Care Home: The Bridgings Limited (Eston)

Similar services:

• 22 Sandown Road
• The Highlands
• Dilston College Of Further Education
• West View House
• Prince Bishop Court
• Park View (15)
• Craigmore House
• 1 Lanark Close

What the care home does well The Bridgings at Eston provides a comfortable and homely environment for people to live. People receive good care from an experienced and committed staff team. One person said of what the service did well, "Provide good care and support by staff who know us". A staff member spoke of their role as a keyworker, they said, "If there is a problem the clients can come to you, we discuss the care plans and they are involved in the reviews, we work with the clients, it is a consultative process". The care records are very personal, with a good level of detail, up to date and clearly reflect the needs of the people living at the home and the support being provided. People are encouraged to participate in the day to day running of the home and are enabled to make decisions. People are supported to be involved in activities outside of the home and promoting independance is important. One of the surveys returned from a person living at the home had the following comment, "I don`t get told what to do, I sometimes get asked if I`d like to go shopping". "I can do what I want if I ask staff". Another person stated, "I`m always given choices". Staff are enthusiastic about their role. They said,""I enjoy my job at Eston Bridgings, it gives me a lot of satisfaction when I see the clients happy and content". "I think our home is run really well, our clients seem really happy and we also have a good staff base". Staff are well trained, 100% of the permanent staff team are trained to NVQ Level 2 or above in care. The Bridgings at Eston is a well managed home, with clear and effective leadership. What has improved since the last inspection? There were no requirements made at the last inspection. Five recommendation were made, one in relation to redecoration and refurbishment is ongoing, thre have been attended to and one in relation to monitoring of the hot water temperatures needs further development. What the care home could do better: This was a very positive key inspection of The Bridgings at Eston. Few areas have been identified as in need of improvement. There is the need to ensure that all the required recruitment checks, including CRB are completed prior to the commencement of employment of new staff. The medication cupboard should also be strengthened and the temperature of the room monitored. The planned refurbishment programme should continue, which should include the repair and redecoration to the first floor corridor. The grouting in the bathrooms andshowers also require attention, which the manager confirmed would be attended to. Consideration should be given to improving the flow of water from one of the showers and changing the shower head. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: The Bridgings Limited (Eston) 64 Jubilee Road Eston Middlesbrough TS6 9HB     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: Jacqueline Herring     Date: 2 1 0 5 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: The Bridgings Limited (Eston) 64 Jubilee Road Eston Middlesbrough TS6 9HB 01642468157 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) : bridgingseston@yahoo.co.uk The Bridgings Limited care home 12 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: 12 The maximum number of service users who can be accommodated is: 12 The registered peson may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: Learning disability Code LD, maximum number of places: 12 Date of last inspection Brief description of the care home The Bridgings, Eston, is a care home for twelve younger adults with a learning disability. Situated on the outskirts of Middlesbrough, it is conveniently placed on a main bus route into town. In addition, there are a small number of local shops at Eston and these are within walking distance of the home. Accommodation is provided in 12 single rooms, all of which can be personalised according to the preference and taste of service users. Communal space consists of a sitting room, dining room with lounge area overlooking the garden, a domestic style kitchen and an enclosed rear garden which is used, when weather permits, for outdoor meals. There is a no smoking policy within the home. The home currently charges Care Homes for Adults (18-65 years) Page 4 of 29 Brief description of the care home fees from 355 pounds to 398.92 pounds per week. 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 quality rating for this service is two stars. This means the people who use this service experience good quality outcomes. This Key Inspection was to check that the home meets the standards that the Care Quality Commission say are the most important for the people who use the services, and that it does what the Care Standards regulations say it must. This inspection was conducted in one inspection day. During the inspection, a number of records were looked at, including care records of people who use the service, along with staff recruitment and training records. The medication systems was also looked at. Care Homes for Adults (18-65 years) Page 6 of 29 Time was spent with people living at The Bridgings and there was discussion about their lives. Discussion also took place with the manager and staff. A number of surveys had been completed and returned from people using the service, the staff and visiting professionals. The manager has completed the Annual Quality Assurance Assessment (AQAA), the services self-assessment of how well they think they are meeting standards. This was received prior to the inspection and some of information has been reflected within the report to support the judgements made. We have reviewed our practise when making requirement to improve national consistency. Some regulations from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use the services are not being put at risk or harm. In future if a requirement