Care Home: Windsor House

Similar services:

• Chesham House
• Argyll House
• Dorset Lodge
• Acacia House
• Dial House Nursing Home
• Cromwell Avenue (9)
• Abbey Lodge

What the care home does well The service focuses on a very individualised approach to people living at Windsor House and this helps create an atmosphere that is both inclusive and consultative. People who use the service confirmed that staff consult them on issues relating to their support needs. Windsor House works hard to encourage and support people in developing and improving their self-help and social skills in order to prepare them for moving on to more independent living. The staff team appear both open and honest in their approach to their work and recognise that people who are using their service require a consistent and positive approach. This was reflected by some of the people using the service who stated "Staff are helpful and fair", although sometimes having to wait for staff to help you can be frustrating". The standard of training within the home is good, with all staff having received the mandatory training necessary to do their job effectively. There was a very warm and welcoming atmosphere. What has improved since the last inspection? The two requirements made at the last inspection had been met and the discarded items from the back of the house have been removed. The fire records are also now being maintained correctly and were up to date on the day of this inspection. The environment has been improved since the last inspection was carried out and this includes, a gardener has now been employed for the both the homes, one of the bedrooms has been refurbished, a new fridge/freezer has been purchased and the greenhouse has been repaired and put into use at the service users request. What the care home could do better: Quality Assurance systems within the service need to be further developed and improve to cover all aspects of the service being provided. The staff should receive regular supervisions as part of their overall personal development plan as well as ensuring people are receiving the appropriate support and guidance in order to carry out their role effectively. The regularity of staff meetings needs to improve, with a minimum of six meetings held per year. Regulation 26 visits visits and reports should be maintained within the service and accessible at all times. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Windsor House 8 Windsor Close Stevenage Herts SG2 8UD     The quality rating for this care home is:   one star adequate 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: Julia Bradshaw     Date: 0 9 0 6 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 28 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 28 Information about the care home Name of care home: Address: Windsor House 8 Windsor Close Stevenage Herts SG2 8UD 01438813915 01438813915 winnett@psycare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Psycare Limited care home 3 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Additional conditions: Date of last inspection Brief description of the care home 3 Psycare Hostels limited operates Windsor House. It is a Psychiatric Aftercare Hostel / Personal Care Home focusing on providing, psychological, emotional and practical support to 3 male persons with enduring mental health disorders. Windsor House (cluster home) is a three bed home situated within 100 metres from its sister home Winnett Cottage (core home). The primary function of the cluster home is to compliment the rehabilitation programme commenced in the core home, providing a stepping stone into the community whilst working on the final stages of independent living. All service users living within Windsor House are able to access staff resources and support 24 hours a day. The home consists of three bedrooms and a communal bathroom on the first floor, a communal lounge and dinning room, kitchen, and down stairs toilet facilities on the ground floor. The home has a 24-hour pager system linked to the main core home. Windsor House is situated down a lane with no through access to the public with ample parking facilities within a quite residential area. Care Homes for Adults (18-65 years) Page 4 of 28 Brief description of the care home Information about the service is provided within both the Statement of Purpose and Service User Guide. These are available within the main office together with the most recent Inspection report. The range of fees are between £1150 and £1300 per week. Care Homes for Adults (18-65 years) Page 5 of 28 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: one star adequate 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 focus of the inspections undertaken by the Care Quality Commission is based upon outcomes for the people using the service. We looked one care plan and tracked the individual care for those people. As part of the planning we look at information we received including the Annual Quality Assurance Assessment (AQQA). This is a self assessment document required by law in which the provider tells us how well they think they are meeting outcomes for individuals. We also looked at any concerns and also feedback from relatives, staff and the people using this service. The last key inspection was carried out on the 21st June 2007 and the most recent ASR was carried out on the 18th June 2008 (An Annual Service Review is a summary of our knowledge of a service that has not had a key Care Homes for Adults (18-65 years) Page 6 of 28 inspection in the last year. It is also how we decide if a service is still as good as we thought it was at the last key inspection or annual service review). We observed staff at work and how they interacted with the people living at within the home. There was also a tour of the building in which the inspector had the chance to talk to the people using this service, the staff, the shift leader and the newly appointed manager. 