Care Home: The Oaks & Woodcroft

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What the care home does well Individual needs assessments are carried out before people move in to The Oaks and Woodcroft. The people living at The Oaks and Woodcroft have their changing needs and personal goals reflected in individual care plans, they are able to make decisions about their lives and are supported to take risks as part of an independent lifestyle. The people living at The Oaks and Woodcroft are able to take part in activities that suit them, be part of the local community, enjoy leisure activities as they wish and have good relationships with their family and friends. The people living at The Oaks and Woodcroft are offered a healthy diet, with flexible menus, and enjoy their food. Individual diets are catered for according to choice, health, religion and culture. The people living at The Oaks and Woodcroft receive personal support in the way they prefer, their physical and emotional health needs are met and they are protected by the homes` medication policies and procedures. The complaints procedure is clear and helps ensure that people feel their views are listened to and acted upon. Staff are well trained in areas such as adult protection and medication. The Oaks and Woodcroft provide homely, comfortable and safe environments for people to live in, which are clean and hygienic. Service users are supported by a competent, well trained and effective staff team and the service follows robust recruitment procedures. The Oaks and Woodcroft are well run homes and the people living there benefit from good quality leadership and day-to-day management. A good Quality Assurance process is in place and the people living at The Oaks and Woodcroft know their health, safety and welfare is promoted and protected. Overall, people are genuinely living in their own homes, with their best interests, health and happiness being absolute priority to the staff and management. What has improved since the last inspection? Care plans are even more person centred, with good quality information recorded in them. Homely remedies are individually assessed and authorised by the GP, in accordance with a previous recommendation. What the care home could do better: The shower-rooms/bathrooms in both bungalows were seen to be of a very poor standard, with mould on ceilings, walls and a bath panel and a very cold, impersonal and clinical atmosphere. Therefore the shower/bathrooms need to be redecorated/refurbished as soon as possible, with mouldy areas, such as the bath panel, walls and ceiling, cleaned and consideration given to creating a more pleasant environment. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: The Oaks & Woodcroft The Oaks & Woodcroft 2a Dereham Road Mattishall Dereham Norfolk NR20 3AA     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Debra Allen     Date: 2 2 0 7 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 Oaks & Woodcroft 2a Dereham Road The Oaks & Woodcroft Mattishall Dereham Norfolk NR20 3AA 01362858040 01362858954 oaks.woodcroft@craegmoor.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Conquest Care Homes (Norfolk) Limited care home 12 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: Date of last inspection Brief description of the care home 12 This service is situated in a village some 15 miles or so west of Norwich city centre. It is set back from the road and consists of two bungalows, known as The Oaks and Woodcroft. The bungalows each have accommodation for six adults between the ages of 18 and 65 years and who have a learning disability. The Oaks tends to accommodate people with additional physical disabilities. Every resident has their own bedroom, which they can personalise and there are shared lounges, a dining room, bath/shower rooms, toilets and kitchens. The bungalows share a large garden to the rear of the properties and there is car parking to the front. The garden, which has relaxing swing seating and barbecue equipment, is safe with a secure perimeter. The home is owned and managed by Craegmoor Healthcare On the day of the inspection the home had no vacancies. Care Homes for Adults (18-65 years) Page 4 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support peterchart Concerns, complaints and protection Environment Staffing Conduct and management of the home Poor Adequate Good Excellent How we did our inspection: Care Services are judged against outcome groups, which assess how well a provider delivers outcomes for people using the service. The key inspection of this service has been carried out, by using information from previous inspections, information from the providers, the residents and their relatives, as well as others who work in or visit the home. This has included a recent unannounced visit to the home. This report gives a brief overview of the service and the current judgements for each outcome group. The fieldwork of this inspection was carried out over a period of six hours, during which time a number of people living at The Oaks and Woodcroft were observed and spoken with and a tour of the premises was undertaken, which included seeing some peoples personal rooms. Individual discussions were also held with two staff members and the Care Homes for Adults (18-65 years) Page 5 of 29 manager. Various records were looked at in detail, which included Person Centred Plans, care plans, staff files and other records relating to health and safety. Meanwhile, a well completed and detailed Annual Quality Assurance Assessment (AQAA) was returned to The Commission, as requested, prior to this inspection. Four service user surveys were also completed and returned, all of which