Care Home: Touchstones

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What the care home does well The home has been able to provide consistent care for the people living in the home for a number of years. The home has a relaxed atmosphere, and people living there tell us they are supported well by the manager and the staff team. People are being supported to attend college and to take up educational and work opportunities in the community. The residents` meetings are run by the residents and their suggestions for improvement to the service are being listened to and some have acted upon. What has improved since the last inspection? Improvements to the accomodation have included a new bathroom suite, installing a second shower, and new decoration and flooring in the dining room and kitchen area. New tables and chair have been provided in the dining room. Improvements made at the suggestion of residents have included more flexible menus, an extra shower facility, more holiday trips and a digital TV aerial system. There have been changes to the recording of care plans and risk assessments. More opportunities in the community are being provided for people to work, attend further education and make use of leisure facilities. What the care home could do better: Some areas of the home are in need or redecoration and refurbishment. Some risk assessments, such as the temperature at hot water outlets, are not being updated or monitored. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Touchstones 11 Shakespeare Road Worthing West Sussex BN11 4AL     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Edward McLeod     Date: 0 9 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. the things that people have said are important to them: They reflect 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. 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 Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 32 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 32 Information about the care home Name of care home: Address: Touchstones 11 Shakespeare Road Worthing West Sussex BN11 4AL 01903230409 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Sean Wilson Type of registration: Number of places registered: Mrs Joy Eileen King care home 19 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: Only service users 18-65 years of age in the category mental disorder (MD) excluding learning disability or dementia may be admitted Only seven service users in the category MD(E) may be accomodated at any one time Date of last inspection Brief description of the care home Touchstones is a private care home registered to accommodate up to twelve residents with a mental disorder, aged 18 to 65 and seven residents with a mental disorder over 65 years of age. The property comprises of two private dwellings that have been redeveloped into a single detached property. Accommodation is provided over two floors and includes a garden and some outbuildings to the rear of the property. The home is located close to Worthing Town Centre and seafront. The fees for this care home range from #308.76 to #425 per week. The Registered Provider is Mrs J King and the Registered Manager is Mr Sean Wilson. Care Homes for Adults (18-65 years) Page 4 of 32 Over 65 7 19 Care Homes for Adults (18-65 years) Page 5 of 32 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The inspection visit was arranged to assist us in assessing the homes compliance with the key standards of the national minimum standards for care homes for adults (1865). Planning for the visit took into account information received on the service, including that provided by the homes manager in the annual CSCI quality self-audit (the AQAA) and information on CSCI survey forms received from eight people living in the home and six members of staff. During our visit we were accompanied by an expert by experience, who is someone who has experience of the type of services used by people at Touchstones, and who Care Homes for Adults (18-65 years) Page 6 of 32 spoke to staff and people living in the home about the care and support provided. Information gathered by the expert by experience has been included in this report. During our visit the inspector spoke with two people living in the home, two members of staff, and the manager Mr Sean Wilson. During our visit we sampled admission assessments, risk assessments and care plans for three people living in the home. Other records sampled included recruitment, training and supervision records for two members of staff, the record of complaints, and records relating to health and safety issues in the home. We visited the three main communal areas in the home, three bedrooms, the kitchen and laundry areas. We observed a number of interactions between people living in the home and staff, and observed the arrangements for cooking and serving an evening meal. 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 set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 32 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 32 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 can decide whether the home can meet their suuport and accomodation needs. This is because they or people close to them can visit the home and get full, clear and accurate 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. Evidence: The eight people living in the home who responded to our CSCI survey told us in their forms that they received enough information on the service to help them make up their minds about coming to live there or not. As no new residents have been admitted since our previous visit we were not able to make a judgement on the assessments carried out by the home before a person is Care Homes for Adults (18-65 years) Page 10 of 32 Evidence: admitted. The AQAA tells us that the service offers to visit potential