Care Home: Hill House

Similar services:

• Coopers Mill Ltd
• Bramley Avenue (73)
• Paradise Lodge
• Grangewood
• Upaya Ananda
• Newton Court (1-2)
• Kings Lane (32)
• Pemdale

What the care home does well Residents welcome visitors into Hill House and staff make sure that everyone is introduced and that residents are aware of why the person is in the home. The home is run on the basis of choices that are encouraged and supported by staff and one person said `This is my home and I live here`. Residents are at the centre of each day and when people have decided how they wish to spend the day, routines and appropriate support is provided. One person told us `I like it here, I live here`. Activities vary according to individual choices and also what the weather conditions will be. People living in the home have becomes part of the local community and undertake community projects such as maintaining war graves and decorating the local church with flowers. People are supported by staff who speak out on their behalf where necessary. Support is also provided by family members and advocates.age 9 of 30 P Meetings and information sharing is a large part of the routine in the home. This allowsCare Homes for Adults (18-65 years) What has improved since the last inspection? The home has completed previous requirements set out in the last inspection report and the environment and rooms in the home have been redecorated. Residents showed us around their rooms and explained about special events that are being planned and also about occasions that have already been enjoyed. A new kitchen was just being completed and residents spoke about the new kitchen and also about what food they liked. What the care home could do better: As stated, the home is run in the best interests of people living there. The current refurbishment that is being undertaken inside the home and the planned development of the external grounds, will achieve a comfortable home that provides areas for everyone to enjoy. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Hill House Station Road Pulham St Mary Diss Norfolk IP21 4QT 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: Brenda Pears Date: 1 7 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. 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 30 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.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 30 Information about the care home Name of care home: Address: Hill House Station Road Pulham St Mary Diss Norfolk IP21 4QT 01379608209 P/F01379608209 tbleach@partnershipsincare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Partnerships In Care Ltd Name of registered manager (if applicable) Mrs Christina Bleach Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 8 0 care home 8 learning disability Additional conditions: Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 30 A bit about the care home Hill House is a large detached home with accommodation on two floors. It provides personal care and accommodation for up to eight people with learning disabilities. All residents have single bedrooms. There is a large through lounge with a separate dining room. The back garden is provides a secure area for outdoor activities or relaxation. Care Homes for Adults (18-65 years) Page 5 of 30 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 Care Homes for Adults (18-65 years) Page 6 of 30 How we did our inspection: This is what the inspector did when they were at the care home The quality rating for this service is two stars. This means the people who use this service experience good quality outcomes. This was an unannounced inspection undertaken on the 17th February 2009 and started at 10.00am. The focus of this inspection was on the previous requirements, on the core national minimum standards and on the quality of life for people who receive support in the home. The methods used to complete this inspection consisted of looking at the care a resident receives and the records that support this. Information was provided to us by the home on an assessment form known as an Annual Quality Assurance Assessment (AQAA). During the visit to the home we spoke to the manager, with members of staff and with five residents Care Homes for Adults (18-65 years) Page 7 of 30 and also with groups of residents. These methods and previous findings all inform the outcomes of this report. Care Homes for Adults (18-65 years) Page 8 of 30 What the care home does well Residents welcome visitors into Hill House and staff make sure that everyone is introduced and that residents are aware of why the person is in the home. The home is run on the basis of choices that are encouraged and supported by staff and one person said This is my home and I live here. Residents are at the centre of each day and when people have decided how they wish to spend the day, routines and appropriate support is provided. One person told us I like it here, I live here. Activities vary according to individual choices and also what the weather conditions will be. People living in the home have becomes part of the local community and undertake community projects such as maintaining war graves and decorating the local church with flowers. People are supported by staff who speak out on their behalf where necessary. Support is also provided by family members and advocates. 9 of 30 Page Meetings and information sharing is a large part of the routine in the home. This allows Care Homes for Adults (18-65 years) What has got better from the last inspection What the care home could do better As stated, the home is run in the best interests of people living there. The current refurbishment that is being undertaken inside the home and the planned development of the external grounds, will achieve a comfortable home that provides areas for everyone to enjoy. Care Homes for Adults (18-65 years) Page 10 of 30 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 Brenda Pears 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.