Care Home: York House

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What the care home does well People who live at York House have their care and support needs met by a team of well trained staff who know them well. Care plans are very well written and help the staff to meet people`s needs in a way that they prefer. People are involved in saying how they want to be supported and how the home is run. This means that people have control over their lives. When people are ill they are well supported by staff who work closely with doctors and nurses to help to get them better People living at York House are supported and encouraged to follow their religious beliefs and the home has strong links with the local church where people are always welcome People enjoy holidays to places of their choice and plan them so that they can enjoy a range of fun activities while they are away. What has improved since the last inspection? The home has improved in terms of making it easier for the people who live there to get around. There have been more staff recruited to the home meaning that people can now be supported by a team of staff who they know and who they helped to choose. The home is now able to make sure that medication is stored safely and given to people in the correct dose and at the right time. Records are now double checked so the home can be sure that medication has been given. What the care home could do better: We found that York House is currently offering an excellent service and so did not think that they could do anything better however the manager wants to make sure that all paperwork is up to date and easy to understand to show that the home is well run. Key inspection report Care homes for adults (18-65 years) Name: Address: York House Glebe Road Bayston Hill Shrewsbury Shropshire SY3 0PZ 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: Sue Woods Date: 0 5 1 0 2 0 0 9 This report is a review of the 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 stars – excellent  2 stars – good  1 star – adequate  0 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. They reflect the things that people have said are important to them: 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 30 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 30 Information about the care home Name of care home: Address: York House Glebe Road Bayston Hill Shrewsbury Shropshire SY3 0PZ 01743874442 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) : manager.yhs@prospects-uk.org Prospects care home 10 Number of places (if applicable): Under 65 Over 65 10 0 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 10 The registered person may provide the following category of service only: Care Home Only (Code 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) 10 Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 30 A bit about the care home York House is made up of three bungalows all of which are fully accessible to the ten people who live in them. Everyone who lives at the home has his or her own bedroom. Nobody has to share a room. One bungalow has its own kitchen and the other two bungalows share a kitchen. This arrangement meets the needs of the peole who live at York House and is detailed in the information provided about the home. The home is situated in Bayston Hill which has its own shops and pubs. The home its self was built next to a large church which people regularly attend. York House is a run by Prospects which is a Christian organisation. The Christian values are written into information about the home so that people who use the service can use the information to decide if the home is right for them. People who live at York House are consulted in the running of the home by attending regular reviews and in house meetings as well as completing annual questionnaires and involvement in recruiting and selecting new staff to the home. Care Homes for Adults (18-65 years) Page 5 of 30 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 Care Homes for Adults (18-65 years) Page 6 of 30 How we did our inspection: This is what the inspector did when they were at the care home The quality rating for this service is 3 star. This means that people who use this service experience excellent quality outcomes. We visited York House on 5th October 2009. We arrived at 9.30 am and left at 4.00 pm. We were there for six and a half hours. The home did not know we were coming. During the time that we were there we looked at what it is like to live at the home. We did this by meeting three people who live at York House and talking with the manager and staff on duty. We also looked at the care plans of the people who we met to see if the information was the same as what we had been told. This helps us see if the home is able to meet the needs of the people who live there. We also looked at other records that showed us if the home is keeping people safe. Before the visit the home sent us a completed Annual Quality Assurance Assessment (AQAA). The manager completed this. This is a form that tells us how the manager thinks the home is meeting the needs of the people they support and also tells us other information relating to how the home is run. Care Homes for Adults (18-65 years) Page 7 of 30 What the care home does well People who live at York House have their care and support needs met by a team of well trained staff who know them well. Care plans are very well written and help the staff to meet peoples needs in a way that they prefer. People are involved in saying how they want to be supported and how the home is run. This means that people have control over their lives. When people are ill they are well supported by staff who work closely with doctors and nurses to help to get them better People living at York House are supported and encouraged to follow their religious beliefs and the home has strong links with the local church where people are always welcome People enjoy holidays to places of their choice and plan them so that they can enjoy a range of fun activities while they are away. Care Homes for Adults (18-65 years) Page 8 of 30 What has got better from the last inspection What the care home could do better We found that York House is currently offering an excellent service and so did not think that they could do anything better however the manager wants to make sure that all paperwork is up to date and easy to understand to show that the home is well run. Care Homes for Adults (18-65 years) Page 9 of 30 