Care Home: Sunkist

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What the care home does well The home provides a comfortable, homely and supportive environment for the people who live there. People have their needs assessed and recorded in a plan of care and they have access to good physical and mental healthcare support. There are programmes of activities and outings in place and people tell us that the choice and standard of food in the home is excellent. People are being supported by a competent, caring and well trained staff team and the home is being well managed. Comments from service users in returned surveys included, ` the other residents here are friendly, the staff are always good and I enjoy going out with my key worker` and from a staff member, `we have good team work and communication, we work around client`s individual needs and we have a good manager who supports us`. What has improved since the last inspection? The assessment, admissions and discharge process for service users has been reviewed and updated to ensure that people`s individual and changing needs can be met. Systems have been put in place to monitor the changing needs of service users and to ensure the compatibility of people. Improvements have been made to the management and recording of medication in the home. The system for recording and addressing service user`s complaints and concerns have been reviewed and updated. Improvements have been made to the cleanliness of service user`s private bedrooms, new bedding, mattresses and pillows have been purchased for some people and a programme of redecoration is underway. Regulation 37 reports concerning incident and accidents to service users are being reported to the Commission as required. What the care home could do better: The home should continue with addressing the improvements detailed in their current development plan. Information such as the Statement of Purpose, Service User Guide and contracts must be updated to reflect the current address of the Commission. The new system for recording service user`s monies should be implemented and kept under review. Key inspection report Care homes for adults (18-65 years) Name: Address: Sunkist 14/16 Winchester Road Worthing West Sussex BN11 4DJ     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Annie Taggart     Date: 0 2 1 1 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 29 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 29 Information about the care home Name of care home: Address: Sunkist 14/16 Winchester Road Worthing West Sussex BN11 4DJ 01903218908 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: tony@sunkistgroup.co.uk Sunkist Homes Ltd care home 26 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: The maximum number of service users to be accommodated is 26. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Mental disorder, excluding learning disability or dementia (MD). Date of last inspection Brief description of the care home Sunkist is a care home registered to provide accommodation and personal care for up to twenty-six people between the ages of eighteen to sixty who have mental disorders. There is also provision to accommodate up to four people who are over the age of sixty-five years within that number. Sunkist is situated in a residential area of Worthing within easy access of the town centre and its facilities. The premises consist of two large houses that have been linked together internally to form one care home. Private accommodation is provided in twenty-three bedrooms, four of which have been registered for double occupancy. Communal accommodation is provided in a dining room and two lounges, one of which has been designated for smoking, located on the Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 26 1 3 0 7 2 0 0 9 Brief description of the care home ground floor. The registered providers are Sunkist Homes Ltd who has identified Mr Belisario Schiavone as the responsible individual to supervise the management of the care home. The Registered Manager is Mr. Anthony Sayers 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: In order to plan for this key inspection surveys were sent to service users, the staff team and other people involved with the home. We looked at the improvement plan that the home had sent to us following the last key inspection and we read the last inspection report and any information that we have received about the home since the last key inspection. Six service user, five staff and two professionals surveys were returned and all made positive comments about the home. Some of the comments have been used in this report. The unannounced visit was carried out at 10am on Monday 2nd November 2009 and the visit lasted for four and a half hours. During the visit we spent time with service users both in communal area and in their private bedrooms, we spoke with the four Care Homes for Adults (18-65 years) Page 6 of 29 members of staff on duty and we observed staff practice. Three care plans and all supporting documentation such as daily records and risk assessments were tracked and we also tracked the systems for ensuring that peoples healthcare need are met and for recording and administering medication. We tracked the recruitment files for four members of staff including one recently recruited person and all contained the required documentation and we looked at how the staff in the home are being trained and supported. Records for the running of the business were seen and this included incidents and accidents, complaints, Regulation 26 Providers visits, Regulation 37 incident reporting, fire records, service user money management and evidence of a quality assurance process. The registered manager was attending college and was not in the home and feedback was given to the deputy manager following the visit. Care Homes for Adults (18-65 years) Page 7 of 29 What the care home does well: What has improved since the last inspection? What they could do better: The home should continue with addressing the improvements detailed in their current development plan. Information such as the Statement of Purpose, Service User Guide and contracts must be updated to reflect the current address of the Commission. The new system for recording service users monies should be implemented and kept under review. Care Homes for Adults (18-65 years) Page 8 of 29 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 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. There is clear information available about the service on offer in the home, people have their individual needs and wishes assessed, recorded and kept under review and contracts of terms and conditions of residency are agreed. Evidence: From looking at the Statement of Purpose and Service User Guide we saw that there is clear information available about the services on offer in the home and people told us that they were able to visit prior to moving in. The documents need to be updated to reflect the change in address of the Commission and the deputy manager told us that this would be addressed. We tracked the assessment and admissions process for one person who had recently come to live in the home and we saw that there is a two part admissions form - one half is completed with other professionals or former carers of the person and the other part is completed with the service user and details their individual needs and wishes. We saw that the person had been able to visit the home on a structured basis to meet Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: with the people they would live with and that a phased admission had been arranged. Service users also sign up to a code of conduct that is based on respect for the home and for the other people living and working there. At the last key inspection we found that there was a lack of ongoing assessment in place to identify and respond to peoples changing needs. At this visit we found that there was a process in place and there is also a structured discharge process. Contracts of terms and conditions are in place, of three that we saw two had been signed but the contract for the new service user was not. The deputy manager said that she would address this. 