Care Home: Toynton College (Cluster Four)

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What the care home does well The home provides new students with information and the opportunity to make an informed choice to stay at the care home. Staff assist students in a sensitive and professional manner to achieve their own personal goals. Students are treated as individuals and are encouraged to develop their independence and feel valuable members of society. What has improved since the last inspection? The environment of one of the houses has been improved. The registered manger has achieved additional qaulifications. The staffing a rota has been changed and the deployment of staff adjusted to allow more one-to-one time with individual students and additional support time to the student group. What the care home could do better: Both homes provide an excellent service for students, and there are no issues were identified at this inspection. Key inspection report Care homes for adults (18-65 years) Name: Address: Toynton College (Cluster Four) Rosslyn 41 Algitha Road Skegness Lincs PE23 5AE     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: Ken Hague     Date: 0 3 0 2 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 29 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: Toynton College (Cluster Four) Rosslyn 41 Algitha Road Skegness Lincs PE23 5AE 01754898858 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Lynsey.Gowshall@linkage.org.uk Linkage Community Trust Name of registered manager (if applicable) Lynsey Gowshall Type of registration: Number of places registered: care home 17 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: College students who are under 18 years of age and who are currently being supported by staff who are under the age of 21 years, on a 1:1 basis, will continue to be so until such times that the student no longer requires this, or the staff member reaches 21 years of age. All new staff working unsupervised with students will be over 21 years old. Linkage cluster 4 may accommodate a maximum of 7 service users aged 16-17 years of age, conditional on there being no service users over the age of 25 years of age at the home. The category LD applies to service users aged 16 and over. The home is registered to provide personal care for service users of both sexes whose primary needs fall in the following categories:- Learning Disabilities, not falling within any other category (LD) (17) The maximum number of service users to be accommodated is 17. Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 17 Date of last inspection Brief description of the care home Rosslyn and 87 St Andrews Drive (known as Toynton College Cluster Four for registration purposes) are houses situated in residential areas of Skegness, which form part of the Linkage College, Toynton Campus residential provision. Rosslyn is a semidetached property sited centrally, and is within easy walking distance of the town centre where a range of shops are available and a wide variety of recreational facilities. The home consists of a seven person residential unit and a self-contained flat for two people. The central part of the house has three shared bedrooms, and a single bedroom. On the ground floor there is also a dining room, games/music room, lounge and kitchen with laundry facilities. The flat is situated on the third floor of the building and has a shared bedroom, and spacious lounge/kitchen/dining area. St Andrews Drive is a detached property, and is within reasonable walking distance of the town centre and its amenities. The property consists of a central five person residential unit and a further self-contained flat for three students. The central unit has one single bedroom and two shared bedrooms. The ground floor communal space comprises of a kitchen/dining room, large games room, lounge, and utility room. The flat has one single and a shared room, with ground floor accommodation consisting of a lounge and kitchen. Care Homes for Adults (18-65 years) Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: 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 service has been awarded a three star rating. This means that the outcomes for people are excellent. The service did not know that we will coming to carry out an inspection. This is referred to as an unannounced inspection. We visited on 3rd of February 2010. The Inspection lasted five hours and was carried out by a single inspector. The purpose of this visit was to establish how the care home is functioning and outcomes for people who use the service. We also check that the practices are safe and staff understand how to recognise abuse and reported appropriately. Any previous information held by the Care Quality Commission about the care home was taken into account. Before the visit the provider return the Annual Quality Assurance Assessment (AQAA) this document enables us to have additional information about how the home is meeting the needs of people using the resources of the care Care Homes for Adults (18-65 years) Page 6 of 29 home. We did not send out surveys to people who use the service due to the short time period before the inspection had to be caried out. We did however seek the views of students during the site visit and their comments and views are reflected within this report. The method of inspection used is called case tracking which involves selecting a proportion of people who use the service and tracking the care they receive. For this visit we case tracked three people who use the service. This was done by the checking of records, discussions with them and staff who care for them, and observations of care practice. We spoke to people using the service the staff and senior management. This gives us an overview of the service and enabled us to make a judgement and award the star rating as shown above. Care Homes for Adults (18-65 years) Page 7 of 29 