Inspection on 03/11/09 for Firlawn

This is the latest available inspection report for this service, carried out on 3rd November 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

Firlawn 07/11/07

Firlawn 07/11/06

Firlawn 09/06/06

Firlawn 09/12/05

Firlawn 03/05/05

Firlawn 11/11/04

Firlawn 28/04/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 16/02/2010.

Key inspection report Care homes for adults (18-65 years) Name: Address: Firlawn 402 Chessington Road West Ewell Surrey KT19 9EG     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: Lisa Johnson     Date: 0 3 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 26 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 26 Information about the care home Name of care home: Address: Firlawn 402 Chessington Road West Ewell Surrey KT19 9EG 02087860514 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: EMAS Ltd care home 4 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 4 The registered person may provide the following category 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 category: Learning disability - LD Date of last inspection Brief description of the care home Firlawn provides services for four adults with learning disability. The property is a bungalow, which has a large lounge/dining room and small separate sitting area, single bedroom accommodation, kitchen, laundry and two bathrooms. One room has en-suite facilities and the three other bedrooms are sited near to the bathroom. The cost per resident per week is £884 and holidays, personal items, one-to-one support and complementary therapies are extra and charged separately. The bungalow is located on a main road, with parking for 4 cars. There is a large garden to the rear of the property which is shared by the companys sister home Oaklawn next door. 0 4 1 1 2 0 0 8 4 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 26 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 site visit was part of a key inspection. The visit was unannounced. We arrived at 9.10am and left at 2.50 pm. Information was provided to us by the service prior to this visit in the Annual Quality Assurance Assessment. (AQAA). This is a self-assessment that focuses on how well outcomes are being met for people using the service. We received the AQAA by the expected date which was clear and gave us all the information we asked for. Reference is made to this assessment in this report. During this visit we were introduced to three people that live in the service and discussion took place with the registered manager and the responsible individual. We received three surveys from people who live in the service, which were completed on their behalf by relatives or a person external to the home. We received two surveys Care Homes for Adults (18-65 years) Page 5 of 26 from health and social care professional and surveys were received from two members of staff. During this visit we observed activities and staff interaction. We sampled staff recruitment, and training records, care plans, risk assessments, menus, complaint, accident/ incident records, quality assurance systems, medication administration policies, health and safety records and policies and procedures. We also reviewed other information that we have received since our previous including notifications. Care Homes for Adults (18-65 years) Page 6 of 26 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 7 of 26 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 26 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 people considering the service as a place to live are provided with information that they need to know about the home, although this would benefit from being available in accessible format.Peoples needs are assessed prior to admission ensuring that the service will be able to meet them. Evidence: During this visit we looked at the information provided to people who use the service to see whether it is able to supply detailed information about everything that they or their representatives need to know. There is a statement of purpose and service guide in place, which would benefit from being made available in other accessible formats to assist peoples understanding. There have been no new admissions over the last year. The service has an admissions procedure in place, which includes an assessment that would be carried out by the manager. Other information is also obtained from care managers,previous placement and any relevant health care professionals. Care Homes for Adults (18-65 years) Page 9 of 26 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. Each person has a plan of care and their needs and goals are met and they are able make decisions about their life. People are able to take risks as part of an independent lifestyle. Evidence: Each person has an individual care plan in place, which is also accompanied by an accessible person centred care plan that is formulated with pictures Care plans are based on assessment and contained information about peoples health, personal, emotional, communication, and social skills. Care plans contained clear guidance as to how peoples support is to be provided. Annual care reviews take place,where people and their families are invited to attend. Information seen demonstrated that care plans are also reviewed on a monthly basis. Two members of staff surveyed said that they are share information about the people they support with other carers and the manager. A member of staff said, We discuss in meetings with the home manager to understand service users care needs. Care Homes for Adults (18-65 years) Page 10 of 26 Evidence: The service is making progress with the introduction of easy read documents but this would benefit from being expanded further. The service holds consultation meetings. Some people have limited verbal communication and each persons care plan included a communication profile to assist staff in their understanding of peoples means of communication. People living in the service are unable to manage their finances and the support they require is now recorded in their care plan. Each persons care plan contained risk assessments, which were up to date including, use of the hoist, risk of falls, eating and behaviour which may challenge, which were supported by guidelines. Care Homes for Adults (18-65 years) Page 11 of 26 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. Peoples preferences, social, cultural, diverse ,religious and recreational interests and needs are met. People maintain contact with their family , friends , representatives and the local community. People are supported to exercise choice over their lives and are provided with varied and well balanced meals. Evidence: Each person has an individual weekly activity schedule, which is outlined in their care plan, which is tailored to meet their needs and preferences At the time of this visit two people had left the home to attend day services. Three peoples care plans identified that they participate in day services, receive music therapy, foot massages and aromatherapy. People are supported to access local community facilities including, visiting the pub, restaurants, visiting the cinema and local shops and using the barbers. Information