If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Sue Woods 77 Paradise Circus Queensway Birmingham W Midlands B1 2DT 01216005300 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 10 of 30 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 11 of 30 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 who move in to York House are supported by appropriate assessments of their care and support needs to ensure as far as is possible their successful admission to the home Evidence: Nine people have lived at York House for a number of years and are very settled living there. One person has moved in to York House within the last two years. The manager and the staff team said that the move has been successful and the person who was admitted told us that she was very happy that her decision to move in had been supported. The home received information from health and social care professionals before the admission and the person told us that she had visited before hand. The manager said that information received had overall provided them with all the essential information that they needed to make the decision that York House could meet the persons needs. The person told us that York House were able to meet her needs and she felt well supported. The home has a Statement of Purpose and a Service User Guide that provides information about the home and the service that it offers. The latest person to move into Care Homes for Adults (18-65 years) Page 12 of 30 Evidence: the home had both documents in her file. Care Homes for Adults (18-65 years) Page 13 of 30 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. Personalised care plans ensure peoples needs are met and that they receive care and support in a way that they prefer. People are supported to enjoy full and active lives and risks are assessed to ensure people can do so as safely as possible. Evidence: On the day of the inspection we met three people who live at York House. The majority of people were seen being supported to get ready for their planned day services. Staff are supported to meet peoples care and support needs by care plans that are very detailed, identifying peoples likes and dislikes and preferred routines to support all aspects of daily living. The plans are very person centred care and reflect each persons individuality. This means that staff can meet peoples identified support needs how they prefer and this ultimately gives people a better quality of life. During the time we spent speaking with people who live at York House it was evident that people make choices and are involved in all decisions about how they live their lives. For Care Homes for Adults (18-65 years) Page 14 of 30 Evidence: example two people were preparing to go on holiday at the time of our visit and they told us how they had made the decision as to where they wanted to go and how they had planned their activities while on holiday around their own choices. Staff told us that although two people are travelling to their holiday destination together they both had very separate plans and staff were able to support individual wishes to ensure people have an enjoyable holiday. The home supports people to be as independent as they are able (or as resources allow) and use risk assessments to identify possible risks in activities planned. Likewise risk assessments enable staff to carry out personal care tasks as safely as possible and where risks are identified actions are taken to reduce these risks. Assessments are regularly reviewed to ensure that people continue to be supported safely. Care Homes for Adults (18-65 years) Page 15 of 30 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 live at York House benefit from supported family contact and involvement meaning that they are able to stay close to the people that matter to them. Detailed support plans enable staff to meet individual needs and assist people as they prefer. People enjoy a range of structured activities of their choice and also have the opportunity to enjoy an annual holiday doing things that they like to do. This enables them to lead full and active lives. Evidence: Everyone who lives at York House attend day services that provide a range of structured activities. Staff communicate well with day services staff ensuring continuity of care. In the evenings and at weekend people take part in some in house activities such as art and craft, relaxation and music. The manager is aware that resources are limited to support one to one activities but stated that the home try to work with what they have to ensure people are stimulated both mentally and physically. A support worker told us that one person enjoys an early evening walk and this is supported and one person who lives at Care Homes for Adults (18-65 years) Page 16 of 30 Evidence: the home told us she enjoys writing and socialising via texts. Most people have already had a holiday this year and two people were leaving for a four day London trip on the day of our inspection. We were told that the holiday came about as a idea at a residents meeting and both people going told us that they were looking forward to doing activities of their choice while away. Life story books and care plans reflected that people were doing things that they enjoyed while on holiday.One person for example loves live shows and she is going to see a West End musical. One person is looking forward to seeing the sights and watching the parades. Daily records show what activities people have taken part in but there is no structured evening and weekend time table. One person told us that she enjoys relaxing at weekends. For the majority of people living at York House their religious beliefs are very important to them and records show that people attend the local church regularly and some people support the church in other ways. The homes statement of purpose states that meals are largely prepared centrally and this means limited opportunities for people to be involved in menu planning and meal preparation. A support worker said that one person helps out regularly in the kitchen and it is recorded in that persons care plan that she enjoys cooking. One care plan states that a person enjoys cake making and we were told that he is supported to do this. One person was seen to be doing her laundry at the time of the inspection with minimal support from staff and two people said that they help to clean their rooms. This suggests that people do have opportunities to develop independent