Care Home: Kazdin

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What the care home does well Small House Homes, who own Kazdin, encourages and supports staff training and development ensuring that people who live at the home receive the best possible service. The home continues to update and maintain the decoration of the home and upgrade the environment as needed.A survey completed at the home by a relative said, " Weekly Feedback sheets are appreciated". What has improved since the last inspection? The home has benefited from the redecoration of both bedrooms and this included new bedding, mattress and beds. The home has fitted Astro Turf in the garden to enable people to play all weather cricket. What the care home could do better: No Recommendations or Requirements were made during this inspection. Key inspection report Care homes for adults (18-65 years) Name: Address: Kazdin Selway Lodge Tamerton Foliot Road Plymouth Devon PL6 5ES 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: Kim Fowler Date: 1 0 0 7 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 29 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 © (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. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: Kazdin Selway Lodge Tamerton Foliot Road Plymouth Devon PL6 5ES 01752702105 01752702105 kazdinhouse@smallhousehomes.co.uk 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) : Small House Homes Ltd care home 3 Number of places (if applicable): Under 65 Over 65 3 3 0 0 learning disability physical disability Additional conditions: Age range 16-35yrs Learning disabled adults some of whom may have a physical disability One service user, named elsewhere, over the age of 35 years may reside at the home. Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 29 A bit about the care home Kazdin is situated in a residential area of Plymouth. It is on a main bus route with easy access into the city as well as to local shops. It is a detached bungalow, with an additional attached annexe, set in its own large grounds with a swimming pool and extensive gardens that back on to woodland. The main house has a large lounge/dining room with doors that open onto the patio and garden. There is a good-sized kitchen, a bathroom, laundry room and two bedrooms. Two further bedrooms and a shower room are provided for the sole use of staff who provide both waking and sleep-in cover at night. The office space does not encroach upon the communal space. The annex is selfcontained and provides a bedroom, lounge room, kitchen and bathroom. The home is registered to provide personal care and accommodation to three people under the categories of learning disability who may or may not have a physical disability, and within the age range of 16-35 years; one person is over the age of 35 years and this has been agreed with the Commission. The home has the use of two vehicles and is close to shops and local amenities. Kazdin is one of a number of registered homes belonging to Small House Homes Limited. The weekly fees for this service are calculated on an individual basis depending upon the each person?s support needs. Information relating to the services provided by Kazdin can be obtained directly from the home. Care Homes for Adults (18-65 years) Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 6 of 29 How we did our inspection: This is what the inspector did when they were at the care home The unannounced inspection took place over 1 day and started at 10:00am and finished at 2:30pm on the 10th July 2009. The Registered Manager Rachel Harris was available throughout the inspection. The inspector made a tour of the building and met both people living at the home. Documentation relating to the care planning process and the management of the home were examined. The inspector also spoke to the manager and all the staff members on duty during the inspection. Any comments received during the inspection are in the relevant section of the report. What the care home does well Small House Homes, who own Kazdin, encourages and supports staff training and development ensuring that people who live at the home receive the best possible service. The home continues to update and maintain the decoration of the home and upgrade the environment as needed. Care Homes for Adults (18-65 years) Page 7 of 29 A survey completed at the home by a relative said, Weekly Feedback sheets are appreciated. What has got better from the last inspection What the care home could do better No Recommendations or Requirements were made during this inspection. Care Homes for Adults (18-65 years) Page 8 of 29 If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Kim Fowler Colston 33 33 Colston Avenue Bristol Avon BS1 4UA 01179307110 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 9 of 29 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Future new referrals to Kazdin for admission can be assured that they will be provided with sufficient information for them to make an informed choice about living at this care home. Evidence: The home currently has two people living there and has not had any new admission since the last inspection. The admission process was discussed with the Registered Manager on duty and she was able to confirm that Small House Homes has a admission process in place should the need arise. It was clear from the information provided by the manager that if any new admissions are referred to the home there are procedures in place to ensure a trial visit period and documents to record the person full care needs in place. Due to the high level of care needs the people currently living in the home require all future admissions would involve the care managers and Challenging Behaviour team to ensure only suitable people are place at Kazdin. Page 11 of 29 Care Homes for Adults (18-65 years) Evidence: The homes AQAA states, . New residents are fully assessed prior to admission and transitional work is completed with them. The two files examined held a contract with Small House Homes, however a new company is in the process of purchasing this home and the manager stated that new contracts would be issued on completion of the purchase. Care Homes for Adults (18-65 years) Page 12 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in Kazdin are encouraged and supported to make daily decisions as much as possible about their own lives to maintain their independence. Evidence: Both files were examined and held individual care plans in place and the details held on these files are needed by staff to met individual needs. These care plans show a breakdown of the services and facilities provided by the home as well as current needs, specialist input and guidelines for staff to manage people who challenge the service. Each individual plan provide staff with the information on how to care for each person and ensure continuity in care and have been completed to enable staff to carry out their duties. All plans ensure that all aspects of health, personal and social needs will be met. All three staff members on duty were spoken with and observed during the inspection. It was clear from the discussions with the staff and observations that they were fully aware Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: of the needs of the people living in the home. The staff were seen interacting with both people living in the home in a relaxed and friendly manner. Each persons file held