Inspection on 23/04/09 for Penang

This is the latest available inspection report for this service, carried out on 23rd April 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Penang 03/05/07

Penang 22/05/06

Penang 20/10/05

Penang 14/04/05

Penang 06/12/04

Penang 20/07/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 10/07/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Penang 35 Charles Road St Leonards on Sea East Sussex TN38 0QX     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: Caroline Johnson     Date: 2 4 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 29 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 29 Information about the care home Name of care home: Address: Penang 35 Charles Road St Leonards on Sea East Sussex TN38 0QX 01424420484 01424429102 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Evesleigh (East Sussex) Ltd Name of registered manager (if applicable) Mrs Gemma Quintos Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 6. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD). Date of last inspection Brief description of the care home Penang is a care home registered to provide services for 6 adults with learning disabilities. The home is located in a residential area of St Leonards-on-Sea, close to local transport and amenities. The sea front is approximately 2 miles away. The home is large with mainly spacious bedrooms. The home has three floors although the registered service user accommodation is set over the ground and first floor only. There is a front and rear garden. All bedrooms are single. There are sufficient toilet and bathing facilities, including a Care Homes for Adults (18-65 years) Page 4 of 29 care home 6 Over 65 0 6 Brief description of the care home walk-in-shower on the ground floor. The organisations area manager uses the top floor of the home, which is unregistered, as an office and meeting room. Inspection reports are not routinely sent out to families and advocates after each publication although a copy is kept on display in the reception area of the home and can be obtained via the manager. The registered owners are Evesleigh [East Sussex] Limited. Evesleigh in turn is owned by Hermes Private Equity. Care Homes for Adults (18-65 years) Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: For the purpose of this report the people living at Penang will be referred to as residents. As part of the inspection process a site visit was carried out on 23/4/09 and it lasted from 10:10am until 3.10pm. The registered manager was on a training course that day so a further visit was carried out on 24/04/09 and this visit lasted from 09:50am until 13:30pm. Over the course of the inspection there was an opportunity to meet with four of the five residents. In addition time was spent with the Area manager, the appointed manager and a staff member in private. All areas of the home were seen during the inspection. A full examination was carried out of two care plans and records seen included; staff recruitment and training, medication, minutes of staff and residents Care Homes for Adults (18-65 years) Page 6 of 29 meetings, menus, health and safety, quality assurance and leisure activities. Prior to the inspection user surveys and comment cards were sent to the home to distribute to residents and any visiting professionals. Three service user surveys and one health professional survey was returned. The resident surveys were completed by the residents advocate on their behalf. The tick system was used to respond to questions and there were no negative comments made. In relation to the health professional survey comments provided included that the home supports residents to do the things they want to do, treat people as individual, know how each person communicates either verbally, makaton, facial and hand gestures etc. When people are feeling happy or sad, the staff act accordingly to what the service user is saying. Since the last inspection the registered manager transferred to another home within the organisation and the deputy manager was appointed in September 2008 to become the manager of the home. She has applied for registration with the Commission and had attended her fit person interview and was awaiting the outcome at the time of this inspection. Following the inspection it was confirmed that she had been successful in becoming the registered manager. Fees for the service are 1,071 per week. What the care home does well: What has improved since the last inspection? What they could do better: One requirement was made as a result of this inspection. This requirement was made at the last inspection of the home. However, some progress has been made towards achieving it and the new manager is now clearer about what needs to be done to fully achieve it. The requirement has been reworded and relates to the need to carry out an assessment for two of the residents that will show which makaton signs they can use and how their skills could be developed further. Although the home has made considerable progress in encouraging residents to make choices and decisions, record keeping does not always clearly show this and the home needs to find a way of demonstrating this. Care Homes for Adults (18-65 years) Page 8 of 29 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 9 of 29 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents are provided with detailed information to enable them to make a choice of accommodation. Further work is required in relation to assessing some of the residents communication skills. Evidence: There is a detailed statement of purpose in place which has been reviewed and updated since the last inspection. The document is on display