Care Home: The Paddocks

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What the care home does well People are helped to move intoPage 10 of 36Care Homes for Adults (18-65 years)the home in the way that suits them and they have very good assessments.People can make the choices and decisions they want to.People have their own timetables for doing what they want to do, like going shopping or doing art work.There are very good care plans that help people to get the support the need and want.Staff are well trained and know how to look after people. What has improved since the last inspection? 1stCare Homes for Adults (18-65 years)This is the first time we have visited so we can not say what has improved.Page 12 of 36 What the care home could do better: We said that they should look at the records for the fire alarm tests regularly to make sure that they are being filled in properly. This is so that the records are kept up to date, and anything that needs fixing can be done quickly.The manager said that she will put more details into the care plans to show that they haveconsidered new laws about people`s freedom of movement. For example where a kitchen door may need to be locked so that people are kept safe.The manager also said that she will make sure that they only have locks fitted on doors, that can be opened from both sides. This is to make sure that people cannot get locked into a room. Key inspection report Care homes for adults (18-65 years) Name: Address: The Paddocks Heath Farm Ashby De La Launde Lincoln Lincs LN4 3JD The quality rating for this care home is: two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Wendy Taylor Date: 1 8 1 2 2 0 0 9 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should:  Be safe  Have the right outcomes, including clinical outcomes  Be a good experience for the people that use it  Help prevent illness, and promote healthy, independent living  Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home:  3 stars – excellent  2 stars – good  1 star – adequate  0 star – poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Care Homes for Adults (18-65 years) Page 2 of 36 Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by:  Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice  Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983  Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services.  Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2010) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 36 Information about the care home Name of care home: Address: The Paddocks Heath Farm Ashby De La Launde Lincoln Lincs LN4 3JD 01526322444 01526323600 info@autismcareuk.com autismcareuk.com Autism Care (UK) Limited Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Jill Davis Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 7 0 0 0 care home 7 learning disability physical disability Additional conditions: The maximum number of people who can be accomodated is 7 The registered person 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 categories, Learning Disability, Code LD Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 36 A bit about the care home The Paddocks is located near to the village of Scopwick in Lincolnshire. There is a shop and a pub in the village. 6 Six people live in the home, and there is lots of space and opportunities for them to do what they Care Homes for Adults (18-65 years) Page 5 of 36 want to do. It costs between £1607.93 to £2265.25 each week to live at the home. Information about these costs and the management of the home are available in main office. Care Homes for Adults (18-65 years) Page 6 of 36 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 Care Homes for Adults (18-65 years) Page 7 of 36 How we did our inspection: This is what the inspector did when they were at the care home The quality rating for this ** service is 2 star. This means that people get good quality outcomes. We had a lot of information before we visited the home, like surveys that people have sent us. This has helped us to know what the service is like. An inspector went to the home Care Homes for Adults (18-65 years) Page 8 of 36 to see how things are done. People who live in the home have different ways of communicating so the staff helped us to talk to them. We spoke to staff and the manager, and watched how staff did their jobs. Care Homes for Adults (18-65 years) Page 9 of 36 We looked at things like care plans, staff records, and how people are helped to look after their money. What the care home does well People are helped to move into Page 10 of 36 Care Homes for Adults (18-65 years) the home in the way that suits them and they have very good assessments. People can make the choices and decisions they want to. People have their own timetables for doing what they want to do, like going shopping or doing art work. There are very good care plans that help people to get the support the need and want. Care Homes for Adults (18-65 years) Page 11 of 36 Staff are well trained and know how to look after people. What has got better from the last inspection 1st Care Homes for Adults (18-65 years) This is the first time we have visited so we can not say what has improved. Page 12 of 36 What the care home could do better We said that they should look at the records for the fire alarm tests regularly to make sure that they are being filled in properly. This is so that the records are kept up to date, and anything that needs fixing can be done quickly. The manager said that she will put more details into the care plans to show that they have Care Homes for Adults (18-65 years) Page 13 of 36 considered new laws about peoples freedom of movement. For example where a kitchen door may need to be locked so that people are kept safe. The manager also said that she will make sure that they only have locks fitted on doors, that can be opened from both sides. This is to make sure that people cannot get locked into a room. Care Homes for Adults (18-65 years) Page 14 of 36 If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Wendy