Care Home: Oaklea House

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What the care home does well People like living at the home.There are good care plans that tell staff the care people need.Staff look after people`s health. They go to see the doctor, the dentist and have their eyes checked.People have lots of things to do. They choose the activities they want to do.People plan meals, go shopping and help to cook meals.People go to church if they want to.People can choose where to go on holiday.There are meetings so people can say what they think of the service.Staff have training to look after people What has improved since the last inspection? Several parts of the home have been decorated.People help to choose the staff that work there. What the care home could do better: People could have better information about what they need to pay for.People should know how much they pay for transport. Key inspection report Care homes for adults (18-65 years) Name: Address: Oaklea House Stone Road Tittensor Stoke On Trent Staffordshire ST12 9HE 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: Jane Capron Date: 0 3 0 8 2 0 0 9 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should:  Be safe  Have the right outcomes, including clinical outcomes  Be a good experience for the people that use it  Help prevent illness, and promote healthy, independent living  Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home:  3 stars – excellent  2 stars – good  1 star – adequate  0 star – poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Care Homes for Adults (18-65 years) Page 2 of 32 Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by:  Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice  Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983  Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services.  Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 32 Information about the care home Name of care home: Address: Oaklea House Stone Road Tittensor Stoke On Trent Staffordshire ST12 9HE 01782373236 F/P01782399244 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : learning disability Additional conditions: Mrs Grace Jeffries,Mr Ronald Jeffries care home 12 Number of places (if applicable): Under 65 Over 65 12 0 The maximum number of service users to be accommodated is 12 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 (LD) 12 Date of last inspection 2 9 0 6 2 0 0 7 Care Homes for Adults (18-65 years) Page 4 of 32 A bit about the care home 12 men and women live at Oaklea House. The home is a large house with a garden. It is close to a pub, shop and the church. The home has its own transport. A bus stop is close by. Bus to Stoke Care Homes for Adults (18-65 years) Page 5 of 32 It has good accommodation with 2 lounges. Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 6 of 32 How we did our inspection: This is what the inspector did when they were at the care home We visited the home and spent 6 hours there. We spoke to some of the people that live there. We spoke to some of the staff and the manager. We looked at 2 care plans. Care Homes for Adults (18-65 years) Page 7 of 32 What the care home does well People like living at the home. There are good care plans that tell staff the care people need. Staff look after peoples health. They go to see the doctor, the dentist and have their eyes checked. Care Homes for Adults (18-65 years) Page 8 of 32 People have lots of things to do. They choose the activities they want to do. People plan meals, go shopping and help to cook meals. People go to church if they want to. People can choose where to go on holiday. Care Homes for Adults (18-65 years) Page 9 of 32 There are meetings so people can say what they think of the service. Staff have training to look after people What has got better from the last inspection Several parts of the home have been decorated. Care Homes for Adults (18-65 years) Page 10 of 32 People help to choose the staff that work there. What the care home could do better People could have better information about what they need to pay for. People should know how much they pay for transport. Care Homes for Adults (18-65 years) Page 11 of 32 If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Jane Capron 77 Paradise Circus Queensway Birmingham W Midlands B1 2DT 01216005300 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line - 0870 240 7535. Care Homes for Adults (18-65 years) Page 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 living at the service are provided with information about what the service offers. People can be assured that an assessment of their needs will be completed to make sure that the service can meet their needs. Evidence: The services Annual Quality Assurance Assessment (AQAA) tells us that it provides people with a service user guide that shows the care the service provides. It also states that it completes a full assessment of people considering moving to the service. Copies of the service user guide are available in the services reception area. We saw that this is provided in both a written and picture format. These documents did not contain the costs of living there including areas that the fees do not cover for example the cost of transport. However all the people that answered our survey felt that they had enough information about the service to decide if it was the right place for them to live. We looked at a sample of files and these confirm that the service completes an assessment of peoples needs to decide if the service can meet their needs. The assessment covers areas including general and mental health, personal care, daily living activities, social interests, family and friendships and any religious needs. Care Homes for Adults (18-65 years) Page 14 of 32 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 can be assured that staff have the information to provide them with the care they need. People can be confident that they will be supported to decide how they want to live their life and can be involved in aspects of running the service. Evidence: The AQAA tells us that it completes individual