Care Home: Tidings

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What the care home does well Tidings is a family run home with a very warm and friendly atmosphere. People who live at the home said that it was like being part of a very large family. Everyone asked said that they considered Tidings their home. There is constant interaction between people living and working at the home and people are involved in all day to day decisions. The home is very pro-active in providing people with information about activities in the local community and as a result people are able to take part in a wide range of social and leisure activities. The majority of people who live at the home attend college courses and one person has a part time voluntary job. People are encouraged to learn and develop independent living skills and risk assessments are in place to enable people to reach personal goals. The building is comfortably furnished and decorated and all areas are well maintained to provide a safe environment. What has improved since the last inspection? Since the last inspection the home has increased the number of people it is able to accommodate. The home continue to encourage and support people to maintain their independence. Some people with mobility difficulties now have self propelling wheelchairs to allow them to move around without staff support. Two people have been enabled to use public transport to visit family members. One person has become physically and mentally unwell and the home is able to demonstrate how they have liaised with healthcare professionals to ensure that this person continues to be involved in the home and also receives the complex care that they require. Some areas of the home have been re carpeted and redecorated since the last inspection. What the care home could do better: Only one requirement has been made as a result of this inspection, this is too ensure that large freestanding wardrobes are risk assessed and appropriate action taken. This is to ensure that they do not pose a risk of toppling forward and causing injury to someone living or working at the home. Key inspection report Care homes for adults (18-65 years) Name: Address: Tidings 1 Irnham Road Minehead Somerset TA24 5UD     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: Jane Poole     Date: 1 1 0 6 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 30 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 30 Information about the care home Name of care home: Address: Tidings 1 Irnham Road Minehead Somerset TA24 5UD 01643702831 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: tidings1948@aol.com Mrs Emma Louise Bryans,Mrs Eileen Isabel Wain care home 10 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability mental disorder, excluding learning disability or dementia Additional conditions: The maximum number of service users who can be accommodated is 10. The registered person may provide the following category of service only: Care home providing personal care only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Learning disability (Code LD) Mental disorder, excluding learning disability or dementia (Code MD) Date of last inspection Brief description of the care home Tidings is located in the seaside town of Minehead. The property is located very near to the town centre and is in walking distance to the sea front. Tidings is registered with The Care Quality Commission to provide personal care for up to 10 people with a learning disability or mental health problems. The home is not registered to provide nursing care. Care Homes for Adults (18-65 years) Page 4 of 30 Over 65 0 0 10 10 Brief description of the care home Accommodation is arranged over two floors and mezzanine landing. Communal areas include 2 lounges and a dining room; all bedrooms are for single occupancy and have been fitted with a wash hand basin. Tidings is a family owned and run business. The Registered Providers are Mrs Eileen Wain and Mrs Emma Bryans. The Registered Manager is Mrs Emma Bryans. Fees at the home are dependant on the assessed needs of the service user. Care Homes for Adults (18-65 years) Page 5 of 30 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 for this service is 3 star. This means the people who use this service experience Excellent quality outcomes. The focus of this inspection visit was to inspect relevant key standards under the Commissions Inspecting for Better Lives 2 framework. This focuses on outcomes for service users and measures the quality of the service under four general headings. These are:- excellent, good, adequate and poor. This inspection was carried out by one inspector over a one day period. During this time we, The Commission, were able to talk with people living and working at the home, view records, tour the building and observe care practises. The management team were available throughout the day and all records required were made available. Prior to the inspection the provider completed an Annual Quality Assurance Assessment Care Homes for Adults (18-65 years) Page 6 of 30 (AQAA) giving detils of the homes achievements in the past year and an outline of plans for the future The following is a brief summary of the inspection findings and should be read in conjunction with the whole of the report Care Homes for Adults (18-65 years) Page 7 of 30 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. Care Homes for Adults (18-65 years) Page 8 of 30 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 30 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 30 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People wishing to move in have opportunities to spend time in the home before deciding if it is the right place for them. To ensure that the home is able to meet the needs and expectations of new people full assessments are obtained