Care Home: Occupation Road

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What the care home does well The manager and staff make sure they find out about people`s needs before they move in, and check whether the home is able to give them the support they need. At reviews, the manager and staff look at the continuing needs of people. There is good written information which tells staff about people`s needs and what kind of support and help they want. Staff give good support to people. We saw that staff communicate well with people, in the way that suits them best. People who live in the home enjoy an excellent lifestyle - they are able to do different activities that they enjoy, both in the home and in the community. Friends and relatives are welcome in the home. People are supported to develop different skills, like preparing meals, if they are able to. Staff make sure that they support people to follow up any health concerns that people have. Everyone has a local GP and has health checks that they need to help them stay healthy. The home is clean and comfortable for people who live there. Everyone can have their own things in their bedrooms.Staff get training in different subjects to help them to do their job well. There are policies which tell the staff how to do their job well. Checks are done to make sure equipment is safe. Staff support people to look after their money and to manage how they spend it. The same registered manager is in post. Staff feel that she gives them good support. What has improved since the last inspection? There were no requirements made at the last inspection, so nothing that we had asked the home to improve. We did see that the manager and staff are always trying to make the service better for people who live in the home, and this is very positive. The manager told us that there have some big improvements relating to the Coach House, which is the part of the home where people who are able to be more independent live. There is a new staff team, which works well to support people. There has been a lot of work done to make the Coach house a good place for people to live. There have also been improvements in theenvironment of the home, to the way it looks. Carpets have been cleaned, there is ongoing decoration. Work has been done on the garden and it continues to improve, for people who live in the home to use. What the care home could do better: We did not find any areas where the home was failing, and did not make any requirements for action. We would recommend that the manager looks at the way medication requiring cold temperatures is stored, to ensure it is secure. At the moment it is stored in a fridge that anyone can access. Key inspection report Care homes for adults (18-65 years) Name: Address: Occupation Road Occupation Road Corby Northants NN17 1EB The quality rating for this care home is: three star excellent 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: Chris Wroe Date: 1 9 0 1 2 0 1 0 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 30 Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by:  Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice  Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983  Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services.  Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 30 Information about the care home Name of care home: Address: Occupation Road Occupation Road Corby Northants NN17 1EB 01536403817 01536406019 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): www.voyagecare.com Milbury Care Services Ltd Name of registered manager (if applicable) Mrs Phyllis Duff Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 12 12 0 0 care home 12 learning disability physical disability Additional conditions: The maximum number of service users who can 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 addmission to the home are within the following categories: Learning Diability - Code LD Physical Disability - Code PD Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 30 A bit about the care home The home is in the suburbs of Corby town. It is a purpose-built home, designed to provide residential placements for people with learning disabilities, some of whom are also physically disabled. There is a very large rear garden and car parking to the front. A mini-bus is provided to support residents to take part in different activities outside the home. In the main home there are two self-contained apartments to accommodate two people in each, who are more independent and who also mix for some mealtime and social occasions. The accommodation downstairs is for four people, who are more dependent. The staff team works across the home providing support to all eight residents and have specific responsibilities. There is also a Coach House in the grounds, which has four flats within it, for people who are more independent and who are supported to develop living skills. There is information about the home, and our inspection reports in the entrance hall. Fees range between £1550 to £1961 per week. People have to pay extra for some individual activities and to buy personal items. Care Homes for Adults (18-65 years) Page 5 of 30 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: three star excellent 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 30 How we did our inspection: This is what the inspector did when they were at the care home We visited the home on 19th January 2010. . Our visit to the home lasted a total of five and a half hours. We were helped during our visit, by the registered manager, Phyllis Duff, and by staff and people who live in the home. The main way we do our inspections is using a method we call case tracking. This means looking at the care given to people in different ways. The ways this was done are: - talking to the people who live in the home - talking to staff and the manager - watching how people are given support - looking at written records. We talked to three people who live in the home during our visit and spent some time with people and with staff. We watched to find out how comfortable people were in their home. We spoke in detail to one member of staff, who told us about working in the home and gave us their views. During the visit we also spoke with other staff members about different things. We checked all the standards that the Care Quality Commission has