Care Home: The Willows

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What the care home does well People are supported to go out and do activities that they enjoy so they live fulfilled lifestyles. People eat a varied diet that meets their dietary and cultural needs. Interactions between people and staff were friendly and relaxed. Staff treated people with respect and maintain their dignity. Peoples family and friends can visit and are made to feel welcome. So people maintain relationships that are important to them. What has improved since the last inspection? The previous requirement has been met indicating that the home is committed to improving the home for the people living there. Staff have responded well to changes in people health care needs. People have been supported to return back home after hospital treatment and receive the support they need to make a recovery. What the care home could do better: Reports should be available in the home of the monthly owners visits ensuring that people living there have been spoken with and any concerns have been dealt with. Staff should have the training they need to continue to meet peoples needs. Key inspection report Care homes for adults (18-65 years) Name: Address: The Willows 1 Park Road Hockley Birmingham B18 5JH     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: Donna Ahern     Date: 2 3 1 2 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 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) 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 29 Information about the care home Name of care home: Address: The Willows 1 Park Road Hockley Birmingham B18 5JH 01215541427 01215236073 Telephone number: Fax number: Email address: Provider web address: Katymeakin@Birmingham.gov.ukwww.birmingh am.gov.uk Social Care and Health care home 15 Name of registered provider(s): Type of registration: Number of places registered: 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 15. 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 I(LD) 15 Date of last inspection Brief description of the care home The Willows is a large two- storey purpose built home providing care and accommodation for up to 15 adults with learning disabilities. The range of needs of individuals living at the home is diverse and some of the people have complex additional needs. The home is owned and staffed by Birmingham Social Care and Health. The home is situated on the corner of a busy street in the middle of Hockley. The Willows is central to a selection of bus routes and other amenities such as shops, pubs, leisure facilities and various places of worship. Disabled access to the building is variable. The home has a shaft lift and adapted toilet and bathing facilities. All bedrooms are single. The home has a lounge, dining room and a room identified for Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 15 Brief description of the care home people to use who choose to smoke.The fee level for the home as stated in the service users guide is five hundred and twenty five pound 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: This inspection was carried out over one day. The home did not know we were going to visit. This was the homes first key inspection for the inspection year 2009 to 2010. The focus of inspections we, the commission, undertake is upon outcomes for people who live in the home and their views of the service provided. This process considers the care homes capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provision that need further development. At the time of this visit fifteen people were living at the home. People have a learning disability. We case tracked three peoples care. This involves establishing individuals experience of living in the care home by meeting or observing them, discussing their care with staff, looking at care files and focusing on outcomes. Tracking peoples care helps us understand the experiences of people who use the service. Care Homes for Adults (18-65 years) Page 6 of 29 Some of the people who live at the home were not able to tell us their views because of their communication needs. Time was spent observing care practices, interaction and support from staff. The manager and three staff on duty were spoken to. We looked around some parts of the home to make sure it was warm, clean and comfortable. We looked at a sample of care, staff and health and safety records. We looked at notifications received from the home. These are reports about things that have happened in the home that the home must tell us about. We sent out fifteen surveys to people living in the home and their relatives to seek their views and opinions and ten to staff. We received back all the completed surveys from people living in the home and staff. 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. Prospective people and their relatives have most of the information they need to make a choice of whether or not they want to live there. Evidence: Birmingham Council had previously indicated to us that their future plans for this home is to eventually reprovide the service. Registration numbers for the home has gradually decreased as and when people have left the home. It is anticipated that the home will now close sometime in 2010. There are currently fifteen people who live there on a permanent basis many of the people have lived at the home for a number of years. There had been no new admissions to the home for several years apart from one emergency admission last year. It was therefor not possible to assess the pre admission assessment process. The service user guide and statement of purpose tell people what they can expect from the home and had been written in a style that is easier for the people living there to understand. Care Homes for Adults (18-65 years) Page 10 of 29 Evidence: 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. Staff have the information they need to know so peoples needs are met in a way that they prefer. Evidence: The care provided to three people was looked at this included looking at their care records. Each person had an individual care plan that states how staff are to support the person with their daily routine, sleeping, personal care, the things they like and dislike including activities and leisure interests. Care plans were generally satisfactory. Some of the peoples needs had changed considerably and this had been reflected in their care plan so needs could continue to be met. Care plans cross-referenced to other documents where appropriate such as to behaviour management strategies so that it was clear to staff how to support the person in all areas of their life. Annual review takes place with other relevant people such as family members, advocate and staff at the day centre. This should ensure that the support people receive is consistent. Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: Risk assessments were looked at. These detail the support people need to be kept safe while still being enabled to be independent. These included assessments about bathing, showering, use of wheelchair. These had been kept under review. During the visit staff were observed giving people choices about what they wanted to drink, how they wanted to spend their time, what activities they wanted to do. Regular service user meetings are held and the minutes of these were looked at. They include discussions about day trips, peoples birthdays and future plans like when the homes closes where would people would like to live. 