Care Home: Highfield Farm

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What the care home does well Staff encourage people to be independent and to make their own decisions. This enables people to have control over their lives. Staff are respectful to people and sensitive in meeting their needs.This helps in making sure people receive care in the way they prefer.The way in which information is gathered and kept about people means staff can provide support in a way that people need and prefer.It also means staff have in depth knowledge and understanding about each individual person and so encourage them to develop skills and experiences safely. Comments received from the people who live at the home were positive. People made comments such as,"Great living here, going out alot more since the new manager was here, going to Blackpool on Friday for the weekend from Friday to Monday. Food is really good"."Staff are good here, I sat on the staff interviews last week". Positive comments were made by a visiting relative such as, "My daughter absolutely loves it. Best of both worlds,also gets invited to functions in the home. Denise the new manager, is like a breath of fresh air, we really do admire her. Staff are better now. If there is a problem she will sort it out. Going in the right direction. Right staff coming through with the right attitudes. Denise has set up a parents forum,although we have only had one meeting so far, it is in the early stages". What has improved since the last inspection? The requirement and recommendations made at the last inspection have all been completed. The environment has been improved by curtains being hung at all of the windows. Some peoples bedrooms have been re-decorated. The installation of an ensuite wet room, has certainly improved the quality of life for that particular person. Improvements have been made to the area under the stairs by the fitting of louvre doors. This means that the storage area has improved and items that are stored and not on display and this no longer makes the home look untidy. The storage of medication has improved as it has now been moved from an area along a hallway to the first floor office. This makes sure that medication is stored appropriately and safer for staff to dispense from. Staff training such as attitudes and values and safeguarding have taken place or are to take place shortly. This makes sure that staff have the skills to carry out the work they are employed to do. All staff at the home now receive regular supervision from the manager. This makes sure that there is a consistent approach when providing direct care to people living at the home.The manager has put into place a training matrix for all staff. This makes sure that all staff receive the appropriate training they need. The manager has also introduced a parent`s forum, giving parents an opportunity to share their veiws about the service.The arrangement for charging people for transport is being reviewed by the organisation. Staff meetings are more focused on practice issues and the manager is working hard towards promoting and developing better practices, so that the staff work better as a team. What the care home could do better: The medication records were up to date apart from one persons medication record had not been signed as being given on one day at a specific time. The home should make sure that all records are kept of all medication administered to people living at the home. And that the organisations policy and procedures are followed by all staff working at the home. The organisation may wish to consider further medication training for staff at the home. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Highfield Farm Knowle Road Worsborough Barnsley South Yorkshire S70 4PU     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: Irene Ward     Date: 0 3 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: Highfield Farm Knowle Road Worsborough Barnsley South Yorkshire S70 4PU 01226287111 01226248434 highfieldfarm1@tiscali.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Voyage Ltd care home 11 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 11 The registered person may provide the following category of service only: Care home only - Code PC, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following category: Learning disability Code LD Date of last inspection Brief description of the care home Highfield Farm is a care home for younger adults providing personal care and accommodation for eleven people with learning disabilities. There is a main house accommodating eight people and a further three studio type bedsits with their own gardens within the grounds of the main house. Voyage Limited owns the home. The home is situated on a small road off Sheffield Road, about one mile from the town centre and is close to shops, pubs, and other amenities; the home is close to a main bus route. The home has two levels, with the bedrooms upstairs. All bedrooms are single and have en-suite facilities. The premises stand in large gardens and grounds with parking space. A swimming pool is attached to the home; residents can access the pool with staff supervision only. Fees range from 1,250 pounds to 2,156 pounds. Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 11 Brief description of the care home Additional charges include hairdressing, chiropody and toiletries. Prospective residents and their families can get information about Highfield Farm by contacting the manager. The home will also provide a copy of the Statement of Purpose and the latest inspection report. 