Care Home: Thorntree Way

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What the care home does well Good information about the service is available in written and pictorial form to ensure that people thinking about coming to live at Thorntree Way have enough information to make an informed decision. Good systems are in place to ensure that each person has a comprehensive assessment completed before they come to live at Thorntree Way. This ensures that the service can meet their needs. Person centred care plans provide good information for staff about individual needs and how these will be met. Changes are updated as they occur and there are good monitoring systems in place. Good risk assessments are in place to keep people safe. People are supported to make choices about their routines and to have the opportunities to lead an active and rewarding life. Good systems are in place to deal with complaints and allegations and this helps to keep people safe. The home is well maintained and is comfortably furnished so that people feel relaxed and settled in their home. Bedrooms are personalised to suit peoples` individual taste and interests. The aids and equipment people need are available to help them live a normal life. Good systems for record keeping are in place to safeguard people living in the home and staff. Almost all the staff have completed national qualifications in care and have completed other training to ensure that they meet the needs of the people living in the home. Emphasis is placed on ensuring that the training needs of staff members are identified on an individual basis. Good quality assurance systems are in place to make sure that the service meets peoples` needs. What has improved since the last inspection? Staff records including details of Criminal Records Bureau (CRB) and reference checks are kept in the home. Detailed records are now kept of the food served to people living in the home. This ensures that the management of the home can assess the nutritional quality of peoples` diets. New locks have been fitted to the bedroom doors and this promotes the privacy of the people living at Thorntree Way.There is a detailed training matrix that provides clear information about each staff member`s training. What the care home could do better: Systems should be developed to ensure that the records of the administration of medicines are checked daily so that any omissions are identified. The painting of doors and windows outside the home should be given priority to make sure that the properties are well maintained and fit in with other houses in the area. The tops of taps should be checked to ensure that they are not loose to lessen the chance of people being put at risk of using the wrong tap. Key inspection report Care homes for adults (18-65 years) Name: Address: Thorntree Way 15 Thorntree Way Chase Farm Blyth Northumberland NE24 4LS     The quality rating for this care home is:   three star excellent 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: Anne UrwinBrown     Date: 0 4 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: Thorntree Way 15 Thorntree Way Chase Farm Blyth Northumberland NE24 4LS 01670545568 01670545569 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: www.flexiblesupportoptions.co.uk Flexible Support Options (UK North East) Limited care home 9 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is 9 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 category Learning Disability Code LD, maximum number of places 9 Date of last inspection Brief description of the care home 13 and 15 Thorntree Way is registered to provide personal care and support to nine adults with learning disabilities, some residents also have a physical disability. Nursing care is not provided. The properties are two purpose-built bungalows. They are situated on a modern residential housing estate on the outskirts of Blyth. They are close to many amenities such as shops, pubs and restaurants. The bungalows are spacious. Each person has their own bedroom and there are sufficient bathing and lavatory facilities for the use of Care Homes for Adults (18-65 years) Page 4 of 27 Over 65 0 9 Brief description of the care home residents. Residents also have access to two large gardens. Fees payable for living at the home are £949.91 to £1475.39. Residents who are interested in coming to live at the home are provided with a Statement of Purpose and service user guide which describes the services and facilities provided by the home and how staff are trained to meet residents care and support needs. CSCI inspection reports are also available at the home detailing the quality of care provided by the home. 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: three star excellent 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 quality rating of this service is 3 star. This means that people using this service experience excellent quality outcomes. How the inspection was carried out Before the visit we looked at: information we have received since the last visit on 21 November 2007, how the service dealt with any complaints and concerns since the last visit. any changes to how the home is run. the providers view of how well they care for people. the views of people who use the service and their relatives, staff and other professionals. The Visit: An unannounced visit was made on 4 September 2009 and six hours were spent at the home. During the visit we: Care Homes for Adults (18-65 years) Page 6 of 27 Talked with people who use the service, staff and the manager, Looked at information about the people who use the service and how well their needs are met, Looked at other records which must be kept, Checked that staff had the knowledge, skills and training to meet