Inspection on 07/09/09 for Caroline House

This is the latest available inspection report for this service, carried out on 7th September 2009.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Caroline House 20/03/07

Caroline House 07/03/06

Similar services:

Flint House

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

The Cotswold Home

Fairways

Treloar College

Extracts from inspection reports are licensed from CQC, this page was updated on 25/11/2009.

Key inspection report Care homes for adults (18-65 years) Name: Address: Caroline House 191 London Road Horndean Waterlooville Hampshire PO8 0HJ     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: Ian Craig     Date: 0 7 0 9 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 29 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 29 Information about the care home Name of care home: Address: Caroline House 191 London Road Horndean Waterlooville Hampshire PO8 0HJ 02392592502 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: dolphin.homes@btconnect.com Dolphin Homes Ltd care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability physical disability Additional conditions: The maximum number of service users who can be accommodated is: 6 The registered person may provide the following category/ies of service only: Care home only - 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 Physical disability - PD Date of last inspection Brief description of the care home Caroline House is a detached property situated set back from the London Road in Horndean among other residential properties. The home is owned and run by Dolphin Homes Limited and provides accommodation for up to six adults with a learning disability and who may also have physical disabilities. 1 6 1 0 2 0 0 8 6 6 Over 65 0 0 Care Homes for Adults (18-65 years) Page 4 of 29 Brief description of the care home The home has been adapted to provide suitable equipment for people with physical disabilities. This includes a passenger lift, ramps, easy access showers, hoists and ramps. Services are provided on two floors. The ground floor shared area has been extended and now includes a large conservatory with rear exit to the garden. The current service focuses on meeting the needs of service users experiencing the transition to adulthood. Care Homes for Adults (18-65 years) Page 5 of 29 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: The inspection consisted of a site visit of approximately 4 hours and 20 minutes. Two staff and two residents were involved with the inspection. Discussions took place with the manager. The inspector joined residents for the early evening meal. Surveys were sent by the Commission to residents, health and social care professionals and staff, asking for their views on the service provided by the home. These were returned by 6 staff, 3 residents or their relatives and 4 health and social care professionals. Information contained in the surveys has been used for this report. Records, documents and policies and procedures were looked at. Care services are required to complete an Annual Quality Assurance Assessment (AQAA). This was completed by the home and returned to the Commission. Care Homes for Adults (18-65 years) Page 6 of 29 Information contained in the AQAA has been used for this report. Following discussion with the manager the report summary has not been produced in picture format, as the home has its own procedures for communicating the information to individuals. Care Homes for Adults (18-65 years) Page 7 of 29 What the care home does well: What has improved since the last inspection? The homes assessment procedures have been developed and care plans focus more on the individual needs of the resident, which we call Person Centred Planning. Staff continue to receive training and support, and new courses have been introduced such as safe medication procedures. A portfolio entitled, Continuing Professional Development has been introduced for staff Care Homes for Adults (18-65 years) Page 8 of 29 and the manager has attended courses enabling her to train staff in certain subjects, such as safeguarding vulnerable adult procedures. The home has introduced procedures and learning for the use of the Mental Capacity Act 2005 and has plans to extend this so that current legislation is followed. Improvements have been made to the environment such as redecoration and repairs to the ramp at the front entrance. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 29 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 29 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. Prospective residents are able to make an informed choice about whether or not to move in and the home takes steps to ensure it accommodates only those whose needs it can meet. Evidence: The home has a combined Statement of Purpose and Service Users Guide. These give details of the services provided by the home. Discussions with the staff, manager and a resident show that the home communicates details about the home to residents on an individual basis. One resident showed the inspector her care plan which includes diagrams of how she can make use of information about the home. No service users have been admitted to the home since the last inspection so the process of assessing prospective residents needs could only be looked at in part. There is a Referrals, Admissions, Transitions and Discharges policy, which gives details of how the home assesses someone before they move in as well as the arrangements for visiting and trial periods. Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: Surveys from 3 health and social care professionals state that the homes assessment arrangements always ensure that accurate information is gathered and that the right service is planned for people. A fourth survey from a health and social care professional commented that this sometimes happens but did not give any further details. Care Homes for Adults (18-65 years) Page 12 of 29 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. Residents are fully involved in knowing what their care needs are and how they are supported. Residents are supported to make their own decisions and are involved in the daily life in the home. Evidence: Care plans were looked at for 3 residents. These are recorded with the residents needs and preferences as a focus. This is called Person Centred Planning. A resident showed the inspector her care plan and was able to describe what different sections meant. There are photographic displays of activities and food that the resident likes to do. Diagrams and photographs help communicate to the resident what the care plan includes. Residents aims, aspirations and future plans are recorded. Care plans also include specific guidance for staff to follow in providing personal care, the persons routines, and personal preferences. These show that individual needs are Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: catered for with close attention to detail, such as make up routines that the person likes. Guidance is recorded for staff to follow in providing support for