative and it was said that the staff are very pleasant, caring and wonderful. They also said that they have eaten the meals in the home and these were said to be very nice and they had no complaints. We were told that their family member had been at the home for many years and loves it at the home and said its like home from home. An advocate attends a committee meeting once a month and represents the voice of the people. Issues about having new tables, curtains, sofas and other things needed for the people are discussed. At present a lot of the furniture is old, and not suitable to meet the peoples needs. The home has three mini buses, one holds 5 people, another one holds 4 people, and the third one holds 2 people. The home also has one car. Care Homes for Adults (18-65 years) Page 21 of 35 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 . There is evidence that the peoples health care needs are being met by the home. Evidence: The people seen were dressed appropriately and staff spoken to had good understanding of the personal care needs of the people being cared for. One staff said that if they were not sure, they would look at the persons care plan. Staff had good understanding of how the peoples health care needs were being met by the home. Health Care records inspected showed that health professionals were being accessed by the home when required. Annual health checks were also being carried out. A family member spoken to said that the staff keep them informed of their family members health needs and they are involved in how they are being cared for by the staff. They are also made to feel welcomed by staff, and they stay the night and support their family member by accompanying them to health appointments. The accident and emergency sheet needs to have information that is understood by all. The home had a controlled drugs cupboard but no one in the home was having any controlled drugs. The medication records inspected showed that these were being completed fully. Only senior staff who had received this training were able to give out Care Homes for Adults (18-65 years) Page 22 of 35 Evidence: medication. We observed staff giving out medication and this was done well. The home are now training other members of staff to administer medication. We were also told that the people in the home will be keeping their own medication in their room after the risk assessments are completed by staff. Care Homes for Adults (18-65 years) Page 23 of 35 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 and the people living in the home know who to speak to if they are not happy Evidence: The home has a complaints procedure and the people living in the home know how to make a complaint if they are not happy. It was said that they would tell the staff, or their family people or the college that some attended. The complaints book looked at showed that the manager had followed the proper procedures when dealing with complaints. The staff spoken to stated that they had done training on safeguarding of vulnerable adults. They gave examples of how they would be able to tell if a person in the home was unhappy. One persons finances were looked at in detail and the balance was correct. The bank statements were kept in the peoples files and there was information regarding how the home managed their finances. Care Homes for Adults (18-65 years) Page 24 of 35 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The staff work hard to provide a homely place for the people and there is a rolling programme to improve the decoration, fittings and fixtures to meet the peoples needs, but the premises are old and do not meet the changing needs of the people living in the home. Evidence: The tour of the home showed that the ceiling lights in most of the communal areas are those used in industrial buildings and did not feel homely. The manager told us that the people chose these lights because these were brighter than the previous ones. The home had three dinning combined lounge area with small kitchenette areas. We were told and observation showed that the rooms were not big enough to meet the needs of the people living in the home. Each area we were told had 9 people and a staff team. A risk assessment needs to be undertaken for Parkside lounge as we observed this room to be very crowded. We were also told that when the home was first opened, the wheel chairs used were small and some of the people were able to walk. But the needs of these people have changed and a lot of people have wheel chairs which are much bigger and take up more room. The bedrooms of the people in the home were individualised. Some of the people told Care Homes for Adults (18-65 years) Page 25 of 35 Evidence: us that they like their bedrooms. Some of the rooms have tracking but there were rooms that did not have this. Some of the rooms of the people were not big enough to have a chair for visitors or for the people to sit on. Also due to the limited space, one person has to have their physio exercise matt stored away in the garage. The furniture in some rooms was old and worn out. Some rooms used curtains to hide the area where peoples clothes were being hung. One of the toilet floor needed attention, and the broken tiles needed replacing and the place needed decorating. Most of the doors in the home needed to be painted due to signs of wear and tear. One of the lounge areas has a television above the sofa and this was displayed too high and did not meet the needs of the people, and did not provide a homely atmosphere. Another room also had the television put up too high. Both televisions needed to be bigger so the people can get a better view of the picture. One of the rooms also had three chairs stored in a small corner with a hover and this did not feel homely. The home had a visitors room with a small kitchen and a bathroom. This was very good and some families stay the night when they are needed to support their family member. One of the bathrooms had a bath in the middle of the room. The notes read from the staff meeting and talking to staff stated that the space was very confined in the room. We were told that the room got very hot when bathing a resident. The staff have to leave the bathroom door open to cool the air. The staff do put a screen around the area to preserve the persons dignity. The bathroom has an extractor fan but this is not effective in keeping the room cool. All the bathrooms and toilets need to have signs so every one knows what they are. One toilet had two large sanitary bins and again this limited the space in the room. The home needs to ensure that these bins are emptied on a regular basis. On the day of the inspection these were very full and had started to smell. The chain in the toilet was difficult to use. The toilet system had a wheelchair belt but the staff were not sure what this was for. The carpet in some areas needed replacing. The staff informed us that the carpets are cleaned regularly but the stains were difficult to get rid off. The curtains in some areas were also coming off the hooks because the people accidentally pull them when moving around in their wheelchairs. We were told that the blinds were said to be better than curtains to meet the peoples needs. The hoists in the corridors need to be stored in a suitable place. There were lovely pictures of the people living in the home displayed in the corridors. The pipes in the home are not all covered up, and the inspector scolded their hand when holding on to one of the pipes in the corridor area. The radiators in the peoples bedrooms and communal areas are