Care Home: Imber House

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What the care home does well Imber House provides a small group of people with a family style place to live. The staff include members of the owner`s family as well as recruited staff. This adds to the homely feeling.The home gives residents many ways to make choices about how they live, and what they do. It encourages them to be as independent as possible, and to join in activities in the community.The two staff we spoke to had a good knowledge about residents` needs and how they wanted to be supported. What has improved since the last inspection? .The care plans are written from the point of view of the resident, and also have pictures to make them easier to understand.Rooms have been redecorated and new furniture and carpets bought. Improvements have been made to the upstairs bathroom and WC to improve hygiene.The information for people who are thinking of coming to live at Imber House has been updated and is in picture format.Staff are aware of the need to make sure residents take their medication before signing for it. What the care home could do better: Sending out surveys to outside professionals and relatives would give the manager information on the quality of care provided by the home.The manager plans to refurbish the kitchen. This should happen as soon as possible to improve its facilities.Sending out surveys to outside professionals and relatives would give the manager information on the quality of care provided by the home. Key inspection report Care homes for adults (18-65 years) Name: Address: Imber House 412 London Road South Lowestoft Suffolk NR33 0BH 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: John Goodship Date: 1 6 1 1 2 0 0 9 This report is a review of the 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 stars – excellent  2 stars – good  1 star – adequate  0 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. 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 Care Homes for Adults (18-65 years) Page 2 of 32 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) Copyright © (2010) 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. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 32 Information about the care home Name of care home: Address: Imber House 412 London Road South Lowestoft Suffolk NR33 0BH 01502500448 F/P01502500448 pattywebb21@hotmail.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Patricia Lesley Webb care home 5 Number of places (if applicable): Under 65 Over 65 5 0 learning disability Additional conditions: Date of last inspection 2 0 1 1 2 0 0 8 Care Homes for Adults (18-65 years) Page 4 of 32 A bit about the care home Imber House is a care home for five adults with learning disabilities. It is a semi-detached building with accommodation on three floors. The owner and family have bedroom accommodation on the second floor and their private sitting room on the ground floor. The people living in the home and the family share the kitchen, utility room and dining facilities. Care Homes for Adults (18-65 years) Page 5 of 32 The home is situated on a main road in the south of Lowestoft, close to local shops, a bus route and five minutes from the beach. There is a garden and patio area for general use outside. The fees at the time of this inspection were between £477.00 and £502.00 pounds per week for each current resident. Care Homes for Adults (18-65 years) Page 6 of 32 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 7 of 32 How we did our inspection: This is what the inspector did when they were at the care home This was a key unannounced inspection. We looked at the outcomes for those who lived there. The manager was there during our visit. We spoke to all five residents and two members of staff. We looked at two care plans and other records, Care Homes for Adults (18-65 years) Page 8 of 32 We toured the building. We sent the home some survey forms called Have your say. These were for residents, staff and relatives to fill in. None had been returned at the date of writing this report. The manager also had to complete an Annual Quality Assurance Assessment (AQAA) form which told us about what changes had happened over the past year and what improvements were planned. What the care home does well Care Homes for Adults (18-65 years) Page 9 of 32 Imber House provides a small group of people with a family style place to live. The staff include members of the owners family as well as recruited staff. This adds to the homely feeling. The home gives residents many ways to make choices about how they live, and what they do. It encourages them to be as independent as possible, and to join in activities in the community. The two staff we spoke to had a good knowledge about residents needs and how they wanted to be supported. What has got better from the last inspection . Care Homes for Adults (18-65 years) Page 10 of 32 The care plans are written from the point of view of the resident, and also have pictures to make them easier to understand. Rooms have been redecorated and new furniture and carpets bought. Improvements have been made to the upstairs bathroom and WC to improve hygiene. The information for people who are thinking of coming to live at Imber House has been updated and is in picture format. Staff are aware of the need to make sure residents take their medication before signing for it. Care Homes for Adults (18-65 years) Page 11 of 32 What the care home could do better Sending out surveys to outside professionals and relatives would give the manager information on the quality of care provided by the home. The manager plans to refurbish the kitchen. This should happen as soon as possible to improve its facilities. Sending out surveys to outside professionals and relatives would give the manager information on the quality of care provided by the