in the office. The service user guide has also been updated and there is now also a widget format in place. The manager is in the process of doing an audio version of the guide and will then complete a makaton version of the complaint procedure. There have been no admissions to the home in the past twelve months. At the time of inspection there was one vacancy. Each of the residents has a contract/terms and conditions of residence. A requirement was made at the last inspection that a full assessment be carried out in Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: relation to two residents use of makaton and how this could be developed further. It was noted that all staff have had training on the subject and some are going on an advanced makaton course. In addition staff are now using makaton in the course of their duties with residents. However, the home has yet to carry out a full assessment of the two residents use of makaton. The manager was confident that this could be achieved. Care Homes for Adults (18-65 years) Page 12 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans include detailed information about the needs of the residents. Plans to introduce a more person centred approach will enhance this process even further. Evidence: The manager advised that the home will shortly be introducing a new person centred format for care planning. There is a very good system in place for ensuring that as changes are made to care plans staff sign to say that they have read the changes. Two care plans were examined in detail. The care plans clearly state how residents needs are to be met and there are detailed risk assessments in place where assessed as necessary. As required at the last inspection risk assessments were drawn up in relation to residents mobility problems or any problems associated with visual impairments. Monthly keyworker meetings are also held and it was noted that an advocate attends the meetings every alternate month. Reviews are also held annually. A requirement was made at the last inspection in relation to ensuring that goals in care Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: plans be more specific, measurable and appropriate to the needs and age of the residents. In relation to the two care plans seen it was noted that the goals in place at the time of the last inspection had not changed. Staff were recording that they had carried out the goals with the residents on a keeping track form and there was a weekly summary sheet. In both care plans seen it was noted that the goals that had been set had been achieved and although the goals had been reviewed at regular intervals it had not been documented that they had been achieved. The manager agreed that they should be taken off as goals and instead put in place as guidelines for staff to ensure that the skills be maintained. It was acknowledged that in some cases residents have reached a plateau and rather than drawing up goal development plans the home may discuss with residents the possibility of having a hopes and aspirations plan. A good practice recommendation made at the last inspection in relation to including reference to communication abilities in the emergency grab sheets has been achieved. Residents house meetings are held regularly and minutes are kept of the outcome. Generally a discussion is had to check if residents are happy, if the food is ok and if they are happy with their day activities. There is no evidence that there is any planning in advance of the meeting and record keeping does not include reference to the choices given and decisions made by residents. The home needs to find a way of demonstrating more clearly the choices and decisions made by residents. Care Homes for Adults (18-65 years) Page 14 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are offered a wide range of interesting and stimulating activities. Evidence: Two of the residents attend day centres during the week. It was reported that one of the residents has recently chosen to opt out of attending their day centre and the home now arranges a programme of activities for this resident. The manager advised that in recent weeks there have been some noticeable changes in this resident in that they now say on a daily basis what they would like to do and they are beginning to call staff by their name. This was observed during the inspection. The home needs to find a way of documenting the progress made and the decisions made by this resident. The home also arranges activities for the other two residents through the week. Activities include bowling, music gym, shopping, walks, picnics, aromatherapy and Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: cinema. They also do regular day trips to places of interest. The home has their own transport but it was noted that there is only one member of staff that is currently a driver. The manager advised that they hope that as new staff are recruited they will be able to recruit staff with driving skills. It was reported that residents are now making much more use of the kitchen and dining room areas. They are enjoying increased opportunities to be involved in food preparation and observation of food preparation. Residents are given the opportunity to attend church and at least one resident choses to attend regularly. Only one resident has family contacts and staff support the resident to keep in touch. An advocate visits the home regularly to meet with and where necessary attend meetings as a representative. There is a four week menu in the home. A pictorial menu has been put together and residents are offered a choice of the two main meals on offer each day. Records generally just state the food served