Care Home: Sefton Street, 132

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What the care home does well The service had good information about the home and strict processes in place, which ensure people choose a home which is right for them. Good care plans were in place, which the residents have been involved in putting together. The plans, which have been regularly reviewed and up dated provided staff with all the information they need to support residents in the right way. The residents health and personal care needs were well recorded, supported and monitored to ensure they stay well. The residents were given lots of opportunities to take part in the things they like to do both at home and in the local community. Procedures, which were in place at the home make sure that residents are protected from abuse or neglect. The home was being well run in the best interests of the resident and staff. What has improved since the last inspection? Improvements have been made to parts of the home making it safer and more comfortable for the residents that live there. What the care home could do better: Arrangements must be made to decorate and refurbish one residents bedroom to improve their comfort and dignity. The kitchen should be refurbished to ensure the comfort and dignity of the residents. Arrangements must to be made for all staff to receive up to date training in mandatory subjects, such as first aid, protection of vulnerable adults, health and safety and medication awareness. This must to be done so that all staff have up to date knowledge and the skills to meet the needs of the residents and to ensure their own and residents health, safety and wellbeing. Quality monitoring processes, which are required by law must take place to ensure the home is run in the best interests of the residents. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Sefton Street, 132 132 Sefton Street Southport Merseyside PR8 5DB     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Janet Marshall     Date: 2 9 0 6 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: Sefton Street, 132 132 Sefton Street Southport Merseyside PR8 5DB 01704530329 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) : Autism Initiatives care home 3 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: 3 The registered person may provide the following category/ies of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD The maximum number of service users who can be accommodated is: 3 Date of last inspection Brief description of the care home 132 Sefton Street is an older, semi-detached property which accommodates three adults with learning disabilities. It is situated in a residential area of Southport, close to pubs, shops and community centres. Also near by are bus stops and a train station, with routes into Southport and Liverpool town centres. The home provides accommodation over two floors. Each of the residents have their own bedrooms on the first floor and they share two bathrooms, one which has a shower cubicle. Other shared rooms include a large dining/kitchen area and a lounge. There is a small front garden and a pleasant rear garden, which has a decked area. Off road parking is available directly outside the front of the home. The home is part of a Voluntary Organisation known as Autism Initiatives. Fees for living at the home vary depending on residents needs. Care Homes for Adults (18-65 years) Page 4 of 29 Care Homes for Adults (18-65 years) Page 5 of 29 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: The Quality rating for this service is 2 star. This means the people living at the home experience good outcomes. This was a key inspection. We consider 22 out of the 43 National Minimum Standards for this type of service, Care Homes for Adults (18-65) as the key standards, which have to be inspected during a key inspection. The key standards are highlighted in bold in the different outcome sections of this report. A key inspection is a planned inspection, the report has been put together using information gathered in a number of different ways, which helps us decide the overall rating of the service. We keep all information we receive about the home in a file, we looked at all the Care Homes for Adults (18-65 years) Page 6 of 29 information we have received since the last inspection. We sent out a form to the home called an Annual Quality Assurance Assessment (AQAA). The AQAA has to be filled in and returned to us by a set date usually before the site visit takes place. The AQAA was filled in by the registered manager and returned to us on time, it provided us with all the information we asked for about the service and was used to support some of the judgements we have made. We carried out an unannounced visit to the home, this is when we visit the home with out any body knowing. The registered manager and support staff that were on duty helped with the inspection. The service manager was also present for part of the inspection. Discussions took place with the manager, service manager, staff and residents that live at the home. Also during the site visit a selection of records and certificates, which have to be kept in the home by law were looked at and checked to make sure they were up to date and accurate. Two residents were case tracked. This is a process we use to find out whether residents are receiving good quality care that meets their individual needs. It is done by talking to people, looking at results of surveys and reading the records of a sample of people that live at the home to give us a good idea of what it is like for them. Before the site visit took place we sent out Have Your Say surveys to people asking them about what it is like to live and work there, no surveys were returned at the time of writing the report. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 29 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 29 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 person choosing to live at the home would have their needs assessed before a decision is made about them moving in, so that they can be sure it is the right place for them to live. Evidence: The AQAA and discussion with the manager showed that no new residents have been admitted to home since the last inspection therefore it was not possible to fully assess key standard 2. The AQAA told us about the processes, which are followed before a new resident is admitted to the home. This includes carrying out a pre- admission assessment of the persons care need requirements. The pre-admission assessment, which is carried out by a qualified person from the home involves the resident their family and social workers and helps to decide if the home is the right place for the new resident to live. Assessment and admission procedures, which were available at the home were clearly described by the manager. Records, which were looked at showed that the care need requirements of the three Care Homes for Adults (18-65 years) Page 10 of 29 Evidence: residents that live at the home are regularly reviewed to make sure they can continue to be met there. Care Homes for Adults (18-65 years) Page 11 of 29 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. Residents are supported to make everyday choices and decisions independently and safely. Evidence: As part of the case tracking process care records were looked at in detail for two residents. Each of the residents had a working file, which included up to date information about them and how best to meet their needs. The file was split into a number of sections and included, support plans, risk assessments, healthcare action plans, financial plans, daily records and future development plans. Support plans are used at the home to help residents learn and develop independent living skills. Records seen during the inspection visit showed that all the information has been regularly reviewed and updated with the full involvement of the resident. Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: Residents care files were locked away safely in the office but they can ask for them and look at them when ever they want. Residents are encouraged and supported to make everyday choices and decisions as part of an independent lifestyle. This was evidenced during the inspection visit when staff were seen asking residents things such as, what they want to eat and where they would like to go. Residents that are unable to communicate using words are assisted by staff to make choices and decisions in a number of other different ways. Pictures, symbols and sign language were some of the ways staff were seen communicating with residents during the inspection visit. Residents care files included information about how they communicate and the help they need. A member of staff said, I always offer choices to residents and encourage them to make their own decisions. A resident said, The staff always ask me what I want, I make all my own choices every day. Risk assessments were part of each persons care file. They provided staff with up to date information about how they need to support residents, so that they can take part in tasks and activities, which are likely to pose a risk to them. Care Homes for Adults (18-65 years) Page 13 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are supported to live active and healthy lives. Evidence: The AQAA showed the residents social care needs have been assessed and they are offered a wide range of activities inside and outside the home, which meet their needs and promote their personal development. Support plans are used to monitor and develop residents social needs. An Activity programme was in place for each of the residents, daily records showed that the programmes are very well supported and followed. Activities that residents are involved in outside the home include, attending day care centres, gyms and music concerts, walking, horse riding, swimming and rock climbing. One resident said, I go to a local Internet cafe, which I really enjoy. Residents have a vehicle, which is driven by staff to help them get out and about. Activities residents enjoy at home include, listening to music, watching TV, Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: boardgames and cooking. One resident plays the guitar and sings, which he did during the inspection. As well as recreational and leisure activities the residents are also encouraged and supported to help with small tasks around the house such as cleaning their bedrooms, laundering their clothes polishing and shopping for personal items and food. On the day of the visit staff were seen encouraging and appropriately supporting residents with some of these tasks. A resident said, I help to keep the house clean. Residents have keys to their own bedroom and the front door and appropriate measures are in place so that they are able to use them safely and independently. Daily records showed that residents are encouraged to maintain contact with family and friends and personal relationships are respected and appropriately supported by staff at the home. Menus, which where viewed at the home showed a variety of healthy meals. A member of staff said menus can be changed if a resident chooses. The member of staff showed a good awareness of the importance of nutritious and balanced diets. A pictorial menu was on display in the kitchen along with a variety of photographs and pictures, which are used by some residents to help them make choices about food and drinks. Staff were observed encouraging residents to prepare their own drinks and snacks. Care plans included information about residents likes and dislikes with regard to food. A good stock of fresh, frozen and tinned food was seen at the home. There were also sufficient crockery, cutlery pots and pans, a fridge, freezer and microwave, which were all of a domestic style. Pictures, photographs and symbols were displayed on kitchen cupboards to help residents with their independence. A staff member said residents are always involved in the main weekly shop for food as well as shopping daily for essentials such as fresh bread and milk. Care Homes for Adults (18-65 years) Page 15 of 29 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. Residents are supported to stay well