Care Home: Seahorses

What the care home does well A comprehensive needs assessment is carried out for prospective residents prior to moving into Seahorses and the information obtained is used to form the basis of the care plans. Each person living at Seahorses has an individual care plan, which contains details in respect of ongoing and changing needs and personal goals. People are supported to make decisions and take risks to help them remain as independent as possible. The people living at Seahorses continue to be supported to make choices about their lifestyle as much as possible and participate in various activities, which suit their individual needs and choices. The people living at Seahorses receive personal support in the way they prefer, their physical and emotional health needs are met and they are protected by the home`s medication policies and procedures. People living at Seahorses have their views listened to and any issues are acted upon. Staff are well trained in areas such as mental health and adult protection and recruitment practices have improved greatly since the last inspection. Seahorses is a homely, comfortable and safe environment for people to live in, which is clean and hygienic. Care staff are well trained, competent and qualified and the Home`s recruitment policies and practices are more organised and robust now. Staff are continuing to receive one-to-one supervision and appraisals. Seahorses is now considered a well run home and service users` physical health, safety and welfare is more fully protected. What has improved since the last inspection? No smoking signs are clearly displayed in the communal areas of the home and it has been confirmed that people no longer smoke in these areas. Staff are not starting work at Seahorses before a clear ISA Adult First (formerly POVA First) has been received and they are properly supervised if they start work prior to receiving a clear Enhanced Criminal Records Bureau (CRB) Disclosure. Two written references are being obtained before people start working at Seahorses and the manager is ensuring these are authentic. Records, as specified in Schedule 4 of the regulations, are being kept up to date and are available for inspection by any person authorised by the Commission to enter and inspect the care home. What the care home could do better: Although there are no formal requirements following this inspection, the importance of continuing and maintaining good quality standards - particularly in respect of robust recruitment practices, staff supervision and the quality assurance process, has been strongly emphasised to the manager and provider. Key inspection report Care homes for adults (18-65 years) Name: Address: Seahorses 8 Park Road Gorleston Gt Yarmouth Norfolk NR31 6EJ     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: Debby Ames     Date: 1 4 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: Seahorses 8 Park Road Gorleston Gt Yarmouth Norfolk NR31 6EJ 01493655731 F/P01493655731 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr John Hallam,Mrs Gillian Rose Hallam Name of registered manager (if applicable) Mrs Wendy Bain Type of registration: Number of places registered: care home 8 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: Huntingtons Disease and other Neurological Disorders Date of last inspection Brief description of the care home Seahorses is an older style, chalet bungalow that is run as a residential care home providing twenty-four hour nursing care to eight adults with Huntingtons Disease or other neurological disorders. All bedrooms are single, on the ground floor and contain a washbasin - two are en-suite. People living at Seahorses have communal use of a bathroom, toilet, lounge and conservatory that contains the dining area. There is a well-kept garden to the rear of the property and roadside parking to the front. Qualified nurses are part of the staff team and the manager is also a qualified nurse. Seahorses is within walking distance of the sea front, close to healthcare Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 8 0 4 1 1 2 0 0 9 Brief description of the care home facilities, local shops, hotels and pubs and has its own mini-bus. The current fees for living at the home are calculated according to individual care and support needs. 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: Care Services are judged against outcome groups, which assess how well a provider delivers outcomes for people using the service. The key inspection of this service has been carried out, by using information from previous inspections, information from the providers, the residents and their relatives, as well as others who work in or visit the home. This has included a recent unannounced visit to the home. This report gives a brief overview of the service and the current judgements for each outcome group. The fieldwork of this inspection was carried out over a period of five hours and included a tour of the premises, inspection of staff and residents records and the homes records relating to health and safety. Discussions also took place with the manager, some of the staff and a brief conversation was had with one of the residents. Questionnaires were completed and returned to the Commission by four staff members and three residents (although only Care Homes for Adults (18-65 years) Page 6 of 28 one resident had been able to respond fully). All of the questionnaires contained mostly positive comments and responses. The additional comments made by the resident who was able to fully respond included: ... Everything is excellent - its good to be able to talk to someone... Some of the additional comments made by the staff included: ...we assist residents to live as full, varied and enjoyable a life as their disabilities will allow... ...we provide all different choices within peoples needs... ...it would be nice to have a wider range of excursions, although this is not always possible due to the weather or wishes of the residents... ...could do with lockers for personal belongings... Care Homes for Adults (18-65 years) Page 7 of 28 What the care home does well: What has improved since the last inspection? No smoking signs are clearly displayed in the communal areas of the home and it has been confirmed that people no longer smoke in these areas. Staff are not starting work at Seahorses before a clear ISA Adult First (formerly POVA First) has been received and they are properly supervised if they start work prior to receiving a clear Enhanced Criminal Records Bureau (CRB) Disclosure. Two written references are being obtained before people start working at Seahorses and the manager is ensuring these are authentic. Records, as specified in Schedule 4 of the regulations, are being kept up to date and are available for inspection by any person authorised by the Commission to enter and inspect the care home. Care Homes for Adults (18-65 years) Page 8 of 28 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 9 of 28 