and not the choices given and made by the residents. It was noted that one resident regularly refuses the main meal and will have an alternative but not the alternative on the menu. The actual food served is recorded in the daily notes along with all other daily information and therefore it is not easy to monitor the quality of this residents dietary intake from one week to the next. Care Homes for Adults (18-65 years) Page 16 of 29 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The arrangements in place to ensure that residents healthcare needs are addressed are good and the home continues to promote a healthy lifestyle. Evidence: Each of the residents has a health action plan in place which clearly stated how health needs are to be met. Records show that each of the residents attend a wide range of healthcare appointments. The home also uses the advice and support of professionals where necessary to meet residents needs. All of the residents have had a review of their prescribed medication and it was noted that in some cases residents were taken off some long-term medication. The manager advised that in respect of one resident it has been noted that they appear much happier and able to participate more fully in activities. The storage of medication and record keeping in relation to medication administered to residents was in order. All but one staff member had attended training on medication and arrangements had been made for this staff member to attend training. Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: The home has as far as it is possible to, assessed the needs and wishes if residents in relation to dying and death. They have also consulted with one residents family and with other residents care managers. The majority of the residents now have a detailed funeral plan in place. Care Homes for Adults (18-65 years) Page 18 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The ongoing review of the complaint system will ensure that anyone wishing to make a complaint can do so. Evidence: There is a detailed complaint procedure in place. In addition there is a simplified version of the complaint procedure in the service user guide. The manager also reported that she intends to put together a makaton version of the complaint procedure to assist residents in this process. No complaints have been reported since the last inspection of the home. There is a detailed policy and procedure in place on the protection of vulnerable adults. Records showed that all staff have received training on the subject. A staff member spoken with during the inspection was clear about the action that would need to be taken should they suspect abuse or if an allegation of abuse was made to them. On the first day of inspection the manager completed a mental capacity act/deprivation of liberty training course. Care Homes for Adults (18-65 years) Page 19 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from living in a home that is well maintained and decorated to a good standard. Evidence: The home is well maintained and decorated to a good standard. The exception to this is the bathrooms. The manager advised that it is within the current budget to have the bathroom areas redecorated. Bedrooms seen had been personalised and reflected the personalities and tastes of the individual residents. One of the bedrooms had recently been redecorated and a lot of new sensory equipment had been purchased for the resident with the agreement of the care manager and advocate. There is a large garden area that is used regularly in the summer months. It was noted that in two of the three bathrooms there was no toilet roll present. The manager advised that this was because one resident takes and keeps them so staff remove them until the resident has used the bathroom. It was agreed that it is not acceptable to remove the toilet roll and the home should explore other ways of ensuring that toilet roll is available for all residents and visitors. Care Homes for Adults (18-65 years) Page 20 of 29 Evidence: All areas of the home seen were clean and there were no odours present. Staff advised that all but one resident assists with their laundry. All of the staff team have completed training in infection control. Care Homes for Adults (18-65 years) Page 21 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Increased opportunities for training ensure that staff remain well equipped to meet the needs of the residents. Evidence: The owners have recently set up a training centre on the outskirts of Maidstone and it was reported that all staff training has been booked for the coming year. New systems are being put in place to ensure that there is a rolling programme for training, the system will identify who needs training and this will then be organised ensuring that all staff remain up to date with training. Records showed that all staff are currently up to date with mandatory training. Ten staff completed training on makaton and another two have been booked to attend a course. The manager completed mental capacity act/deprivation of liberty training on the first day of the inspection. Five staff have completed a National Vocational Qualification (NVQ) at level two and two staff are currently studying for this. Three staff have completed NVQ level three and one staff member is studying for this qualification. Care Homes for Adults (18-65 years) Page 22 of 29 Evidence: Records were seen in relation to two staff employed since the last inspection. In relation to one staff member it was noted that the home had been thorough in carrying out checks in advance of employment. The second staff member had yet to start working in the home but had started their