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 quality rating for this service is 2 star good. This means that people who use the service experience good quality outcomes. The Commission for Social Care Inspection inspects homes at a frequency determined by how the home has been risk assessed.The inspection process has now become a cycle of activity rather than a series of one-off events. Information is gathered from a variety of sources, one being a site visit.More information about the inspection process can be found on our website www.csci.org.uk.This is what was used to write this report. A review of the information held on the homes file since its registration. One visit to the home by one inspector which was unannounced that lasted for four and a half hours. Information asked for before the inspection, this is called an Annual Quality Assurance Assessment.Comment cards had been sent although the home had not received them. Looking at two Care Homes for Adults (18-65 years) Page 6 of 29 peoples care files in detail. Some time was spent with some of people who live at Highfield Farm.Time was also spent talking to one relative visiting the home and one member of staff.The site visit took place on the 3rd December 2008. However some people living at the home were out at various activities.The new manager and a manager from one of the organisations other homes were available to assist throughout the visit and available for feedback at the end of the day. What the care home does well: What has improved since the last inspection? What they could do better: The medication records were up to date apart from one persons medication record had not been signed as being given on one day at a specific time. The home should make sure that all records are kept of all medication administered to people living at the home. And that the organisations policy and procedures are followed by all staff working at the home. The organisation may wish to consider further medication training for staff at the home. Care Homes for Adults (18-65 years) Page 8 of 29 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 9 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 10 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 properly assessed prior to admission, this makes sure that Highfield Farm is the right place for them to live. Evidence: The manager confirmed that information is made available to anyone interested in moving into the home in the form of the service user guide before they move in. There have been no new admissions for sometime.The manager said that if someone were considering moving into the home they would be given the opportunity to visit the home and stay for a meal,overnight or whatever they were comfortable with. The registered manager is aware however of the need for comprehensive preadmission assessments and explained that any such admission would be arranged via a planned introductory programme which would include visits to the home and a trial placement prior to this being made permanent.Records of two people showed that the home carried out detailed pre-admission assessments when referrals were made to the home. People visit the home and the manager asks for information from relatives and other professionals to help them decide if they will be able to meet peoples needs Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: before a place is offered. This is particularly useful for those people with complex needs. People living at the home have an individual contract or statement of terms and conditions that has been agreed between them where possible and the home.Copies were held on individual peoples file. Care Homes for Adults (18-65 years) Page 12 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. The care provided is of a good standard and encourages people to make their own decisions about how they wanted to live their lives. Evidence: People living at the home looked well cared for and staff were seen supporting people during the day and it was clear that they understood individuals needs. They supported people sensitively and supported people to make choices. Each person has an individual care plan or support plan detailing their individual needs and the actions that staff needs to follow to meet these. The care plan focuses on the person and contained information about every aspect of the persons life, they focus on achievement and improving opportunities for individuals. The care plans were very detailed and covered daily routines and how people preferred their care to be provided. All areas of daily life such as peoples personal care,activities, living skills were covered in the plans. The document provided the reader with very good information, was easy to understand and gave a sense of the person. The plans are Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: reviewed regularly. Also present were a range of risk assessments with the purpose of supporting people to live as independently as possible with safeguards in place, these were also reviewed regularly. People spoken to on the day who live at the home made comments such as, Great living here, i am going out alot more since the new manager was here. Yes its fine it is very nice here, I sat on the staff interviews last week. Also present were a range of risk assessments with the purpose of supporting people to live as independently as possible with safeguards in place, these were reviewed regularly. Comments made from a relative that was visiting the home were, My daughter absolutely loves it. Best of both worlds also gets invited to functions in the home. It is better now. She said that she is now satisfied with the service since the apppointment of the new manager and made comments such as,Denise is like a breath of fresh air we really do admire her. Staff are better now. If there is a problem she will sort it out. Going in the right direction. Right staff coming through with the right attitudes. Denise has set up a parents forum, although we have only had one meeting so far, it is in the early stages. Through discussions with the manager at the time of the visit and the contents of care plans it was clear that people are encouraged and are able to make choices wherever possible. Care Homes for Adults (18-65 years) Page 14 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 