residents in their own setting as part of the assessment process, and that the service encourages people to visit the home as often as they like to meet the staff and people living there. We looked the terms and conditions of residence for two people living in the home. We discussed with the manager, Mr Wilson, the arrangements in place for advising people of their rights and responsibilities and for updating them on the fee charged and who pays what part of the fee. Care Homes for Adults (18-65 years) Page 11 of 32 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs and goals are met. The home has a plan of care that the person or someone close to them has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because 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. Evidence: The six members of staff who responded to our CSCI survey told us that they receive up to date information on the care needs of the people accomodated. Care Homes for Adults (18-65 years) Page 12 of 32 Evidence: We looked at parts of the care plans for three people living in the home. We found that risk assessments and care plans were being regularly reviewed - usually once a month. We discussed with the manager the need to ensure that the care plan reflects each persons current needs and aspirations, and the manager agreed to ensure that care plans are being updated. As people are responsible for their own personal care and their goals and aims are being regularly reviewed with their key worker no requirement was made. We found that care plans were generally reflecting peoples needs, and discussion with staff indicated that people are contributing towards the content of their care plan. Staff we spoke to told us they review once a month the care plan of people who they are key worker for, and discuss with them how they would like to be assisted to achieve their goals - for example losing weight, or going to college. The AQAA tells us that people are encouraged to manage their own finances, medication and health care appointments if that is appropriate, and that this is helping people achieve more independence. During our visit we looked at a medication risk assessment which was supporting one person to be responsible for holding their medication. The assessment had been reviewed. The eight people living in the home who returned our CSCI survey form told us staff listen to them and act on what they say, and that they do what they want to do and make their own decisions. One person living in the home told us in their CSCI survey form that staff are friendly, courteous and helpful. I am treated with respect, friendliness and privacy. Care Homes for Adults (18-65 years) Page 13 of 32 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 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. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected. People have healthy, well presented meals and snacks, at a time and place to suit them. Evidence: People are being supported to attend college, undertake voluntary work, and improve Care Homes for Adults (18-65 years) Page 14 of 32 Evidence: their independence skills. The AQAA tells us that the service arranges or provides transport for people to attend colleges that are further away. The AQAA advises that some people are undertaking voluntary work and to support this staff liaise with voluntary agencies. One person living in the home told us in their CSCI survey form that they are supported to do things in the community such as horse riding and attending college. Another person told us that they could either walk to college on their own or staff would drive them there or back if asked. One person living in the home told us in their CSCI survey form that friends and family are always offered refreshments when they visit and can chat to staff if they wish. Another person told us that friends are family are always welcome. The AQAA tells us that activities such as art work and gardening are supported in the home, and that residents are being encouraged to use facilities in the local community where possible. People told us that they take responsibility for tending the plants in the conservatory. One person who attends church had arranged for a Christmas bible study in the home during the week of our visit. The manager told us he had arranged to take one person who wont go out on their own Christmas shopping during the week of our visit. Staff we spoke to provided examples of how people are encouraged and supported to maintain their interests and hobbies. One person living in the home told us during our visit that they liked the day trips and trips to the caravan in the summer. The three people we talked to during our visit told us they had choice over the religion they practised. People are provided with a bedroom key and a front door key. The AQAA tells us that vegetarian, diabetic and low fat diets are catered for in the home, and that people with diabetes are supported to develop their own menu. The Care Homes for Adults (18-65 years) Page 15 of 32 Evidence: AQAA tells us that people choose when they eat and the daily menus are flexible. People living in the home have a kitchen for their sole use which they can use 24 hours a day for drinks and snacks. The evening meal which was being served during our visit was noted to be freshly cooked and balanced, and people told us they enjoyed the meals in the home and could ask for meals they didnt like to be taken off the menu. Care Homes for Adults (18-65 years) Page 16 of 32 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive personal support from staff in the way they prefer. 