Inspection on 14/04/10 for Lynton

This is the latest available inspection report for this service, carried out on 14th April 2010.

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

Lynton 19/04/09

Lynton 22/04/08

Lynton 16/04/07

Lynton 06/11/06

Lynton 03/11/05

Lynton 25/05/05

Lynton 20/09/04

Lynton 29/04/04

Lynton 22/07/03

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Extracts from inspection reports are licensed from CQC, this page was updated on 03/06/2010.

Key inspection report Care homes for adults (18-65 years) Name: Address: Lynton London Road Ashington West Sussex RH20 3JS     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: Annette Campbell-Currie     Date: 1 4 0 4 2 0 1 0 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 27 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) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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: Lynton London Road Ashington West Sussex RH20 3JS 01903893406 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): jallies@btinternet.com www.caremanagementgroup.com Care Management Group Ltd Name of registered manager (if applicable) Mr Baboo Hurynag Type of registration: Number of places registered: care home 3 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: 3 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 Date of last inspection Brief description of the care home Lynton is a care home, which is registered to provide personal care for up to three younger adults who have learning disabilities. It is a detached property, which has been adapted for its current use, and is located in a residential area of Ashington, a small village approximately 20 minutes from both Worthing and Horsham town centres. There are local shops and a pub in the village and residents can access nearby leisure facilities, colleges and work placements. There is a bus service from the village that connects with mainline trains. The property is a two-storey building providing Care Homes for Adults (18-65 years) Page 4 of 27 Over 65 0 3 3 0 0 9 2 0 0 9 Brief description of the care home private accommodation to service users in single bedrooms located on the ground and first floors. Communal accommodation is made up of a lounge and a dining room located on the ground floor. A well kept garden is available for people to use. Fee levels currently range from £1,080.00 to £1,532.00 per week. Personal items such toiletries and hairdressing are not included. The registered provider of this service is the Care Management Group Ltd. Mr Peter Kinsey is the responsible individual for the home. The newly appointed manager has submitted an application for registration with the Commission. 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: The quality rating for this service is 2 star. This means that people who use the service experience good quality outcomes. The previous key unannounced inspection took place on 30th September 2009, at that time the home was assessed as providing adequate quality outcomes for people living there. We (the Commission) carried out the site visit over five hours. The manager and the regional director assisted with the inspection. There were three people living in the home at the time of the visit. The manager has been in post since February and has sent an application for registration to the Commission. The manager completed an annual quality assurance assessment (AQAA) when we asked for it. This provided information to help in planning the site visit. Care Homes for Adults (18-65 years) Page 6 of 27 We sent out surveys to find out what people think about the home. Three people living at Lynton completed surveys with the assistance of staff and four staff returned surveys. The comments that people made have been used to help make an assessment of the service. We spoke with two people living in the home and two members of staff to find out their views about the home. We saw the communal areas of the home, the bathroom, shower room and two bedrooms. We read the following documents: the case records for two people including risk assessments, the complaints policy and recording system, samples of policies, menus, staffing rotas, samples of medication records and storage, incident reports and samples of Regulation 26 reports. The outcomes for people have been assessed in relation to twenty-two of the fortythree National Minimum Standards for Care Homes for Younger Adults; including those considered to be key standards to ensure the welfare of people living in the home. The four requirements made following the previous inspection have now been met. Care Homes for Adults (18-65 years) Page 7 of 27 What the care home does well: What has improved since the last inspection? What they could do better: The manager said that he would ensure that the home obtains a copy of the up to date safeguarding policy and procedures from West Sussex Adult Services. He will also ensure that staff understand the procedures to follow and are made aware of the need to ensure that safeguarding referrals are dealt with immediately and information passed to the Commission without delay. The manager said that he would set up a system for ensuring that serious incidents that occur in the home are monitored so that triggers to challenging behaviours can be identified and protection plans put in place. The manager said that people living in the home would be supported when they may wish to make a complaint and that all complaints would be recorded and investigated appropriately. Care Homes for Adults (18-65 years) Page 8 of 27 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 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 10 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. People would have their needs assessed before a decision was made about them moving to the home. Evidence: The organisation has a pre-admission assessment policy and procedure. There have been no new admissions to the home and the manager said that detailed assessments would be carried out before a decision was made about someone new moving to the home. Care Homes for Adults (18-65 years) Page 11 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. People living in the home have been involved in drawing up a plan of their care. People are supported in their independence and risk assessments are carried out. Evidence: The manager said in the AQAA that the care plans and risk assessments for people living in the home have been reviewed and updated. We read the case records for two people. A standard format provided by the company is used for care planning and risk assessment. All aspects of the persons daily needs, goals and wishes are included. Action plans with timescales and guidance for staff are also included. The staff spoken with said that they have all the information they need to provide the care that people require and that the documents would be helpful for new staff who do not know people well. The key information included some details about peoples backgrounds and also their interests. Care plans are written in a person centred way. It was evident that people had been involved in reviewing their care plans because their comments were included Care Homes for Adults (18-65 years) Page 12 of 27 Evidence: in the documents. Communication needs and difficulties were recorded so that staff know how to help people make choices in their daily lives. Photographs and symbols are used for some information in the home to better assist people in their