Care Home: Rosebank

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What the care home does well Family members told us they were happy with the way people were looked after. They said they could talk to the manager if they had any worries.Staff knew how to look after each person living there.Staff had training to help them look after all the people living at Rosebanks.All the checks are done to make sure the right people are chosen to support you and keep you safe. What has improved since the last inspection? Some parts of the home have been decorated. What the care home could do better: Staff need support to continue with NVQ training so they can continue to keep you safe and well. Key inspection report Care homes for adults (18-65 years) Name: Address: Rosebank 58 Bergholt Road Colchester Essex CO4 5AE 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: Jane Greaves Date: 1 5 0 7 2 0 0 9 This report is a review of the 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 stars – excellent  2 stars – good  1 star – adequate  0 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. They reflect the things that people have said are important to them: 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 31 Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by:  Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice  Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983  Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services.  Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 31 Information about the care home Name of care home: Address: Rosebank 58 Bergholt Road Colchester Essex CO4 5AE 01206853091 01206273165 rosebank.care@virgin.net 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) : Mr Michael Cockman,Mrs Marie Cockman care home 7 Number of places (if applicable): Under 65 Over 65 7 7 learning disability Additional conditions: Persons of either sex, over the age of 65 years, who require care by reason of a learning disability (not to exceed 7 persons) Persons of either sex, under the age of 65 years, who require care by reason of a learning disability (not to exceed 7 persons) The total number of service users accommodated must not exceed 7 persons Date of last inspection 0 8 0 8 2 0 0 7 Care Homes for Adults (18-65 years) Page 4 of 31 A bit about the care home Rosebank is a detached, twostorey house in Colchester. There is some roadside parking outside the home and parking for 3 vehicles at the back of the property. Most people have their own bedroom. Communal areas are a lounge, dining room and a conservatory. There is a large, enclosed garden at the back of the house. The weekly charge for a room and care and support at Rosebanks is between £409.36 and £650.00. This information was given to us at this visit. People considering moving to this home may wish to ask for more up to date information from the home. Extra charges are made for hairdressing, toiletries and chiropody. Care Homes for Adults (18-65 years) Page 5 of 31 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 Care Homes for Adults (18-65 years) Page 6 of 31 How we did our inspection: This is what the inspector did when they were at the care home We visited Rosebank without telling them we were coming. The last time we visited this home was on 8th August 2007 We looked at paperwork the home needs to keep to make sure that you are being properly and safely looked after. Care Homes for Adults (18-65 years) Page 7 of 31 The manager helped us with our inspection. The manager sent us information called an Annual Quality Assurance Assessment or AQAA. This gave us information about how the home is run. After the inspection visit we spoke to some of the families of people living at the home. Care Homes for Adults (18-65 years) Page 8 of 31 What the care home does well Family members told us they were happy with the way people were looked after. They said they could talk to the manager if they had any worries. Staff knew how to look after each person living there. Care Homes for Adults (18-65 years) Page 9 of 31 Staff had training to help them look after all the people living at Rosebanks. All the checks are done to make sure the right people are chosen to support you and keep you safe. What has got better from the last inspection Some parts of the home have been decorated. Care Homes for Adults (18-65 years) Page 10 of 31 What the care home could do better If you want to read the full report of our inspection please ask the person in charge of the care home Care Homes for Adults (18-65 years) Page 11 of 31 If you want to speak to the inspector please contact Jane Greaves CQC East Citygate Gallowgate Newcastle upon Tyne NE1 4PA 03000 616161 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 12 of 31 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 13 of 31 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 can expect their needs to be met determined by a rigorous assessment process. Evidence: The service had a comprehensive Statement of Purpose and Service User Guide that were made available in easy read formats. These documents describe the service and facilities available at the home together with information about the qualifications and numbers of staff employed to work at the home. This is so that people considering making Myland House their home waould have all the up to date information they needed to make an informed decision. These documents were due for review to ensure the management arrangements were accurately reflected together with up to date information about how people could contact us (Care Quality Commission). One person had been admitted to Rosebanks since the previous inspection visit. This had been done as an emergency placement and has since changed to be a prmanent residency. The admission process included obtaining relevant information about peoples