Care Home: Self Unlimited Blackerton House

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What the care home does well The service provides individuals with a clean, safe, well maintained home that has been adapted to meet the needs of people who live there. One of the cottages offers care and support to people who have more complex needs such as onset of dementia. Care and support is well planed and provided by a staff group that are trained and understand the needs of the people who live there. Comments from people we spoke to and who returned surveys included `The staff are all great. I really like my key worker. Staff help me with the things I cannot do myself.` A good choice and variety of meals are provided with individual likes and dislikes taken into consideration when menus are planned. We saw that individuals were involved in the preparation of meals and we were told that people could help with shopping and planning of menus. The home have developed good systems for ensuring that individuals` views are listened to and that people have their say about how the home is run. Examples of this are individuals who live at the home being involved in interviews for new staff, having a Representative on the management steering groups and ensuring people have access to advocacy groups and meetings. What has improved since the last inspection? A service user rep attends meetings at the head office in Leicester, these are run by the National Service User Champion. Two Service Users are members of the service Steering Group. People First, Advocacy service supported service users to complete the national Service User survey. This ensures that people who use the service have a say in how the service is run and in national interest groups. Individualised holiday packages, technical aids and mobility equipment have been made more readily available as required. Rooms have been improved for individuals, particularly those with dementia, for example new floors have been laid, and colours changed. Day activities are moving to Tiverton, this will integrate with the local community and prepare people for their intention to move to the Tiverton area. Two bungalows have been refurbished and have been fitted with a telecare system to help people with their transition away from residential care. What the care home could do better: The service needs to do a full audit on medication errors and develop an action plan to ensure that there is a reduction in the number of missed medications in the future for people. Key inspection report Care homes for adults (18-65 years) Name: Address: Self Unlimited Blackerton House South West Region Blackerton East Anstey Tiverton Devon EX16 9JT     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Joanne Walsh     Date: 1 0 1 2 2 0 0 9 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 27 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) 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 27 Information about the care home Name of care home: Address: Self Unlimited Blackerton House South West Region Blackerton East Anstey Tiverton Devon EX16 9JT 01398341252 01398341591 southwest@selfunlimited.co.uk www.selfunlimited.co.uk Self Unlimited care home 36 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) : Number of places (if applicable): Under 65 learning disability Additional conditions: May accommodate one service user identified to CSCI whose primary care needs on admission to the home are within the category Learning disability- Code LD and who is aged 67 on admission. This condition will lapse when this service user ceases to be accommodated at the home. The maximum number of service users who can be accommodated is 36. The registered person may provide the following category of service: Care home providing personal care- Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Learning disbilityCode LD and who are aged 18 years or over on admission Date of last inspection Brief description of the care home Self Unlimited Blackerton House provides accommodation and personal care for up to 36 younger adults who have a learning disability; most of whom are between the ages of 18 - 65 years but the home does now care for one or two residents who are above the 65 year age range. The Registered Provider, have worked with people with learning disabilities since 1966, Care Homes for Adults (18-65 years) Page 4 of 27 Over 65 0 36 Brief description of the care home and developed a number of communities throughout the country. The service aims to create an environment that encourages personal development, confidence and selfesteem. Individuals are encouraged and supported to live as independently as possible, and the service is looking to move people on into more indpenedent supported lving environments within the surrunding local communities. The home is situated in the rural location of East Anstey, near to the market town of Tiverton. Accommodation is provided in four cottages - Forbes, Groves, Crowberry and Courtyard. Each offers single bedrooms and communal living space, for up to 10 service users. There are also self-contained flats within each cottage for those people who live more independently. There are facilities in each of the cottages for laundry and for making meals and snacks. The current cost of care ranges can be obtained directly from the service. Additional costs, not covered in the fees, include chiropody, hairdressing, toiletries, newspapers/magazines, bus/taxi fares and some activities. Current information about the service, including CQC reports, is available to prospective residents, relatives and others who may have an interest such as care managers. Care Homes for Adults (18-65 years) Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This inspection took during a week day in December and looked at all the key standards and focused on listening to the views of the people who live at the home. We did this by using surveys and by face to face