Care Home: Polesworth Group Pooley Heights

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What the care home does well The home is run very well. Staff all knew what they were doing, and knew about the people stopping at the home and what help they needed. Care plans were clearly written. People stopping at the home were happy to be there, and got on well with staff and each other, and are able to carry on doing activities they normally do, if they wish, as well as do different and new things. They are encouraged to help out, and may learn or add to social and living skills. People staying at Pooley Heights said: "The staff are nice" "I enjoy coming here" "There are no problems - a nice place" "Good food" What has improved since the last inspection? The home continues to be well-run and well-maintained, and to provide a high standard of care and support for the people using it. What the care home could do better: A revised risk assessment of all radiators might more clearly indicate if there are any risks with uncovered radiators that need to be resolved. More regular questionnaires sent to users of the service may help them to get their views across, and may help the home have more up-to-date views from them. Key inspection report Care homes for adults (18-65 years) Name: Address: Polesworth Group Pooley Heights Pooley Heights Pooley Lane Polesworth Staffordshire B78 1JA     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Martin Brown     Date: 0 8 0 3 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) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: Polesworth Group Pooley Heights Pooley Heights Pooley Lane Polesworth Staffordshire B78 1JA 01827894197 01827892500 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Polesworth Group Homes Limited Name of registered manager (if applicable) Type of registration: Number of places registered: care home 6 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: 6 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) 6 Date of last inspection Brief description of the care home Pooley Heights is part of the Polesworth Group Homes Ltd. The company was established in June 1991 with the aim of providing accommodation and support to people with learning disabilities. Pooley Heights is a large, detached bungalow in a rural setting on the outskirts of the village of Polesworth near Tamworth. Many local shops and services are arguably within walking distance, although this involves a fairly steep hill and a road without a pavement for some of the way. The service provides Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 6 Brief description of the care home five planned short stay and one emergency care places. There are around forty service users who have regular short stays. The property has been extended to provide four single bedrooms and one double bedroom. Three single bedrooms and the double bedroom have en-suite facilities and the fifth bedroom is adjacent to a bathroom that includes corner bath, shower, toilet and basin. There is a garden backing onto open fields that has a decked area and lawns with flowerbeds. There are level walkways in the garden with wheelchair access and ramps. There is an eight seater People Carrier that provides transport for the service users and public transport also passes the end of the road. All placements at Pooley Heights are currently commissioned by Warwickshire Social Services. Fees are currently £611. The service is in the process of moving away from a block placement fee with the local authority, to more individual payment arrangements. 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: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This report has been done using information we have gathered about Pooley Heights. We visited on Monday afternoon, March 8th 2010, and stayed until tea time. We visited without letting anyone know we were coming, so we could see the home without people making any special preparations. We met with all the people stopping at Pooley Heights that day, as well as the manager and the staff who were working at the time. We also looked at paperwork to see that that things that were being written down were being done so properly. We looked closely at how three people in the home were doing, as well as meeting with everyone. The staff, manager and people staying at the home were all very helpful and welcoming. 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 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People choosing to use this service can be confident that information will be available to help them make their choice, and that the introductory process will be warm and welcoming. Evidence: For people considering using the service, there is information available in plain language, in picture format, and in DVD/video. While most people considering using the service benefit from a preliminary visit as the best way to see if they would like it, the manager gave a recent example of an emergency placement where the person had no time for a preliminary visit. The service was able to get a user friendly service user guide to this person at their day service, and reported that they found this very reassuring, and held on to it and constantly looked at it, as a form of reassurance that they were going to stop at a welcoming place that would be able to meet their needs. In this instance, the home had to make an assessment and develop a care plan based on their own observations, in addition to information known and supplied by professionals who had had contact with this person. This person had settled well, and preparations were well advanced for them to move to a more permanent home nearer Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: to the area they were used to. Other records looked at showed good introductory assessments leading to clear and relevant care plans. The process for all planned new users of the service involves introductory visits and a visit to that persons usual home to get to know them and their carers, find out relevant information, and give that person time and opportunity to become familiar and reassured about the service. All those spoken with were happy about staying at Pooley Heights. Staff showed a good knowledge of people using the service, and their individual needs and preferences. People using the service do so in a wide variety of ways. Some, as one person there was, come on an emergency basis, stopping for one period, in this instance, a month, until a permanent home is found. One bed is put aside for such emergency placements. More usually, people stop several times a year for a short period, perhaps a week or a fortnight, or a weekend or a few days in the week, according to need or wishes. To help those who wish to book electronically, the service is now introducing on-line booking. As they realise that not everyone will wish to, or be able to, book in this manner, they are also retaining a paper-based system. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People stopping at Pooley Heights can be confident that their needs and wishes will be met and that they will be fully consulted and kept informed concerning the ways in which this is done. Evidence: We looked in detail at the care of three people using the service at the time of the inspection. Their care files were well-ordered, all done to the same system and principles, and so were easy to follow. Care plans, in particular, were written in clear language, contained only relevant information, and were consequently easy for staff to follow, without being overwhelmed by unnecessary detail. A discussion was had with the manager about whether a simplified version of the care plan, written in the first person, might help even more to promote the views of the service user about their care, although this was offered only as a suggestion, whilst recognising the already excellent nature of the existing care plans. There are very simple picture versions of some care needs in files. Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: Individual risk assessments, and how they are managed, were recorded, again with a refreshing emphasis on clarity and relevance. Staff spoken with were clear on individual risks and how they were managed. People using the service were spoken with, and gave the impression of feeling safe and secure at the home, but not unduly restricted. One slight restriction caused by the otherwise ideal setting of the home is the fact that local facilities such as shops are not within easy or safe walking distance. However, transport is readily available, and people using the service were able to give examples of how the service supports them through their stay to carry on with activities and contacts they enjoy. They also gave the impression that they were able to do as they wished, but were open to staff suggestions for a variety of activities at different times, and were able to suggest their own preferences.Individual preferences were recorded in files, and staff showed a good knowledge of individual likes and dislikes. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People staying at Pooley Heights benefit from being able to enjoy activities in the home and local community and continue to keep to their daily routines when using the service. They enjoy good nutritious, freshly prepared food at the home. Evidence: Examination of records, discussion with staff and management and, in particular, people using the services, showed that they are able to continue with activities they enjoy, as well as have staff encourage them to try new ones. People were pleased to be able to continue attending day services, and to visit people and places they usually do, such as, for example, the local Gateway club. Staff said they may either take people attending this to it, and pick them up later, or make an evening of it with others service users, allowing others to enjoy a coffee or similar out somewhere nearby. One person using the service spoke of how staff took them to see family members for a meal one weekend. Staff spoke of trips to the local Snow Dome, as Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: well as pub meals, and local parks and walks. When we spoke to people shortly after their arrival they were happy to sit and chat with each other and watch TV whilst waiting for tea. Some helped with preparations such as getting the table laid. Such chores were done in line with peoples skills and inclinations. One further aspect of stays at Pooley Heights is that this time can be used to help people further develop living and social skills at a natural pace each person is comfortable with. Management were aware that this was not a prime or leading function of Pooley Heights, that one that they were happy to accommodate where users of the service showed a wish to do more. There was an abundance of healthy food in evidence, with lots of fresh fruit being used. Meals are freshly prepared, and individual preferences are noted and catered for, as well as dietary needs, such as diabetes. Staff advised that the speech and language team had been involved with support, assessment and advice where people had difficulty swallowing food. All those using the service during the inspection indicated that they enjoyed their meals, as well as the range of activities, and their normal routines, whilst staying at Pooley Heights. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People staying at Pooley Heights can be confident that their health, care and support needs are known and met in ways in which they are comfortable with, and that their medication needs are properly met. Evidence: Health and support needs were detailed clearly and simply on all care files looked at. Staff spoken with were clear on these and able to give examples of how they were met. The manager gave an example, in discussing diversity, of a person with differing cultural needs. They were able to meet these needs during periods of respite, but were ultimately not able to accept them for further respite because their health needs became too acute for the service to continue managing. Health advice and support is sought when appropriate from health professionals, as evidenced by discussion with staff and management, as well as in recordings. As a respite service, staff and management are aware that they do not generally take a primary role in health care matters, but, as was noted, where someone is placed with them on an emergency basis, this may be appropriate. An example was given of the service arranging a visit from the chiropodist for such a person. Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: People spoken with using the service during the inspection said that staff were very good and helped them. Most interest from the people spoken with involved staff supporting them going out to places and activities. Interactions between staff and people using the service were warm, friendly, and natural. A sample of medication recording for three people was looked at. This was seen to be clearly and accurately recorded in a straight forward, easy to follow manner. The recording sheets have a space where any allergies known can be recorded. This was blank, although it was later seen that any allergies, or lack of them, was clearly recorded in individual files. The manager agreed to ensure that the information concerning allergies should also be recorded on the space provided on the medication record sheets. Medication was stored securely, and facilities were available to support people to self-medicate, although staff advised that no-one using the service currently did so. Similarly, there was storage available for controlled medication, although noone currently using the service required this. 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 excellent 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 be confident that they are protected from the risk of abuse or harm, and that any complaints or concerns they raise will be listened to and acted upon. Evidence: We have received no complaints or safeguarding concerns regarding this service in the past twelve months. The manager advised that they had received one complaint from a relative and showed details of this and how it had been responded to and appropriate action taken. The manager advised that they had received no complaints directly from users of the service, but that occasionally relatives raised minor issues which were swiftly resolved. Examples of these were seen in individual supervision records and team meetings, and it was clear that these issues had been dealt with appropriately. It was clear that staff supervisions had been used in instances where it was a learning process for that particular staff member, rather than the team as a whole, and that the concerns were of a personal nature for the user of the service that had been addressed discreetly. Staff spoken with were clear on what to do in the event of abusive practices being witnessed or alleged. All have had training in safeguarding and adult protection. There is a user friendly guide to help service users if they wish to complain about Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: anything, although all people stopping at Pooley Heights were clear that there was nothing they were unhappy with about the service or the staff. Good natured teasing and banter primarily from service users to staff indicated the positive and open atmosphere of the home. 