Care Home: The Progress Project

Similar services:

• 1 Marten Road
• Daubeney House
• Three Gables
• Aldwick House
• 49 Glendale
• The Springs Community
• Crossways Community
• Belle Vue Country House

What the care home does well People are supported to have an active lifestyle, to continue their education and follow their leisure interests. People are supported to develop self-confidence and skills which will prepare them for a more independent lifestyle. People live in a homely and comfortable environment which meets their needs and is decorated and furnished to a good standard. The home has a good atmosphere and staff and people who live there believe they can contribute their ideas to how the service is run. What has improved since the last inspection? The service has expanded by accomodating more people and taking on more staff. Staff believe the management team have helped create a friendlier and more nurturing environment for people to live in. The kitchen has been redecorated and refurbished, and many other areas of the home have been redecorated and refloored, including a number of bedrooms. The expansion of the service has allowed the staff to offer people more things to do and to develop new support strategies. What the care home could do better: No requirements were made at this visit. Key inspection report Care homes for adults (18-65 years) Name: Address: The Progress Project 22 Winchester Road Worthing West Sussex BN11 4DH     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: Edward McLeod     Date: 2 7 0 4 2 0 1 0 This is a review of 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 2 1 0 stars - excellent stars - good star - adequate 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. 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. Care Homes for Adults (18-65 years) Page 2 of 29 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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 Progress Project 22 Winchester Road Worthing West Sussex BN11 4DH 01903233390 01903208857 vanessa@sunkistgroup.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Hemmingrod Ltd trading as The Progress Project Name of registered manager (if applicable) Mrs Vanessa Saunders Type of registration: Number of places registered: care home 16 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: The maximum number of service users to be accommodated is 16. The operation of the home is to be supervised by a qualified mental health professional. The registered person may provide the following categories of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: The category of service users be exclusively Mental Disorder including drug and alcohol problems, but excluding learning disability and dementia. Date of last inspection Brief description of the care home The Progress Project is a care home registered to provide accommodation and personal care for up to sixteen residents with mental illnesses. Within this number residents Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 0 Brief description of the care home with past or present alcohol and drug dependency may also be accommodated. The home is a detached two-storey property, which has been adapted and extended for its current use. The care home is situated in a residential area of Worthing, local shops and other amenities are within walking distance. Communal facilities include two lounges and dining room located on the ground floor. Private accommodation consists of seventeen single bedrooms and is located on the ground and first floors. There is ramp access into the care home. However, access to the first floor is via two staircases. There is a patio garden to the front of the premises and a courtyard to the rear, which are available for residents to use. The service is privately owned by Hemmingrod Ltd, trading as The Progress Project, the Responsible Individual is Mr. B. Schiavone and Vanessa Saunders is the Registered Manager. Current fees are from 695 to 715 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 inspection visit was arranged to update our assessment of previous requirements made and of the homes compliance with the key national minimum standards for Care Homes for Adults (18-65) and with a registration requirement. In preparation for our visit we looked at all the information that we have received or asked for since the last key inspection and this has included The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Surveys returned to us by people using the service and staff. The previous key inspection report. Care Homes for Adults (18-65 years) Page 6 of 29 The visit was started at 11.15 p.m. on the 27th April 2010, lasted 4 hours and 30 minutes and was attended by one inspector. At the visit we spoke with the manager, three members of staff, and with three people who are receiving a service. We sampled care and health care records for three people, staff recruitment records for two staff, and training records and supervision records for four staff. Records relating to complaints and health and safety were also sampled. Care Homes for Adults (18-65 years) Page 7 of 29 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details 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. People are confident 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. Evidence: The AQAA tells us that a Welcome Pack for new or prospective residents is now provided. The manager Mrs Saunders advised us that the service aims to provide support for people who are focusing on recovering good mental health and who want to prepare for living in the community. There were six people accomodated at the time of our visit. The two people living in the home who responded to our CQC survey told us that they had been consulted about moving into the home and had received enough information Care Homes for Adults (18-65 years) Page 10 of 29 Evidence: about the service before moving in. We looked at the assessments carried out for two people living at the service before their move was arranged. We found that the pre-admission assessment process includes informal visits, formal assessments, risk asssessments, and a statement from the person of their needs and interest . Care Homes for Adults (18-65 years) Page 11 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples 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 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 they are offered opportunities to participate in the day to day running of the home and enable them to influence key decisions. Evidence: The AQAA tells us that each person has a 6-weekly review of their care plan which includes them, their key worker, the manager, an occupational therapist, and registered mental nurse. Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: We looked at the care plans for three people living at the service, and found that care plans were evidencing how people were being supported with work opportunities and developing their independence. We found that their key worker was engaging them in reviewing their care plan and supporting them to acheive their goals. We found that risk assessments were in place and these helped staff provide a consistent level of care and support to the people living at the service. A member of staff we spoke to gave examples of how one person had been supported in their own time to take up voluntary work, education, and a healthier lifestyle. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. 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 adtivities that are appropriate to their age and culture and are part of their local commmunity. The care home supports them 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. People have healthy meals and snacks, and have opportunites to develop thier social, emotional, communication and independent living skills. This is because the home supports their personal development. People choose and participate in suitable leisure activities. Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: We are told in the AQAA that the service has introduced activities planning meetings, and interests check lists, and that weekly groups which take place now include relaxation, photography, improving social confidence, and cooking. Activities information we saw during our visit indicated that group activities for that week included a staying well group, music appreciation, newspaper discussion, and an art group. On the day of our visit some people were going out to play football, and regular fishing trips are arranged. There is a games room with a pool table, which we saw one person using, and a computer play station. We talked to two people living at the service about their interests and they told us that they were being supported by staff with their interests and that it was helping them build up their self-confidence. Care plans we sampled also indicated that people are being supported to continue their education, do voluntary work, and prepare for employment. The care plans also provided examples of how people are supported to stay in touch with their family, friends and advocates. The AQAA tells us that residents are encouraged to be involved in meal preparation, and that specialist diets such as vegetarian and diabetic diets are catered for. We looked at the menus for the weeks commencing 12th and 19th April, and found that a range of different foods and meals were being arranged and alternatives offered. During our visit people were preparing their own individual lunches when they wanted to. The dining room has a kitchenette which is set up with provisions for them to make breakfast, snacks, and hot and cold drinks when they wish. Care Homes for Adults (18-65 years) Page 15 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. People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met. If people take medicine they manage it themsleves if they can. If they cannot manage their medicine the home supports them with it in a safe way. Evidence: The two people living in the home who responded to our CQC survey told us that staff listened to them and acted on what they said, and that they were teated well. One person told us in their survey form that they find staff supportive and that staff have a caring attitude. Another person indicated that staff discuss support strategies with them on a regular basis. One member of staff told us in their CQC survey form that they were very impressed with the level of support offered to residents to regain skills to live in the community. Another member of staff said in their CQC survey form that they empower residents Care Homes for Adults (18-65 years) Page 16 of 29 Evidence: to be more independent and take responsibility for their lives. Care plans we sampled indicated that people are supported to access the healthcare support they are in need of, such as mental health professionals, opticians and outpatient support. The five members of staff who responded to our CQC survey told us that they receive training which gives them enough knowledge about health care and medication. We looked at medication records for three people who administer their own medicines and one person for whom staff administer medicines. We found there to be arrangements in place for people to safely administer their medicines, including regular reviews and spot checks. We found that medication records we looked were up to date and that arrangements for storage and auditing of medicines held at the service were in place. Training records sampled indicated that staff are receiving NCFE level 2 Safe Handling of Medicines training. Care Homes for Adults (18-65 years) Page 17 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. If people have concerns about their care they or people close to them know how to complain. Their concern is look 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. Evidence: We are told in the AQAA that training has been provided for staff in the Mental Capacity Act and in safeguarding vulnerable adults. The AQAA also tells us that the service have reviewed and improved their whistle blowing policy (which supports staff in reporting their concerns about the service) and introduced a professional boundaries policy. At our visit we sampled the Missing Persons Proceedure and discussed with a member of staff the action that is taken when someone goes missing. We looked at the record for an incident that had taken place, and found that staff had fully followed the procedure. We found that clear and accessible guidelines on this are in place which are understood and acted upon appropriately by staff. Care Homes for Adults (18-65 years) Page 18 of 29 Evidence: Staff we talked to told us that the risk management evalutation and action plan which is used in the home is helpful and clear in setting out levels of risk and how these are best managed to ensure that people are kept safe. We are told in the AQAA that the procedure for complaints is discussed at every residents meeting. The two people living in the home who responded to our CQC survey told us that they had someone they knew they could speak to if they had concerns. The five members of staff who responded to our CQC survey told us that they knew what to do if someone has concerns about the home. We sampled the record of complaints, and found that complaints were being appropriately recorded, fairly investigated, and feedback to the complainant was given at the end of the process. Care Homes for Adults (18-65 years) Page 19 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 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. Evidence: The AQAA tells us that improvements to the premises have included the redecoration of ten bedrooms, new flooring in eight bedrooms, and two bedrooms have new fire doors. There has also been redecoration in the main hallway, the rear hall way, the laundry room, and the ground floor shower