health needs, behaviours, cognitive abilities, the social and spiritual needs and their Care Homes for Adults (18-65 years) Page 14 of 31 Evidence: medication. The manager reported the initial information was supported by further information from the social worker and the persons family. The manager told us that she considers the needs of the established residents at Rosebank when undertaking asessments of prospective residents to ensure that the dynamics of the home remain positive and homely. Care Homes for Adults (18-65 years) Page 15 of 31 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive care based on a personalised care plan and were supported to take risks as part of their daily lives. Evidence: We looked at care plans for two people living at the home, these included comprehensive information about how individiuals living at the home wished to have their health and personal care provided and how they wished to be supported to live their lives. The care plans were well organised, covering all aspects of peoples health, personal and social care needs. Both contained information about the individuals past, health, personality and issues, which could lead to inappropriate behaviours and how these should be managed. Support plans had been developed using the information obtained through the pre -admission assessment process and input from health professionals, where required. The plans contain good information of the actions staff need to take to support individuals, to be as self managing as possible. For example that a person must sit in a high backed chair of a proper height to facilitate standing up and that staff need to speak to the person slowly and clearly in order for the person to fully understand what is being Care Homes for Adults (18-65 years) Page 16 of 31 Evidence: said to them. There was detail to say that the person must be given the opportunity to get fresh air when the weather permitted and that food must be cut into small pieces to prevent the person choking. The care plans were supported by risk assessments, which addressed safety issues, whilst aiming for positive outcomes and ensuring the individual was supported to maximise their independence whilst completing daily living tasks. There was information for staff to follow to reduce the risk and what actions they should take, for example: X must have people around them and things going on for stimulation to avoid becoming isolated and less able to join in. X needs regular assisted walk to maintai muscle tone and mobility and special vigilance is required when person is eating as they have a tendency to choke. They do not chew and sometime puts more food in their mouth before swallowing present mouthful. Daily recording showed us what personal care and support was provided for individuals and what they had done with their day. Records showed us that people enjoyed a normal domestic family style life with evidence of trips to the supermarket, doing puzzles, watering plants, washing up after dinner, watching TV and attending Church services. Information in the managers AQAA told us: Our service users regularly review their care plan with staff. They also work with staff when changes in need and support are identified so the plan can reflect the service users need then and there rather than waiting for a formal care plan review. Formal care plan reviews occur at least every six months and often more regularly as changed needs are noted. Support is regularly reviewed and adapted with the service user to ensure best outcome. Care plans contained evidence of regular reviews including detail of who participated in them. Records showed us that 4/7 people living at the home were activley involved with their care plans and with the regular 6 monthly review of the care plans. Care Homes for Adults (18-65 years) Page 17 of 31 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 enjoy the lives they are supported to live and are provided with a healthy and balanced diet. Evidence: Information provided in the managers AQAA and verified at the inspection confirmed people living at Rosebank were supported to achieve their specified goals, in the form of age appropriate activities, within the community. This included an individual who had access to adult education classes at a local college. The daily records and weekly activity plan showed us that people went out shopping, went to football matches, went to clubs, pubs, walks, theatre, seaside trips, family visits and festivals and events such as the forthcoming Colchester Military festival. The weekly activity plans also showed us that people living in the home were encouraged to take responsibility for house keeping tasks, which included a weekly grocery shop at a local supermarket. The service offered a flexible structure to the day, with no rules other than those required for safety. People had unrestricted access around the home, with the exception of other Care Homes for Adults (18-65 years) Page 18 of 31 Evidence: peoples rooms. People confirmed they were able to spend time on their own in their room, if they chose to do so, and that staff respected their privacy. The interaction between people living in the home and staff was friendly and appropriate, chatting about day-to-day events and interests. People were observed moving freely around their environment, relaxing and eating their meals. A person spoken with confirmed they help to weed, cut the grass and water the garden. Families we spoke with as part of this inspection process confirmed people living at Rosebank were encouraged to maintain family contact and visitors were made welcome at any time they chose to visit the home. 4 people were able to go shopping for their personal items without support. 