Care Home: The Views

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What the care home does well The Views is well maintained and decorated to a good standard. Individual bedrooms have been personalised. Staff advised that they are `well supported` and that the manager is `very approachable`. They stated that they don`t need to wait until supervision they can discuss an issue/problem at any time. The home ensures that all staff are given specialist training to equip them to meet the complex needs of the residents accommodated. All of the permanent staff team have completed NVQ (national vocational qualification) at level two or above. A staff member who is on a temporary secondment to the home is also about to commence studying for this qualification. What has improved since the last inspection? The statement of purpose has been updated since the last inspection. All of the staff team have completed their mandatory training. Equipment is tested and serviced at regular intervals. As required at the last inspection a system for monitoring the quality of the care provided in the home was introduced and for a period of time this worked very well. Support plans are person centred and where professional advice /guidelines have been obtained this is incorporated into the support plan. The shower room has been completely refurbished and new carpet has been fitted in two of the bedrooms. During the year a polytunnel was erected in the garden and a pathway was laid to make the tunnel accessible to residents. Unfortunately the tunnel was blown down following strong gales but the home is looking into an alternative facility so that residents can be supported to participate in gardening projects. What the care home could do better: There were no requirements made as a result of this inspection. Two organisational issues including the terms and conditions of residence and the arrangements in place for the provision of residents` activities will be discussed with the Trust outside of the inspection process. Key inspection report Care homes for adults (18-65 years) Name: Address: The Views 3 Chitcombe Road Broad Oak East Sussex TN31 6EU     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: Caroline Johnson     Date: 0 7 0 9 2 0 0 9 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 27 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) Copyright © (2009) 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 27 Information about the care home Name of care home: Address: The Views 3 Chitcombe Road Broad Oak East Sussex TN31 6EU 01424882396 01424751641 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Hastings and Rother Primary Care Trust care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 6. The registered person may provide the following category/ies 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: Learning disability (LD). Date of last inspection Brief description of the care home The Views is a purpose built bungalow situated in a residential area in the village of Broad Oak. The home is registered to accommodate six adults with learning disabilities some of whom have physical disabilities and complex needs. All of the residents have a visual impairment. There are six single bedrooms. Communal areas include a lounge and dining room. There is a very large garden area to the rear of the property which includes a patio area. Off road parking is available at the front of the home. The registered providers for the home are Hastings and Rother Primary Care Trust and they also manage nine Care Homes for Adults (18-65 years) Page 4 of 27 Over 65 0 6 1 0 0 9 2 0 0 8 Brief description of the care home other homes in the area. Fees for the service range form 1331 to 1366 pounds per week for a block contract. Care Homes for Adults (18-65 years) Page 5 of 27 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: For the purpose of this report the people living at the Views will be referred to as residents. As part of the inspection process a site visit was carried out on 07 September 2009 and it lasted from 09:45am until 16:30pm. The registered manager facilitated the inspection. During the visit there was an opportunity to meet with and observe the residents in their surroundings. Time was also spent talking with staff generally in the course of their duties and time was spent with a member of care staff in private. Two care plans were examined in detail. Other documentation seen included:- staff rotas, training, menus, health and safety, quality assurance and leisure activities. Care Homes for Adults (18-65 years) Page 6 of 27 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 7 of 27 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 8 of 27 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. The home ensures that they can meet the assessed needs of the residents accommodated. Evidence: There is a detailed statement of purpose in place that has been updated in recent months. The Registered Social Landlord has been given notice by the Primary Care Trust (PCT) and the contract will cease to exist in April 2010. The terms and conditions of residence/licence agreements have still not been updated and it is now over eighteen months since the PCT took on ownership of the home. It was reported that the document is being worked on and will hopefully be out for consultation soon. Each of the residents has a service user guide that is stored in their individual rooms. The guide is person centred and includes a range of useful information about the home and the service it provides. However, in the absence of new contracts a lot of the information provided relates to the previous provider. There are currently no vacancies at the home and there have been no new admissions Care Homes for Adults (18-65 years) Page 9 of 27 