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A comprehensive needs assessment is carried out for prospective residents prior to moving into Seahorses and the information obtained is used to form the basis of care plans, which helps to ensure peoples needs are met. Evidence: A discussion with the manager confirmed that she carries out a full and comprehensive pre-admission assessment of peoples needs, together with the resident where possible, family members and, if relevant, the social worker and/or any previous nursing/care staff. The three care plans that were looked at in detail during this inspection were seen to contain completed assessments which covered areas such as Personal Details and Personal Care Needs such as: Safe Environment, Mobility, Personal Hygiene, Elimination, Eating and Drinking, Breathing, Pain, Sleep, Medication, Communication and Social Needs. Other areas seen to be completed within the assessment included Social History, Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: details of Social Contacts, Relationships, Hobbies, Interests and any particular requirements in respect of Voting, Church Services, Newspapers, Television, Radio and any special considerations with regard to Ethnicity and Religion. It was also stated that, following initial enquiries, an information brochure is sent out and, on admission, a Statement of Purpose and Service User Guide is provided. However, it was also confirmed that the information brochure, Statement of Purpose and Service User Guide are currently being revised to reflect en-suite facilities having been added to some of the bedrooms. From the surveys received only one person had been able to respond fully but their responses stated Yes that they had been asked if they wanted to move into the home and that they had received enough information, to decide if it was the right place for them, before they moved in. Care Homes for Adults (18-65 years) Page 12 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Each person living at Seahorses has an individual care plan, which contains details in respect of ongoing and changing needs and personal goals. People are also supported to make decisions and take risks to help them remain as independent as possible. Evidence: All three care plans looked at were seen to contain well compiled information that was comprehensive but easy to follow to ensure consistency in care provision and enable staff to provide the level of support each person requires and recognise and respect each person as an individual. Some of the contents within the care plans included the following: 1) Personal Details - including preferred name and a photograph. 2) Admission information. Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: 3) Care Report from previous care provider. 4) Pre-Admission Assessment Record 5) Overall Assessment and Risk Assessment Summary, which covered areas such as: * Maintaining a Safe Environment * Communication * Breathing * Eating & Drinking * Elimination/Continence * Personal Hygiene and Dressing * Controlling Body Temperature * Mobilising * Social Care * Expressing Sexuality * Sleeping * Fears for the Future/Dying * Family Involvement * Moving and Handling Requirements Specific risk assessments were seen for areas such as choking, falls, weight loss, skin breakdown, mobility deterioration and speech deterioration (which could affect a persons wishes being known). Nursing Care Plans were also seen in all three care plans which provided information for each individual such as: Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: Assessment: - i.e. ...unable to tend to own personal hygiene... Objectives: - i.e. ...to maintain a good standard of hygiene... Action: - i.e. ...likes to shower daily, with assistance from one staff member... ...uses their own chosen toiletries... ...observe for any skin changes and report if noted... All the nursing plans seen also had progress and evaluation reviews, which were seen to be carried out on a regular basis. Other information seen in the care plans included: Records of visits from healthcare professionals, missing persons procedure, arrangements regarding a residents death, personal property inventory and MAR (Medication Administration Record) Sheets. The daily notes were seen to be brief but informative and appeared to be relevant, respectful and factual. Meanwhile, observations and discussions confirmed that people continue to be supported to make decisions about their lives as much as possible and, as mentioned in previous key inspection reports, one person continues to look after their own finances entirely, uses a computer for on-line banking and has their own private telephone in their bedroom. Care Homes for Adults (18-65 years) Page 15 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 living at Seahorses continue to be supported to make choices about their lifestyle as much as possible and participate in various activities, which suit their individual needs and choices. Evidence: As described in previous key inspection reports, although peoples overall support needs are generally very high, the care plans that were looked at and observations during the inspection provided evidence of individualised support and people being able to spend their time as they wish, as much as possible. Although there were no outings during this inspection, it was confirmed that specific trips out still take place on a weekly basis such as pub visits, walks along the seafront, picnics, cinemas, local tourist attractions and trips to other towns and cities. Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: On the day of inspection, the people living at Seahorses appeared content in various locations of the home and one person was seen chatting with staff in the dining room before asking to be assisted to their room. The care staff, who were observed during the inspection, were seen to speak to people in a caring and professional manner and people were treated with respect and dignity. The care plans that were looked at, observations and discussions, confirmed that people continue to be supported to keep in touch with family and friends and visitors are welcome at any time. All three care plans looked at also confirmed that individual dietary requirements continue to be taken into consideration and catered for. It was also noted that one person had recently requested, and been given, an alternative of lasagne instead of fish. As with the previous inspection, the majority of people require their food to be pureed and the content to be of a high calorie/fat nature and, as before, this was noted to be provided in a respectful manner by the staff and the meals were acknowledged to be wholesome and nutritious. With regard to a previous requirement, in respect of residents smoking in the communal areas, it was noted that there are now No Smoking signs displayed in these areas and the staff and manager confirmed that smoking in communal areas no longer happens. Care Homes for Adults (18-65 years) Page 17 