Care Home: Hornsey Lane (148)

What the care home does well The home assesses potential residents prior to their moving in to ensure their needs can be met. Individual care plans are developed with each person using the service, and these are reviewed at least every six months or as their needs change. People who use the service are encouraged to make decisions about their every day lives, and to manage their finances independently. The home assesses potential risks to people who use the service, and encourages them to be involved in the day to day running of the home. People who use the service are supported to engage in a range of activities within the home and in the community. Residents are encouraged to develop their own daily routines and to maintain contact with their families and friends. Care staff support residents to prepare a range of varied and nutritious meals that reflect the preferences of people who use the service. Whilst assisting residents with personal care carers promote dignity and respect. People who use the service are encouraged to reflect their personalities through their clothes and appearance. The home has sound medication practises and supports residents to access a range of healthcare services. Residents know about the homes complaints policy and how to make a complaint if they need to. The home ensures that residents are safeguarded. The home provides a range of comfortable, well maintained accommodation. Each resident has their own bedroom that they are able to personalise. The home is clean and tidy and free from offensive behaviour. The home is appropriately staffed by suitably qualified carers who receive regular training. A suitably qualified and experienced manager has been appointed. The home has developed a quality assurance process based on the views of residents. The home maintains a range of health and safety records required by legislation. Current insurance and registration certificates are displayed in the main entrance area. What has improved since the last inspection? There were no requirements made at earlier inspections. What the care home could do better: One requirement was made as a result of this inspection. The home must ensure that a legible, daily log of fridge and freezer temperatues is maintained, and that where temperatures fall outside of acceptable limits apropriate actions are taken. Key inspection report Care homes for adults (18-65 years) Name: Address: Hornsey Lane (148) 148 Hornsey Lane Hornsey London N6 5NS     The quality rating for this care home is:   three star excellent 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: Lea Alexander     Date: 0 2 0 4 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: Hornsey Lane (148) 148 Hornsey Lane Hornsey London N6 5NS 02072723036 02072633092 james.brady@familymosaic.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Family Mosaic Housing Association care home 12 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: The maximum number of service users who can be accommodated is: 12 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 categories: Mental Disorder, excluding learning disability or dementia - Code MD Date of last inspection Brief description of the care home 148 Hornsey Lane has been operating since 1994. It is a registered Care Home, which provides personal care and accommodation for up to 12 adults who have enduring mental health needs. The home can admit people over or under the age of 65, so long as comprehensive assessment has shown that the needs can be met. The Care Home is a detached house on three floors with a pleasant garden and patio area at the rear. There is a lift to all floors. All bedrooms are single, with shared toilets and bathrooms on each floor. One bedroom is on the ground floor. The building has full disabled access. There is an art room and communal space on the first and second Care Homes for Adults (18-65 years) Page 4 of 27 Over 65 0 12 Brief description of the care home floor can be used for meetings and group work. Family Mosaic Housing Association manages the home. The Home provides 24-hour support and has a staff team comprising a registered manager and staff who have various relevant qualifications, skills, experience and training. A comprehensive care planning and keywork system is used to promote independence, choice, and wellbeing. 148 Hornsey Lane is situated in a residential area in North London and is near Hornsey, Highgate and Archway. Fees, if payable, are from #65.35 to #94.45. Some residents do not pay as they are covered by mental aftercare legislation. 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: three star excellent 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 inspection was carried out by one inspector over the course of a day. We visited the home and spoke with the manager and care workers. We also spoke privately with three people who use the service. Some other residents we approached told us that they were happy living at the home, but did not want to speak to us in any more detail. We also received a number of completed feedback surveys from staff and people who live at the care home. These indicated that residents are happy with the care that they receive and that staff feel supported in their work. The home completed and submitted its Annual Quality Assurance Assessment (AQAA) within the required timescales. During our visit to the home we examined a range of records relating to the running of Care Homes for Adults (18-65 years) Page 6 of 27 the home and looked at the personal files of several residents. There has been no change to the service provided since the last inspection. The previous manager has left, and the homes deputy manager has been appointed into the post. The staff group remains largely unchanged since the last inspection. At the time of our visit the home was fully occupied with twelve residents, seven of whom are female, five of whom are male. Their ages range from 61 - 78. Care Homes for Adults (18-65 years) Page 7 of 27 What the care home does well: What has improved since the last inspection? 