eating, drinking as well as health care needs. There is a care plan for the individual activities that each person takes part in as well as a risk assessment, so that staff are aware of the potential risks and the action that needs to be taken to minimise the risks. Night time care plans are recorded for each person showing that individual choices and needs are catered for. Where appropriate care plans and risk assessments are recorded for health needs and give staff clear guidance on what to do in specific circumstances. Each of the 6 staff who returned a survey said that they are given up to date information about the needs of the people they support or care for. In addition to the care plans being written in way that helps residents understand them, a number of other communication tools are used so that residents are made aware of the complaints procedure, the services offered by the home and how they want to be supported. One person is helped to use her own computer which she uses to write the homes shopping lists. Residents also co sign, with a staff member, a care chart when agreed care routines are completed. Weekly routines and activity programmes are recorded with diagrams. Residents have support sessions to help them understand the service available to them and a self advocacy group visits the home to help residents with communication needs. Care plans include details of what specific words and phrases mean for each person. Staff were observed communicating with residents and residents showed that they feel comfortable expressing their needs and wishes. The home has produced a newsletter for the residents. Each of the health and social care professionals who returned a survey state that the home supports people to lead the life they choose wherever possible. Residents have other opportunities to participate in the home. Residents meetings take place every Friday when residents can suggest activities and food they would like. Two residents help devise the homes shopping list. The manager described how residents are given the opportunity to informally interview applicants for care posts. One resident helps with administrative tasks in the home. Care Homes for Adults (18-65 years) Page 14 of 29 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. Residents are provided with a range of activities and opportunities for educational and social development based on their individual needs and wishes. Nutritious and varied meals are provided. Evidence: Each person has a weekly activity programme, showing that residents attend a variety of activities based on individual needs and preferences, including attendance at a day centre, college courses, working on administrative tasks in the home on a voluntary basis and other activities. One person has classes in budget skills. Social and community activities are arranged such as shopping trips, leisure centre, cinema, pubs, restaurants and religious services chosen by the residents. The home has its own transport for taking residents out and about. Two staff said that it would be useful if the home had an additional vehicle so that it would be easier to take residents out. Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: Each resident has an annual holiday. One person said how much she enjoyed a trip abroad accompanied by 2 staff. Other holidays have included trips to north Devon and Blackpool. Residents are supported to be active and to take exercise by visits to a hydrotherapy pool. Bedrooms are personalised with possessions and items of interest such as games, television, music listening equipment, pictures and family photo displays. At the time of the visit a music therapy session was being provided, which the manager said was of great benefit to the residents. Staff said that the residents attend a wide range of activities on a regular basis. Residents are offered a key to their bedroom door. The AQAA states that residents are supported to develop relationships and that advice is provided regarding relationships when appropriate. During the preparation of the early evening meal, staff and the residents were observed preparing food and chatting. Two residents asked if they could help in the kitchen and were supported to do this. One person has her own tea making facilities in her room. Residents choose the weekly menu and the home promotes a healthy diet. Fresh fruit and vegetables are available. There is a record of food provided to each resident. Where residents have specific eating needs, care plans record the support that is needed. The home seeks the advice of specialists regarding nutrition and eating. Staff were observed supporting residents to eat and drink. A health and social care professional commented that there had been an improvement in residents willingness to eat and drink since moving into the home. Care Homes for Adults (18-65 years) Page 16 of 29 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. The home meets the health and personal care needs of the residents. Evidence: Care plans give guidance to staff on procedures for personal care which also include the residents own preferences. Charts are maintained to show when personal care support is provided. Where possible residents also sign these along with the staff member providing the support. Support and intervention with health needs are clearly recorded and training is provided by the relevant community health care staff. Training certificates training are provided by the trainer. Each of the 4 health and social care professionals who returned a survey states that the social and health care needs of the residents are properly monitored, reviewed and met, and, that appropriate advice is sought. One person commented, In my experience they have taken any advice given seriously and implemented accordingly whilst taking on board the individual service users own responses. One person said that the home could improve by the provision of appropriately sized and maintained Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: clothes. Records show that the home seeks the advice and intervention of health and social care professionals regarding the provision of specialist equipment to help residents with mobility and other health needs. Each person has a record of appointments with general practitioners, dentists, occupational therapists and physiotherapists. Staff said that the home is good at providing personal and health care support. The homes medication procedures were looked at. Staff receive training in medication procedures from a local college as well as guidance from community health services for specific medication procedures. Staff sign a record each time medication is administered. Care plans include guidance for staff to follow in administering occasional medication. Controlled medication procedures include the recording by two staff each time it is administered. This medication is double locked and the home has a controlled drug cupboard which will shortly be installed. Care Homes for Adults (18-65 years) Page 18 of 29 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. The home