support plans and risk assessments that detail how the service is to meet peoples needs. An examination of a sample of support plans confirms that these are person centred showing each persons specific needs. Care plans include peoples needs relating to health and personal care, activities of daily living, leisure activities and any needs relating to their spiritual needs. Where risks exist these are identified and a plan in place to support people without imposing unnecessary restrictions. Both support plans and risk assessments are agreed with the person concerned and are reviewed. The service in its AQAA tells us that it intends to further involve people in their care planning and to make plans more accessible to people. We would support this and suggest that plans include peoples goals and aspirations for the future. Care Homes for Adults (18-65 years) Page 16 of 32 Evidence: Speaking to people confirms that the service provides them with choices about how they live their life. People tell us that they are involved in choosing their own meals and that they can choose how to spend their time. During the day people moved freely around the service deciding whether to spend time in the communal rooms or in their bedroom. People say they go to bed when they want, for example one person said they went to bed late the previous night as they were enjoying playing on the recently purchased Wii. They also said that they choose where to go on holiday and decide on the leisure activities they want to do. All the responses to our surveys tell us that people make decisions about the things they do every day. One person commented we have a say about what activities to do and where to go. Observation and talking to people that live there shows that people take part in aspects of running the service. Regular resident forums are held to gain the views of people living at the service. We saw that people take part in household tasks including hanging out the washing, making drinks and helping to prepare meals. People that live at the service take part in fire training sessions and take part in recruiting new staff. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the service are supported to live meaningful life based on their choices. People have the chance to take part in a range of social and educational activities of their choice and to be part of the local community. People living at the service have a varied diet based on their choices. Evidence: The services AQAA tells us that people access a choice of activities, education and training opportunites and play an active part in accessing local resources. People tell us that they have lots of things to do including some going to college, some to day services and one working voluntarily in a charity shop. People say that they take part in learning to cook, developing I.T. skills, doing arts and crafts and gardening. A comment from one relative said if it hadnt been for them (my relative) wouldnt be doing all the things she does now like going to college and joining in activities. Her future looks a lot brighter now. People regularly access the community going to the pub, the shops and to church. On the Care Homes for Adults (18-65 years) Page 18 of 32 Evidence: day we visited a group of people went by bus to Newcastle shopping and to a cafe. People also tells that they use local health services including the doctor, dentist and optician. Talking to people and examining records confirms that people have an active social life both in and out of the service. People take part in such activities as going to the cinema, going out for meals, out on day trips, taking part in village activities and going to a weekly club. The service provides a range of activities including cooking and doing household tasks such a gardening and recycling. The service also has a wide range of jigsaws, videos and DVDs and board games. During the day we saw two people knitting, one person watching the TV, one person reading the newspaper and another doing a jigsaw. One person also said that they play music having a keyboard, harmonica and drums. This person also runs a disco at the local church hall. We also saw examples of one persons art work displayed in the walls. Everyone has the opportunity to go on holiday. This year there has been two trips to Wales. Talking to people confirms that they really enjoy these trips. The service has its own transport which people contribute towards. People are encouraged to keep in touch with relatives and friends. People tell us that they visit their family and that their family visit them. People also tell us that friends can visit the service. One person told us that their boyfriend visited over the weekend staying for lunch and tea. A relative in their survey to us says that the service keeps them up to date with their relatives progress. Observing people shows us that the service has relaxed routines. There are no set mealtimes with meals being provided to fit in with peoples activities and choices. People tell us that they go to bed when they want and that they can spend time where they wish either in their bedrooms or in the lounges. People have keys to their bedrooms and we saw that several people keep their bedroom locked. People tell us that they like the meals. They say that there is a choice of meals and that they help to plan the menus. Examination of a sample of menus shows that the service provides a varied menu that takes account of peoples choices. Comments from surveys and from talking to people includes there is a wide choice of meals and I like the food, my favourite is curry. The service identifies if people need assistance with eating for example one person needs to be supervised due to a risk of choking. We observed staff providing this support at lunchtime. 