Inspection on 03/07/09 for Tregarne

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

Tregarne 12/09/06

Tregarne 19/12/05

Tregarne 16/08/05

Tregarne 22/03/05

Tregarne 14/09/04

Tregarne 23/03/04

Similar services:

2 Perhaver Park

The Vicarage

7 Hyde Road

St George`s

5 Seafield Road

Credence House

Radfords

Trevaylor Manor

Extracts from inspection reports are licensed from CQC, this page was updated on 18/02/2010.

Key inspection report CARE HOME ADULTS 18-65 Tregarne North Street St Austell Cornwall PL25 5QE Lead Inspector Mike Dennis Unannounced Inspection 3rd July 2009 09:00 Tregarne DS0000041927.V376300.R01.S.doc Version 5.2 Page 1 This report is a review of the 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. 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 home adults 18-65 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. Tregarne DS0000041927.V376300.R01.S.doc Version 5.2 Page 2 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 Tregarne DS0000041927.V376300.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Tregarne Address North Street St Austell Cornwall PL25 5QE 01726 72429 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) philip@cornwall.gov.uk Cornwall County Council Mr Dominic Savio John McVeigh Care Home 10 Category(ies) of Learning disability (10), Physical disability (10), registration, with number Sensory impairment (10) of places Tregarne DS0000041927.V376300.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home providing personal care only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Physical disability - (Code PD) Sensory impairment - (Code SI) 2. Learning disability - (Code LD) The maximum number of service users who can be accommodated is 10. 5th July 2007 Date of last inspection Brief Description of the Service: Tregarne is a Cornwall Council facility that has been registered to provide respite short stay breaks for disabled people within the categories of physical disability, Sensory Impairment and Learning Disability. It is situated near the centre of St.Austell and so within easy reach of all facilities the town has to offer. Tregarne re-opened in June of this year following a complete rebuild of the premises. The registered part of the facility comprises two semi-detached bungalows situated in pleasant landscaped grounds. Each bungalow can accommodate up to five persons at any one time. A full description may be found under the environment section of this report. During the two year period when Tregarne was being built the service continued to function at a nearby temporary site. This service has now transferred to the new Tregarne. Tregarne DS0000041927.V376300.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes The inspection took place on the 3rd.July 2009 and was carried out as a key unannounced inspection. The inspection took place over a period of approximately 5 hours. The Registered Manager and Senior Assistant Officer on duty assisted us during the course of the day and we thank them for their help and co-operation. We observed staff caring for one resident in a sensitive and appropriate manner. Tregarne is providing short stay accommodation to guests with a complex range of needs, dependency levels and ages from 18 to 70. The service generally offers guests planned respite and occasionally emergency placements. The opportunity was taken to tour the premises, look at the records and documents about the care home. The key core standards that include, care planning and health and safety were considered. The registered providers have submitted written information about the services and facilities before the inspection as requested. This was the first inspection of this service in the current location. No Statutory Requirements are made as a result of this inspection. What the service does well: The registered providers have provided premises, built and designed to very high standards. Credit is due to the staff team for being fully involved in the choice of equipment and soft furnishings. Documentation at the home has been well designed and thought out with the needs of the guests in mind. This includes for example care planning, Tregarne DS0000041927.V376300.R01.S.doc Version 5.2 Page 6 questionnaires and the complaints procedure. Pictures have been included in this documentation to ensure that it is guest friendly. This key inspection has identified that the delivery of care at the home continues to be client centred which is positive. 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. Tregarne DS0000041927.V376300.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Tregarne DS0000041927.V376300.