who use this service are always able to make choices about their lifestyle and are supported by staff to carry these out. Evidence: People who live at Highfield Farm have the opportunity to attend various college courses. Some people also have days at home to participate in personal shopping, laundry and household tasks. People continue to have opportunities to pursue other interests outside of the home such as going shopping, going out to nightclubs and away for weekends. Some people attend Barnsley College and do various courses such as IT skills, catering and drama classes. People had been and some where going to Blackpool for the weekend to enjoy Turkey and Tinsel nights. People have also enjoyed trips to the coast for the day. The manager said that during the Christmas holidays there would only be Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: two people at the home, as the other people were either going home or going to Butlins at Skegness for the Christmas break. People spoken to on the day made positive comments such as, Great living here, going out alot more since the new manager was here, going to Blackpool on Friday for the weekend from Friday to Monday. Food is really good. One person confirmed that they did there own cooking and went out to do there shopping for food. 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. Peoples personal and healthcare is provided appropriately and sensitively according to individual needs. Evidence: Each person living at the home is registered with a General Practitioner. People receive support from staff in attending chiropody and other health care service appointments.The manager said that the home is looking at developing a health action plan for people. And as part of that is making sure that people are registered with a dentists practice. Peoples health needs were recorded in their individual care plans or support plans. In discussions with a visiting relative who confirmed that people living at the home are prompted and supported with their personal care. Barnsley General Hospital is used for Accident and Emergency service and most out patients appointments. People have access to other health care professionals such as chiropodist. People have access to a service called Vision Call that carry out regular eye tests and hearing checks. The home operates a monitored dosage system. There is a policy in place for the storage and administration of medication for all staff working in the home to follow. The Medication Administration Records show that Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: everyone receives their medication as prescribed. However, on one persons record, on one day at tea- time, medication had not been signed that it had been given for that person.This was discussed with the manager and agreed that further staff training was needed to make sure that staff were following the correct procedures at all times when administering medication. Medication seen in the home was securely stored in a locked cabinet.The medication is kept in a locked cabinet in the office on the first floor.This was recently moved from an area along a hallway.This makes sure that all medication is appropriately and securely stored at all times. No controlled drugs are currently held. All staff that administers medication in the home have been provided with the neccessary medication training. 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. People who use the service have access to an effective complaints procedure and are protected from harm. Evidence: A comprehensive complaints procedure is followed and is made available to people and any other interested parties. The complaints procedure was on display in the home. There has been no complaints made to the home since the last inspection. There have been no complaints received by the Commission for Social Care Inspection. People when asked were clear as to whom they would speak to if they had any concerns or worries. All said they would speak to either the manager or the staff. The comments made were, I would tell the manager Denise. There is a policy and procedure with regard to safeguarding adults and the procedure to take if there is a suspicion of abuse and staff demonstrated a good awareness of this. Staff receive training in adult protection and safeguarding issues during induction training and further training when required. Further training in this area has been arranged for mid December 2008. There has been a recent allegation regarding safeguarding made and the correct procedure has been followed by the homes manager and the organisation.The appropriate agencies are involved and an investigation is ongoing. Appropriate recruitment procedures are followed, with references and Criminal Records Bureau (CRB) checks made to reduce the risk of unsuitable people working in the home. Peoples finances were not checked at this site visit. Historical evidence from previous Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: reports gives evidence that their financial interests are safeguarded. However at the last inspection a requirement was made regarding the arrangements for charging people for transport was made. It was felt that the system was unfair and not clear and transparent. The manager said that the system had ceased and the organisation was looking into having better and clearer systems in place, that makes sure that people are not taken advantage of. 