Care Home: Meadow View Residential Home

Similar services:

• Coopers Mill Ltd
• Bramley Avenue (73)
• Paradise Lodge
• Grangewood
• Upaya Ananda
• Newton Court (1-2)
• Kings Lane (32)
• Pemdale

2 Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Meadow View Residential Home Priory House 2 Kestrel Rise Halstead Essex CO9 2TU 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: Neal Cranmer Date: 2 2 0 9 2 0 0 8 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. 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 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. Reader Information Document Purpose Inspection report Page 2 of 32 Care Homes for Adults (18-65 years) Author Audience Further copies from Copyright CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) 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.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 32 Information about the care home Name of care home: Address: Meadow View Residential Home Priory House 2 Kestrel Rise Halstead Essex CO9 2TU 01787479172 01787472532 ayshea.hutchison@btinternet.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mrs Isabel Mabhena Name of registered manager (if applicable) Mrs Ayshea Jannette Hutchison Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 3 0 care home 3 learning disability Additional conditions: Persons of either sex, under the age of 65 years, who require care by reason of a learning disability (not to exceed 3 persons) Date of last inspection 2 2 0 9 2 0 0 6 Care Homes for Adults (18-65 years) Page 4 of 32 A bit about the care home The home is a detached three bedroom service set in a residential area of Halstead in Essex, close to local amenities and on a local bus route to the town centre. The home provides a service to people who have a learning disability. The home provides accommodation on two levels, with service users’ bedrooms all being on the first floor. The home benefits from a smallenclosed garden area. The fees for the home are £662.00 per week, and additional charges are made for the following: Chiropody Hairdressing Toiletries DVDs Cigarettes. This information was taken from the home’s Care Homes for Adults (18-65 years) Page 5 of 32 Pre-inspection questionnaire submitted. Care Homes for Adults (18-65 years) Page 6 of 32 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 7 of 32 This is what the inspector did when they were at the care home This was an unannounced inspection to the home, which took place over one day in September 2008, lasting 5.75 hours. The inspection took place in the company of both the registered provider and manager. At the time of the inspection three service users were in residence. During our inspection we spoke with service users, the proprietor, registered manager and staff. In addition to discussions with staff one staff survey was returned. A tour of the premises was undertaken, which included the communal areas, bathroom and toilet facilties and the garden. Care Homes for Adults (18-65 years) Page 8 of 32 During the course of the inspection a range of documentary evidence was also sampled, most of which was found to be in order. What the care home does well Provides care that is person centred Provides support in an environment that is homely and well maintained Provides information for service users in alternative formats Involving service users in all aspects of the day-to-day running of the home. Ensures that service users have access to advocacy services. Care Homes for Adults (18-65 years) Page 9 of 32 What has got better from the last inspection The homes recruitment process has been improved so that it now protects people from the risk of harm and/or abuse. All staff have now been provided with fire safety training. The registered manager now holds the registered managers award Care Homes for Adults (18-65 years) Page 10 of 32 What the care home could do better If you want to read the full report of our inspection please ask the person in charge of the care home Care Homes for Adults (18-65 years) Page 11 of 32 If you want to speak to the inspector please contact Neal Cranmer CSCI CPC1 Capital Business park Fulbourn Cambridge CB 21 5XE 01223 771350 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.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 Care Homes for Adults (18-65 years) Page 12 of 32 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 13 of 32 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People who may use the service and their representatives are provided with the necessary information to enable them to decide if the home is able to meet their needs, and can be assured that their needs will be assessed prior to admission to the home. Evidence: The homes Statement of Purpose was sampled and was found to provide all of the necessary information to enable a decision to be made about the homes ability to meet the persons needs, including: the homes philosopy of care, the services and facilities available, the accommodation available, the process for reviews, referrals and the handling of complaints. Responses in surveys indicated that people felt they had been provide with the necessary level of information to make a decision about whether the home was right for them. However it was noted that the Statement of Purpose was out of date by a number of years, and required updating to ensure that it reflected the current position in respect of the home. There have been two new admissions made to the home since the last inspection visit, both of which were undertaken jointly by the registered manager and the provider. Care Homes for Adults (18-65 years) Page 14 of 32 Evidence: Both assessments were comprehensively detailed and included the following information: personal profile, clinical diagnosis, previous medical history, past and present medication, dietary preferences including likes and dislikes and any known allergies, religious beliefs, sleep pattern and information about the persons social, community and domestic skills. Information from these assessments was then used as the basis for formulating the person’s initial plan of care. Feedback from staff indicated that they felt that the level of information