Care Home: Upperton Gardens

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What the care home does well The relaxed, homely and welcoming environment at Upperton Gardens reflects the stability and commitment within the staff team and the open and inclusive management style. The well maintained decor and good quality furniture and furnishings continues to provide a comfortable, pleasant and homely environment for service users. Effective systems are in place for the admission and ongoing care of service users. High quality individual care plans developed from comprehensive pre-admission assessments ensure that an individual`s needs are met in a structured and consistent manner. Communication and consultation with service users` family members is effective and ongoing. Relatives have the opportunity to partake in individual assessment, care planning and reviewing processes. What has improved since the last inspection? There were no requirements made as a result of the previous inspection. The registered manager and staff remain clearly committed to improving standards of care services provided at Upperton Gardens and it is hoped that the current high quality service provision can be maintained. What the care home could do better: Information made available to prospective service users and their families, including the Statement of Purpose and Service User Guide must be reviewed and amended so as to accurately reflect the current situation within the home. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Upperton Gardens 44 Upperton Gardens Eastbourne East Sussex BN21 2AQ     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: Nigel Thompson     Date: 0 3 0 7 2 0 0 9 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. 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. 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 29 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.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: Upperton Gardens 44 Upperton Gardens Eastbourne East Sussex BN21 2AQ 01323439001 01323439001 uppertonhouse@arundelcareservices.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Arundel Care Services Ltd Name of registered manager (if applicable) Miss Claire Hollywood Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 6. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD). Date of last inspection Brief description of the care home 44 Upperton Gardens is a large, split level, terraced property in a quiet residential area of Eastbourne, providing accommodation for up to six adults with a learning disability. Service user accommodation, situated on the first and second floors comprise six wellappointed single rooms, two with en-suite facilities, plus a further two bathrooms and toilets. Communal area on the ground floor includes a spacious lounge, dining room and a Care Homes for Adults (18-65 years) Page 4 of 29 care home 6 Over 65 0 6 Brief description of the care home large kitchen and breakfast room. The secluded rear garden has a lawn, flower borders and a paved patio area. The proprietors and registered providers, Arundel Care Services Ltd. own other similar services in West Sussex. Information about the service, including the Statement of Purpose, Service User?s Guide and CSCI reports is made available to prospective service users or their relatives, on request, as part of the admission process. The current fee base, as of 3 July 2009, is £1,250 per week. Additional charges are made for hairdressing, chiropody, toiletries, and newspapers/magazines Care Homes for Adults (18-65 years) Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This unannounced inspection took place over four hours in July 2009. It found that all of the key National Minimum Standards that were assessed had been met or partially met and the overall quality of care provided was good. The purpose of this inspection was to assess compliance with the requirements of the previous inspection and to generally monitor care practices at the home. On the day of the inspection there were six service users living at the home. Care Homes for Adults (18-65 years) Page 6 of 29 The inspection process involved a tour of the premises, observation of working practices, examination of the homes records and discussion with two service users relatives, two members of staff and the registered manager. Information about the service, contained in the recently completed Annual Quality Assurance Assessment (AQAA), has also been included in this report. The focus of the inspection was on the quality of life for people who live at the home. 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.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 29 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The thorough admission policy and procedure ensures that service users are admitted only on the basis of a full needs assessment, undertaken by people competent to do so. Prospective service users know that the home is able to meet their individual care and support needs. Evidence: Comprehensive and detailed information regarding the home has been produced and is made available to all prospective service users.The Statement of Purpose and Service User Guide are further enhanced by the effective use of photographs and diagrams. However it was evident that neither document has been reviewed recently and contain outdated details relating to the registered manager and the Commission. It was also noted that the wording in places was unspecific and included generic information such as: The Home Manager has or is doing a qualification.... As part of the Admission procedure, the manager confirmed that she will visit a Care Homes for Adults (18-65 years) Page 10 of 29 Evidence: prospective service user and carry out a full pre-admission assessment, including any personal and emotional care and support needs, mobility issues, social and cultural needs and family involvement. Assessments that were examined were found to be detailed and informative. When a placement has been agreed upon, a planned transition programme is developed, that would