home. If you want to read the full report of our inspection please ask the person in charge of the care home Care Homes for Adults (18-65 years) Page 12 of 32 If you want to speak to the inspector please contact John Goodship CQC Eastern Citygate Gallowgate Newcastle upon Tyne NE1 4PA 03000 616161 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line - 0870 240 7535. Care Homes for Adults (18-65 years) Page 13 of 32 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 14 of 32 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. Residents can be assured that they will be able to assess if the home is where they want to live, and know that the home can support their needs. Evidence: We were shown the latest versions of the homes information booklets which were given to prospective residents, their families and social workers. The statement of purpose and the service users guide were printed both in text and in picture/symbol format. These were taken from a nationally available symbol library. We observed that all residents were able to understand these documents either by themselves or with support from staff. Information about the homes fees was included in the contracts with each referring local authority, as all residents were supported by them. Current fees were in the range of £477.00 to £502.00 per week. The manager told us that a former resident had developed increased care needs that required a more specialised home. That persons social worker had arranged for them to be moved to a care home with nursing. The vacancy had been filled just before our visit. We were able to talk to this person who described that reason they had chosen this Care Homes for Adults (18-65 years) Page 15 of 32 Evidence: home. The principal reason was their existing friendship with the other residents through day centre activities. They had visited the home several times and had had meals there. They had been able to make a contribution to the pre-admission assessment and had been able to ensure that their wishes were taken into account against other types of accommodation offered to them. We saw copies of contracts in the two files we inspected. Both had been signed by the residents. These were the terms and conditions of residence. The formal contract was between the home and the local authority. Care Homes for Adults (18-65 years) Page 16 of 32 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. Residents can expect the home to monitor their needs and involve them in deciding how the home runs. Evidence: We examined two care plans, both for people who had lived in the home for some years. Both plans had been written in a person-centred way, that is from the perspective of that person expressing where possible what they had told staff they wanted in terms of support. The plans also used pictures to increase residents understanding. We observed that, although staff were very knowledgeable about their wishes and preferences, residents were able to express clearly for themselves what they wanted to do. The plan of one of these residents recorded their development of episodes of behaviour that staff perceived to be challenging and this could sometimes affect other residents. Their Day Book contained an excellent record of instances of this behaviour, together with information on what they ate, their activities and mood. The risk assessment in their plan gave staff guidance on how to handle these episodes and to remove known trigger Care Homes for Adults (18-65 years) Page 17 of 32 Evidence: points. We noted that this change had been reported to the consultant who had reviewed the persons medication. The staff were now monitoring what effect this was having. Both plans held risk assessments for a range of activities such as personal hygiene, healthy eating, dental hygiene, being left on their own. These were written with pictorial symbols for greater understanding. All assessments had been signed by staff to show they had read them. One plan had been reviewed with the residents social worker. The review of the other plan had not yet been done. Although no formal residents meetings were held, the manager told us that in such a small home, staff were talking to the residents all the time. Meal times were often used to ask residents about what they wanted to do, regarding outings, holidays, menus, and other joint activities. We saw that residents were well able to take part in discussions and express their views. At the last inspection the home had been required to review the way staff withdrew cash weekly from three residents bank accounts using a cash machine, in the company of that resident. The manager explained to us how difficult it now was to use normal banking arrangements. She had consulted with a social worker to try and provide better protection. However we noted that full records of withdrawals were kept in the receipt books, with the signature of the resident. Only the manager and one staff member knew the details of the PIN numbers. Bank statements were checked with receipts and could be reconciled. Care Homes for Adults (18-65 years) Page 18 of 32 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. Residents can expect to be able to make choices about their lifestyle and to take part in activities within the community. Evidence: The AQAA told us that all the residents go out to some form of day activity either at a centre or an outing of their choosing. We saw the schedule of activities for the week before our visit. Each person had their own programme. These included attending a local college, two day centres, or staying at home. One person had a one to one support worker for five days a week. Another had one for two days a week. People attended courses in computers, cooking, art and gardening. One person had a part-time job with a company in Norwich on one day a week,which they were clearly