Care Home: Ralmar Care Home

What the care home does well The needs of the people using the service are well known to the staff and regularly reviewed to ensure that any changes to peoples individual needs can be recorded. This ensures that peoples needs can be met. Individuals are involved in decisions about their lives, and play an active role in planning the care and support they receive. The health and personal care that people receive is based on their individual needs. This helps to ensure that principles or respect, dignity and privacy are put into practice. People who use the service are able to make choices about their lifestyles and will be supported if they chose to develop their life skills or participate in social, occupational and recreational activities outside their home. The people who use the service know how to make a complaint and are confident that their complaints will be listened to and acted upon. The people who live at Ralmar are happy with their home environment but the registered provider is aware that some improvements need to be made to the premises. The people who use the service are cared for well by a small but very established and well trained staff team. The people who live at Ralmar are very settled and satisfied with the way that their home and the service they receive are managed. What has improved since the last inspection? Not applicable as this is the first inspection to be carried out under the new registration. What the care home could do better: Although alternatives to the set meals will be provided, the residents should be offered a choice of at least two different meals at lunchtime. People know who to talk to if they are not happy and are confident that their concerns and complaints will be listened to. However, details about how to make a complaint need to be included in the Statement of Purpose and Service Users Guides. The people who use the service need to be given a Service Users Guide each to ensure that they and their representatives have access to the information they need about the home and the service provided. The staff understand about adult protection, but their training needs to be updated and arrangements should be made for them to attend up to date training courses of Safeguarding Adults. The hot water temperature to some taps is too hot and needs to be regulated to ensure that people do not scald themselves.Consideration could be given to reducing the number of shared bedrooms as these could be hard to fill as and when vacancies occur. Consideration could be given to relocating the laundry as it does block some natural light and fresh aid to the ground floor bedroom. Consideration could be given to removing the medication storage facilities and lockers from the dining room. This would make the room much more homely for the residents. Key inspection report Care homes for adults (18-65 years) Name: Address: Ralmar Care Home 3 Haldon Terrace Dawlish Devon EX7 9LN     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: Judy Hill     Date: 0 8 0 4 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: Ralmar Care Home 3 Haldon Terrace Dawlish Devon EX7 9LN Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr James Samiotis Type of registration: Number of places registered: care home 11 Ralmar Limited T/A Ralmar Care Home 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 11 The registered person may provide the following category of service only Care home only Code PC to service users of either gender whose primary care needs on admission to the home are within the following category Learning Disability Code LD Date of last inspection Brief description of the care home Ralmar was registered to the current service provider, Ralmar Limited, in 2nd October 2009 and this is the first inspection that has been carried out under the new registration. There have been no changes to the Respondible Individual, who is Julie Samiotis, or to the Registered Manager who is James Samiotis. The home is registered to provide accommodation and care for a maximum of eleven people who have learning disabilities. There are no restrictions with regard to the gender or the age of the people who can use the service. Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 11 Brief description of the care home Ralmar is sitated very close to Dawlish town centre and is within walking distance of the shops, beach bus services and train station. Details about the home and the service provided are available from the home in their Statement of Purpose and copies of inspection reports are available from the home or on the CQC website. The current fees for the service range from £328 to £544 a week. 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 Key inspection included an unannounced visit to Ralmar that was carried out by one inspector on 8th April 2010. The information contained in the report was gained from an Annual Quality Assurance Assessment that was completed by the registered manager before the site visit. Surveys that were completed and returned to us by six of the people who live at Ralmar, five people who work at the home and two people who are involved with the residents in a professional capacity. During the site visit we spoke with the residents who were at home and interviewed two people privately. We also spoke with some of the staff, carried out a tour of the premises and looked at some of the homes records. These included the Statement of Purpose, samples of needs assessments, care plans and reviews, staff training records and medication records. We observed a meal being served. Care Homes for Adults (18-65 years) Page 6 of 28 What the care home does well: What has improved since the last inspection? What they could do better: Although alternatives to the set meals will be provided, the residents should be offered a choice of at least two different meals at lunchtime. People know who to talk to if they are not happy and are confident that their concerns and complaints will be listened to. However, details about