contained positive responses. One requirement has been made as a result of this inspection. What the care home does well: What has improved since the last inspection? Care plans are even more person centred, with good quality information recorded in them. Homely remedies are individually assessed and authorised by the GP, in accordance with a previous recommendation. Care Homes for Adults (18-65 years) Page 7 of 29 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 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 9 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. Prospective service users have their individual needs assessed before moving in to The Oaks and Woodcroft. Evidence: There has only been one new admission since the last inspection and information seen in the care plan, together with a discussion with the manager, confirmed that a full needs assessment was carried out with the service user, their family, their social worker and the manager of The Oaks and Woodcroft before moving in. Care Homes for Adults (18-65 years) Page 10 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living at The Oaks and Woodcroft have their changing needs and personal goals reflected in individual care plans, they are able to make decisions about their lives and are supported to take risks as part of an independent lifestyle. Evidence: Three care plans were looked at in detail and individual observations and discussions helped to confirm that the contents of the plans were accurate. Exceptionally well completed Person Centred Plans formed part of the overall care plans, which help to make it easy for staff and service users to access relevant information, review and/or update it and help to ensure consistency of care. The sections in the care plans were seen as follows:(*) Person Centred Plan - very person specific information written with a combination Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: of pictures/symbols and words and contained individual sections such as: (a) Relationships and Social Contacts (b) Dates that are important to me (c) What I do (d) Social Interaction (e) Health and keeping safe (f) Finances (g) Personal Care (h) Mental health/behaviour (i) Communication (j) Independence (k) When I become sick or might die. (1) Daily Notes (2) Weight Charts (3) Professional Visits (4) Contacts and Communication Sheets (5) Reviews (6) Health - Dental, Hearing and Optician (7) Body Check (8) Doctors and Health Professionals Correspondence (9) Property Sheets Numerous risk assessments were seen throughout the care plans, each of which was completely individual, regularly reviewed/updated and provided clear guidance for staff to be able to genuinely help support people to live their lives as independently as possible. Some of the risk assessments seen included slips, trips and falls - including full falls assessments, cat bites, wearing a hearing aid, cycle riding, crossing the road, wearing a seat belt, controlling diabetes, drying up sharp knives, daily living skills (drying up, putting away, sweeping the floor, emptying the bin), putting chairs on the table, cooking and making hot drinks. Numerous supplemental pages (additional care plans) were also seen, which were for peoples specific needs that were not covered in the person centred plan and showed how any changes were addressed and monitored and requirements met. All of the above information was seen to be up to date and had been reviewed on a regular basis. Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: Meanwhile, notes from regular residents meetings were read and these helped to confirm that the people living at The Oaks and Woodcroft are genuinely able to participate in all aspects of life within the home and make decisions about their lives. All the records and personal information relating to the people living at The Oaks and Woodcroft were seen to be stored securely, confirming that confidentiality is maintained. Care Homes for Adults (18-65 years) Page 13 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living at The Oaks and Woodcroft are able to take part in activities that suit them, be part of the local community, enjoy leisure activities as they wish and have good relationships with their family and friends. Peoples rights and responsibilities are respected and recognised in their daily lives and the people living at The Oaks and Woodcroft are offered a healthy diet and enjoy their food. Evidence: It was evident from the records maintained, photographs, observations and discussions, that everybody living at The Oaks and Woodcroft is encouraged and supported to develop themselves as much as they want to, with empowering risk assessments in place to further help support this fact. Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: Wherever possible, the people living at The Oaks and Woodcroft continue to be involved in day-to-day tasks such as tidying their own room, doing their own laundry, washing up, tidying the dining room after meals, setting tables at mealtimes, cooking and making drinks. Some of the educational, day-to-day living and leisure activities that were noted included: Attending day/education centres, cooking, horse riding, swimming, going to Speedway racing, going to watch football matches, playing football, going to the Gateway club, shopping, going to church, watching Songs of Praise, relaxation, spending time in the sensory room, listening to music, watching television and DVDs, meals and drinks out, going to coffee mornings, dominoes, table-top activities, cultural visits to places of interest, sailing, cycling, visiting friends and family, gardening, craft, personal grooming, jigsaw puzzles, bird watching, dancing, village