supplied in the AQAA states that the service has been encouraging people to use local transport including, wheelchair accessible buses and Care Homes for Adults (18-65 years) Page 12 of 26 Evidence: taxis. The home also has their own vehicle. Peoples person centred care plans contained a number of photographs of them participating in a range of activities and records that we sampled confirmed that people participate in activities. Holidays have taken place twice this year to Hastings and Dorset. The home also has a range of equipment including, board games and craft materials. One persons care plan identified that they benefit from memory activities. During this visit staff spent time carrying out activities with two people in the home including memory sessions and table top activities. Good interaction and stimulation was provided through out. Peoples care plans contained information about People who are important to me and contained photographs of their family and friends. Information supplied in the AQAA states that relatives are able to visit whenever they wish and they are invited to annual review meetings. The home has also introduced a pictorial activities reference book, which contained photographs of places where people regularly visit including the doctors, pub, shops and various places of interest to assist peoples understanding and communication. The service plans their menu on a daily basis, which is based on peoples choices and preferences. A record was maintained of all meals served, which were varied and well balanced. A comprehensive list was maintained of each persons likes and dislikes. The homes menu would benefit from being made more accessible to people using pictures or objects of reference. During this visit the lunch time meal was observed. One persons care plan identified that they had been assessed by a speech and language therapist due to swallowing difficulties and two people observed during this visit required their meals to be pureed ,which were appropriately presented. Good support was provided by staff, which was relaxed and unhurried. A person living in the service told us that they enjoyed their meals. Surveys received on two peoples behalf said, Good meals and The meals are home cooked and healthy. Care Homes for Adults (18-65 years) Page 13 of 26 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. Peoples health and personal care needs are met and their preferences for support are respected. The home supports people with their medication in a safe way. Evidence: Peoples care plans outlined detailed information about their health and personal care needs. Information seen also included peoples preferred names of address,likes and dislikes, preferred routines and What is important to me. One persons plan identified that due to their needs it is important to tell them what time of day it is when they get up to assist them with orientation. Peoples care plans detailed their health needs and how these is to be supported in How to keep me healthy. One persons care plan identified that they have a diagnosis of diabetes and information seen in their care plan identified that they attend a diabetic clinic and the outcomes of these consultations were recorded.Records were also in place to monitor and support this person with their epilepsy and regular weight monitoring takes place. Another person has been provided with specialist equipment to support their physical needs including, a specialist bed and pressure relieving equipment. Care Homes for Adults (18-65 years) Page 14 of 26 Evidence: Health care checklists were in place and information seen demonstrated that records are maintained ensuring that people receive regular health care consultations including, visits to the General Practitioner, dentist, chiropodist and optician. A physiotherapist, psychologist and a community learning disability nurse also regularly visit the home. Two health and social care professionals surveyed said that peoples health and social care needs are reviewed and met by the service and a health and social care professional commented ,The home responds well to multi disciplinary team requests. Surveys received on behalf of three people and two health and social care professionals confirmed that peoples privacy and dignity is respected. Comments about the care and support provided about the service included, The service looks after my relative exceptionally well;My relatives care is second to none and the manager and staff are always mindful of my relatives care needs and care for all their quite complex medical issues and we are extremely happy with the care and attention provided The homes medication practises were examined.Medication is dispensed by a local chemist.Medication was stored appropriately. Due to the needs of the clients living in the service they are unable to self administer their medication. A photograph of the person was available for identification. All medication administration records were signed. The manager informed us that arrangements are in place for homely remedy medication to be authorised by the GP, although currently there are no service users receiving this. A list was maintained of staff with their signatures that are trained to administer medication. Staff attend both internal and external medication training, which includes a training pack. Care Homes for Adults (18-65 years) Page 15 of 26 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. If people have concerns they know how to complain and they are safeguarded from abuse. Evidence: We looked at information provided to people, which tells them about how they can make complaints. During this visit we saw a copy of the homes complaints procedure, which included the timescale for investigating any complaints and the contact details for the Commission. The procedure is available in accessible formats including symbols and pictures. A complaints recording book is maintained, which we viewed and there have been no complaints received over the last year. Two out of three surveys returned on peoples behalf said that they knew how to make a complaint and three surveys stated people are treated well. Two members of staff surveyed said that they knew what to do if someone had concerns about the home. The service has safeguarding vulnerable adults from abuse procedures in place including the local authority procedure. During this visit we sampled three members of staff training records, which confirmed that they receive safeguarding training, although one member of staffs record indicated that this persons training needs updating, which was brought to the attention of the manager.One matter was referred to the local authority following the local authority safeguarding vulnerable abuse procedures, which occurred a year ago pertaining to moving and handling matter of a person living in the service. This matter was accepted by the local authority, which Care Homes for Adults (18-65 years) Page 16 of 26 Evidence: resulted in a safeguarding inter agency meeting, although further information requested resulted in no further action being taken. However it was recommended that the registered persons undertake the local authority safeguarding training, which they have