how to make a complaint need to be included in the Statement of Purpose and Service Users Guides. The people who use the service need to be given a Service Users Guide each to ensure that they and their representatives have access to the information they need about the home and the service provided. The staff understand about adult protection, but their training needs to be updated and arrangements should be made for them to attend up to date training courses of Safeguarding Adults. The hot water temperature to some taps is too hot and needs to be regulated to ensure that people do not scald themselves. Care Homes for Adults (18-65 years) Page 7 of 28 Consideration could be given to reducing the number of shared bedrooms as these could be hard to fill as and when vacancies occur. Consideration could be given to relocating the laundry as it does block some natural light and fresh aid to the ground floor bedroom. Consideration could be given to removing the medication storage facilities and lockers from the dining room. This would make the room much more homely for the residents. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Because no new people have been admitted into the home for several years it is not possible to assess how well the admissions procedures and practices work. However, the needs of the people currently using the service are well known to the staff, regularly reviewed and are being met. Evidence: No new admissions have been made to the home since it was registered to the current owners in October 2009. Conversations with the staff and the people who live at the home and an inspection of some of the residents records told us that all eleven of the people who are currently living at Ralmar have lived together for many years and been cared for by the same staff team since 2006. All of the people who live at Ralmar are known to the local NHS and Social Service Specialist Support Team. Records were seen that told us that the support team and the home work well together to ensure that the needs of the people using the service are regularly reviewed and that peoples needs assessments are kept up to date. Care Homes for Adults (18-65 years) Page 10 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. Individuals are involved in decisions about their lives, and play an active role in planning the care and support they receive. Evidence: We looked at the care plans for two of the residents and found these to be in good order. Regular reviews had been carried out to reflect changes in peoples individual needs and the residents had been involved in their reviews. Input from the local authorities specialist support services was included which showed that the home and the support services have developed good working relationships to ensure that peoples changing needs could be met and to enable the staff to keep up to date with current good practices in the provision of care for people with learning disabilities. The people we spoke with told us that they are happy with the care provided and that their needs are being met. Despite being a very established residential care home with a very low staff and resident turnover, the service has not become institutional and people are encouraged Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: to make decisions for themselves. This enables them to retain their independence, subject to risk assessments if necessary, if they wish to do so. For example, two people who live together as a couple have asked the staff not to clean and tidy their rooms and their wishes are respected. The front door is not locked and people can come and go as they choose. The residents receive some assistance with their financial affairs but are able to spend their own money as and how they choose. Care Homes for Adults (18-65 years) Page 12 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are able to make choices about their lifestyles and will be supported to do so if they chose to develop their life skills or participate in social, occupational and recreational activities outside their home. Evidence: Ralmar is situated very close to the town centre and most of the residents are able to go out as and when they choose to do so. Three of the residents attend the Dawlish Garden Trust where they carry out therapeutic work. One person told us that he was a keen supported of the local football team. One of the residents belongs to a badminton group and one resident enjoys playing snooker and darts and has won several trophies. One resident has a moped so is able to travel further afield independently. We were told that the residents are offered a choice of two holidays a year. We were Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: also told that occasional group outings are arranged but that more of these would be appreciated by the residents. People are actively encouraged to keep in touch with their families in writing, by phone and in person through visits to and from the home. Visitors are always made welcome. We were told that the residents are offered keys to their bedrooms but at the time of the site visit none of the residents had chosen to lock their bedroom doors. We looked at all of the residents bedrooms and most of them clearly reflected the occupants personal interests. Two of the residents who live as a couple have their own kitchen and another resident was seen to have his own tea and coffee making facilities. People can assist with the preparation of meals, do their own laundry and keep their own rooms clean and tidy if they choose to do so. The staff on duty demonstrated that they clearly understand the residents dietary needs and their likes and dislikes. This was demonstrated when lunch, which is the main meal of the day, was served and slight differences to the set meal were observed. However, people are not offered a choice of meal at lunchtime and had not been told what the meal was in advance. Choices are offered on the teatime menu. Care Homes for Adults (18-65 years) Page 14 