Care Home: Sunflowers

What the care home does well There had been no new admissions to the home since the last inspection. Each person had a care plan which described what they like, dislike and how staff are to support and care for them. Residents are involved in making decisions about how they live their lives and how the home is run. They attend regular meetings to make decisions about the things that are important to them such as menus, meals, activities and holidays. Each resident has a health action plan and information about their health care needs is recorded. Staff ensure that people living in the home receive the medicines they need, attend routine appointments for health checks and that they see the doctor if they are unwell. Residents general health and well being is monitored and they are encouraged to eat healthily and to participate in exercise as part of a healthy lifestyle. People living in the home can go out to local clubs, day centres, pubs, restaurants and places of interests. They have regular holidays away and spend time with family, friends and other people who are important to them. Staff are trained to understand and support residents and to recognise and report any bad practice and so help to safeguard people who may be vulnerable. Any complaints or concerns are investigated and residents feel happy to discuss any issues with staff or the manager. Staff are recruited through a thorough process and all of the relevant checks are carried out to help ensure that only those who are suited are employed in the home. Residents are involved and see people before they are employed. The home is clean, safe and comfortable. The home is well managed and residents are asked to comment on and suggest changes to help make things better where there are any areas for improvement. What has improved since the last inspection? Parts of the home have been redecorated and new furniture such as sofas and chairs have been purchased. Care plans and the way staff record information about residents has continued to improve and residents are more involved in this. What the care home could do better: We did not identify any areas where the service could do better. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Sunflowers 37 Pembury Road Westcliff On Sea Essex SS0 8DU     The quality rating for this care home is:   three star excellent 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: Carolyn Delaney     Date: 2 7 0 5 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: Sunflowers 37 Pembury Road Westcliff On Sea Essex SS0 8DU 01702434943 01702434943 bray67@blueyonder.co.uk 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) : SummerCare Homes Ltd care home 6 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: Maximum number to be cared for 6 (six). 6 Personal care to be provided to 6 residents with a learning disability. The age of the service users will be between 18 and 65 years. Date of last inspection Brief description of the care home Sunflowers provides residential accommodation for six adults with learning disabilities. The home is situated in residential area of Westcliff on Sea close to the sea front, shops and local facilities. The homes facilities include five single bedrooms, four with ensuite facilities, a large lounge, a dining room, and a kitchen with access to a garden at the rear. There is off street parking at the front, with room for two vehicles. The Service User Guide and Statement of Purpose are available and are updated as required. These and copies of the most current inspection reports are available in the hallways for residents and visitors to access. The cost of a place in the home ranges from £490.12 to £603.26 per week. These fees are set by local authorities who purchase care packages for people who need support. 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: 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 was a routine unannounced inspection, which included a visit made to the home between the hours of 10.00 and 18.00 on 27th May 2009. The last inspection was carried out on 4th April 2007. As part of the inspection process we reviewed information we had received about the service over the last twelve months including notifications sent to us by the manager of any event in the home, which affects residents such as injuries, deaths and any outbreak of infectious diseases. We also looked at the information the manager provided us with in the homes Annual Quality Assurance Assessment. This document is a self-assessment, which the registered provider or owner is required by law to complete and tell us what they do well, how they evidence this and the improvements Care Homes for Adults (18-65 years) Page 6 of 29 made within the previous twelve months. We sent surveys each to the home to distribute to residents and staff and to complete and tell us what they think about the home. At the time of writing this report we had received surveys from each of the six residents living in the home and four staff members. During the inspection we spoke with four residents and three members of staff. The views and comments expressed by these people were reflected in the report. When we visited the home we looked at residents care plans and information available to staff to help them support residents. We looked at how staff were recruited to work in the home and how they were trained to support residents. We looked at how the home was managed and how residents were involved in this. We also observed how staff interacted with residents when supporting them with activities such as meals and providing recreation and stimulation. A brief tour of the premises was carried out and communal areas including lounge and bathrooms were viewed. Information obtained was triangulated and reviewed against the Commissions Key Lines for Regulatory Activity. This helps us to use the information to make judgements about outcomes for people who use social care services in a consistent and fair way. 