Care Home: Paks Trust 66 Oaston Road

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What the care home does well This home meets the key national minimum standards ensuring positive outcomes for people. Peoples` support plans are detailed and informative, ensuring that staff are able to meet individuals` assessed needs. People are actively supported to make decisions about their lives on a daily basis. Consideration is given to peoples` interests, hobbies and leisure pursuits when planning activities. The involvement of relatives, families and friends is encouraged by the home. Clean, tidy and well stocked kitchens enable people to choose their meals based on their personal preferences and healthy eating. Personal support is provided sensitively and discreetly where necessary, in line with individually assessed needs. The health and wellbeing of people is promoted via attendance at routine and more specialised healthcare appointments as necessary. Medication is managed safely on people`s behalf. The home has both a complaints policy and an adult protection policy in place. The complaints procedure has been provided in a format that is meaningful to people. Staff are aware of their responsibilities with regards to protecting people from abuse. Both houses are decorated nicely and personalised with items of peoples choosing,making for a homely comfortable environment to live in. The home is managed by a registered manager who demonstrates competence and experience. Both the people living in the home, staff team and relatives that visited during our inspection appeared to have a good rapport with the manager. The home has a quality monitoring system in place that ensures that the key stakeholders views are at the forefront of service development. Health and safety is managed effectively within the home. What has improved since the last inspection? Two requirements were made at the last inspection of the home. We saw records to demonstrate that risk assessments and careplans have been put in place for people who are able to stay at home on their own for periods of time. We were told that all staff have received training in safeguardng vulnerable adults, and staff spoken with confirmed this. What the care home could do better: No requirements have been made as a result of this inspection. The following good practice recommendations have been made: Training records should reflect the training that staff have undertaken, to provide an accurate record of training staff have received. All staff should attend regular training or updates in medicine management so that people using the service can be confident that they have the skills and knowledge to administer medicines in a safe and appropriate manner. Key inspection report Care homes for adults (18-65 years) Name: Address: Paks Trust 66 Oaston Road 66 Oaston Road Nuneaton Warwickshire CV11 6JZ     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: Justine Poulton     Date: 2 1 0 1 2 0 1 0 This is a review of 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 2 1 0 stars - excellent stars - good star - adequate 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. 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. Care Homes for Adults (18-65 years) Page 2 of 28 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 28 Information about the care home Name of care home: Address: Paks Trust 66 Oaston Road 66 Oaston Road Nuneaton Warwickshire CV11 6JZ 02476742201 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: PAKS Trust care home 5 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: 5 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) 5 Date of last inspection Brief description of the care home The home is a five bedroomed narrow, long and tall Victorian end of terrace house in Nuneaton. The accommodation comprises of a lounge, kitchen diner, lean to/conservatory room, one bedroom, shower room and separate toilet on the ground floor. On the first floor there are two bedrooms bedrooms and a bathroom. The other two bedrooms and a separate toilet are on the top floor. The staircase in the house is narrow and steep, with very little natural light. Information relating to the fees charged for the service provided at this home was not made available to us. The reader may wish to contact the the home directly for this Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 5 0 5 0 3 2 0 0 9 Brief description of the care home information. 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 was a key inspection undertaken by one inspector over one day and was unannounced. This inspection included talking to the staff and the manager about their work and the training they have completed. We also talked to one person who lives in the home, and relatives who visited during the inspection. A key inspection addresses the essential aspects of operating a care home. This type of inspection seeks to establish evidence of safety and positive outcomes for the people using the service. The inspection focused on assessing the main key national minimum standards. As part of the inspection process we reviewed information about the home that is held on file by us, such as notifications of accidents, allegations and incidents and complaints. We also sent an Annual Quality Assurance Assessment (AQAA) to the manager to complete. Care Homes for Adults (18-65 years) Page 6 of 28 The manager completed and returned the Annual Quality Assurance Assessment (AQAA), containing helpful information about the home in time for the inspection. The previous key inspection visit to this service was undertaken on 5th March 2009. The inspection included meeting one person currently resident in the home and case tracking the needs of two people. This involves looking at peoples care plans and health records and checking how their needs are met in practice. A number of records, such as support plans, complaints records, staff training information and health and safety records were also sampled for information as part of this inspection. 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: No requirements have been made as a result of this inspection. The following good practice recommendations have been made: Care Homes for Adults (18-65 years) Page 8 of 28 Training records should reflect the training that staff have undertaken, to provide an accurate record of training staff have received. All staff should attend regular training or updates in medicine management so that people using the service can be confident that they have the skills and knowledge to administer medicines in a safe and appropriate manner. 