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. The health and personal care that people receive is based on their individual needs. The principles or respect, dignity and privacy are put into practice. Evidence: With no recent changes to the staff team or the people who use the service the staff and the residents have got to know each other very well. This closeness was reflected in the surveys completed by the staff and residents and reinforced during the inspection, when we were able to observe the way that the staff and residents interact with each other and talk to some of the residents about their experience of the service. The recorded reviews of people needs assessments and care plans clearly showed that peoples changing needs, with regard to their health are being identified, recorded and acted upon. All eleven residents have mild to moderate learning disabilities, but there is considerable diversity in the ages of the residents, which range from 45 to 93 years of age, and in their support needs. For example, some people need and receive Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: considerable support to maintain their personal hygiene while others need and receive very little support. Records show that the home works well with the local specialist support team and that the staff have received advice and training to help them to understand changes in the physical health of individual residents. We were told that none of the residents had been diagnosed as having dementia but that some screening had taken place at the local hospital for people who may be at risk. Staff training has been provided to help the staff to understand diabetes, dementia in relation to people with learning disabilities, First Aid, medication administration. Epilepsy training has been planned. People can handle their own medication if they choose to do so, subject to a risk assessment so that any necessary checks and safeguards can be put into place. Two people are currently administering their own medicines. Trained staff administer the medication for the remaining nine residents and medication storage facilities and administration records were found to be satisfactory. Care Homes for Adults (18-65 years) Page 16 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. The people who use the service know how to make a complaint and are confident that their complaints will be listened to and acted upon. The staff understand about adult protection, but their training needs to be updated. Evidence: Surveys completed by the people who use the service tell us that they would know who to talk to if they needed to make a complaint or were unhappy with the service provided and surveys completed by the staff told us that the staff would know how to deal with complaints. No recent complaints had been recorded and some of the people we spoke with confirmed that they had no complaints about the service provided. There are policies and procedures in place for dealing with concerns and complaints and these are kept in a folder that is accessible to the staff. However, a summary of the Complaints procedure does need to be included in both the Statement of Purpose and Service Users Guides. Although some staff training has been provided on the Protection of Vulnerable Adults this was some time ago and needs to be updated to reflect the changes to the way that Safeguarding issues are dealt with. Care Homes for Adults (18-65 years) Page 17 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live at Ralmar are happy with their home environment but the registered provider is aware that some improvements need to be made to the premises. Evidence: Ralmar is situated in a private road which is close to the town centre, parks, railway station and beach. There are several designated parking spaces in the private road for the staff and visitors. The premises met the standards that when the home was first registered but would not meet the current registration standards required for a first time registration. The Annual Quality Assurance Assessment tells us that the current owners are aware of this and during the site visit it was observed that a programme of redecoration and refurbishments were taking place. There is a large lounge to the front of the house which had recently been redecorated. This room has a large television set in it. Several people told us that the picture quality was very good and that a large number of channels could be received. There are also television sets in the bedrooms. Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: The dining room is towards the back of the house, next to the kitchen, and is adequate for the needs of the home. The appearance of the dining room could be improved and made more homely by finding an alternative location to store the residents medication and staff lockers. There is a bedroom on the ground floor that is shared by two people. We asked one of the people who shares this room if he minded sharing and he said that he did not. There is also a ground floor shower room with toilet that we were told was going to be converted into a wet room. We tested the hot water in the hand washing basin in shower room and it was far too hot to enable a person to wash their hands under running water. There are two double rooms and two single bedrooms on the first floor. All of the bedrooms had been personalised by the people who use the rooms to some extent but the level of personalisation of the single rooms very clearly reflected the interests and personalities of the people who used the rooms. On the top floor there is a double room that has its own kitchen. These rooms belong to a couple who value their independence and their right to privacy is respected by the staff. There is also a single bedroom on the top floor that is used by a person who values his independence. In addition to the ground floor shower room, there is a bathroom on the first floor and a toilet with wash basin on the second floor. The kitchen is small but adequate for the needs of the home. The laundry