the needs of the people they care for, Looked around the building to make sure it was clean, safe and comfortable, Checked what improvements had been made since the last visit. We told the manager what we found. Care Homes for Adults (18-65 years) Page 7 of 27 What the care home does well: What has improved since the last inspection? Staff records including details of Criminal Records Bureau (CRB) and reference checks are kept in the home. Detailed records are now kept of the food served to people living in the home. This ensures that the management of the home can assess the nutritional quality of peoples diets. New locks have been fitted to the bedroom doors and this promotes the privacy of the people living at Thorntree Way. Care Homes for Adults (18-65 years) Page 8 of 27 There is a detailed training matrix that provides clear information about each staff members training. 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 9 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 10 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. Peoples needs are assessed before and after they move in to ensure that staff are able to provide the appropriate care and support to meet their needs. Evidence: The home has in place a comprehensive statement of purpose and user guide that is specific to the service that is offered at Thorntree Way. This has been updated within the last year. Clear information is provided about the specialist service provided at the home. From talking to the manager and checking records kept there was evidence that good systems are in place to ensure that a comprehensive needs assessment is undertaken before someone is admitted to the service. The records of a recent admission showed this person was involved in the process of determining his needs. The manager said that families and care managers are involved where appropriate and care management assessments were in place. Before any admission is agreed careful consideration is given to the needs of the person and the capacity of the home to meet their needs. Care Homes for Adults (18-65 years) Page 11 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. People living at Thorntree Way get the care and support they need and their privacy and dignity is respected. Evidence: The care plans inspected were well developed and comprehensive with clear evidence that people are consulted and involved in the process. Each person has a care plan that is based on a full and detailed assessment of their individual needs and aspirations. Plans include reference to equality and diversity issues personal to them, individual strengths and preferences. Each plan is different and focuses on the individuality of the person and clearly outlines the support provided by staff. Records show that good information is available about changing needs and support offered by staff is well recorded. Plans are very clear and personalised. There is evidence that families are involved where appropriate in the development and review of plans. Some of the people using this service have limited ability to be able to be fully involved in planning their care, however there was good evidence from staff and Care Homes for Adults (18-65 years) Page 12 of 27 Evidence: records that their wishes are respected and taken into account. Care plans are updated regularly and at times when needs change. Copies of care management reviews were also on file for each of the service users. Staff were well informed about peoples needs. Each person had comprehensive risk assessments in place that were well recorded and up to date. The service takes a positive view towards risk assessments that focuses on supporting people to live the life they want to lead. Risk assessments are individualised and person centred. Any limitations on freedom, choice or facilities are in peoples best interests and these are well documented and agreed with the person and or their representatives. Care Homes for Adults (18-65 years) Page 13 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have a good quality of lifestyle and are assisted to become part of the local community. Family links are fostered and encouraged and good opportunities are provided for people to take part in appropriate leisure activities. Evidence: People living at Thorntree Way are encouraged by staff to live an ordinary, meaningful life appropriate to their preferences in both the home and local community. Staff recognise the importance of enabling people to follow their own interests and to take an active part in life in the local community. Staff at Thorntree demonstrated during the inspection their awareness of the need to respect peoples rights and their equality and diversity. Records show that people living at the home have full and stimulating lives that suit their preferences and routines. Individual programmes are in place to identify what regular activities each person is involved in. Each person has a weekly plan that identifies their activities for the week and staff support them to develop and Care Homes for Adults (18-65 years) Page 14 of 27 Evidence: maintain social, emotional, communication and independent living skills. People are encouraged to access local day services, education, work experience and other opportunities to develop social skills that are appropriate to their abilities and interests. There are regular holidays planned for individuals to suit their individual needs. Outcomes for people are positive and this is evident from information in reviews attended by family members and care managers. Residents were relaxed and looked happy during the inspection. One person said she liked living at Thorntree, she enjoyed her lifestyle and that all the staff were nice. Staff were respectful towards