Inspection on 27/04/09 for Elora House

This is the latest available inspection report for this service, carried out on 27th April 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

Elora House 30/04/07

Elora House 07/11/05

Elora House 15/08/05

Elora House 31/03/05

Elora House 08/07/04

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 09/07/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Elora House 48 Netherfield Gardens Barking Essex IG11 9TL     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: Julie Legg     Date: 2 7 0 4 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 27 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 27 Information about the care home Name of care home: Address: Elora House 48 Netherfield Gardens Barking Essex IG11 9TL 02085912260 02085912260 elora@tiscali.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Dia Tilakasiri care home 3 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: 3 The maximum number of service users who can be accommodated is: 3 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 Elora House is a private owned care home, which is registered for three adults with a learning disability. The home is situated in a residential area of Barking and is undistinguishable from other houses in the road. On the ground floor of the home there is one bedroom, an open plan kitchen, dining/lounge and a small conservatory. Upstairs there are another two bedrooms, a combined bathroom and toilet and a staff office/sleep-in room. At the rear of the property is an enclosed garden, which has a fishpond in-situ. The home is well situated for all local amenities, including shops, library and leisure centre. It is also close to Barking railway station and the bus terminus. The home is run as a family type home, which aims to promote independence and Care Homes for Adults (18-65 years) Page 4 of 27 Brief description of the care home choice and to assist the service users with developing their daily living skills. The Statement of Purpose is available to all residents and relatives. All of the service users have been given a Service User Guide. The fees for the home are #725-750a week, this does not include hairdressing, toiletries, and private chiropody or holiday spending money. This information was given by Dia Tilakasiri (the registered proprietor and manager) on 29th April 2009 Care Homes for Adults (18-65 years) Page 5 of 27 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 unannounced key inspection took place over one day. The manager was present and was given verbal feedback at the end of the inspection. The inspection involved a tour of the premises, discussions with the manager, a member of staff and the three service users. We also looked at records, other documentation, the completed Annual Quality Assurance Assessment (AQAA) and Regulation 37 notifications. We also case tracked one of the service users. Care Homes for Adults (18-65 years) Page 6 of 27 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 27 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 8 of 27 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. The home understands the importance of prospective service users having sufficient information to enable them to make an informed choice about moving into the home. Evidence: The Statement of Purpose and the Service User Guide are both available in an easy to read and pictorial format. Prospective service users and relatives can use this information to decide whether the home is suitable for them. The current service users have been living at the home for some considerable time; the most recent service user moved into the home in 2004. The manager stated that all perspective service users would be appropriately assessed prior to admission and information would also be gathered from health and social care professionals as well as relatives and other significant people. The admission process would be designed around the needs of the prospective service user. This could be several visits to the home including overnight and weekend stays. Care Homes for Adults (18-65 years) Page 9 of 27 Evidence: This would enable the prospective service to meet the other service users and the staff. This transition period would also allow staff to get to know the prospective service users and to identify whether they could meet their needs. One service user told us, i visited the home before I moved in and met everybody. Care Homes for Adults (18-65 years) Page 10 of 27 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. Staff understand the improtance of service users being supported to take control of their lives and encourage them to make their own decisions and choices. Evidence: All three service users files were examined and these contained care plans and risk assessments. Staff were observed interacting with the service users and the care plans and risk assessments were discussed with the manager. The manager has spent some considerable time updating the care plans. The were completed with the involvement of the service users; they are person centred, clear and concise. They cover in sufficient detail all aspects of health, personal care, dietary, mobility as well as social, religous and recreational needs and goals are clearly identified. They also identify their skills and abilities and how they make choices in their lives. There was evidence that care plans are being reveiwed at least three monthly or if a change in need is identified. Two of the service users have recently had Care Homes for Adults (18-65 years) Page 11 of 27 Evidence: their placement reviewed by their funding authority and it was noted that both authorities feel that the placement continues to meet the service users needs and that no further action was required. Relatives views had been sought and both were satisified with the placement as were the service users. Care plans were examined alongside the daily records and compared with the support being given. There has been an improvement in the completing of the daily records and they now reflect the well being of the service users and how the service users are involved in the life of the home. The care staff know the service users extremely well and also give a verbal handover. All of the service users are able to participate in activities within the home, such as setting and clearing the table, washing up, making a cup of tea and their own breakfast, preparing a sandwich and assisting with the gardening and the laundry. One service told us I do my own breakfast every morning and another said I help to lay the table and wash up. Service users are also involved in menu planning and shopping trips. One of the service users attends a horticultral course at a local college and another works part time at a local barber shop. Two of the service usrs have recently started to attend church on a Sunday. All of the service users are able to handle small amounts of money and are encouraged to pay for their own personal items when visiting the shops and car boot sales. Staff were seen interacting with the service users, their relationship was easy going and friendly but in a professional manner. Some aspects of the servfic eusers care were discussed with the mana, particulary in relation to their