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Care Home: Madeley Road, 47

  • Madeley Road 47 Ealing London W5 2LS
  • Tel: 02089911333
  • Fax: 02089911387

47 Madeley Road is a registered establishment providing care to 11 service users with a learning disability who may also be over the age of sixty-five. The home is operated by Care Management Group, who also operate other care homes in the West London Area. 47 Madeley Road is a large detached house near the centre of Ealing Broadway. There are wide ranges of shopping and transport facilities within walking distance of the home. The service users private accommodation is situated on all three floors of Over 65 011 the house. There is ample communal space available for service users including an enclosed rear garden. The fees range from £750 to £1200 per week.

  • Latitude: 51.515998840332
    Longitude: -0.29699999094009
  • Manager: Miss Diana Malunga
  • Price p/w: £975
  • UK
  • Total Capacity: 11
  • Type: Care home only
  • Provider: Care Management Group Ltd (trading as CMG Homes Ltd)
  • Ownership: Private
  • Care Home ID: 10134
Residents Needs:
Learning disability

Previous Inspections

This may not be the latest inspection for this service as we are having techinical problems updating from CQC - please check directly on the regulators website for the most recent report; bestcarehome hopes to be back to regular updates shortly.

For extracts, read the latest CQC inspection for Madeley Road, 47.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Madeley Road, 47 Madeley Road, 47 Ealing London W5 2LS     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Clare Henderson-Roe     Date: 0 4 0 6 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. 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 Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI 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 27 Information about the care home Name of care home: Address: Madeley Road, 47 Madeley Road, 47 Ealing London W5 2LS 02089911333 02089911387 Telephone number: Fax number: Email address: Provider web address: www.caremanagementgroup.com Name of registered provider(s): Care Management Group Ltd (trading as CMG Homes Ltd) care home 11 Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 11 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 Date of last inspection Brief description of the care home 47 Madeley Road is a registered establishment providing care to 11 service users with a learning disability who may also be over the age of sixty-five. The home is operated by Care Management Group, who also operate other care homes in the West London Area. 47 Madeley Road is a large detached house near the centre of Ealing Broadway. There are wide ranges of shopping and transport facilities within walking distance of the home. The service users private accommodation is situated on all three floors of Care Homes for Adults (18-65 years) Page 4 of 27 Over 65 0 11 Brief description of the care home the house. There is ample communal space available for service users including an enclosed rear garden. The fees range from £750 to £1200 per week. Care Homes for Adults (18-65 years) Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This was an unannounced inspection carried out as part of the regulatory process. A total of 5 hours was spent on the inspection process, which included a tour of the home and viewing records to include medication management, service user plan documentation, training records, quality assurance documentation, staff employment records and maintenance and servicing records. The Annual Quality Assurance Assessment (AQAA) sent submitted by the home in November 2008 was also viewed as part of the inspection process. We spoke with 6 residents and 5 staff and 2 visitors. Care Homes for Adults (18-65 years) Page 6 of 27 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get Care Homes for Adults (18-65 years) Page 7 of 27 printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 27 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents are fully assessed prior to admission and are given the opportunity to visit and stay at the home prior to becoming a permanent resident, thus affording the opportunity to ascertain that they are appropriately placed at the home. Evidence: CMG have a comprehensive pre-admission assessment document and this is completed for all prospective residents. Once the assessment has been completed then a decision is made as to which CMG home would best meet the individuals holistic needs. Copies of assessments from Social Services and any other relevant healthcare assessments are also obtained. Once a suitable home has been identified, then the person is invited to visit and can have an overnight stay if they so wish. The placement is kept under review to ensure the person settles in well and that the home is the right one for them. The home has not had any new admissions since the last inspection. Care Homes for Adults (18-65 years) Page 10 of 27 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service user plan documentation clearly reflects all the needs of each resident and how these are to be met, providing staff with the information to care for each resident effectively. Each resident is provided with the encouragement and support to make choices in their lives, thus promoting their independence. Risks are identified and assessed for each resident so that action can be taken to minimise them. Evidence: We viewed 2 service user plans. These had been well completed and provided a good picture of each resident and all aspects of their daily lives, and the care and support each person needs to achieve and maintain optimum well-being. There is a monthly review document that is completed with input from the resident. Each resident has a daily