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. All new residents receive a comprehensive needs assessment before admission. Evidence: We examined the personal files of two people currently residing at the home. These evidenced that each resident was assessed by the home prior to their moving in. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service make their own informed decisions. Individual plans are developed with each resident, these are person centred and include individuals strengths and preferences. Plans are up to date and are regularly reviewed. The care plan includes a comprehensive risk assessment. Evidence: Each of the residents we case tracked was evidenced as having a clearly laid out individual plan that demonstrated how their needs are to be met, including health, personal and social care. We found that care plans are reviewed and updated every six months, or as residents needs change. For example, from accident and incident reports we identified that one resident had recently experienced a number of falls. When we examined their personal file we noted that their care plan and risk assessment had been updated to reflect this. As well as referring the resident to their GP for investigation, our discussions with the manager evidenced that the resident was also being referred for an occupational Care Homes for Adults (18-65 years) Page 11 of 27 Evidence: therapy assessment of their mobility. Examination of personal files, discussion with people who use the service and the completed AQAA evidenced that each resident has a key worker with whom they meet regularly to review their care plans and address any current issues or concerns the resident may have. The personal files and care plans we examined also contained evidence of person centred planning and life story work. Our discussions with people who use the service and examination of individual plans evidenced that people who use the service are supported and encouraged to make decisions about their own lives. People who use the service are encouraged to manage their own finances. Some residents are subject to court of protection and receive a weekly allowance that they manage independently. For three residents the home holds a small amount of their cash in the staff office. This is limited to a maximum of £50. For each resident there is an individual log book that details the date, nature and amount of each transaction. Each transaction is also signed. We examined these log books and found them to be in order. We examined the personal files of two residents, and found that these contained risk assessments relating to issues identified in their care plans. The assessments we saw had been completed to address potential risks including mobility, health and self neglect. Residents meetings are held every week. We spoke to residents about these meetings and also looked at the minutes and information contained in the AQAA. These sources evidenced residents are encouraged to participate in discussions and decision making about the day to day running of the home. Issues recently discussed inlcuded activities and outings and decoration within the home. We noted that complaints and suggestions were a standing item at each meeting. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are able to enjoy a full and stimulating lifestyle with a variety of options to choose from. The home has sought the views of people who use the service when planning the daily routines of the home. Meals are well balanced and reflect residents preferences. Evidence: The home aims to meet the needs of residents from diverse cultural backgrounds. The home told us that they consider residents cultural needs on admission, and then continue to review these as part of care planning. The residents we spoke to told us that they enjoyed the activities available within the home, and that they had been part of the decision making process as to what activities are provided. The home has two external activities co-ordinators who visit fortnightly. A yoga instructor visits weekly and a masseuse comes to the home each fortnight. Group activities that are available include a womens group, a mens group, gardening group, crafts group, film club and Care Homes for Adults (18-65 years) Page 13 of 27 Evidence: Sunday social club. There are also regular trips to the local community to visit cafes and coffee shops, and such an excursion occurred whilst we were visiting the service. Some residents told us that they like to access the community independently, visiting friends and family or to go shopping. Other residents told us that they needed staff support to access the community and that this was provided by the home. Some residents had recently expressed an interest in attending a model railway exhibition, and this was being arranged by staff. Residents had recently voted to have a cat, and with staff support they had located and chosen a suitable pet. The house cat is now in residence and people who use the service told us that they very much enjoyed spending time with the cat and helping to look after it. Discussions with residents and staff, the examination of personal files and the AQAA evidenced that most people who use the service have contact with their families. There is a mix of families visiting the home, and residents having community visits to their relativies. One