best suit the service user. All parties involved including the service user, their care manager and, where appropriate, family members are directly involved in planning the transition. This was confirmed by the mother of one of the service users recently admitted to the home, who was spoken with as part of the inspection process: The company was recommended to me and I feel lucky to have found a place that will manage his behaviour. I was consulted with and very much involved in the transition process. In addition to establishing whether the individuals care and support needs can be met within the home, the manager also stressed the importance of ensuring compatibility with existing service users. As part of the transition programme and as well as being invited to visit the home and meet with existing residents and staff, prospective service users have the opportunity to stop overnight or occasionally for a weekend stay before moving in. The manager confirmed that new service users undergo a three month probation period at the home, followed by a thorough placement review, during which time their suitability and compatibility are fully assessed and it is established whether their identified care and support needs are able to be met. Since the previous inspection the home has successfully supported two service users to move from Upperton Gardens into more appropriate supported living accommodation. Their places have recently been filled and, as part of the admission process, the service users are currently being supported as they settle in to their new surroundings. Care Homes for Adults (18-65 years) Page 11 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Comprehensive, care plans enable staff to meet the assessed support needs of service users in a structured and consistent manner. Systems for consultation and participation are effective. Service users are treated with respect and encouraged and enabled to make decisions about their day-to-day living. Evidence: High quality service user care plans, Person centred plans (PCPs) have been developed and implemented.The manager confirmed that service users and, where appropriate, a relative or representative continue to be directly involved in annual care plan reviews. It was evident from plans that were examined that reviews are appropriately recorded and plans, including behavioural guidelines, are amended appropriately to reflect changing needs or circumstances. Information recorded includes who was present at the review and details of issues discussed and agreed goals. Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: However, care plans that were examined were found to be disorganised and information on individual service users was spread over three separate files. An example of this included service users individual and detailed Personal profile found behind historical care plan reviews. As discussed with the manager, the structure of the care plans could be improved to make information more concise and therefore more readily accessible. As part of the routine personal assessment of service users, risk and the potential for risk is assessed, addressed and recorded. Despite the variable and limited verbal communication of some service users, regular Residents Meetings continue to provide all service users with the opportunity to raise any issues or concerns they may have. Independence and individuality continue to be encouraged and promoted within the home and are reflected in the personalising of service users rooms, the choice of bedclothes and colour schemes and individual preferences for menus and activities. Care Homes for Adults (18-65 years) Page 13 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users are enabled and supported to maintain contact with family and friends as they wish and effective links with the community enrich their social and educational opportunities. Service users benefit from appropriate recreational and leisure activities and menus that are balanced and nutritious, reflecting their individual likes and preferences. Evidence: The manager confirmed that, where appropriate, service users family links continue to be supported, however not all service users have regular family contact. Visiting to the home is unrestricted and service users relatives and friends are made welcome at any reasonable time. As part of the inspection process, two service users Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: relatives were spoken to and both expressed a high level of satisfaction with the home and the care and support provided: He is happy there and that is very important to me. Its a great comfort to know that he is being looked after so well. I know that I can ring anytime. Communication is very good. They involve me in everything and I want to be involved. Service users are supported to attend further education and specialist colleges or classes. Four of them are currently still receiving full time further education. Close relationships have been developed with the colleges, ensuring effective communication, consistency and continuity. The manager confirmed that one service user has begun a trial of sheltered employment one afternoon a week at college. This is supported by the college staff and is evidently proving to be of great benefit to the individual concerned. The recreational and leisure interests of service users, reflecting their individual preferences and abilities, are identified and recorded in their personal care plan. Community participation remains a focus in the home and service users continue to be enabled and supported to do their personal shopping as well as visiting local restaurants, cinemas, theatres,farms, museums and other amenities. Some service users like swimming and going to the gym, where one is a member of the local club. Others enjoy country walks and walks along the seafront. The weekly menu is varied, balanced and nutritious and reflects seasonal variations. A member of staff confirmed that meals are based on service users identified likes and preferences, which are regularly discussed at service users