discussions with people who live at the service and with staff. We also spent time observing staff interact with individuals particularly during the lunchtime period. The home had been notified that a review of the home was due and had been asked to complete and return an AQAA (Annual Quality Assurance Assessment). This shows us how the home has managed the quality of the service provided over the previous year. It also confirms the dates of maintenance of equipment and what policies and procedures are in place. Information from this document was used to write this report. During the inspection 3 people were case tracked. This involves looking at peoples individual plans of care, and speaking with the person and staff who care for them. Care Homes for Adults (18-65 years) Page 6 of 27 This enables the Commission to better understand the experience of everyone living at the home. As part of the inspection process we try ask as many people as possible for their opinion on how the home is run. We sent questionnaires out to people living at the home; representatives, health and social care professionals (including GPs and care managers) and staff. At the time of writing the report, responses had been received from 9 people living at the home, and from 6 staff. Their comments and views have been included in this report and helped us to make a judgment about the service provided. Care Homes for Adults (18-65 years) Page 7 of 27 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. Care Homes for Adults (18-65 years) Page 8 of 27 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 27 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 27 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. The home have good systems in place for ensuring that individuals needs are assessed prior to them being offered a place at the service. Evidence: We looked at the pre admission information for two of he newer people to the service. One of these had been in another residential that is part of the Self unlimited group, so was already known to the service. We saw that the care management assessment and care plan had been obtained and used as guidance to make a decision about whether the service could meet all the individuals needs. We spoke with staff who confirmed that where possible a potential new person to the service would come for several visits and meet with staff and people who live there to see if it was the right sort of placement for them. Care Homes for Adults (18-65 years) Page 11 of 27 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care and support for people is well planed and risk assessed to ensure that individuals are given maximum scope to make choices and decisions in their lives. Evidence: We looked at plans of care for four individuals with varying needs and support needs. Some individuals have more complex needs and are showing signs of developing dementia. Plans for these people are developed more by the staff team to know them and understand their needs. Plans for people with complex needs are more instructive as to how staff should assist people with their activities of daily living. Plans for people with less complex needs have been developed with the individual and contain more details about what the person hopes to achieve in the future. One person had been helped to do a pictorial plan that identified all the things they wanted for their flat when they move onto more independent living. Some people that we spoke to were able to confirm with us that they have been involved in the development and review of their plan of care. Care Homes for Adults (18-65 years) Page 12 of 27 Evidence: People who we spoke to said that they were helped to make choices about their lives and we saw that two people were involved in a steering group which has a focus to look at people moving onto supported living in smaller units. We also saw that staff gave people choices and decisions to make throughout different times of the day. People were encouraged to make decisions about what they wear, how they spend their time and who they socialise with. One person told us that they were in the process of preparing to move to a more independent flat and that they would be given support to develop their skills in shopping, cooking and taking care of themselves. One person told us they would like to be able to use their own kettle. This was discussed with a senior carer who explained that they would need to review their risk assessment as the person has had accidents in the past with hot liquids. They said that plans and risk assessments are reviewed with the person and their key worker on a regular basis and this helped to ensure that new goals and action plans could be implemented for people. Care Homes for Adults (18-65 years) Page 13 of 27 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. The service meets individuals social and diverse needs. Evidence: The service has up until recently had a workshop that provided some people with activities such as wood work and crafts and work was sold on an on-site shop. The organization is working hard to improve individuals access to the wider community and to make use of local colleges and community facilities. They have made the decision to close down the on site work activities as of the New Year. Some people have found this difficult to adjust to as they have been used to having sessions in the workshop. The organization is in the process of renting a building in Tiverton that they will use as a hub for some of their day activities. They will also continue to use local colleges and facilities from within the community. This is a pro active step toward moving people on Care Homes for Adults (18-65 years) Page 14 of 27 Evidence: from the service based at East Ansty and into supporting living within the surrounding communities. People we spoke to and those who returned surveys said that they enjoyed the activities they were supported in. One person told us