Care Home: Westover Close, 1c

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What the care home does well During our visit we found that the service has met or exceeded all the national minimum standards that we checked. We could see from the records and other information that the manager regularly checks how the home is running and takes action to make any improvements needed. Other managers within Parkhaven Trust, the organisation that runs Westover Close, look at finances, health & safety and medication management in the home and there are regular visits from trustees. These regular checks help ensure that people`s rights are protected and they will be supported properly and safely. We found that improvements have been made in the home as a result of the checks and from information received from people who live at the home and their families. An example of this was seen in improvements to the range of activities on offer to people. This has been achieved through asking people what they want to do, giving them better access to transport and providing more flexible staffing arrangements to fit in with outings. People who live in 1c Westover Close benefit from support which is based on their individual needs and choices. The principles of person centred planning are put into practice in care giving, so people can be confident that they are respected as individuals. During our visit, we saw that people who live at the home looked relaxed and well cared for, staff had good communication skills, and each person was being supported as an individual by one member of staff, to give continuity. Each person`s health and treatment is summarised in their care plan every month, which means that the support they receive from staff and health professionals will meet their current needs and any change in a person`s condition will be recorded and acted upon. In surveys received from relatives of people living at the home, they told us they were satisfied with the support provided. Each care plan includes a profile that gives information about the person`s preferred methods of communication. This, along with ongoing consultation with relatives, means that people living in this home have a say about how they are supported, and have the lifestyle they prefer. This was seen to be the case regarding each person`s gender, age, social preferences, disability and their religious and ethnic backgrounds. Following professional reviews of their mobility and moving equipment, each person living in the home had the current aids they need to help them around the home and outside, with help from staff. What has improved since the last inspection? Following our last short visit to the home in 2008, improvements have been made to the medication procedures in 1c Westover Close. This is to make sure people are safe when being given their prescribed medicines. We saw people being given their medication during this visit and staff were following the new procedure. The new procedure has improved continuity for people and helps avoid the risk of them being giving the wrong medication as they rely completely on staff for this. The manager has told us about a number of improvements that have been made recently as part of internal service reviews, some of which are as follows : A complaints, concerns and compliments book has been introduced and is available to give visitors the opportunity to express their opinions on the home. Comments received will be taken seriously and improvements made where any complaints may be upheld. To help ensure staff have the skills to support people properly and safely, staff development in this home is ongoing and they have achieved Investors in People. The AQAA and training records tell us that over eighty percent of support staff have National Vocational Qualifications at levels 2 and 3 and mandatory training updates for them are continuing. A male member of staff has been employed recently to improve the gender balance between staff and people living in the home. A mini bus driver who is also a qualified carer, has been employed, which has increased the number of outings available for people, with an extra staff member to support them. What the care home could do better: The AQAA tells us about plans which the manager thinks will improve the service. We consider this home to be an excellent service and would expect that management would continue to review the way the home is run. This is to make sure the high standards of care provided to people living there at the time of our visit will be maintained and where possible, improved upon. Key inspection report Care homes for adults (18-65 years) Name: Address: Westover Close, 1c 1c Westover Close Maghull Liverpool Merseyside L31 7BU     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: Patricia Thomas     Date: 2 0 0 2 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 27 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: Westover Close, 1c 1c Westover Close Maghull Liverpool Merseyside L31 7BU 01512220306 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Parkhaven Trust care home 4 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 physical disability Additional conditions: Service users to include up to 4 PD. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Date of last inspection Brief description of the care home 1c Westover Close is a purpose built bungalow for four young adults assessed with profound physical disabilities. The home is owned by Parkhaven Trust and Mrs. M. Bridgewater is the registered manager. The home is well integrated with other domestic dwellings in the street and has a car park at the front of the building and gardens at the side and rear. This is a permanent home, providing twenty four hour care and support, home cooked meals and laundry services. All those in residence are registered with a local G.P. and therapeutic treatment is provided on the premises by visiting therapists. The home provides a range of moving equipment and installation of ceiling tracking assists in moving residents in comfort and safety. The four residents occupy single bedrooms with adjacent access to a bathroom. Communal space consists of a lounge/dining area and a conservatory. Care Homes for Adults (18-65 years) Page 4 of 27 4 Over 65 0 Brief description of the care home Care Homes for Adults (18-65 years) Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is three stars. This means that people who use this service experience excellent quality outcomes. The unannounced key inspection at 1c Westover Close was carried out by one inspector over a two-day period. The report will say we when talking about what we did and found during the inspection, as it is written on behalf of the Commission for Social Care Inspection. This visit was just one part of the inspection. Before the visit, the home manager was asked to complete a questionnaire that we call an AQAA (Annual Quality Assurance Assessment) to provide up to date information about the home. Surveys were also made available to people living in 1c Westover Close and staff to find out their views about it. Other information we have received since the last key inspection was also reviewed. The AQAA told us about what home does well, what could be done better, Care Homes for Adults (18-65 years) Page 6 of 27 and what improvements have been made since our last visit. This helped us to determine if the people who run and manage the home see the service they provide in the same way we do. During our visit, we walked around the home and we checked various records to see