meetings. Specialist diets are catered for and currently includes preparing meals for one service user who has food intolerances. An alternative to the main meal is always available and a copy of the menu is displayed in the kitchen. It was noted that guidelines for individual service users are displayed in the kitchen with details such as: ....doesnt like any of his food cut up. (even sandwiches!) Service users are evidently involved in various aspects of meal preparation, including laying the table, clearing away and preparing packed lunches. Care Homes for Adults (18-65 years) Page 15 of 29 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff have developed close and positive relationships with service users and demonstrate an awareness and sound understanding of their individual care and support needs. Service users are protected by clear and comprehensive policies and procedures in place for the control and safe administration of medication. Evidence: In accordance with their personal care plan, service users are fully supported and enabled, as far as practicable, to exercise control over their lives and maintain maximum levels of independence and individuality. During the inspection, service users were observed being supported in a sensitive, professional and respectful manner by members of staff. Documentary evidence was in place to demonstrate that the health and emotional care needs of service users continue to be met within the home. Individual care plans that were examined were found to contain detailed information, clearly developed through close consultation with and direct involvement of service users and their Care Homes for Adults (18-65 years) Page 16 of 29 Evidence: relatives.Comprehensive needs assessments and details of staff intervention and action to be taken, ensures a structured and consistent approach to individual care and support. The manager confirmed that close and effective working relationships between service users and their key worker ensured that any subtle change in an individuals mood or behaviour can be identified and addressed at an early stage. All service users are registered with local GPs and have access to other health care professionals, including physiotherapists, psychologists and occupational therapists, as required. It was noted, in care plans that were examined, that all appointments with, or visits by, health care professionals are recorded. Up to date and detailed policies and procedures relating to the control, storage, administration and recording of medication are in place. Medicines are stored and recorded appropriately. The manager confirmed that all staff with responsibility for administering medication have received appropriate training and are individually assessed and authorised to do so. This was confirmed through discussions with staff and supported by training records examined. Care Homes for Adults (18-65 years) Page 17 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The open and inclusive atmosphere within the home enables service users, staff and visitors to feel able to express any concerns, confident that they will be listened to and acted upon. Service users are safeguarded from abuse through relevant staff training and robust policies and procedures. Evidence: A comprehensive and accessible complaints procedure has been developed, in a service user friendly format, and is clearly displayed in the hallway. The manager confirmed that service users are encouraged to talk about their feelings or any concerns within the home. They can talk to their key worker about these or any member of staff they wish to. They can also discuss any issues with the home manager. As previously documented service users meetings provide an opportunity to raise concerns, however, as the manager added, these at times can be difficult due to the nature of needs the service users have. Members of staff spoken to during the inspection confirmed that, should they have a concern or complaint, they would have no hesitation in speaking to the manager and each person was confident that they would be listened to: I can talk to her about anything. She always makes time for you and shes a good Care Homes for Adults (18-65 years) Page 18 of 29 Evidence: listener. Policies and procedures relating to abuse, including whistle blowing are in place and were found to be up to date and well maintained. The manager confirmed that staff are made aware of these and other key policies and procedures as part of their induction and foundation training and they are also reinforced during regular supervision and staff meetings. Specific training regarding safeguarding vulnerable adults is provided for all staff and this was evidenced by training records staff files and confirmed through discussions with members of staff during the inspection. Care Homes for Adults (18-65 years) Page 19 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. The service is accessible, safe and clean and remains clearly suitable for its stated purpose. Service users benefit from pleasant accommodation that is comfortable, well maintained and decorated to a satisfactory standard. Evidence: The well maintained decor and good quality furniture and furnishings continues to provide a comfortable, pleasant and homely environment for service users. With the exception of some signs of damp from water damage, standards remain high throughout. Each service user has their own spacious bedroom, two with en suite facilities. There are a further two bathrooms. Each bedroom has a lock on their door and a key should they wish to use it. Independence continues to be promoted within the home, as far as is practicable, and this is evident from the personalising of service users rooms, which clearly reflects individual tastes, preferences and interests. On the ground floor is a large lounge, a dining room and a spacious kitchen and dining area. At the bottom of the secluded rear garden there is a single storey building, currently used for storage, that the manager is hoping to transform into a sensory Care Homes for Adults (18-65 years) Page 20 of 