Evidence: to the home since the last inspection. There is information in support plans about how each resident communicates and each of the residents needs are assessed at regular intervals. Care Homes for Adults (18-65 years) Page 10 of 27 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. Care plans provide detailed information about the assessed needs of the residents. Evidence: Two support plans were examined in detail on this occasion. In each case the information provided was person centred and included very detailed advice and guidance for staff to follow to ensure that each individuals needs could be met. In addition to the support plans that staff use on a daily basis there is a reference folder in place for each resident. It was reported that reference folders do not need to be seen daily. It was noted that risk assessments are filed within the reference folders. Information about risks however is information that all staff, including agency staff, would need to be aware of. A good practice recommendation was made at the last inspection that risk assessments be person centred and clearly identify risk reduction measures considered and in place. In each reference folder there are a wide range of risk assessments in place that have been reviewed regularly. The manager advised that Care Homes for Adults (18-65 years) Page 11 of 27 Evidence: the Trust are looking at ways of making the documentation more person centred and two methods that are currently being considered were seen. It was noted that in most cases where there are risks they are included in the support plans along with risk reduction measures but currently this information is not regarded as risk assessments. Person centred planning (PCP) meetings are held regularly and there was evidence that planning had been carried out in advance of the meeting and that detailed minutes were kept of the outcome. Where there are actions recommended as a result of a meeting a timescale for achievement is set. It was noted that recording of achievement is often not detailed until the next meeting is due. It was therefore not possible to say if the recommendations seen had been addressed. Residents meetings are not held as none of the residents have any verbal communication. Staff who know the residents well get to know when residents are happy or when they are indicating they are unhappy. One staff member said that the resident they are keyworker to will grimace or cry out if in pain and they will be calm and smile if happy. They also said they will look around more when on outings and if melodic music is played they will be calm but show displeasure if a different type of music is played. Care Homes for Adults (18-65 years) Page 12 of 27 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. Whilst the numbers of activities have increased work needs to continue to ensure that residents are involved in a greater variety of stimulating and fulfilling activities. Evidence: Since the last inspection the day care provider used by the Trust that had been contracted to provide each resident with a minimum of three sessions a week was given notice and no longer provides a service. It was reported that staff are now arranging additional activities instead. Where there is a cost attached the residents are paying for this. There was evidence that a number of activities have been planned for the future and that residents have had opportunities to have day trips to a range of places of interest. Where possible residents go out on a daily basis. Recent outings included cafe trips, shopping attending a cricket match and a trip on a steam train. Care Homes for Adults (18-65 years) Page 13 of 27 Evidence: Records also showed however that there is a heavy emphasis on recording household tasks as activities for a morning or afternoon. In relation to the two support plans seen activities included putting out the laundry, dishing up dinner and changing laundry. In each case neither resident would be actively able to participate in these activities and would be observing the task only. The manager advised that there are plans in place to improve the quality of the activities provided. Staff have put together a list of the activities that they think that each resident would enjoy. A monthly planner will be used and it could identify for example that four cafe trips or one cinema outing or weekly swimming must be arranged in line with the assessed needs of the individual. Staff will then ensure that this is arranged and this can then be monitored more easily to ensure that this happens. Residents are supported to maintain contact with families and friends from other homes within the Trust. There is a four week menu in place. Residents always have a brunch on Sundays followed by a roast dinner in the evening. Records indicated that meals were well balanced. If an alternative is served a record is kept of this. A pictorial menu is in place but staff stated that they have not been successful in encouraging residents to make a choice of meal. It was noted in one support plan that if you present the resident with two choices they may get distressed if one is then taken away as they will not understand that they have to choose. Staff stated that if a resident indicates using facial expressions or by not eating that they do not like a particular meal then an alternative is always offered. Care Homes for Adults (18-65 years) Page 14 of 27 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is good at ensuring that the healthcare needs of the residents continue to be met. Evidence: There are arrangements in place to ensure that residents attend regular health appointments such as dental, opticians and chiropody. A number of professionals are involved in assisting staff to meet the complex needs of some of the