what care people living there receive. We spoke with people who live at 1c Westover Close and their relatives had already filled in surveys on their behalf and returned them to us. We spoke with staff and with the manager who told us their opinions on the service. We have included their views throughout the report. When we make visits to homes, we use a system called case tracking. This is a way of inspecting that helps us to look at services from the point of view of some of the people who use them. We track peoples care to see whether the service meets their individual needs. Care Homes for Adults (18-65 years) Page 7 of 27 What the care home does well: What has improved since the last inspection? Following our last short visit to the home in 2008, improvements have been made to the medication procedures in 1c Westover Close. This is to make sure people are safe when being given their prescribed medicines. We saw people being given their medication during this visit and staff were following the new procedure. The new procedure has improved continuity for people and helps avoid the risk of them being giving the wrong medication as they rely completely on staff for this. The manager has told us about a number of improvements that have been made recently as part of internal service reviews, some of which are as follows : A complaints, concerns and compliments book has been introduced and is available to give visitors the opportunity to express their opinions on the home. Comments Care Homes for Adults (18-65 years) Page 8 of 27 received will be taken seriously and improvements made where any complaints may be upheld. To help ensure staff have the skills to support people properly and safely, staff development in this home is ongoing and they have achieved Investors in People. The AQAA and training records tell us that over eighty percent of support staff have National Vocational Qualifications at levels 2 and 3 and mandatory training updates for them are continuing. A male member of staff has been employed recently to improve the gender balance between staff and people living in the home. A mini bus driver who is also a qualified carer, has been employed, which has increased the number of outings available for people, with an extra staff member to support them. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 27 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People know their assessed and changing needs and personal goals are reflected in their care plan and their right to make decisions is limited only through the assessment process. Evidence: The people who live at the home have lived there since it was first opened. Although it is unusual for new people to move into 1c Westover Close, there is a good system to introduce people to the home, with information provided and needs assessments done. This means that peoples dignity and right to choose their home will be respected. The service user guide (which informs people about the service and facilities), is regularly reviewed so that any one who is considering moving in will have up to date information about the service they will receive in Westover Close. Care Homes for Adults (18-65 years) Page 11 of 27 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in 1c Westover Close have their health care, personal care and social needs taken seriously so they are able to live as they prefer and are treated with dignity and respect. Evidence: The care plans we looked at were person centred. These had been written to show what help people needed with personal care tasks. Each individuals care plan was clear and informative. This meant that staff knew exactly what they needed to do to meet each persons needs and aspirations in the way they preferred. The people who live in 1c Westover Close looked relaxed and well cared for during our visit and there were up to date records of their general health and any treatments from health professionals. This showed us that staff were monitoring peoples health and making sure they received the treatment and advice they needed. Relatives who returned surveys to us on behalf of the people living in 1c Westover Care Homes for Adults (18-65 years) Page 12 of 27 Evidence: Close said they were satisfied with the care giving and quality of life in this home. We found that peoples equality and diversity is respected in the way care is planned and given to them, based on continued use of each persons preferred communication method. We could see from records that there was continuing contact with peoples families, who contribute to care plans and sign them on behalf of their relative. The care files showed that action is taken to reduce identified risks and hazards which are regularly reviewed and managed positively. This means that people living in Westover Close will lead as fulfilling a life as possible and any limitations on freedom, choice or facilities are always in the persons best interests and well documented. Care Homes for Adults (18-65 years) Page 13 of 27 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are good care plans and records which mean make sure that staff can meet peoples assessed and changing needs and their personal choices and dignity are respected at all times. Evidence: The information we were sent before our visit to the home tells us that each individuals rights to dignity and choice are central to the way the service is planned and given to each person. We saw this clearly in the care files and surveys and from speaking with staff. Our findings were that people who live in 1c Westover Close are provided with a healthy diet and activities which are in keeping with their age group and individual preferences. The service has strong and effective methods for involving residents in all areas of their life in the home. Staff were actively promoting the rights of each Care Homes for Adults (18-65 years) Page 14 of 27 Evidence: individual to make informed choices by arranging contact with relatives and specialist support when needed. This includes developing and maintaining family and personal relationships. Care Homes for Adults (18-65 years) Page 15 of 27 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Promotion of health is taken seriously in 1c Westover Close. Peoples welfare is monitored and health care needs are met in a way which respects their equality and dignity to make sure that their health and wellbeing is maintained. Evidence: Through reading care plans and speaking with staff we found that residents were receiving effective personal and healthcare support which was person centred. Records showed us that care giving in 1c Westover Close is based on respect for the rights of dignity and equality of each person. In addition to the support provided by staff, we saw records of the specialist, paramedical and therapeutic treatment provided for each person, to keep them in good health. Staff members we spoke with were well trained. They showed awareness of each persons needs and how they should respond to any change in their health or condition. Each care file we saw contained a professional assessment of the persons mobility needs and any aids needed by them. Staff had clear, written guidance about how to move, guide and transfer people and had received training in the use of the moving equipment used in the home. Each care plan we read had a monthly summary of the persons general Care Homes for Adults (18-65 years) Page 16 of 27 Evidence: health and any medical treatment they had received in that period. This meant that information about each persons condition