listens to the views of those who live at the home and has an effective complaints procedure. Steps are taken to protect residents from possible harm. Evidence: The home has a complaints procedure, which residents are helped to understand by instruction, photographs and diagrams. Each residents care file record contains information on how a complaint can be made. The homes management keep a record of any concerns or complaints raised and how they have been dealt with. The home has a copy of the local authority procedure on protecting vulnerable people from possible harm. Staff receive training in these procedures. Staff report that they know what to do if there are any concerns raised. Health and social care professionals report that the home responds appropriately when any concerns are raised. Staff receive training in dealing with residents behaviour entitled Non Abusive Psychological and Physical Intervention. These procedures are accreditted by the British Institute of Learning Disability. Where the home looks after the valuables or money of residents records are kept of Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: any amounts deposited or withdrawn plus a corresponding balance. Care Homes for Adults (18-65 years) Page 20 of 29 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. Residents benefit from a clean and well maintained environment with good facilities to meet their care and leisure needs. Evidence: The communal areas and residents rooms were seen. Each bedroom has an en suite bathroom with one exception where the residents room has an en suite toilet. The bathrooms have bathing facilities suited to those with mobility needs. Where appropriate the home has liaised with NHS occupational therapy services for specialist equipment in residents bedrooms. This includes equipment for sleeping and for exercise. Ramped access in and out of the home is provided and there is a passenger lift to the the first floor. A monthly health and safety audit is carried out and recorded regarding the bedrooms and communal areas. Bedrooms have been adapted so that they reflect residents needs and preferences with space to move around in a wheelchair, for instance, as well as having personal items such as pictures, toys, games and other items related to hobbies and interests. Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: A resident said how much she likes her room. Bedrooms have also been redecorated to reflect residents needs and their choices. Communal areas consist of a sitting room with a large screen television which some of the residents were watching at the time of the visit. Residents are able to access the kitchen which is open plan linking with the dining area and living room. The exterior of the home includes a parking at the front and a rear garden with games equipment. The home was found to be clean and hygienic. Care Homes for Adults (18-65 years) Page 22 of 29 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 home provides a well trained and motivated staff team with sufficient numbers to meet care, health and social needs. Staff recruitment procedures protect residents. Evidence: The home aims to provide at least 1 care staff member for 2 residents. The staff rota shows that these hours are being maintained. An additional 4 hours of staff time are provided at the weekends so that residents can go out. Night time staffing consists of 1 waking and 1 sleep in staff members. Staff say the home has sufficient numbers of staff to meet residents needs. Staff report that they they work well as a team to support residents, that they enjoy their work, which they find rewarding. Health and social care professionals also state that staff have the right skills and experience to meet residents needs. Staff were observed working with residents, which included communicating with individuals, supporting people to help with cooking and with leisure activities. Each staff member has a Continuing Professional Development file, with details of training courses attended, such as food hygiene, infection control, diet and nutrition, coping with aggression, risk assessment, health and safety, and specific procedures Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: for supporting residents with health care needs. Surveys from staff show that relevant training is provided. Staff said that the training programme is good and the manager states that staff are supported to attend training that staff may feel is needed for their professional development. From the 12 staff employed, 1 has National Vocational Qualification (NVQ) in care level 4, 4 staff NVQ level 3 and 4 staff NVQ level 2. At the time of the visit, 4 staff were studying for NVQ level 3 and 2 staff are to shortly enroll on NVQ level 2. Records also show that newly appointed staff have an induction. Surveys from staff also confirm that an induction is provided, which prepares them for the job. Staff confirmed that they are supported by the homes management and that they receive regular supervision. Staff recruitment procedures were looked at. These show that the home carries out the required checks before staff start work, including criminal record bureau (CRB) and protection of vulnerable adults (POVA) checks as well as written references. Care Homes for Adults (18-65 years) Page 24 of 29 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 home is well managed and run in the best interests of the people who live there, whose views are central to its daily operation. The health and safety of residents is promoted. Evidence: The manager has completed the Registered Managers Award and NVQ levels 2 and 3. She has also completed courses in palliative care, and a local authority course enabling her to train staff in certain subjects. At the time of the visit she was completing a staff supervision course. Staff say that they are supported by the homes management. A residents relative commented that the home has a strong management team. Surveys are sent by the home to residents relatives and friends. This is summarised and held by the companys head office. Monthly audit visits are carried out by the company and a report completed . Copies of these reports were available for each month for 2009 except January. The manager also carries out a monthly audit. Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: Residents views are also considered at the weekly residents meetings. There is contact with relatives at review and more informally. Records show that the management consider any concerns or points raised by relatives. Staff receive training in health and safety, first aid, food hygiene, moving and handling and contamination of substances hazardous to health. The AQAA confirms that the homes appliances and equipment are tested and serviced by suitably qualified persons. Care Homes for Adults (18-65 years) Page 26 of 29 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 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 28 of 29 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 29 of 29 - 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!