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. There are clear care plans in place to inform the staff team of the individual needs and wishes of the people they are supporting. Risks are assessed and outcomes agreed with service users and daily records are completed. Evidence: We tracked the care plans and supporting documentation for three people and this showed us that the staff team have the information they need in order to support the people living in the home. There are clear care plans in place that have been devised from the assessment process and we saw that these contained background information, daily support needs, social and emotional support and how to identify changing mental healthcare needs. Risk assessments both personal and environmental and completed and we saw that service users are involved in the process. Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: For one recently admitted person we saw that a service entry questionnaire had been completed following their first month in the home in order to review and assess how they felt about living in the home and we saw that people agree and sign their care plans. Detailed and clear daily records are in place and all service users have weekly key worker meetings either in the home or out in the community and records of these meetings and the changes service users would like to make to the care they are receiving are recorded. 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. The people living in the home have access to a wide variety of activities outings and community involvement, they can see their family and friends and are offered a choice of fresh, home cooked meals. Evidence: From looking at records we saw that each person has a weekly activities chart in their care plan and from speaking with service users we saw that they had been involved in devising and agreeing to the plans. We also saw that assessments of peoples social interests and needs had been undertaken and recorded by an occupational therapist who works at another home in the group. Some people told us that they attended drop in centres and the MIND centre and that they attended special groups to assist with their anxieties. There are also in-house groups such as the art group, lunch club and trips out group and we were told that Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: some of the groups, such as art are well attended. People told us that they had full access to their local community and can see their families and friends on a regular basis. During the visit one person had been out to buy the morning paper, another person was being supported to go clothes shopping and a number of people were going out independently into the local community and using public transport. Some people told us that they did not wish to go out very much as this caused them undue anxiety and we saw that the staff team were supporting people to be as independent as possible and live their lives as they choose. Part of the support offered to people in Sunkist is weekly meetings with their key worker where they can discuss issues and concerns they might have and people told us that they usually go out to a cafe or garden centre to have coffee and a chat and also for some people, in-house meetings are held. From looking at menus we saw that people are offered a wide choice of fresh, home cooked meals. Breakfast is self service and there is a cooked lunch and dinner and snacks are left for people to make themselves supper during the evening. We also saw that there was fresh fruit available and people can make themselves drinks at any time. All of the service users we spoke with were very complimentary about the food and comments included, we are really lucky, our cook is fabulous, we have lovely meals every day and the meals are really good with our new cook. 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. The home is working with a variety of healthcare professionals to ensure that peoples identified needs are being met and medication is being well managed. Evidence: Care plans and daily records showed us that the people living in the home have access to support with both their physical and mental healthcare needs and they are assisted to make and attend appointments. People told us that they could see their doctor when they needed to and we saw that the home also works with mental healthcare specialists, psychiatric services and district nurses. People receive personal care in the way that they wish and this is recorded in their care plan. Most people are independent with personal care but for people who have been assessed as needing support a specific named staff member is available five morning a week. We asked the staff member why just one staff member was responsible for personal care and were told that as some people find it difficult to be supported and are very anxious about this, having one person who has built up their Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: trust and is aware of their specific needs has worked well in the home. Other staff told us that they support people with prompts and reminders. During the visit we heard a staff member asking some people if the would like to have the flu jab and they the benefits of this. Later in the day one person came back and said they they thought they would like to have the injection and we heard them being supported to make an appointment. Records show that people have access to dentists and chiropody services and we saw that regular checks are carried out and recorded for people with diabetes. In a returned surveys from a healthcare professional we are told Sunkist is good at communicating with the team when any problems arise and they are very good at catering for the wide variety of peoples needs. At the last inspection visit a requirement was made regarding the management of medication and at this visit we saw that this had been addressed. Medication is stored in locked cabinets in a locked room that is hygienic and well organised. MAR sheets were fully completed with no gaps in signing and where medication had been hand written for a new service user, this had been completed and signed by a registered nurse from another home in the group. Where people self medicate, we saw that there were signed agreements and risk assessments in place and also there was weekly monitoring carried out. One service user has purchased large amounts of alternative medications such as vitamins ans supplements and we saw that the person had agreed that these were administered and monitored by the staff and that a pharmacist had checked for compatibility with the medications the person is prescribed for. 