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Admission to the home is based on an assessment of prospective guests so that they can be assured the home will be suitable to meet their needs. They are given sufficient information about the home prior to admission. Opportunities are made available for new guests to visit the home prior to admission. EVIDENCE: All potential guests to Tregarne access the resource by the care management assessment process that involves a social care and financial assessment. The assessment is requested at the time of referral and is then discussed at a pre admission “panel meeting” with senior staff of the Department of Adult Services and Tregarne. Emergency placement admissions are considered. With a planned admission a guest can visit the resource prior to admission which is then followed by a tea visit and then an over night stay if this is agreeable. Potential guests are supplied with information about the home to include the Statement of Purpose, Service User Guide and a Welcome Booklet. Tregarne DS0000041927.V376300.R01.S.doc Version 5.2 Page 9 Each guest has an individual written contract or statement of terms and conditions with the home. Tregarne DS0000041927.V376300.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the 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 guests’ personal and social care needs are evidenced as being met in care planning documentation. The daily records that support the care plans are good. EVIDENCE: Each guest has a plan of care that is generated from the assessment received at referral. Copies of the referrals are held on the premises. Recent guests admitted to the home are already known to Tregarne and as such their documentation re referral is re-accessed. A re-assessment then takes place to note any changes required to the care plan. The care plans on the guests are detailed and client-centred focused. They are supported by good daily records that include a large amount of information as Tregarne DS0000041927.V376300.R01.S.doc Version 5.2 Page 11 to how the guest is spending their time at the home. Risk assessment information is included in the care planning documentation. The home operates a key worker system which gives the responsibility of care planning to that staff member. There is evidence in place that all the documentation is regularly reviewed weekly. The documentation also evidences when the care plan has been changed and when a social worker has been involved with a guest. It is noted that some of the guests admitted to Tregarne have complicated care needs. Guests are involved in care planning and confidential information is held appropriately. Tregarne DS0000041927.V376300.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): This is what people staying in this care home experience: People using the 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 able to take part in a range of activities in and out of the home, which are appropriate to their ages, individual needs, interests and cultural backgrounds so that they develop their skills and confidence. They are supported to maintain valued social relationships so that they are not isolated or institutionalised. They are informed of their rights and responsibilities so that they are aware of what is expected of them. They are provided with a wholesome and varied diet so that they enjoy their meals and stay healthy. EVIDENCE: Tregarne is a short stay facility and therefore all guests have established ongoing family or carer links. The home operates an open door visiting policy and everyone is asked to sign the visitors’ book on arrival to the home. All visits to the guests are documented. Tregarne DS0000041927.V376300.R01.S.doc Version 5.2 Page 13 Care planning identifies where a particular service user enjoys an activity which can be for example shopping, bowling and going to the pub. The daily records evidence when this activity has taken place and the guests appear to be very much part of the community. The manager has introduced a format to record and gather the requested choices of the guests, (known as the traffic light system), which details individual and group activities both within and outside the home. This has led to guests experiencing greater opportunities to choose an individual activity. The home has it’s own transport which is suitable for guests with a physical disability. The main meal of the day at Tregarne is eaten in the evening. The menu at the home rotates over a four week period. During the day most of the guests attend local day care facilities in the nearby area and therefore have their main meal when they return to the home in the evening. The staff join the guests having their meals. The home caters for a variety of diets as required and a vegetarian meal option is always available. The registered part of the campus currently consists of two semi detached bungalows each accommodating up to five persons. Each bungalow has it’s own domestic style kitchen from which the meals are prepared by the staff on duty. Guests are encouraged to participate where possible. Tregarne DS0000041927.V376300.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Health Care needs are identified in care planning and multi-disciplinary professionals are requested to meet these needs if required. Medication administration arrangements are satisfactory. EVIDENCE: The assessment process identifies the guests’ preferences in regard to the delivery of personal support. As Tregarne is a short stay facility the guests’ permanent carers retain the overall responsibility for service users physical and emotional health. If required community nursing services and general practitioner services are available to meet the health care needs of the guests during their stay. Tregarne DS0000041927.V376300.R01.S.doc Version 5.2 Page 15 The storage of medication at Tregarne was found to be satisfactory as was the record keeping. Those staff who administer medication have completed a “distance learning course” through Cornwall College. Cornwall Councils policies and procedures in respect of medication practices were seen to be appropriate and are reviewed from time to time. Staff told us that they were aware of procedures and had training in them. Tregarne DS0000041927.V376300.