Taylor CQC East Midlands Citygate Gallowgate Newcastle upon Tyne NE1 4PA 01223771300 Care Homes for Adults (18-65 years) Page 15 of 36 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 16 of 36 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 17 of 36 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A thorough assessment process means that people know that the home can meet their needs and wishes. Evidence: We looked at the files for two of the people who live at the home. Each file contained a very detailed assessment of the things that the person needs help with, and what they like to do. The assessments include things like physical and emotional needs, past experiences, family needs, communication, and cultural needs. They also show how the person makes decisions, and if there are any restrictions in the persons lifestyle that are needed to help them stay safe. Part of the assessment process also looks at the persons specialist needs to do with autism. Staff told us about how they go to meet people and their families and spend time getting to know them before they come to live at the home. They said that this helped them to learn much more about the persons needs and wishes, and the assessments continue for up to three months when the person has moved into the home. The assessment records clearly show that the person, their family, and any one else who is important to them, are involved in the assessment process. We also saw that there are clear, individual plans Care Homes for Adults (18-65 years) Page 18 of 36 Evidence: set out to help them settle into the home. Care Homes for Adults (18-65 years) Page 19 of 36 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. Robust care planning and a knowledgeable staff team mean that people receive the care and support that they need and want. Evidence: Each persons file has a personal details sheet that can be taken with them if they need to go to a doctors appointment or a hospital visit for example. The sheet has information about things like their general needs and medication which can help to make sure that they get the right help. Everyone has a set of care plans in place that help them to get the support they need. We saw that the care plans are cross referenced to the original assessments. They are split into three sections that cover the persons behavioural needs, autism needs, and general needs such as diet, road safety, mobility, social activities, and how they make decisions. We saw that they are very detailed and show staff how the person likes to be supported, and the ways in which the staff should provide that support. We talked to the manager about care plans to do with things like access to kitchens as they did not clearly show how they related to new laws. The manager said that she would increase the details Care Homes for Adults (18-65 years) Page 20 of 36 Evidence: in the plans. People have specific staff to help monitor their care plans and progress, and help them with general needs such as shopping. These staff are called keyworkers. We saw that peoples keyworkers are chosen through a number of ways such as whether the person likes them, do they have similar interests, or are they similar ages. We saw that each month keyworkers review the care plans, and the records include things like what the person has achieved and what they have enjoyed doing. Any changes that are needed to the plans are carried out and recorded. We also saw reports of yearly reviews with the person and all of the people who are important in their life. Personal records include risk assessments for things like falls, safety outside of the home, night care, and bathing. Again the assessments show exactly what the type of risk is and what staff need to do to reduce the risk. We watched staff following detailed daily routines with people, and we saw that they carried out care planned activities in a supportive and encouraging way. We also saw them responding to complex situations in an organised and calm manner. All of the staff we spoke to had a very good understanding of the needs of the people they were working with, and they could describe how the person communicated their needs and wishes. They also helped us to communicate in the right way with people. Staff told us through surveys that they are always given up to date information about peoples needs, and the information is always clear and easy to follow. Surveys from other care professionals told us that peoples needs are always properly monitored and reviewed by the home. A person who lives at the home told us happy here. Care Homes for Adults (18-65 years) Page 21 of 36 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. Peoples chosen lifestyles are supported and respected, and they enjoy a range of social activities that meet their needs and wishes. Evidence: We saw that each person has a detailed activity plan which shows the days and times that the activities are going to take place. The activities include peoples preferred daily routines, such as spending time in their own rooms, or doing art work. They also include things like bowling, eating out, shopping and household tasks. Some people have picture plans in their own room, and they can change the timings or activities in the plan whenever they wish. We saw people using their picture plans to confirm that an activity is taking place. The care plans show that people are encouraged to keep in contact with family and friends wherever they wish. The kind of contact, such as telephone calls or visits, is recorded. Some people were preparing to spend the Christmas holiday with their family, and a Christmas lunch was taking place on the day of our visit so that all the people who Care Homes for Adults (18-65 years) Page 22 of 36 Evidence: live in the home could also celebrate together. We watched staff supporting people to do things like dusting and laundry, and things like reading books and drawing. The staff communicated with people in the way that they recognised and understood, and they