provided in the care plan resulting from the information from the assessment was sufficient to enable them to meet the persons care needs. The homes AQAA states that the admission assessment will be undertaken in a place of the persons choosing with their full involvement if they so wish. Because of the level of need of the people living in the home it was not possible to confirm with them whether this had been the case. Care Homes for Adults (18-65 years) Page 15 of 32 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People are involved in decisions about their lives, and are supported to play as active a role as possible in planning the care and support they receive. Evidence: All three care plans were sampled for the people living in the home. Plans were in place for supporting people with their mobility, personal care and daily routines, meeting personal hygiene needs, leisure, healthcare needs, dealing with personal finances and domestic tasks. All of the care plans were written in a person centred way, and included pictorial information, to help make them more accessible to people. The plans clearly set out for staff the support that was required by the person, by who they needed to receive the support from and when they required the support. Each care plan had review dates set, and each was reviewed on a monthly basis, or as necessary. In addition to the reviews undertaken by the home annual reviews are undertaken by the placing authorities, evidence was provided of these reviews taking place, and it was noted that people using the service were involved in this annual review process. Care Homes for Adults (18-65 years) Page 16 of 32 Evidence: Reponses from staff surveys indicated that they are provided with up to date information about the needs of the people they support. Comments included: Care plans are updated all the time. Each of the care plans had risk assessments in place for: accessing the community, using public transport, swimming, managing finances and accessing the homes kitchen. All of the risk assessments in place identified the nature of the risk, who might be affected, what the potential hazards were, and the actions that staff should follow to minimise the risk. Each member of staff had signed a sheet attached to the assessment to indicate that they had read and understood it. The risk assessments in place were designed to enable people to maximise their independence whilst at the same time keeping them and those around them safe. The registered manager is the appointee for two of the people living in the home in respect of their benefits, for the third person this matter is dealt with by a parent. Both of the people who are supported by the home have their own bank accounts, and money held on their behalf by the home is kept in a safe. A audit of the expenditure records for these two people was sampled and found to be in order. Care plans were in place around supporting people with their personal finances. Actions taken by the home were sufficient to ensure that people were protected. Care Homes for Adults (18-65 years) Page 17 of 32 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People who use the service are able to make choices about their life style, and are supported to develop theirr life skills. Social, educational, cultural and recreational activities meet individuals expectations. Evidence: Because of the level of need of the people living in the home none have any form of paid or voluntary employment. However one person does attend an adult education college each week for half a day where they take part in a course of their choosing. The home has access to its own transport, but people are actively supported to use public transport as part of developing their independence. Discussion with the registered manager indicated that all of the people living in the home are registered to vote, although it was reported they choose not to. Each of the people living in the home has their own individual activities plan, provided Care Homes for Adults (18-65 years) Page 18 of 32 Evidence: in pictorial format to assist them in knowing their day to day activities. Viewing of these showed that people were taking part in the following activities both within the home as well as out in the community: bowling, kareoke, going out to the pub, going to cineworld, walks out, gardening, trampolining, food preparation, home skills, and individual activities of the persons own choosing. Responses from service users surveys indicated that were able to choose what they wanted to do during the day in the evening as well as at weekends. Discussion with the registered manager indicated that the home is committed to the principles of inclusion and works hard to promote positive relationships within the community. Discussion with the registered manager indicated that the home has an open door policy on the receiving of visitors to the home. The relationship between the home and relatives was described as good, with family members visiting the home every few weeks. One person goes home regularly to spend time with their relatives. Records were kept of all visits or contact with relatives. The home provides pictorial menus to enable people to make choices about what they would like to eat. Menus were seen to be in place, but the registered manager reported that people tend to choose what they want on a daily basis, a record was kept of meals consumed, sampling of these records indicated that people were receiving a diet that was varied and nutritious. Records also showed that snacks were available throughout the day if people were hungry. On the day of the site visit we were able to see a person being supported by a member of staff to prepare a lunchtime snack. Care Homes for Adults (18-65 years) Page 19 of 32 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The health and personal care that people receive is based on their individual needs, and the principles of dignity, privacy and respect are put into practice. Evidence: All of the people living in the home are of the male gender, and are supported by an all male team with the exception of the registered manager and the provider, therefore whenever they