residents and a good rapport existed. One person said she was looking forward to going out for lunch and another was going shopping. Visitors are always welcome at any time and links with family and friends are supported and encouraged. One person has her own car and this means that she is able to go out with a relative when they visit. People living in the home are encouraged to help to plan, shop for food and help with preparation of meals or to do some baking. Menus show that meals are well balanced and nutritious and are based on healthy eating principles. Alternatives are available for people so that there is a choice, although individual likes and dislikes are well known to staff. Particular dietary needs are identified within individual care plans. Care Homes for Adults (18-65 years) Page 15 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. Personal and health care support is planned and delivered taking account of multi agency intervention to ensure that peoples privacy, dignity and independence is respected. Evidence: Individual plans provide good information about the support provided to each person living at Thorntree Way. Staff were well informed about peoples preferences and personal needs. Plans show that support is organised to suit each persons preferences and needs including help with washing and dressing, bathing and other activities. Some areas of the plans are written in the first person and show how people respond when they are unhappy, in pain, happy and sad to ensure that staff can easily recognise signs and take appropriate action. Aids and equipment is provided to ensure that people receive the support they need. Specific staff training has been provided to ensure that staff are able to effectively meet individual needs. Staff provide a good level of personal support to service users in line with their needs and preferences. Regular assessments are carried out and information from these is used to update care plans. Privacy and dignity is respected at all times. Care plans provide information about how peoples changes in mood, behaviour or general well-being can Care Homes for Adults (18-65 years) Page 16 of 27 Evidence: impact of the level of care needed. Staff showed that they were able to interpret peoples needs during the inspection and take appropriate action to meet their needs. Records show that peoples health needs are identified and met. All service users are able to access specialist support from healthcare professionals as needed. Evidence was available that peoples health care needs are monitored and potential problems identified and treatment is sought. There are good procedures and policies in place to protect service users receiving medication. Arrangements for the administration of medicines protect people living in the home. Records are generally very well maintained, however one omission of a signature was evident in the controlled medicines book. This was discussed with the manager and it had happened when an incident involving another service user distracted the staff member concerned. No other errors or omissions was noted. Arrangements for the storage of medicines are satisfactory. Staff training in administration of medicines has been provided for all staff. Care Homes for Adults (18-65 years) Page 17 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. People are protected by the good systems in place for dealing with complaints and safeguarding at Thorntree Way. Evidence: A good complaints procedure is in place that is clearly written and easy to understand. A pictorial format is available for people who are unable to read as well as a DVD for people to watch. People living in the home are made aware of how to express concerns and encouraged to put forward their views. At every persons review meeting staff discuss the complaints procedure to ensure that everyone is reminded about how to express concerns or complaints. There have been two complaints since the last inspection, both of which were about the replacement of the homes mini bus. Good recording systems are in place for complaints. New staff are reminded of how people communicate their satisfaction or unhappiness and this information is also available in individual records. Staff could describe how they would help someone to make a complaint. There have been no safeguarding referrals made in the past year. Clear policies and procedures are in place for safeguarding adults. Staff at the home demonstrated that they are aware of what the procedure is and how to respond. They have received appropriate training and staff records confirm this. Individual risk assessments protect residents from potential harm. Whistleblowing procedures are in place for staff to report bad practice or concerns. 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 comfortable, warm and clean so people have a pleasant place to live. The standard of the accommodation, decor and furniture and fittings was good. Evidence: The premises consist of two purpose built bungalows and these accommodation for up to nine people. The bungalows are situated in a quiet residential area on the outskirts of Blyth with easy access to public transport. The bungalows are separate, but share a large garden to the rear and ample car parking at the front. The home is generally well maintained, clean, comfortable and homely. Some painting of external woodwork would improve the appearance of the building. There is a conservatory to the rear and the doors needs replacement. The manager said that this work is planned and estimates have been requested. Peoples bedrooms are personalised, comfortable and well furnished. The rooms are spacious and equipment is available to help people live a normal life. Each rooms shows evidence of peoples interests and taste. Some rooms have sensory equipment to suit the needs of the person living there. New locks have been fitted to rooms since the last inspection. Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: The lounges are comfortable and have plenty of space for people to move around comfortably. The kitchens are well equipped and each has a large dining table with plenty of seating for people. The public areas of the home are well furnished and decorated, although the manager said that there is generally a two year redecoration programme and this is almost due. The bathrooms are well fitted with aids and equipment suitable for the people living in the home including overhead tracking for moving people safely. In addition manual hoists are available. In one toilet the tops of the taps were loose and needed fixing. The laundry in each house was well equipped and clean. In house 15 the washer had recently been replaced. Infection control training for staff is planned for October as part of an ongoing cycle of updating training. 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. Good staffing arrangements mean that people get good quality care from appropriately qualified and experienced staff. Good recruitment practices protect people living at Thorntree Way. Evidence: Staffing levels are sufficient to meet the needs of the people living at Thorntree Way. The manager said that there is a settled and experienced staff team at Thorntree Way. Staff carry out cleaning and cooking as well as providing care. The houses were well organised on the day of the inspection and staff were clear about their roles. People were well supported and two people said that they were satisfied with the quality of care provided. It was evident from observation during the inspection that a good rapport existed between the people living in the home and the staff. The culture in the home is very positive and staff said they enjoy working there. There is a good atmosphere in the home and residents appear well cared for with their individual needs met. Good recruitment procedures are in place and are followed. Staff records were in good order and contained evidence of appropriate criminal record and POVA (Protection of Vulnerable adults) checks and references. Employment gaps are explored and Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: recorded appropriately. All new staff have a comprehensive induction to make sure that they understand the responsibilities of their new role and this includes reference to equality and diversity issues. Four staff said that they feel well supported and that they have appropriate training opportunities. Records show that good training opportunities are provided to help them with their work. All have have received mandatory training. Individual training records are kept. Fifteen out of seventeen staff have completed national qualifications in care and the other two staff are applying to undertake training. Staff said that they get plenty of training opportunities. Staff supervision is provided at appropriate intervals and records are kept to evidence this. Regular staff meetings are held and minutes were available for inspection. Staff said that they feel well supported by the manager and senior staff. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good management systems are in place to ensure that the health and safety of people living at Thorntree Way and staff is protected. Evidence: The registered manager has the required qualifications and experience to run the home and meet its stated aims and objectives. The manager has received appropriate training and support so that she has a good knowledge of the organisations strategic and financial planning systems. She says that she is well supported by the senior management of the organisation. She communicates a clear sense of direction and has a good understanding of the need for continuous improvement, customer satisfaction and quality assurance. She understands the importance of equality and diversity and person centred planning in planning in developing the service. Staff said that they feel well supported by the manager and that arrangements for supervision are good. The manager has access to appropriate training opportunities to update her skills and knowledge. There is a good system of quality assurance in place that takes account of the views of Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: people living in the home. It was apparent that people living in the home and the staff feel able to put forward their views. There are effective systems in place to ensure that there are good records of any money held on behalf of people living in the home. People living in the home are supported to manage their own money where possible. Those who dont have the skills are encouraged to take as much responsibility as it is safe to do. All working practices are regularly reviewed. Good systems are in place for checking on health and safety in Thorntree Way. Records are in place to show this. Appropriate training is provided for staff and regularly updated. Risk assessments for the premises and for fire are in place. Fire alarm tests are carried out weekly and records were available to confirm this. Accident records are kept in an appropriate form. 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 1 24 The external paintwork should be undertaken to ensure that the house is well maintained and fits in with the appearance of other housing in the area. All taps should be checked to ensure that tops are not loose so that people are clear about which are the hot and cold taps. 2 27 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. 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