before a placement is offered. Evidence: Since the last key inspection two new people have moved in. One of the newest people was spoken with. They stated that they had been able to visit the home on more than one occasion before deciding to move in on a permanent basis. They said that it had been nice to meet staff and other people living at the home before making any decision. The care plan for the newest person showed that full assessments of need had been obtained before the integration period began. This ensured that the home were aware of the persons needs and confident that they had the skills to support them. Care Homes for Adults (18-65 years) Page 11 of 30 Evidence: The Annual Quality Assurance Assessment (AQAA) states that the home take account of the views of other people at the home before a permanent placement is offered. People spoken with during the inspection said that they always got to meet people who were thinking of moving in. Staff stated that the needs and expectations of new residents were always discussed and minutes of a staff meeting confirmed this. Care Homes for Adults (18-65 years) Page 12 of 30 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are able to make choices about all aspects of their lives and are consulted on the day to day running of the home. Risk assessments are in place to minimise risk but ensure people are able to take part in new activities and maintain independence. Evidence: Two care plans were viewed in detail and another more briefly. Care plans seen were very personal to the individual and covered all areas of care and support. The care plans are written in consultation with the person living at the home and include their likes and dislikes as well as their abilities and needs. At the end of each month a summary is written that gives details of achievements and significant events. Due to the size and nature of the home much information is communicated verbally between staff. Staff spoken with were able to demonstrate an excellent knowledge of people and their needs. Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: To maintain and develop independence skills risk assessments have been undertaken to minimise risk but ensure that people are able to try new activities and develop skills.The home has recently assisted someone to use public transport and they are now able to do this without staff support. Everyone spoken with stated that they are able to make decisions about their everyday lives and are always consulted about the running of the home. People said that there were regular monthly meetings but in addition they were consulted on a more informal basis each day. People said that they were able to decide what time they got up, when they went to bed and how they spent their day. Throughout the day it was observed that people were asked their opinions and consulted on all aspects of their care. The home uses a local advocacy service were appropriate to ensure that everyone is able to fully express their views and feelings. Care Homes for Adults (18-65 years) Page 14 of 30 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 are able to decide how they spend their time and everyone has access to a wide range of activities at the home and within the local community. People are encouraged and supported to take part in further education and work outside the home. There is good variety of meals and special diets are catered for. Evidence: Daily routines in the home are flexible and based around peoples personal lifestyle choices and preferred activities. People are able to spend time in communal areas of the home or in the privacy of their own rooms. People living at the home are encouraged and supported to learn and maintain independent living skills. People spoken with said that they take part in household chores and access community Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: facilities. People said that they assist with shopping and food preparation, cleaning and gardening. People were seen helping with meals and laying tables for dinner. Throughout the day it was observed that there was constant interaction between people living at the home and the staff. The home promotes a family type atmosphere and some people said that it was like living in a big family. The home has been very pro-active in sourcing activities in the local community to ensure that people are able to pursue their interests and hobbies and have a wide range of activities to choose from. The majority of people attend college courses in line with their interests and abilities. One person has a part time voluntary job. The home is ideally located to enable people to access community facilities and people belong to many social groups in the area. On the day of the inspection three people had been out to a coffee morning at a local church and one person went out with a social club to play golf. Another person went out to the hairdressers and one person went to a day centre. One person said that they attend a local church regularly and are able to invite friends from church back to the home. The home has a vehicle to allow people to have trips and attend events further away. Everyone at the home was very happy with the opportunities available to them and all said that they regularly go out to socialise and have many opportunities to take part in activities within the home. Everybody living at the home has a holiday away and this years holiday was discussed at a recent residents meeting. People are able to have visitors at anytime and many said that they enjoy entertaining friends and family at the home. People said that they are assisted to maintain contact with family and friends by letter and phone as well as visits. The main meal of the day is in the evening when everyone is at home. There is a large dining room where everyone