health, social and personal care needs. all three of the service users were at home during the inspection and were able to give their views. One service user stated Its alright here, another stated This is my home, I dont want to go anywhere else. Risk assessments that were examined showed areas identified such as, tasks and activities within the home, in the community and health risks. the yevidenced that service users are being supported to experience ordiary living within a safe environment. All of the risk assessments have now been evaluated, reveiwed and updated. this means that the risk assessments are reflecting the current risk situations with all of the sevice users. Service users are consulted on the day-to-day running of the home; service user meetings are held and their views are taken on board regarding menu planning, holidays, refurbishment and redecoration of their bedrooms as well as some of the activities within the home and in the community. Care Homes for Adults (18-65 years) Page 12 of 27 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. Service users have opportunities for personal development within the home and are able to access activities and employment within the local community. Evidence: Service users care plans identify lifestyle choices such as leaisure activities, day services,activities within the home and family contact. Daily records show when and where these activities have taken place. All of the service users have opportunities for personal development within the home and in the coomunity. All three of the service users attend various activities within the community; a local drop-in, local college and attendace at a horticultral course at a local college. One of the service users volunteers ar a local charity shop, another works at a local barbers and an older service user has recently commenced at a day centre for older people. This service user stated I love going to my Arts & Crafts class, I do loads of painting and colouring. All three service Care Homes for Adults (18-65 years) Page 13 of 27 Evidence: users attend various clubs and have varied interests. It was noted that more activities and social outings are taking place are taking place All of the service users have their own televisions and music centres in their bedrooms as well as memorobilia of their particular interests and hobbies.The three service users see their families, some more regulalry than others. One of the service users visits their relative most Sundays, he travels there independantly by public transport. There are no set house rules and servic users were observed going around the house freely. At the time of the inspection one service user was sitting watching snooker on the telelvision, another service user was listening to their music and the other service user was drawing. Staff have the overall responsibility for the cleaning of the home, however service users are encouraged to participate in activities within their capabilities such as dusting their bedroom, putting the washing in the machine, putting their clothes away and helping with the garden. the home does not employ a cook therefore care staff plan, shop and cook the meals with some involvement of the service users. Service users are involved with the menu planning and some of the shopping as well as preparing snacks and cups of tea. Staff are very aware of the service users dietary needs and this was evidenced by their care plans. Menus that were seen showed that staff encouraged service users to eat a healthy diet. On the day of the inspection there were adequate quantities of food available, including fresh fruit. Service users are able to help themselves to snacks and drinks during the day. All three of the service users told us that they enjoyed the food and that there was enough to eat. Care Homes for Adults (18-65 years) Page 14 of 27 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. Service users receive support in a way they prefer and thier physical and emotional needs are met. Evidence: Care plans and daily records were examined and discussed with the manager. The care plans identify health and personal care needs and what spport is required. The service users require prompting and minimal assistance with their personal care andsame gender care is given. Service users were seen to be dressed in clothes that were appropriate for the time of the year and which suited their personalities. the service users are able to buy their owe clothes with support from the staff. all of the service users go to the local barber or hairdresser to get their hair cut. Records that were inspected showed that service users have health action plans. All of the service users are supported to access dental care, opticians, diabetic nurse, chiropody well woman clinic and any GP or hospital appointments when necessary. One of the service users chooses not to wear their dentures or glasses, this is documented.On the day of the inspection one of the sevice users had obtained new Care Homes for Adults (18-65 years) Page 15 of 27 Evidence: glasses. Two of the service users are diabetic and evidences shows that their blood sugars are monitored and are controlled. Service user are weighed according to their need, one of the service users receives supplement drinks as they are prone to loosing weight. There are policies and procedures for the administration and recording of medication within the home. Staff have received medication and this is documented in their personnel files. Medication records were exemined and all had been completed appropriately. the manager regular checks the medication records to ensure compliance. one of the service users is able to self administer her medication on a daily basis and there is an up to date risk assessment in place. Care Homes for Adults (18-65 years) Page 16 of 27 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. Service users views are listened to and acted upon and they are protected by the policies, procedures and monitoring systems within the home. Evidence: The home has a clear complaints procedure, which is available in pictorial format. A copy of the procedure has been made available to all of the service users and their relatives. Since the last inspection there has not been any complaints. the manager was advised that any complaints however mminor should always be recorded. The Care Quality Commission has not recieved any complaints or safeguarding issues since the last inspection. The manager stated that he welcomes concerns and suggestions about the service. In discussion with the service users it was obvious that they knew how to complain and would make a complaint if necessary. All of the service users access day services and clubs as well as having relatives with whom they could tell if the complaint was against the manager/proprietor. One of the service users stated I would tell my Mum if there was a problem. All of the service users stsaed that they were happy at the home and did not want to live anywhere else. The home has Safeguarding Adults policies and procedures; these include the local authority policy and procedure. there was signed evidence that these had been read Care Homes for Adults (18-65 years) Page 17 of 27 Evidence: by the staff. the manager was clear