3 people were able to go shopping with 1:1 support from staff to get personal items such as toiletries and clothes etc. The manager told us this was usually turned into a pleasant event including a coffee in town. The manager said that she wanted people to live as normal a life as possible, not wanting people to only access clubs and events designed for people with disabilities but to make sure the people living at Rosebank were integrated into society as much as possible. Staff meeting minutes and discussion with the manager told us that the service had obtained a grant from Essex County Council and this was to be used to purchase a vehicle. The people using the service chose the colour and were keenly awaiting the arival of the new vehicle. Responsibility for the maintenance/MOT/Insurance rested with the providers and the residents would pay for their mileage. The manager reported that people had decided they wished to go to a holiday camp in the UK this year for their annual holiday. They told us about it at lunchtime and sounded excited, saying they always enjoyed their annual break. They all chose to go away en masse as a family. The home had a menu, which people living in the home have had a say in what their preferences were and there was a memory aid to help people choose their meals. There was a set menu for the week, then people chose what of those options to have each day. There was a monthly residents meeting where food is a standing item for discussion on the agenda. There was a record maintained to show what each person had eaten. There was however, no record of how much people had eaten but daily records told us where people had refused to eat or eaten very little. Care Homes for Adults (18-65 years) Page 19 of 31 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 received support in a manner that promoted their independence and privacy Evidence: Care plans contained clear information of peoples health needs and how these were to be met. Their support plans described the level of guidance and support, each individual required to manage their own personal hygiene. These were varied and reflected the individuals needs and preferences. Information in the care plans confirmed that people living in the home had access to health care services in the local community. These included the General Practitioner, the nurse for routine health checks, dentists and other specialist services, such as occupational therapists. A speech and language therapist had been secured for one individual. On the day of this visit the dietician called to see one person, another person went for a routine hospital appointment and the manager was able to provide us with detail about support she was endeavouring to obtain for another person living at the home. One person living at the home was responsible for the administration of their own medication, one other person was deemed to have competence to do this but preferred for the staff to do this for them. Medications were appropriately stored in a secure cupboard in the managers office. We Care Homes for Adults (18-65 years) Page 20 of 31 Evidence: looked at the Medication Administration Records (MARs), these had been completed correctly, with no gaps. MARs included photographs of the individuals to avoid mistakes with peoples identity. No person living in the home was currently prescribed controlled drugs. However, should controlled drugs be prescribed for one or more persons the deputy manager was advised of the legal requirement for the home to have a separate metal cupboard of specified gauge with a double locking mechanism, which is fixed to a solid wall, with either rawl or rag bolts. Care Homes for Adults (18-65 years) Page 21 of 31 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People could be confident their views were listened to and actioned on and they were kept safe. Evidence: The home had clear policies and procedures in place providing guidance to people using the service, their relatives and staff to make complaints and to respond to suspicions or allegations of abuse, including whistle blowing procedures. The adult safeguarding policy provided clear guidance of the procedures staff must take to report such allegations. The home had a copy of the Essex County Council safeguarding adults training pack, booklets and a DVD. Training records confirmed staff had received up to date training to provide them with the knowledge and skills to protect vulnerable adults. The complaints book confirmed that neither the Commission (CQC) or the home have received any formal complaints or adult safeguarding referrals in relation to this service, since the last inspection. Peoples personal monies were securely stored in a safe facility. Records were maintained to show when their monies came into the home and when money was given to them to spend or spent on their behalf. Some people were able to withdraw their money themselves supported by provider, for othr people their cash cards were kept in the safe with the PIN numbers held seperately. Care Homes for Adults (18-65 years) Page 22 of 31 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a safe home that meets their needs Evidence: We took a guided tour of the home with one of the owner/providers. We noted it was homely and domestic. The home was clean and tidy with no malodorous smells. Since last visit the kitchen had been replaced, some windows had been replaced and the downstairs shower room had been refurbished. We saw that peoples bedrooms were very personalised, clean and fresh. People living at the home shared with staff the task of keeping their home clean, those who were able had specific jobs allocated to them. We saw excessive signage in the downstairs toilet giving staff instruction, the manager acknowledged that these were no longer appropriate and removed them immediately. There was a water temperature probe in bathroom in order to to check the water temperature