and their personal care needs are met in a dignified way. Evidence: Each of the residents had a healthcare action plan detailing the type and level of support they need with personal care as well as their preferred routines. Health action plans, covered residents healthcare, needs and the support that they need to stay well. Records within this section showed that they are offered minimum annual health checks including visits to primary healthcare services such as dentist, opticians and doctors. Residents are also supported when necessary to attend specialist services. Records detailing the visits were available in good detail as was information about specialist health care appointments. If needed visits to the home by healthcare professionals are arranged and recorded. Communication profiles show how residents communicate if they are in pain or unwell and the action staff should take in response. During the inspection visit staff were observed assisting residents in a polite way. Through discussion staff showed that they understood the importance of ensuring residents privacy and dignity a staff member said, I always knock on doors before Care Homes for Adults (18-65 years) Page 16 of 29 Evidence: entering bathrooms and bedrooms. During this inspection visit all medication and medication administration records were examined. Medication and records were stored in a locked cabinet. Discussion with staff and examination of records showed that in the past staff have completed medication awareness training. The records including copies of training certificates, showed it has been more than two years since some staff attended the training. Arrangements should be made for all staff to attend refresher training, so that they have the necessary knowledge and skills in dealing with medication. A policy for the safe handling and administration of medication was available at the home. The manager showed a good awareness of the homes medication polices and procedures. Care Homes for Adults (18-65 years) Page 17 of 29 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. Procedures at the home aim to ensure residents are protected from harm, abuse and neglect, although residents could be at risk because staff were not completely sure about all the processes they need to follow if they suspected or witnessed abuse of a resident. Evidence: The AQAA told us that no complaints have been made directly to the home since the last inspection and the commission have not received any complaints about the home during this time. The AQAA detailed a number of policies and procedures, which are in place at the home to protect both residents and staff. They included procedures about complaining, whistle blowing and protection of vulnerable adults. A pictorial complaints procedure was also on display at the home for residents who have difficulties reading words. A visitors book was available in the hallway, which visitors are expected to sign when they enter and leave the home. For the protection of residents no visitor is allowed to gain entry unless they produce some form of identification. Staff spoken with described well how the would deal with a complaint and they knew about the homes complaints procedure and said they were confident about complaining if they needed to. One staff member said, Yes I know about the homes complaints procedure and I would definitely complain if I needed to. A resident spoken with during the inspection visit, said, Yes I know how to complain, I have Care Homes for Adults (18-65 years) Page 18 of 29 Evidence: done in the past and it has been sorted out. Detailed in the AQAA and available at the home were a number of policies and procedures relating to protection of vulnerable adults (POVA). They included the companies own version and a copy of Sefton Local Authority procedures. Staff training records, which were looked at and discussion with staff showed some of them have not received up to date POVA training. One member of staff spoken with said that they would immediately report any incidents of abuse but were a little unsure about some of the other processes they need to follow. Staff must be provided with up to date POVA training so they know exactly what to do if they suspected or witnessed abuse of a resident. Care Homes for Adults (18-65 years) Page 19 of 29 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. Shared parts of the home are safe and comfortable, however one residents bedroom, which is in need of improving undermines their comfort and dignity. Evidence: The home is semi detached property located in a popular residential area of Southport, Merseyside. It is near to local shops, pubs and health centres. Bus stops and the train station are also close by. Off road parking is available directly outside the house. There is a small garden area at the front of the house and a garden area at the back. The manager explained that the back garden is being planted out with bedding plants and arrangements are being made to buy new garden furniture. A tour of the home took place on the day of this inspection visit. This showed a number of improvements, which have been made since the last inspection. A new dining set has been bought for the kitchen/diner, the living room has been redecorated and UPVC double glazing windows have been installed throughout the house. The manager said new leather sofas for the living room had recently been bought and are expected to be delivered in the next day or so. The manager explained that plans are in place to refurbish the kitchen in near future. This should be done because some of the work tops and kitchen cupboards were in a bad state of repair. There are also plans to refurbish an upstairs shower room, which was also in need of some repairs. The manager had records to Care Homes for Adults (18-65 years) Page 20 of 29 Evidence: show that he has made arrangements with the necessary people to ensure this work takes place. One residents bedroom was very dusty and showed a lot of signs of wear and tear. The furniture in the room also looked worn and was broken in places. Arrangements must be made for the bedroom