attended. . Care Homes for Adults (18-65 years) Page 17 of 26 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 home that is safe, comfortable, homely and clean. Evidence: The service provides a homely, comfortable, well maintained and furnished place for people to live. We were informed that there is a planned maintenance and refurbishment plan in place. Risk assessments have now been completed in respect of the unprotected radiators, which were sampled during this visit. The responsible individual informed us that work is commencing shortly to replace the current radiators throughout the home with low surface temperature radiators commencing with the communal areas. Accommodation is provided in a single, level bungalow and ramps have been installed to external areas to make these accessible for people using wheelchairs. There is an open plan sitting/dining room, which is well furnished and is enhanced with an aquarium for people to enjoy. Accessible bathing facilities are provided. Bedrooms viewed were comfortable, well furnished and personalised. A person surveyed said, I have a nice room, which is well decorated, with my own television and radio and two health and social care professionals said, The house is clean and nicely furnished and The service provides a clean and stimulating environment for clients to live. Care Homes for Adults (18-65 years) Page 18 of 26 Evidence: There is large, well maintained garden to the rear of the home, which contains a summer house, which is shared by the sister home next door. During this visit the home was observed to be cleaned to a good standard and was hygienic. Suitable hand washing facilities and equipment were available and cleaning schedules were in place. Staff training records sampled indicated that they receive infection control training and protective equipment is provided. Care Homes for Adults (18-65 years) Page 19 of 26 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. People using the service are supported by staff that are competent and trained to meet their needs and they are protected by the homes recruitment policies and practises. Evidence: At the time of this visit the registered manager was on duty and was being assisted by the responsible individual. Four people currently reside in the home and two people had left the home to attend day services leaving two other people in the service. The duty rota was sampled, which was now seen to be up to date and it accurately recorded the number staff that were on duty and the hours that they work. We were informed that the manager works alone when there are only two people in the home during week days and night staff hours are arranged to provide two staff at peak times. Support is also provided by the responsible individual who is based in the sister home next door and where they provide this support this was recorded on the duty rota. From four oclock support is provided by two members of staff and at weekends there is always two members of staff on duty through out the day. People are supported by a waking night member of staff and on call arrangements are provided by the responsible individual and manager who live close by. The home benefits from a stable staff team who know peoples needs well and there Care Homes for Adults (18-65 years) Page 20 of 26 Evidence: has been minimal staff turnover in the last year. There are seven members of care staff employed and five have obtained National Vocational Qualifications (Level 2) or above. Two members of staff are qualified learning disability nurses. New staff receive induction, which now follows the Skills for Care core induction standards. A completed induction pack was seen on the personal file for the most recent member of staff employed. Each member of staffs personal file contained a training schedule and during this visit three staff files were sampled, which indicated that they had attended statutory training as well as specialist training including, dementia awareness, epilepsy, eating awareness and pain management. Training is provided both internally and externally and we were informed that a psychologist has attended the home to carry out dementia awareness training. Two members of staff surveyed said that they feel that they have enough support, experience and knowledge to meet the differing needs of people who live at the home.One member of staff said, We have training workshops to assist us to build our skills. Staff receive regular formal supervision, which was confirmed by records sampled. This was also confirmed by two members of staff surveyed who said that the manager meets with them to discuss how they are working. Care Homes for Adults (18-65 years) Page 21 of 26 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 managed by an experienced manager and is run in the best interests of people living there and their wellbeing,health and safety is protected. Evidence: The service continues to be managed by an experienced manager, who is a qualified learning disabilities and mental health nurse The manager has also obtained a diploma in community care and has obtained a National Vocational Qualification Level 4 in management. The manager supplied a completed AQAA to us, which identified where improvements have been made and where further development is planned. Systems are now in place to ensure that the views of people and their families are sought as part of the homes quality assurance systems. The manager was advised that it would be beneficial to also obtain feedback from other stakeholders and that feedback outcomes are analysed Care Homes for Adults (18-65 years) Page 22 of 26 Evidence: Since the last inspection monthly quality monitoring visits have been introduced and these reports were available for viewing, which contained observations and feedback from people using the service. Discussion with the manager and the responsible individual indicated that they have some knowledge of the Mental Capacity Act but they have not yet attended formal training on Deprivation of liberty safeguards, which they are reccomended to attend to raise their understanding to ensure that peoples rights are respected and that they are not deprived of their liberty Monthly health and safety checks are carried out. Staff training records sampled demonstrated that they receive statutory training including first aid, fire awareness, food hygiene, moving and handling and health and safety. Records were maintained to ensuring that regular water temperature monitoring is conducted. Hazardous cleaning materials were stored and locked away securely. The service maintains incident and accident records. Routine servicing and maintenance of facilities and equipment were up to date. Care Homes for Adults (18-65 years) Page 23 of 26 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 24 of 26 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 1 40 It is reccomended that the registered persons attend training in deprivation of liberty safeguards to increase their knowledge and understanding to ensure that peoples rights are respected. Care Homes for Adults (18-65 years) Page 25 of 26 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. 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