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 28 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 28 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. Information about the service is kept up to date and provided for all prospective users of this service and everyone wishing to enter the home has a full assessment of need completed. This ensures that all parties can be sure the home can meet all individual needs. The terms and conditions of the home are agreed in writing so that people are clear about the roles and responsibilities. Evidence: The newly appointed manager stated that the service had developed a Statement of Purpose, which sets out the aims and objectives of the service, and includes a guide, which provides information about the service and the specialist care the service offers, although this was unavailable on the day of this inspection. The Service User Guide include details what the prospective and current individuals can expect and gives a clear account of the specialist services provided, quality of the accommodation, qualifications and experience of staff and how to make a complaint. The manager stated that All new service users are given a copy of the guide and the services makes one available for all to view as they wish. Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: Admissions are not made to the service until a full needs assessment has been undertaken. A skilled and trained person always completes the assessment prior to admission to the service. The assessment was detailed and appropriate to the policy and procedure in place. The assessment explored areas of diversity including preferences, religious and cultural needs, involvement from family, partners and advocates, race, gender, age and disability. It was evident that the service strives to seek the information and assessment through care management arrangements, prior to admission. The service has the capacity to support people who use the service and respond to diverse needs that may have been identified during the assessment process. One person who uses the service commented, The staff are good here and are helping me to move on.. The assessment process is conducted annually to ensure that any changes in need are identified and associated support plans are then reviewed and or implemented. There are no privately funded placements. Each person had a statement of their individual terms and conditions and these are reviewed and adjustments made annually or as required. The AQQA states that We work very closely with the potential new resident during the assessment period. Day and night stays are arranged during this period. Advice is given from the respective referral teams with regard to the individual persons assessment. During this period full consideration is given to the individual and their views. Care Homes for Adults (18-65 years) Page 11 of 28 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. Care plans reflect a detailed record of peoples needs, which ensures that people using the service receive a service that meets their needs and protects them. Evidence: One care plan was case tracked fully. It was established that the person who use the service receives good health care support, which is suitable to meet their needs. Personal health care needs including specialist health and dietary requirements are recorded in each persons care plan. The service stated that they receive external support services from the clinical care teams. Psychology, psychiatric and community psychiatric nurse support is provided by the local Community Mental Health Teams. The service also has the full use of an occupational therapist. The care plan provides information and a guide for staff to know how to support the person. The care plan is generated from the pre admission assessment and includes guidelines, risk assessments for the management and control of a range of issues, Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: including, where appropriate behavioural support guidelines. It was observed that the service reviews the needs assessment on an annual basis and this is linked with the care plans in place providing the required information in order for the staff to know how to best meet the needs of the individual. It was observed that personal support is responsive and created to meet the individual choices, needs and preferences. Generally staff were observed to respect the privacy and dignity of everyone living within Windsor House. People are supported to maintain their independence and generally can take responsibility for their personal care needs. Risk assessmentS are in place for a number of issues where control measures may be required to be identified and implemented in order for the individual to take risks as required. Risk assessments held on the file case tracked included, fire safety, personal hygiene, transport, community access and a risk assessment in relation to people smoking in their rooms. During the inspection it was directly observed that confidential records were being stored appropriately. Care Homes for Adults (18-65 years) Page 13 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service can feel assured that they will be offered and receive appropriate opportunities for social/leisure and community involvement. Evidence: People using the service at Windsor House have the opportunity for personal development. Examples included development of independent living skills, socialising, working and college and further education and training. Two people spoken to stated that they were both currently supported in attending college courses in both building and plumbing. People have the opportunity to access services within the community, including a local health centre/gym. One person stated that staff have really helped me move on from the main house into here, giving me more independence. There are opportunities for people to receive paid employment through the completion of tasks Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: such as gardening, cleaning and painting and decorating is provided. People are encouraged to become part of the local community and some individuals access the local community independently on a regular basis. Everyone using the service is supported in gathering relevant information regarding employment, further education, employment skills and benefit advice if required. The service supports people in accessing a range of activities outside of the home, which include, a day trip to Southend and holidays are planned for later this summer to Blackpool. The people living within Windsor House agree between themselves who carries out each of the household tasks and routines with each person taking individual responsibility. These include washing up and vacuuming and one person has taken an interest in helping maintain the garden and growing some vegetables in the small green house. People determine their own menus and organise and prepare their own meals. Staff were observed to interact with people in a way that was mutually respectful. Care Homes for Adults (18-65 years) Page 15 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service can be assured that peoples health care needs are being met by accurate assessments, record keeping and reviewing. Evidence: The health care records seen for one person living with Windsor House were maintained to a satisfactory standard. These checks included, general health care check ups, mental health out patient appointments. The medication cupboard is situated within the main office of the home and provides medication for both Winnett Cottage and Windsor House. The current arrangements for the storage and administration of medication are adequate. All staff have been trained and inducted in the administering medication. There is currently no controlled medication held in the medication cupboards, however there is a robust procedure in place for the administration of these medications, if required. Care Homes for Adults (18-65 years) Page 16 of 28 Care Homes for Adults (18-65 years) Page 17 of 28 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. People using this service can be assured that they will be protected from abuse and that they will be listened to if they raise any concerns or make a complaint about any aspect of their care. Evidence: The service has a detailed complaints procedure in place. A record is maintained in the home of any complaints made detailing actions and outcomes as necessary. People using the service have been informed about the complaints procedure. This is on display in the home. Two people spoken to within Windsor House stated that they knew who to talk to if they had reason to complain. The staff in the office are there if we have a problem and need to talk to someone. The recent AQQA states that no complaints have been received within the past year. A detailed procedure is in place to ensure that people using the service are protected from abuse and harm. Staff receive suitable and adequate safeguarding training (Protection of Vulnerable Adults). Two staff spoken to on the day of this inspection confirmed that they had been inducted and were fully informed about the whistle blowing policy and how to implement it, if necessary. Staff employed within the home are all subject to enhanced Criminal Records Bureau disclosure. Care Homes for Adults (18-65 years) Page 18 of 28 Care Homes for Adults (18-65 years) Page 19 of 28 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 environment provides a comfortable and homely environment in which people can live safely. Evidence: A tour of the building was undertaken as part of this inspection site visit. There has been a variety of improvements carried out and the AQAA states We have employed a gardener to ensure the grounds are well kept. One bedroom has been refurbished. A new fridge/freezer has been purchased. The boiler has been repaired and the greenhouse has been repaired and put into use at a service users request. There is a risk assessment in place in relation to people smoking in their bedrooms. However this must be reviewed and updated as the current risk assessment was dated 2007. The general standard of cleanliness was good with all areas seen tidy and no Mal odours found. There is domestic rota in place and two people spoken to stated they were involved with and that generally it works well in agreeing who is responsible for specific areas within the home. Bedrooms were not inspected on this occasion as people chose to keep these areas private. Care Homes for Adults (18-65 years) Page 20 of 28 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. Staff are suitably well trained and supported to carry out their role effectively, in order to meet the needs of the people using this service. Evidence: The senior staff work alongside the care pathway facilitators to ensure there is both consistency of approach and to support and supervise newly appointed staff. This was seen on the day with a new member of staff was working alongside a permanent member of staff, as part of their induction programme. The new member of staff confirmed that they had been inducted using the homes own induction programme which is linked to skills for care. They also confirmed that they had received training in fire safety, food hygiene, health and safety and infection control. There has also been a range of training provided as part of the mandatory requirement as well as additional training in the Mental Capacity Act, dual diagnosis training, personality disorder training, safeguarding training and medication training. Staff spoken to confirmed that they had received the necessary training in order to carry out their role effectively. The AQAA states There is a training programme for staff internally i.e infection control, drugs and alcohol, diabetes, clozapine, heart attacks, meaningful day, epilepsy, hepatitis, care planning, full risk assessments and safe medication administration. External training