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 staying at Pooley Heights benefit from a comfortable, homely and well maintained environment. Evidence: The home continues to be well-maintained, furnished to a high standard, while remaining homely and comfortable for those staying there. Decorators were currently decorating communal areas, although great care was taken not to inconvenience users of the service, and the work was complete for the day by the time people arrived. People spoken with said they liked it there, and one person was keen to show me their room. Rooms are lockable, have lockable facilities and all have en suite facilities, except for one which has a bathroom adjacent. While very pleased with the space, and the facilities, they thought the bath might be made easier with a hand rail of some sort. The manager later advised that, while this may be considered, the needs of all the people using the service had to be considered, and that showers, and an alternative bath were available for anyone who might find difficulties with the bath. We noted an exposed low level radiator in the corridor joining this bedroom with the en suite facility. Whilst the home has risk assessments in place a for covering radiators, and has covered those radiators most likely to present a risk, there were Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: still some that arguably presented a risk, particularly where people might fall against them. The manager agreed to re look at the risk assessment for all the radiators and see if any more may need protective covers. There is one double room. Management were clear that this is only used as a double room where people state they are happy sharing a room, which she acknowledged was now becoming less common. She advised that it may in future be used as a single room, but that they would still wish to keep the registration at six, to allow for the option of using it as a double room where people specifically state that preference. Toilets and bathrooms were all clean and well-maintained, as were all areas. The laundry was clean and well-maintained, although one of the metal housings for one of the machines had rusted slightly by the floor. The manager promptly contacted the relevant person to get this sorted out. There were a lot of flowers in the home, adding to the welcoming and fresh feel of the building. The conservatory, used for meals, had just had new blinds fitted. The home was pleasantly warm throughout, on yet another cold day. The garden area remains an attractive, for use in warmer weather. One user of the service spoke of enjoying barbecues outside in previous good weather. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who use this service benefit from an experienced, well-trained and properly recruited staff team, who have a good knowledge of their needs and wishes, and the skills to meet them in a positive manner. Evidence: The service continues to have a low staff turnover, and does not use agency staff. A sample of two staff files were looked at. These detailed all necessary checks, including references and Criminal Record Bureau checks. Files included copies of training certificates and supervision records. Three staff were spoken with, and were all very positive about their jobs and the organisation. Staff said training was very good. (Fantastic was the word used by one person.) Staff spoke of the wide ranging nature of training, that helped prepare them to support people with a wide variety of needs. A certificate in nail care was noted in one folder. The staff member explained that did not involve foot care, for which a chiropodist would always be used, but helped equip them to provide practical and therapeutic nail care and attention. This typified the wide and flexible nature of training available. Supervision notes showed the high quality and depth of supervision, showing that Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: management were alert to issues that are relevant and important to good quality care, and actively sought to achieve and maintain the highest standards in all areas. Staff interactions with people using the service were warm and friendly, and staff were alert to areas where people might need support, and to the ever changing dynamics within changing groups of people. People using the service spoke well of the staff (I like the staff being a typical comment)and were clearly at ease with them. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people using this service continue to benefit from a well run home that has effective systems in place to ensure their health and well-being is promoted and maintained during their time there. Evidence: The manager has been at the home for a number of years, and is instrumental in ensuring it is run efficiently and effectively. There were no health and safety issues apparent during the inspection of the home, other than that of radiators, already noted. A fire risk assessment was seen, and regular safety checks on all aspects of the home were in place. Clear, concise and relevant risk assessments were in place for the well being for all using the service. For example, there was clear guidance relating to the proper use of the homes transport, to ensure it met the needs of service users in a safe manner. Regulation 26 visits by other people in the organisation, generally managers of similar services, take place regularly, and the most recent copies of these were seen. Regular Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: staff meetings take place, and the service has regular meetings with relatives and carers of those using the service. A record of the most recent of these was seen. This was dominated by concerns over a new method of payment being introduced by the local authority, which would bring in more personalised payments, instead of the current block payment method of payment. Some questionnaires in easy read format were in a Quality Assurance folder, but these dated back to 2003. The manager acknowledged that more up-to-date ones by the service may be of use, but advised that our questionnaires had only just gone out, and that service users have an opportunity to raise issues at regular consultations with a representative of the organisation. The manager nevertheless conceded that another questionnaire might be appropriate to get peoples views. 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 2 24 39 The service should re-look at risk assessments for radiators, to see if any more of them may merit covers. More regular questionaires to users of the service would help show that the service was active in seeking the views of people using the service. 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. 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