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. People live in a clean, comfortable and safe home. Evidence: The home provides spacious accommodation for people. In the main house this includes a lounge, dinning room,large kitchen and sensory room on the ground floor.The laundry facilities for people to use are on the first floor. There are also a further three studio type bedsits with their own gardens, within the grounds of the main house. All bedrooms are single and have en-suite facilities, one bedroom has recently had a walk-in wet room installed. The manager had this installed as the person became distressed when being bathed in a bath in their en-suite. The person now is able to shower without becoming distressed. The home stands in large gardens and grounds. There is a large car park to the front of the property, which can accomodate several cars. The home also has a purpose built heated swimming pool with changing rooms and toilets. People living at the home can only access the pool when supervised by staff. All areas including the lounge, dinning room, kitchen and toilets were all clean, free from any odours and maintained to a good standard. One persons bedroom was seen in the main house. Also seen was one persons bedsit. All had been personalised with all their possessions. Outdoors there is level access into the home making it easier for people in wheelchairs to get in and out of the home. Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: People said that the home is always fresh and clean. There was a recommendation made at the previous inspection, regarding curtains being replaced as there were non at the windows.This has been done, there were curtains throughout the home. A recommendation was also made regarding the area under the stairs which needed to be clear. This area has been improved as louvre doors have now been fitted.The manager said that three peoples rooms have been recently re-decorated. A range of maintenance checks is completed on a regular basis to make sure that the house is safe and secure. 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. Sufficient staffing levels, proper recruitment procedures and good staff training meant that peoples needs were met and their interests were safeguarded. Evidence: Staffing levels were sufficient for meeting the needs of people. The duty rota showed that there are usually seven members of staff on duty both in a morning and afternoon. This did not include the manager or deputys hours. At night there are two staff on waking night duty each night. The staff records of two staff one which was recently appointed were looked at.These showed that all the necessary preemployment checks had been carried out prior to the new workers starting in post. All records showed completed application forms, two written references,Criminal Record Bureau (CRB) checks had been obtained. The home provides all the mandatory training that is required. A range of other training has been completed by staff such as food hygiene,(POVA) Protection of Vulnerable Adults,safer moving and handling techniques,first aid, non violence crisis intervention,handling people with special needs,attitudes and values are just some of the training staff have attended. Nine staff have completed the National Vocational Qualification (NVQ) Level 2 and one staff holds NVQ Level 3 and the manager holds NVQ Level 4 and the registered managers award. Staff confirmed when spoken to that they received regular supervision. Records of Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: supervision were seen at the site visit to the home. Staff commented positively about the support they receive from the new manager. Staff meetings are held regularly and minutes of meetings were seen at the site visit. People who live at the home who were spoken to on the day spoke positively about staff. One person said, Staff are good here, I sat on the staff interviews last week. Staff spoken to on the day said, The home is alot better now, alot of staff have left. It has improved with the new manager Denise. She is approachable and she supports you. 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. People benefit from a well managed home in which their needs and wishes are put first. Evidence: The manager of the home has worked at the home since February 2008. She has a lot of experience in the care sector.The home has a good and effective management team in place. The ethos of the home is open and positive. People who use the service,relatives and staff all commented highly about the home. Regular staff meetings are held and minutes are taken. The new manager has introduced a parents forum. This gives parents an opportunity to voice their veiws about how the home is run. There are Quality Assurance systems in place and surveys were last sent to people living at the home and relatives in August and September 2008. There has been postive feedback. The manager said that another survey would be sent out early next year. Advice was given to the manager that other people such as health and social care professionals veiws needed to be incorporated. This would give a better overall picture to the performance of the home. Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: All accidents are recorded as required and an accident book is maintained in line with the requirements of Data Protection. Peoples personal finances were not checked at this site visit. Historical evidence from previous reports gives evidence that their financial interests are safeguarded. However the charges for transport was discussed. A requirement was made at the last inspection regarding the financing of transport. The charges that were being made have ceased and the organisation is currently looking into this matter. Information provided from the (AQAA) Annual Quality Assurance Assessment and the examination of selected health and safety documents show that regular checks to electricity and gas and fire safety equipment are regularly undertaken. 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 1 20 The registered person should make sure that all records are kept of all medication administered to people living at the home. And that the organisations policy and procedures are followed by all staff working at the home. 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 © (2008) Commission for Social Care Inspection (CSCI). 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