decided are key standards during this inspection. The information in this report just about what we checked in this inspection. We have kept details about individual people out of Care Homes for Adults (18-65 years) Page 7 of 30 the report, to make sure these things are kept confidential. What the care home does well The manager and staff make sure they find out about peoples needs before they move in, and check whether the home is able to give them the support they need. At reviews, the manager and staff look at the continuing needs of people. There is good written information which tells staff about peoples needs and what kind of support and help they want. Staff give good support to people. We saw that staff communicate well with people, in the way that suits them best. People who live in the home enjoy an excellent lifestyle - they are able to do different activities that they enjoy, both in the home and in the community. Friends and relatives are welcome in the home. People are supported to develop different skills, like preparing meals, if they are able to. Staff make sure that they support people to follow up any health concerns that people have. Everyone has a local GP and has health checks that they need to help them stay healthy. The home is clean and comfortable for people who live there. Everyone can have their own things in their bedrooms. Care Homes for Adults (18-65 years) Page 8 of 30 Staff get training in different subjects to help them to do their job well. There are policies which tell the staff how to do their job well. Checks are done to make sure equipment is safe. Staff support people to look after their money and to manage how they spend it. The same registered manager is in post. Staff feel that she gives them good support. What has got better from the last inspection There were no requirements made at the last inspection, so nothing that we had asked the home to improve. We did see that the manager and staff are always trying to make the service better for people who live in the home, and this is very positive. The manager told us that there have some big improvements relating to the Coach House, which is the part of the home where people who are able to be more independent live. There is a new staff team, which works well to support people. There has been a lot of work done to make the Coach house a good place for people to live. There have also been improvements in the Care Homes for Adults (18-65 years) Page 9 of 30 environment of the home, to the way it looks. Carpets have been cleaned, there is ongoing decoration. Work has been done on the garden and it continues to improve, for people who live in the home to use. 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 If you want to speak to the inspector please contact Chris Wroe CPC1 Capital Park Care Homes for Adults (18-65 years) Page 10 of 30 Fulbourn Cambridge Cambridgeshire CB21 5XE 01223771300 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 11 of 30 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 12 of 30 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 come to live in this home benefit from having their needs assessed, and from a good admission process. Evidence: Occupation Road has a Statement of Purpose, which gives information about the service that the home offers - including things like information about the staff, and how the home is run. There is also a Service User Guide, which tells people about what it is like to live in the home, and about what they can expect. This is written in plain easy-read language, with pictures to aid understanding. We saw that copies of the Service User Guide and Statement of Purpose were around in the home for people to look at. Usually, if someone wants to move into the home, the manager meets them, and their relatives or carers, to talk about what support needs they have, and whether the staff can meet those needs. People then have a chance to come to look around the home, and to spend some time there. The manager told us that occasionally people come to live in the home very quickly, and then the decision and choice about whether it is the right place for them is made over a few weeks. One person who had recently moved in told us that they were settling in well and that they liked the home. We saw that they had Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: already built up a good relationship with staff. Staff were supporting the person to be able to express and work out what their needs and wishes were. Staff who work in the home have a good range of training given to them, to help them to be able to meet the needs of people who come to live in the home. Care Homes for Adults (18-65 years) Page 14 of 30 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in this home benefit from having good care given to them in a sensitive way, and which meets their own individual needs. Evidence: We saw that each person who lives in the home has a care plan prepared for them. This is information which tells about each persons needs, and how they would like care and support to be given to them. We saw that there was lots of information about people, which was written from their point of view - things they like and dislike, how they like to spend their day. There was good information about communication - which was individual to each person. Good communication is really important in helping people to have choice and a good quality of life. When we talked to staff they told us about how they understand each persons needs and what matters for each person by listening to the way they communicate. We watched how the staff communicated with people and how they listened and picked up on different needs. We saw that the staff are sensitive, and calm, and that they include and involve people who live in the home rather than doing things to them. This was very good to see. Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: People are supported to be as independent as they are able to be. Staff try and help people who can to do things like tidy their rooms, and develop other daily living skills. for people who need more support, staff still enable them to make choices in their daily lives. Along with care plans, there are risk assessments done for each person. These are written documents which give information about what needs to be done to keep people safe, even while they are doing the things that they choose to do. Some people who live in the home need a lot of support to move around, and there are risk assessments, which talk about how staff can move them safely so no one gets injured. Each person has their own activity folder, with pictures and words about things that they have been involved in and activities they have done. This helps people who live in the home to remember the things they have done and to talk to their families and friends about things. Staff work in a very person-centred way with people - this means that they look at what is important to each person, and at what will give their life quality. We saw that staff have really good relationships with people who live in the home. Staff showed a strong understanding of peoples needs - and responded differently to each individual. Everyone was treated with respect and sensitivity. Care Homes for Adults (18-65 years) Page 16 of 30 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 who live in this home benefit from an excellent lifestyle, being supported to do things they would like to do and to make choices that will bring quality to their lives. Evidence: We found that people who live in this home take part in many different kinds of activities. On the day we visited the home, some people went out bowling. One person told us that they liked going to London - sometimes a member of staff goes with them on the train to see musical shows. There are activities that go on in the home - there is an activities room, which people who live in the home have helped to decorate with murals, and there is a sensory room. Staff work out with people, and with their families, friends and advocates, what kinds of things they enjoy doing. People are supported to enjoy religious worship if they would like to - we learnt that at least one person goes out to a local church. People who live in the home go with staff to shop for food for meals, or to buy things for themselves, like clothes. On the day we visited, one person had been out to buy a birthday present for a family member. Care Homes for Adults (18-65 years) Page 17 of 30 Evidence: Each person who lives in the home also has a holiday each year, supported by staff. We saw photos of different holidays. Staff enable people to have as much choice as possible about where they go on holiday. Friends and relatives are made very welcome in the home, and we read comments from family members, giving their views about the home. One person said that their relative is very happy here and well looked after. The manager and staff are sensitive to peoples rights, needs and choices relating to sexuality and having a social life. We saw that people were comfortable in their home, and that there was space for them and different things for them to do and experience through the day. Staff spent time with people, and talked with them and supported them to do things. Staff prepare meals for people who live in the home. This is done in the shared downstairs kitchen and is a communal event. People who are a little more independent are encouraged to try and develop their skills in preparing food. Staff spend time with people who live in the home during mealtimes, and eat evening meals with them. People are supported to make choices about what they would like to eat. We saw that staff help those people who need support in eating in a calm and sensitive way. The manager and staff have had training about how to help people who have particular dietary needs - like diabetes, or who have feeding aids. Care Homes for Adults (18-65 years) Page 18 of 30 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 who live in this home benefit from good, sensitive attention to their health and personal care needs. Evidence: Staff support people to have as much control over their lives as possible - for some people that means talking about how they would like to live their lives, for some people it means picking up on the cues they give about what they need and would like. Aids that are needed to support personal care are kept privately in peoples bedrooms. Whilst we visited the home, personal care was carried out discreetly and privately, without fuss. We looked at the ways in which people are supported to take care of their health needs. Care records show good information about peoples health needs, and how staff support them to stay healthy. Staff we talked to had a good understanding of peoples healthcare needs. Staff were aware of the ways in which people who have non-verbal communication could tell them about problems, or that they are in pain. We found from looking at written records that staff support people to have the health check-ups they need. People are supported to see their GP if they need to. Each person has an individual health plan. The manager and staff have made sure that where someone has needed extra help, like speech and language services, that this has been Care Homes for Adults (18-65 years) Page 19 of 30 Evidence: given. We looked at the way that medication is given out and stored in the home. There are written policies which tell how medication should be looked after and how to give it safely. Staff who give out medication have had training. Medication is stored locked away. We checked a sample, and found that it was stored safely, with proper records kept and checks being done. The home has the safeguard of two staff signing for all medication given, which is good. We did see that medicine which needs a cold temperature is stored in the general fridge, which anyone can open. While this was accepted by the homes link pharmacy, we would recommend that the manager looks at making sure the medication is stored securely. Care Homes for Adults (18-65 years) Page 20 of 30 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 live in this home benefit from having a staff group who are open to hearing about any concerns and who understand about safeguarding vulnerable people. Evidence: There is a complaints procedure in the home, which tells people how to make a complaint and how it will be looked into. Information about making a complaint is available in pictures and symbols to aid understanding. There is also a compliments/complaints book, where people can write in any concerns. We have not received any complaints about the service since our last inspection. Staff have had training to help them