Care Home: Hillview

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What the care home does well Hillview ensures that service users views, likes and dislikes are taken into account in regard to the daily living routines, personal and social care needs. The service users are able to make choices in relation to their communal, in-house activities and annual holidays. Service users are involved in selecting their own menus with guidance from staff to ensure that they receive a balanced, nourishing and varied diet and that service user eating preferences and diets are also met. The complaints file shows that any concerns or complaints are appropriately managed and responses given to complainants in a timely manner and in accordance with the complaints policy and procedures. Staff receive training for the Safeguarding of Vulnerable Adults and have the knowledge to protect service users from abuse. Hillview as a good infection control procedure in place that helps to protect service users from cross infection. Regular health and safety checks are carried out to ensure that appliances and fire fighting systems used in the home operate appropriately and keep residents safe from harm. One visitor to the home said that service users are treated well by the staff, that meals in the home are good, and that service users have access to a variety of activities. The visitor said that she is encouraged to visit the home on a regular basis and as she uses public transport, staff ensure that they collect and return her the bus stop. Visitors to the home are encouraged to stay and take meals with the service users. What has improved since the last inspection? Care plans are regularly reviewed and management and support workers are familiar with each service user`s needs in relation to health, personal and social care. Multi disciplinary professionals are kept informed of any changes in the assessed needs of the service users. Service users activity records are completed and accurately reflect their in-house and community activities on a daily basis, any planned activity not carried out has the reason recorded. Key workers are in the process of developing photo albums for each service user and the activities they take part in. Medication within the home is well managed and monitored on a regular basis. A full list of current medication is kept for each service user. The structural faults in the home have now undergone repair and rooms affected by this have been decorated. The garden has been made safe for service users, and wheelchair users have a new ramp so they are able to access the lawned area of the garden. Staff personnel files are kept in order and up to date, files viewed showed the relevant vetting checks had been carried out prior to the member of staff being deployed to work in the home, together with records of training. The manager and deputy manager keep an up to date electronic training matrix of all training courses that staff have participated in. Service users, relatives, and external stakeholders receive an annual questionnaires asking about the quality of care in the home, monthly regulation 26 visits take place and a report on these visits is produced. While regular monitoring takes place on the management of medication within the home some further work needs to be done to ensure that all systems used in the home are regularly monitored by the manager. A summary of questionnaires is produced on an annual basis by the Regard Partnership. Building fire, health and safety risk assessments are carried out regularly by a person qualified in this area. What the care home could do better: The service user guide, audio tape needs to be updated, so that all service users have access to this information. There has been some delay in completing all parts of one new service users care plan, and this was discussed with the manager who will ensure that it is completed as soon as possible. All staff have completed mandatory training, with exception of only fifty percent of staff having received moving and handling training. This was discussed with the manager who will ensure that all staff receive this training especially as many of the service users do require assistance with moving and handling. Some work still needs to done on developing quality assurance in the home to ensure that regular monitoring checks are carried out by the manager and his deputy of all the systems used in the home and that this monitoring is incorporated into the annual quality assurance summary produced by the Regard Partnership. Key inspection report Care homes for adults (18-65 years) Name: Address: Hillview 213 Eastbourne Road Polegate East Sussex BN26 5DU     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: June Davies     Date: 0 5 0 5 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 27 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: Hillview 213 Eastbourne Road Polegate East Sussex BN26 5DU 01323488616 01323487508 polegate@regard.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): The Regard Partnership Ltd Name of registered manager (if applicable) Mr Richard Nigel Harris Type of registration: Number of places registered: care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 6. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD). Date of last inspection Brief description of the care home Hillview is a purpose built bungalow, situated off the main A22 Polegate/Eastbourne Road. The home shares the same site as Oak Lodge, another service owned by the organisation. Local shops and public transport links are a short walk away. The home is registered to accommodate six younger adults with learning disabilities. Service users accommodation provides six single bedrooms, a communal lounge and kitchen/diner. There is one bathroom and one shower-room fitted with the necessary Care Homes for Adults (18-65 years) Page 4 of 27 Over 65 0 6 1 3 0 8 2 0 0 9 Brief description of the care home adaptations. There is a garden that runs the length and side of the house, however this is not currently used by service users due to the uneven ground. A patio area with seating is available at the front of the home. Car parking facilities are at the front of the property. The Registered Providers of the service are The Regard Partnership Ltd. This organisation owns a large number of homes across England and Wales. More detailed information about the services provided at Hillview can be found in the homes Statement of Purpose and Service User Guide. Copies of these documents can be obtained directly from the home or The Regard Partnership Ltd as well as current fees. Care Quality Commission [CQC] inspection reports are available on request from the home. Care Homes for Adults (18-65 years) Page 5 of 27 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: This unannounced key inspection was carried out on Wednesday 5th May 2010 over a period of 3 hours. During the inspection the inspector spoke with one service user, one visitor, the appointed manager, the deputy manager, three members of staff and two student nurses on placement within the home. Documentation in relation to the key standards inspected were viewed. Information contained within the AQAA has also been used in relation to the standards inspected. The inspector also viewed the external garden area and some parts of the internal area of the home. Care Homes for Adults (18-65 years) Page 6 of 27 What the care home does well: What has improved since the last inspection? Care plans are regularly reviewed and management and support workers are familiar with each service users needs in relation to health, personal and social care. Multi disciplinary professionals are kept informed of any changes in the assessed needs of the service users. Service users activity records are completed and accurately reflect their in-house and community activities on a daily basis, any planned activity not carried out has the reason recorded. Key workers are in the process of developing photo albums for each service user and the activities they take part in. Medication within the home is well managed and monitored on a regular basis. A full list of current medication is kept for each service user. The structural faults in the home have now undergone repair and rooms affected by this have been decorated. The garden has been made safe for service users, and wheelchair users have a new ramp so they are able to access the lawned area of the garden. Staff personnel files are kept in order and up to date, files viewed showed the relevant Care Homes for Adults (18-65 years) Page 7 of 27 vetting checks had been carried out prior to the member of staff being deployed to work in the home, together with records of training. The manager and deputy manager keep an up to date electronic training matrix of all training courses that staff have participated in. Service users, relatives, and external stakeholders receive an annual questionnaires asking about the quality of care in the home, monthly regulation 26 visits take place and a report on these visits is produced. While regular monitoring takes place on the management of medication within the home some further work needs to be done to ensure that all systems used in the home are regularly monitored by the manager. A summary of questionnaires is produced on an annual basis by the Regard Partnership. Building fire, health and safety risk assessments are carried out regularly by a person qualified in this area. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details 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 8 of 27 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 27 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. Service users are provided with information about the home in service user friendly format. Pre-admission assessments are comprehensive to ensure that the staff have the skills and the environment of the home meets the service users needs. Evidence: The statement of pupose and service user guide are up to date and provided in large print, picture format. The manager also plans to update the audio tape for service users who prefer to use a sound version of these documents. Pre-admission assessments are comprehensive and include all aspects of the service users, health, personal and social care needs as well as gaining the wishes of the service user in respect of the help and support they wish to receive, and understanding of the need for risk assessments to ensure level of risk is kept to a minimum. Care Homes for Adults (18-65 years) Page 10 of 27 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans are written in line with pre-admission assessments and take into account the service users wishes, preferences, likes and dislikes. Risk assessments in general are good, but further work needs to be done in regard to the risk assessments of one recent service user. Evidence: One care plan viewed for the most recent service user into the home. This care plan was seen to be comprehensive in the information gained in regard to service users wishes, and assessed needs in relating to daily living, personal, health and social care needs. The inspector noted that in some places the care plan needs completing, and more attention should be paid to risk assessments so that all areas of risk are assessed and reduced to a minimum. This was discussed with the manager who confirmed that the care plan would be completed appropriately. That reviews would be appropriately dated and would be clear in regard to any changes made. There is good evidence in care plans to show that service users are able within the confines of their Care Homes for Adults (18-65 years) Page 11 of 27 Evidence: communication disability to voice their opinion in relation to their own life styles, likes and dislikes pertaining to the daily living routines, health care needs and activity preferences. Information was available in the office in regard to advocacy services that service users may wish to use. Care Homes