Care Home: Ogilvie Court

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What the care home does well The home provides thier staff with a good level of training which helps them to meet the needs of the people they support. All of the people in the home have care plans, which are when possible written with their involvement. All of the people living in the home are supported by key workers and records showed that these key workers meet with people regularly to find out thier wishes. Staff supporting people have known them for a long while and understand people`s needs well. The home has lovely grounds and people are encouraged to help to keep the grounds looking nice. The home is well managed and run, and there are systems in place which ensure that people living in the home are able to voice their opinions. What has improved since the last inspection? Information that the home provides to people before they move in to the home has been improved, so that it now provides people with all of the information that they need to decide if the home is right for them. Some areas of the home that were in a poor state of repair at our last visit have been improved, however some areas continue to need further work. What the care home could do better: The people responsible for the home need to make sure that all of the living areas that people are living in are kept in a good state of repair, to ensure that people are living in a home that is comfortable and clean. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Ogilvie Court America Road Earls Colne Colchester Essex CO6 2LB     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: 0 2 0 7 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: Ogilvie Court America Road Earls Colne Colchester Essex CO6 2LB 01787222355 01787222495 ogilvie.court@craegmoor.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Speciality Care (Rehab) Limited Name of registered manager (if applicable) Mrs Sharon Kirby Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 28 The registered person may provide the following category of service only: Care Home only - Code PC The total number of service users accommodated in the home must not exceed 28 persons to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD Date of last inspection Brief description of the care home Ogilvie Court is a care home providing personal care and accommodation for twentyeight adults with a learning disability. The home is owned by Speciality Care (Rehab) Limited, which is a part of Craegmoor Healthcare. Since the last key inspection Care Homes for Adults (18-65 years) Page 4 of 28 care home 28 Over 65 0 28 Brief description of the care home undertaken in July 2007 an appointment of registered manager has been made. Ogilvie Court is a large property with spacious grounds situated in a rural setting some three miles from local shops and is not accessible by public transport. People at the home are therefore dependent on the home?s transport. The home is divided into four separate buildings; all bedrooms are for single occupancy. Turner Lodge is primarily for people that are semi-independent residents and Chelmer House is for people to gain skills to be semi-independent. Danbury and Moore Houses are for more dependent people. A day care unit, known as The Arc (Activity and Resource Centre) is located within the grounds and is in daily use for everyone that lives at the home. Car parking facilities are available at front and side of the home. Information provided on 31/7/07 indicates that the fees range from £995 and £1,295 per week depending on the accommodation occupied, the source of funding and the level of dependency of each person. Extras to the fees include hairdressing, toiletries, private chiropody and personal items. Inspection reports of this home can be obtained from the home and from the CSCI website at www.csci.org.uk Care Homes for Adults (18-65 years) Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This inspection took place on the 2nd of July 2009 and lasted six and a half hours. The home did not know that we were coming to visit. During our visit to the home we spoke to people living in the home, the homes manager, their manager and some of the staff who supported people. During the visit we also walked around the premises and visited three of the four units. During this time we looked at some peoples bedrooms with them and the living areas that people share. We also had an opportunity to walk around the homes gardens and was able to view the homes large gardening area. As well as spending time talking with people and looking around we also looked at a lot of documents to help us to understand how people are cared for. Care Homes for Adults (18-65 years) Page 6 of 28 Care Homes for Adults (18-65 years) Page 7 of 28 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 28 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use this service can expect to be provided with information about the service in the homes Statement of Purpose and Service Users Guide and can expect thier needs to be assessed prior to the commencement of the service. Evidence: The home has a Statement of Purpose and Service Users Guide, the latter of which was provided with pictures to enable people to visually get an idea of what the home looked like before choosing to visit. The registered manager reported that a copy of the Service Users Guide is sent out to prospective service users or their representatives prior to the visit to assess the persons needs. All of the care plans sampled had a written record to show that a Service Users Guide had been provided to the service user which recorded the name of the member of staff who had spent time explaining and going through the document with them. The Statement of Purpose provided information about the structure of the service, the qualifications of