Inspection on 10/06/09 for 23 Pierrepoint Road

This is the latest available inspection report for this service, carried out on 10th June 2009.

CQC found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

23 Pierrepoint Road 21/02/06

23 Pierrepoint Road 15/08/05

23 Pierrepoint Road 15/02/05

23 Pierrepoint Road 02/08/04

23 Pierrepoint Road 02/02/04

23 Pierrepoint Road 18/07/03

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

Extracts from inspection reports are licensed from CQC, this page was updated on 12/10/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 23 Pierrepoint Road 23 Pierrepoint Road Acton London W3 9JJ     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Clare Henderson-Roe     Date: 1 1 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: 23 Pierrepoint Road 23 Pierrepoint Road Acton London W3 9JJ 02088962581 02089932280 Telephone number: Fax number: Email address: Provider web address: www.caremanagementgroup.com Name of registered provider(s): Care Management Group Ltd (trading as CMG Homes Ltd) care home 13 Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 13 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 - Code LD Date of last inspection Brief description of the care home 23 Pierrepoint Road is a care home registered for thirteen adults with a learning disability, who may be over the age of sixty-five. The home is owned and managed by Care Management Group Ltd, an organisation who became established in 1995. This establishment is a large detached house in central Acton. It is not purpose built, however the building has been adapted to meet residents needs. Service users bedrooms are situated on all floors. There are bathroom and toilet facilities on all Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 13 Brief description of the care home floors. The home has a passenger lift to all floors. The home has a large dining area and a comfortable communal lounge. There is also a separate activities room and a well maintained rear garden. The fees range from £750 to £1200 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: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This was an unannounced inspection carried out as part of the regulatory process. A total of 5 hours was spent on the inspection process, which included a tour of the home and viewing records to include medication management, service user plan documentation, training records, quality assurance documentation, staff employment records and maintenance and servicing records. The Annual Quality Assurance Assessment (AQAA) sent submitted by the home in December 2008 was also viewed as part of the inspection process. We spoke with 7 residents and 5 staff. Care Homes for Adults (18-65 years) Page 6 of 28 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. Care Homes for Adults (18-65 years) Page 7 of 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents are fully assessed prior to admission and are given the opportunity to visit and stay at the home prior to becoming a permanent resident, thus affording the opportunity to ensure the home is appropriate to meet all their needs. Once admitted to the home a process of ongoing review continues, to ensure the resident settles and afford the opportunity to address any newly identified issues that may arise. Evidence: CMG have a comprehensive pre-admission assessment process and a dedicated assessment team who carry out all the pre-admission assessments and then a decision is made as to which CMG home would best meet each individuals needs. Copies of assessments from Social Services and any other relevant healthcare assessments are also obtained. The prospective resident and their representatives can visit the homes identified as best suited to meet their needs in order to view and make an informed decision. Once an appropriate home has been identified, then the person is invited to visit and can have an overnight stay if they so wish. Once the person becomes resident at the home the process of review is ongoing to monitor the Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: placement and ensure that they settle in and any additional needs, for example, accessing a place of worship, are met. The home has had 2 new admissions since the last inspection and the process has been carefully followed to ensure that the home is right for the residents and to make the settling in process as steady as possible. 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. Service user plan documentation clearly reflects all the needs of each resident and how these are to be met, providing staff with the information to care for each resident effectively. Residents are supported to make choices in their lives, thus promoting their independence. Risks are identified and assessed for each resident so that action can be taken to minimise them Evidence: We viewed 2 service user plans. These were comprehensive and provided a good picture of each resident and all aspects of their daily lives, and the care and support each person needs to achieve and maintain their well-being. For one resident recently admitted to the home the care plans for respite care were complete and did provide the information staff need to provide effective care. A monthly review document is completed with input from the resident. Each resident has a daily diary, and these are used as the daily record and an up to date day to day record of the residents ongoing care. There was evidence in the service user plans of annual reviews carried out with the resident, social services, the residents representative and the key worker. There Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: was evidence of input from residents in the service user plans. The daily routines of the home are such as to meet the needs of the residents on an ongoing basis. Residents are encouraged to make choices for themselves in respect of their day to day lives, to include activities, meals, personalising their own rooms and dressing to reflect individuality. There is a residents meeting held each month and the residents are encouraged to express their views so that these are always taken into account when making any plans for the home, for example, menu changes. There was evidence that holidays had been discussed, and 2 residents had already had their holiday arranged. The Deputy Manager explained that the key workers for each resident were arranging the holidays this year in line with the residents wishes. Risk assessments were in place for each resident, covering each area of identified risk. These are reviewed every 6 months unless there is a relevant change in a residents condition. 