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. People have their complaints and concerns recorded and acted upon and the homes policies, procedures and working practices are designed to protect people from risk of abuse or harm. Evidence: There is a complaints procedure in place that forms part of the Service User Guide and is also displayed in the home. At the last inspection visit a requirement was made regarding recording and responding to service users complaints and at this visit we saw that this had been addressed. There is a suggestions box in the hall of the home and at each service user meeting and key worker meeting people are asked if they have any concerns and this is recorded and addressed. People told us that they felt confident about making a complaint and comments included, I can tell my key worker anything and they will help, I would go to the manager and, everyone is kind, they will all help you. From looking at the training matrix we saw that the staff team attend training in protecting people from risk of abuse and harm. We spoke to the three staff members on duty and to a trainee social worker on placement in the home and all were aware of Safeguarding issues and said that they would report any suspected abuse straight Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: away. 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. Sunkist provides a comfortable, homely and well maintained environment for the people who live there and there is an ongoing programme of improvement in place. Evidence: At the last key inspection visit a requirement was made in respect of the cleanliness standards of some service users bedrooms. At this visit we found that this was being addressed. Three bedrooms have been redecorated and one was underway during the visit, an audit had been carried out regarding peoples bedding and beds and three new beds had been purchased and also bedding and pillows replaced for a number of people. From looking at activity plans and daily records we saw that people are encouraged and supported in keeping their rooms to an acceptable level of hygiene and when they refuse this is recorded and tried again at another time. There is a clear development plan in place for the home and this includes weekly audits of peoples rooms with their key workers to identify any hazards or concerns that need attention. Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: We saw six bedrooms that people were happy for us to see and this included the three rooms that were a cause for concern at the last visit. All were in an acceptable level of hygiene with new bedding and new flooring in two rooms. Some people did not want us to enter their private space and this was respected. The communal areas of the home are attractively decorated with comfortable and homely furniture and they were well maintained and clean throughout. regular maintenance checks are undertaken and recorded and during the visit a leak was being attended to in one of the rooms. 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. The people living in the home are being supported by a competent, caring staff team and they are being protected by a robust staff recruitment process being carried out. Evidence: During the visit there were three care staff and a deputy manager on duty and there was also a trainee social worker who is on placement at the home. One member of staff is also on duty each morning to assist people with personal care needs. Service users told us that there were sufficient staff around to support them with their needs. We tracked the recruitment records for four members of staff including one person who has recently been employed and we saw that a robust recruitment process is carried out, each file showed evidence of an interview process, structured induction and mandatory training and all had the required documentation including a current Criminal Bureau Check (CRB) and two references. A training matrix showed us that the staff team receive mandatory training and regular updates and certificates showed us that people also attend training such as medication management, mental health awareness, and the Mental Capacity Act. Following the last key inspection a training audit had been carried out in order to ensure that staff training was being accessed regarding the specific needs of individual Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: service users. From looking at records and talking with the staff on duty we found that regular supervision and support is carried out and staff are updated about people at a structured shift handover each day. From observation during the visit we saw that there was very calm and supportive interactions between the staff on duty and service users and the staff were well informed of the needs of the people they were supporting. Comments from service users included, the staff here are lovely, really amazing, you can tell them anything and they will help you and they, (the staff team) are really good and they are always there for you if you need them. 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 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 being managed in the best interests of service users by a competent and qualified manager, there are systems in place to monitor the quality of the service and records are in good order Evidence: The registered manager of the home was not on duty during the visit and we were told that he was was attending a college course. There was a deputy manager in charge of the home who has the skills and experience to run the home in the managers absence. The deputy manager is completing the Registered Managers Award and showed a good knowledge of service users and the systems in the home. Both the staff team and service users were very complimentary about the way the home is managed describing the registered manager as fair, supportive and knowledgeable and in a returned survey from a health professional we are told. The home is very helpful and supportive during our visits to carry out assessments, there is good communication and joint working with client centred care. Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: From looking at records we saw the monthly providers visit are carried out and reports are produced with action plans for identified areas for improvements. A quality assurance process has been carried out by surveys having been sent to service users, families and other people involved with the home in October 2009 and we are told that the outcomes will be used to updated the homes current development plan. The home holds money on behalf of a number of service users and this is kept in a locked safe in the office. We checked the records for three people against the amounts of money held and although they were correct, the deputy manager had to spend time sorting one out as some expenditure had been recorded on the wrong sheet. At the present time records are kept on loose leaf sheets and the deputy showed us a new system of record books that she is implementing. From looking at maintenance records we saw that regular fire equipment checks are carried out the latest recorded was 1/11/2009, staff fire training is up to date and weekly health and safety checks are undertaken and recorded. Regulation 37 reports concerning incident and accidents in the home are now being sent to the Commission as required. 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 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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