29 Evidence: room. The premises are well maintained and improvement are made as and where needed. Any maintenance issues are reported to the head office and repairs are completed quickly and effectively. The manager confirmed that the home also has a list of approved suppliers who can be called upon in emergency situations. Infection control procedures are in place and clearly adhered to and levels of cleanliness remain high throughout. Care Homes for Adults (18-65 years) Page 21 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. Service users are protected by the homes thorough recruitment policy and procedures and benefit from sufficient trained, competent and supervised staff, on duty at all times, to meet their assessed care and support needs. Evidence: The manager clearly recognises the importance of a skilled and competent workforce. All new staff receive comprehensive induction and foundation training, during their probationary period. In addition to this programme, the organisation provides a range of mandatory training including first aid, moving and handling, food hygiene and fire safety. Staff also receive specialist training, specific to the needs of the service users. A six week training course on Autistic Spectrum Disorder has recently commenced, which is being delivered one day a week over a six week period. As appropriate, staff also have the opportunity to access external training courses. This was confirmed through discussions with staff and supported by training records examined: There is always plenty of opportunities for training here. Care Homes for Adults (18-65 years) Page 22 of 29 Evidence: Regular staff meetings are held with an agenda posted on the notice board well in advance, encouraging staff to add their views and any concerns. Full minutes are documented and are kept in the office. All staff are asked to sign to confirm that they have read the minutes. Impressive staffing levels are in place at Upperrton Gardens, with three staff routinely on each shift. Scheduled 1:1 time with service users has resulted in an extra twelve staff hours each day during the week and an increase to four staff on shift at the weekend. At night there is one sleep in person and one waking night. In accordance with company policy, the manager confirmed that she personally provides formal supervision for all care staff on a regular basis.This was confirmed by staff, spoken with during the inspection, and evidenced by the supervision tracker displayed in the office and records held in individual staff files. The home continues to operate thorough and robust recruitment procedures, to ensure the protection of service users. Individual files that were examined, relating to recently appointed members of staff, were found to be well maintained, containing all relevant and necessary information, including two satisfactory references, proof of identity and satisfactory Criminal Record Bureau (CRB) and Protection of Vulnerable Adults (POVA) disclosures. Care Homes for Adults (18-65 years) Page 23 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users benefit from a well managed home, effective quality monitoring systems, thorough health and safety checks and guidelines and efficient record keeping. Evidence: The registered manager has been working at Upperton Gardens since June 2007 and has over thirteen years experience of working with adults with learning disabilities. In 2007 she achieved the NVQ level 4 in Management and Care. She evidently keeps up to date with all current changes and new information within the industry and attends seminars and courses to improve and update her skills and knowledge. From direct observation and through discussions with service users, relatives, and members of staff, it is evident that the manager continues to demonstrate a clear and positive sense of leadership and direction. She is conscientious, motivated and approachable and creates an open and inclusive atmosphere within the home. The home continues to operate effective quality monitoring systems, including Care Homes for Adults (18-65 years) Page 24 of 29 Evidence: satisfaction questionnaires for service users, their relatives and other visitors to the home. The manager confirmed that the health, safety and welfare of service users and staff remains of paramount importance within the home. Staff training is provided in many aspects of safe working practices, including moving and handling; food hygiene; fire safety and first aid. All staff training is recorded. COSHH assessments and guidelines are in place. Regular fire drills are undertaken and recorded. Temperature regulators are fitted to all hot water outlets, accessible to service users. All accidents, incidents and injuries are recorded and reported, as required. Care Homes for Adults (18-65 years) Page 25 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 26 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 1 1 4 It is required that a 28/08/2009 Statement of Purpose be in place that accurately reflects the current situation within the home. The document has not been reviewed recently and contains outdated details relating to the registered manager and the Commission. It is required that an up to 28/08/2009 date Service User Guide is in place providing accurate information regarding the service. The document has not been reviewed recently and contains outdated details relating to the registered manager and the Commission. 2 1 5 Recommendations These recommendations are taken from the best practice described in the National Care Homes for Adults (18-65 years) Page 27 of 29 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 6 It is recommended that the structure of the care plans be improved to make information more concise and therefore more readily accessible. Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: Telephone: 03000 616161 or Textphone: or 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) 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 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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