Care Home: Swiss Cottage

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What the care home does well The AQAA says "Swiss cottage provides a consistent approach to support in a clean, homely, odour free environment. Service users are treated with dignity and respect and as individuals. Service users are supported by qualified, competent staff and their welfare is paramount in all that we do.We frequently seek the views of those who use our service and act upon the findings " When staff, most of whom have worked at Swiss Cottage for a long time were asked what the service does well they said "giving residents confidence to be independent and get on with their life" and "maintains a welcoming and supportive home for all the residents Their needs and choices are always prioritised they are encouraged to be as independent as their mental health disability allows encouraged to interact both with other residents and staff." Service users said that they were happy to live at Swiss Cottage one said for example "I like it here. I like my bedroom and the food. can`t think of anything that could improve it. " Other evidence obtained as part of this inspection process is broadly supportive of these views. What has improved since the last inspection? service users are more involved in developing their care plans and staff work with them to ensure that they contain up to date information about their care needs and any associated risks. Some bedrooms have been redecorated and some furniture has been replaced., a new combined TV/DVD player has been purchased, and the home has a new washing machine and tumble dryer. Some adaptations have been made to assist peopelwith reduced mobility. The manager has successfully completed the registration process This means that we consider that she is fit to manage the home. One Staff said "the residents are given a much more independent role and are able to voice and act on their individual choices over the past year. What the care home could do better: Policies and procedures need to be reviewed and updated where necessary as a lot of them relate to the previous organisation and aims and objectives may have changed. This particularly relates to admission policies and procedures as staff have said that they have not always received enough information about prospective service users to be sure that the service can meet their needs. More staff need to complete NVQ level 2 in care to meet National minimum standards. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Swiss Cottage 130 Roman Road Winklebury Basingstoke Hampshire RG23 8HF     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Kathryn Kirk     Date: 1 7 0 3 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.csci.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: Swiss Cottage 130 Roman Road Winklebury Basingstoke Hampshire RG23 8HF 01256324828 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): swisscottage@together-uk.org Together Working for Wellbeing Name of registered manager (if applicable) Mrs Colleen Jean Lee Type of registration: Number of places registered: 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 6. 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 Swiss Cottage is a detached property set back from a busy main road in Basingstoke. It is within easy reach of the local shops and a bus ride away from the local college and the main town centre. together Working for Wellbeing is the registered provider and Mrs Colleen Lee is the registered manager. The home is registered to provide care and accommodation to six service users who have mental health issues. The home comprises of six single rooms, two sitting rooms, a dining room, a kitchen and laundry Care Homes for Adults (18-65 years) Page 4 of 29 care home 6 Over 65 0 6 Brief description of the care home facilities. The garden is well maintained, providing additional recreational space. The staff at Swiss Cottage encourage service users to retain their own privacy and endeavours to support them in reaching their own personal goals. Care Homes for Adults (18-65 years) Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The purpose of the inspection was to assess how well the home is doing in meeting the key National Minimum Standards (NMS) and Regulations. The findings of this report are based on several different sources of evidence. These include: A visit to the home by a regulatory inspector, this took place on 17 February 2009. During this time three residents and two staff spoke about what it was like to live and work at Swiss Cottage. Care Homes for Adults (18-65 years) Page 6 of 29 Time was also spent looking at some records and in touring parts of the building. The manager was not present during the visit. Four surveys were returned by people using the service .Three staff members also completed a survey. An Annual Quality Assurance Assessment (AQAA) was returned to us earlier in the year. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service We also looked at the previous key inspection report and recent annual service review along with all information we have received or have asked for since the last visit to the service. No requirements or recommendations have been made as a result of this inspection as the service has met or nearly met all key National Minimum Standards. The service works well with us and we are satisfied that they will address the areas of improvement where minor shortfalls have been identified 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. Care Homes for Adults (18-65 years) Page 8 of 29 The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.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. People are admitted following an assessment of their needs so the service can be as certain as possible that these needs can be met. The process could be improved further by reviewing admission policies and procedures to ensure that they reflect current practice. Evidence: There are currently five service users living at Swiss Cottage. The AQAA says that they have all lived there for some time. One service user moved into the home in 2008 but had recently moved as it turned out that the service could not meet their needs. Staff said that the process for people moving in to the service is as follows: The prospective service user will come to look around with their primary carer and meet staff and residents. They may then come for the whole day during which time staff will carry out an informal assessment of their needs. The next stage would be for the person to come for a weeks trial. A formal assessment takes place during this time and a primary care plan is drawn up and agreed with the prospective resident. The AQAA says that service users are also given a self assessment form to complete to ascertain Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: their needs and wants. The service asks for background history of the person from the care manager or whoever made the referral. The decision to make the placement permanent is taken in consultation with the service user and health care professional. Service users surveyed were asked were you asked if you wanted to move to this home? All replied that they were. They were also asked Did you receive enough information about the home before you moved in so you could decide if it was the right place for you three said yes one person said no. Staff spoken with during the visit said that although care management or health assessment of need are obtained when a move is being considered they are not always given up to date information or enough background history this is due to lack of support or consistency from other agencies This not only potentially affects the services ability to meet the needs of the prospective service user but also may have an impact upon existing residents. Policies and procedures regarding admissions to the home were seen. These were not up to date and had been devised by a previous organisation. It was discussed that these should be reviewed to ensure that they reflect current practice. It will also be clearer to prospective service users and their supporters what information is expected by the service in order for them to make a judgment that the placement would be suitable. 