demonstrated a detailed understanding of the persons individual needs and wishes. They also made sure that peoples privacy and dignity was maintained, for example using peoples preferred names and talking to them about personal issues in private. Care plans show staff how to help people maintain their privacy and dignity, such as closing doors to bathrooms, and wearing appropriate clothing. Staff told us through surveys and discussions that they have enough support to help them manage peoples different needs, and other professionals told us that staff always respect peoples privacy and dignity. Other professionals also told us that people can live the life they choose at the home. There are guide menus in place that are based on peoples known likes and dislikes, which are recorded in their personal files. Staff showed us that they have a very clear understanding of each persons dietary needs, and that they offer choices at each meal time. For example we saw one person choosing their lunch, and one person told us that they enjoy the food and get what they like. Drinks were freely available to people throughout our visit, and again people made their own choices for what they wanted. Care Homes for Adults (18-65 years) Page 23 of 36 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. Satisfactory systems are in place to make sure that people get the personal and health care that they need and wish to have. Evidence: Every one who lives in the home has a health action plan. This includes information about how people get services such opticians, dentists, and physiotherapy. There are records that show what has happened at health appointments that people have gone to, and there are body charts to show where the person had had any injuries, such as cuts or bruises. Other professionals told us that staff always seek advice about any health issues that people may have, and they act upon the advice given. There are detailed care plans in place for things like epilepsy, bathing, personal care, and outbreaks of flu. The plans show how each person likes to be supported, for example whether they like a bath or a shower, or what type of shampoo they like. There are also care plans for people who have medication. These are very detailed and show things like how the person takes their medication, what the side effects can be, and how to give medicines that are not used all of the time. We watched people being given their medication, and staff did this in a safe way. We also saw how medicines are stored, and returned to the pharmacy when they are no longer Care Homes for Adults (18-65 years) Page 24 of 36 Evidence: needed. Again we saw that staff followed all of the procedures in place to make things safe. Records show that staff who give out medication are trained to do so, and their skills are assessed by the manager. Some staff who do not give out medication, help to check that the records have been completed properly. These staff also have training to do this. We saw that medication records were completed properly. The home has told us about one situation when a person did not receive their medication as prescribed, and they showed us that they dealt with this in the right way. Care Homes for Adults (18-65 years) Page 25 of 36 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 are protected by clear systems and policies, and by staff who know how to put them into practice. Evidence: Records show us that there have been no complaints made about the service since it was first registered. We saw a system in place for recording any complaints and there is a policy to show people how to make complaints and how they should be dealt with. Staff told us that they know what to do if someone has a concern or a complaint about the home, and other professionals told us that the home always deals properly with any concerns raised. Staff were able to tell us in detail how they would identify and deal with any situations where a person may be at risk of, or experiencing abuse. Records show that staff are trained about this subject and regularly updated, and they are given a fact sheet about how to report abuse. Staff also knew where to find the policy about how to manage any situations of this type. We know that no alerts have been made to the local authority Safeguarding Adults team since the service was first registered. We looked at how the home looks after peoples personal money. There is a system in place for two staff to sign for and record any money used by people, and receipts are kept to cross reference with these records. Each persons money is kept in a locked safe that only senior staff have access to, and records show that the balances are checked by two staff on a daily basis. Care Homes for Adults (18-65 years) Page 26 of 36 Care Homes for Adults (18-65 years) Page 27 of 36 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 live in a comfortable home that suits their needs and wishes. Evidence: We looked around the home during our visit. We saw that it was clean and tidy, and nicely decorated. People had decorated their personal rooms as they wished, and some people were able to tell us that they liked their rooms and the home in general. There is comfortable furniture in the communal rooms, and ornaments, soft furnishings and pictures are being added to them at the pace that people want them to be. There is a choice of lounge and dinning areas for people to spend time in. There are also two kitchens, one of which can be used to help people develop their skills of cooking and making drinks. We saw that one kitchen door has a lock on which could not be opened from the inside, which means that someone could get locked into the room. The manager said that this lock is never used but she would make sure that it is taken off the door. The manager told us that there is a team of people available to them who look after the general maintenance in the home. Records show that repairs and maintenance are carried in a timely manner. Care Homes for Adults (18-65 years) Page 28 of 36 Evidence: During