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 11 of 30 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 12 of 30 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 . Information is provided through documents developed by the home. This provides information that supports any person making a decision about moving into the home. Evidence: People living in the home have lived there for many years. They continue to have their needs assessed at regular intervals. Previous inspection shows that information and assessment are part of the pre admission procedures undertaken by the home. There have been no admissions into the home since the last inspection was completed. Files seen at this time showed that a new resident is provided with information covering such questions as Who will look after me and Do I have a say in what I want to do as well as assessments on how to fully support the person. Records also show that advocates and family visits are undertaken and that advocates also attend formal assessment reviews as well as visiting on a regular basis. Care Homes for Adults (18-65 years) Page 13 of 30 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 . People living in the home do have their needs assessed and this information is clearly written in support plans to make sure individuals are assisted to live their lives in a way they choose. Evidence: Records were seen to be up to date and contained information that showed how a person had spent their day, how much they had participated in activities and how they were feeling. Staff also record how they come to their conclusions about how a person feels if that person is unable to say how they feel. Observations undertaken during this inspection and discussions with staff show that each person living in the home does decide how they will spend their time. Records also confirm that if a person says or shows they do not like or want a certain thing, this choice is respected. People are also supported in the community and on trips outside the home and files show that such outings are risk assessed and then appropriate staffing levels are Care Homes for Adults (18-65 years) Page 14 of 30 Evidence: allocated to support each person. Care plans explain in detail how a member of staff must support a person, how to react to certain behaviours and what actions or food that person likes or dislikes. Daily records cover such areas as behaviour, health, personal care provided and how much participation has been undertaken. Assessments for any person who is unable to say exactly how they feel are supported by an explanation of observations and actions that have led the member of staff to come to conclusions about how that person is feeling. Care Homes for Adults (18-65 years) Page 15 of 30 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 . Those living in the home are supported to underake chosen activities, be part of the local community and maintain family links and friendships. Evidence: There is an activities organiser in place in the home and this person was not on duty the day of this inspection. Records show that activities are regularly undertaken and the manager explained that a more detailed record is now being developed. This will provide fuller information about how much participation is undertaken by each person and just how specific activities support each person. Staff were speaking with residents in the home in a considerate and respectful manner, supporting people and encouraging choices. Each resident was introduced to the inspector during this visit and people were able to show their rooms and discuss forthcoming events if they chose to do so. Staff took time to explain what was happening to each person. Staff provided support and choices at all times and this was Care Homes for Adults (18-65 years) Page 16 of 30 Evidence: undertaken in an appropriate manner with due consideration. Two people explained about trips that had previously been enjoyed and also about forthcoming family events that will be enjoyed. Appropriate staffing levels are assessed and provided to enable a person to attend events they have chosen. The activities co ordinator makes sure that each person has time outside the home. Such outings are decided through discussion with the person, through meetings where residents might state a particular preference and then staffing levels are assessed and the rota reflects this. Some activities that have been undertaken include walks, trips to museums and castles. Residents also choose to eat out and success has been achieved through continued support for one person who can now spend short spells in the community and another person now enjoys a regular trip out in the vehicle. Any time spent in the kitchen is fully risk assessed and records show how a person responds during this time, how much participation is undertaken and if this was time that had been enjoyed. The programme for activities is developed on a four week basis and is reviewed regularly. The menu is planned on a weekly basis and support is provided for those going to the shops and a key worker system (one designated member of staff is allocated to a named resident) is in place to assist with this. The local church undertakes many events for the local community and residents are known at the church and enjoy many of these functions. Residents have taken part in bowls, bingo, horticultural events, fetes, maintaining war graves and assisting with the church flowers. The home produces a clear record of activities and outings with notes to show the reactions of each person, how much the activity was enjoyed and just how much participation was undertaken. This then provides information about future activities or outings that can be researched and also helps to develop any further support that may be needed. This has also been confirmed by family members and staff through surveys that have been completed. Records, discussions and observations at this inspection showed that meal choices were provided. Staff had been working hard to continue with hot choices during the installation of a new