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. People are supported to take part in age appropriate activities at home and in the community so that they are offered a meaningful and fulfilling lifestyle. Opportunities are limited for people to develop and enhance their independent living skills, which limits the opportunity for personal development. Evidence: We looked at care plans and daily records to establish that people are leading meaningful lifestyles and taking part in activities that they enjoy. We also spoke to four staff members and observed care and support on the day. Many of the people attend local day centres Monday to Friday. Some people have been supported to reduce the time they spend at day centres or leave altogether if they feel the day centre no longer meets their needs. People told us that one of the day centres has closed so after Christmas they will be moving to Hockey day centre. Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: They said I am glad we are moving its bigger at Hockley and there are more things to do another person told us I am glad I am moving to Hockley I have friends that go there. One of the people told us they do not go to a day centre at the moment they told us I do get bored in the day and would really like to go to a day centre but because I am moving somewhere else this hasnt been sorted out yet. Previous reports have highlighted the limitations of the homes environment, which limits peoples opportunities to develop their independent living skills. The kitchen and laundry areas are industrial in lay out and design and people are not allowed to access the kitchen and therefore have no opportunity to shop, cook and only limited opportunities to prepare their own food. An area is available in the dining room so that people can make their own drinks during the day. A small kitchen is utilised on the first floor so that people can make snacks. People told us I made supper last week for me and my friend, upstairs in the little kitchen I really enjoyed doing it. People told us they are supported to do their own laundry which ensures they continue to get the support and opportunity to maintain and develop new skills and promote their independence. People were seen to move freely around the home and had access to their own bedroom, lounge and dining areas. The activity room on the ground floor has been made into a bedroom and the spare room on the first floor is used for storage. At the last visit people told us they would like somewhere to play darts or games and we made a recommendation that the home gave consideration to peoples request to make this room into a games room. Unfortunately no progress had been made on this. People told us they enjoy going out to the local pub, for meals out, shopping and the cinema. People told us they mainly go out with other people who live at the home. In the surveys people completed that told us Staff take us out shopping and for meals out. People have been supported to develop and maintain personal relationships within the home and are encouraged to maintain family and friend contact. The visit took place just before Christmas and people told us about their plans to see and visit family and friends over the Christmas holiday period. One of the peoples family who had traveled some distance to pick their relative up were invited to have lunch with everyone before setting out on their return journey. People said The food is okay its egg and chips tonight The food is okay you get a choice yes I like the food most of the time Staff did not sit with people at meal times but were present to support when required. Menus seen indicated that choices are offered at mealtime. Guidelines were in place to support one of the people with their eating and drinking needs. People told us they can have a drink and a snack Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: when they want to. Care Homes for Adults (18-65 years) Page 16 of 29 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Arrangements in place ensure the health and personal care needs of people are met. Evidence: Many of the people have lived at the home for a long time. As they become older some of the people have experienced an increase in health problems and changes in their needs and mobility. Staff spoken to demonstrated a good understanding of the impact of changes in peoples needs and we saw that people have been well supported by the staff team to return to the home after hospital treatment. People had been supported to dress appropriately to their age, gender, the weather and the activities they were doing this indicates that people receive good support from staff. Risk assessments and guidelines are in place regarding the support people require from staff during the night . However this did not always detail how staff should check on people which may mean people are not supported in a way they prefer. A moving and handling risk assessment are in place so people receive the support they need to move safely. Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: Records sampled included an individual health action plan. This is a personal plan about what support the individual needs to meet their health needs and what healthcare services they need to access. People have not really been supported to use the health action plan as an active document. However from looking at records and talking to people we could see that they have received support to attend a variety of medical appointments and the out come of appointments and follow up required had been followed. One of the people told us in a completed survey The home have looked after me and my medical needs well. People told us staff are very good when they are not well and that they are supported to go to the doctors if they need to. The systems for medicine management were satisfactory. All audits undertaken were correct indicating that the medicines had been administered as prescribed. The medication cabinet is metal and secured to the wall in the office. There were protocols in place for medication taken on an as required basis so people receive their medication safely. None of the people living in the home were self administering their medication. Care Homes for Adults (18-65 years) Page 18 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The systems in place for dealing with complaints if followed would ensure that people are listened to. Arrangements are in place to protect people from the risk of harm and the arrangements for managing peoples finances are robust. Evidence: The home has not received any complaints since the last inspection. No complaints have been made to us concerning the service provided at this home. People spoken with said they could talk to the staff or manager if they are not happy about something. As reported in the previous inspection report the manager had implemented a system for recording minor concerns that people raise and this is seen as good practice and evidence that people are listened to and should continue to be used. The complaint procedure is available in a format suitable for people living in the home. The policy on safeguarding and whistle blowing policy was available for staff to refer to and staff spoken with confirmed that they knew what to do if a concern was raised. Systems are well established for the reporting of incidents to CQC via a regulation 37 reporting form. This ensures that outside agencies receive notification of incidents effecting peoples well being. Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: The arrangements in place to support people with managing their personal allowances were sampled. Individual financial record sheets with details of transactions were recorded and signed and are audited. Birmingham City council has a financial procedure, which is available in the home. Systems in place should ensure peoples finances are safeguarded. We saw details of peoples personal possessions recorded on their files. However this information was not signed by the person or a staff member which may mean peoples personal items are not fully protected by the homes procedures. Care Homes for Adults (18-65 years) Page 20 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The physical design and layout of the home does not provide people with an environment, which promotes their independence. The home is comfortable and adequately maintained so people are safe. Evidence: The owner plans to close the home sometime this year and support people living there to move on to new homes that meet their assessed needs. Previous reports have highlighted that the design and lay out of the building is limited in providing opportunities for people to develop their independent living skills. All parts of the home looked at were clean and free from offensive odours and satisfactorily maintained so people are safe. We looked at four peoples bedrooms which were comfortable and personalised to individual tastes and interests. Some people who have limited mobility have been supported to move to bigger bedrooms so they have more space to move safely. Some of the bedrooms seen are in need of painting and decorating so that they are clean and comfortable for people to live in. Bathrooms and shower rooms are located on the ground and first floor and we were Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: told people can chose to use which facility they prefer. It would be good if the lounge located on the first floor currently used for storage, was developed into an activity room for people so there is space for people to take part in games and activities of their choosing. This facility was previously available but was lost when bedroom moves took place. People told us in the surveys they completed that they would like the garden improved so it was a nicer place to sit in. Care Homes for Adults (18-65 years) Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The arrangements for staff support and development ensure that they can meet the needs of the people living there. The recruitment practices ensures that people are safeguarded from abuse. Evidence: Support to people is given in a friendly manner, and staff were polite, considerate and patient. Staff spoken with had a good understanding of the needs of people in their care. Over 50 of staff have achieved an NVQ in care which should ensure that staff have the skills and knowledge to meet the needs of the people living there. The staff rotas were looked at for a two week period. These show that usually there are four staff on duty during the day and two staff on duty throughout the night. The level of staff seems adequate to meet peoples needs. The manager said that staffing levels are monitored so individual needs continue to be met. There has been no new staff employed since the last inspection so it was not possible to fully assess the homes recruitment procedures. If the procedures in place are followed then this should ensure that only staff suitable are employed to work in the home. The manager said that she was in the process of updating staffs Criminal Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: Records Bureau (CRB) check to ensure that suitable people are employed to work with the people living there. Staff training records sampled showed that staff had received training in safeguarding, food hygiene, epilepsy, moving and handling, first aid and fire safety. Some staff require refreshers in mandatory areas so they continue to have the skills and knowledge to meet the needs of the people living there. Staff files seen indicated that regular supervision takes place with either the manager or the deputy manager. Records seen indicated that the six sessions per year take place. Daily handovers of information at the point of a staff change over take place and regular staff meetings are held to ensure that staff receive the information they need to support people consistently and to raise any concerns they may have about meeting peoples needs. Care Homes for Adults (18-65 years) Page 24 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Arrangements in place ensure the home promotes the health, safety and well being of the people living there. Evidence: The manager has a number of years experience of working with people who have a learning disability and has NVQ level 4 and the registered managers award. The manager facilitated the inspection process and was open and welcoming and informed the inspector of relevant information. She interacted well with people living in the home and staff on duty. People living in the home said I can talk to the manager she is very helpful I like the manager if there is a problem I can speak to her . Progress had been made on previous requirements indicating compliance with the regulations and a commitment to improve the home for the benefit of the people who live there. Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: Some of the homes maintenance and service records were looked at and dates of testing were provided by the manager at the time of the visit and indicate that equipment is serviced and maintained so that the building is safe for people to live in. The managers said she receives good support from the line management structure. Regular monthly visits are made by the team manager to assess that the homeowners, Birmingham City Council are fulfilling their responsibility to oversee the overall management of the home. However no reports had been completed of these visits which would provide evidence that people living there have been spoken to and any issues identified as requiring attention and the action taken to put these right . The health and safety department carries out health and safety audits and financial audits take place. Regular meetings are held with the people who live in the home to seek their views on day-to-day matters such as menu planning and organising trips out. The manager said she had not yet developed surveys to seek the views of people living in the home, their relatives and other stakeholders but as stated in the last inspection report she hopes to do this. This should enhance the homes quality assurance system. Care Homes for Adults (18-65 years) Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 18 Peoples care plans should detail how night check should be done so they can be sure that their needs will be met in a way that they prefer. Peoples inventories should be signed by staff so ensuring systems are in place to safeguarded their possessions. The home does not fully meet its stated purpose. The owner shoulde keep CQC informed of its developments plans. Staff training updates on mandatory training should be provided so staff continue to have the skills and knowledge they need to meet peoples needs. Reports of visits by the owner to ensure the home is being run in the best interest of the people living there should be available in the home. 2 3 23 24 4 35 5 39 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. 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. 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