is kept up to date and is available for staff and visiting health professionals who may need it. Staff told us they have access to the homes medication policy and have received training in giving out medication. Those staff we spoke with were aware of and understood their roles and responsibilities when giving people their medication. The manager told us that regular audits and reviews of medication take place to ensure that people will be supported properly and safely when taking medication. Care Homes for Adults (18-65 years) Page 17 of 27 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are clear, thorough policies and procedures on complaints and safeguarding so people living at the home know their concerns will be taken seriously and they will be protected from harm. Evidence: In relatives surveys we were told that they know about how to make a complaint and would be confident that their views and concerns will be taken seriously and acted upon. Staff who were spoken with and who returned surveys were aware of the importance of listening to people and following recognised safeguarding procedures if necessary. The AQAA told us that the home has complaints, safeguarding and whistleblowing procedures and that staff receive training in protecting people who are vulnerable. We have not received any complaints or safeguarding referrals about 1c Westover Close since our last visit there. Care Homes for Adults (18-65 years) Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well maintained and well equipped so that people are provided with clean, comfortable and very pleasant surroundings which have been adapted to meet their needs. Evidence: During our visit we walked around the premises and spoke with people who live and work in the home. 1c Westover Close is a single storey bungalow with level access, which was specially built as a home for four people who have physical disabilities. The people living in the home looked comfortable and staff were offering them choices about where to spend their time. Each person has their own comfortable single bedroom which has been highly personalised whilst providing the specialist equipment needed to maintain the persons safety and mobility. There is a lounge, a small conservatory, and a kitchen diner for communal use. There are two bathrooms with toilets, wash hand basins, and assisted facilities to help people with bathing and showering. There is a well-equipped office at the front of the home and a staff toilet nearby. The home is well maintained and decorated in a modern domestic style. There is a parking area at the front, well maintained gardens at the back and a patio at the side of the building with paved areas to assist wheelchairs and people who have poor Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: mobility. There is also access to the canal walk from the garden through a locked gate. This home provides a range of moving equipment and aids to mobility. Residents needs in this have recently been reviewed to ensure each individual has all the personal aids they need to give them access around their home and the community. We found the home to be clean in the areas visited and we saw records of the cleaning schedules where staff sign to say they have carried out each domestic task. There are no domestic staff employed and the cleaning duties are done by care staff. For their guidance we saw procedures for control of substances hazardous to health and infection control and records showed us they have received training in this. Staff told us there are always stocks of cleaning materials and protective clothing in the home to help keep it clean and free from infection. Care Homes for Adults (18-65 years) Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living in 1c Westover Close are supported by well trained, effective staff who have gone through a thorough recruitment process, so peoples needs are met and they are safe from possible harm or poor practice. Evidence: During our visit we saw that the people living at the home appeared relaxed in their home and staff have developed a good understanding of their communication methods. Relatives surveys showed us that they had confidence in the abilities of staff and the manager to support each person properly and safely. The roster, which gives the names of each staff member on duty for each shift, is flexible to meet each persons needs regarding leisure and support. A relatives survey told us that staff are consistent, friendly and helpful and appear to enjoy the work. Another survey told us that long term staff understand their relatives needs and that temporary staff would be no substitute. The training records showed us that training is focused on delivering improved outcomes for the people who live at the home in addition to the mandatory training and National Vocational Qualifications required of support staff. In eight surveys we received, staff said they felt confident in the training and support they receive from management in the home. The records showed us that staff have monthly one to one meetings with the manager, annual appraisals and regular staff meetings. This means Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: they have the opportunity to discuss care practice in the home, have their performance assessed and receive relevant training. Care Homes for Adults (18-65 years) Page 22 of 27 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. 1c Westover Close is managed in the best interests of the people who live there and their rights are promoted and protected. Evidence: Our records about 1c Westover Close tell us that the manager has the required qualifications and experience. This means that she has the competence to run the home to meet its stated aims and objectives. During our visit the manager was able to describe a clear vision for the home based on quality outcomes for people and organisational values and priorities. The home has a good track record for delivering quality services for people and recognising areas for improvement as set out in the information we were sent before our visit to the home. Feedback from relatives and staff in surveys told us that the manager is respected, approachable, listens to what people tell her about the service and acts upon it. There is an effective quality assurance and monitoring system, based on seeking the views of residents and their representatives, about whether the service aims and objectives are being met. Trustees from Parkhaven Trust visit the home regularly to monitor the standard of service and the quality of outcomes to people living there. Also, a series of checks and Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: audits is carried out by other managers of the organisation in areas such as health and safety, finances and medication to help ensure the service is safe and suitable for people. There are procedures in place to support safe working practices and we looked at the health and safety records. Certificates and records of regular checks on the environment and equipment were up to date. There are emergency procedures in place and systems for recording accidents and incidents to residents and staff. The records we read showed us that staff have guidance in safe working practices and have received relevant training in areas such as patient handling, first aid and infection control. Care Homes for Adults (18-65 years) Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 26 of 27 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). 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