eats together. Many people said that the main meal of the day is a chance to discuss issues of the day and share their views and opinions. There is no set menu and choices are made on a daily basis. All meals are recorded and records show a wide variety of food including some meals out, barbecues and special occasion meals. There was evidence that advice has been sought from outside professionals about individual needs and the AQAA states that personal dietary needs are catered for. One person said that they required a very soft diet and this is always made available. Everyone asked was happy with the meals provided in the home and all said that drinks and snacks were available throughout the day. Care Homes for Adults (18-65 years) Page 16 of 30 Evidence: Care Homes for Adults (18-65 years) Page 17 of 30 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home monitors the physical and mental healthcare needs of people and everyone has access to professionals according to their individual needs. The privacy and dignity of people is respected. Evidence: Care plans give details of the level of support people need with personal care and people are encouraged to be as independent as possible. To promote independence various aids and adaptations have been put in place, these include assisted bathing facilities and grab rails. There are four ground floor bedrooms that are occupied by people with poor mobility. Since the last inspection some people have been assisted to use self propelling wheelchairs to enable them to move around the home without staff assistance and therefore maintain independence. The home employs both male and female carers to ensure that people are able to choose the gender of the person who assists them with intimate personal care. Everyone asked said that staff were kind when they assisted them with personal care and that their privacy was respected. Everyone living at the home is registered with local GPs and other healthcare Care Homes for Adults (18-65 years) Page 18 of 30 Evidence: professionals according to their individual needs. The home is extremely pro-active in seeking advice and support to meet peoples healthcare needs. The home is currently caring for a person who has become physically and mentally unwell. The person continues to be involved in all aspects of the home and is well supported with their particular needs. There is evidence that the home has liaised with outside professionals to ensure that the person receives appropriate care. Staff spoken with gave evidence that physical and mental healthcare is monitored and action is always taken to address any concerns. Monthly summaries in care plans demonstrate that people have good access to professionals including as doctors, community mental health services, dentists and chiropodists. People living at the home said that staff assist them to attend healthcare appointments outside the home. Currently no one living at the home administers their own medication. The home uses a Monitored Dosage System and everyone has a lockable cupboard where their medication is securely stored. The Medication Administration Records were viewed. All medication is signed for when it enters the home and when administered or refused, which gives a clear audit trail. Care Homes for Adults (18-65 years) Page 19 of 30 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 home takes reasonable steps to minimise the risks of abuse to people living at the home. Evidence: The home has policies and procedures in respect of making a complaint, recognising and reporting abuse and whistle blowing. Staff spoken with were aware of the whistle blowing policy and the ability to take serious concerns outside the home. No complaints have been received by the home or the Commission in the last 12 months. People spoken with said if they had any worries or concerns they would be comfortable to talk with their keyworker or a member of the management team. The home does not act as a financial appointee or power of attorney for anyone at the home but does allow people to deposit small amounts of money for safekeeping. Records are kept of all transactions and those seen correlated with monies held. It was observed that people had access to their money without question. The home has provided evidence that they are very aware of the vulnerability of the people living at the home and take appropriate action to ensure that people are protected. All new staff are checked against the Protection Of Vulnerable Adults (POVA) register Care Homes for Adults (18-65 years) Page 20 of 30 Evidence: before they begin work. Care Homes for Adults (18-65 years) Page 21 of 30 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. Tidings provides a comfortable home for the people who live there. All areas are well maintained and standards of cleanliness are very good. Evidence: Tidings is an older style house set in the town of Minehead. It is within walking distance of the town centre and other local amenities. The whole home is domestic and homely in style. All areas are furnished and decorated to a good standard and all are well maintained. People living at the home said that they were involved in choosing colours and furnishings. Since the last key inspection the home have increased the number of people they are able to accommodate from 8 to 10. Accommodation is set over three floors. There are four bedrooms on the ground floor that are accessible to people with all levels of mobility, other bedrooms are located on the first and second floor and can only be accessed by stairs. There are toilet and bathroom facilities on each floor. The bathroom on the ground floor has been fitted with mobility aids to enable people to maintain independence. Care Homes for Adults (18-65 years) Page 22 of 30 Evidence: A sample of bedrooms was looked at during the