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. People can be confident that they will be supported to have their health and personal care needs met in the way they wish. People can be assured that the medication practices will provide them with the medication they need. Evidence: The services support plans contain information about peoples health and personal care needs including how these needs are to be met. Records show and talking to people confirms that people are supported to have their health care needs met. People have eye and dental checks and everyone has an annual medical reviews completed by their GP and a nurse. People tell us that they see the doctor when they are ill. People attend well person clinics and have the recommended health screening. Records confirm that people receive specialist health care support including from local psychiatric services, community nurses, the behaviourial services and speech and language therapists. Our case tracking shows that the staff follow up on peoples health care needs. For example one person has difficulties swallowing and the service arranged for a swallowing assessment from a speech and language therapist. Another person has cataracts and they have regular eye checks. During the inspection we heard one staff seeking medical attention for one person that had red and swollen eyes. Several people require aids to hear better and these are provided and regularly checked. Records confirm that the service monitors peoples weight and takes action if there are significant weight changes. The staff are Care Homes for Adults (18-65 years) Page 20 of 32 Evidence: alert to changes in peoples health needs having received a range of training in health care issues including dementia care, mental health issues, epilepsy and diabetes. The service supports people to have their personal care needs met. There are staff of both genders which allows people some choice of the carer that supports them. People tell us they can choose to have a bath or shower and can bathe every day. Plans show the support people need with bathing and how to ensure that their independence, dignity and privacy are promoted. We did see that privacy screening is not provided in the double rooms and although people said they like sharing we recommend that the issues of privacy screening be discussed wit the people in these rooms. We saw that people have age appropriate clothes and people tell us that they go shopping for their own clothes and toiletries. People also confirm that they have a hairdresser that visits the service. The service operates a bottle to person medication system. Records confirm that everyone has completed medication training. Staff also tell us that the manager and deputy undertake competency assessments to ensure that staff are administering medication correctly. Each person has a medication plan that includes the information about each medications side effects and a protocol for any as required medication. Medication is stored securely in a locked cabinet. A record is kept of medication received and disposed of. Examination of the medication and the medication records for two people confirms that medication is being given as prescribed. Following an issue when the service was provided with incorrect medication the service is very alert to any changes in medication and audits the medication on a daily basis. We provided the service with some advice on how they could improve this procedure. 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 can be assured that their views are listened to and that any concerns they raise will be addressed. People can be confident that the service will take action to ensure that people are protected from abuse. Evidence: The surveys AQAA gave us little information about how it manages complaints but did tell us that it seeks the views of people through resident forums, surveys and review meetings. It also stated that the provision of a new bus resulted from comments in their annual surveys. We saw that the service has a complaints procedure and this is provided in a written and pictorial format. We also saw that information about complaints is included in the information about the service given to people. People living at the service said that if they have a problem they will tell the staff. Everyone who answered our surveys knew who to speak to if they are unhappy. The service has had two complaints in the previous 12 months. Records confirm these have been acted upon. No complaints have been received by the commission. Staff working a the service are trained in safeguarding issues both as part of their induction and through subsequent training sessions. Talking to a staff member confirms that they are aware of safeguarding signs and could tell us how they would respond if they have any concerns. The manager is aware of safeguarding issues and her response to an incident between two people living there confirms that the service referred it appropriately and ensured that a protection plan was put in place. The service was informed of the need to provide the commission with information about incidents that Care Homes for Adults (18-65 years) Page 22 of 32 Evidence: affect the wellbeing of people living a the service. The service has plans in place to respond to incidents of aggression and agitation. We saw these are based on diversion techniques. Staff records confirm people have training in managing difficult behaviour and seek the advice of specialist health care staff to provide them with advice. The service is looking after peoples money. Checking of the records for two people confirms that a financial management plan is in place and that accurate records are kept containing copies of receipts. People contribute towards transport costs but the amount of this was unclear and not recorded in the expenditure records. These costs need to be transparent and agreed with the people concerned. Care Homes for Adults (18-65 years) Page 23 of 32 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the service are provided with comfortable accommodation that is kept clean and tidy. Evidence: The service AQAA states that the service is able to provide people with privacy and meets the needs of the people that live there. The service is located close to local resources including a church, a pub and a shop. It is also on a bus route. It has a rear garden that provides people