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 29 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service continues to provide robust and person centred assessments prior to admission. Evidence: The files for three students were seen, they all contained a detailed multiagency assessment. The registered manager stated that the assessment process is a multi agency one which ensures both the educational needs and social needs of the students are met. The financial contribution made by each student and a copy of the contract between the home and the funding authority was on individual students care records. The college operates a program which is designed to help students to develop their independent living skills. This is split into three levels with new students starting on programme one. Roslin and St Andrews Drive caters for students mainly on programme three, who have worked through program one and two and moved from other houses within the Care Homes for Adults (18-65 years) Page 10 of 29 Evidence: College. Therefore all admisions are planned. Students visit the home before they make a firm decision to stay. Assessments were detailed and personalised they included risk management strategies where any risk was identified. Risk management strategies had been discussed with the students and the choices and wishes of the residents for their lifestyle was balanced against any identified risk. Students confirmed that they were involved in their own individual assessment. The sample of care files seen all contained the signature of the individual student on all assessments and care plans. Care Homes for Adults (18-65 years) Page 11 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service provides a person centred care and support, with a high standard of care planning and the involvement of students. Evidence: We looked at the care plans for three students. Their care records contained a comprehensive detailed care plan. Each student had written their own personal profile, which has information about what they like and dislike. A focus page gives staff concise information about the students support needs, and there is excellent cross referencing with more detailed care plans and assessments. Care plans were signed by students and the assessor. The register manager stated that care plans are drawn up and reviewed with the individual student. Each plan contains the individual goals and aspirations of each student how they are to be met and suggested timescales for goals to be achieved. The registered manager stated that all care plans are reveiwed formerly each six weeks with the student taking an active role alongside staff. It is a requirement from Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: the learning and skills Council, that fund each placement that care plans are reviewed every six weeks. Each student has a keyworker of their choice and are allocated a personal tutor who assists them with their decision making in regarding to all aspects of their lives. Students are encouraged to express choices and views via the learning council representative and by attending the students weekly meetings. Care plans were found to be individualised and person centred. The three care plans for the students being case tracked all contained detailed risk assessments and risk management strategies. Dates and signatures indicated that these are being reviewed frequently. This risk assessments evidenced that the choices of students were being balanced against any identified risk. Students were able to tell us when a risk had been identified which affected their social life and how staff were helping them to remove or reduce any risk. In the case of one student he told us that he needed help with road safety and therefore staff went out with him when he went into the community to make sure he was safe. Care plans included medical history and current medication. Staff stated that students are encouraged to self-medicate when a risk assessment confirmed this is safe practice. One of the three students being case tracked was self-medicating. The student confirmed that he did take his own medication and a risk assessment demonstrated this was safe practice. All students have access to the Call advocacy service if required. A photograph and the contact details of the advocate are displayed in the houses, and details are also included in students care plans. The college has set up a learners council where students representative discuss services provided and any issues. Students elect an individual student to attend these meetings. Student described their social lifestyle and personal care needs and confirmed that those were recorded on their own individual care plan. A student said my keyworker and tutor helps me to make my decisions by giving me advice I still have a choice whether I set acccept this advice or not. I have my own personal ambitions and goals which are recorded on my care plan. I do achieve some goals even if this takes some time. Staff respect my wishes and are very helpful to me on a daily basis. I feel very comfortable here staff are great. At the site visit staff demonstrated an excellent awareness of their responsibilities and Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: were enthusiastic in enabling students to develop independent living skills while at same time making sure they were safe. There were no restrictions placed on any students unless it was as a result of a risk assessment which demonstrated that because of health and safety reasons staff should act to ensure the student is not placed in a risk situation. Care Homes for Adults (18-65 years) Page 14 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Students continue to experience a lifestyle they choose and are able to develop their skills Evidence: Staff and students told us that the homes promotes independence through a 24 hour curriculum and offer wide and