living skills and activities where involvement is limited are clearly identified in information shared about the home. Care Homes for Adults (18-65 years) Page 17 of 30 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. The personal and health care needs of the people who live at York House are very well documented and fully met enabling them to have a good quality of life. When people who live at York House are poorly they receive excellent care and support from staff and health care professionals who work together to ensure the person gets the very best care and makes a speedy recovery. People are safeguarded by the homes system for handling, storing and administering medication. Evidence: The three care records that we looked at showed that people attend regular health care appointments and the home works closely with health care professionals to ensure peoples health needs are met. The home has recently supported one person while he underwent medical treatment and this involved providing additional staffing, re writing his care plan to meet his increased needs and ensuring effective infection control within the home. As a result of this support and significant input from health care professionals who visited and supported the person he has now made a good recovery. A health care professional told us that the home had worked professionally and competently with the Care Homes for Adults (18-65 years) Page 18 of 30 Evidence: guidance from her team to ensure that the health support needs of a named person were met. She said that the home were now leading the way in their field and has asked them to help to develop a training package to support other care homes who face similar challenges in the future. Information about peoples health and personal care needs are very well documented and written with the full involvement of the person living at the home, where possible, and from input from family members. As a result people have their health and personal care and support needs met in ways that they prefer that promote their good health. Care plans detail how people should be supported in relation to manual handling tasks and equipment is available to use when required to ensure people can be moved safely and comfortably. Risk assessments support safe practice and following recent manual handling training for staff, which enables them to support people safely, the trainer is coming to the home to review all assessments. This will further demonstrate that the home carries out such tasks safely and appropriately. The home has had a number of medication errors in the last twelve months and as a result the manager has sought input from a pharmacist to review all systems and make changes to reduce the likelihood of such errors occurring again. Medication is now stored in a bigger room and in separate baskets for each person. A system of double checking is in place and senior staff regularly monitor and audit arrangements. The manager and a senior support worker spoke positively of the changes in relation to storing and administering medication. The manager could also demonstrate that staff involved in making errors are reassessed and monitored to ensure they are competent before they administer medication again. Records showed that this process had been followed for the only recent medication error. Protocols were in place to support medicines given as and when required and this enables staff to know how and when to give the named medication to ensure the wellbeing of the individual receiving it. Protocols were signed by a health care professional who knows the individual reflecting their support and involvement in the process. This again suggests that the home works with external bodies to ensure the health and protection of people who receive a service. Care Homes for Adults (18-65 years) Page 19 of 30 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 living at York House are protected by procedures in place for managing complaints, concerns and allegations of abuse and can be confident that their views and concerns will be listened to and acted upon Evidence: Everyone living at York House has a copy of the homes complaints procedure that is written in an easy read format. Staff told us that people share their views and comments about the service they receive in residents meetings and these are minuted by a person living at the home. The manager said that people are also asked to make comments about the running of the home during reviews that take place regularly and involve families and advocates. The manager reported that no complaints have been received about the service provided at York House and that all staff have now completed the Adult Protection course offered by the local authority. The subject is also covered at Induction. All staff who spoke with us were aware of complaints and whistle blowing procedures and said that they would be confident to recognise and report any incidents of abuse or poor practice within the home. The home has worked with the local safeguarding team twice in the last twelve months to investigate allegations of suspected abuse. One allegation was later withdrawn and one allegation was unsubstantiated. The home cooperated fully with the investigations and as Care Homes for Adults (18-65 years) Page 20 of 30 Evidence: a result made improvements to communication with external agencies and made some practical changes at the home to ensure the protection of the people they support. One person told us that she would speak with her key worker if she had any concerns or complaints but said that she did not have any. Care Homes for Adults (18-65 years) Page 21 of 30 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at York House are provided with a safe and well maintained and appropriately adapted place to live meaning that the environment can meet peoples needs. Evidence: The AQAA completed for us by the manager of the home in September 2009 said We have made significant improvements to the environment that have had a positive impact on the people we support with regards to safety and privacy. Examples included the redecoration of bedrooms, new ramped access to one of the bungalows, new flooring in one bungalow and the development of a new medication room. All of these improvements were seen at the time of the inspection. People were happy to show us their rooms which they said they could furnish and decorate as they liked. On person had used bright colours to decorate his room