with a place to sit outside. The service provides people with good communal accommodation. The two lounges are well decorated and provide a range of seating. The service provides suitable kitchen facilities that are large enough for people to assist with preparing meals and washing up. The service provides adequate bathing facilities having a bath upstairs and a level access shower downstairs. There are sufficient toilets in the building. Bedrooms are all lockable and are well personalised. Most have en suite facilities. As discussed in the previous outcome area the two double bedrooms do not have privacy screening. We saw that the service was clean and tidy. Responses to our surveys tell us that the service is always clean and fresh. The service tells us that it has recently employed a domestic. It also tells us that it has a laundry that complies with regulations and that they have now bought a tumble drier. Staff are trained in infection control practices. Care Homes for Adults (18-65 years) Page 24 of 32 Care Homes for Adults (18-65 years) Page 25 of 32 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the service are supported by staff that know them well and have the necessary training to meet their needs. The services recruitment procedures makes sure that it protects the people that live there and takes account of their views. Evidence: The services AQAA states that it provides training for all staff including induction for new staff and the opportunity for people to complete a nationally recognised qualification. The service provides sufficient staffing to support people having two staff on duty throughout the day. This level, at times, includes the manager but she assures us that this is sufficient considering the level of dependency of the people living there. She also states that during the day there are sometimes as few as two people in the service due to all the activities people undertake. People did tell us that they feel that staff are available to provide them with support when they need it. Checking a sample of two staff files confirms that the services recruitment process is protecting people. Files contain the necessary pre-employment checks including Criminal Records Bureau and Protection of Vulnerable Adult checks and two references. We also saw that people that live at the service are involved in choosing the staff that work there. A recently appointed staff member said she was interviewed by some of the people that live there. Care Homes for Adults (18-65 years) Page 26 of 32 Evidence: An examination of records confirms that staff receive induction training and ongoing personal development. Training records confirm that people receive training in health and safety issues and a range of health related conditions. The service has a high level of staff trained to NVQ level 2 and above. People living at he service like the staff and we observed a friendly, relaxed atmosphere. All the replies to our surveys tell us that the staff treat people well and that they always listen to them and act on what they say. Comments from a relative includes the staff are excellent and motivate [my relative],and the staff have turned her life around. People are supported to undertake their work receiving supervision and appraisals. Care Homes for Adults (18-65 years) Page 27 of 32 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service is well led in the interest of the people that live there. The services Health and Safety practices are protecting the people that live there. Evidence: The manager has been in post for some years and is registered with the commission. She is qualified in care and management. She undertakes training to keep up to date with current practices. She is well liked and respected by the people that live there and by staff. She puts the welfare of the people that live there first and promotes their rights. Comments we received from a professional includes professional and committed management. The service provides us with an Annual Quality Assurance Assessment when we asked for it. We gave the manager some advice on how this could be improved to make sure it fully reflects what the service offers. The service operates a system to review and monitor the quality of the service it provides. This includes regular audits of such areas as medication, health and safety, complaints and accidents records. It also seeks the views of the people that live there, Care Homes for Adults (18-65 years) Page 28 of 32 Evidence: relatives and professionals. Some comments from professionals include Very much a close professional partnership which always benefits the service users and I would highly recommend this home to other colleagues and service users. Fantastic service. The service has health and safety procedures in place and records confirm that staff are trained in safe working practices. Examination of the fire safety records confirms that fire equipment is checked regularly and that a fire risk assessments in place. Regular fire drills are held. Fire training is provided to both staff and the people that live there. One person that lives there told us what they do when the fire alarm sounds and shows us where they need to evacuate to. Care Homes for Adults (18-65 years) Page 29 of 32 Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 30 of 32 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 1 Information provided to people should include information about costs that the fees do not cover including for example the cost of transport. To further involve people in planning their own care and to make support plans more accessible. Where people are sharing a room privacy screening should be provided unless it can be clearly demonstrated that people do not wish it. Where people are paying towards transport costs this should be included in their expenditure records and agreed with the person concerned. 2 3 6 19 4 23 Care Homes for Adults (18-65 years) Page 31 of 32 Helpline: Telephone: 03000 616161 or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 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