in what incidents needed to be reported to the local authority as part of the local safeguarding rpocedures. the member of staff that was spoken to was also clear on what constituted abuse and their responsibilities to report any incidents that gave cause for concern. Staff files indicated that all members of staff have either recently updated their training in Safeguarding Adults or they booked on courses for later this year. The home has policies and procedures for safekeeping and expenditure of service users money. Service users moneis were checked and found to be correct. Care Homes for Adults (18-65 years) Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is clean, homely and free from any offensive odours which enables service users live in a safe environment that suits their needs and lifestyles. Evidence: The home is in keeping with other properties in the road. A tour of the home was undertaken including the service users bedrooms. The home is furnished in a homely fashion and the entire home was clean and tidy and free from any offensive odours. On the ground floor there is an open plan kitchen lounge/diner area, one of the bedrooms and a small conservatory which houses the washing machine and tumble dryer.The carpet and upholstery in the lounge/ dining room have been professionally cleaned and the hallway and stairs have been redecorated and new carpet laid. Upstairs there are a further two bedrooms and a combined toilet and bathroom as well as the staff office/bedroom. All of the bedrooms are personalised and all of the service users have their own televisions and music centres. All of the service users have new flat screen telelvisions. The three bedrooms are of a good size and are decorated to a reasonable standard; one of the bedroom carpets have been replaced, a new wardrobe has been purchased and one of the bedrooms has been redecorated. Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: The gate leading to the back garden has been replaced to increase security. The garden is a pleasant area for the service users to use during the summer months, one of the service users enjoys gardening and helps the manager to maintain the garden and fish pond. Care Homes for Adults (18-65 years) Page 20 of 27 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 recruitment is robust and this ensures that service users are protected. Staff have the skills and training to ensure that they are able to meet the needs of the service users. Evidence: The manager confirmed that the home is fully staffed and that only permanent staff are used to cover for emergencies, sickness and annual leave; this affords the service users continuity of care by staff who are known to them. There is good staff retention within the home with minimal sickness. the staff team are culturally diverse and this reflects the local community in which the house is situated. Staff rotas were inspected and they correlated with the staff members on duty and on the day of the inspection there were sufficient staff on duty to meet the needs of the service users. There are three service users living at the home and there is always at least one member of staff on duty and at night there is a sleeping-in member of staff. There is a recruitment policy and procedures. there has been one new member of staff recruited since the last inspection. this file was examined and it showed that appropriate recruitment procedures were being followed; the file had a completed application form, an up to date criminal records Bureau (CRB) check and a Protection Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: of Vunerable Adults (POVA) first check, there was also copies of appropriate documentation such as proof of identity and references were also obtained. Staff files showed that mandatory training is taking place; staff have attended manual handling, administration of medication, safeguarding adults, first aid, fire awareness and safe food handling. All of the staff have attained NVQ 2/3 in care. The manager is completing a training profile for each member of staff, that shows what training has been undertaken and identifies what further is required. Staff files indicated that supervision is taking place on a regular basis, this was confirmed by the member of staff on duty. Annual appraisals are being organised by the manager. Service users spoke positively about the staff stating, X is really kind, she helps me with my knitting, they are all nice. Care Homes for Adults (18-65 years) Page 22 of 27 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 of the home is a qualified and experienced person who runs the home in the best interest of the service users. Evidence: The manager of the home is professionally qualified in social work, nursing and management (CSS, RMN, CMS) and has had management experience in several local authorities. This is a small home and therefore the needs of the service usrs are well known to the manager and staff. the service is flexible and service users get up and go to bed when they wish, they are able to eat at times that suit them and they have some 1:1 time with their key worker. The Annual Quality Assurance Assessment (AQAA) was completed and the information gave a clear picture of the current situation in the home and the areas where improvement is still needed and how they plan to achieve this. The data section of the AQAA was fully completed. Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: At the last inspection there were areas identified that needed to be improved, these included: care planning, staff training, supervision of staff, the environment and quality assurance. At this inspection there had been a marked improvement in all areas and the manager was able to identify areas where he wanted to make further improvements. Service users meetings are taking place and quality assurance questionnaires are being sent to service users, relatives and stakeholders. This information will advise the manager on th quality of the service being provided and will enable him to develop an annual plan for the home. The home has a range of policies and procedures including fire safety, emergemcy lighting, health and safety checks and accident/incident reports. There have been no hospital admissions since the last inspection.Both the Annual Gas safety check and electrical system are undertaken when required. The manager has prepared a new risk assessment on fire safety in the home and a new procedure to follow in the event of a fire. The home has responsibility for the personal allowances of the service users and secure facilities are rpovded with records being maintained. All of the service users are able to handle varying amounts of money and one service user is able to withdraw money from his building society account. Both members of staff and service users spoke positively about the manager; staff stated, He is appropachable, he has an open door policy, service users stated I like Dia he takes me out, He listens to me. Care Homes for Adults (18-65 years) Page 24 of 27 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 27 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 26 of 27 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 27 of 27 - 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!