they were going to do more sessions out and about learning to use public transport, another person told us that they enjoyed going to the local college. The service said in their AQAA in answer to what they do well Citizenship programmes; work preparation course; support individuals to access local college; partake in voluntary work; access local churches and facilities; access local social groups; maintain contact with family and friends; access local leisure facilities, service users have a key to the house and their own rooms; staff teams are usually flexible; supported employment coach in post who supports with training/employment opportunities. People who live at the service told us they could have visitors and were helped to stay in touch with family and friends via visits, phone calls, letters and e mail. We saw that individuals have a key for their own room and that they were able to make choices about their preferred daily routines, although some guidance was given to ensure that informed choices are being made. For example people who have work or college placements are supported to get up and be ready in time for these commitments. We saw that staff interact with the people who live there well, and refer to people by the preferred names. We saw that staff sit down at mealtimes and share meals with the people in the service. One cottage we saw staff have good rapport and joke with members of the house, talk about what was happening over Christmas. We saw that staff made real efforts to include all individuals during meal times so that it was a sociable and pleasant experience. In one cottage we were told that the people who live there meet up and decide what they would like on their menus. Staff told us that they try to plan around individuals likes and dislikes and for example over Christmas when less people would be around they would ensure those left at the service got what they really favored. One person asked for Steak and chips with all the trimmings. People told us that the food was good, that there was plenty of choice and that some people helped with the shopping and preparing of meals. Care Homes for Adults (18-65 years) Page 15 of 27 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. Individuals personal and health care needs are well met, but a more robust mediation regime is needed to ensure medications are not missed. Evidence: Individuals we spoke to and those who returned surveys said that their health care needs were well met. We saw that in individuals plans of care they had clear health care needs identified and where follow up appointments were/are needed these are clearly recorded. In one of the houses where people have more health care needs because of age and dementia related issues, plans give clear instructions to staff as to how health care needs should be met and monitored. Staff we spoke to and those who returned surveys felt that they had sufficient training and support to understand the needs of the people they support. One staff member said what we do well...is treat each person to their own diversity and provide good care for them Another staff member said Provides useful training and enables staff to support people as individuals so we can meet all their needs. Care Homes for Adults (18-65 years) Page 16 of 27 Evidence: We saw that there have been 10 incidents of error medications in the last 12 months and at least 8 during the previous year. We saw an internal memo that identified that NHS Direct had been consulted in respect of these errors but they too had raised concerns about the amount of errors. We saw from the reporting information that almost all these errors were from medication being missed. On several occasions it was where an individual had gone out for the day and had not taken their lunchtime medications with them. Each individual has their own locked medication cabinet in their own bedrooms and staff who are assisting with medications have to go to each room to ensure that medications are administered. Having individual storage for peoples medications is good practice in encouraging people to be more independent and to move toward self medication. However it means the staff member who has responsibility for administering medications has more than one location to check. We saw that staff have had training in safe handling and administration of medications, but we feel that an audit is needed to see when mistakes are more likely to happen and an plan of action implemented to ensure medications are not missed in the future. The registered manager agreed and said she would look to get an independent pharmacist audit and advice on how they could tighten up practice. Care Homes for Adults (18-65 years) Page 17 of 27 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. Individuals views are listened to and acted upon Evidence: The home has a clear complaint procedure and people we spoke to and those who returned surveys said they knew how to make a complaint. The home have various ways that it tries to ensure people have their views heard including regular meetings with the whole group, individual key work meetings, a representative on management and steering meetings. The home keep good clear records of what complaints have been raised and how these have been resolved. Some people are actively involved in advocacy groups and this is supported by the home, including providing staff time and transport to enable this. Care Homes for Adults (18-65 years) Page 18 of 27 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service provides people with a well maintained, clean and homely environment. Evidence: The service provides people with a clean warm and well maintained environment. The service is located in a rural area between Tiverton and South Molton. It has a number of building but currently three are used as housing for people who live at the service. Each house was seen during the inspection and found to be well furnished, homely and