residents. Where guidelines have been drawn up by healthcare professionals these have been incorporated into residents support plans. It was noted in one support plan that a visiting professional had recommended that a resident have bed rest in the afternoons but there was no indication of how long this should be for. The manager agreed to seek further advice on this matter. Staff were observed to be courteous and friendly in their care of residents and there was a very calm and relaxed atmosphere in the home. Staff receive medication training and they must also complete a competency assessment on an annual basis. The trust has identified a number of courses that are essential for the staff at the Views to attend to meet the specific needs of the residents accommodated. These Care Homes for Adults (18-65 years) Page 15 of 27 Evidence: include visual awareness training, peg feeding, epilepsy and eating and drinking. Each of the residents has a health action plan in place and this is reviewed periodically. Records showed that recommendations made are not always signed off as having been completed until the time of the next review so it was not easy to track if the recommendations had been achieved by the timescales set. Care Homes for Adults (18-65 years) Page 16 of 27 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. There are systems in place to ensure that anyone who wishes to make a complaint can do so. Evidence: It was reported that there have been no complaints since the last inspection of the home. There is a detailed complaint procedure in place. A simplified version of the procedure is available and a copy is also included in the service user guide. There are a range of systems and procedures in place to assist staff in recognising how residents might show signs of unhappiness. Staff spoken with stated that if residents ever show signs of unhappiness it is generally a minor issue for example they will refuse to eat a meal they dont want so staff offer an alternative. There is a detailed procedure in place on the protection of vulnerable adults. Records showed that all of the staff team have had training on the subject. A staff member spoken with was clear about what they should do if they suspected abuse of any form. In advance of the inspection an issue had been raised anonymously with the Commission regarding two of the residents and the lack of arrangements in place to meet a particular area of their personal care needs. This was discussed with the manager who was able to explain the systems in place and to talk about the arrangements that had been put in place to address the needs of one of the residents as a result of recent advice from a professional. The Commission was satisfied with Care Homes for Adults (18-65 years) Page 17 of 27 Evidence: the arrangements in place and with the action taken by the home. Care Homes for Adults (18-65 years) Page 18 of 27 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 home is well maintained and decorated to a good standard. Evidence: The home is well maintained and decorated to a good standard. Since the last inspection the shower room has been completely refurbished and new equipment has been supplied. Two of the bedrooms have had replacement carpets. Bedrooms seen were well maintained and have been personalised. It was noted on reading through notes that some of the easy chairs in bedrooms were either due to be replaced or needed to be recovered. The manager advised that they are currently looking into who has responsibility for financing this. There is a very large garden to the rear of the property. During the year a polytunnel was erected in a section of the garden and a pathway was laid through the interior to enable residents to have access to this area. Unfortunately the polytunnel came down during some strong gales and the home is now looking for a sturdier replacement. It was reported that a number of planters were purchased and a wide variety of fruit and vegetables were grown. Staff stated that residents enjoyed being involved in the garden and in participating in whatever way they could either practically, watering/picking/observing) or in a sensory capacity (smelling). Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: Records showed that equipment is serviced and tested at regular intervals and that the PCT also has a system in place for monitoring to ensure that this has occurred. Following advice that the home has obtained recently from a local fire officer, the manager advised that the homes evacuation procedure will now need to be reviewed to include reference to the recommendations made. It was recommended at the last inspection that the frequency of drills increase and although this has happened the manager advised that further drills will be carried out to ensure that all staff take part in a fire drill. All areas of the home seen during the inspection were clean and fresh. All staff have had training on infection control. Care Homes for Adults (18-65 years) Page 20 of 27 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. There is a well trained staff team that have the skills required to meet the needs of the residents accommodated. Staffing levels should be kept under continual review. Evidence: Staffing levels consist of three staff on an early shift, two staff on a late shift and one staff working a day shift (9-4:30). Often the member of staff working the day shift is the manager. Records show that on occasions staff work a 2:30 to 4:30 shift to cover the afternoon and enable outings to take place. Staff stated that in the afternoons if two of the residents are taken out this leaves one member of staff with four residents some of whom have complex needs. The manager advised that there are currently 2.8 posts vacant. A recruitment drive