varied leisure programmes which enables students to develop key skills such as travel, budgeting, self managed medication and cooking skills. Students said that they are assisted to take leisure activity of their choice and to be part of the local community. They said since the last inspection they had been on holidays abroad and attend events in the UK example a Take That pop concert. There is a personal health and social education lecturer in post to whom students can Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: talk to as well as access to a psychologist. The menu of the home is planned with students and healthy living is encouraged. Students stated that they have a choice of menu there is often more than two choices per meal. Staff and Students stated that students are encouraged to take responsibility for their own bedroom and to contribute to the shared responsibilityof keeping their home clean and tidy. Students are encouraged to self medicate in preparation for possibly living in their own property in the community. Six students were self-medicating on the day of this site visit. Staff and students stated that there are healthy lifestyle weeks organised within the unit. Students are encouraged to maintain links with their own individual family and friends and take many of their social activities within the community rather than within the care home. Each houses has a specific rota which sets out each students responsibilities within the home. The management of the home is discussed at students meetings these are recorded. Each student is issued with a code of conduct and students Charter which is given to them and discussed with them before they come to stay at home. Students have opportunities to attend college evening classes during the week. They are encouraged to walk or use public transport as much as possible. A peoples carrier is available for some planned events. Student told us some of the house rules and confirmed that they had been given a copy of the code of conduct. They confirmed that a copy of the students Charter was also in their possession. This sets out their rights as well as a responsibilities living in a care home. Students stated that the college of food is good. A students said we decide on our weekly menu at the students meeting the food is good here. We are encouraged to eat healthily but we always have a choice. Care Homes for Adults (18-65 years) Page 16 of 29 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Students receive personal healthcare support which ensures they remain healthy. Evidence: The registered manager stated we have excellent care plans which state details of the personal healthcare support that students require. We have an updated policy and procedure which ensures medication is adminisistered and stored safely. This includes enabling students to self-medicate where a risk assessment shows this to be appropriate. Staff stated that they have been trained in the administration and storage of medication. The inspection of staff training records produced evidence that this training had taken place. The registered manger said that a quarterly pharmacy visit is made to the home recently no problems has been in identified, no recommendations had been made. The registered manager said that she had reviewed the medication records and recording which she now belives are more user-friendly. Staff and students said that Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: students who are self-medicating are now provided with a formal training course to ensure they understand how to look after their own medication safely. Health action plans are being reviewed and are now a more specific about individual students needs and their medical conditions. Care plans contain the details of each students GP consultant and medical history. Psychology, psychiatry and speech and language therapies are available through the linkage clinical service team. Students maintain their existing dentists if they so choose. A speech and language therapist visits weekly. Students care plans contained detailed recording about past medical history, current medication and services provided by the community Healthcare services and consultants. A student stated my keyworker ensures that I can always see my GP and assists me to keeps my consultants appointments. Care Homes for Adults (18-65 years) Page 18 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are updated detailed policies and procedures in place which are known to staff and protect residents from harm. Evidence: There have been no complaints or concerns raised with the care home or the Care Quality Commission since the last inspection. The registered manager stated that she always act upon any concern or complaint that any students bring to her attention. The home has a student friendly policy and the DVD which is show to each student to help them understand the policy. The registered manager stated that all staff are issued with a green card which advices them how to manage abuse. Staff are given information at the initial induction on protecting vulnerable peple. Training records supported this statement. Staff said that we encourage independent advocacy so all students will always have a voice. Staff have attended the deprivation of liberty Act training A PowerPoint presentation has been given to staff on the Deprivation of Liberty and Mental Capacity Act . There has been no safeguarding investigations carried out at the care home since the last inspection. Staff were able to discuss the action they would take if they suspected abuse were taking place. Residents confirmed that they could raise any concern with the manager and staff. Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: A resident stated we can raise concerns at the residents meeting or through our representative on the learners council. There are always people around who will listen to is give and us advice I feel very safe living here. We all had been given a copy of the complaints procedure and are invited to raise concerns by staff at the students meetings. There is always possible to express your opinion. Care Homes for Adults (18-65 years) Page 20 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Students live in a comfortable and well maintained home Evidence: The registered manager stated that there is an annual maintenance program in place which priorise work ensuring that the property is maintained to a high standard. Students are encouraged to take responsibility by taking part in the cleaning rota to ensure high levels of cleanliness are maintained. Quality assurance surveys carried out in 2009 the seen at the site visit that students feel the house is very well maintained. The homes own assessment report which is sent to Ofsted states the overall quality of the residential provision is of a high standard. In the last four months improvements have been made to the garden with the assistance of the students. Staff bedrooms are no longer required due to a change in working patterns this has freed up more space for students. New carpets and furniture has been purchased some rooms have been redecorated. A tour of the care home produced evidence that both houses provide accommodation to a good standard. Students said they were very happy with the standard of Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: accommodation provided. A student said this is a comfortable and well maintained home to live in. No health and safety issues were identified during the inspection. Care Homes for Adults (18-65 years) Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Students are supported by a knowledgeable and well-trained staff team Evidence: A sample was taken of the recruitment records for new staff. We found that the company had followed their own updated recruitment procedure and obtained all of the information required under the Care Home Regulations before they had offered employment. This information included a CRB (criminal record bureau check) two written references and proof of identification. The individual staff members file also included evidence that an induction had been provided to new staff. The Registered manager stated staff receive regular supervision and an annual appraisal which allows us to identify further training requirements for each individual needs. Staff supervision records were seen to be in place. All staff are involved in NVQ training 62 of staff hold a NVQ two in care or an equivalent award. Staff said they are very well supported by all of the care homes managers.They stated that they had been provided with essential core training and specialised training which included training to understand the Mental Capacity Act. Staff training record supporting this statement. are registered manager stated that Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: Students are actively involved in new staff interviews. The management have introduced a new staffing rota to ensure consistency in staffing levels and to offer more 1:1 time to students. They now also provides additional waking staff during the night time period. Staff described in detail the personality and needs of each individual student being case tracked. They confirmed that they would use the whistleblowing procedures if they had concerns about the care practice of the home. A member of staff stated we take great pride in our work with the students and are very happy to see the progress they make. Staff stated we would not allow poor care practice to exist within this homes. We would always take any concerns immediately to the manager and are confident the action would be taken to address any issues. Each home has two independent tutors who work opposite each other to provide cover. The shift pattern of staff has been changed since the last key inspection so that students have a higher number of staff to support them when they are in the care home. Students spoke very highly of the staff and the help they provided. One student said I get on very well with my keyworker all staff here at very helpful. Care Homes for Adults (18-65 years) Page 24 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is managed by a competent registered manager who achieves excelent outcomes for students. Evidence: The registered manager has recently completed a registered manager award, and achieved a NVQ level 4 in care management. Staff told us that they receive excellent support from this manager who is very approachable and supportive. Students stated that our manager ensures our individuals needs are met while giving us choices. We are always involved in the decision-making process. Staff records show that staff are trained and competent to meet the needs of students. Staff are encouraged to obtain NVQ training. Linkage trust has a quality team who are responsible for selling out questionnaires to students and family and placing authorities. A senior manager conducts regular visits and the registered manager undertakes regular checks. The college uses a number of systems to ensure students views are represented. These include the learners counsel, personal tutorials and one-to-one keyworker sessions. All policies and Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: procedure have been updated since the last inspection. The environment of the care home has been improved since the last inspection. No health and safety issues were identified at the Key inspection section 26 reports are being completed. The students told us the homes managers ensure that our needs are met safely and that we can work towards our own individual goals successfully. Care Homes for Adults (18-65 years) Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 29 of 29 - 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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