kitchen. Food was clearly in place to provide as much variety as possible. While fresh cooked meals could not be provided, microwave choices were supplied and take away meals ordered during this period. There are further details regarding the new kitchen in the section for Environment. The kitchen was just being completed during this inspection and new equipment was also due to be installed. Care Homes for Adults (18-65 years) Page 17 of 30 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The needs of each person is met by staff with due consideration for dignity and choice. Medication is administered and stored appropriately, supporting health and well being. Evidence: Needs are fully assessed for each person and staff were seen and heard to be dealing with people in a considerate way and providing choice and respecting the wishes of the individual. Records and discussions at this time evidence that each day is undertaken as the person chooses and goals are worked towards. Discussions with staff also showed a thorough awareness for the needs of residents. The administration of medication was observed and recording, handling and routines while giving medication was fully appropriate. The member of staff undertaking this procedure answered all questions about medication fully and professionally. Medication was found to be orderly and well organised. There are no controlled drugs used in the home at present and discussions were undertaken regarding the change in some areas of storage in care homes and the manager confirmed that she is fully aware of this. Medication audits consist of a monthly audit that is completed by the manager on all balances of tablets, a monthly Care Homes for Adults (18-65 years) Page 18 of 30 Evidence: check on the records for administration of medication (MAR) sheets, a weekly check on packs delivered by the pharmacy and a daily count of all other medications. Records for audits were seen at this time and these were up to date and clearly completed. Key handling for medication is restricted to a minimum. Records show that support is provided by such healthcare professionals as GP, NHS support and specialist referrals such as to neurology departments. Care Homes for Adults (18-65 years) Page 19 of 30 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 . Routines, recording and staff training all support the well being of people living in the home. There is regular contact with family and advocates, with regular meetings and individual discussions allowing views and any concerns to be identified. Evidence: Most people living in the home have regular family contact and also have regular contact with organisations outside the home. There are regular reviews with family members or a chosen person attending to provide independent support. Anyone attending is chosen by, or agreed attendance, by the resident at all times. Staff expressed a wide knowledge of visitors and contacts including family members who have regular contact or visits to the home. Two people do have individual advocates who provide continued support as needed. The complaints book had one complaint that had been fully recorded, documented and had supporting statements from staff. This was logged by a member of staff on behalf of a resident as they had come into contact with some behaviours, from another resident, that may have been unsettling to a person who is not able to verbally express themselves. Appropriate support, monitoring, recording and investigation was put into place although this was a small incident, staff acted quickly on behalf of the resident and considered the persons feelings and well being at all times. There is a consistent staff group in the home who now know the residents and records Care Homes for Adults (18-65 years) Page 20 of 30 Evidence: clearly show if staff identify anything that may indicate discomfort or any unsettled behaviours. The reason for assuming any of these signs is supported by full descriptions of observations and actions taken. There is one member of staff who attends all residents meetings to provide support as needed and to minute the meetings. Some people have one to one meetings and discussions if this is their choice or if this has been identified in their care plan. Residents were seen to be comfortable and open when interacting with staff and with the inspector at this time. Complaints and concerns are on the agenda at staff meetings and staff explained that some residents choose to have a chat during these meetings. Time is allocated for this and also for residents to discuss any matters during the morning and evening time if they choose. This provides a quiet and calm time for discussions to take place. No staff shadow or undertake any work in the home until a CRB (criminal records check) is received and a formal induction has been carried out. This was confirmed by staff at this time and also by a review of records. This practice again supports the safely and well being of residents living in the home. Care Homes for Adults (18-65 years) Page 21 of 30 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 environment is well maintained and homely with residents being encouraged to participate in choices of colour and other areas of redecoration. Evidence: The home has large rooms in all areas with high ceilings and is comfortable with residents welcoming visitors on arrival. Since the last inspection the home has been repainted throughout, including all bedrooms with colours chosen by the person occupying the room. Discussions during this inspection confirmed this and we were shown individual rooms that were personalised. New furniture has been purchased and comfortable seating is now in place in the lounge and new curtains are now in place. New shower heads have been fitted since the last inspection and appropriate flooring has now been put in place where necessary. The kitchen has been completely replaced and was just being finished on the day of this inspection. New equipment will then be installed and the kitchen will be ready for full use. There