room. The AQAA tells us that the kitchen has been fully refurbished, and all bedding and soft furnishings have been replaced in newly decorated bedrooms. A cleaner, a gardener and a handyman have been employed. The gardens and the building are being well maintained. We found decoration, furniture and fittings to be of a good standard. The building has good natural light, and looks homely and comfortable. Care Homes for Adults (18-65 years) Page 20 of 29 Evidence: Communal areas include a sitting room which has a T.V., DVD and board games, a dining room with kitchenette, and a lounge with a pool table. One person we spoke to said they liked their bedroom and that it was good to have different communal areas which you could use. All areas of the home visited were found to be free of clutter, clean and fresh. Care Homes for Adults (18-65 years) Page 21 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 have safe and appropriate support as there are enough competent and trained staff on duty at all times. They have confidence in the staff because checks have been done to make sure that they are suitable. Staff are receiving the training and support they need to ensure they can meet peoples needs. Evidence: The AQAA tells us that staffing levels have been improved, and that a cleaner, handyman, and gardener have been employed. The five members of staff who responded to our CQC survey told us that there are always or usually enough staff to meet the needs of the people acconmodated. Staff told us that they always or usually feel they have enough support, experience and knowledge to meet the individual needs of all the people who use the service. On the day of our visit there were sufficient staff provided to ensure that planned keywork sessions and activities could take place. One member of staff wrote in their survey form that regular team meetings and home Care Homes for Adults (18-65 years) Page 22 of 29 Evidence: meetings are helping to ensure that continuity of care is being provided. The five members of staff who responded to our CQC survey told us that the employer carried out checks, such as CRB checks and references, before they started work. We are told in the AQAA that all staff complete a 12 week Skills for Care induction training, and that staff training has been provided in safeguarding and the Mental Capacity Act. At our visit we sampled one persons induction workbook which evidenced that senior staff were supporting them to progress with their induction in a structured way. The five members of staff who responded to our CQC survey told us that the induction training covered the things they needed to do the job when they started. The training records we sampled indicated that most staff are up to date with most of the statutory training. Later during the week of our visit health and safety and infection control training for staff had been arranged. The five members of staff who responded to our CQC survey told us that they receive training which helps them to understand and meet the individual needs of people. Staff we spoke told us that one member of staff was undertaking the National Vocational Qualification in Care (NVQ) at level 2, and all other permanent staff had obtained NVQ3 or NVQ4. The five staff who responded to our CQC survey told us that they receive regular supervision from their manager, and one member of staff added that there was very good staff supervision and training. We looked at supervision records for two permanent members of staff and two bank staff who work at the service when called upon to do so. We found that regular staff supervision was being provided for them. Care Homes for Adults (18-65 years) Page 23 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. People have confidence in the care home because is is run and managed appropriately. Peoples opinions are central to how the home develops so that the home has appropriate ways of making sure they continue to get things right. The environment is safe for people because health and safety practices are carried out. Evidence: The manager Mrs Saunders has appropriate qualifications and experience, and since our previous visit has continued to update her training. It was a condition of the registration of the service that the operation of the home be supervised by a qualified mental health professional. This is being achieved by a qualified mental health professional visiting the service Care Homes for Adults (18-65 years) Page 24 of 29 Evidence: once a month, and providing a report of their visit. We sampled the monthly reports completed by the person regarding their visits to the service on 25/2/10 and 29/3/10. The reports record significant events in the home and in the management of the service, and offer a view on improvements which could be made. One member of staff told us in their CQC survey form that the home provides a safe and supportive environment and is a happy place to work, and another member of staff wrote in their survey that the service listens to residents and responds to their ideas. We found there to be a good atmosphere at the service, and two people living there who we talked to said people got along well and it was a good place to live. The AQAA tells us that the views of people using the service are obtained through residents meetings, link worker meetings, a suggestions box, a moans groans and cheers book, and the complaints procedure. Staff we spoke to told us that peoples likes and dislkes are taken into account when menus are planned. Peoples suggestions for things to do, such as playing football, have been arranged. The most recent Development Plan for the service dated March 2010 indicates the improvements the service is hoping to achieve in the coming months. A requirement was made at our previous visit that the registered manager must liaise with the Fire Service in order to ensure that the fire training for staff is carried out and kept up to date. Mrs Saunders told us that the advice she had received from the county Fire Service was that night staff do fire training three monthly and day staff six monthly, and that all staff were now up to date with their fire training accordingly. We looked at records for fire drills, equipment and alarm tests and found that these were regularly taking place and being recorded. We found the previous requirement to have been met. We sampled a number of equipment checks and services that had been carried out in the home, and we found the certificates to be up to date. Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: We sampled a number of safety checks being carried out regularly, which indicated that arrangements are in place to provide a safe environment for people to live and work in. Care Homes for Adults (18-65 years) Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: Telephone: 03000 616161 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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!