inspection. All had been personalised to reflect the tastes and needs of the occupant. Everyone asked said that they were very happy with their personal space and were able to choose colours and furnishings. In one bedroom it was noted that the wardrobe was not secured to the wall and posed a risk of toppling forward potentially causing injury to someone living or working at the home. There is a communal lounge and dining room on the ground floor and a further lounge on the first floor. The lounge on the first floor is in the process of being refurbished to provide an alternative communal space away from the main lounge. The lounge on the first floor is only accessible to people who are able to use the stairs. As mentioned at previous inspections there is no laundry at the home, the only washing machine is located in an outside store. The management gave assurances that the laundry facilities continue to be adequate for the size and nature of the home. On the day of the inspection all areas of the home were clean and fresh. Care Homes for Adults (18-65 years) Page 23 of 30 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 are adequate numbers of staff on duty at all times to meet the needs of the people currently living at the home. Staff are confident and well motivated. Evidence: The home employs 7 permanent care staff, 3 have a National Vocational Qualification (NVQ) in care at level 2 or above. A further 4 people are currently registered to begin NVQs. Staff spoken with on the day of the inspection felt that there were always sufficient staff on duty. People living at the home said that there were always enough staff to assist them in the home and support them with activities in the community. Duty Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: rotas seen showed that there are usually three staff on duty through the day and two people sleeping in at night. The management in the home gave evidence that they keep staffing levels under review to ensure that they are always adequate to meet the needs of the people who live at the home. All staff have a personal training plan to ensure that people have the skills required by the home. New staff stated that they had received a good induction that included fire safety, first aid, food hygiene, health and safety and moving and handling. Staff meetings are held regularly to share ideas and information. 4 new staff have been employed since the last inspection, in two staff files there was only one written reference but the management and staff gave evidence that two written references had been received. All staff are checked against the Protection Of Vulnerable Adults (POVA) register before they begin work and an enhanced Criminal Records Bureau check is undertaken. This minimises the risks of abuse to the people who live at the home. Throughout the day it was observed that there was constant interaction between staff and people living at the home. One person said staff are always nice another person said staff are great they will do anything for you. Care Homes for Adults (18-65 years) Page 25 of 30 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 effectively managed taking account of the views of people who live and work there. Appropriate steps have been taken to ensure a safe environment. Evidence: The registered manager of the home is Emma Byans but the home is managed on a day to day basis by a management team made up of the manager, the provider and the deputy manager. Currently no member of the management team holds a management or care qualification at NVQ level 4 but they have many years experience and a commitment to providing a high quality service. The home keeps the Care Quality Commission informed of all significant events and shares information appropriately. The management team work alongside other staff to offer ongoing guidance and support. Everyone asked stated that the management team were extremely open and Care Homes for Adults (18-65 years) Page 26 of 30 Evidence: approachable. There are some quality assurance systems in place. These include an annual audit of the services and facilities in the home, questionnaires to people living at the home and regular meetings for people living and working there. Alongside the more formal quality assurances systems there are more informal lines of communication. People living and working at the home said that their views were always sought and the home had a commitment to ongoing improvement. All areas of the home seen were well maintained to ensure a safe environment. A fire risk assessment is in place and fire detecting and fighting equipment is tested on a regular basis. The gas and electrical installations are regularly checked by outside contractors. All accidents are recorded. Up to date certificates of registration and insurance are displayed in the office. Care Homes for Adults (18-65 years) Page 27 of 30 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 28 of 30 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 1 24 13 (4) The registered person must ensure that all wardrobes are risk assessed and secured where appropriate. To minimise the risks of wardrobes toppling forward and causing injury to someone living or working at the home. 26/06/2009 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 30 The registered person should keep the laundry facilities under review to make sure that they continue to meet the needs of people living at the home. The registered provider should ensure that all information relating to the recruitment of individual employees is stored in their personal file. The registered manager should complete training in management and care at NVQ level 4. 2 34 3 37 Care Homes for Adults (18-65 years) Page 29 of 30 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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