staff, and the facilities provided. This document also provided information about the homes complaints and admission processes. Both documents combined to provide prospective Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: service users and their representatives with a good level of information to enable them to decide if the home would be able to meet their needs. The registered manager reported that there has not been any admissions made into the home for sometime, the last admission to the home was made in 2007, however the home does have an assessment tool that is comprehensive and which would enable them to obtain a good level of information abut the persons needs. The manager went onto explain the admission process indicating that all assessments are undertaken by them or a team leader. They stated that prospective service users are visited in their own homes. Following the assessment if it is felt that the home can meet the persons needs then trial visits to the home are set up. These visits vary and are based upon the needs of each respective individual. Discussion with the registered manager indicated that they were aware of the need for ensuring a good admission assessment. Care Homes for Adults (18-65 years) Page 11 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use this service can expect to have in place a care plan which supports staff to meet their needs and which enables them to take risks with support as required. Evidence: Four care plans were examined and were found to include all aspects of peoples personal , social and healthcare needs. Care plans were in place to support people with their mobility, communication and everyday living skills. All four of the care pans examined showed that risk assessments were in place, covering a range of areas including smoking, epilepsy and medication administration, these set out management actions and precautions to be followed to reduce risk to individuals. The homes AQAA states that service users are supported to take responsible risks and this is discussed and reviewed with them whereever possible and is documented in their care plans. Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: A key worker system operates at the home which allows staff to work on a one to one basis (the homes AQAA states that service users meet with their key workers on a monthly basis, where they discuss their wishes and aspirations) and contribute to the care planning and review process for people living at the home. Records showed that care plans were being regularly reviewed. Observations of interactions between staff and service users showed that staff encouraged service users to take responsibility for making decisions. Staff were seen to display patience and understanding when dealing with difficult situations. Service user meeting take place on a monthly basis and the service users have a representative who attends the regional Your Voice meetings where they are able to present the views and wishes of the people living at Ogilvie Court. A brief discussion took place with the representative, who confirmed that they attended these meetings and was supported to do so by the registered manager. This indicated that service users were suppported to have a voice about the running and management of the home that was listened to and respected. Care Homes for Adults (18-65 years) Page 13 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use this service can expect to be supported to access appropriate activities and maintain contact with their families. They can also expect to be treated with respect and provided with a healthy and nutrtious diet. Evidence: The home has an activities and resource centre based within its grounds which is open day to day. The centre is run by a dedicated support team who provide a range of art and craft activities. On the day of the inspection visit we visited the centre and observed service users partaking in various activities. Feedback from the service users attending the centre was positive, with them indicating how much they enjoyed attending. The centre also has a snoozelum room, where service users may spend time relaxing, however on the day of the visit this was not in use. The home is situated in a rural setting and there is no access to public transport, however to enable service Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: users to access the community the hme has access to three motor vehicles. The registered manager reported that service users access the community either independantly or with staff support, dependant on each individuals assesed needs. Records examined and discussion with service users indicated that people took part in a range of activities including going swimming, bowling, visiting the cinema, going to the pub and having meals out. The home stands in extensive grounds with each unit having its own garden area, which was equipped with level access and sheltered seating. There is a large vegetable garden and orchard which is looked after by the gardener. People who have an interest in gardening assist with its up keep and any produce from the garden is used in the units to provide service users with fresh fruit and vegetables. One service user living in one of the units had created his own small vegetable plot complete with a green house, whilst we were enable to view this area from a distance it was made very clear that this area strictly was the property of the service user and was therefore off limits. The staff in each unit are responsible for the menus and shopping. Discussion with staff indicated that service users were consulted with about the menus and some helped to take part in the preparation of the vegetables and simpler dishes for lunch. Food stocks were observed in all of the units visited and were adequate to meet the needs of the number of service users in