for Adults (18-65 years) Page 12 of 27 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. Services users lead full and interesting lives participating in internal activities of their choice, having the opportunity to access a variety of activities within the local community, and to be involved in the day to day cleaning routines of the home. Staff support service users to maintain regular contact with family and friends. Evidence: Support staff encourage service users to develop new skills in daily living. The activities sheets shows that service users are supported to follow activities of their choice within the home including housekeeping tasks, attend church or attend inhouse church services as and when they wish to. All service users have access to events in the local community, eating and drinking out at local cafes or pubs, visiting local places of interest, attending clubs of their choice, shopping etc. Support staff understand the importance to service users needs for keeping in touch with family and Care Homes for Adults (18-65 years) Page 13 of 27 Evidence: friends. Relatives are openly encouraged to visit the home and have a meal with their service user or a group of service users. Service users are also supported by staff on home visits to relatives. There is good documented evidence that service users are able to participate in annual holidays of their choice providing that all their care needs can be met. This year it is planned that some service users will be going to Bognor Regis, while others are visiting Somerset. All service users have free access to a safe and secure patio and garden area. Daily routines in the home are set around the service users choices, preferences and daily activities. The home has a pet cat that many of the service users like having around. The menus and choice of food in the home is planned around the choices, likes an dislikes of the service users. Choice of food is either given verbally or in picture format. From viewing a weekly menu there is evidence that service users are offered a healthy, nutritious and varied diet. Liquidised meals are presented in an appetising and appealing manner. Specialised diets can be catered for as and when required. Care Homes for Adults (18-65 years) Page 14 of 27 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. Care plans reflect that service users are able to make choices in regard to their daily living routines. Service users have access to a variety of external health care professionals as and when required and are supported by staff to attend health care appointments. Medication in the home is well managed ensuring that residents are not placed at risk. Evidence: Evidence in care plans, talking to management and support staff evidenced that service users are able to make choices in regard to their daily living routines, getting up and going to bed. Personal care is delivered according to service own wishes and preferences and in privacy. Care plans show that service users have access to a variety of health care professionals, and are supported by staff to attend health care appointments. All health care visits are recorded in each individual service users care plan. Any concern in regard to a service users health is reported directly to the service users own General Practitioner. Care Homes for Adults (18-65 years) Page 15 of 27 Evidence: Medication in the home is managed in accordance with Regard Partnerships policies and procedures and Royal Pharmaceutical Society, Care Home Guidance. Only staff trained in the administration of medication are allowed to administer medication. The deputy manager carries out monitoring on the senior staff team for the administration of medication, and in turn senior staff monitor the support workers. These monitoring checks are recorded. All unused medication is returned to the pharmacy on a regular basis. Care Homes for Adults (18-65 years) Page 16 of 27 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. Both service users and support staff are aware of the complaints policy and procedure that is produced in different format to suit service users. They can be sure that their concerns are listened to and acted upon. Service users are protected from abuse by ensuring that staff are trained in Safeguarding Vulnerable Adults and by the Regard Partnerships stringent recruitment procedures. Evidence: Complaints policy and procedure is developed in different formats to meet the needs of Service Users. Inspector viewed the complaints file. Four complaints have been received since the last key inspection all had been logged in the complaints file, investigated and outcomes informed to the complainant in line with guidance in the complaints policy and procedure. All staff are made aware at induction of how to deal with complaints. All staff have received training in the Safeguarding of Vulnerable Adults. Training matrix and evidence obtained from talking to staff showed that staff have a good knowledge of Safeguarding Vulnerable Adults and keeping them safe from abuse. Staff recruitment is stringent to ensure that prospective new staff are appropriately vetted prior to being employed in the home. See staffing outcome area Seven. There have been no Safeguarding Vulnerable Adult referrals made to the local authority since the Care Homes for Adults (18-65 years) Page 17 of 27 Evidence: last key inspection. Care Homes for Adults (18-65 years) Page 18 of 27 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. Service users live in a warm, homely environment that is well maintained and safe. Infection control procedures are good and help to prevent service users being placed at risk from cross infection. Evidence: On the day of this key inspection Hillview was seen to provide its service users with a clean, well maintained, comfortable home. Since the last key inspection structural repairs have been carried out as well as refurbishment. There are now no cracks on internal walls within the home. Most of the home has been redecorated and decoration colours are service user friendly. Bedrooms seen by the inspector all reflected the individual service users interests and personalities. Service users have access to all the garden area of the home via a newly constructed ramp and hand rails, a flat turf lawn has been laid. There is just one small area of garden where drain covers stand above grass level and one area of grass that has an uneven surface and could be a danger to service users. Discussion with the manager confirmed that he will get this area sorted so there is no risk to service users. In one patio area a fence has been fitted so that wheelchairs cannot drop down the kerb. Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: Adherence to infection control procedures in the home is good. On the day of the inspection the home was free from offensive odours. Staff receive infection control training, and disposable clothing. All communal hand washing facilities are provided with liquid soap and paper hand towels. Care Homes for Adults (18-65 years) Page 20 of 27 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. At the time of this inspection sufficient staff were employed in the home to meet the needs of the service users. Staff recruitment practices are good ensuring that appropriate checks are carried out prior to the employment of new staff which helps to keep service users safe from abuse. Generally staff are well qualified and receive the appropriate training to meet the service users assessed needs and to keep service users safe, but further moving and handling training must be offered to ensure that service users and staff are not placed at risk. Evidence: On the day of this key inspection the staff rotas showed that at the present time there are sufficient staff on duty to meet the assessed, personal, health and social care needs of the service users. The manager is in the process of recruiting further support workers so that service users have more flexibility in relation to accessing the community and for internal activities. Staff spoken to on the day of this inspection said that recruitment of further staff would be of benefit to the residents. Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: The inspector viewed two staff personnel files and found that the Regard Partnership who own Hillview operate stringent recruitment procedures. All staff have appropriate checks carried out prior to starting employment with the partnership. There was evidence within the staff personnel files that new staff undertake initial induction as well Skills for Care induction. The inspector found from viewing the staff training matrix that 41 of support workers in Hillview had obtained their NVQ Level 2 or above qualification. Further work needs to be done to encourage more support workers to obtain this qualification. From viewing the support worker training matrix the inspector found that 100 of support workers had received Food Hygiene, First Aid, Medication and Health and Safety training. 99 of staff have received fire safety and safeguarding vulnerable adults training, but only 50 of support worker had received moving and handling training. In view of the fact that many of the service users require assistance with moving and handling the manager must ensure that all support workers are trained, so that service users and staff are not placed at risk of injury. There is evidence that staff are also provided with work related training to increase their skills and knowledge. Care Homes for Adults (18-65 years) Page 22 of 27 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 appointed manager at the time of this key inspection was in the process of applying to the Care Quality Commission for registration. A quality assurance system is operated by the Regard Partnership but needs to be further developed to ensure that the management team within the home carried out regular monitoring of the systems used in Hillview this will help ensure that service users receive the best quality of care. Hillview operates a good health and safety checking system to help service users and staff to live and work in a safe environment. Evidence: At the present time the appointed manager is in the process of applying to Care Quality Commission for registration. He has the skills and qualifications to manager the home and has obtained NVQ levels 2, 3 and 4 in Social Care, his Registered Managers Award and has other qualifications and training that give him the skills and knowledge to manage the home. The manager spends time working with service users Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: and staff in Hillview this gives him a good knowledge of the service users, and his staff team. The Regard Partnership has developed its quality assurance system and obtains the views of service users, relatives and external stakeholders. Regular regulation 26 visits are carried out, with a written report being made on the findings and actions required. At the present time medication in the home is monitored abd recorded by the deputy manager. Further work needs to be done for the manager to develop a monitoring of systems used in the home so they can be incorporated into the overall annual quality assurance summary report. The AQAA told us that all equipment used in the home has up to date maintenance certificates. The inspector evidenced that fire call points, fire fighting equipment, fire doors and signage are checked on a regular basis. Staff carry out regular health and safety checks on the home. All accidents and incidents are recorded in the homes accident book any concerns regarding these would be reported by the manager to relevant external bodies. Care Homes for Adults (18-65 years) Page 24 of 27 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 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 26 of 27 Helpline: Telephone: 03000 616161 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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