might require assistance with personal hygiene needs they are always supported by somebody of the same gender. Discussion with the registered manager indicated that the routines of the home are flexible to meet the needs of the people living in the home, for example people choose when to go to bed and when to get up. Most people retire to bed between 21.00 and 23.00 hours, and on the day of the inspection visit we observed one person getting up at 09.45. All of the people living in the home are registered with a General Practitioner, and two are also registered with the local learning disabilities team. Healthcare records showed input from a range of other healthcare professionals including: dentists, chiropodists, opticians, consultant psychiatrist, district nurses and psychologists. Records also showed that people were being supported by the home to attend out-patient appointments. The records from such visits included the date and outcomes of the appointment. The home has in place a comprehensive policy relating to the administration of medicines, which all staff were Care Homes for Adults (18-65 years) Page 20 of 32 Evidence: seen to have signed off as having been read and understood. A photograph of all staff administering medicines was maintained along with a register of sample signatures. Sampling of administration records included: a photo of the person receiving the medicine, their date of birth, their General Practitioner, any known allergies, diagnoisis, who the medication was supplied by, name of the medication and its strength, directions for administration, times for administration, reason for its use, and any known side effects. Medication was provided in a combination of a Measured Dosage System (MDS) and individually named containers. The home did not maintain any medicines that were invasive or of a controlled type. Medications that were no longer required or out of date were returned to the dispensing pharmacy via a pharmacy returns book. Sampling of administration records on the day of the visit found them to be in order with no evidence of any gaps or omissions. All staff administering medicines only do so upon completion of training provided by the dispensing pharmacy. Evidence was seen of this training having been provided by viewing of the homes training matrix. However certificates were not available in the home to verify this, although evidence was provided of the manager having chased the training provider to obtain them. None of the people living in the home currently are able to self- medicate, this was seen to be recorded in their individual plans of care. The homes medication administration practice was sufficiently robust enough to ensure that people were protected. Care Homes for Adults (18-65 years) Page 21 of 32 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People who use the service are supported to express their concerns, and have access to a robust, effective complaints procedure, and are protected from abuse, and have their rights protected. Evidence: The home has a complaints policy in place, which included the contact details of the Commission for Social Care Inspection (CSCI), and the timescales within which any complaint received would be responded to. The complaints policy was also available in a pictorial format to make it more easily accessible to the people living in the home. Reference to the complaints procedure was included in the homes Statement of Purpose and Service Users Guide. Viewing of the homes complaints and complements log indicated that the home had received one complaint/concern since the last inspection This had been investigated by the homes registered manager and provider in line with the home’s complaints policy, and feedback had been provided to the complainant. A copy of the homes complaints procedure in easy read format was displayed in the entrance hallway of the home. Responses from both people living in the home and their representatives indicated that they knew how to make a complaint and to whom they should speak to in the first instance if they were unhappy about some aspect of the running of the home. As with the complaints policy the home has in place a policy regarding adult protection, this included: what is abuse, the types of abuse that might occur, the Care Homes for Adults (18-65 years) Page 22 of 32 Evidence: process to be followed in the event of needing to report an incident of abuse, how staff should support a potential victim of abuse and the process for investigating an allegation of abuse. Sampling of the homes training matrix, along with sampling of records and discussion with staff indicated that staff had received training in adult protection. At the time of the inspection visit no adult protection referrals had been received by either the home or the CSCI. Care Homes for Adults (18-65 years) Page 23 of 32 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The physical design and the layout of the home enables people to live in an environment that is safe and comfortable, however not all areas of the home were well maintained. Evidence: An environmental tour of the premises was undertaken including: communal areas, bathroom and toilet, and the rooms of people living in the home. The homes is fit for its stated purpose being situated in a quiet residential area, close to local amenities. However during the tour it was noted that the floor tiles in the bathroom were cracked, and a number of areas in the home were starting to look a little tired and worn, and in need of some remedial redecoration. The fence to the front of the property was in a poor state of repair, and did not give a good first impression of the home. Discussion with both the registered manager and the provider indicated that they were aware of these areas of concern and were planning to address them. The homes laundry facility was domestic in nature, but was suitably equipped to meet the needs of the people in residence. Peoples clothing was seen to be in a good condition, which suggested that the laundry facilities were adequate. Care Homes for Adults (18-65 years) Page 24 of 32 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Staff in the home are trained