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. Peoples assessed and changing needs are reflected accurately in their care plans. people are supported to make decisions which have an effect upon their individual and collective lives. Evidence: The last inspection found that Care plans included details of individuals care and support needs, and how staff are expected to meet these needs. There was information about individuals personal interests, religious beliefs, family relationships, details of friends and important people in service users lives, any specialist equipment, likes and dislikes and any communication needs. A requirement was made that care plans should be reviewed regularly with the involvement of the service user concerned. the following evidence shows that this has been met. Care plans of two service users were looked at during the visit. One of these was discussed with the person concerned. They agreed that what was said was accurate Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: and confirmed that it had been reviewed every month and updated with them. Care plans are currently stored securely in the office, although staff said that service users can have access to their files when they wish. Staff said that the wellbeing approach is being developed which will lead to care plans becoming more person centred, Staff will have training on this to help them to implement it effectively. Service users were asked Do you make decisions about what you do each day? All 4 answered always. They were also asked Can you do what you want to do during the day in the evening at weekends? All said yes staff said that they felt that service users have been consulted more in recent times and that the organsiation is committed to involving service users in its development. There was information regarding The Mental Capacity Act on display in the home. This provides guidance for staff and service users about the decision making process for those who lack capacity. Service users confirmed that they have house meetings to make collective decisions and staff said that service users are involved in the recruitment process for staff. At the last inspection risk assessments were in place but records did not show if they had been reviewed regularly. At the time of this current inspection risks identified around one service users needs were discussed with them. They had been reviewed regularly and the service user felt that they were accurately described. This requirement has therefore been met. 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 service supports people to maintain appropriate lifestyles both inside and outside the home. Evidence: Some service users are able to access community resources alone and others require staff support. This was observed to be provided where needed. Staff spoken with demonstrated a good knowledge of what people like to do. There was information on display about recent and forthcoming activities, for example, photography quiz and takeaway ideas had been requested for Wellbeing week. People were also provided with the opportunity to go to Bournemouth for the day if they wished. The AQAA says Together has a comprehensive equal opportunities policy and all staff are inducted into core values according to skills for care and this promotes anti discriminatory practice.Each care plan or support plan is tailored to individuals needs, including, Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: religious, cultural,sexual orientation and beliefs. Staff are aware of how different cultures, religions etc are important to each individual and work in a way which respects this. This was verified through speaking with staff and looking at care plans during the visit. Service users spoken with confirmed that they are helped to keep in touch with family and friends. Staff were observed to respect service users privacy and waited for permission to enter peoples bedrooms. Staff confirmed that all service users hold a key to their room. All service users living at the home receive part self care funding, which means they receive a set amount of money each week to buy food for two meals per day (breakfast and lunch). Each service user has an allocated cupboard in the kitchen to store foods, and a fridge in their bedroom, service users buy their own foods with staff support as requested. Service users said that they took it in turns to prepare and cook the main meal The AQAA said that service users have changed the daily menu to what they feel comfortable with cooking. They sometimes help staff to do the weekly shopping. Service users said that food is good at Swiss Cottage. Staff said that they encourage people in healthy eating but this can at times be hard to implement. 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 service provides appropriate personal and healthcare support. Evidence: Staff spoken with said that some peoples needs are changing and service users may require physical as well as emotional support. The service has responded to this by installing a bath hoist and they are currently looking at walking aids for one service user. They are working in collaboration with specialist health care professionals to ensure that mobility needs are being met. People have keyworkers who help to ensure consistency and continuity of support. Staff said that keyworkers are generally chosen for service users but that they are consulted to ensure that they are happy with the arrangements made. Service users files seen contained procedures for staff to follow in the event of the person being admitted to hospital and also guidance for staff to follow in the event of a mental health crisis. They also contained records of visits to health care professionals such as community psychiatric nurse GP dentist and district nurse. There was evidence that staff had sought medical assistance appropriately , for example when a service Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: user was noted to be in a low mood. Service users spoken with also confirmed that staff supported them to access health care professionals when they needed them. Medicines were observed to be stored securely and appropriately.The AQAA says that staff will work with those service users who wish to self medicate This was found to be the case during the visit. One service user part manages their medication and staff followed procedures to help them to do so safely. Staff said that the service has just changed to a new medication system which they said is better. Records showed that Medication training to update staff about the new system has been booked for a day in March. Some Medication administration record (MAR) sheets were checked for people who needed staff assistance with their medicine. Those seen had been had been correctly completed. Staff said that at present no service users are prescribed as required medicines. They said however that when this had occurred in the past, guidance was available to staff to help them to make judgments about when it should be given. 