choices and decision making. The regional director said that the three people living in the home had been offered the choice to have a menu sheet provided in pictorial format and they have refused this offer. People meet with their key worker once a month to support them to bring up any issues and make choices in their daily lives; records of these meetings are kept so that any agreed actions can be reviewed. Where people do not have the capacity to understand the consequences of their choices and decisions have to be made for them, this is recorded in their case records and an explanation documented. People are supported in their independence within a risk assessment framework. The risk assessments have been reviewed and updated in order to provide clear guidance to staff. We saw risk assessments for two of the people living in the home. Risks had been identified and detailed guidance provided about ways to minimise risks. One person is being supported with a planned move to more independent accommodation and guidance is provided to staff in his care plan regarding skills that he needs to develop. The manager must ensure that the updated care plans and risk assessments are kept under review and any changes are recorded so that staff have clear and up to date guidance. Care Homes for Adults (18-65 years) Page 13 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. People are supported to take part in activities of their choice and to maintain contact with their families. The home provides a balanced and varied diet. Evidence: The case records we saw included information about peoples interests and hobbies. There were weekly activity programmes in the case records. One person has a work placement five days a week and is being supported by staff to set up a small business selling plants locally. This person has responsibilities to keep the gardens at Lynton in good order. The garden is well stocked and colourful and provides a relaxing place for people to use in warm weather. Another of the people living in the home is supported to attend college one day a week and horse riding on another day. People are encouraged to use community facilities and are taken out on a regular basis. On the day of the visit one person was Care Homes for Adults (18-65 years) Page 14 of 27 Evidence: at work, another went out for a walk with a member of staff in the morning and two people went out to Worthing with two staff in the afternoon. One person told me that he likes going to the local public house. There is an activity programme for one person who lacks motivation to take part in activities and staff said it is difficult to know how to address this problem. A consistent approach is required and the regional director said that there is a plan to provide a clear programme with guidance for staff when this person moves to more independent accommodation. People are supported to maintain contact with their families when they choose to be involved with their care. Relatives and friends are welcome to visit the home with the agreement of the people living there. The manager said in the AQAA that there is a policy about how to support people with their sexuality and relationships. The regional director said that one person has been offered support with this aspect of his life and has declined; another person has also requested support and the manager said that this would be followed up as a matter of urgency. The people living in the home help to choose the menu each week. The main meal is taken in the evening when everyone is at home and people choose a snack at lunch time. One persons case records stated that he should be involved in shopping and meal preparation to help support him with issues regarding food. There were records to show that peoples weight is checked regularly and one person has been referred to a dietician for support and guidance. Care Homes for Adults (18-65 years) Page 15 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. People receive the personal and health care that they need. The medication policies and procedures protect people in the home. Evidence: The personal care needs for each person were documented in the case records that we saw. It was evident that each individual had been involved in this process so that their needs and wishes could be met. Guidance was available to staff about the way people prefer their care to be provided, for example it was noted that one person is very anxious about falling in the shower and prefers to have a bath. At the moment the manager is the only man working at Lynton; the regional director said that recruiting more men is a consideration so that people can make a choice about having a man or woman to support them with personal care. The home has a good relationship with the local primary care team. A health action plan has been compiled for each person so that their physical and medical needs are clearly documented and health care professionals better understand peoples needs and levels of understanding and communication. Care Homes for Adults (18-65 years) Page 16 of 27 Evidence: All aspects of each persons health have been documented and appointments arranged as required with the next due appointment date noted. One person was going to see the optician in the afternoon and another had an appointment with a GP the following day. The men have access to clinics that promote good health. It was evident that people have reviews of their medication and physical health as required and are supported with hospital appointments. People living at Lynton require specialist support at times. Records and discussion showed that those needing specialist support have now been offered this and that recommendations made at safeguarding meetings have been followed up. There are policies and procedures regarding the administration of medication. Staff who administer medication have completed training in safe practice. We saw a completed competency assessment for one member of staff. The facilities for storing medication are suitable and the sample of medication records we saw were in order. One person has chosen to hold and administer his own medication. He has been provided with lockable storage and a risk assessment has been carried with guidance to staff documented. Care Homes for Adults (18-65 years) Page 17 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. People usually feel that their concerns or complaints are listened to and acted upon. The home follows safeguarding policies and procedures. Evidence: There is a written complaints policy that is now provided in photographic format to help people understand that they are entitled to make complaints. The people living in the home were involved in compiling the complaints policy so that they are familiar with their options. All those living in the home are able to express their views to staff. Each person meets with their key worker once a month for a session that is recorded; this provides an opportunity for people to raise concerns or complaints. There is a system for recording complaints; none have been received from people living in the home. The manager said he would consider ways to address the fact that although there are frequent incidents of verbal and physical aggression that sometimes results in injury; no one has raised a complaint. The manager said that people living in the home would be supported when they may wish to make a complaint and that all complaints would be recorded and investigated appropriately. The home follows the West