has just been held and a number of candidates have been shortlisted for second stage interviews. She stated that she is hopeful that once these posts have been filled staffing levels will be better. In the interim she can use agency staff as required. Recruitment records were not seen on this occasion as they are held at a central office. The manager advised that she sees the application forms and interview feedback forms for all applicants. References and CRB documentation is held centrally and would be available for her to check. She currently does not sign that she has Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: checked this documentation but advised that a system could be put in place to cover this. All of the permanent staff team have completed NVQ (national vocational qualification) at level two or above. A new member of staff is on a temporary placement and they are enrolling on a level three course shortly. One of the permanent staff who has level two is currently studying for level three. New staff complete a detailed induction to the service. Records showed that all staff are provided with regular opportunities to attend mandatory training and in addition to attend more specialist training that has been identified as essential to meet the needs of the residents at the Views. A number of the staff team completed training in peg feeding in November 2005. All of the staff team receive formal training on the medication in use in the home. Following this training they then complete an annual competency assessment in house. The assessment also relates to the management/use of invasive medication. The manager advised that she would also include more detailed reference to peg feeding and management in the assessment. A supervision matrix was on display in the home. Some of the staff team have received supervision more regularly than others but it was noted that there is still time to get back on track and ensure that all staff have at minimum six supervisions within the year. Staff spoken with stated that they felt well supported and that they dont need to wait until a formal supervision session, if they have a problem or want to talk the door is always open. Care Homes for Adults (18-65 years) Page 22 of 27 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 run well in the interests of the residents accommodated. Emphasis should be placed on ensuring that the home continues to develop their quality assurance system. Evidence: The registered manager has been in post for over four years now. She is a qualified nurse holding the RNMH (registered nurse in mental handicap) and a DipHE. She continues to attend a wide range of courses to update her knowledge and skills. Staff meetings are held periodically and records seen showed that meetings are used not only to update staff on changes but also to enable staff to share their views on the running of the home. Staff spoken with stated that they were well supported and that the manager is very approachable. There is a detailed policy and procedures manual in place. Information provided in advance of the inspection showed that in relation to some policies it has been a number of years since the documents have been updated. Some policies are those of Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: previous providers. When a new policy is introduced a copy is sent to the home and all staff must sign that they have read and understood the contents. A member of the senior management team visits the home once a month to report on the running of the home. Records showed that there have been six visits this year but that in each case the person carrying out the visit was looking at records relating to previous months. For example during the month of August two visits were carried out to look at records relating to June 2009. This effectively means that the provider is not being kept up to date via the reporting system. It was recommended that the September visit be used to catch up and that thereafter visits be carried out relating to the month of the visit. It was noted that the duration of the visits has now increased and that visits are generally six hours in duration. Last year the PCT introduced a new format for carrying out quality assurance monitoring. Questionnaires were sent to the relatives of the residents and two returns were received. The responses were very positive. Records showed that questionnaires have been sent to relatives again this year. As residents have complex needs and are unable to give verbal feedback a system was introduced to look for evidence that their individual needs were being met. A member of the senior management team visited the home and along with support from staff assessed the quality of residents lives from a range of aspects. As a result of the exercise where appropriate recommendations were made to the home to ensure that there was more detailed recording kept. In addition timescales were set to achieve any recommendations made. The system itself is excellent and it was therefore disappointing to note that there was no evidence recorded that the recommendations made had been addressed. In addition the quality assurance system has not been carried out this year. Information provided in advance of the inspection showed that there are a range of measures in place to ensure the health, safety and welfare of the residents and staff. Care Homes for Adults (18-65 years) Page 24 of 27 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 25 of 27 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 26 of 27 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. Copyright © (2009) 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. Care Homes for Adults (18-65 years) Page 27 of 27 - 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!