is repeated it is likely that enforcement action will be taken. What the care home does well: What has improved since the last inspection? What they could do better: This was a very positive key inspection of The Bridgings at Eston. Few areas have been identified as in need of improvement. There is the need to ensure that all the required recruitment checks, including CRB are completed prior to the commencement of employment of new staff. The medication cupboard should also be strengthened and the temperature of the room monitored. The planned refurbishment programme should continue, which should include the repair and redecoration to the first floor corridor. The grouting in the bathrooms and Care Homes for Adults (18-65 years) Page 8 of 29 showers also require attention, which the manager confirmed would be attended to. Consideration should be given to improving the flow of water from one of the showers and changing the shower head. 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 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 needs are assessed prior to admission to the home, this ensures that their needs can be met. Evidence: Discussion took place with the manager about the process of admission to the home. He described a planned process that allowed for visits to the home, building up over time to eventually overnight stays. It was also confirmed that the other people living at The Bridgings are consulted about any prospective person to be admitted. The AQAA also detailed information about admissions to the home. It was stated, Our pre-admission is informative and welcoming, residents rights, thoughts and views are at the forefront of our planning, prospective residents are made welcome by inviting them to meet other residents, meal times and also for overnight stays. Two care files of people living at The Bridgings were looked at, one for the most recent person admitted and one for someone who had lived at the home for a number of Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: years. Whilst there was no actual pre admission assessment completed by the home, there was a copy of the care managers assessment as well as a good range of information from the persons previous care provider. The manager confirmed that they now detail the pre admission visits that take place prior to admission in an individual daily report book and this form part of the process to determine suitability for admission to the home. 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. The homes assessment and care planning process ensures peoples needs are identified and met. People are consulted about all aspects of their life and are supported to be as independent as possible. Evidence: Two sets of care files were looked at in detail. The care needs assessment and plan of care are a combined document covering a range of areas of need. This included amongst others, social, recreational, personal care, sleeping along with behaviour and emotional needs, relationships and leisure and community needs. There was evidence that the peoples whose care records they were, had been involved in the assessment and review process and there was information to show that they are regularly consulted. The care records were extremely well written and clearly person centered, there was evidence of ongoing reviews, which contained a good amount of value based information, that corresponded to the current assessment and plans of care. Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: One of the care files looked at was for someone who had lived at the home for a number of years. The assessment/care plans were up to date, had been updated in March 2009 and were reflective of the persons current needs. There were also a range of supporting risk assessments in place. Both sets of care records were very much relevant to the individual person and contained a good amount of information about peoples likes and dislikes as well as their wants and wishes. They were written in a way the was easy to understand and gave both the person concerned and staff the information needed to enable the appropriate support to be given. One staff member described the role of the key worker and they also described how they discuss peoples care records with them. They said, If there is a problem the clients can come to you, we discuss the care plans and they are involved in the reviews, we work with the clients, it is a consultative process. They are also involved in the choice of their keyworker. People spoken to said there needs were being well met at The Bridgings. One person said of what the service did well, Provide good care and support by staff who know us. A number of surveys were completed by staff working at the home. The following comments were made in respect of what the service do well, This feels like more of a family run home, its a small group, we know our service users well and always meet their needs. Care Homes for Adults (18-65 years) Page 14 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are treated with respect and their lifestyles are very much individualised and underpinned by appropriate social and recreational activities as well as the opportunities for personal development. People benefit from maintaining personal relationships and have their right respected. Meals are provided to a good standard within a suitable environment. Evidence: From discussion with people living at the home, staff and the manager is it clear that people have good opportunities for leading active and fulfilling lives. One person spoken to said that one of the really good things about the service was, The freedom. The care records looked contained a good level of information in respect of peoples lifestyle, interests and preferences. Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: Everyone who lives at The Bridgings has opportunities for occupational, recreational and social activities. These are very much based upon the individual and some people have some 1:1 support for their activities. Many of the activities take place outside of the home and people attend college, day centres and a number also go out to work. One person spoken to said they enjoyed going out to work twice a week. Another person was really enthusiastic about the art and craft classes they attended and took great pride in showing the inspector some of the items they had made. Over lunch another person living at the home showed the inspector a photograph album, this contained photographs of a holiday in America in which most of the people living at the home went with staff. It is clear that family and friendship links are maintained. The surveys contained information about people going shopping with their friends. Another person talked of visiting their family and spending Christmas with them. Life within The Bridgings for people living there is flexible and very much promotes individual decision making. A member of staff spoke of how consultative life was at the home. One of the surveys returned from a person living at the home had the following comment, I dont get told what to do, I sometimes get asked if Id like to go shopping. I can do what I want if I ask staff. Another person stated, Im always given choices. People living at the home said that were very satisfied with the meals provided. The confirmed that there is a weekly meeting when the menu for the following week is discussed and that everyone has the opportunity to input into this. A survey was completed by a health professional. They commented that an area of improvement would be to look at providing more healthy options for meals, with less pasties and chips and more low fat foods. It was confirmed that staff are doing a healthy eating/ nutritional course. It was good to see people going into the kitchen to make themselves hot drinks. It was confirmed that the kitchen was fully accessible and people could make themselves a snack. The laundry was also fully accessible to people living at the home. It was however confirmed that risk assessments had been completed and appropriate risk management strategies were in place. 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. Peoples healthcare and personal care needs are met by staff who provide support in a sensitive and flexible manner in accordance with the wishes of the individual. The systems for managing medication are good. Evidence: In the care files looked at there was information that showed people health care needs are being met. During discussion with someone living at the home, they confirmed that if they felt unwell the staff would support them to make an appointment with the GP. One person also confirmed that the staff had been very good and helping him/her recuperate from a medical problem. A member of staff spoken to confirmed that all the medical checks that are needed for people living at the home are carried out, such as flu vaccination and other age related health screening. A survey completed by a healthcare professional contained the following comments, They know all of the residents very well and can always provide helpful information to Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: the surgery. The way in which medication is managed within the home was discussed in detail. Good systems were described from the ordering of medication and appropriate storage. All of the staff have completed training in respect of Safe Handling of Medication and all are qualified to administer medication within the home. Records and storage was looked at. The medication administration records were well recorded, with no gaps. It was recommended that the temperature of the room in which medication is stored should be monitored and the medication cupboard should be strengthened. 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 who live at the home have access to the complaints procedure. Complaints are dealt with appropriately. Staff have had training around safeguarding adults to ensure protection of people who live at the home. Evidence: The AQAA detailed the following information about complaints, We pro-actively promote a open door policy, regular residents meetings, encourage residents to air their views and thoughts. People spoken to were very clear that if they had concerns they would raise them with any of the staff. A number of surveys were completed and returned, they also indicated that people knew how to make a complaint and who they would contact should the need arise. People also have a personal copy of the complaints procedure in their own rooms. Person said if they were unhappy, they would, Feel comfortable talking to all of the staff. I would go to the staff. One person said if they needed to make a complaint, they would, Speak to Craig (the manager). It was confirmed through discussion with the manager that staff have completed training on the protection of vulnerable people. Training records also confirmed this. The manager also said that they were in the process of rolling out this as an update via e-learning. Care Homes for Adults (18-65 years) Page 19 of 29 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. People who live at The Bridgings benefit from a warm, homely and safe environment. Evidence: During the visit to the home, the inspector had a look around. The home was clean and homely and generally well maintained. There is a choice of lounges, which are comfortable and there is also a pleasant garden. There was some areas that needed some attention, such as the grouting in the showers and bathrooms. The manager confirmed that this would be completed. The upstairs shower also needed some attention, as the water flow wasnt particularly good and consideration should be given to changing the shower head. The manager confirmed that there is an ongoing maintenance and refurbishment programme and plans are in place to redecorate both the ground floor corridor and first floor corridor. The first floor corridor is in need of this as there has been a leak and repairs to this area are needed. A large crack was notice on one of the walls where the leak had occurred. The manager said that this has been investigated and that is posses no structural problems to the building. Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: Everyone living at The Bridgings has a lock fitted to their bedroom doors and have their own key. One person living at the home took great pleasure in showing the inspector their room. It was really personalised and they had lots of their personal ornaments, photographs, art work as well as other personal belongings that were of importance to them. 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. People who live at the home have their needs were met by the numbers and skill mix of staff who were trained and competent to care for people who live at the home. People are generally protected by the homes recruitment procedures. Evidence: Staffing levels were discussed and considered appropriate to meet the needs of people living at The Bridgings. A staff member also said, There are times when there is only one member of staff, but there is flexibility in the staffing. Suveys received indicated that there was sufficient staff available. Two staff files were looked at, one of which was for the most recent person employed at the home. The recruitment records were generally in order with the exception of one persons Criminal Records Bureau check, which had been transferred from another organisation rather than the services own. This was discussed with the manager who informed the manager that they had already taken steps to address this. It was also reiterated that these records were not transferable and a new one needed to be obtained prior to any new staff commencing employment. Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: 100 of the permanent care staff are trained to NVQ level 2 in care or above. Training records were looked at and there was a training plan in the office to show the planned forthcoming training. There was evidence of ongoing mandatory, health and safety training as well as client specific training. This included, epilepsy. The AQAA detailed, We recognise the importance of staff training, we consider and take into account the residents needs when considering training. Our staff team have an excellent awareness of valules regarding residents and all staff are 100 qualified. Records showed that regular supervisions take place. A staff member spoken to confirmed this and also said that everyone also has an annual appraisal. A number of surveys were received from people who live at The Bridgings, one person said of the staff, Staff are good they help me and listen to me if I feel unhappy or not feeling well and when I have happy news. Surveys were also completed by staff. The following comments were made, There is always good opportunities for staff training, NVQs as well as other training, as well as being kept up to date with new policies and procedures. Really good interations were observed between people living at the home and staff, they were clearly respectful and good relationships have been developed. 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 manager provides very strong leadership to the staff team and continuously strives to improve standards within the home ensuring that residents needs are well met. There is a good range of quality assurance systems. Good service and maintenance arrangements are in place and in good order ensuring health and safety is promoted. Evidence: The manager is registered with CQC and has substantial experience in this field of care. They are highly competent to run the home. They have considerable knowledge, experience, qualification and skill to manage The Bridgings effectively. Comments were received about the home and manager. One comments made was, Craig is brilliant, he is a really good manager, he listens to staff and listens to the clients. A visiting professional made the following comments, The atmosphere is always good, friendly and accommodating. All staff members are very approachable and friendly to all who enter the building. Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: Positive comments were made by people who live at the home. They said, I really like it here and wouldnt want to go anywhere else. Surveys also contained comments about the home, it was stated, I enjoy living here, I am happy here. A number of surveys were completed by staff working at the home. The following comments were made, I enjoy my job at Eston Bridgings, it gives me a lot of satisfaction when I see the clients happy and content. I think our home is run really well, our clients seem really happy and we also have a good staff base. Quality assurance systems are in place within the home. There are regular meetings for people living at the home, along with and staff meetings. People living at the home are able to give their views about the home and the support they are provided with and annual resident and relative surveys are sent out. A copy of the findings of these surveys are provided to people as well as discussed at the meeting. Regular auditing of systems takes place and this was seen in a number of records looked as such as care files and medication records. A range of systems are in place to ensure that the environment is safe. The AQAA detailed that the servicing of equipment such as fire alarms were up to date. A sample of these records was looked at and it was confirmed that weekly fire checks are carried out and there are regular fire drills. Water temperatures are being recorded, it was however recommended that the bath and shower temperatures should be tested and recorded on a weekly basis. 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 1 20 The medication cupboard should be strengthened and the temperatue of the room where the medication cupboard is sited, should be monitored. The manager should ensure that all appropriate checks, including CRB are completed prior to commencement of employment of any new staff. The temperature of the hot water to baths and showers should be checked and recorded on a weekly basis. 2 34 3 42 Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!