Care Home: Lingdale Road (7)

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What the care home does well The home has a detailed statement of purpose and service user guide which provides clear information about the services and facilities available at Lingdale Road. There is a detailed assessment process in place which involves meeting the prospective service users and inviting them to visit the home and meet the other people who live there. This process provides the staff team with the information and guidance they need to support prospective service users safely and effectively. It also ensures their needs and lifestyle choices are compatible with those of the people already living at the home. Service users are encouraged and supported to access community and leisure facilities regularly. With service users attending community based day services and carrying out voluntary work regularly. Service users are supported to be in control of their daily lives and to make decisions about how they spend their time. Activity plans are produced which detail social and leisure plans as well as household tasks such as food shopping and cleaning. This approach ensures service users are in control of their daily lives and are the decision makers. Service users are supported to maintain positive relationships in their lives with detailed information being held in their care files. We spoke with service users who told us Debbie and the staff team were good and kind to them. Each service user has a detailed plan about how they like to be supported with their personal care needs and the routines which are important to them. Including the times they like to go to bed and how they like to relax in the communal areas and in their bedrooms. Staff members spoken with during the visit showed a good understanding of service users personal care needs and were enthusiastic about ensuring they receive care and support which meets their needs and wishes. Lingdale Road is run by Mencap who have a detailed corporate complaints and concerns policy with clear procedures for the manager and the staff team to follow. Service users spoken with told us they felt confident raising any concerns or complaints they may have with the staff team, manager, area manager or other significant people in their lives. Records show and discussions with the manager and comments made by members of the staff team that they feel supported to undertake training to enable them to offer appropriate care and support to service users. Ms Debbie Pierce has been the registered manager of Lingdale Road for approximately six years she has gained the NVQ Level 4 Managers Award and has over fifteen years experience working in the care sector. Records show she undertakes regular training to support both aspects of her role, managing the service and offering direct care and support to service users. What has improved since the last inspection? We looked at a selection of support plans and found them to be individualised and to reflect service users care needs and lifestyle choices. They offered the staff team clear information about how service users wish to be supported in their daily lives and the routines which are important to them. The manager and the staff team support service users to access health care services when required and will seek advice and support from health and social care professionals to ensure the support and care being provided is meeting their needs. Each service user has a health action plan which uses pictorial prompters to support their understanding of the information. Regular reviews of service users health care needs take place allowing changing needs to be identified and acted upon quickly and effectively. Resulting in service users being confident they are being supported by a staff team who are alert to their general wellbeing and fully understand how they should respond and take action. The manager and the staff team have developed efficient medication policies, procedures and have access to medication information and guidance. A sample of medications and the accompanying Medication Administration Record (MAR) sheets were looked at and were properly maintained. Comprehensive records are kept about the health and safety checks made to maintain a safe environment for both service users and the staff team including fire safety checks maintenance records, and utility services. What the care home could do better: Further maintenance work needs to be carried out to ensure there is continued improvement in the decoration of the building and the facilities and furnishings being provided. There are management systems in place which allows the running of Lingdale Road to be audited including national quality assurance systems which seek out the views of other stakeholders. We discussed with the manager the need to look at ways to engage on a local level with professionals involved in supporting service users and visitors to the home to seek out their views. This is to ensure the manager and the staff team can gather meaningful and specific information about the service being provided at Lingdale Road and be confident they are meeting service users` needs and expectations. She agreed to look at this and discuss it with the area manager. Key inspection report Care homes for adults (18-65 years) Name: Address: Lingdale Road (7) 7 Lingdale Road West Kirby Wirral CH48 5DG     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: Helen Carton     Date: 0 9 0 2 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 28 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 28 Information about the care home Name of care home: Address: Lingdale Road (7) 7 Lingdale Road West Kirby Wirral CH48 5DG 01516324845 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: www.mencap.org.uk Royal Mencap Society care home 7 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: 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: Learning disability - Code LD. The maximum number of service users who can be accommodated is: 7. Date of last inspection