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. Evidence: People told us in their CSCI survey form that staff are supporting them in the way they would wish. They told us that staff provide support and advice when they ask for it. Key workers are also ensuring that peoples care plans reflect their wishes and goals. Staff we spoke to gave examples of how peoples health care needs are being supported. Care plans we looked at provided examples of how peoples health care needs are Care Homes for Adults (18-65 years) Page 17 of 32 Evidence: being supported, including medication risk assessments. People we talked to told us that they are being supported to access local community health facilities, such as G.P.s and dentists, and that transport will be provided for this if they need it. Mr Wilson told us during our visit that if people choose to and can manage their own medication they have locked cabinets provided for storing their medicines. People told us they can also choose to be given one days worth of medication at a time in blister packs. Staff training records indicated that all staff had updated their medication training in December 2008. We looked at some of the records for administration of medicines. The manager advised us during our visit of the checks carried out on medication records in the home. We found that where the home was receiving medication but this was then being held by a resident that this was not always being fully recorded. The home need to consider how this practice can be improved. Care Homes for Adults (18-65 years) Page 18 of 32 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. If people have concerns 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. Evidence: The eight people living in the home who responded to our CSCI survey told us that they knew who to speak to if they had concerns, and they knew how to make a complaint in the home. We looked at the record for two complaints received by the home in March 2008. We found that the complaints had been dealt with fairly and in accordance with the homes complaints procedure. The person who complained had received feedback concerning their complaint, and each complaint had had a good outcome. One person living in the home told us during our visit that any complaints are quickly resolved. Training records we sampled indicated that staff are continuing to undertake and refresh safeguarding training - for example, two staff were booked to attend Care Homes for Adults (18-65 years) Page 19 of 32 Evidence: safeguarding training in January 2009. During the week of our visit the manager obtained a copy of the updated local safeguarding procedures and had arranged to attend a briefing on changes to local safeguarding procedures in March 2009. Care Homes for Adults (18-65 years) Page 20 of 32 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People stay in a home that is homely, clean, comfortable, pleasant and hygienic. The home is well maintained but some areas are in need of redecoration and refurbishment to bring them up to the standard of the rest of the home. The safety of the environment would be increased by updated risk assessments on hot water provision being carried out regularly. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. Their room fells like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. Evidence: On the approach to the house we noted that the front of the house looked homely and inviting with Christmas lights decoration. We visited the main communal areas of the home, the kitchen and laundry, bathrooms and toilets, and three bedrooms. Care Homes for Adults (18-65 years) Page 21 of 32 Evidence: Improvements to the premises have included a new bathroom suite, installing a second shower and new decoration and flooring in the dining room and kitchen area. The dining area has been provided with new tables and chairs, and there is new flooring in ground floor corridors and some bedrooms. All this work has been carried out to a very good standard, and has helped these areas of the home to look more homely, bright and comfortable. Some areas of the home continue to be in need of redecoration and refurbishment to bring them up to the standard of the rest of the home. The manager advised us that there was not a plan in place for further redecoration or new furnishing. Bedrooms visited had been personalised by people and reflected their interests, hobbies and personalities. Two people we talked to said they were happy with their bedrooms and that they had everything in them that they needed. People told us that they had chosen the colour schemes and decoration for their bedrooms and that the bedrooms felt very homely. There are three seperate sitting rooms, including a smoking room and sitting room with a kitchenette for snacks and hot drinks. These communal areas were popular and give people an opportunity to relax and talk together. We looked at the arrangements in place for maintenance of the home and the health and safety checks being carried out. We found that some of the risk assessments, such as assessments of hot water outlets and the safety of windows, were not being updated regularly. These are necessary to ensure that the environment remains as safe as possible for people living there. All areas of the home visited were found to be clean and fresh. Suitable arrangements are in place for kitchen cleaning and hygiene. One person told us in their survey form that they found the home a nice and comfortable place to live, and another person said in their survey form that they provide us with a clean, secure and safe home. People told us in their survey forms that the home is kept clean and fresh. Care Homes for Adults (18-65 years) Page 22 of 32 Care Homes for Adults (18-65 years) Page 23 of 32 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure they are suitable. Peoples 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. Evidence: Staff who responded to our CSCI survey form told us that there are enough staff on duty at all times. During our visit there were enough staff available to meet the needs