pleased to tell us about. Residents also went bowling and swimming. An older resident attended an over 60s club. Activities in the evenings and weekends included attending the local Gateway club, snooker, visiting the pub, having meals out, visiting relatives and going to local attractions. The AQAA told us that more community activities had been sourced over the Care Homes for Adults (18-65 years) Page 19 of 32 Evidence: year to increase the choice and independence of residents. One resident regularly went to stay with a relative in Yorkshire for a holiday. The others had not been away this year but went on days out locally. The home had its own transport, but residents also used their bus passes. As well as activities outside the home, residents were expected to play a part in the running of the home and in keeping their own rooms clean and tidy. The AQAA told us that residents were encouraged to look after their rooms, change the beds, collect their dirty laundry and clean the room. They were also encouraged to respect other residents privacy if they were in their own room. Residents were happy to show us their rooms and explain what they did to them. The AQAA told us that residents were encouraged to choose what they wanted to eat, help prepare it, and help with shopping. A full record of each meal taken by the residents was kept. We saw fresh vegetables in the store, as well as frozen ones and ready meals in the freezer. On the day of our visit, the choice for tea was lasagne which was freshly cooked. The care plan for one resident identified the need to encourage them to eat a healthy diet. This was reinforced through their activities programme. The home now used a guide to healthy eating from Suffolk Adult Social Services. Since our last visit, the home had started to complete the Safer Food, Better Business documentation recommended by the Environmental Health Officer(EHO). We saw that this was completed daily. We noted that cleaning and temperature checks were recorded daily. The EHO had inspected the home in March 2009. The only point made was to update staff on hygiene training. We saw the record that this had been done. Care Homes for Adults (18-65 years) Page 20 of 32 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. Residents can expect their personal and healthcare needs to be met. Evidence: The care plans identified the health needs of each resident, covering physical needs and in one case behavioural needs. Apart from some chronic conditions, the information in the daily record gave early indications of the need to seek medical and nursing advice. The records listed all appointments to NHS and other services, the GP, dentist, optician and visits from a chiropodist. Dental hygiene and foot care were specifically covered in some care plans. Staff told us about one resident whose behaviour caused concern. They described how they managed this behaviour by calming and removing them from the cause of the behaviour. One resident was fitted with a pacemaker and visited the specialist clinic for regular check-ups. The residents were all able to look after their own personal care needs with guidance, support and encouragement from staff. They followed their own routines, as they confirmed to us, choosing their bedtimes and choosing which clothes to wear each day. They also chose their own clothes when they went shopping. The needs of an older resident had been assessed by a physiotherapist and an occupational therapist for aids to help them in and around the home. These aids were now being obtained from the NHS. Care Homes for Adults (18-65 years) Page 21 of 32 Evidence: The manager told us that this persons needs were always assessed on outings and activities to check that they were suitable for them. We looked at the medication administration record (MAR) sheets. We found two gaps in the signatures although the correct number of doses remained in the supply. When medication was prescribed PRN (as required), the reason for giving it was recorded. Staff told us that none of the residents administered their own medication. No controlled drugs were currently prescribed for any resident. Staff on duty confirmed that they had received training in the safe administration of medication. The AQAA told us that all seven staff had been trained to do this. Staff were aware that they must observe all residents taking their medication before signing that it had been administered. Care Homes for Adults (18-65 years) Page 22 of 32 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. Residents can expect their views to be heard, and to be protected from abuse. Evidence: The home had a complaints procedure available in the home. Residents told us they knew who to speak to if they were unhappy, and we saw that the friendly interaction with staff would allow this to happen. The manager told us that formal residents meetings were not held as they all discussed current matters there and then. Meal times were a convenient time to raise matters such as outings and activities. The AQAA told us that the home had received no complaints in the preceding twelve months. Staff on duty confirmed to us that they had done a training session on the protection of vulnerable adults, and had received certificates on successful completion. We saw evidence of this training in the file of a staff member. The home took prompt action when a residents behaviour caused concern for their health, and for the safety of others. Care Homes for Adults (18-65 years) Page 23 of 32 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. Residents can expect to live in a home that is homely and comfortable, and is safe for them. Evidence: Imber House was the family home of the owner, as well as the home of the residents. The owners private accommodation was on the top floor, although the downstairs front room was their private sitting