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. There are activities arranged throughout the week and residents are encouraged to lead active lives, both educationally and socially, to promote learning and social contact. The home has an open visiting policy thus encouraging contact with family and friends. Staff care for residents in a gentle and professional manner, thus respecting their privacy and dignity. The meal provision at the home is good, encompassing the likes of the residents and meeting their dietary needs and preferences. Evidence: Some of the residents attend college, classes and go to the Gateway Club, and the home actively looks for more involvement in the community, to include relevant day centres and placements for the residents. The home has a minibus and this is used to take residents on outings and also to appointments, with taxi and bus services also being used. Other social activities include visits to the park, pubs, and town, plus visits Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: to other CMG homes in the area for a variety of social events throughout the year. Residents wishes in respect of their religious and cultural wishes are ascertained and they have the opportunity to attend church and other places of worship, and are supported to do so. Each resident has a weekly activities programme that reflects their individual interests, however those viewed were quite out of date and needed to be reviewed so that they accurately reflect each persons activity plan. A day in the life of booklet has been completed for residents, and this provides good information about each person. Residents are encouraged to be involved with household to include shopping, meal preparation and table laying, thus helping to promote independence. Each resident has a key worker who is responsible for their welfare and one-to-one time is allocated for discussion and activities. The home has an open visiting policy and visiting is encouraged. Residents can receive visitors in their own rooms or in one of the communal areas, as they so wish. There were no visitors present at the time of inspection. Staff were seen interacting with residents in a gentle, courteous and professional manner, respecting their privacy and dignity. The staff listen to residents and respect their wishes, for example, supporting residents to socialise together and promote friendships. There was a good atmosphere in the home and residents were enjoying their day. As part of the monthly residents meetings menus are discussed so that the menu offered reflects the choices and preferences of the residents, as well as promoting healthy eating. Residents are encouraged to get involved with cooking, which some enjoy, and a member of staff is always present to supervise and support. There was a good supply of foodstuffs at the home, and the residents participate in the shopping expeditions. There were no residents with religious or cultural dietary needs at the time of inspection. Residents were seen enjoying the lunchtime meal, which is the lighter meal during the day, and on the day of inspection a cookery demonstration took place. Residents expressed their satisfaction with the food provision at the home. 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. Staff offer support and assistance to residents for their personal care needs in a gentle and respectful manner, thus maintaining their privacy and dignity. The healthcare needs of the residents are identified and met, thus working to maintain optimum health for each resident. Medications are being well managed in the home, thus maintaining residents health and safeguarding them. Evidence: Staff are available to support residents to be as independent as they can with personal care, and each residents needs are identified and recorded in the service user plan. The residents looked well cared for and contented at the time of inspection. The healthcare needs of each resident are identified in their health action plan file and a record is maintained to evidence healthcare checks, to include GP, psychiatrist, optician, dentist, physiotherapist and other healthcare professionals. We viewed the medication management and records. An information sheet is available for each resident with details to include a photograph plus allergy and phobia information. Receipts and administration of medications had been clearly recorded, Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: and following each medication administration round a second member of staff checks the records and signs to evidence they are correct. A record is maintained of all medications returned to the dispensing chemist for disposal. The home uses a monitored dosage system (MDS) on a 28 day cycle and there was evidence that medications are ordered in a timely manner to ensure continuity of treatment. Risk assessments are in place for several potential risks associated with medication management. Information following hospital discharges is also kept with the medication administration records (MAR). For one medication with a specific administration routine, this had not been recorded on the MAR, however it was clear that the instructions were known and action was taken to ensure the instructions were placed alongside the MAR. Daily temperatures in the medication cupboard are recorded and were within safe range. Liquid medications, boxed medications and creams viewed had been dated when opened. Staff involved in the administration of medications had received training and updates to keep them up to date with best practices. Medications are securely stored and being well managed at the home. 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. There are clear procedures in place for the management of complaints and safeguarding issues, which are followed, thus protecting residents. Evidence: The home has a complaints procedure and this is on display in the home and there is also an easy-read version with pictures on display. The home has not received any complaints in the last 12 months. During resident meetings the residents are encouraged to identify any worries they may have. Residents are also encouraged to express individually any concerns during one to one sessions with their key workers. Comments received confirmed that residents feel able to raise any issues with the staff at the home. The home has a safeguarding adults procedure and also follows the Ealing safeguarding adults protocols. Staff spoken with confirmed that they had received safeguarding adults training and understood the processes for reporting concerns. Posters explaining the different types of abuse were on display in the home, and again had been formatted in simply, with pictures. Residents have individual bank accounts, with a small amount of money being kept securely in the home for their use. Clear records of income and expenditure are maintained and residents sign for any monies they receive for their personal use. We checked 3 sets of resident monies and records and these were accurate and up to date. Care Homes for Adults (18-65 years) Page 18 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. Work has taken place to improve the environment and provide a homely, safe and pleasant place