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 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 9 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 10 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 considering moving into this home can be confident that the home will undertake all necessary assessments in order to ensure that it can meet their care and support needs. Evidence: We looked at the homes Statement of Purpose. Although it outlines the services available at the home it was written in 2003 and there was no evidence of it ever having been reviewed or updated. We pointed this out to the manager who agreed that it had not been looked at since it was written and undertook to address it to ensure that the information contained accurately reflects the service that can be provided. The home continues to have one vacancy. There is a comprehensive referal and admissions procedure in place that includes introductory visits, assessment completion and review after a trial period if a place is offered. The manager said that he thought that the number of people the home can Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: accomodate would be reduced from five to four as the vacancy has been available for a considerable time. The responsible individual said that she intended on retaining the vacancy for the foreseable future. Care Homes for Adults (18-65 years) Page 12 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. The people living in this home can be confident that they will be supported with their assessed needs, aims and inspirations by staff who have access to detailed, informative and current working care plans and risk assessments. Evidence: We looked at the support plans of two people who live in the home as part of the case tracking process. Both people had full and informative information in place, which included pertinent care plans and risk assessments. Information provided in the AQAA that was sent to us prior to this inspection visit tells us that each resident has an individual care plan, with their aims, aspirations and records of any decisions taken by them, and records of any actions taken to enable residents to achieve these aims and aspirations. We spoke to a member of staff who told us that he works closely with each person to ensure that their care plans are reflective of their assessed and changing needs and are updated as and when these needs change, and reviewed at least six monthly on a formal basis. Information and Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: dates recorded on the care plans looked at confirmed this to be the case. For example, one person had recently had their plan updated due to a change in their personal bathing / showering preference. Within the two support plans that we looked at we saw risk assessments that linked into the care plans. These covered areas such as being at home alone, using the shower and using the bath. These had all been reviewed recently. The staff member we spoke to told us that he ensures that the risk assessments are current in order to enable people to take risks appropriate to them. This information confirms what we were told in the AQAA, we enable residents to take responsible risks by providing accurate information on which to base decisions. Care Homes for Adults (18-65 years) Page 14 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. The people living in this home are offered a variety of age, peer and culturally appropriate activities. Peoples relationships with families and friends are supported and promoted. People eat a healthy, nutritious diet of their choosing. Evidence: All of the people that live in the home access some form of day centre either run by the organisation or a local authority provision. Information provided in the AQAA informs us that in addittion to the formal day service provisions that people attend, we offer opportunities to socially interact within the local community during evenings and at weekends by shopping, going out socially and supporting local activities and events. We saw records of activities such as pub lunches, jigsaws, shopping, walking and massage in the records of the two people we Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: chose to case track. We spoke to one person who was at home for part of the inspection. He told us that he enjoys going out for walks, and that he was looking forward to his birthday lunch out. The organisation considers the involvement of family and friends in the lives of the people who live in the home to be of paramount importance, and they support them as much or as little as they wish with this. One person had a visit from relatives during our inspection. We spoke to them and they told us that they are very happy with the care that is provided for their relative. We asked about complaints, and were told that we are fully aware of the complaints procedure, but we are pleased to say that we have never had to use it. They also told us that they are confident that they are kept fully informed about everything and that they have a good, positive relationship with the organisation that they value. The home has a domestic kitchen which is reflective of the style of accommodation throughout the property. It was clean and tidy with all of the necessary food safety and hygiene checks and monitoring in place. A good selection of fresh, frozen and processed foods was available for people to choose from for their meals. The manager said that the home promotes a healthy diet that takes into account peoples personal food preferences. We spoke to one person who lives in the home about the meals he has. He told us that he is able to choose what I want to eat....I enjoy my food. Care Homes for Adults (18-65 years) Page 16 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 can be confident that they will receive the care and medication they need. They can also be sure that they will have their healthcare needs monitored. Evidence: Information regarding the levels of personal care needed by the people living in the home were recorded within the two support plans we looked at. This information was clear and ensured that staff were able to provide assistance as necessary. We spoke to one member of staff who was able to talk through the levels of care and support people need. He also explained the change in need from a bath to a shower that one person had recently requested, and explained that the relevant care plan and risk assessment had been updated accordingly. Information in the AQAA tells us that each resident is registered with a local GP and has access to a chiropodist, dentist, optician, physiotherapist, psychiatrist and the community disability team. We saw records of both routine healthcare appointments and appointments with more specialist healthcare providers. The manager told us that the home had recently changed their medication supplier as Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: they were experiencing some problems. The AQAA tells us that We have reviewed our procedure for ordering and recording delivery of medication, and improved communication with the chemist to ensure the risk of error is minimal. Medication is provided to the home by a local pharmacy predominately in multi dispensing systems MDS. The only exception to this is if the medication is unsuitable for a MDS. Medication administration record charts MAR are completed for each person. The manager told us that he holds responsibility for ordering medication, but that it is booked into the service by the staff member on duty when it arrives. We were told that the original prescriptions are photocopied as a record of what has been prescribed and used when medication is checked in to ensure that there are no pharmacy dispensing errors. We saw the photocopies of the prescriptions in the medication cupboard. There is a protocol for the administration of as and when (PRN) medication in place for each person along with a PRN checklist and procedure for staff to follow before any such medication is administered. We looked at the MAR charts for the people we case tracked during this visit. They were completed correctly, and there was a clear audit trail for the use of any non administration codes. We asked one staff member if he had received training in medication administration, and he told us that he had. Training records