room. the residents had their own communal lounge next to it. All residents rooms had been recently redecorated, including that of the most recent resident. This person had chosen the colour scheme (pink) and had brought several items of furniture with them, including a pink television. Other rooms were decorated in a variety of colours and all had personal items, pictures, posters, radios and TVs. Residents were pleased to show us their rooms and items which reflected their interests. Improvements had been made to the bathroom and adjoining WC following the previous inspection to improve hygiene and reduce cross-infection. A wet room had also been created to increase the choice for residents. A new carpet had been laid in the hall and on the stairs. The lounge had been decorated in a lighter colour which improved the feel of the room. The manager told us that using the Safer Food, Better Business procedure and record Care Homes for Adults (18-65 years) Page 24 of 32 Evidence: keeping, referred to earlier, had enabled them to maintain the cleaning, food hygiene and health and safety in the kitchen. The main project for the coming year was the refurbishment of the kitchen. This had been planned for this year but had been put back for financial reasons. Care Homes for Adults (18-65 years) Page 25 of 32 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. Residents can expect to be cared for by competent caring staff. Evidence: The AQAA told us about the staffing levels. Two staff covered the period when residents got up and had breakfast. Most of them then went out to a day activity. However two residents had one to one staffing on some days so those staff would stay with their resident wherever they went. Two staff covered from when residents returned, and the early evening. A staff member slept in at night. We looked at the recruitment file for the one person who had been recruited in the past year. There were two references including one from the previous employer, a full application form and the two protection checks, the POVA First and the full Criminal Records Bureau certificate. There was also a record of supervision sessions with the manager. These took place six times a year and were now recorded. There was also an annual appraisal. The staff member told us about the training they had received since they started. This included food hygiene, medication, safeguarding adults, and challenging behaviour. The manager told us that training was difficult to arrange with the small staff numbers (seven in all). However there was a training plan which covered the essential subjects, such as those above, and some related to the specific needs of residents. Six staff had received training in safe food handling. Three staff had achieved NVQ Level 2 or above. Care Homes for Adults (18-65 years) Page 26 of 32 Evidence: We saw the friendly interaction between staff and residents. In surveys and during our visit, residents told us that staff always treated them well. One of the staff also worked at one of the day centres so residents knew them well. All seven staff were female. There were three males in the home, but with high staff retention, the opportunity to recruit a male carer was limited. Care Homes for Adults (18-65 years) Page 27 of 32 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. Residents can expect to live in a well run home, with their views taken into account, and their health and safety protected. Evidence: The owner/manager had been running the home for many years with some residents living there for several years. The manager was qualified to Registered Manager Award level and had previous experience in the health service. The manager told us that now that all the places were taken again, and following the previous years agreement about fee levels with the two referring authorities, the home was financially viable. The manager explained to us how she maintained the quality of the service. She intended to send out questionnaires to stakeholders, although she told us that if visiting professionals or day centres had any concerns, they would speak about them to her. She and the staff were always talking to the residents about what they wanted to do. Residents were happy to tell us about their lives and what they liked doing. None of them felt unable or prevented from following their choice. We believe that the home would benefit from a regular survey of the views of stakeholders to ensure the manager had Care Homes for Adults (18-65 years) Page 28 of 32 Evidence: feedback on the service. We looked at the records for fire prevention and equipment maintenance. There was a contract for the twice a year checks on fire equipment. Both had been done this year. The fire risk assessment should have been reviewed in August 2009. We examined the accident records. They were all minor incidents and not connected to any one resident. They had been properly recorded to preserve privacy and data protection. The manager was aware of the Deprivation of Liberty Safeguards of the Mental Capacity Act, but had not yet attended any training about them. We saw that all policies and procedures had been reviewed in September and October 2009. Care Homes for Adults (18-65 years) Page 29 of 32 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 30 of 32 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 1 24 The refurbishment of the kitchen should be implemented as soon as possible to improve the facilities, and ease of cleaning. The manager should become knowledgeable about the Deprivation of Liberty Safeguards and how they apply to the residents. 2 37 Care Homes for Adults (18-65 years) Page 31 of 32 Helpline: Telephone: 03000 616161 or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2010) 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. 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