is a dining room with a serving hatch leading to the kitchen. The dining room is large and was being used for the time being to provide meals. Staff were using a Care Homes for Adults (18-65 years) Page 22 of 30 Evidence: microwave, slow cooker and some take away meals had also been enjoyed. Staff explained that hot stews are always a favourite for residents and staff had been able to continue to provide these while the kitchen work was being carried out. We were invited to view certain individual rooms and each contained pictures and posters that reflected areas that each person was interested in as well as events that had been enjoyed. Pictures showed family, personal and group outings and other art work that had been completed was framed and on display around the home. Staff explained that some people purchase their own furniture and televisions for their rooms. This then supports those who move on to independent living as they take their things and this creates a familiar environment to assist with the settling in period. Externally, landscapers are planning work to the front of the home and around the car parking area. There is a garden to the rear of the property that is used during summer months. During this inspection, people were also enjoying time outside as they chose. Staff explained that some people enjoy the quiet and choose to have some time on their own in the garden from time to time. Care Homes for Adults (18-65 years) Page 23 of 30 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 needs of residenet are met by a trained and consistent staff group who encourage and support choice at all times. Evidence: The staff team on duty at the start of this inspection consisted of three care staff, the manager, one domestic, two staff on training for safeguarding adults and the activity co ordinator was on holiday. There are three staff meetings per month and residents are then fully updated about any developments or things that will effect them in the home. Information is also given regarding any areas of conern or discussions are undertaken about any specific needs that have been identified. All training is identified through regular appraisal and staff meetings with areas of core training being regularly updated. At this time 70 of staff have an NVQ qualification, this has decreased from the previous 100 due to some changes in members of staff. Staffing attendance for training is monitored and the manager explained that a new system will provide details for each member of staff indicating how many hours training has been underaken and what training has been completed. Quarterly reports are produced to monitor training and any refreshers that may be required. Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: Staff confirmed that they have regular supervision, are well supported and are able to discuss any matters when they need. One new member of staff explained how she is being supported to get to know residents and that all staff have offered to help and encouraged her to ask about anything or discuss anything at any time. Two staff files were seen at this inspection and these were organised, tidy and contained appropriate checks to safeguard residents and appropriate recruitment practices are undertaken. There is a designated staff sleep in room that is no larger than a cupboard. This area does not accommodate a standard single bed and has a mattress on a raised wooden box along one wall. There is no window in this area and there was no room left when we were there at the same time. As there are currently two unoccupied rooms in the home, one of these is being used for staff sleep in duties. The manager explained that this area was once used for her desk, computer and also for any confidential discussions that were needed. This also allowed confidential telephone conversations to take place. However, the manager and staff now use one small office area together, along with stored medication. Care Homes for Adults (18-65 years) Page 25 of 30 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 managed in a way that supports both staff and residents to speak openly, feel safe and to access support at any time. Evidence: The manager and staff team provide guidance and undertake their duties to support the well being of residents in the home and provide a good standard of care. Residents and staff members said that the home was well run, the atmosphere relaxed and that the manager is readily available, supportive and approachable. Records demonstrated that the management areas of the the home again safeguard residents and staff. Staff members spoken to at this time said that they felt supported at all times and were confident that any matter would be dealt with appropriately. The staff participate in handover meetings at the start of each shift, attend meetings, could speak freely and received regular supervision. Records were seen to confirm this and proved that staff were supervised, competent and aware of their role and responsibilities. Care Homes for Adults (18-65 years) Page 26 of 30 Evidence: Records and practices in the home support the regular gathering of opinions from residents as well as from family members and visitors. The servicing and testing of all equipment had been carried out and relevant certificates were held to ensure that the health and safety of residents is protected. For example, there was a full COSHH inventory with completed risk assessment that contained clear guidance on how to use each product. Information explained how to protect against any incidents and accompanied by descriptions of the action to be taken if any accident should occur. Care Homes for Adults (18-65 years) Page 27 of 30 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 28 of 30 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 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 29 of 30 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone : 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 30 of 30 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!