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 Care Homes for Adults (18-65 years) Page 8 of 29 7535. Care Homes for Adults (18-65 years) Page 9 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 10 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. People who are looking for a care home can be assured that their needs will be met at Sunflowers. Evidence: The manager told us in the Annual Quality Assurance Assessment that people who were looking for a care home would be invited to spend time in the home to get to know residents and staff before they made a decision as to whether the home was suitable for them. They told us that there was information about the home and the services offered. All six of the people living in the home completed surveys to tell us what they thought about the home. They all told us that they had been asked if they wanted to move into Sunflowers and they had been given enough information about the home to help them make their decision. One person told us I came to visit first to see if I like it. Another person said I like to stay here. Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: There had been no new admissions to the home since the last inspection. When we visited we looked at the information available, which described the home. This information was detailed and described the home and provided information about staff who work there and their skills and qualifications, and the support a person could expect if they move into the home. There was also information about how a person could complain if they were unhappy and how they could make suggestions or comments about the home. The information was also summarised in a pictorial format to aid people who might not be able to understand the written version. Care Homes for Adults (18-65 years) Page 12 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. People living in the home make decisions about how they live their lives and spend their time. Evidence: The manager told us in the Annual Quality Assurance Assessment that staff support residents to make decisions about the things they do and how they are supported. Residents who completed surveys and who we spoke with confirmed this. When we visited the home we looked at care plans for two people. These included details of decisions, which residents made about how they were cared for, how they spent their time and the things they liked and disliked to do. Residents were involved in making decisions about how the home was managed and run. We saw that residents were involved in meetings to discuss holidays, menus and meals and plans for the home. There was a suggestion box where residents could comment or make suggestions anonymously should they choose. Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: We saw that residents were involved in how staff were recruited and were present when candidates attended their second interview. Staff listened to residents comments and observed how candidates responded to and interacted with residents. This helped to ensure that the right people were employed at the home. People who live at the home may be vulnerable. We saw that there were risk assessments in place to identify where each person may be vulnerable such as in managing money, going out in the community and residents road safety awareness. Where risks were identified there were plans in place so as to minimise these while supporting residents to participate in the activities they chose and remaining as independent as possible. Staff supported residents to access money from their bank accounts and kept good records where monies were held for safekeeping on residents behalf. Risks to residents health and safety were well recorded and managed. Care Homes for Adults (18-65 years) Page 14 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home enjoy a lifestyle which suits their needs and they participate in clubs, activities and employment according to their wishes. Evidence: The manager told us in the Annual Quality Assurance Assessment that they continued to offer residents opportunities to develop social, emotional, communication and living skills. They told us that they helped residents to find paid or voluntary employment if they wanted this. Six residents completed surveys and told us that they could usually make decisions and do what they wished to during the day, evenings and at weekends. One resident told us I do what I want. Another person said I go to Mums and go to music school and have fun. Residents have regular holidays away from the home supported by Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: staff. Residents had recently been on holiday and both they and staff told us how much they enjoyed the experience. Staff told us that residents choose the types of activities they wished to participate in. When we visited the home we saw that each resident had a plan, which included a section called Places I go to on a daily basis. We saw that residents attended local day care facilities on weekdays. Here they participated in leisure activities and developed life skills such as cooking. Residents also attended courses at a local adult education college. Some residents undertook training in computer studies, arts, drama and English. We spoke with staff and they told us that college courses were coming to an end and that they had been supporting residents to choose and enrol for courses commencing in September. We saw that residents had chosen their preferred courses and were planning on attending open days to enrol on these. At the time of the inspection one resident was employed at a local charity shop. Staff were supporting another resident to find work. Residents plan menus with staff and choose the meals that they want for the coming week. Staff usually cook measl with some assistance from residents according to their capabilities. We looked at how residents are supported to access activities and maintain relationships with people who were important to them. Residents told us that they attended clubs and discos each week, They told us that they had planned activities during the week and that on weekends they had free time and some people spent time with family. Two residents told us that they had girlfriends and that they could spend time with them and invite them to their home. Care Homes for Adults (18-65 years) Page 16 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. People living in the home are well cared for and supported to meet their health and personal care needs in they way they choose. Evidence: The manager told us in the Annual Quality Assurance Assessment that each resident had a full assessment undertaken of their health and personal care needs and a care plan which describes how staff were to support the person. They also told us that staff received training