at each bath time to protect people from scalds. The manager/provider reported that both the providers were on the premises daily therefore maintenance issues were addressed as they occurred. There were plans for the kitchen to be finished, it just remained for the walls to be painted. The manager told us Care Homes for Adults (18-65 years) Page 23 of 31 Evidence: that the next resident meeting would be used to discuss the colours available and help people make the decision about what colour they wanted to have their kitchen. The manager told us of the plans to continue with introducing more colour and more sensory elements into the communal garden areas and that the vegetable plot was becoming overgrown and needed some attention. Care Homes for Adults (18-65 years) Page 24 of 31 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People were suported by safely recruited and appropriately trained staff in suitable numbers to keep them safe. Evidence: Twenty-four hour care is provided to the people living in the home. Staff rotas confirmed there were a minimum of 2 staff on duty to provide support daily with a third person brought in to cover when people needed escorting to doctors appointments for example. One waking night staff member was employed to look after peoples needs during the night. The managers AQAA told us: We have a relatively stable staff group who have worked at the home for sometime, we have a relatively low staff turnover. We have a good training programme providing not only the basic training required but also supports the needs of our service users, such as Total Inclusive Communication training aimed at arming our staff with the knowledge they need to support service users communication needs. Staff supervision generally occurs every 4 to 6 weeks. New staff members complete the Common Induction Standards well within the first 12 weeks of employment. We looked at recruitment documents for one staff member recruited since the previous inspection visit to this service. This showed us that all checks had been undertaken to make sure the person was right for the home and safe to look after the vulnerable people Care Homes for Adults (18-65 years) Page 25 of 31 Evidence: living there. The manager told us that no agency staff used at the home, shifts were covered from within the team. Staff refresher training was provided over two days each year and covered Moving and Handling, Safeguarding of Vulnerable Adults, Health & Safety, Infection control, 1st Aid and Fire Awareness. Records showed us that staff members were provided with training to meet the specific needs of people living with diabetes. The manager told us, and records confirmed that medication training was provided 6 monthly. The manager reported that individuals training requirements were discussed at their annual appraisal. The manager told us that she used a mixture of training resources: DVD and worksheets, external training providers and cascading training through the staff team herself when she had attended courses. 3 staff had achieved the minimum NVQ level 2 in care, one person was working towards this qualification and another was due to start imminently. Records and discussion showed us that all staff were receiving regular supervision appropriate to their roles and professional development. The manager told us that she used to involve the people living at the home in the recruitment of new staff members however they have indicated to her that they did not wish to do this any longer. Care Homes for Adults (18-65 years) Page 26 of 31 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People lived in a home that was well run and managed in their best interests. Evidence: Manager was a registered nurse with 25 years experience of caring for people with learning disabilities. The manager had achieved the NVQ level 4 and the Registered Managers Award and was an NVQ assessor. Since the previous inspection visit the manager had attended a number of different courses to ensure her skills and knowledge were kept up to date. These included: Dignity in everything we do, Stroke/Tia, a study day regarding pandemic flu, Common Induction Standards train the the trainer course, Deprivation Of Liberty and pressure area care, diabetes care and record keeping. The Annual Quality Assurance Assessment was completed and returned to us in a timely manner however, the information contained within it was brief and did not paint a clear picture of how the service felt it was meeting the needs of the people living at Rosebank. The service had a quality assurance process. Questionnaires were distributed to residents, relatives, healthcare professionals and staff members annually. A summary was made of the responses to these questionnaires and if there were any shortfalls Care Homes for Adults (18-65 years) Page 27 of 31 Evidence: identified an action plan was made to address these. One completed questionnaire was available at the home at this visit. This told us that the person likes everything about living at Rosebank. We looked at health and safety certificates, these confirmed that all checks were made that were necessary to keep people living and working at the home as safe as possible. Care Homes for Adults (18-65 years) Page 28 of 31 Are there any outstanding requirements from the last inspection? Yes  No  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 29 of 31 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 Description 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 Description Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 30 of 31 Helpline: Telephone: 03000 616161 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) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 31 of 31 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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