provided by the home confirmed that three out of the five staff working at the home have received training in the safe handling of medication. Care Homes for Adults (18-65 years) Page 18 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 living in the home can be confident that their concerns will be listened to and acted on. There are systems in place to respond to suspicion or allegations of abuse to make sure people living in the home are protected from harm. Evidence: The home works to the organisations complaints policy and procedure. The AQAA tells us that the home ensures that there is a clear and effective complaints procedure which includes the stages of and timescales for the process and that service users know how and to whom to complain. We asked one of the people resident in the home if he knew how to make a complaint or if he felt able to say if he was unhappy with anything. He told us Im happy, nothings wrong here. We also spoke to relatives who visited during the inspection. They told us they were fully aware of the complaints procedure but had never had to use it. The AQAA tells us that the home has received five complaints during the last twelve months of which four were not upheld and one was still being investigated at the time the AQAA was completed. The manager told us that he does not keep a formal recorded log of complaints received at the home; instead he keeps the records of all complaints received, the investigation and the outcome in a file at the organisations main office. We went to the office as part of the visit, and we were shown the complaints records. We have not received any complaints about the service over the last twelve months. The home has a policy and procedure on the safeguarding of vulnerable adults in Care Homes for Adults (18-65 years) Page 19 of 28 Evidence: place. We were told that all of the staff have received training in safeguarding vulnerable adults, however training records did not reflect this. We spoke to one staff member who said that he had received training in this area recently and was able to explain what he understood abuse to be and what he would do if abuse was suspected or witnessed. The AQAA tells us that one safeguarding referral was made during the previous twelve months. The manager told us that this was resolved satisfactorily. The home does not hold appointeeship for any of the people living there, but they do support people with their daily finances. We looked at the financial records of the two people we chose to case track. The records were clear and all balances, transactions and monies available tallied. Care Homes for Adults (18-65 years) Page 20 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 live in comfortable, clean and homely accomodation that is decorated and furnished to a high standard. Evidence: The home is in a residential area of Nuneaton. It is not distinguishable as a care home, and fits in with the other properties in the road. The AQAA tells us that The home is suitable for its stated purpose. The premises are accessible, clean, safe and well maintained. We asked one person what he thought about the home. He told us I like it, I like my room. The communal areas were nicely decorated in light colours to try and maximise the light, as very little natural light enters the lounge area in particular, and the furnishings were of a good quality, making for a comfortable and homely environment. We looked at a couple of bedrooms during this visit and saw that they were decorated and personalised, reflecting peoples individual tastes. 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 the service can be confident that suitable staff are recruited appropriately, and that they have the knowledge and skills needed to meet their needs. Evidence: The home functions with a small staff team of four plus the manager. Staff generally work on their own with the people who live in the home. The rota that we looked at confirmed this. The manager told us that given the abilities and independence levels of the people living in the home this level of staffing is acceptable. We looked at the files of two staff members that we were told had been recruited since the last key inspection of the home. Records available within these files confirmed that the necessary recruitment checks such as a criminal records bureau disclosure, two written references, proof of identity and a full employment history had been sought as part of the recruitment process. This ensures that the process is robust and safeguards vulnerable people against potential abuse. Training records provided by the manager during this visit indicate that staff have received the necessary training in the basic mandatory subjects which include fire safety, emergency first aid and food hygiene. In addition training in areas such as Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: mental capacity awareness has been provided to ensure that staff are able to meet peoples assessed needs. 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 living at the home benefit from a well organised and efficiently run service. Evidence: The home is managed by an experienced, appropriately qualified registered manager who is supported by a senior support worker who has considerable experience of working with people with learning disabilities. The AQAA tells us that that the home self-monitors the quality of the service we provide, and annual internal audits involving staff and residents are undertaken. The views of family are also sought. Information gathered from these audits is turned into a report that generates an action plan that aids the development of the organisation and each individual service. We saw the results of the most recent audit that was undertaken, which indicated that people are happy with both the service that is provided and the service that is received. The quality of the service is also measured through other routes such as regular team meetings and house meetings, both of which are recorded, keyworker meetings with Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: the people that live in the home, staff supervision and general day to day conversations. We were told that the provider does not undertake regular monitoring visits of the service as required by the Care Homes Regulations 2001. This was discussed with the manager who said he would bring it to the attention of the provider. The provider has contacted us subsequent to the inspection to advise that she has now commenced monthly visits to monitor the quality of the service being provided. Information in the AQAA provides the dates of when the mandatory health and safety checks and tests were last undertaken. We sampled a selection of these, which included the gas safety certificate, portable appliance testing, fridge and freezer temperature records and fire alarms all of which were up to date. Products that may pose a hazard to people that are used by the home (COSHH) were stored safely, and data sheets relating to the safe usage of each one was available. A series of generic risk assessments pertaining to safety within the home were available, 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 1 23 Training records should reflect the training that staff have undertaken, to provide an accurate record of training staff have received. Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 03000 616161 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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