and was very pleased with the result. Heath and safety checks to the environment are well recorded and monitoring takes place by the manager and representatives from the organisation during monthly visits to ensure checks take place and any issues are identified and addressed keeping people safe at the home. The manager was confident that all aspects of fire safety and infection control were addressed to protect people living at the home. Disposable gloves and aprons were seen readily available and staff were seen to use them. Additional infection control measures put in place during one persons Care Homes for Adults (18-65 years) Page 22 of 30 Evidence: ill health offered a high level of protection from infection that contributed to his recovery. We did not look at the fire risk assessment although the manager demonstrated that staff receive fire safety training and that fire equipment is regularly checked to protect people in the event of a fire. Care Homes for Adults (18-65 years) Page 23 of 30 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 who live at York House receive good care and support from a well supported and committed staff team enabling their needs to be effectively met within the home. Appropriate pre employment checks on staff who work at York House ensure that the home only appoints people who are suitable to work with vulnerable people. Evidence: During our visit we spoke with all staff on duty either in a general conversation or in private discussions. Everyone said they enjoyed working at York House. They all demonstrated a good understanding of the needs of the people they support and of the strengths of the service they provide. One staff member said the a home did well offering real choices to people. All staff who spoke with us felt well trained and well supported. Records showed that people receive regular supervision and the new staff members had received their three month probationary interviews, as is the homes policy. The manager reported that recruitment difficulties that had previously been an issue for the home have now been resolved with a number of new staff either in post or going through the recruitment process. She was confident that this would improve opportunities for people living at the home. The observations of staff interactions made by us at the time of the inspection were very Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: positive. Staff supported people sensitively and discreetly. People were not hurried to get from one area to another. One person told us that staff knock before entering her room and are always polite to her. Certificates reflected staffs comments that they have received mandatory training including training to recognise and report abuse. The manager is looking to develop a training record that will show at a glance what training people have received and where gaps in training are. She was confident that all staff had received all mandatory training and had received additional training from health care professionals in relation to meeting peoples specific health care needs. This means that people living at York House can be confident their needs can be met by competent and well trained staff. The staff files of the last three care staff to join the team were reviewed and found to contain the essential information required for the home to demonstrate that people are recruited safely to ensure the protection of vulnerable people. All checks are carried out before people work with the people living at the home. Records were well maintained and readily available for inspection. People living at York House are also involved in the recruitment process meaning they have a say in the people who support them. Care Homes for Adults (18-65 years) Page 25 of 30 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. Peoples health, safety and welfare is promoted and protected within the home enabling people to enjoy a well managed service that reflects the ethos of the home. Evidence: The manager of York House is well respected by her staff team and has good knowledge of the care and support needs of people living at the home. The manager attends training to update her knowledge in relation to personal and professional development. She recently attended training in the implementation of the Mental Capacity Act and in the Deprivation of Liberties Safeguards. As a result she has been able to implement her knowledge within the home and identified that no one currently living at York House is having their liberty deprived. Her knowledge, that she will share with the staff team, will ensure the protection and freedom of people living at the home. Health and safety checks are carried out regularly to ensure the home is a safe place to live and all equipment used within the home, including aids to support the moving and handling of people, are well maintained and regularly checked to ensure they are safe to use. Care Homes for Adults (18-65 years) Page 26 of 30 Evidence: The home seeks the views and opinions of the people who live at York House in a number of ways. Regular reviews of peoples care and support are carried out, residents meetings take place regularly and the home sends out a questionnaire annually seeking the views of people living at York House, their families and health and social care professionals. The questionnaires were most recently sent out in August this year and the manager is currently in the process of reviewing them and developing an action plan to improve the service in the future. One family member commented We think (our son) has more fun, more activity and more social life at York House than we could ever provide. Other comments were equally as positive suggesting that people who are involved with the home are satisfied that they provide a good service. Care Homes for Adults (18-65 years) Page 27 of 30 Are there any outstanding requirements from the last inspection? Yes  No  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 28 of 30 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 Description 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 Description 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 29 of 30 Helpline: Telephone: 03000 616161 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) 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. Care Homes for Adults (18-65 years) Page 30 of 30 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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