of the residents we case tracked is in regular contact with their family. We noted that this contact was detailed in their care plan. Residents told us that their family and friends were made to feel welcome when they visited the home. Since the last inspection the home has introduced quarterly friends and family evenings. These are predominantly social evenings that aim to foster good relations and to involve family and friends in the running and development of the home. All of the residents we spoke to told us that they felt respected by staff members. Residents also commented that staff were helpful, friendly and approachable. The residents we spoke to told us that they choose their own daily routine, for example choosing what time they get up or go to bed. People who use the service also said that they choose how to spend their day, and when to join in or be alone. We examined the log of meals provided and found that a variety of nutritious meals is provided. Residents told us that they meet with staff each week to decide the meals that will appear on the menu. Residents pair up to prepare each meal with staff in support. Residents told us that they generally liked the food provided and that it reflected their personal preferences. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents receive effective personal and healthcare support using a person centred approach with support based upon the rights of dignity and respect. The home has developed sound medication practises. Evidence: Some of the residents we spoke to receive help with intimate personal care. They told us that this was provided in a way that showed respect, and also promoted their dignity. They also told us that assistance with personal care was provided in the way they preferred. We also spoke with a member of care staff on duty. They were able to describe to us the practical steps they took to promote dignity and show respect whilst assisting with personal care. The homes manager told us that the home has male and female carers, and that female care staff are always available to assist with female residents personal care. They also stated that they would aim to provide a male care to a male resident for personal care if this preference was stated. Our discussions with residents evidenced that people who use the service choose their own clothes and hairstyles and that these are reflective of their personalities. Care Homes for Adults (18-65 years) Page 15 of 27 Evidence: For each of the residents we case tracked a record of healthcare appointments and their outcome was maintained by the home. Residents had recently been supported to attend a range of healthcare appointments including the optician, GP and specialist hospital outpatient appointments. At the time of this inspection there were no residents who were responsible for administering and managing their own medication. Some residents are prescribed controlled drugs. We looked at the Medication Administration Record (MAR) sheet and available medications for two residents. We found that the two corresponded, and that the MAR sheet had been appropriately completed. Discussion with staff and the AQAA evidenced that medication stocks are subject to checks at each daily handover meeting. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has an open culture where residents feel safe and supported. People who use the service say they are extremely satisfied with the service that they receive. The home has a clear complaints procedure that residents are familiar with and understand. All staff working in the home have received adult protection training. Evidence: The home had not received any recent complaints. The home does have a standardised form to record complaints, along with the investigation undertaken and its outcome. The homes complaints file contains details of advocacy services as well as an easy guide to how to make a complaint. This is prominently displayed in the communal lounge. Each of the residents we spoke to said that they knew how to complain should there be anything they are unhappy about. Residents also told us that they felt comfortable approaching staff about any complaints they might have. One resident we spoke to told us that they had made a complaint in the past, and that they were happy with how the home had dealt with this. There have been a number of safeguarding issues since the last inspection. We noted that the home had notified the Commission and local safeguarding agencies. The safeguarding matters related to incidents between residents. It was evidenced that the home had acted in accordance with local safeguarding procedures, and had put in place counselling services and risk management measures that enabled both residents to safely continue living at the home, as had been their wish. Care Homes for Adults (18-65 years) Page 17 of 27 Evidence: Examination of training records and the completed AQAA evidenced that the home provides staff with initial and update safeguarding training. We spoke with a member of care staff on duty who demonstrated a sound understanding of safeguarding issues and their responsibilities should they have any adult protection concerns. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The environment is homely, clean, safe and comfortable. It is well maintained and has a variety of communal areas. Each resident has their own bedroom. Evidence: During the course of our visit to the home we toured the communal spaces. A programme of redecoration had recently been completed. The home has a comfortable feel and is light and airy. Furnishings and fittings are of a good standard. Since the last inspection a handyman has been appointed to ensure that minor maintenance issues are promptly addressed. In communal areas photographs of residents and some of their artworks decorate the walls. Each person who uses the service has their own bedroom. We noted that one resident has been identified as having difficulties in maintaining their room to a good standard. This was reflected in their care plan, and discussions with the resident and the manager evidenced that this issue is being addressed in an effective and sensitive manner. As well as a communal lounge and dining area the home also has a quiet room, and on each of the upper levels of the home there is a sizeable foyer which has been equipped with comfortable seating. Residents are also able to access an art room. Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: During the course of our visit we found the home to be very clean and tidy and free from offensive odours. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staffing levels reflect the needs of people using the service, and rosters are flexible to fit around the lifestyles of residents. Each resident has their own key worker who meets with them regularly. The service ensures that all staff within its organisation receive relevant training. Evidence: At the time of this inspection the home employed five permanent care workers. There was also one regular bank staff worker. There is a deputy manager post which is currently vacant. Over 50 of the homes care staff have obtained NVQ level 2 or its equivalent. The home operates three shifts over each day. The early shift runs from 9am to 4.30pm. The late shift runs from 12 noon to 7.30pm. Sleep in night staff come on duty at 2pm and go off duty at 3pm the following day. One member of staff is rostered on duty for each shift. During busy periods this means that 2-3 care staff are on duty within the home. The manager is rostered on duty during office hours each weekday, and in addition the home employs a domestic each weekday morning. We examined the homes staffing roster and found that this reflected the situation we found within the home. Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: We were unable to access personnel records on the day of our visit, but noted that previous inspections to the home had evidenced that appropriate pre employment checks are carried out on new staff prior to their starting work. We examined the training records for two staff members currently employed within the home. These evidenced that each had completed training in personal safety, health and safety, moving and transferring, safeguarding, fire awareness and first aid. Staff had additionally recieved training in dual diagnosis, mental health, mediation skills and medication. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager has the required qualifications and experience and is highly competent to run the home. The ethos of the home is open and transparent. The views of people who use the service are listened to, and valued. The AQAA contains excellent information that is fully supported by appropriate evidence. Evidence: The manager has recently been permanently appointed to their post after acting up from their previous position of deputy manager for some time. The manager told us that they had successfully completed their NVQ level 4 studies and planned to apply to the Commission for registration. We spoke with people who use the service, with the manager and referred to the completed AQAA. These evidenced that the home regularly obtains feedback from people who use the service. The results of these surveys are collated and along with the homes response are published in a you said, we did report that is available to all residents. In addition the service carries out six monthly service reviews, and proactively seeks the views of residents on the service provided at weekly residents Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: meetings. During our visit to the home we examined a number of records the home is required to maintain for health and safety purposes. We looked at the homes fire records. These evidenced that weekly fire alarm tests are carried out and recorded and that they fire alarm system is in good working order. In addition the home carries out practise fire evacuation drills several times each year, and records the outcome of these along with the time taken to evacuate residents and staff. The home maintains a log of fridge and freezer temperatures. We examined this log and found that there were some occassions in December 2009, January 2010 and February 2010 when no temperature was recorded. We noted that during this period there were also occassions when the temperature recorded was illegible. On other ocassions during this period the recorded temperature was higher than is acceptable, but there was no recording to evidence what steps had been taken to remedy this. The home also maintains a monthly log of water temperatues and completes accident and incident records as required. We examined these records and found them to be in order. The home is not currently using any specialist equipment such as hoists. The home has obtained appropriate insurance cover and the current insurance and registration certificates are displayed in the homes main entrance. 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 1 42 16 The home must ensure that a legible, daily record of fridge and freezer temperatures is maintained along with the steps taken to remedy the situation when the recorded temperature is outside of acceptable limits To ensure the safety and wellbeing of people who use the service. 23/06/2010 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. Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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