people specific to the needs of residents including training in supporting people who have diabetes and epilepsy. Staff wo completed surveys confirmed that they received training and information to help them understand residents needs and to support them properly. When we visited the home we looked at the care plans for three residents. Each person had an individual care plan which included an all about me section. This described the person and the things they like and dislike. There was information recorded about how the person wished to be supported to maintain personal care and hygiene. At the time of this inspection people living in the home were independent for these needs and Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: required prompting and encouragement rather than assistance. We looked at how staff supported residents with their healthcare needs. Each person had a health action plan, which described their needs and how staff were to assist and support them. We saw that staff supported residents to attend doctors appointments, receive medicines and to monitor their general health and welfare. Staff supported residents to choose and eat a healthy and well balanced diet and to monitor weight on a regular basis. Care plans were reviewed and amended where there were changes to the support that the individual needed. We looked at reviews which had been carried out by the people who pay for people to live in the home (Commissioners). We saw that some peoples care had been reviewed by their social workers and that both were satisfied with how the way that residents were supported and cared for. Staff working in the home received training and information so that they handled and administered medicines to residents in a safe way. Where residents were capable of safely handling medicines they were fully supported to do this. Care Homes for Adults (18-65 years) Page 18 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. Residents are treated well and their concerns or complaints are dealt with appropriately. Evidence: The manager told us in the Annual Quality Assurance Assessment that there was a user friendly complaints policy and procedure in a pictorial format to assist residents who may find it difficult to understand the written version. They told us that all complaints would be dealt with and responded to in accordance with the policy. They told us that staff receive information on how to report poor practices or ill treatment of residents and that staff undertook safeguarding training. Each of the six people living in the home told us that they knew who to speak with if they were unhappy or needed to make a complaint. Some residents identified staff who they would report to and one person said I would speak with (staff member) or write a letter. Four members of staff completed surveys and they told us that they were aware of the homes policy for dealing with complaints and safeguarding people from harm. One member of staff told us that they would Follow our complaints procedure. Another said they would Refer to complaints policy and inform the manager. When we visited the home we looked at the policies and procedures. We saw that Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: there was detailed information available for residents to assist them in understanding how to complain if they were unhappy. There was also a suggestion box in the hall where residents could make comments or suggestions anonymously should they wish. There was also detailed information made available to staff once they commenced work at the home, which described their roles and responsibilities in reporting bad practice. This included a whistle blowing policy. This helped to assure staff that they would be protected from harassment should they need to raise concerns. We looked at how staff were recruited to work in the home and saw that all of the checks such as employment references, Criminal Records Bureau disclosures and PoVA First checks were obtained before a person started work at the home. This helped to ensure that only people who were suitable were employed. We saw that all staff had undertaken training in recognising and reporting abuse or bad practices. There had been no complaints or concerns raised about the home since the last inspection. During the inspection we spoke with three residents and they told us that staff treat them well. We saw that staff treated residents with respect and that residents were very comfortable and open in the company of staff. Care Homes for Adults (18-65 years) Page 20 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. Residents enjoy a clean and well maintained homely environment. Evidence: The manager told us in the Annual Quality Assurance Assessment that residents had all of the equipment that they needed and that bedrooms reflected each persons individual personality through their choice of furniture, decor and personal belongings. They told us that there had been improvements to the environment with the redecoration and refurbishment of some areas of the house. Each of the six residents who completed surveys told us that the home is always fresh and clean. When we visited the home we were invited by some residents to view their bedrooms. We saw that these rooms were bright, clean and reflected each persons individual tastes. Rooms were nicely decorated and decorated in colours, which residents told us they had chosen. Residents we spoke with told us that they were happy with their home. We saw that improvements had been made to some communal areas of the home. New laminate flooring and carpets had been laid to corridors and stairs and the lounge area had been redecorated and new seating and furniture had been purchased. Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: Residents told us that they liked the changes and one person told us that they were proud of their home. Staff support residents to keep the home clean and tidy. We saw that there were procedures in place and that staff had training to promote good hand washing practices and to reduce the risk of infection. We saw that the home was well maintained, that checks were carried out regularly to ensure that equipment was in good working order. Care Homes for Adults (18-65 years) Page 22 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. Residents are well cared for and supported by a competent and skilled staff team. Evidence: The manager told us in the Annual Quality Assurance Assessment that all staff had a detailed job description in relation to their jobs, that they had an induction to the home when they started work and that they received both mandatory and specialist training to best support residents. Staff who completed surveys told us that checks such as Criminal Records Bureau disclosures had been obtained before they commenced their employment. Staff also told us that they received training, which was relevant to their roles, helped them understand the needs of residents and kept them up to date with new way of working. When we visited the home we looked at staffing levels and how staff were recruited, trained and supported to meet the needs of residents. We looked at the recruitment files for two members of staff who had been employed at the home since the last inspection. We saw that before they commenced work that satisfactory employment references, Criminal Records Bureau disclosures and PoVA First checks had been obtained and a full ten year employment history was checked for both people. Staff had undertaken a two staged interview process with the second interview carried out Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: in the presence of residents at the home. This helped to involve residents in the process and to ensure that only people who were suitable were employed in the home. We saw that once people started work in the home that they undertook a detailed induction, which introduced them to the home, the needs of residents and the homes policies and procedures. Staff who completed surveys told us that their induction covered everything that they needed to know about the job. In addition we saw that staff had detailed job descriptions and information about their roles, responsibilities and the conduct expected of them. We saw that staff were supported well by the management team. There was an ongoing programme for staff training and development. Staff undertook training in a wide range of topics including communication, assessing risks, managing epilepsy and diabetes and safe handling of medicines. Staff were also trained to recognise and report abuse or poor practices and they had specific training in understanding the needs of people who have a learning disability. Residents who completed surveys and who spoke with us during the inspection spoke positively about the staff team. Residents told us that staff treat them well. One person said I am happy, I love my key worker. Another resident said staff are lovely they are my friends. The home employed two members of staff during the day which is a ratio of one staff to three residents, and one sleeping staff during the night. Generally staffing levels were sufficient to support residents to do the things they wished to such as going out etc. The organisation has a team of temporary bank staff to support the home should regular staff be unavailable due to sickness etc. On very rare occasions the home employs the services of a local agency for temporary support staff. We saw that when agency staff were employed that detailed information and a photograph was obtained from the agency before the person commenced work in the home. This helped to ensure that the person would be suitable to work in the home and to confirm identity of the person when they arrived at the premises. Care Homes for Adults (18-65 years) Page 24 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 excellent 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 and residents have a say in how it is run. Evidence: The manager told us in the Annual Quality Assurance Assessment that there had been no changes to the management of the home since the last inspection. She told us that residents and relatives are invited to meet with staff regularly to comment about the service and make suggestions etc. She also told us that regular audits were carried out to ensure that the homes equipment was in good working order. Residents who completed surveys told us that they were happy living in the home. Staff told us that they met regularly with the manager to discuss their work and to get support. When we visited the home we staff supervision records, which evidenced this. We saw that staff met each month to discuss residents needs, how they were to be supported and where this could be improved. The manager was supported by an acting manager, who managed the day to day running of the home and a team of dedicated staff who know residents well. Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: We looked at the arrangements for ensuring that the home was maintained safely. We saw that regular checks were carried out on equipment such as hot water and heating systems, fire alarms and fire fighting equipment, gas and electrical installations and equipment. All equipment was well maintained and repaired as required. We looked at how the views of residents, their families and other people who were important to them were obtained and acted upon. We saw that residents met each month and made decisions about the things that were important to them such as where they went on holidays, trips outside of the home etc. Relatives meetings were not routinely held but relatives visited the home usually once a week and staff were available to speak with them. Questionnaires were sent to residents and other people each year to ask them for their views about the home and the findings from these were analysed as part of the overall system for monitoring and improving the quality of the service. Staff told us that they encourage residents to complete surveys independently or with input from family or advocates. This helped to ensure that residents would feel comfortable making comments more freely. We saw that since the last inspection residents had been involved in a survey carried out by the local Learning Disability Partnership Board. Residents indicated that they could choose how staff help them and that staff cared for them well. They said that they felt safe living in the home and they were happy living there. Care Homes for Adults (18-65 years) Page 26 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 27 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 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. Care Homes for Adults (18-65 years) Page 29 of 29 - 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!