includes; all mandatory, NVQs 2, 3, and 4, mental Care Homes for Adults (18-65 years) Page 21 of 28 Evidence: health training i.e personality disorder, dual diagnosis etc. The lead care pathway facilitator has attained their NVQ level 3 and 4. There has been a new manager appointed within the past month from within the organisation. The home had previously been covered by a manager from another service in the interim period, whilst recruitment took place. Staff supervisions and staff meetings have been inconsistent but it hoped that these will now improve with the appointment of a permanent manager. The staffing levels are a minimum of two care pathway facilitators and these ratios are increased when individual needs require it. The current staffing structure is one manager, one lead care pathway facilitator and care pathway facilitators. The manager and senior cover the on-call rota and there is also waking night care support each night. People spoken to during this inspection felt that the current staffing levels during both the daytime and night time were sufficient and that there was always someone available to talk to, when necessary. The are a core team of staff that have been at the home for several years, which is positive for people living at this service and provides consistency and reliability. Three staff files were inspected and contained all the relevant and required information to meet the standard. Care Homes for Adults (18-65 years) Page 22 of 28 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The monitoring systems within the service must improve and staff supervisions more consistent in order to ensure that peoples health and welfare is maintained. Evidence: The new manager has only been in post for a period of weeks before this inspection was carried out. However they are familiar with the home and have been an employee with Pysecare for several years. The home had been managed in the interim by someone from another service, since the permanent manager left in September 2008. The new manager has a broad range of experiences within the caring profession. The staff team have a clear understanding of the key principles and focus of the service, based on organisational values and priorities. They work to continuously improve the service. Feedback received on the day of the inspection from staff and the people who use the service determines that the management are professional and approachable. The Manager leads and supports a stable staff team who have been trained to satisfactory levels. The AQAA determines that there has been an increase use of audit Care Homes for Adults (18-65 years) Page 23 of 28 Evidence: tools and regular supervising and staff meetings. However on the day of this inspection these statements could not be fully evidenced, with the last staff meeting minutes held on the 9/04/09 and staff supervisions records were inconsistent, with several months lapsing between supervisions. This therefore does not currently meet the minimum required standard of six supervisions per month. However these standards are expected to improve now the home has a permanent manager in post. The manager promotes equal opportunities, has good people skills and understands the importance of person centered care and effective outcomes for people who use the service. The service has detailed policies and procedures, which are corporately and internally reviewed and updated, in line with current thinking and practice. The manager ensures that staff follow the policies and procedures of the home. The staff team are positive in translating policy into practice and showed good knowledge of care principles and safeguarding issues. Safeguarding is given high priority and the home provides a range of policies and guidance to underpin good practice. The service provides suitable training regarding safeguarding and staff showed a sound working knowledge of action to take in such an event. A training matrix has been developed. Whilst the AQAA determines that staff have completed their mandatory training. It was confirmed that manual handling, fire awareness, risk assessment, medication, food hygiene, infection control and safeguarding training have all been completed by a number of staff to date. As part of the inspection process, we reviewed a random selection of staff files. Three staff files were audited to ensure suitable checks had been conducted. All files contained the required information to comply with the National Minimum. Regulation 26 visits are carried out by one of the directors of the Company. However the records seen on the day were not up to date with the following reports missing for this year, January, February, April and May 2009. There are a range of internal Quality Audits that should take place on a daily, weekly and monthly basis. However the current system of auditing the key standards of services within the home needs improving to ensure all areas are monitored closely and effectively, in order to ensure errors are identified at the earliest possible time. Care Homes for Adults (18-65 years) Page 24 of 28 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 28 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 36 18 Staff supervisions and staff 31/08/2009 meetings need to be more consistent in order to ensure all staff have the guidance and support they require to carry out their role effectively. To ensure staff are provided with a level of support that ensures people are protected. 2 38 26 The quality monitoring 31/07/2009 systems within the service must improve to ensure that standards are maintained and an effective service is provided. To ensure peoples health and safety is maintained and protected. 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. Care Homes for Adults (18-65 years) Page 26 of 28 No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 27 of 28 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 28 of 28 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!