to understand how to protect people from harm. We saw that people who live in the home looked to be comfortable in their surroundings, and they reacted positively to staff. One person we spoke with was very able to express their views to staff and talk about any concerns they had. There are policies to tell staff about what they need to do to safeguard people. Staff have had training about protecting people from harm. The manager has made sure she has reported any incidents to us about the welfare of people who live in the home. Staff support people to look after small amounts of money that are held in the home. Some people have bank accounts. Staff keep records of money that is spent, and there are checks in place to make sure money is kept safe. Care Homes for Adults (18-65 years) Page 21 of 30 Care Homes for Adults (18-65 years) Page 22 of 30 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in this home benefit from a comfortable and homely environment. Evidence: We looked around parts of the home, including peoples bedrooms where they said we could go in. The home is clean, bright and spacious. Although the home is large, it has a homely feel. Peoples bedrooms showed individual choice in how they were decorated, and in the personal possessions that people have. Furniture and fittings are in good condition. The bedrooms are large enought to fit in aids and adaptations that people have. All bedroom have en suite toilet and bath/shower facilities. All parts of the home that we saw were very clean. The environmental health department has carried out inspections in the home and been satisfied. Bathrooms had equipment in to support people to be able to have baths and showers. The manager and staff make sure that equipment is maintained and kept safe to use. There is a good-sized garden, which is in the process of becoming more accessible to people who live in the home. It has a patio area, and swing for people who live in the home to use. The manager is having raised beds put in so that people can enjoy taking part in gardening and a sensory garden can be developed. Care Homes for Adults (18-65 years) Page 23 of 30 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in this home benefit from a well trained and properly recruited staff group, who are committed to meeting their needs. Evidence: We watched how the staff team support people, and talked with members of staff about how they care for people who live in the home. We found that staff work hard to make sure people are supported well, and they engage with people fully. There are good numbers of staff working in the home to make sure that people can be given choice and that their needs can be met. There are staff rotas, which show who is on duty in the main house and in the coach house. The manager makes sure that all required checks are carried out for members of staff before they come to work in the home, like Criminal Record Bureau (CRB) checks. This is done so that the manager can be as sure as possible that staff are safe to support people in the home. Occupation Road does not use agency staff, but there are bank staff who can come in when extra help is needed. Staff have a very good level of training, with refreshment courses given regularly for areas which need up to date knowledge. Subjects include National Vocational Qualification in care, moving and handling, safeguarding adults training, medication Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: administration, infection control, training about learning disabilities, and first aid. Staff have also had training which specifically helps them to meet the needs of people who live in the home, like training in particular forms of communication or in using particular feeding aids. The manager makes sure that where a need is found for more training, this is provided. Staff have regular supervision and support sessions, to make sure they are working properly and are supported. There are also regular staff meetings. Care Homes for Adults (18-65 years) Page 25 of 30 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in this home benefit from excellent management, which makes sure that they are kept safe and cared for in the way they would like. Evidence: The Registered Manager was approved for this position when the home was opened in August 2005. She has many years of experience in care and management, and especially in caring for people with learning disabilities. The manager also makes sure that she continues with her training, so that she is up to date on the best ways of caring for people. Staff told us they feel able to approach the manager with any concerns or ideas. We saw that the manager spends time with the staff and with people who live in the home and has built good, supportive relationships. The manager and staff use different ways to find out what people who live in the home feel. Staff are very sensitive to the ways in which people are communicating and can pick up on what they want. Some people are able to express verbally what they think, and can contribute to questionnaires and surveys about the home. People have a chance to Care Homes for Adults (18-65 years) Page 26 of 30 Evidence: give their view in reviews about their care. The manager also asks relatives and other people who are involved in the care of people living in the home to give their views. The provider (owner of the home) comes in regularly to do checks in the home, and spends time meeting with people who live in the home and with staff. Staff can also give their views and ideas. Staff get specific training about how to do their work safely - for example about infection control. They have equipment and aids to help them to keep safe when cleaning and giving personal care. Safety checks and tests of equipment are done regularly. There are written policies to tell staff how to work safely, and the manager makes sure that all staff read these and work to them. Care Homes for Adults (18-65 years) Page 27 of 30 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 28 of 30 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 20 We recommend that the manager reviews the system of storing medication in the general fridge, to ensure that it is stored securely. Care Homes for Adults (18-65 years) Page 29 of 30 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. 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