Care Home: Phoenix House

What the care home does well People say they like living and working in the home. Service users say that they get the help and support they need and that staff are friendly and respect their wishes. People are helped to find things to do to occupy themselves. There are enough staff to support the people who live at the home. People are helped to learn to look after themselves. More than half the staff have a National Vocational Qualification to at least level 2. What has improved since the last inspection? Staff have had training and have advice from other professionals to help them better understand peoples behaviour and how to help them manage it. Additional senior staff have been recruited. Work has started to provide a new training kitchen on the ground floor. Improvements have been made to the front access. What the care home could do better: There is currently no Registered Manager. Management arrangements are noted in the Conduct and Management outcome group in the report. People have said they would like more staff who can drive the people carrier on duty in the evenings and weekends so they have more opportunities to go out. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Phoenix House 1 The Drove Northbourne Kent CT14 0LN     The quality rating for this care home is:   one star adequate 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: Geoff Senior     Date: 0 2 0 4 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 27 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). 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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 27 Information about the care home Name of care home: Address: Phoenix House 1 The Drove Northbourne Kent CT14 0LN 01304379917 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Phoenix Care Homes Ltd care home 20 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Additional conditions: 20 The maximum number of service users to be accommodated is 20 The registered person may provide the following category of service only: Care home only (PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: Mental disorder, excluding learning disability or dementia (MD) Date of last inspection Brief description of the care home Phoenix House (the Service) is registered to provide accommodation and personal care for 20 people who have difficulties with managing their mental health. The premises are a detached property that has quite a large garden to the rear. The accommodation is provided on the ground and first floor. Most of the people who live in the Service have their own bedroom. All of the bedrooms have a private bathroom with a wash hand basin and toilet. The Service is set in the small rural village of Northbourne. This is approximately five miles from the town of Deal. The village has a public house, post office and local shop. There is a bus service that links the village with local towns. The Service has its own people carrier vehicle. This means that support workers can assist people to be out and about. Care Homes for Adults (18-65 years) Page 4 of 27 Brief description of the care home The Registered Provider is a private limited company. It also runs another residential care service in the area. The fee for each persons residence in Phoenix House is between £549 to £703.00 Pounds per week. The fee includes the provision of accommodation, personal care, catering, laundry and use of the people carrier. It does not include items such as the purchase of toiletries and other services such as consultations with the hairstylist. Care Homes for Adults (18-65 years) Page 5 of 27 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: one star adequate service Choice of home Individual needs and choices Lifestyle Personal and healthcare support peterchart Concerns, complaints and protection Environment Staffing Conduct and management of the home Poor Adequate Good Excellent How we did our inspection: We visited Phoenix House on 2nd April 2009. The Registered Provider, two Senior Care Coordinators and three support staff were in the house as well as the people who live there. We met and talked with most of the 14 service users and spent some time having a look round the home. Three of the service users unlocked their bedroom doors so we could see their room, one then showed us other parts of the house. The Registered Manager resigned in March 2009. We spoke with the Director and then with two senior Care Coordinators who helped gather information that we asked for. This was their first experience of a Commission visit since becoming part of the management team at the house. Staff told us that they enjoyed working at the house and that things have settled down after a few changes. Everyone was settling in and working together to make Phoenix House a good place to live and work. As well as the Care Homes for Adults (18-65 years) Page 6 of 27 information collected on the day we also looked at the Annual Quality Assurance Assessment, AQAA. The manager had completed this in February 2009 so the information was still current. We also considered the comments of service users and staff who had completed survey forms. These were collected on the day of the visit. 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 27 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 27 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 are interested in living at the home are given the opportunity to visit before making a decision about moving in. The Management and staff gather information about the assistance people will need if they move into the house. This helps when making a decision about offering a place and planning support. Evidence: People who are interested in living at Phoenix House are invited to visit before they make a decision. They have a chance to look round, see the bedrooms and main living spaces. They may talk with the people who already live there and with the staff about the routines and lifestyle they could expect if they moved in. There is a brochure called a Service User Guide that outlines the main things about the Home and a more detailed document called the Statement of Purpose. This gives an account of how the home aims to support people and information about the management and staff.The Registered Manager recently resigned and has not yet been replaced. The Provider, helped by one or all three of the Senior Care Coordinators, will carry out an Care Homes for Adults (18-65 years) Page 10 of 27 Evidence: assessment of each persons