of people accomodated. Discussion with the manager indicated that staff are available to provide an escort when needed, and recent examples of this were given. The AQAA tells us that all staff receive PoVA and CRB checks before they commence Care Homes for Adults (18-65 years) Page 24 of 32 Evidence: work in the home. The six staff who responded to our CSCI survey told us that they had received CRB checks before they commenced work in the home. We looked at the recruitment records for two people working in the home, and found that appropriate references and checks had been obtained before they had been begun work in the home. Staff working in the home told us in their CSCI survey forms that they are receiving relevant training and regular support from their manager. Staff training records we looked at indicated that staff are receiving training regularly. One member of staff we spoke to said that they had found safeguarding training and food hygiene training particularly helpful. Another member of staff was particularly interested in health and safety issues and the manager advised that they were being put forward for further health and safety training with a view to them taking on some of the health and safety tasks in the home. One member of staff we spoke to told us about the induction training she had gone through to familiarise herself with the work in the home and the people living there, and that different members of staff had been involved in teaching her different things. One member of staff told us in their CSCI survey form that Im doing NVQ 2 at the moment and I feel Im learning from that as well as work. The AQAA tells us that none of the six care staff have employed have achieved the National Vocational Qualification (NVQ) in care, and that three staff are presently undertaking the NVQ. We looked at some of the supervision records for two people working in the home. This told us that arrangements are in place for staff to receive regular one to one supervision with the manager which will, among other things, help identify their training needs. Care Homes for Adults (18-65 years) Page 25 of 32 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have confidence in the care home because it is run and managed appropriately. Peoples opinions are central to how the home develops and reviews their practice. Hot water risk assessments are needed to ensure that the environment is safe for people who live there. Evidence: The manager, Mr Wilson, has continued to update his training. Mr Wilson has continued to introduce improvements to the service provided, such as by providing daily briefings for staff and a more comprehensive induction training for new staff. One person living in the home told us in their survey form that there is an extremely helpful manager and staff team from whom I can ask advice or get help and support. Care Homes for Adults (18-65 years) Page 26 of 32 Evidence: One person told us that the owner was like a friend. During our visit one person told us that there is always someone to turn to and that the home was well run. During our visit we found there to be a good atmosphere in the home. Staff and people living in the home seemed relaxed and at ease with each other. Residents meetings are run by the residents, after which the minutes of meetings are then circulated which is when staff have the opportunity to act on suggestions made in the residents meetings. People told us they had choice and control over day to day issues such as menus - for example if a meal was not popular it was removed from the menu if people requested this. The AQAA tells us that improvements made to the service as a result of listening to the views of people living in the home have included more flexible menus, peoples participation in food shopping trips, the provision of an extra shower facility, more holiday trips, and a digital TV aerial system. The manager advises us in the AQAA of the equipment and service checks which have been carried out in the home in the past year, and that assessments for safe storage and use of cleaning chemicals are in place. We found there to be a need for hot water risk assessments in the home to be more regularly updated. For example, hand testing of two hot water outlets indicated they were running at a high temperature. The manager told us that hot water outlet temperatures were not being regularly monitored or recorded. The manager did not believe that there were people living in the home who would be at risk through frailty of being scalded by the hot water provided, and we noted that signs to warn peope where taps ran very hot are placed next to these taps. The manager agreed that more could be done to monitor the safety of hot water in the home and to consider action which could be taken. Care Homes for Adults (18-65 years) Page 27 of 32 Care Homes for Adults (18-65 years) Page 28 of 32 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 29 of 32 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 23 The homes annual development plan should include a statement and timescales for planned redecoration and refurbishment in the home. Some areas of the home are in need of redecoration and refurbishment to bring them up to the standard of the rest of the home. 28/03/2009 2 42 23 The provider must ensure that environmental risk assessments are being regularly updated to ensure the safety of the home environment for all people living there. Hot water outlet temperatures may present a risk of scalding to some of the people living in the home. 28/03/2009 Recommendations Care Homes for Adults (18-65 years) Page 30 of 32 These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 31 of 32 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 32 of 32 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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