diary, and these are used as the daily record for each person, thus providing up to date information for each resident. There is an annual review arranged for each resident, and the resident, their representatives and the Care Managers are involved in this. The Manager explained that she was in the process of following up reviews for 2 residents, and it was clear that the Manager ensures reviews are carried out in a Care Homes for Adults (18-65 years) Page 11 of 27 Evidence: timely manner. There was evidence of input from residents in the service user plans. The daily life in the home is tailored to meet the needs and wishes of the residents. Residents are encouraged to make choices for themselves in respect of their day to day lives, to include activities, meals, individualising bedrooms and they are dressed to reflect individuality. Monthly residents meetings take place and minutes are taken. These reflect the fact that each resident is encouraged to express their views on several topics relevant to enhancing their lives at the home. 3 holidays had been arranged with input from the residents, and all the residents are going on holiday during the summer. Risk assessments were in place for each resident, and these covered all areas of identified risk. These are reviewed every 6 months unless there is a significant change in a residents condition. Care Homes for Adults (18-65 years) Page 12 of 27 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The individual interests of residents are taken into consideration when arranging activities and outings, to ensure they are tailored to the individual. The home has an open visiting policy thus encouraging contact with family and friends. Staff care for residents in a gentle, friendly and professional manner, thus respecting their privacy and dignity. The meal provision at the home is good, reflecting the likes of the residents and meeting their dietary needs and preferences. Evidence: The majority of the residents attend college twice a week, with one attending the day centre and plans being made for another resident to start at college in the near future. These are all for 2 days a week, and additional days have been offered for the next year, however the required additional funding is not available from the placing authorities so this is still under review. CMG has a minibus and outings are provided Monday to Friday for those who wish to go. This also offers the opportunity for Care Homes for Adults (18-65 years) Page 13 of 27 Evidence: residents to meet up with people from other CMG homes in the area. The home also has its own car to transport the residents. Residents have the opportunity to attend church and other places of worship, and are supported to do so. Each resident has a weekly activities programme that reflects their individual interests, plus comprehensive documents have been completed to record a day in the life of each resident. Residents are involved with the household activities of the home to include shopping, light household duties and meal preparation, thus helping to promote independence. Each resident has a key worker who is responsible for their welfare and one-to-one time is allocated for discussion and activities. The home has an open visiting policy and visiting is encouraged. Residents can receive visitors in their own rooms or in one of the communal areas, as they so wish. We spoke with 2 visitors during the inspection and they said that they are always made welcome at the home and are kept up to date with any concerns. They expressed their satisfaction with the care provided by the staff at the home. Staff were seen interacting with residents in a friendly, gentle and professional manner, respecting their privacy and dignity. The staff have an excellent attitude to their work, promoting a happy, relaxed and friendly atmosphere throughout the home. The kitchen has been refurbished since the last inspection. During the residents meetings the menu is discussed, and where suggestions are made, these can be incorporated into the menu to continue to provide meals that the residents want. Residents are encouraged to get involved with cooking, which some enjoy, and a member of staff is always present to oversee proceedings. There was a good supply of foodstuffs at the home, and there are regular shopping outings from the home. The home does provide meals to meet the cultural needs of the residents. Residents were seen enjoying the lunchtime meal, which is the lighter meal during the day, and before we left the evening meal was being prepared. Residents expressed their satisfaction with the food provision at the home. Care Homes for Adults (18-65 years) Page 14 of 27 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff offer support and assistance to residents for their personal care needs in a gentle and respectful manner, thus maintaining their privacy and dignity. Overall the healthcare needs of the residents are identified and met, thus working to maintain optimum health for each person. Medications are being well managed in the home, thus maintaining residents health. Evidence: The key workers record each residents personal care needs in the service user plan and clearly documents each persons wishes in respect of personal care. Staff support residents to be as independent as they can with personal care. whilst providing assistance when needed. The residents looked well cared for and were dressed to reflect individuality and choice. The healthcare needs of each resident are identified in their health action plan file and a clear record is maintained to evidence healthcare checks, to include GP, psychiatrist, chiropodist, dentist, optician, speech and language therapist and other healthcare professionals. The home had also had input from the palliative care team, and had been praised