need for assistance. This is done so that a decision can be made about whether or not the home has the staff, skills and experience to be able to support the persons needs. We were told that the Management will go and meet people in their own homes or where they are living at the time and, if appropriate, also meet with members of the family. Following the assessment the home will propose a plan of how they intend to meet the needs and then await a decision from the person concerned and their representatives.We looked at two of the most recent assessments. Both had information about the persons mental health diagnosis with details of the action to be taken to support the person to achieve the planned outcome. We were told by most of the service users that they had been asked if they wanted to move into the house and had been given enough information about the place to help them make a decision. Two felt that they had not had much involvement and other people had made arrangements for them. Those people we spoke with said they enjoyed living at the home and could choose for themselves, what they do with each day. Care Homes for Adults (18-65 years) Page 11 of 27 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. Support for the individuals is assessed, well planned and consistently offered. People are supported to make decisions about their lives.People are helped to avoid taking unnecessary risks. Evidence: People who live in the home say that the staff offer them the support and assistance they need most of the time. Some said that occasionally there are not enough staff about at the weekends, who can drive, if they want to go out in the car. There are support plans in place for each person. The management, staff members and the person involved put these together. They detail what support the person needs and how they want it done. The plans are an important source of information for the staff as they help them to respond and support the individuals in a consistent way. The plans we saw contained information about things that are important to the person such as, family and friends, how to recognise and respond if someone is becoming unwell with their mental health and their hopes and wishes for now and the future. Staff we Care Homes for Adults (18-65 years) Page 12 of 27 Evidence: spoke with were well aware of the information talked confidently about how they support people. The service users told us that staff listen to them and they feel well looked after. One said that although they had been encouraged to move on to more independent living, they did not feel ready and this had been respected. Others said they wanted to live in their own place. To help with this there is a small flat upstairs where people may use the kitchen to practice cooking meals for themselves. There is another room on the ground floor that is being made into a small kitchen. This is so that even those who are unable or reluctant to go upstairs can access facilities. The provider said that other consideration in meeting peoples diverse needs include; improvements to the driveway surface to help wheelchair users and catering for special dietary needs. We were told that the thorough assessment process helps to identify and plan for any diversity issues that may arise. Religious beliefs are supported and transport provided if people wish to attend religious ceremony or celebration. There is a diverse staff and service user group and people said they consider the atmosphere in the home to be one of understanding, tolerance and acceptance.People are helped to avoid taking unnecessary risks. They are asked for example if they need help or support if they want to go into the village or further afield. As one said that., Staff make suggestions, I decide. Im a free man. Care Homes for Adults (18-65 years) Page 13 of 27 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. There is a good range of things that people can do to occupy themselves. There are plenty of opportunities to go out. People are helped to keep in touch with their family and friends but the position of the phone is not very private. Good meals are served and records are kept of what is provided Evidence: We were told that the people living at Phoenix house are encouraged to live as full a life as possible. The provider is keen to promote rehabilitation programmes. These would be for people who may need support to achieve their wish to return to a more independent way of life. Daily living skills such as cooking, laundry, shopping and matters of hygiene are re established and built upon to offer a sense of independence and how people feel about themselves. Care Homes for Adults (18-65 years) Page 14 of 27 Evidence: People are free to do things that interest them. For example, one goes to a local social centre to take part in various activities whilst another two regularly go out on their own to the village or nearby towns. For those who need more support there are accompanied trips out. There is a notice board detailing the programme of twice daily outings for the week. People just put their names on those they wish to join in. There is an activities coordinator who calls twice a week to help people work on a variety of craft projects. Key workers help individuals if they want to do anything in particular or if they want to find a local college course that interests them. There is a computer in the link room (craft room) that people can use to access the internet and find out what is going on locally. Service users said that the pace of daily life is relaxed and unhurried and they have a choice about how they spend their day. Some want to be more organised than others. One person told us what he has planned for each day of the week and what support he feels he needs. Another said the he prefers to sit all day in his favourite chair and chat with his friends and staff. There is an expectation that everyone contributes to the daily life of the home. One service users told us about doing his room cleaning and his laundry. He said he has days set aside but there is no pressure and he does not feel rushed. There are various social activities available. These include the day trips already mentioned and whole day trips to places of particular interest or for particular activity. House meetings are chaired by a service user (staff may attend but do not contribute), are minuted and may often bring up new ideas about thinmgs to do or places to go. People are helped to keep in touch with family if it is their wish. Family