Brief description of the care home Lingdale Road is registered to provide personal care for 7 adults with a learning disability. The home is a three storey, detached property located in a residential area of West Kirby. Lingdale Road is close to local shops and to public transport services. All bedrooms are single. There is a shower room on the ground floor and a bathroom on the first floor. On the ground floor there is a kitchen, two lounges and a separate dining room. There is a large garden to the rear of the home. There is a preparation for independent living flat situated on the third floor for two service users, which has cooking facilities and a shared bathroom. Parking is available at the front of the home and on the road outside. A copy of the most recent Care Quality Commission (CQC) inspection report is Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 7 1 1 0 2 2 0 0 9 Brief description of the care home available from the manager of Lingdale Road. Currently service users pay 444 pounds per week to live at the home. Care Homes for Adults (18-65 years) Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: As part of the inspection process we used information gained from the Annual Quality Assurance Assessment (AQAA) document completed by the manager of Lingdale Road. This document provided information about the service and told us where they felt they had made improvements to the way they support service users and the staff team. The last inspection on this service was completed on 11/02/2009 We visited the home to enable us to look at records and to discuss how the home supports service users in all aspects of their lives. Part of this process involved speaking with the person in day to day control of the home, members of the staff team and spending time with service users to find out their views on living at the home. As part of this process an expert by experience who either uses social care services or supports someone who uses services visited the home and spent time with service users to discuss their experiences of living at Lingdale Road. We spent approximately 7 hours at the home. Care Homes for Adults (18-65 years) Page 6 of 28 What the care home does well: What has improved since the last inspection? We looked at a selection of support plans and found them to be individualised and to Care Homes for Adults (18-65 years) Page 7 of 28 reflect service users care needs and lifestyle choices. They offered the staff team clear information about how service users wish to be supported in their daily lives and the routines which are important to them. The manager and the staff team support service users to access health care services when required and will seek advice and support from health and social care professionals to ensure the support and care being provided is meeting their needs. Each service user has a health action plan which uses pictorial prompters to support their understanding of the information. Regular reviews of service users health care needs take place allowing changing needs to be identified and acted upon quickly and effectively. Resulting in service users being confident they are being supported by a staff team who are alert to their general wellbeing and fully understand how they should respond and take action. The manager and the staff team have developed efficient medication policies, procedures and have access to medication information and guidance. A sample of medications and the accompanying Medication Administration Record (MAR) sheets were looked at and were properly maintained. Comprehensive records are kept about the health and safety checks made to maintain a safe environment for both service users and the staff team including fire safety checks maintenance records, and utility services. 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 28 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 28 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. The home proactively works to make sure information is accessible and meaningful to service users. With care needs being fully assessed prior to an offer of a placement being made. Evidence: The home has a detailed statement of purpose and service user guide which provides clear information about the services and facilities available at Lingdale Road. Each service user has a contract that shows what services and facilities are included in their accommodation fees. There is a detailed assessment process in place which involves meeting the prospective service users and inviting them to visit the home and meet the other people who live there. Information is gained from the service user, members of their families and other health and social care professionals who may have been involved in supporting and caring for them. One person has moved into the home since we last visited, documentation looked at confirms a detailed assessment took place prior to an offer of a placement being made. This process provides the staff team with the Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: information and guidance they need to support prospective service users safely and effectively. It also ensures their needs and lifestyle choices are compatible with those of the people already living at the home. Care Homes for Adults (18-65 years) Page 11 of 28 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. Service users benefit from a staff team who actively promotes and supports them to be in control of their lives. Evidence: We looked at a sample of support plans and risk assessment information for service users living at Lingdale Road. We found all documents to be individualised and to reflect service users care needs and lifestyle choices. They offered the staff team clear information about how service users wish to be supported in their daily lives and the routines which are important to them. Service users are supported and encouraged to be part of the care planning and risk assessment processes. The level of detail in support plans enables the staff team to support service users to lead purposeful and fulfilling lives as independently as possible. Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: Support plans and risk assessments are reviewed regularly with service users to make sure the support being offered are meeting their changing needs. Service users and the staff team are encouraged to comment on support being offered to make sure changes made are effective and focus on positive experiences rather than negative. This approach reflects the staff teams commitment to providing service users with an enabling supportive environment in which to live. Care Homes for Adults (18-65 years) Page 13 of 28 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. Service users individual rights to live an ordinary and meaningful life in both the home and the community, and to enjoy all the rights and responsibilities of citizenship is promoted and protected by the manager and the staff team. Evidence: Records show service users are encouraged and supported to access community and leisure facilities regularly. With service users supported to attend day services and carryout voluntary work in the community. Service users are supported to be in control of their daily lives and to make decisions about how they spend their time. Activity plans are produced which detail social and leisure plans as well as household tasks such as food shopping and cleaning. This approach ensures service users are in control of their daily lives and are the decision Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: makers. Service users enjoy regular holidays which are celebrated and remembered through photo albums and reminiscing. Artwork completed by service users is displayed in their bedrooms and in the lounges and dining room. Resulting in service users taking ownership of their home and the staff team respecting and valuing them as individuals. The staff team support service users to maintain positive relationships in their lives with detailed information being held in their care files. We spoke with service users who told us Debbie and the staff team were good and kind to them. Service users are supported to be as independent as possible and take the lead in all aspects of their daily lives including meal planning and help with cooking. Care Homes for Adults (18-65 years) Page 15 of 28 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. Service users health and personal care needs are met by a staff team who respect and value them as individuals living within a communal environment. Evidence: Each service user has a detailed plan about how they like to be supported with their personal care needs and the routines which are important to them. Including the times they like to go to bed and how they like to relax in the communal areas and in their bedrooms. Staff members spoken with during the visit showed a good understanding of service users personal care needs and were enthusiastic about ensuring they receive care and support which meets their needs and wishes. Personal care plans are regularly reviewed with service users to ensure appropriate care and support is provided. There is a good balance within the staff team of males and females and an age range that is reflective of the service user group. Resulting in service users being confident their requests or needs regarding who supports them with their personal care needs can be met. Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: The manager and the staff team support service users to access health care services when required and will seek advice and support from health and social care professionals to ensure the support and care being provided is meeting their needs. Each service user has a health action plan which uses pictorial prompters to support their understanding of the information. Regular reviews of service users health care needs take place allowing changing needs to be identified and acted upon quickly and effectively. Resulting in service users being confident they are being supported by a staff team who are alert to their general wellbeing and fully understand how they should respond and take action. Following risk assessments the manager and the staff team currently fully administer medication for the majority of the people who live at the home however they support one service users to take an active role in the administration of their medication. The manager and the staff team have developed efficient medication policies, procedures and have access to medication information and guidance. A sample of medications and the accompanying Medication Administration Record (MAR) sheets were looked at and were properly maintained. The manager and the staff team have undertaken medication training and the manager is confident of their competencies and carries out an audit of medication every month. Care Homes for Adults (18-65 years) Page 17 of 28 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. The home proactively seeks the views and opinions of service users promoting an open culture where there can be confidence they are safeguarded from abuse and neglectful practice. Evidence: Lingdale Road is run by Mencap who have a detailed corporate complaints and concerns policy with clear procedures for the manager and the staff team to follow. Service users spoken with told us they felt confident raising any concerns or complaints they may have with the staff team, area manager or other significant people in their lives. Service users benefit from living in a service that has an open culture that supports them to express their views and concerns in a safe and understanding environment. There are clear safeguarding procedures in place with the staff receiving regular training about their roles and responsibilities regarding safeguarding the people they support. Service users benefit from the open culture operating at Lingdale Road and are supported by a manager and staff team who place their protection and safety as a priority. Care Homes for Adults (18-65 years) Page 18 of 28 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Lingdale Road