for the care they provided. The home also records any healthcare checks Care Homes for Adults (18-65 years) Page 15 of 27 Evidence: in respect of any requirements associated with specific medications, and with one exception these had been clearly recorded. The importance of ensuring that there is a care plan and relevant risk assessment in place for all medications that have specific care and maintenance routines associated with them was discussed with the Manager. Apart from this one shortfall it was clear that residents healthcare needs are being identified and met. We viewed the medication management and records. Receipts and administration of medications had been clearly recorded. A record is maintained of all medications returned to the dispensing chemist for disposal. The home uses a monitored dosage system (MDS) on a 28 day cycle and there was evidence that medications are ordered in a timely manner to ensure continuity of treatment. For one medication with a specific administration routine, this had not been recorded on the medication administration record (MAR), however it was clear that the instructions were known and the deputy manager placed the manufacturers medication information sheet, which includes the administration instructions, with the MAR. Where more than one tablet was needed to make up a certain dose, this had been clearly identified. Daily temperatures in the medication cupboard are recorded and were within safe range. Liquid medications and the majority of boxed medications had been dated when opened, and the manager said she would again remind all staff of the good practice of dating boxed medications to assist with stock checks and control. There were no controlled drugs in use in the home. Staff involved in the administration of medications have received training and updates to keep them up to date with best practices. Medications are stored securely and are being well managed at the home. Care Homes for Adults (18-65 years) Page 16 of 27 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are clear procedures in place for the management of complaints and safeguarding issues, which are followed, thus protecting residents. Evidence: The written complaints procedure is on display in the home and there is also an easyread version with pictures. There have been no complaints in the last 12 months. Each resident has a key worker, and staff get to know the residents well and recognise any signs of concern expressed by the residents. Monthly resident meetings take place and residents are encouraged to identify any worries they may have, plus this can be discussed during one to one sessions with the key workers. Comments received confirmed that residents and their representatives feel able to raise any issues with the manager and staff. The home has a safeguarding adults procedure and also follows the Ealing safeguarding adults protocols. Posters explaining the different types of abuse were on display in the home, and again had been formatted in simple terms. Staff spoken with had received safeguarding training and were clear of the process to be followed to report any concerns. Each resident has their own bank account and a certain amount of money is securely kept in the home for each resident, with comprehensive records of all income and expenditure being maintained. Care Homes for Adults (18-65 years) Page 17 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Work has taken place to improve the environment and provide a homely, safe and pleasant place for residents to live in. Infection control procedures are in place and are being followed, thus protecting residents, staff and visitors. Evidence: Following the last inspection there has been a lot of work carried out in respect of redecoration and refurbishment of the home. The carpet in the corridor, landing and sitting room has been replaced, and also in the staff office. The flooring in one bedroom had also been replaced, with further plans to replace more bedrom carpets. The sitting room and other areas have also been redecorated. The manager said that she has plans for replacement of some of the furniture and there was evidence of a redecoration and refurbishment plan, with timescales for completion. Covers have been fitted to all the radiators in order to protect residents from the risk of burns. The floor in the laundry room and adjacent toilet has been raised and new non-slip flooring applied, which has provided easier access to these areas for the residents. The home has been inspected by the Fire Safety Officer since the last inspection and was found to be satisfactory in respect of fire safety. The garden is being maintained and the manager confirmed that they do receive a regular visit from gardening services. The home has a laundry room and since the last inspection the tumble dryer has been Care Homes for Adults (18-65 years) Page 18 of 27 Evidence: replaced. There is a washing machine with a sluice programme to assist with infection control. Residents are encouraged to be involved with doing their own personal laundry and the floor has been raised to ensure ease of access for all residents. The home has protective clothing available to include gloves and aprons and there are good practice notices and instructions on display, to enhance infection control within the home. The home was clean and smelled fresh throughout. Care Homes for Adults (18-65 years) Page 19 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff receive induction training and ongoing training to provide them with the skills and knowledge to care for the residents effectively. The home has robust recruitment processes, and these are followed, thus safeguarding residents. The home is being appropriately staffed to meet the needs of the residents and the home. Evidence: CMG has 3 booklets for induction