Key inspection report
Care homes for adults (18-65 years)
Name: Address: Aspen House Ltd 33 Carlton Road Derby Derbyshire DE23 6HB The quality rating for this care home is:
two star good 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: Rehana Rashid
Date: 2 4 1 1 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area.
Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection.
This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years)
Page 2 of 28 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home
Name of care home: Address: Aspen House Ltd 33 Carlton Road Derby Derbyshire DE23 6HB 01332342541 01332342531 bally.johal@virgin.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Aspen House Ltd Name of registered manager (if applicable) Mrs Baljit Johal Type of registration: Number of places registered: care home 22 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: The maximum number of service users who can be accommodated is: 22 The registered person may provide the following category of service only:Care home, code PC To service users of the following gender: Both Whose primary care needs on admission to the home are within the following category: Mental disorder, excluding learning disability or dementia, code MD Date of last inspection Brief description of the care home Aspen House Ltd provides a service for up to 22 people of both genders whose primary care needs on admission to the home are within the following category: mental disorder. It is situated on a bus route close to Derby City Centre. There are local shops nearby including a supermarket and a bank which are within walking distance. There are three double rooms and sixteen single bedrooms. Accommodation that is Care Homes for Adults (18-65 years)
Page 4 of 28 Over 65 0 22 Brief description of the care home located on the first floor is also accessible by a stair lift. Communal areas located on the ground floor include a lounge, a dining room and a conservatory. The garden area is located at the rear of the property. Parking is avaliable at the front of the property. At the time of this inspection the registered manager told us that the current weekly fees are between £525 - £575, there will be additional costs such as toileteries and hairdressing. Information about the service is available in the Statement of Purpose and Service User Guide which can be obtained from the manager. Copies of the inspection report will be available from the service and are also available on the Care Quality Commissions website www.cqc.org.uk 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 by one inspector on 24 November 2009 which took place over five hours. The main method of inspection was case tracking, which involved examining three peoples care records. Case tracking is used to establish if the needs of the people living at the home are being appropriately assessed and their needs are being catered for. The service has been registered with the Care Quality Commission (CQC) since June 2009 as a limited company and this is the homes first inspection since. At this inspection there were twenty two people living at the service. The registered manager was present during the inspection visit. Discussions were held with two members of staff about the care provided to people living at the service and Care Homes for Adults (18-65 years)
Page 6 of 28 the support and training they receive. Three staff recruitment files were examined. A partial tour of the building was carried out which included viewing communal areas. Before the visit the registered manager submitted an Annual Quality Assurance Assessment (AQAA), which is a self assessment detailing what the home was doing well and any plans for improving the service over the next twelve months. Information from the AQAA was used within this inspection report. We also sent out surveys asking for views about the care and support people receive at the home. Surveys were sent out to members of staff working at Aspen House Ltd. We received seven surveys back from people who use the service and we had nine completed surveys back from staff. Prior to this inspection visit time was spent looking at information we had received since the registered with the CQC. To assist with planning the AQAA, notifications from the provider and any other information received about the service were also examined. Care Homes for Adults (18-65 years) Page 7 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 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. Peoples needs are assessed prior to admission, to make sure that these can be met at the service. Evidence: The manager told us in the Annual Quality Assessment (AQAA) that there is a thorough pre admissions assessment which includes visits to the service by prospective residents to enable them to make informed decisions. They also told us that social workers are asked to provide information such as risk assessments, psychology reports and social profile assessments. If a person is an inpatient information is available from nursing and medical notes. We found that there is a statement of purpose and service user guide in place, providing people with clear information about the service. The manager or the deputy manager visit people before they are admitted to the home, so that a pre admissions assessment is undertaken. During our visit the manager told us before a person moves to the home, there is a gradual introduction
Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: period where people can visit and spend time at the service before admission takes place. The files for three people living at the home were looked at, these confirmed that an pre admissions assessment is completed by staff at the home to make sure that peoples needs can be met at the service before they move in. The assessments incorporate information such as mental health, social care, race and religion. These were detailed providing staff with clear information about the support needed by each individual. The care files also contained information from care managers and or health care professionals who maybe involved in the persons care. Seven people who returned surveys to us all told us they received enough information about the service to help them decide if the home was the right place for them before they moved in. 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. People are supported to maintain independence and are involved in decisions about their lives. Evidence: The manager told us in the Annual Quality Assessment (AQAA) that detailed care plans are in place and they ensure culturally appropriate staff are employed to meet the needs of individuals, and to involve in care reviews six monthly. They also told us that people at the service are encouraged to make informed decisions. We looked at three support plans which were clearly written detailing the support people required. We found the plans covered issues around the persons social, personal and cultural needs. They gave staff clear information about the persons preferences and decisions. We received nine staff surveys six members of staff stated they are always given up to date information about the needs of the people they support.
Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: Due to the diverse and complex needs of the people who live at the service, risk assessments are in place which take into account peoples rights and wishes as well as potential harm. Risk assessments informed staff about the support people required enabling them to remain as independent as possible. Support plans and risk assessments were up to date and had been reviewed as required. Support plans we looked at had been updated which ensured that any changes in the support required by an individual were identified. We spoke with three people who told us that they are able to make their own decisions and were happy with the care received from the staff. They also told us that they are happy at the home. We received surveys from seven people who live at the service. When asked if they received the care and support they need five people said always and two said usually. Staff were observed with people at the service, which showed that they were interacting together in a relaxed and friendly manner. 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 are supported to maintain their interests and are able to make choices about their life style. Evidence: In the Annual Quality Assessment (AQAA) the manager told us that people are encouraged to engage in activities in the community. They also told us that some people have taken up English and Math classes. The service has access to company vehicles which are used by staff to take people out. Comments from people we spoke with include, I go to the shops and attend a local group, there are things to do but I like to spend time in my bedroom group and another person told us that they attended day care twice a week. We received seven
Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: surveys from people who live at the service, five people told us that the home arranges activities that they can take part in. People are encouraged to use local amenities, shops and college. In the written information from the service the manager told us that people are encouraged to vote by either postal voting or going to a polling station. During the inspection visit we observed that the routines within the home were flexible people were seen coming and going as they pleased. In the AQAA the manager told us that relatives and friends are encouraged to visit. We observed a relative visiting a family member at the service. The staff told us that the visiting times were flexible, this was also confirmed by the people we spoke to. Staff spoken with told us that people go out when they want to and are encouraged to take control of their own lives. The manager told us that arrangements have been made to take people out for Christmas dinner. Staff told us that people take an active part in doing their own laundry, which was confirmed by the people we spoke with. We looked at the menu which takes into account the dislikes and likes of the people living at the service and taking into account any cultural needs people may have. In the AQAA the manager stated that people are able to have an alternative meal if they want. People we spoke with told us that they are able to tell the cook in the morning if they do not want whats on the menu and she will cook an alternative for them. The menu viewed showed that a varied and balanced diet is offered. The three people we spoke with told us that the meals are very nice and there is plenty to eat. In the surveys returned to the commission by people living at the service one person told us the home does nice meals. 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 health and personal care needs are well managed ensuring that their health was maintained. Evidence: In the Annual Quality Assessment (AQAA) the manager told us that people living at the service are supported to visit the dentist and to register with a GP of their own choice. A visiting chiropodist and optician attend the home regularly. Three peoples files viewed evidenced that people have contact with health care professionals. Information recorded outpatient visits, GP and Community Psychiatric Nurse (CPN) input. The service work closely with other professionals who are involved in the persons care. On the day of the inspection there was a review taking place which included a CPN and Social Worker. Staff we spoke with demonstrated a good understanding of the needs of the people who use the service and valued working closely with health care professionals. We looked at the arrangements for medication, medication was stored in lockable
Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: trolleys. There is a photograph of each person on the front of their Medication Administration Record. Three Medication Administration Records were examined and showed that these had been completed fully with no gaps and all entries signed. A fridge for medicines was available and the temperature was recorded daily. At this inspection visit there was one pack of controlled drugs in storage, which was being stored in a separate cabinet within the lockable medication trolley. Controlled drugs must be stored in a cupboard that complies with The Misuse of Drugs (Safe Custody) regulations, 1973 both for security reasons and to meet legal requirements. The manager told us in the Annual Quality Assessment (AQAA) that four members of staff have undertaken training as train the trainer for medication administration and that a further six senior staff are booked to attend medication training. We looked at staff training records which evidenced staff had undertaken medication training. We spoke with one member of staff who confirmed they had received medication training. In the nine staff surveys returned to the Commission, seven members of staff told us they are given training which gives them enough knowledge about peoples health care and medication. 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 are protected by the services safeguarding and complaints procedures. Evidence: In the annual quality assurance questionnaire completed by the service, they told us all people at the service are provided with a copy of the complaints policy and procedure at the time of admission in their handbook. They also told us that a copy is also displayed in the entrance hallway, regular residents meetings are held to air any concerns or suggestions. No complaints have been received at the office of the Care Quality Commission since the service registered as a Limited company. The service has a system in place to record any complaints which they may receive. People at the service told us that if they were unhappy about anything they knew how to make a complaint. From the seven surveys received from the people living at the service, five people said they knew how to make a complaint and two told us that they did not know how to make a complaint. In the information we received from the service we were told that no safeguarding referrals have been made.
Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: Information from the local authority regarding guidance around reporting issues Derby and Derbyshire Safeguarding Vulnerable Adult Partnership procedure was available at the inspection and seen. The service have a safeguarding adults and the prevention of abuse policy in place which we looked at. Two members of staff spoken with told us that they had received training in safeguarding adults. Staff showed a clear understanding of the safeguarding procedure and their responsibility to report an allegation or suspicion of abuse. Financial records were examined for two people living at the service, and found to be satisfactory. Suitable records and receipts were retained for transactions made. Two signatures were on the balance sheets whenever a transaction was made. 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. People live in a clean and comfortable environment that suits their needs and lifestyle. Evidence: In the information supplied to the Commission by the service they told us that the ground floor shower room has been refitted and that some bedrooms have been redecorated. We carried out a partial tour of the building, including communal areas. The home was found to be clean and maintained to a good standard. The dining room and the lounge were homely and clean. We viewed the shower room which was clean and spacious. The garden is located at the rear of the property with a patio area which is accessible for people living at the service. There is a conservatory which also has a television and sofas. Staff told us that the conservatory is used by people. The laundry facilities were seen which had sufficient equipment. These were appropriate for the needs of the people using the service. Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: Comments from three people we spoke with at the inspection visit included I like my bedroom and the home is always clean. In the seven surveys we received from people who live at the service they told us that the home is always fresh and clean. Care Homes for Adults (18-65 years) Page 21 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 at Aspen House are suitably recruited and are trained to ensure they have the right skills to care for the people living at the service. Evidence: In the annual quality assurance questionnaire (AQAA) completed by the manager, she told us that there is high staff retention with little turnover. They also told us the recruitment process is very thorough. All new staff follow the skills for care induction training. Staff are keen and willing to develop and undertake training. Each member of staff has a personal training plan which is linked into the needs of the people at Aspen House. The staff rota viewed demonstrated that staffing levels were sufficient to meet the needs of the people currently living at Aspen House. During discussion with staff they told us there are enough staff on duty. In the completed surveys returned to the Commission when asked if there are enough staff to meet the needs of the people at the service six staff staff always and three members of staff said usually. The people at the service told us that staff are good, they are no trouble. Another person told us staff at the home are nice, they understand your needs, and I am happy here, staff are good. Another person commented in the survey the care at the
Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: home is good, staff help with any problems you may have. The staff we spoke with told us I enjoy working at Aspen House, it is a good team to be part of. They also commented that people are well looked after at the home. We looked at three staff files and found that the necessary pre employment checks had been undertaken to ensure staff are suitable to work with the people living at the service. All three files contained full employment history, two written references and proof of identification. Evidence of satisfactory Protection of Vulnerable Adults (POVA) first check and Criminal Record Bureau (CRB) check were obtained prior to commencement of their employment. Two members of staff told us that they had a CRB check before they started working at the service. In the AQAA the service told us that thirteen permanent care staff have National Vocational Qualification (NVQ) level 2 or above. Training records evidenced that staff have attended training in mandatory areas which has included first aid, moving and handling. In the AQAA were also told that in the last 12 months staff have had more mental health training making them aware of specific illnesses. Staff told us that the training provided by the service is good. Comments included the training provided helps to support people and understand their needs and that the management are support us to attend training. Nine members of staff told is in the surveys that the training they receive is relevant to their role. There was evidence on staff files that they receive regular supervision, members of staff spoken with confirmed this. Care Homes for Adults (18-65 years) Page 23 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. Aspen House is managed well and runs in the best interests of the people who live there. Evidence: Information on the Annual Quality Assessment (AQAA) said that the management ensure all policies and procedures are updated as and when required. They also told us quality assurance questionnaires are undertaken annually and that health and safety is maintained by management. People who we spoke with told us that the home is well run. They said the manager is good and she listens. Staff we spoke with confirmed that the management at the service is good. Comments include the management team is supportive and very helpful and management are flexible around staff commitments. Aspen House has a quality assurance system in place which is used to seek the views
Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: and opinions of people who use the service. We looked at the responses for the recent quality assurance audit which took place during 2009, the responses on the whole were positive about the quality of care. In the AQAA the service told us that all accidents are recorded and copies maintained. We looked at these records which conformed where there had been accidents there were records of such incidents and the action taken was apporiate. In the information supplied to the Care Quality Commission (CQC) by the service they told us maintenance checks are undertaken regularly. At this inspection visit we looked at some records, the gas safety recored confirmed that this was serviced October 2009 and the portable electrical appliances were tested April 2009. Care Homes for Adults (18-65 years) Page 25 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 26 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 1 20 13 The service must ensure that 26/02/2010 they have a Controlled Drugs (CD) cabinet. This will ensure the safe storage of controlled drugs in line with The Misuse of Drugs (safe custody) regulations. Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). 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 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!