and friends are welcome to call at the home at any reasonable time. key workers keep in touch with people important to the service user and will contact them with any news, updates or changes. We noted that a service user was sitting in the hall waiting for a phone call from a relative. the area was quite public and offered little privacy for their conversation. Alternatives should be considered. We were told that peoples likes and dislikes are taken into account when the meals are planned. Service users are encouraged to join in with the shopping and preparation of the meals. We were told that mealtimes are relaxed and flexible with no pressure to eat at a specific time or location. We saw one meal being put aside and saved as the person was busy and wanted it later when he had finished what he was doing. People said that they have a choice of what to eat. We saw a record of what is offered at each mealtime and the choices each person has made. One service users said he always enjoys the food at the home but also likes it when they have takeaway nights. Care Homes for Adults (18-65 years) Page 15 of 27 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 are helped to help themselves in matters of personal care, hygiene and health. There are systems in place to promote safe and secure medication management. Evidence: People who live at Phoenix house are mostly able to manage their own personal care and hygiene. People we spoke with said that staff are always there if you need them and are easy to get on with but do not fuss. They said that they may remind you but in the end its your choice. Staff members said that they have got to know most of the service users really well. They also have access to information and guidelines in peoples support plans so they know if people are becoming unwell and can seek medical assistance without delay.People are supported to attend healthcare appointments. The outcomes are recorded on their files so that staff know if there are any changes to the way support is offered. People are free to manage their own medications when this has been assessed as possible and appropriate. One person we spoke with is doing his own,with staff supervision. He intends to do it all for himself when he feels ready. A senior member of staff has responsibility for receiving and checking medicines into the home and Care Homes for Adults (18-65 years) Page 16 of 27 Evidence: ensuring they are safely stored. There are procedures to follow when medicines are given out. We were told that all staff who are involved in dealing with medicines have received training and been assessed for their competency. There were notes seen on two of the service user support plans and medication record sheets instructing staff what to do with medicines that can be used as and when needed. The record showed that the situation is reviewed by a specialist and amended as necessary. Care Homes for Adults (18-65 years) Page 17 of 27 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. There are systems in place to ensure that the well being of people living at the home is safeguarded. Evidence: We were told that the service users, families and staff are all aware of the robust complaints procedure in place at the home. There is a file to record the complaint, what actions were taken and the final outcome. Service users told us that they know how to make a complaint and who to go to if they have a worry or concern. They said that they feel quite safe living at Phoenix House. The Provider undertakes thorough background checks on people who want to work at the home. They ask for police checks and references from people who they have worked for in the past before deciding to employ someone. This is done so that as far as possible people are protected from the risk of harm. Staff have attended courses that help them be alert to the signs that someone is not being treated well and to know what to do to safeguard the people who live at Phoenix House. Care Homes for Adults (18-65 years) Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Phoenix House provides a varied and comfortable environment in which to live and work. Arrangements and agreement for room sharing should be documented. Evidence: Most people who live at the home have their own bedroom and en suite facility. They can use their own belongings to make them as homely as they like and can choose the colours for decoration. They can also have their own bedroom doorkey if they wish. We were allowed by the service users to look at some of the rooms and could see that each one suited the person who lived in it. Some said that they liked having all their things around them whilst another preferred no clutter. Where rooms are shared, the Provider needs to be able to show that everyone was asked and are in agreement and that those responsible for paying the fees are also aware. We were told that people feel comfortable in the house and have several areas they can choose to go to join in with activities or sit and watch TV. They said it was always nice and warm. There is a rise and fall bath and a walk in shower for people who may have difficulties with their mobility. The laundry is equipped with a washing machine and dryer. People are encouraged to Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: do their own laundry but, in practice, most have support from staff to organise this. We were told that the most recent environmental health and fire inspections received favourable results and there are no works outstanding. There is an on site maintenance man who attends to most repairs and redecoration. A small training and snack making kitchen is being fitted on the ground floor. This is for people to develop their independent living skills and also for people to store and prepare drinks and snacks without having to go into the big kitchen. Care Homes for Adults (18-65 years) Page 20 of 27 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. The home is adequately staffed but needs to consider more flexible use of people who can drive the people carrier. There is a robust recruitment system in place to help safeguard the residents. Staff have opportunities develop their training and skills. Evidence: We were told that the staff roster system has been changed since the last inspection visit . There are now three support staff on duty in the house from early morning until later in the evening. There are two on duty overnight. The service users said there are usually plenty of staff about if they need assistance or want