residence. People who were spoken with said that they enjoyed the meals provided and felt that they were provided with a sufficient amount and could have more if they wanted it. All of the care plans examined contained details of peoples next of kin and family relations. The registered manager reported that relatives were free to visit the home at any reasonable time and could see their relative wherever the person and they felt comfortable. The manager went onto say that the home has good contact with relatives and key workers take an active part in supporting service users to maintain contact through supporting them with visits and writing special occassion cards e.g. birthdays and christmas. Care Homes for Adults (18-65 years) Page 15 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use this service can expect to have their health and emotional needs met and can further expect to be protected by the homes medication practice. Evidence: Care plans examined contained evidence that showed that service users had access to a range of healthcare professionals including General practitioners, Psychiatrists, Dentists and Opticians. There were records to show that service users were being supported to attend visits from healthcare professionals. During the course of the inspection visit a service user was taken ill. Staff were seen to respond to this situation immediately and made all of the appropriate arrangements for the person to be taken to hospital. Throughout the course of the remainder of the inspection staff were heard making calls to the hospital to obtain an update on the service users condition. This indicated that service users healthcare needs were well adressed and were treated as a priority. The home has a comprehensive policy and procedure in place regarding the administration of medication. This included guidelines on the use of homely remedies. Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: There were guidelines in place for assessing people who might want to administer their own medication (at the time of the visit no service users were self medicationg). The medication practice in one unit was checked and administration and storage were found to be in order, with no gaps or ommissions noted on the records examined. The homes AQAA stated that only staff who had received trainning were permitted to administer service users medication. As required by regulation, the home informs us whenever a significant incident has occured. These continue to indicate that a number of the service users residing in the home often display behaviours that maybe challenging or difficult, which staff have to be trained to manage. Guidance is in place to ensure that all staff adhere to behaviour management strategy plans to ensure that all staff respond in a consistent way. The procedures in place include information regarding acceptable control and restraint manoeuvres to prevent a person injuring themselves or others. Care Homes for Adults (18-65 years) Page 17 of 28 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use this service can expect to be protected from harm or abuse and to have any complaints they may raise listened to and addressed. Evidence: The home had a detailed complaints policy and procedure which was displayed on the notice board in each of the units visited, this document was displayed in an easy read format to ensure its accessibility to service users. Reference to the homes complaints procedure was also included in the homes Statement of Purpose and Service users Guide both of which were made available to service users and their representatives at the time of their admission. At the time of the inspection visit one complaint had been received by the home, sampling of records kept in the home showed that this complaint had been investigated, and the outcome noted. The outcome indicated that the complaint had been dealt with to the satisfaction of the complainant. The home has a policy in place for safeguarding service users, which included a Whistle Blowing Policy (the homes AQAA states that the home has an open culture, which encourages Whistle Blowing, and to facilitate this the policy is on display in the homes reception area and in the staff room). Staff are made aware through the policy of the various types of abuse that might occur and recognised the need to ensure that any such concerns must be reported to the manager. Staff spoken with confirmed that they had received safeguarding training and from discussion with them they were Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: knowledgeable about the subject and were confident that they would recognise abuse and would know how to go about reporting the incident. Care Homes for Adults (18-65 years) Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home can expect to live in an environment that was generally clean and in which their rooms maybe personalised, however they cannot be assured that all areas of the home will be freshly decorated, and that worn or stained carpeting will be speedily replaced. Evidence: The home consists of four units, Turner Lodge, Chelmer (not visited on this occassion due to infection control measures being in place) Moorhouse and Danbury, each with its own front door situated on a large site in a rural setting some three miles from the nearest shops or facilities. There is a refurbishment programme in place, and some of the units have recently undergone refurbishment, However the kitchen in Turner Lodge was in a quite poor state of repair. kick boards at the base of the kitchen units were either broken or in many cases missing altogether, and many of the carpets throughout the unit were very poorly stained and in need either of a very deep clean or replacement. Two service users were happy to show us their rooms and they indicated how much they liked them and one person spoke of having been involved in choosing the decor for their room with support from their key worker. All of the bathrooms and toilets seen were clean and tidy and liquid soap and paper hand towels were provided to mimise risk of cross infection. Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: Each unit is equipped with its own washing machine and staff are responsible for caring for service users laundry. Overall the accomodation provided was fit to meet the needs of the service users in residence, however some areas of the home continue to require improvement to ensure that service users are supported in an environment which is homely, clean and tidy and and well maintained. Care Homes for Adults (18-65 years) Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use this service can expect to be supported by a staff team who are competent and well trained and who have been recruited into the service having undergone a robust recruitment process. Evidence: The home employs fifty-five care staff, which includes five bank staff, of which twentyfive have a National Vocational Qualification (N.V.Q) at level 2 or better, with the remainder of staff being in the process of completing the award this information was provided by the registered manager at the time of the inspection visit and the figures given by the manager were confirmed in the homes AQAA. Sampling of the homes duty rota indicated that usually the home is staffed throughout the day by eleven support staff, with six staff providing night time support. These staff are supported by a 24/7 on-call support service. In addition to the care staff employed the home also employs a part-time gardener,a full-time handyman, activity staff five days a week, and a full-time administrator. Discussion with staff indicated that they felt the staff ing levels were adequate to meet the needs of the service users in residence. They also reported that staff turnover in the home was low, this would go along way towards suggesting that the home is staffed by a group of staff who are Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: generally happy and contented. The recruitment files of four members of staff were examined and contained evidence of all of the required information and checks necessary being carried out before they commenced working in the home. These checks included references, proof of identity and Protection of Vulnerable Adults (POVA) and Criminal Records Bureau (CRB) clearance. These files also included evidence of any relevant qualifications. Staff spoken with and personal development files seen confirmed that they had received relevant trainning to enable them to meet the diverse needs of people using the service, this training included: infection control, fire safety, first aid, health and safety, manual handling, safeguarding, food hygeine, medication administration and equality and diversity training. Care Homes for Adults (18-65 years) Page 23 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use this service can expect to have their opinions sought and their welfare protected by the homes procedures and practice. Evidence: Since the last key inspection undertaken in July 2007 a registered manager has been appointed to run and manage the home, this manager has the registered managers award N.V.Q level four and has eight-nine years experience of working in the care sector. The registered manager stated that they felt well supported by their line manager and the wider organisation. The registered manager stated that they usually saw their line manager on a weekly basis (This manager was in the home on the day of the inspection, and we spent time talking with them). The quality asurance process for the home is corporately developed and was at the time of the inspection in the process of being reviewed to include the use of surveys which will be sent out every six monthly to service users, relatives and staff to seek their views about the quality of thre service provided. Service users meetings are held Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: monthly (the last was held in June 09) and are minuted. The minutes from this meeting are taken to the three monthly area forum which is attended by the service user representative, as welll as representatives from other homes and a member of the organisations board. Minutes from local meetings are feed up through this process to the boards chairman, thereby ensuring that service users have a voice at board level. This forum as metioned previously is known as Your voice Discussion with the registered manager indicated that this forum is reactive and always responds to issues that service users bring to it either immediately or if not possible to respond immediately then a rationale as to why they are unable to is feedback to the service users back through the same forum. Regualtion 26 visits (these are visits that the provider or a representative of the organisation is expected to make on a monthly visit under regulation) are carried out on a monthly basis and copies of reports follwoing these visits were being provided to the home. These reports indicated that duruing these visits time was spent with service users seeking their views. Information provided by the home about Health and Safety (H&S) matters confirmed that servicing of equipment and services such as the fire detection system had been attended to within the appropriate timescales and certificates were available to confrim this. Records examined showed that staff had received training related to health and Safety including: first aid, fire safety, infection control and food hygeine. Care Homes for Adults (18-65 years) Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 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 Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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