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 people living at Seahorses receive personal support in the way they prefer, their physical and emotional health needs are met and they are protected by the homes medication policies and procedures. Evidence: As stated in previous key inspection reports, the information seen in the care plans, together with general observations and discussions, confirmed that peoples individual wishes continue to be considered and acknowledged in respect of the way they are supported. The overall support needs are generally very high for the people living at Seahorses but each persons individual needs in respect of health matters are clearly described in their individual care plans, with a high number of individual risk assessments having been completed and regularly reviewed in respect of peoples physical and mental wellbeing, mobility, eating, drinking and personal hygiene. Safe practices with regard to the storage, handling, administration and recording of medication were seen to continue at Seahorses and the manager confirmed that she Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: regularly checks the stocks and re-orders medication and undertakes a full weekly audit. It was also confirmed that these responsibilities are handed to the Nurse in Charge when the manager is off duty for any length of time such as annual leave. A sample of medication in the Monitored Dosage System (MDS) was looked at and the Medication Administration Record (MAR) sheets were checked and no errors or omissions were noted. The manager also confirmed that a separate fridge is available for use if necessary, although at the time of inspection none of the medication required this facility. A secure, lockable cupboard and log book is also available for controlled medication. Meanwhile, records and discussions confirmed that people are continually supported to have regular and ongoing involvement with various care professionals such as doctor, community nurse, speech and language therapist, dentist, optician, dietician and chiropodist. Care Homes for Adults (18-65 years) Page 19 of 28 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Seahorses have their views listened to and any issues are acted upon. Staff are well trained in areas such as mental health and adult protection and recruitment practices have improved greatly since the last inspection, which helps ensure service users are protected. Evidence: There have been no formal complaints received by the Commission since the last inspection and a discussion with the manager confirmed that none have been received by the Home either. The survey that was completed and returned by one of the people living at Seahorses confirmed that they know who to speak to if theyre not happy and how to make a formal complaint. Additional comments that were included in the survey were Everything is excellent - its good to be able to talk to someone. Since the last inspection the staff files have been reorganised and missing documentation acquired and filed appropriately. All the records looked at during this inspection confirmed that appropriate recruitment/pre-employment checks are now being carried out, before people start working at Seahorses, which means the service users are better protected. Care Homes for Adults (18-65 years) Page 20 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Seahorses is a homely, comfortable and safe environment for people to live in, which is clean and hygienic. Evidence: A tour of the premises confirmed Seahorses to be clean, hygienic and generally well decorated throughout most areas. The overall atmosphere felt comfortable and homely and it was noted that the dining room had been reorganised with some new furniture and the whole environment was much more organised. No safety hazards were noted during this inspection. Care Homes for Adults (18-65 years) Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care staff are well trained, competent and qualified and the Homes recruitment policies and practices are more organised and robust now, which means the people living there are better protected. Staff are receiving one-to-one supervision and appraisals. Evidence: Six staff files were looked at in detail, some of which were for people who have started working at Seahorses since the last inspection. In compliance with the previous requirements, evidence was seen on each of the files looked at that confirmed appropriate recruitment/pre-employment checks are now being carried out before people start working at Seahorses. The manager has re-organised the office and the staff records were seen have been filed appropriately with relevant documentation available for inspection. Some of the contents seen within the staff files included personal details and photograph, copy of application form, clear ISA Adult First (formerly POVA First) check, Enhanced Criminal Records Bureau disclosure, appropriate references, identification, employment contract and copies of training certificates. Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: From the records looked at, staff training was seen to be up to date and relevant, with regular up dates/refresher courses for some of the mandatory areas such as fire safety, moving and handling, first aid and safeguarding vulnerable adults. Meanwhile, discussions with some of the staff and the manager plus records seen, confirmed that staff are continuing to receive regular support, supervisions and appraisals. Care Homes for Adults (18-65 years) Page 23 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. With the greatly improved recruitment practices, Seahorses is now considered a well run home and service users physical health, safety and welfare is more fully protected. Evidence: The manager confirmed that she is progressing well with the Registered Managers Award and anticipates completion this year. In respect of the previous recruitment issues, the manager has reorganised the office and staff files were found to be much more organised, with the relevant essential information having been obtained and available for inspection. Discussions with the manager and some of the staff confirmed that the Quality Assurance process remains ongoing and records in respect of this were seen to be better organised, with actions noted from the feedback received. General health and safety is promoted very well at Seahorses. Records were looked at Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: and a discussion held with the member of staff who is responsible for fire safety throughout the home, which confirmed that fire alarm and safety tests are carried out on a regular basis. Various staff members continue to have specific areas of responsibility in respect of fire safety, health and safety, kitchen / food temperatures and cleaning. All cleaning materials/hazardous chemicals were seen to be stored appropriately during this inspection. 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 Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!