training. One is a general checklist for orientation and CMG practices and the other 2 cover the Skills for Care Common Induction Standards. We viewed the documentation for one new member of staff and there was evidence that this was being worked on to complete the induction training in a timely manner. The manager reported that the majority of staff are qualified to NVQ in care level 2 or above, and new staff commence this training once they have completed the induction programme. CMG have also introduced an on-line training programme and examples of this were shown to us by the manager. This covers several areas of training to include mandatory training and other topics relevant to the diagnoses and needs of the residents. Staff spoken to said that they do undertake a good amount of training to provide them with the knowledge and skills to care for the residents effectively. The residents are involved with the interview process for prospective new staff. We viewed 2 sets of staff employment records for recently recruited members of staff. These contained all the information required under Schedule 2 of the Care Care Homes for Adults (18-65 years) Page 20 of 27 Evidence: Homes Regulations 2001. The home currently has 8 residents and there are 3 staff on duty during the day plus the manager, with one waking and one sleeping members of staff on duty at night. 2 staff accompany the residents to college. The manager keeps the staffing under review to ensure the needs of the residents can be met at all times. Care Homes for Adults (18-65 years) Page 21 of 27 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager has the skills and experience to manage the home effectively and does in a professional manner. The home has systems in place for quality assurance, ensuring a process of ongoing audit and review throughout the home. Overall health and safety is being well managed at the home, thus protecting residents, staff and visitors. Evidence: Since the last inspection the manager has attained the Registered Managers Award and is qualified to NVQ level 4 in management and care. She has also undertaken training relevant to her role and responsibilities, to include training in the Mental Capacity Act 2005, Deprivation of Liberties, safeguarding, disciplinary and grievance and conflict and challenging behaviour management training. She has been in post for 5 years. Staff spoken with said that the manager is supportive and approachable. There was a good rapport between residents, staff and the manager. CMG have a system for quality assurance in place, evidencing a process of audit and review. Regular audits of health and safety, service user plans and of the home in Care Homes for Adults (18-65 years) Page 22 of 27 Evidence: general are carried out, plus there is an annual financial audit. Questionnaires for residents, staff relatives and professionals are sent out annually. Regular meetings for staff and residents take place and clear minutes are taken, with the views of residents and staff being valued and included in the auditing processes for the home. The manager has a plan of objectives for the year and this includes topics such as training, maintenance, occupancy levels and service review. The Regulation 26 visits carried out on behalf of the registered person are undertaken and the report is thorough, to include an action plan to address any issues identified in a timely manner. The home is running to a good standard and with ongoing forward planning should continue to improve. We sampled some of the maintenance and servicing records for the home and those viewed were up to date. Risk assessments for systems and safe working practices are in place and are reviewed at appropriate intervals. The fire risk assessment was last updated in June 2008 and is due to be reviewed in the near future. Some recommendations had been made following the fire safety officers last visit, however the home did comply with current fire regulations. Fridge and freezer temperatures are recorded daily. On 2 occasions recently the fridge temperature had been recorded as 9 degrees centigrade, and we recommended ensuring that temperatures are kept between 2 and 8 degrees centigrade, which the manager said she would address. Cleaning and maintenance records are kept up to date. No health and safety issues were evident during the tour of the home. Staff undertake mandatory training in health and safety topics, however not all staff were up to date with practical training sessions in moving and handling, plus there had been no fire drills carried out for the night staff, and these 2 areas need to be addressed. Apart from these findings, health and safety was being well managed at the home. Care Homes for Adults (18-65 years) Page 23 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 24 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 19 12 That the healthcare needs associated with specific medications be identified, recorded and met. To ensure that all healthcare needs are being appropriately managed. 15/06/2009 2 38 23 All staff must be involved in fire drills at the required intervals. To maintain up to date knowledge and practice. 01/07/2009 3 38 18 Staff must undertake all health and safety training at the required intervals. To keep their knowledge and skills up to date with current legislation and good practices. 01/08/2009 Care Homes for Adults (18-65 years) Page 25 of 27 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 42 For action to be taken to address the recommendations in the fire safety officers report. Care Homes for Adults (18-65 years) Page 26 of 27 Helpline: Telephone: 03000 616161 or Textphone: 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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. 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