Latest Inspection
This is the latest available inspection report for this service, carried out on 5th May 2009. CQC found this care home to be providing an Good service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Tavistock Avenue (12).
What the care home does well This small service is able to offer a very homely enironment and personal service for the people who live there. The home has the facilities and equipment that are needed to meet the assessed physical and emotional needs of the residents. The home retains a stable experienced and fully qualified team of staff who are able to give the people who use the service a lot of personal care and attention. What has improved since the last inspection? Since the last inspection the home has benefited from a number of works of redecoration and refurbishment both internal and external and these have enhanced the facilities and appearance considerably. Improvements have been made to the care plans for all the people who use the service so that they are now presented in a more person centred format which means people should receive a service in a manner that they choose and have identified. What the care home could do better: At this visit the service was found to be meeting all the key standards and the manager knew where further quality improvements could be made. The works of refurbishment to the bathroom the fitting of all the fixtures and the redecorations must be completed this to give the people who use the service a good quality environment. The home would benefit from having its own internet connection so that the staff can keep fully up to date with the current care sector views and information. Inspecting for better lives Key inspection report
Care homes for adults (18-65 years)
Name: Address: Tavistock Avenue (12) 12 Tavistock Avenue St Albans Hertfordshire AL1 2NH 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: Julia Bradshaw
Date: 0 5 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 28 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 28 Information about the care home
Name of care home: Address: Tavistock Avenue (12) 12 Tavistock Avenue St Albans Hertfordshire AL1 2NH 01727850215 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) : Cherry Tree Housing Association care home 3 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: Date of last inspection Brief description of the care home 3 The home, known as 12 Tavistock Avenue is a semi-detached house in a quiet residential area of St. Albans. It is situated close to local amenities and provides personal care and accommodation for three people. These residents each have their own individual single bedrooms and share the lounge, dining room, bathroom and laundry room. There is a pleasant domestic style kitchen that overlooks the secluded rear garden and patio area. Staff have a small office and sleeping accommodation on the first floor. There are small gardens with off street parking to the front of the property. The home, which is run by Cherry Tree Housing Association, offers homely and safe accommodation and full care services for its residents who all have learning disabilities. The current fee for the residents who are all sponsored by Hertfordshire County Council is £780.44 per week. Information regarding the service is available from the Statement of Purpose and Service User Guide. The current inspection reports are available in the entrance hallway for interested parties to read. Care Homes for Adults (18-65 years)
Page 4 of 28 Care Homes for Adults (18-65 years) Page 5 of 28 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: We ( the Care Quality Commission) spent one day at 12 Tavistock Avenue and the people who live and work there did not know that we were coming. The focus of the inspection was to assess all the key standards. Some additional standards were also assessed. We met two of the three people who live in the home and spoke with all the staff who were on duty. We looked around the home and the garden. We talked to the homes manager about what we had seen during the inspection. The manager sent the Commission some information (Annual Quality Assurance Assessment, known as the AQAA) about the service before the inspection.This gives her assessment of what the service does in each area and its strengths and weaknesses. Evidence from the AQAA has been included in this report. We also looked Care Homes for Adults (18-65 years)
Page 6 of 28 at the reports of the visits that a representative of Cherry Tree Housing Association makes to the home. In April 2008 we carried out a review of the service ( The Annual Service Review). For this looked at all the information we had asked for or received about the home since the last inspection. In our judgement the home was still providing a good service and they knew what further improvements they needed to make. At this visit we found that number 12 Tavistock Avenue continues to offer a caring and homely environment for the people who use the service where they can live in a relaxed and harmonious atmosphere. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 28 Details of our findings
Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 28 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 using this service are provided with the information they require and the service ensures it can meet their needs. Evidence: As there have been no new admissions to the home since the last inspection it was not possible to examine any recent admission records or procedures. However discussions with the homes manager evidenced that she has a good understanding of the necessary procedures according to the homes policies, which will be followed when this situation does arise. At previous inspections it was seen that previous prospective applicants to the home had had a full needs assessment from the manager and had been able to visit and test drive the home before making their decision about admission. The home has all the required information about the service including a Statement of Purpose and Service Users Guide, and these along with the tenancy contract are present on each residents file. Since the last inspection the home has made progress with adding easy read picture illustrations to much of the homes documentation this to
Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: enable better understanding for the people who use the service. Care Homes for Adults (18-65 years) Page 11 of 28 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 care is planned and they are supported to make choices in their daily lives along with playing an active role in the life of the household. Risk assessments are regularly reviewed to accommodate changing ability need and risk which ensures people are kept safe. Evidence: Quality in this outcome area is good. The people who live in the home can be confident that they will be fully involved in all the decisions about their lives and that the staff are pro-active in ensuring that each person is supported to make their views known. The home has person centered systems in place for the assessment of need and care planning; these plans cover needs associated with personal care, health care, social and leisure needs as well as needs around equalities and diversity issues such as disability culture and religion. During this visit the files of all the three people who live in the home were
Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: examined.They provide good details of the support that each person needs and they were written clearly. During this visit we discussed with the staff how these plans could be further improved if they were written more from the persons point of view. The focus of the care plan is to support each person to be as independent as possible and where possible to improve their skills for independent living. One person had goals that included visiting the local shops , taking a walk to their friends house and making a short bus journey on their own. Risk assessments for these activities were in place and the records evidenced how progress was made with each activity. A behavior chart was seen on another plan where the involvement of the person and their agreement with the plan could be seen through their signing of the records. Learning to use their mobile phone was a goal for another of the residents. On the care plans for the people who have limited language there were details of each individuals method of communication and clear information as to when signing can be used.Being a small home the stable staff group have developed very good understanding of the residents needs and likes and dislikes and have become very skilled in communicating effectively with each of them. During this inspection we observed the results of this good practice, which is that everyone is able to take part in the life of the home and to express their views effectively. One person who at the last inspection had not even been able to maintain eye contact had on this occasion a very big smile and willingly showed off their room and nodded vigorously with a big smile when asked if they liked their room. There were risk assessments on each care plan these provide guidance for the staff in supporting the service users to take risks as part of an independent lifestyle. The risk assessments were seen to be regularly reviewed. Care Homes for Adults (18-65 years) Page 13 of 28 Lifestyle
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive a service which gives them excellent choices and opportunities around their life style, and they are supported to maintain relationships with people important to them. The people who live in the home are supported to live full and active lifestyles, which meet their needs and expectations. Evidence: All the people who live in the home have an individually planned day activities programme covering each weekday and also have some regular evening and weekend activities. Local day centers offer various small group activities and classes in the day time as well as evening social clubs. The Earthworks scheme provides a very enjoyable horticultural activity experience for one resident. On the day of this visit two
Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: people who had been on a cultural outing with their day center arrived home and happily discussed the outing and what they had seen with the staff. Staff said that all the residents enjoy outings either individually or as a pair and that such outings are often arranged spontaneously following their request. Visits to the cinema and bowling are said to be popular and one person enjoys journeys around the county using their bus pass whilst another attends services at a local church and joins with their social activities. Staff work hard at assisting the service users maintain relations with family and friends. One is helped to keep letter contact with relatives who live in the north of England and another is able to make regular weekend staying visits to their family. Staying away holidays were taken by all the residents last year and similar plans are being made for this next summer. One person told us that for this summer rather than staying away they were opting for a number of day outings as he preferred to be able to return to their own room each evening. All the service users spoken with said that they always had plenty to do and that the staff would always help them if they asked to go somewhere. The people who use the service choose their menu each week and usually one helps staff with the shopping. Whilst they all prefer that the staff cook for them one does sometimes help with vegetable preparation and another prepares their own lunch sandwiches on weekdays. The home follows a healthy eating diet plan using local fresh produce. Bowls of fruit were seen and these and stocks of yogurt can be freely accessed by the residents who were seen to do so when they arrived home from their day activities. One resident told us that there was always plenty to eat and showed us the stocks maintained in the freezer and the weekly menu which is displayed in the kitchen. None of the people using this service now have any weight problems but records of their weights are still maintained on their health records. Care Homes for Adults (18-65 years) Page 15 of 28 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 health and personal care that people receive is based on their individual needs, and they are treated with respect and dignity. The home is proactive in addressing any possible health needs and the experienced and enthusiastic team of staff have the training and skills to provide good quality care for the people who live in the home and to ensure that their individual needs, choices and preferences are met at all times. Evidence: The people who use this service have their personal care and their other needs, emotional and practical, and their wishes reviewed regularly throughout the day and daily records of these are made by staff during each shift. All health checks any health actions taken and any resulting outcomes are noted this to promote good care standards. One service user receives regular monitoring and care from a specialist in Epilepsy, another has receitly received assistance with poor hearing and all service users are assisted to visit their GP and to make hospital visits when required. Weights are monitored regularly and fluctuations in weight are seen as an indication of a possible health concern. The staff pay particular attention to the emotional needs of the service users and were seen to adopt a kind but firm approach to deal with these.
Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: One person who had been assessed as having challenging behaviour was seen to be fully involved in the programme of monitoring and management of this. One service user said I am very well looked after here the staff are all very kind. The home has sound systems in place to manage peoples medication safely. Since the last inspection the home has adopted an MDS,monitored dose system, supplied by a local chemist. Staff all reported that the bubble packs are very easy to use and offer better safety that the system that they were previously using. For tablets that cannot be supplied in this way the date of opening is written on the box. A sample of medication records were checked and the MAR ( medication administration record) sheets were found to be accurately recorded with no signature gaps found. Records of medication received into the home and that sent out from the home are kept this giving an audit of the medication. The home has a metal drugs storage cupboard of a design approved by the Royal Pharmaceutical Society but does not have a Controlled Drugs Cupboard or register. The manager explained that to date no controlled medication has ever had to be administered in the home. However following discussion she acknowledged that if any were ever prescribed the home would not be able to store this safely. We suggested that a controlled medication cupboard should be purchased. Care Homes for Adults (18-65 years) Page 17 of 28 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 who use this service are able to express their concerns, have access to an effective complaints procedure and are protected from abuse. Evidence: The home has a clear Complaints policy and procedure which is also available in easy read picture format. This policy is available in the home and a copy of the easy read complaints procedure was seen on the service users files. The staff do speak with the residents about this procedure and one told us that they knew all about how to complain But I dont have to complain, they said I am very well looked after here. The manager said that she is satisfied that the relatives and friends all have a copy of and understand this policy and have in the past used it. There have however been no complaints since the last inspection. There have been no Safeguarding incidents since the last inspection. Staff have however since the last inspection attended a number of refresher Safeguarding training sessions and some staff have been involved in assisting with court proceedings. Staff reported that this experience and the additional training have raised their awareness of the need for constant awareness and the need for the people who use the service to be given regular opportunities for discussion about any worries or concerns they may have. Everyone who lives in the home is able to make their views known and the staff are skilled in helping them to communicate and in interpreting
Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: their behaviors and gestures. . Care Homes for Adults (18-65 years) Page 19 of 28 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. The physical design and layout of the home enables people who use the service to live in a safe, well maintained and comfortable environment, that encourages independence and meets peoples needs. Evidence: The home which fits unobtrusively into its local community appearing like any other semi detached house in the road, provides sufficient space and facilities to meet the needs of the people who use the service. The single bedrooms are well furnished in a style which reflects the residents tastes and with furnishings and equipment that meet their needs and enable them to further their hobbies and interests. None of the bedrooms has an individual washbasin. The home has a planned programme for maintenance and refurbishment and since the last inspection these works have included redecorations, the fitting of a new central heating boiler, the refurbishment of the bathroom and the purchase of new sofas ,TVs , washer dryer and soft furnishings. The manager showed the plans for the refurbishment of the kitchen works which are planned for later in the summer. Works to cut back and refurbish the garden are also planned and the purchase of new garden furniture was being discussed with the residents on the day of this visit. On the day of this unannounced visit the home was found to be clean and tidy. The
Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: house has a homely and welcoming air to it and its residents clearly own their spaces where they have the possessions of their choice around them. Care Homes for Adults (18-65 years) Page 21 of 28 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. People who use this service are cared for by well trained and supported staff who have been recruited appropriately to ensure people are kept safe. Evidence: Tavistock 12 has an experienced and stable staff team who have all worked at the home for several years. The home is fully staffed and all the staff hold professional NVQ qualifications at either level 2 or 3. As there have been no changes in the staff team since the last inspection we did not examine any recent recruitment records. However at a previous inspection it had been evidenced that the home followed its policies and procedures and that all checks were made this to ensure that new staff are recruited safely. Discussions with the Manager during the inspection again evidenced her clear understanding of this recruitment process this to ensure the safety of the people who use the service at all times. Staff spoken with during this visit all spoke very positively of the on going training opportunities that are available to them. Since the last inspection training in Fire Awareness, Maketon Signing, Infection Control, Medication, Depression, Recognising Sexual Abuse and assisting recovery and the Management of Difficult Behaviour has been attended. All staff have also undertaken training concerning the Mental Capacity Act and the Deprivation of Liberty.
Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: The homes training plan showed that courses on Food Hygiene, Epilepsy, Race and Culture and First Aid have been arranged for later in the year. The records also showed that mandatory training is up to date for all staff and that the training records are subject to regular management scrutiny. The staff told us that they receive regular supervision and have an annual appraisal. The homes records evidenced that this was so and also that staff who supervise others have been trained to do so. Several staff mentioned that being such a small home there was no need to wait for a formal supervision meeting it was always possible to discuss any problem when it arose and that the Area Manager and the Association Director would always respond promptly to any request for assistance or advice. Staff confirmed that the present staffing arrangements and the numbers on duty are sufficient to meet the needs of the people who use the service and ensure the smooth running of the home. Care Homes for Adults (18-65 years) Page 23 of 28 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. People using this service can be confident that it is well managed in the best interests of those who live there. The management actively seeks the views of the people who use the service and other involved people to ensure that a good quality of care is provided. Evidence: The ethos of the home is that it is the home of the residents and the staff support them to live their lives as they wish to and to make their own decisions about every aspect of their lives. There is a family atmosphere in the home. All the staff have worked there for many years and the staff and residents know each other very well. Close consideration is given to the health and welfare needs of the residents this in consultation with their relatives and friends as appropriate. The home provides a warm caring environment where the residents are able to freely express their feelings wishes likes and dislikes. The homes registered manager is also the manager of the Associations second three place home ,number 5,which is situated opposite across the road. The two homes work
Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: very closely together with both staff and service users having regular interaction. Since the last inspection the homes manager has attained the Registered Managers Award NVQ level4. The senior support worker at this home, number 12, holds NVQ at level 3 and has since the last inspection also qualified as an NVQ assessor. All the staff at this home hold professional NVQ qualifications and the majority have had many years experience working in the field of residential care. All the comments from staff indicated that they were happy working in the home and that they were very well supported by the managers. Staff meetings are held every 8 weeks and the minutes evidenced that there is good staff participation in these. One said this is a happy place to work I am well supported and we can offer a good caring service to the people who live here; they are happy and have a good quality of life and that is what matters. The AQAA provided evidence that there are good procedures for maintaining health and safety in the home and the records checked during this visit confirmed that these are properly maintained. There is a monthly health and safety audit ,and regular checks on water temperature and fire equipment are made. Since the last inspection a Fire officer has given a talk in the home and an evacuation plan has been compiled. The records evidenced that the residents respond very promptly to all fire drills and evacuations even when this involves them getting up from their beds. All the staff have training in moving and handling, fire safety and infection control. The safety of the people who use the service when they are away from the home, two are able to make limited journeys on their own, were seen to have been closely considered and appropriate risk assessments put in place. Care Homes for Adults (18-65 years) Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 28 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations 1 20 It is recommended that the home has a controlled drugs cabinet and register so as to be able to safely store and administer any such medication immediately upon it being prescribed. Care Homes for Adults (18-65 years) Page 27 of 28 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 28 of 28 - 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!