not covered and these were hot. We observed strips of carpet being stuck on some parts of the corridor and a radiator for a person who is blind. This is so that they are able to move about by feeling the carpet. This was seen as a good idea, however a risk assessment needs to be undertaken for this activity to ensure that this practice is safe. The laundry room needs decorating and the home needs a cleaner and a laundry Care Homes for Adults (18-65 years) Page 26 of 35 Evidence: person at the weekend. This is because the staff have to do the cleaning, ironing and the laundry at the weekend. This there fore makes it very difficult for them to attend to all the peoples needs at the home and spend time with families when they visit. The Parkside lounge carpet needs replacing as this room had a very bad smell and the people in the home have also complained of this smell. It is not nice for people to eat their meals in a room that does not smell pleasant. We were told that the redecoration in the home is on going and the maintenance tasks are prioritised. We did observe that the staff in the homework very hard to improve and make the place as homely as they could to meet the peoples needs. Care Homes for Adults (18-65 years) Page 27 of 35 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 have good understanding of the needs of the people being cared for in the home. Evidence: The staff recruitment files were inspected and evidence showed that the home was obtaining the relevant information required to keep the people safe in the home. However the files needs to be organised better and a copy of the staff photograph needs to be kept in their files. The staff told us that they have staff meetings and they get on well together as a team. They also enjoyed working at the home and told us that the people in the home get good care and they try and provide a family atmosphere. We were told that the staff go an extra mile to meet the peoples needs and treat them with respect. The people living in the home said that the staff were very nice and they helped them to go to the day centre and they play music. We observed staff working and communicating well with the people. For example one staff was observed comforting a person in the home because one of the people they were close to were going into hospital. The home has maintained good staff retention of a group of staff who have worked for the home for many years and these staff provide continuity of work to the people in the home. Care Homes for Adults (18-65 years) Page 28 of 35 Evidence: Staff spoken to confirmed that they received good induction training when they start work at the home. This consisted of shadowing and reading the peoples files, and being told about fire safety procedures. They also complete the structured induction programme. Staff were being provided with supervision but this needs to happen at least six times a year as stated in the standard to monitor staff practices. The manager told us after the inspection that more than 50 of the staff have NVQ level 2 or 3 in care. We were also told that the local authority offers a lot of good training. The questionnaires that were sent back by the people said that most of them were not able to do what they wanted to do at the weekend because there were not enough staff on duty to take them out. This was observed on the day of the inspection and the home was short staffed. Some people said that they could not do what they wanted to do in the evenings because there was not enough staff. The staffing rota needs reviewing especially at the weekends and evenings to ensure that there is enough staff on duty to take people out. Discussion with the manager after the inspection stated that they were going to look at the staff working rota to ensure that there was an even balance of staff at weekends. Care Homes for Adults (18-65 years) Page 29 of 35 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The home is run in the best interest of the people living in the home and management have good understanding of the areas that needs improving. Evidence: The manager of the home was not on duty on the day of the inspection. Senior staff on duty assisted us. Discussion with the staff showed that they had a good understanding of the areas that needed improving. The staff spoken to stated that the manager was supportive and they were able to speak to him about any concerns. Information read in the AQAA regarding the section on what we could do better, the manager said to provide more suitable accommodation in terms of room sizes and ensuite facilities. Improve bathing facilities to include specialist equipment to better meet service users needs. At the last inspection in January 2007, we were advised by the manager that SCOPE are in the very initial stages of consultation with service users to establish their views for them to consider and possibly move to independent/supported living, which may if implemented result in changes to the environment. We spoke to the manager after the inspection and we were told that he was meeting Care Homes for Adults (18-65 years) Page 30 of 35 Evidence: with the SCOPE transformation team on the 23rd of March 09 with regard to moving the home forward. We were also told that the home has had discussions with the County Council about the accommodation. The manager needs to ensure that the CSCI are kept informed of the progress being made in providing accommodation that is suitable to meet the peoples needs. The home needs to develop a quality assurance system as stated in the standard and the results of the peoples surveys, should then be published and made available to the people and their representative. The people in the home have group and committee meetings, and regulation 26 visits are also undertaken. The accident and incident book and information read in the AQAA showed that there were incidents that the home needed to inform CSCI under regulation 37 notifications and other agencies. A risk assessment needs to be undertaken for all the pipe work that is not covered and for radiators that are not covered in the peoples bedrooms and in the communal areas to ensure that the people are kept safe. Fire alarm and emergency testing and fire drills were being carried out on a regular basis. Care Homes for Adults (18-65 years) Page 31 of 35 Are there any outstanding requirements from the last inspection? Yes  No  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 32 of 35 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 Description 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 Description Timescale for action 1 30 16 The carpet in the parkside lounge in the home must be replaced. 31/03/2009 So people have a plesant enviroment to live at the home at all times. 2 33 18 There must be sufficient staff 31/03/2009 on duty. To meet the needs of the people living at the home. 3 42 13 Management must ensure 30/03/2009 that risk assessments are undertaken for all the radiators and pipe work that is not covered in the peoples bedroom and in the communal areas Care Homes for Adults (18-65 years) Page 33 of 35 This is to ensure that the people are kept safe 4 42 13 Accidents and incidents must 28/02/2009 be reported in accordance with the homes policy, to the relevant agencies and under regulation 37 to CSCI. This is to monitor that the people are being kept safe 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 34 of 35 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). 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. 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