Sussex multi agency policy and procedure for safeguarding vulnerable adults. The manager said that he would ensure that the home obtains a copy of the updated procedures without delay. Staff have completed training in how to recognise and report adult abuse. The home has reported three safeguarding alerts to Care Homes for Adults (18-65 years) Page 18 of 27 Evidence: West Sussex Adult Services since the previous inspection; the Commission has not been kept informed of each incident. The manager is aware of the importance of immediately referring serious incidents through the safeguarding procedures and said that all staff would be made aware of their responsibility regarding reporting incidents of abuse. There was evidence that incidents of verbal or physical aggression are being recorded however it was not clear that there is a system in place to monitor the frequency and severity of the incidents so that triggers to behaviours can be identified and the occurrence of incidents reduced. The manager said that this would be addressed as a matter of urgency in order to keep people living and working in the home safe. Care Homes for Adults (18-65 years) Page 19 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. People live in a comfortable home that is clean and well maintained. Evidence: The home is detached with well kept gardens for people to enjoy in good weather. Lynton is in a residential area of the village of Ashington. The hallway and stairs have been redecorated and the house is bright, homely and pleasantly furnished. There is a bathroom with toilet upstairs and a shower room with toilet downstairs. Both rooms are in need of refurbishment and the regional director said that this is due to be done in the next six months. Two bedrooms were seen and included personal items that reflect each persons interests. The home was clean with no offensive odours. Care staff are responsible for keeping the home clean and supporting people to take part in cleaning and tidying duties. People are encouraged to assist with clothes washing although staff said it is difficult to motivate some people to develop independence skills. 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. People living in the home are supported by competent and experienced staff. The recruitment policy and procedure protects people. Staff are provided with the training they need. Evidence: Lynton has a staff team of four; two of these people have been appointed recently. The manager works alongside staff on shift for half his allocated time. There are two members of staff on duty at all times during the day and one person on sleeping in duty during the night. Two of the people living at Lynton are usually home during the day and each needs one to one staffing for activities. Additional staff can be called in if necessary so that people could take part in activities of their choice. The small staff team work well together and while this provides consistent care there is a burden of responsibility for people working in the home to cover shifts. The regional director said that another member of staff is due to be recruited soon. The regional director said that the recruitment procedure is managed centrally and suitable candidates are interviewed at a location away from the home. The manager of the home may not be involved in the formal interview. He said that successful candidates then visit the home to meet the manager and people living in the home. There would be an opportunity for feedback before a candidate was confirmed in post Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: if the homes manager felt that the persons skills were not compatible with the needs of the people living in the home. The recruitment records for the two staff recently appointed were not available in the home but were forwarded under separate cover. Recruitment records are held centrally and evidence of the recruitment procedure for each person is normally held in the home. The evidence provided shows that two written references were obtained for each member of staff and an Independent Safeguarding Authority (ISA) check obtained before they began work. The regional director said that newly appointed staff only work under supervision until the full Criminal Record Bureau (CRB) check has been received. There is a format for induction and the manager said that he goes through each element with the new member of staff until he is satisfied that they understand what is expected of them. One member of staff who returned a survey said that their induction procedure could have been better. Three of the four staff have a National Vocational Qualification (NVQ) in care at level two or above. One person said that she has a level three award and is due to begin studying for an NVQ in care at level four. There is a training programme that includes mandatory topics and specialist training for working with people who have a learning disability and challenging behaviours. All staff have attended practical training in dealing with violence and aggression. All staff are due to complete training in equality and diversity issues. There is an ongoing programme of training that includes e-learning by computer. 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 has applied to the Commission for registration. The views of people living in the home are sought and there are quality assurance systems in place. There are policies and procedures in place to help protect people living in the home and working there. Evidence: The current manager has been in post since the beginning of February. He has submitted an application to become registered with the Commission. The new manager has experience of working with people who have learning disabilities and display challenging behaviours as well as previous management experience. He is allocated half his full time hours for management tasks. The regional director has been providing support and guidance to ensure that the National Minimum Standards and Regulations for Care Homes for Younger Adults are met. Each person living in the home has a monthly meeting with their key worker and this meeting is recorded. Issues and concerns can be discussed, noted and addressed. People are given a questionnaire each year in picture format so that they can provide Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: feedback about the home and care they are receiving. Monthly Regulation 26 visits are carried out and a written report is provided. These reports have formed the basis for monitoring the improvement plan requested following the previous inspection and will be used to review and monitor the ongoing progress of the home. There are health and safety policies and procedures in place to protect the health and safety of people living in the home and staff in relation to the environment. There is a fire risk assessment in place and staff have been given guidance about how to evacuate the building in the event of a fire. All equipment in the home is serviced as required. Serious incidents in the home are recorded and a system for monitoring the frequency and severity of incidents is due to be set up so that triggers can be identified and risks minimised. The Commission must be kept informed of all serious incidents in the home and how these are being addressed. 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 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 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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