induction process. The home was waiting on one written reference. The manager advised that they had taken a verbal reference by telephone but there was no written record of the telephone reference. Records showed that supervision dates had been planned for the whole year and there was evidence that everyone had at least one or two supervision sessions so far this year. Appraisals were also booked to be carried out. At the time of inspection the home had one vacancy for a senior carer and this position had been advertised. Care Homes for Adults (18-65 years) Page 23 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is run well in the interest of the residents accommodated. Evidence: The manager is currently studying for the Registered Managers Award and is due to complete this in the near future. She was appointed as manager in September 2008 and has recently had her interview as part of the registration process with the Commission. Staff meetings are held on a regular basis and records showed that a range of issues are discussed and that all staff are encouraged to ask questions and to share their views. Minutes of meetings are signed by care staff. Staff spoken to during the inspection stated that the manager is very supportive. A staff member also stated that they are being encouraged to develop their skills and feel comfortable doing this because of the very positive support provided. The managers time is divided in that only two days a week are allocated to Care Homes for Adults (18-65 years) Page 24 of 29 Evidence: management tasks and the remainder of her time is worked on shift. At the time of inspection there was only one senior support worker so the manager was carrying out all management tasks and had responsibility for doing all supervisions and the updating of all paperwork. It was noted that she was spending additional hours in the evenings and at weekends working on these tasks. As part of the homes quality assurance system the a representative from the organisation visits the home once a month unannounced and writes a report of their findings. During the visit they will examine the homes progress in relation to a few of the national minimum standards (NMS). A detailed medication audit was also carried out in November 2008 and an internal compliance report was carried out in September 2008. The compliance report involved an examination of the home in relation to the majority of the NMS. The organisation also sends satisfaction questionnaires to the residents, relatives and staff on an annual basis. Unfortunately the responses were returned direct to the head office and the manager had not received any overall feedback on the outcome. However, the manager was assured that the outcome was positive. It was reported that there is an annual development plan in place but this could not be located at the time of inspection. Prior to the inspection the Commission sent a range of satisfaction surveys to the home for them to distribute. Three service user surveys and one health professional survey were returned. The resident surveys were completed by the residents advocate on their behalf. The tick system was used to respond to questions and there were no negative comments made. In relation to the health professional survey comments provided included that the home supports residents to do the things they want to do, treat people as individual, know how each person communicates either verbally, makaton, facial and hand gestures etc. When people are feeling happy or sad, the staff act accordingly to what the service user is saying. Residents allowances are paid into a central account that has an account held within for each resident. The home requests money as needed on behalf of each resident. Detailed records are kept of all expenditure made on behalf of residents. These were examined in relation to two of the residents and it was noted in relation to one resident that there was regular expenditure for taxi rides. It was reported that where possible residents are encouraged to use public transport but when this is not possible they use taxis. As there is currently only one staff member that can drive this also contributes to the need to use taxis more regularly and if there were more drivers on duty the house car would be used at no cost to the individual residents. The manager agreed to monitor the costs incurred by residents. Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: The organisation carried out a review of their policies and procedures manual in October 2008. Information provided in advance of the inspection showed that a wide range of health ans safety checks are carried out on a regular basis to ensure the safety of residents and staff. It was noted that a fire risk assessment was carried out in October 2008. The action taken in relation to the recommendations made at that time were not recorded. It was also noted that a small number of the actions recommended had been carried over from a previous risk assessment in 2007. However, arrangements had been made for at least one of the recommendations to be addressed in the week after the inspection. Care Homes for Adults (18-65 years) Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 2 14 Regulation 14(1a) The registered person must ensure that an assessment is carried out for two of the residents that will show which makaton signs they can use and how their skills could be developed further. Prospective residents must know that their needs and aspirations will be met. 31/07/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: Telephone: 03000 616161 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 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!