for residents to live in. Infection control procedures are in place and are being followed, thus protecting residents, staff and visitors. Evidence: Since the last inspection some redecoration and refurbishment work has taken place in the home. This includes the installation of a new kitchen, redecoration of the communal sitting room, new chairs and tables in the dining room, and redecoration of some bedrooms. The Manager said that the new carpets were due to be laid the following week. It was noted that although several radiators were now guarded, some of those in resident areas were not. It is acknowledged that in these instances the radiators were either switched off or on a low heat. and the home was pleasantly warm. The Manager explained that he had requested all the radiators to be guarded and head office has now confirmed that this would be completed in the near future, once the planned new floorings had been laid. The home has a laundry room and since the last inspection a new washing machine and tumble dryer have been installed. The washing machine has a sluice programme to assist with infection control. Where they are able, residents are encouraged and supported to do their own personal laundry. The home was clean and fresh Care Homes for Adults (18-65 years) Page 19 of 28 Evidence: throughout. Protective clothing available to include gloves and aprons and there are good practice notices and instructions on display, to enhance infection control management within the home. 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 receive induction training and ongoing training to provide them with the skills and knowledge to care for the residents effectively. The home has robust recruitment processes, and these are followed, thus safeguarding residents. The home is appropriately staffed to meet the needs of the residents and the home, and this is kept under review to ensure appropriate staffing at all times. Evidence: CMG has 3 booklets for induction training. One is a general checklist for orientation and CMG practices and the other 2 cover the Skills for Care Common Induction Standards. The information provided stated that all new staff undertake orientation and Skills for Care induction training and staff receive the support they need to complete this in a timely manner. All established staff are qualified to NVQ in care level 2 or 3, with some currently undertaking level 3, and new staff commence NVQ training once they have completed the induction programme. CMG have also introduced an on-line e-training programme. This covers several areas of training to include mandatory training and other topics relevant to the diagnoses and needs of the residents. Staff spoken to said that they do undertake a training to provide them with the knowledge and skills to care for the residents effectively. We viewed 2 sets of staff employment records for 2 members of staff. These contained all the information required under Schedule 2 of the Care Homes Regulations 2001. Care Homes for Adults (18-65 years) Page 21 of 28 Evidence: The home currently has 11 residents and there are 3 staff on duty during the day plus the manager, with one waking and one sleeping members of staff on duty at night. Additional staff are on duty to escort residents to appointments and with activities where needed. The manager keeps the staffing under review to ensure the needs of the residents can be met at all times. On the day of inspection there was a tube strike and additional staff had come in to work to cover for those with travel problems. It was clear that staff work as a team to ensure the well-being of the residents. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager has the skills and experience to manage the home. The home has systems in place for quality assurance, ensuring a process of ongoing audit and review throughout the home. Overall health and safety is being well managed at the home, thus protecting residents, staff and visitors. Evidence: The Manager has been in post for 4 months. He has attained the Registered Managers Award and is qualified to NVQ level 4 in management and care. In addition he has had undergone induction training from CMG and stated that he has been well supported by other managers. The Manager has also done the e-learning training and has found this very informative. From discussion with the Manager it was clear that he has forward vision for building on current good practice in the home and further advancing the residents choices and abilities wherever possible. CMG have a system for quality assurance in place to show ongoing auditing and review, to plan further improvements. Questionnaires for residents, staff relatives and stakeholders are sent out annually, and these were due in the near future. Regular Care Homes for Adults (18-65 years) Page 23 of 28 Evidence: meetings for staff and residents take place and minutes are taken. The manager has a development work plan for the year, which includes quality improvement, finances, occupancy, recruitment, training, supervision & appraisals, resident involvement, health & safety and other related topics. The Regulation 26 unannounced visits carried out on behalf of the registered person are undertaken and the report is thorough, to include an action plan to address any issues identified in a timely manner. We sampled some of the maintenance and servicing records for the home and those viewed were up to date. Risk assessments for systems and safe working practices are in place and are reviewed at appropriate intervals. The fire risk assessment was last updated in April 2007 and must be updated without delay. Fridge and freezer temperatures are recorded daily. Cleaning and maintenance records are available and kept up to date. With the exception of the radiator guards not all being in place, no other health and safety issues were noted during the tour of the home. Staff undertake mandatory training in health and safety topics, however not all staff were up to date with practical training sessions in moving and handling, plus there had been no fire drills carried out for the night staff, and these 2 areas need to be addressed. Overall health and safety was being well managed at the home, and the shortfalls should be easy to address. 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 12 16 The activities programme for 01/08/2009 each resident must be kept up to date. This is to accurately reflect the interests and hobbies for each resident. 2 42 18 Staff must undertake health and safety training at the required intervals. To keep their skills and knowledge up to date with current legislation and good practice. 01/08/2009 3 42 23 All staff must be involved with fire drills at the required intervals. To maintain up to date knowledge and practice. 01/08/2009 Care Homes for Adults (18-65 years) Page 26 of 28 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 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!