information on all aspects of individual care including, a list of professional involved with individuals, money and how and who manages this and information on medication currently being taken. Both files showed that regular reviews and update were undertaken. Restrictions and limitations on freedom are detailed and have involved outside agencies in these agreements. Observation showed that staff encourage each person to be as independent as possible, even though this is difficult due to the individual complex needs and at times the 2:1 staffing ratio. The person living in the home spoken with said they felt they were able to make decisions about their own life including when to go out and were to go. This included a trip to the shops by them self during the inspection. Each person has a petty cash account and both were check during this inspection. A clear audit trail showing income, expenditure and receipts were kept for each account. One person spoken with confirmed that they manage there own money with staff support and hold a debit card to withdraw money from the cash machine. Each file held individual risk assessments for both outside and in-house activities and how each activity could be managed safely for both the staff member and the person concerned. These are supported by the Physical Intervention plans and risk assessments when people may challenge the service. This information is important to minimise risk for all and is updated if a new activity is undertaken. The homes AQAA under there plans for improvement in the next 12 months wrote, The placement plan will continue to be updated on a monthly basis. Staff will support residents to become more independent. Care Homes for Adults (18-65 years) Page 14 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Both the people currently living in Kazdin can be confident that the home will promote and provide support for them to access the local community and leisure activities as much as possible. Evidence: Small House Homes company has their own educational drop in centre and people are invited to attend when they wish. One person living in the home regularly attends several course including maths, English and independent living skills. Neither person currently living at Kazdin holds down employment however they both lead full and active lives. This includes carrying out domestic duties, cooking, shopping and a wide range of leisure activities including swimming and the cinema. Observed during the inspection were people arranging to go out to the local shops and going to the dentist. Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: The home benefits from having a swimming pool on site and very large gardens were part is laid with Astro Turf to make a cricket pitch for one person living in the home to enjoy. One person has there own transport and the other person is encouraged to maintain their independence and use public transport and with staff support when needed. One person confirmed they plan their own weekly menu and will also assist with the preparation, shopping and cooking of their own food. The other person living in the home is able to make themselves understood on the choice of food they would like. This includes having a menu in picture format so they are able to point to the food they would like. The home benefits from two kitchens with one kitchen waiting for a new oven so both people will be encouraged to cook for themselves. Each person living in the home has their own part of the home with one person having their own key, the second person declined a key at present. Evidence was recorded in the files examined of input from relatives and friends. The staff confirmed that both people have regular visits from family members and one person is due to visit their family at home. The staff working in the home supports each of these home visits. The homes AQAA states, Due to the complex needs of the residents, routines are normally quite structured as to avoid confusion to the resident. Residents are given the opportunity to make the larger decisions such as when to have a shower/bath etc. Care Homes for Adults (18-65 years) Page 16 of 29 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff were observed promoting individuals independence and supporting and promoting privacy and dignity at all times. Access to health care is maintained to promote the wellbeing of both people who live in the home. Evidence: All personal support is recorded into individual care plans and these are easily accessible for staff and both rooms are single. Recorded in each file is what input is required from the staff. One person spoken with confirmed that they carry out their own personal care needs and the manager confirmed that the other person living in the home requires minimal assistances and verbal prompts. This ensures consistency in the care provided. These care plans are based on assessed needs and evidence was recorded that these are regularly reviewed and then signed. Guidance on personal care is clearly recorded into individual files and this ensures that staff are aware of peoples needs and will promote consistency in care. Observation on the day showed all activities, including getting up and meal times are Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: flexible to meet individual choices and needs. All health care needs are recorded into individual files and evidence showed each person sees a GP, Dentist and Optician when needed. All incidents of behaviour that may challenge the service are clearly documented with follow up reports completed by the registered manager and involve outside professionals if needed. This includes the Challenging Behaviour Team. The medication system was checked during this inspection and found to be well recorded and documented. The home uses the blister pack system to dispense medication. The local pharmacist carries out staff training in medication and most staff has completed the Boots System training course. Other training completed by staff includes the Safe Storage and Handling of medication. Some of the staff spoken with confirmed they had completed medication training. One person is currently assisting with their own medication with the longer term plan to self administer their medication with a plan to live independently. Staff assisted this person by observation during the self administration process. The homes AQAA under plans for improvements in the next 12 months states, To continue improving the other residents independence and enhance their life skills Care Homes for Adults (18-65 years) Page 18 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Both people living in Kazdin can be confident that any complaints or concerns raised will be listened to, acted upon and well managed by the home, which protects the welfare of all. Evidence: One file examined held a complaint made by this person. Information included the action taken, outcome and was signed and dated by both the manager and the person concerned on completion of the investigation. This person was spoken with during the inspection and was able to confirm they were aware on who to talk to if they had any concerns or complaints and they also see their family who would help them if needed. The Commission has not received any complaints. The home also holds weekly in-house meetings so people are able to raise any general concerns then. The home has a Moans and Groans book, and this was examined and showed that everyday issues are dealt with immediately and recorded the nature of the concern raised and any actions or outcomes taken by the home. The staff training records and staff spoken with confirmed that all staff have received Safeguarding training. One staff spoken with was able to explain the Safeguarding process clearly and was fully aware on how the procedure works. Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: Care Homes for Adults (18-65 years) Page 20 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The owners of Kazdin continues to update and upgrade a clean and suitable environment for its stated purpose and both people living at the home can be assured that they will live in a comfortable home that is regularly maintained. Evidence: A partial tour of the premises showed that the home was well maintained, clean and tidy. The manager confirmed that improvements since the last inspection included the fitting of the Astro Turf in the garden, both bedrooms painted and new bedding, beds and mattresss for each person living in the home. One person showed the inspector their bedroom and confirmed they had chosen the colour scheme in their room. This room held many personal items and was large and spacious. Bedroom doors are fitted with locks providing privacy and security for belongings. Only a partial tour of the annex was made, however this showed a large comfortable living area. The gardens are very large and back onto a woodland area. The home also has their own swimming pool and staff confirmed this is regularly used. The Astro Turf has been fitted to make a cricket area for one person to enjoy. Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: The home has a large laundry room which held two washing machine and two driers, this enabled each person to do their own laundry. Staff files showed that some staff have completed Infection control training. And the homes AQAA recording, Infection control and prevention of infection can be witnessed in the policy folder. Care Homes for Adults (18-65 years) Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Kazdin are supported by well-motivated and caring staff in sufficient numbers to meet the needs of both people currently living at the home. Staff training is carried out regularly for all staff to ensure that all assessed needs of the people living at the home are met. Evidence: The staff were observed throughout the inspection responding sensitively and respectfully to both people living in the home and were able to use their knowledge of individuals to encourage choice and independence were possible. All staff were observed to be friendly, good-natured, courteous and respectful at all times. They interacted well with the people living in the home and one of the activities sessions observed being planned showed that the staff and the people living in the home having fun in a relaxed friendly atmosphere. The staff interviewed confirmed that there was sufficient staff on duty to meet the current needs of people living in the home. On the day of the inspection there was the registered manager, senior support worker and three support staff. The home also provides waking night staff and an on-call system for the management. Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: Observation showed that the staff members on duty were aware of individuals needs and how best to support them. Examination of staff files showed that all staff had the required pre-employment checks, including CRB (Criminal Record Bureau Disclosure) in place ensuring as far as possible unsuitable staff are not employed. Discussions with manager and the staff showed that all staff participate in and update training course when needed. The training recorded in individuals files show that induction, adult protection, first aid, health and safety, fire safety, food safety and courses related specifically to working with people with learning disabilities is regularly undertaken. These include course on Physical Intervention and Autism. The homes AQAA records that in the next 12 months they will, We are continuing to focus on ensuring staff feel valued. Several staff members were spoken with during this inspection and all confirmed regular training was offered. These staff also felt that they were able to express their view at staff meetings held in the home. Records showed that supervision has been carried out regularly. Regular consultation with staff ensures staff can contribute to the running of the home and are aware of the home aims and objectives, philosophies of care and promotes consistency and improvement. One staff member said,good company to provide training. Several staff member expressed concerns over how the new company who have purchased Small House Homes will effect them but agreed that they had been informed of changes so far. Care Homes for Adults (18-65 years) Page 24 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management of this home is very good and ensures that records are effectively maintained. And the staff team are well trained to meet the needs of people living at the home. Evidence: The Registered Manager, Miss Rachel Harris continues to manage the home and has for a number of years. Miss Harris has completed a level 4 National Vocational Qualification (NVQ) in Care and has completed the Registered Managers Award. Miss Harris had been on the Positive Response Training course on the week before the inspection thereby demonstrating that she keeps herself up to date with current good practice in social care. Discussions with one person living in the home and the staff on duty confirmed that the manager is approachable and is highly thought of by the people spoken with. One staff commented, I can approach her with concerns. The home held completed quality assurance surveys sent by the home. All show positive Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: comments included comments from relatives. The manager recorded in the homes AQAA returned to the Commission, I conduct a clinical inspection (monthly monitoring). One relative when asked about the communication between the home and themselves said, Very good, most willing to help with any problems. A professional wrote, Contact with family is particularly important to service users, this is recognised by staff at Kazdin and extremely well supported by them. One person living in the home wrote on the survey returned to the home, Staff trying their best and are very helpful. Sampling of servicing records indicated that equipment is serviced regularly and maintained in good working order, including the fire alarm system. Certificates were available on all Health and Safety equipment and gas and electrical appliances were being routinely serviced and checked. The fire protection system was well maintained. Maintenance checks are being carried out. Staff are receiving appropriate fire protection training to ensure they have the skills to deal with emergencies. Good health and safety practices reduce any unreasonable risk, affecting people living at the home, to an acceptable level. Care Homes for Adults (18-65 years) Page 26 of 29 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 27 of 29 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 28 of 29 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 © (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 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!