to be cleaned, decorated and provided with new furniture to ensure the residents comfortand dignity. On the day of the inspection visit all other parts of the home were clean and tidy and there were no hazards found. The AQAA told us that available at the home are all the required policies and procedures, relating to the environment, they included disposal of clinical waste, infection control, health and safety and food hygiene. Care Homes for Adults (18-65 years) Page 21 of 29 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. There are the right amount of staff to support the residents at the home but not all of them have up to date training in the required topics. Evidence: A member of staff spoken with said there is usually the right amount of staff on duty to support the residents, although sometimes it is difficult replacing staff that go off sick at short notice. The manager explained that he is in the process of recruiting new staff to help solve this problem. A member of staff spoken with showed really good knowledge and understanding of the needs of the residents and clearly explained what their role and responsibilities were. The member of staff said all the staff get on and work well as a team. Staff recruitment, selection and equal opportunities policies and procedures were available at the home. The AQAA told us that all the required checks are carried out on new staff before they are allowed to start work at the home. Personnel files for two members of staff were looked at in detail. The files contained records, which showed that the staff were recruited in the right way. Induction records were also available and showed that staff took part in induction training during the first few months of starting work at the home. Care Homes for Adults (18-65 years) Page 22 of 29 Evidence: Information we were given in the AQAA, discussion with staff and records looked at during the inspection showed that staff have completed mandatory training. Staff training records and certificates, which were looked at during the inspection visit showed that they have recently completed specialist training in subjects such as positive intervention, support planning and autism, but it has been three years or more since most staff attended manadatory training courses. The manager produced a training plan for future training but it did not include all the required mandatory subjects, which staff have to complete by law. Arrangements must be made for all staff to attend up to date mandatory training, such as medication awareness, health and safety, POVA and first aid, so that they have up to date knowledge and skills to do their jobs. The AQAA told us that most of the staff have got an National Vocational Qualification in Care level 2 or above. A member of staff spoken with said they have completed an NVQ level 2 in care. Care Homes for Adults (18-65 years) Page 23 of 29 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 home is well managed to the benefit of the residents and staff. Evidence: Steven Halewood is the registered manager of the home. Stephen has obtained an NVQ Level 4 in Care and the Registered Managers award. He said he has recently attended leadership and management training, which is relevant to his role as manager. Residents and staff spoken with made the following comments about the manager, He is a really good manager, he listens and is approachable. Yes I like the manager he seems to run the home very well. I can talk to him about anything. During discussion the manager showed that he is committed to managing the home well and making the required improvements, which have been raised as part of this inspection report. By law and as part of the homes quality monitoring proceseess, a representaive for the company is required to visit the home each month to check that it is running in the best interests of the residents. Following the visit they need to write a report about Care Homes for Adults (18-65 years) Page 24 of 29 Evidence: their findings and send a copy of it to the home. Records, which were seen showed that the visits have not been taking place each month. The service manager explained that arrangements have been made to ensure that the visits do take place each month and the reports are kept at the home to evidence the visits. The AQAA told us about other processes that take place at the home to ensure it is running in the best interests of the residents. They include giving out questionnaires to residents and their families to find out what they think about the home and the way it is run. Records, which were seen also showed that regualr care plan reviews and weekly checks on medication and residents finances are also taking place. The AQAA told us that the home has available all the health and safety policies and procedures, which they have to have by law to ensure the health safety and welfare of the residents and staff. It also told us that all the required checks are carried out on the systems and equipment used at the home to make sure they are safe. Records for some were looked at, including gas, electricity and fire checks. All records were accurate and up to date. Care Homes for Adults (18-65 years) Page 25 of 29 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 29 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 23 13 All staff must be provided with up to date POVA training so that they know exactly what to do if they suspected or witnessed abuse of a resident. 22/09/2009 2 32 16 Arrangements must be 21/07/2009 made for all staff to attend up to date mandatory training, such as medication awareness, health and safety, POVA and first aid so that they have up to date knowledge and skills to do their jobs. A representative of the company must visit the home each month and write a report about their findings to make sure the home is running in the best interests of the residents. 25/08/2009 3 39 26 Care Homes for Adults (18-65 years) Page 27 of 29 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 28 of 29 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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