and skilled, and available in sufficient numbers to support the people who use the service, in line with their terms and conditions, and to support the smooth running of the service. Evidence: The home employs four care staff, all of whom it was reported have completed a National Vocational Qualification (N.V.Q level two or better). However although these awards have been assessed they were still awaiting verification. Staff spoken with confirmed that they had the award. Sampling of the homes visitors book confirmed that assessors had been attending the home regularly. The homes duty rota was sampled and indicated that there are two staff on duty in the home throughout the day. Staff usually work long days, completing three a week as well as two sleep-in duties. Discussion with staff on duty as well as the response from the staff survey returned indicated that staff felt the staffing levels were sufficient to meet the needs of the people living in the home. The homes manager works five days a week Monday to Friday in a supernumary capacity working across two homes. Staff are further supported by access to twenty-four hour on-call support which is provided by the registered manager and the provider. The homes recruitment practice was sampled by the viewing of four members of staffs Care Homes for Adults (18-65 years) Page 25 of 32 Evidence: recruitment files, all of which contained all of the necessary information to reflect a robust practice. This included: copy of the application form, two written references (one of which was from the previous employer, criminal records bureau check (CRB), evidence of staff induction, supervision and training. The staff’s training records indicated that staff had received training in the following areas: medication administration, adult protection, appointed persons first aid, epilepsy awareness, infection control, fire safety, manual handling and deprivation of liberty training. response from the staff survey returned indicated that staff felt they were provided with a good level of training. Discussion with the registered manager and staff indicated that staff were provided with monthly supervision. However further discussion with the registered manager indicated that these records were being kept in the homes sister home. It was recommended that this practice should cease and that any records relating to the home should be kept in the home. Care Homes for Adults (18-65 years) Page 26 of 32 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The management and administration of the home is based on openness and respect, and has in place effective quality assurance systems, which have been developed by a competent and qualified manager. Evidence: The registered manager has a number of year’s experience of managing in the care sector, and holds the registered managers award in management and care. They also undertake periodic training to enable them to keep up to date. The training undertaken since the last inspection of the service included: adult protection training, getting the best from your staff, and the administration of Buccal Diazepam (the administration of a medicine for the treatment of people with epilepsy). Discussion with the registered manager indicated that they felt well supported by the registered provider. There was evidence of the provider having undertaken Regulation 26 visits to the home in the past. However the last record on file was for April 2008. Both the provider and the manager was informed that these visits need to be undertaken on a monthly basis, and a report following such visits must be provide to the home, and available for inspection. Care Homes for Adults (18-65 years) Page 27 of 32 Evidence: Evidence was provided that team meetings are held every two weeks, minutes of meetings for the preceding three months were seen. Comments from staff indicated that they were kept well informed about all aspects of the running of the home. The homes safe working practices were sampled by the viewing of a range of safety certificates, including the homes electrical installation certificate, gas installation certificate, fire fighting test certificate, and evidence of portable appliances being tested, all of which were current and up to date. The home has in place a number of policies to support safe working practice, these included: health and safety, COSHH (control of substances hazardous to health), fire prevention and food hygiene. Sampling of staffs training records showed that staff had received training in infection control. Care Homes for Adults (18-65 years) Page 28 of 32 Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 29 of 32 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action 1 1 4 The registered person must 31/12/2008 ensure that a current and up to date Statement of Purpose is available to prospective service users. To ensure that people entering the service are provide with current and up to date information. 2 24 23 The registered person must 31/12/2008 ensure that the premises are kept in a good state of repair both internally and externally. To ensure that people are being supported in an environment that is homely and well maintained. 3 39 26 The registered provider must 31/12/2008 ensure that monthly Regulation 26 visits are undertaken of the home Page 30 of 32 Care Homes for Adults (18-65 years) To enable the registered provider to monitor the performance of the home. 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 32 It is recommended that the registered person make provision to acquire the certificates to prove that staff hold a National Vocational Qualification. It is recommended that provision be made for the supervision records relating to staff be maintained in the home, as opposed to being kept in the homes sister home. 2 36 Care Homes for Adults (18-65 years) Page 31 of 32 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone : 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web:www.csci.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 © (2008) 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. Care Homes for Adults (18-65 years) Page 32 of 32 - 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!