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. Arrangements for protecting service users and responding to concerns are satisfactory. Evidence: Service users surveyed were asked Do you know who to speak to if you are unhappy? All said yes All also confirmed that they know how to make a complaint. Service users spoken with felt that staff listen to them and that they take any concern that they may have seriously. Staff surveyed and spoken with were also confident about what to do if someone expressed concerns about the home. There is a clear complaints procedure on display although some information it contained regarding CSCI was out of date. Staff said that this would be amended. At the previous inspection it was found that the home has a formal complaints log which provides an easy audit trail for the home to monitor any complaints. The AQAA states that no complaints have been received by the service in the past twelve months and we have not received any complaints either. The AQAA states that All staff are trained in recognising signs and symptoms of abuse , neglect and self harm, procedures to follow in the event of suspected abuse. All staff have access to POVA (protection of vulnerable adults) policies and HCC (Hampshire County Council) abuse policy. Staff spoken with confirmed that they were aware of the correct procedures to follow in the event of an allegation of abuse. At the last inspection it was Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: found that staff receive training in adult protection. The AQAA says that four staff have since attended refresher training in this and have given feedback to other staff members. Any small amounts of money held on behalf of service users was observed to be stored individually and securely . Staff confirmed that balances are checked by two staff at handover every day. Receipts are kept of any purchases made. 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. Service users live in a homely comfortable and clean environment. Evidence: Service users spoken with said that they were happy with the environment and those surveyed said that it is generally fresh and clean. The service has four bedrooms downstairs and two bedrooms upstairs. Service users share the use of a shower room and bathroom downstairs and a bathroom upstairs. Staff said that all service users have a radio TV fridge and wash handbasin in their room. Since the time of the last inspection some bedrooms have been redecorated and some new furniture and equipment, including new television, washing machine and tumble dryer has been purchased. The AQAA says that the home has a part time cleaner and that when the cleaner is not in service users are encouraged to participate in household tasks . On the day of the visit the home communal areas and one bedroom seen were warm clean and free from offensive odours. As discussed in an earlier section staff are currently working with specialist health care professionals to consider whether any adaptations may be needed to improve access for one service user. A record seen showed that an Environmental health officer had visited the home in Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: September 2008 and had produced a satisfactory report. liquid soap and paper towels were observed to be available in communal washing areas to reduce the risk of spread of infection. Staff confirmed that they have completed infection control training. 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. Service users are supported by well trained , properly recruited staff team who work in sufficient numbers to carry our their responsibilities effectively. Evidence: Service users surveyed said that staff treat them well and staff were observed to interact with service users in a friendly and respectful way.Staff surveyed said that in general they are deployed in sufficient numbers to meet needs. There were two staff on duty at the time of the visit Staff said that there are always a minimum of two with the manager also on duty Monday to Friday. One staff member sleeps in at night. The AQAA says that a third of the staff team either have or are working towards an NVQ level 2 in care.This is below national Minimum Standards which say that the half of the care staff should achieve this qualification . The AQAA says that no staff have left in the past twelve months This means that staff know service users well. The AQAA says that all staff have had satisfactory pre employment checks such as CRB checks and two references. Staff confirmed this through their replies in surveys One staff member said for example, was not allowed to start until (CRB and references) came back. As discussed in a previous section service users can be involved in the selection of staff if they wish. Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: The AQAA says that all staff receive training in health and safety risk assessment fire safety COSHH First aid medication POVA mental health This was confirmed by staff spoken with and in one staff record checked. Staff surveyed all agreed that they are given training which is relevant to their role, keeps them up to date with new ways of working and helps them to understand and meet the individual needs of service users. Staff said that they have some in house training at team meetings, for example fire training refreshers and also said that a new learning and development programme is being introduced. Staff spoken with and surveyed felt that they received support and supervision they need to carry out their jobs Comments made included I have supervision once a month and generally when working on shift and staff meetings and team meetings. Manager is always approachable and willing to offer advice and support 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 well managed and quality is effectively monitored. This could be improved further by reviewing and updating where necessary policies and procedures to ensure that they reflect the aims and objectives of the current organisation. Evidence: Since the last inspection the service has appointed a new manager, She has successfully completed the Registration process with CSCI which means that we consider her fit to manage the service. Staff describe her as approachable and say that they feel that there have been improvements in the service in communication both between members of the staff team and with service users. The Quality of the service is monitored in a number of ways, including resident and staff meetings. Records showed that a senior manager also visits the service once a month.This is in accordance with Regulation 26 of the Care Home Regulations. The most recent visit which was conducted in February 2009 showed that health and welfare issues were considered along with any complaints, staff development and training needs and a Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: check that staff supervision is taking place. The senior manager also spent time talking with residents and staff on duty The AQAA says that regular maintenance checks are carried out on fire alarm systems (this occurred during the visit) fridge freezer checks along with general maintenance checks. It also confirms that COSHH assessments are in place. Records of fire drills were seen on residents files. Staff spoken with said that a fire alarm went off recently during the night and correct procedure had been followed. A number of policies and procedures looked at during the visit related to the previous organisation . These need to be reviewed to ensure that they reflect the aims and objectives of the current organisation. 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: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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!