to talk to someone. Some felt it would be better if there were more people on duty at the weekend who can drive the people carrier so they have more choice when to go out. Some staff felt that the keyworker system gave them more time with individual service users. Others felt that a cook and a driver was needed to free staff to support service users. All staff have the right checks in place, Criminal Record Bureau (CRB) checks, references and inductions. They are offered basic safety training such as 1st aid, Health and Safety, Moving and Handling. We saw that seven staff have booked places on a 1st Aid course and, following a requirement made at the last inspection, a number have now completed Fire training. Staff are encouraged to enrol on an NVQ Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: programme. NVQ is a qualification that is work based and shows that staff have the right skills for the job. They are graded: the minimum for care support workers is level 2. Managers generally have level 4 or higher. We were told that, of the 13 staff, 8 have level 2 and 2 have just started. 2 have level 3 and 4 have started and 1 has started level 4. We spoke to staff who told us that they are supported to attend further training so that they can support the people who live in the home with more confidence and expertise. The training matrix on display showed what training staff have had and what is planned for the future. Care planning and risk assessing was next on the programme. Staff told us they receive regular supervision with the management so they can discuss how they are working and what training they might benefit from. They also have staff meetings to talk about how the home is doing and make plans to improve or change things. We spoke with senior staff and support workers about their work. They showed a good awareness of what they were doing and an understanding of how to support people in managing their mental health. Care Homes for Adults (18-65 years) Page 22 of 27 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is no Registered Manager in post. Service users are happy to approach the staff and management, knowing that theior views will be heard. There are systems in place to promote and safeguard the well being of those who live and work at the home. Evidence: We were told that since the Registered manager resigned, the day to day control and management of the home has been undertaken by one of the Directors. He told us that he is a registered Nurse (RMN) and has attained the Registered Managers Award. The RMA is important in this setting as it focuses on how good management practice can contribute to positive outcomes for people who live at the home. He and other staff confirmed that he comes to the home each day to carry out administrative and supervisory tasks. He also attends the shift handovers. We also saw him spending time around the house talking with the service users and getting involved with their craft projects. We understand that the Provider is currently seeking to improve quality and Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: efficiency of the service by restructuring the management of the home. Three Senior Care Coordinators have been appointed, each with specific skills but able to cover for each other. One is responsible for financial matters, stock control and staff training, another oversees Care, support planning and medication and the third coordinates activities, helping service users have a say when decisions are being made and making sure service user meetings happen. She is also starting a relatives support group where people can offer and receive support and tap into each others expertise and experience. We were told that the whole house has settled and the service users are much better under the new leadership. The Provider needs to inform the Commission what the long term plans for the management of the home are. This is because the current arrangement may compromise the Directors ability to undertake an arms length quality assurance and support role in satisfying the Regulation 26 visit requirements. There are several ways in which people are asked about how they feel the home is running These include informal discussions, meetings with key workers and the completion of more organised questionairres. These are given to people living at the home, staff members, relatives and other care professionals and discussed by the Managers and Directors of the Organisation for forward planning. People we spoke with said they are generally very happy with how things are going and did not want much to change. A number of comments received from the surveys forms reflect a general feeling of satisfaction. They understand me, Im happy here, Im well looked after, no problems , Good staff ,lovely. We were told that the home has been awarded Investor in People accreditation for commitment to workforce development and welfare of service users. There are written policies and procedures in place. They are mostly to help staff carry out their work. Some deal with Health and Safety such as safe moving and lifting and storage of harmful subtances. We were told that staff are asked to read these as part of their introduction and training. Regular checks are completed on the homes safety equipment and, following a requirement made at the last inspection, staff have attended a fire safety training course. Checks on the electrical and gas installation were seen to have been carried out by a competent person, were satisfactory and up to date. The Management checks the premises and accomodation to make sure there are no hazards that might cause an accident. If any thing is found it is attended to by the on site maintenance man. Care Homes for Adults (18-65 years) Page 24 of 27 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 25 of 27 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 2 3 14 15 20 The staff rota should allow for sufficient drivers on duty at weekends and evenings so not to compromise choice. People are helped to keep in touch with their family and friends but the position of the phone is not very private. Service users who are being supported to manage their own medication should be provided with safe facilities for storage in their room. Room sharing should be a positive choice.Arrangements and agreement for room sharing should be documented. 4 25 Care Homes for Adults (18-65 years) Page 26 of 27 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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