facilities are adequate for the needs of the home. As part of the refurbishment programme the registered providers may wish to consider reducing the number of shared bedrooms because although the current residents told us that they do not mind sharing a bedroom, these may be difficult to fill as and when vacancies become available. The service providers may also like to consider moving the laundry facilities as the only window from the ground floor bedroom opens directly into the laundry room and not to the outside of the property. There is no back garden but there is a courtyard to the back of the house. At the front of the home there is a sheltered sun terrace with seating. This area is popular with the Care Homes for Adults (18-65 years) Page 19 of 28 Evidence: residents. There is a communal garden across the private road that is shared with the other houses in the terrace. The manager and staff have office accommodation in the basement of the home, which also provides good storage facilities. Care Homes for Adults (18-65 years) Page 20 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. The people who use the service are cared for well by a small but very established staff team. Evidence: The staff team is very small, consisting of the two Company Directors, one of whom is James Samiotis, who is also the registered manager, four full time care staff and two part time care staff. No separate ancillary staff are employed so the staff combine their care duties with cooking and cleaning. There is nothing to indicate that the current staffing levels do not meet the assessed needs of the people who use the service and very positive feedback was received from the people we spoke with about the staff. The staff turnover is very low, the staffing records show that the most recently appointed member of the staff team has worked at the home for over five years. We looked at the staff training records and discussed the provision of training with a member of staff. The records told us that the management and staff are attending relevant training courses to enable them to gain or update their skills and to meet the individual needs of the people who use the service. Care Homes for Adults (18-65 years) Page 21 of 28 Evidence: Arrangements had been made for the staff to receive training on Epilepsy and arrangements will need to be made for the staff to update their Safeguarding training. Two of the staff have completed a National Vocational Qualification at Level 2 in Care and one had completed an NVQ 3. Care Homes for Adults (18-65 years) Page 22 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. The people who live at Ralmar are very settled and satisfied with the way that their home and the service they receive are managed. Evidence: Although this is the first inspection that has been carried out at Ralmar since the home was registered to the current owners, Ralmar Limited, trading as Ralmar Care Home, the registered manager has not changed and is still James Samiotis. The responsible individual is still Julie Samiotis. Regular staff meetings and residents meetings are held to ensure that people can have their say about how the service is run and minutes were seen of these meetings. Surveys are used every three months to gain feedback from the people who use the service and there are plans to use surveys to gain written feedback from families and friends, although their opinions are already sought verbally. Regular reviews with the specialist support services help to ensure that they to can contribute to the development of the service, which they have done by providing some of the staff training. Care Homes for Adults (18-65 years) Page 23 of 28 Evidence: The required and recommended policies, procedures and codes of practice are in place and kept in a file that is accessible to the staff. During the site visit we checked the dates of the most recent services of the premises electrical circuits, heating system and gas appliances and these were up to date. The fire detection and fighting equipment has also been checked and fire safety training is provided for the staff every six months. Care Homes for Adults (18-65 years) Page 24 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 25 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 1 22 5 The registered persons must 15/06/2010 include a summary of the complaints procedure in Service Users Guides and ensure that each of the residents has a copy of this document. This is to ensure that people who use the service have access to the information they need about the home and the service provided. 2 22 4 The registered persons must 15/06/2010 ensure that details about how to make a complaint are included in the Statement of Purpose. This is to ensure that people who use the service have access to the information they need about the home and the service provided. Care Homes for Adults (18-65 years) Page 26 of 28 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 3 24 13 The registered persons must 15/05/2010 ensure all parts of the home are so far as reasonably practical free from hazards to the residents safety by regulating the temperature of the hot water to baths, showers and wash basins. This is to remove the risk of people being scalded. 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 17 23 24 The residents should be offered a choice of at least two different meals at lunchtime. Arrangements should be made for all of the staff to attend up to date training courses on Safeguarding Adults. Consideration could be given to removing the medication storage facilities and lockers from the dining room to give the room a more homely feel. Consideration could be given to reducing the number of shared bedrooms as these could be hard to fill as and when vacancies occur. Consideration could be given to relocating the laundry as it does block some natural light and fresh and to the ground floor bedroom. 4 24 5 30 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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