the visit we saw that staff used gloves and aprons when necessary, and they used hand washing techniques in the right way. We also saw that there is a policy to tell staff how to lessen the risk of spreading infection. We saw that any substances that could be harmful to people were locked away, and there are information sheets about the substances that are available to staff to tell them how to use them safely. Care Homes for Adults (18-65 years) Page 29 of 36 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 benefit from a safely recruited and well trained staff team. Evidence: Recruitment records contain things like criminal records bureau checks, application forms, written references, and records of employment interviews. Staff told us about all of the checks they had to go through before they started work at the home, and said that they thought it was a thorough process. Staff also told us that they had a good induction process which helped them to understand their roles. Records show that the induction training is based on a nationally recognised programme, which includes subjects such as care planning, keeping people safe, meeting individual needs, and new laws about how people make decisions. A staff member told us this is the best induction Ive had to a job, and that the rest of the team were very helpful and supportive. Records show that more than half of the staff team have achieved a nationally recognised care qualification. The manager said that those who do not are due to start training towards gaining the qualification in the near future. Staff said that on going training within the home is relevant to their role and helps them to do a good job. We saw that they are trained about things like the keyworker role, fire safety, medication, epilepsy, and infection control. There is also more special training about things like how to help Care Homes for Adults (18-65 years) Page 30 of 36 Evidence: people manage their behaviour, how to help them communicate in a way that suits them, and how to help people have more control over their care. Other professionals told us that they think staff have the skills and experience to support people in the right way. Staff told us that there are enough of them on duty to meet peoples needs, and during the visit we saw that staff were able to spend time supporting people individually. Staff also told us that they felt well supported by the supervision process. Records show that all staff receive regular supervision, and that supervisors are trained to carry out the role. Staff made comments like the team works very well together, and theres a strong bond between staff which helps to deliver the best possible service. Care Homes for Adults (18-65 years) Page 31 of 36 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed, and there are clear systems in place to promote and protect peoples health, safety and welfare. Evidence: The manager of the home has worked for the provider organisation for a number of years and has range of experience within the care industry, both as a manager and care worker. She has a nationally recognised management qualification and has experience of developing training packages. She also provides training for staff throughout the organisation about supervision processes. Our records show that she tells us about things that effect the lives of people who live in the home, and she does this in a timely manner. Staff told us that the manager is approachable and very supportive. They also told us that there are good levels of communication within the home. They made comments such as communication is consistent, and communication works well here. We know that the provider organisation has a detailed quality assurance programme in place and carries out regular surveys with people, their families, and staff. For example, we saw completed surveys about peoples experience of moving into the home. Care Homes for Adults (18-65 years) Page 32 of 36 Evidence: We saw records of regular audits for things like medication records, care plans, and health and safety issues. We also saw reports of monthly visits to the home by the area manager. The area manager looks at things like the general management of the home, how peoples finances are managed, and what activities are being provided for people. They also set out an action plan for the home to follow if they find things that need improving, and this is reviewed at their next visit. We looked at the general record keeping within the home. For example we saw fire safety records, general risk assessments, and how accidents are reported. Risk assessments were in place for things like using garden equipment, decorating, using barbecues, and driving the homes vehicle. There is a clear accident reporting system, and records were detailed and cross referenced with peoples daily notes. We saw that there is an up to date fire risk assessment in place, and records show that the home practices for evacuation in case of fire. Staff were able to tell us exactly what they would do if the fire alarm sounded. Weekly fire alarm testing records were not up to date, but we spoke to staff who said that they have seen them being carried out, and were able to describe the process. Care Homes for Adults (18-65 years) Page 33 of 36 Are there any outstanding requirements from the last inspection? Yes  No  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 34 of 36 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 Description 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 Description 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 42 It is recommended that fire alarm testing records are monitored on a regular basis. This is to ensure that they are kept up to date, and any identified issues are dealt with in a timely manner. Care Homes for Adults (18-65 years) Page 35 of 36 Helpline: Telephone: 03000 616161 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 © (2010) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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