walks and outings on the bus. It was noted that one person, who enjoys cycling very much, has been regularly supported to attend training events and is participating in the 2009 Special Olympics. The sensory room continues to be very well equipped and accessible to anyone who wants to use it and a lot of art/craft work, created by the people living at The Oaks and Woodcroft, was seen on display from various theme days such as Burns Night, Valentines, The Oscars, Easter, Spring, Red Nose Day, Eurovision Song Contest and the FA Cup Final. Numerous photos showed happy involvement and interaction by all concerned. Meanwhile, ensuring that service users are able to maintain personal relationships continues to be something that the staff team, as a whole, consider extremely important and evidence of this was noted from information in peoples care plans, discussions and observations such as, people making or receiving regular telephone calls from family or friends, people being provided with transport to visit friends and relatives, people being supported to buy cards and gifts for friends and family on special occasions and people being supported to go to the cemetary if they wish to remember loved ones. Other information seen in the care plans provided evidence that people are helped to understand information about political parties and are supported to vote if they want to. Although a mealtime was not actually observed during this inspection, evidence was seen in both of the bungalows, which confirmed that people have plenty of choices Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: around what they want to eat, whilst being supported to maintain a healthy and balanced diet. Good records were also seen for people with special dietary requirements such as diabetes, swallowing difficulties or religious/cultural beliefs. Some of the meal options seen on the menus included roast dinner, pie with potatoes and vegetables, gammon with potatoes and vegetables, fish and chips, takeaway, sausage and mash, cottage pie and vegetables, toad in the hole with potatoes and vegetables, pizza with potato wedges, savoury mince and dumplings, tuna pasta bake, cheese and potato pie and lasagne with garlic bread. It was stated that each person is encouraged to give their input when designing the weekly menus. Also, that all menus are flexible and alternative meals are provided for on request. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living at The Oaks and Woodcroft receive personal support in the way they prefer, their physical and emotional health needs are met and they are protected by the homes medication policies and procedures. Evidence: The care plans looked at, observations and discussions provided good evidence that peoples individual wishes are acknowledged in respect of the way they are supported, which, in some cases, was mostly by listening to, encouraging or prompting people with daily or personal healthcare tasks. However, for people with higher or more complex needs, very good records and descriptions were seen that had been put together in such a way as to ensure consistency of care by staff. Some of the information seen covered areas such as I prefer to have a bath, when having a bath I need staff to wash my hair and encourage me to wash myself, when bathing I would like bubble bath, shower gel and shampoo, to help me sleep I need staff to check the temperature in my bedroom and leave the light on in case I want to go to the toilet. Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: Communication sheets, which included descriptions of facial expressions, vocal noises and body language, were seen to be referred to in respect of ensuring peoples physical and emotional health needs are met. One example was; things that make me angry or anxious, what I will do if I get angry or anxious, things that will help me calm down and relax and what staff should do if I get angry or anxious. Very clear supplementary/additional care plans were also seen with regard to individuals moods or behaviour and show how their emotional needs were being met. Other records looked at confirmed that people are supported to have regular and ongoing involvement with various care professionals such as doctor, community/district nurse, dentist, audiologist, optician, chiropodist, occupational therapist, psychiatrist, dietician and physiotherapist. Records were seen to show that appropriate risk assessments have been undertaken and regular reviews are carried out, in order to give people ongoing opportunities to be able to self-administer medication as and when possible. Meanwhile, The Oaks and Woodcroft were seen to have good and safe practices with regard to the handling, administration and recording of medication and no errors or omissions were noted in the records during the inspection. Each person was seen to have an individual care plan in respect of sickness and death, which included religious/cultural wishes and substantial evidence was seen to show how the staff and management of The Oaks and Woodcroft had sensitively and respectfully supported a person (and their family) with their increased and changing needs, throughout a period of ill health and ultimately, their expected death. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The Oaks and Wodcroft have a clear complaints procedure, both formal and informal, which helps ensure that people feel their views are listened to and acted upon. Staff are well trained in areas such as adult protection and medication, to help ensure people are protected from abuse, neglect and self-harm as much as is possible. Evidence: From the information provided in the AQAA The Oaks and Woodcroft have received one complaint in the last twelve months and this was seen to have been responded to appropriately and in accordance with the homes complaints procedure. Copies of the complaints procedure were seen to be clearly displayed in the foyer of The Oaks and three of the four completed service user surveys responded yes that they knew how to make a complaint and all four stated that they knew who to talk to if they were not happy. It was noted that one service user had written to complain about the lack of shower facilities in Woodcroft and this was seen to have been responded to and actioned accordingly. Comments and issues raised by service users during the residents meetings were also seen to be acknowledged and responded to appropriately. Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: Meanwhile, the recruitment practices and procedures at The Oaks and Woodcroft were seen to be robust, with all staff required to have a clear enhanced disclosure from the Criminal Records Bureau (CRB) before starting work and all staff are reported to have received up to date training in adult protection. Discussions with two staff members also confirmed that they had a clear understanding of the whistle blowing policy and and would have no hesitation in following the procedure should the need arise. 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. The Oaks and Woodcroft generally provide a homely, comfortable and safe environment for people to live in, which is clean and hygienic, although the showerrooms and bathrooms are in desperate need of refurbishment in order to provide people with pleasant and comfortable environments to bathe in. Evidence: The bungalows at The Oaks and Woodcroft were found to be clean, hygienic and generally pleasantly decorated throughout. Both had a very comfortable and homely atmosphere. One person from each of the bungalows was happy to show their bedrooms, which were seen to be very personal and individualised. a number of service users were seen using the various communal areas and appeared very relaxed and content in them. However, the shower-rooms/bathrooms in both bungalows were seen to be of a very poor standard, with mould on ceilings, walls and a bath panel and a very cold, impersonal and clinical atmosphere. Care Homes for Adults (18-65 years) Page 21 of 29 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 a competent, well trained and effective staff team and the service follows robust recruitment procedures. Evidence: Two personnel files were looked at in detail during the inspection and each of these was found to be well organised and contain comprehensive information, which confirmed that The Oaks and Woodcroft follow the robust recruitment procedures that are in place. Some of the documents seen included: photograph, identification, application form, references, employment contract, training records/certificates and confirmation of receipt of a clear, enhanced Criminal Records Bureau (CRB) disclosure. The training records looked at confirmed that staff have all received training in areas such as food hygiene, first aid, moving and handling, health and safety, fire safety and adult protection. It was also noted that more than fifty percent of the staff team have completed NVQ2 or above. From other records seen, together with discussions held with two staff members and Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: the manager, it was confirmed that staff receive regular support and supervision both formally and informally. Meanwhile, observations during the inspection showed a warm and friendly staff team, who interacted regularly and naturally with the people living at The Oaks and Woodcroft. 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 Oaks and Woodcroft are well run homes and the people living there benefit from good quality leadership and day-to-day management. A good Quality Assurance process is in place and the people living at The Oaks and Woodcroft know their health, safety and welfare is promoted and protected. Evidence: The Oaks and Woodcroft continue to be well run homes with a manager who has been in post since 2002 and is qualified to NVQ level 4 and has achieved the Registered Managers Award. The Oaks and Woodcroft continue to have a very person-centred approach with regard to their Quality Assurance process and information was seen to have been gathered from internal audits, external audits, residents meetings, person centred planning and satisfaction surveys. The policies, procedures and record keeping in respect of health and safety aspects Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: were observed to be of a high standard, covering numerous areas in great, but clear, detail and all relevant checks, drills and evacuations were seen to be carried out on a regular basis, with up to date records. Clear and detailed risk assessments in respect of health and safety were also seen, which have been reviewed and updated, as necessary, on a regular basis. Overall, the atmosphere during the inspection was cheerful and relaxed and observations confirmed that people were genuinely in their own homes, with their best interests, health and happiness being absolute priority. 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 1 27 23 The shower/bathrooms must 27/11/2009 be redecorated/refurbished as soon as possible, with mouldy areas, such as the bath panel, walls and ceiling, cleaned and consideration given to creating a more pleasant environment. In order that service users can have a more pleasurable experience when bathing or showering. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. 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