provides an adequate environment for service users to live in. Evidence: Lingdale Road is a large detached property with two lounges, separate dining room and individual bedrooms for service users. Since our last visit to the home the first and second floor landings have been decorated and maintenance work has been carried out on the fire escape to ensure it is good working order. One bedroom had been decorated and refurbished in preparation for a service user moving into the home. All areas of the home are homely in appearance and provide service users with an adequate environment in which to spend time. However decoration throughout the home including bedrooms is worn and shabby with wallpaper and paintwork damaged. The manager acknowledged this and informed us further work is planned to upgrade the decoration within the home and to replace some of the more worn and damaged furniture. We viewed a number of bedrooms which had been personalised by service users. In one bedroom we noted supplementary heating was being used the manager told us they had been experiencing some problems with the boiler. The engineer had been Care Homes for Adults (18-65 years) Page 19 of 28 Evidence: called out and was returning the following day. The ground floor shower room requires maintenance work carried out to ensure it is safe and a comfortable place for service users to spend time. The manager acknowledged this and told us they intend to change this room into a wet room when funding becomes available. There is a large garden and patio area to the rear of the house which the service users enjoy using through the summer months. Care Homes for Adults (18-65 years) Page 20 of 28 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. Service users are supported by a well trained and skilled staff team resulting in positive outcomes with regard to individualised care and support. Evidence: Records show and discussions with the manager and comments made by members of the staff team that they feel supported to undertake training to enable them to offer appropriate care and support to service users. Training sessions such as medication, safe guarding awareness training, moving and handling and first aid training have taken place since our last visit to the home. This type of training enables the staff team to support service users safely and sensitively. Training records show the organisation and the manager remain committed to support the staff team to undertake internal and external training courses including National Vocational Qualifications in care. The recruitment and selection procedures in place provide safeguards to service users to ensure they are supported by suitably skilled and competent people. It also provides service users protection from being supported by unsuitable and unsafe people. Care Homes for Adults (18-65 years) Page 21 of 28 Evidence: Members of the staff team spoken with indicate they feel supported and valued by the manager. We observed service users spending time with members of the staff they appeared relaxed and confident and happy to talk with us during our visit to the home. Care Homes for Adults (18-65 years) Page 22 of 28 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 systems within the home promote the health, safety and wellbeing of service users. Evidence: Ms Debbie Pierce has been the registered manager of Lingdale Road for approximately si approximately 6 years she has gained the NVQ Level 4 Managers Award and has over fifteen years experience working in the care sector. Records show she undertakes regular training to support both aspects of her role, managing the service and offering direct care and support to service users. There are management systems in place which allows the running of Lingdale Road to be audited including national quality assurance systems which seek out the views of other stakeholders. We discussed with the manager the need to look at ways to engage on a local level with professionals involved in supporting service users and visitors to the home to seek out their views. This is to ensure the manager and the staff team can gather meaningful and specific information about the service being provided at Lingdale Road and be confident they are meeting service users needs and Care Homes for Adults (18-65 years) Page 23 of 28 Evidence: expectations. She agreed to look at this and discuss it with the area manager. Information gained from discussions with members of the staff team indicates they feel supported by the manager and feel they receive sufficient information to support service users safely in their daily lives. . Comprehensive records are kept about the health and safety checks made to maintain a safe environment for both service users and the staff team including fire safety checks maintenance records, and utility services. Care Homes for Adults (18-65 years) Page 24 of 28 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 28 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 24 23 Damaged and worn wallpaper and paintwork must be repaired or replaced. This is to ensure service users live in a pleasnt and homely environment that meet their care and social needs. 31/03/2011 2 27 23 The groundfloor shower room must be adequately maintained. This is to ensure servvice users safety and well being is maintained. 28/10/2010 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 1 24 The production of a schedule of work with regard to the improvements planned for the enviroment would demonstrate to CQC the commitment of Mencap to raise the physical standards of Lingdale Road. Resulting in Page 26 of 28 Care Homes for Adults (18-65 years) 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 positive outcomes for service users. 2 39 A review of the current quality assurance systems should be undertaken to look at ways to seek specific information about the service being provided at Lingdale Road. Care Homes for Adults (18-65 years) Page 27 of 28 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. 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