well maintained. In answer to the question what does the service do well they said in their AQAA Monitor maintenance and cleanliness issues closely; the environment is adapted as and when necessary/ practicable to meet the changing needs of individuals, service users have their own bedrooms and decorate them and furnish as they wish, service users are also consulted over the decor and furnishing of communal rooms; each bedroom is lockable and has a hand basin; the home has suitable heat, light and ventilation; service users are supported to manage their own laundry and maintain good standards of cleanliness throughout the home; toilets and bathrooms are on each level of the house and sufficient aids are supplied to meet the needs of the individuals; staff are provided with sleep in facilities and an alarm call system is in place; individuals have freedom to use the outside space if they wish. Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: The service has plans to move people in smaller groups to less rural setting and more independent living. This is going to take time and planning and individuals are being assisted to think about where ans who they would like to live with in the future. They have also developed training flats on site to enable people to develop and enhance their independent living skills in preparation to moving on. Care Homes for Adults (18-65 years) Page 20 of 27 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. Staff are well trained and supported to do their job Evidence: We looked at the staffing rota and saw that there are sufficient staffing levels for the number and needs of the people who live there. Each house has staff rota to show who will be working for each shift. They have had some issues with recruitment due to local people being unsure about the future of the service. We were told that they have a bank of staff who they use to help out with staff shortages so that the staff are still consistent and know and understand the needs of the people they support. Staff that we spoke to and those who returned surveys said that they had good training opportunities. This was supported by the training information we looked at. Areas that have been identified for further training or updates have been planed so that staff have all the core training they require to do their job. Staff we spoke to showed a really good understanding of the needs of they people they support, and we observed support being offered in a professional and respectful manner. Individuals we spoke to who live at the service were very complimentary about the staff. Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: Staff recruitment files for the four newest staff members were seen and we are satisfied that all checks and references are in place prior to them being offered employment. The AQAA stated in answer to what they do well Thorough recruitment procedures are followed; induction and training is provided for all staff and records kept in relation to this; the rota is currently a rolling one that is cottage based to meet the needs of individuals living in the service; staff are consulted about changes made to the rota; staff have regular supervision and appraisal are carried out; staff are issued with GSCC codes of practice and staff handbooks on commencement of employment; staff seek and act on advice from other professionals when issues arise that they are not qualified to deal with; team meetings are regular; job descriptions are in place and reviewed regularly via consultation; promote equal opportunities for all; staff have a team approach; staff work to secure additional funding for service users with changing health needs; regular communication via face to face hand overs and written hand overs. Care Homes for Adults (18-65 years) Page 22 of 27 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service is well managed and run in the best interests of the people who live there. Evidence: The registered manager and senior management team are experienced and qualified to ensure effective running of the service. We saw that excellent systems were in place for ensuring that the views of people who use the service are heard. We sat in on a steering group that were looking at moving the service on to more independent living. They had both user and parent Representatives on this group and all were given opportunities to have their say and to ask questions. The home have good processes in place for ensuring that they listen to the views of the people who live at the home, via meetings surveys and one to one time. The registered provider visits on a monthly basis unannounced and completes spot checks on areas, key documents, medications as well as talking to people and staff to see if there are any issues. Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: The AQAA provided us with detailed information about how well the home is maintained, what services to equipment have been completed as well as what policies and procedures are in place in relation to health and safety. Staff spoken to said that they had training in all areas of health and safety and we saw that a comprehensive induction programme is completed for all new staff. We saw that accident and incidents are reported and recorded well, and the home have a good record of keeping CQC informed of any major issues that affect the well being of people who live at the home. We looked at how individuals are supported to manage their own monies and there are good clear audit trails to ensure that individuals are safeguarded. Care Homes for Adults (18-65 years) Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 20 The service needs to fully audit the number of medication errors occuring and develop an action plan to ensure measures are in place to prevent further errors. Care Homes for Adults (18-65 years) Page 26 of 27 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). 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