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Guests and their representatives are provided with information on how to complain in their service user guide documentation. Adult protection policies and procedures are in place and training to staff has commenced and is ongoing to ensure the safety and well being of the guests at all times. EVIDENCE: Each guest is provided with information of the complaints procedure in the service user guide. The complaints information is very detailed, informative and user friendly. The home has not received any complaints over the last year. Cornwall Council has updated and improved it’s adult protection policy and procedure. It is noted that there is now reference to the Commission within this documentation and requirements under Regulation 37 reporting. Tregarne DS0000041927.V376300.R01.S.doc Version 5.2 Page 17 Adult protection/Safeguarding training has taken place and further training is being accessed within the County. Staff demonstrated that they were aware of the alerting procedures to follow. Tregarne DS0000041927.V376300.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home’s environment provides residents with safe and practical setting so that they can develop their skills and independence. It is safe and clean so that residents are protected from risks of cross-infection. It presents to very high standards. EVIDENCE: Tregarne is a “hostel” providing respite care for adults with a learning disability. It is a new build, recently registered, situated on the site of the old premises. The new build took place as the existing building was built in the 1960s and no longer met the needs of the people staying there. The service was temporarily moved to the site of Kerensa in the interim period. The Assessment of the premises for registration follows. Tregarne DS0000041927.V376300.R01.S.doc Version 5.2 Page 19 Private Areas Bedrooms, storage, etc. This application is to register a full new build to include 10 bedrooms as follows: (The build provides accommodation within two semi detached bungalows) All bedrooms are just over 12 metres square and 3 rooms were sample measured to check this was correct at the site visit. 2 bedrooms within the 10 are over 15 square metres for people with higher disability needs. Bedroom 6 (measured 12.97) with en suite bath, toilet and hand basin Bedroom 7 with en suite wet room facility and toilet and hand basin Bedroom 8 with en suite shower (step up) Bedroom 9 with en suite shower (step up) Bedroom 10 higher disability needs bedroom (the same as room 12) Bedroom 11 with en suite shower (step up) toilet and hand basin Bedroom 12 (measured at 15.28) This bedroom has been designed for people with higher disability needs and includes access to overhead tracking which provides direct assistance to an assisted bathing facility. This is shared with the other higher disability needs bedroom (room 10). Bedroom 13 with en suite shower (step up) toilet and hand basin Bedroom 14 with en suite shower wet room facility and toilet and hand basin Bedroom 15 with en suite bath, toilet and hand basin All bedrooms have been provided with good quality furniture to include: Bedside cabinet with a lockable facility Wardrobe and draws Standard divan bed, some bedrooms have been provided with a larger divan TV point 3 Double plugs Under floor heating Lockable facility on all doors which can be over ridden in an emergency All soft furnishings are of good quality and the décor is very pleasant with an overall feeling of space and light. Communal Areas Living, bathrooms, visiting, outdoor, activities, etc. Within the 2 houses there are two lounges/dining rooms each measuring 21.5 (as per plans) metres square (checked on site at 21.79). A kitchen facility is off both lounges. The lounges have been provided with comfortable seating and two dining tables in Tregarne DS0000041927.V376300.R01.S.doc Version 5.2 Page 20 each area (to seat 8 if required). Two toilets for disability needs (with closomat facilities) and two toilets for general communal needs One bathroom directly accessed from two bedrooms for people with high disability needs. Bath is a Parker Bath (Arjo) and over head tracking is in place for this facility. Hand basin level in this bathroom is adjustable as required. Double doors are provided to the bathroom from both bedrooms for easy access. All bathrooms/toilets have been provided with handrails for assistance as required. A sensory room is included in the new build with a wide range of equipment provided. Two entrance areas to each house are spacious and have each been provided with a settee. Main doors are automatically opening. Externally good parking is provided with 13 spaces (could be more if required) and an area for the mini bus. Gardens have been landscaped and are to be planted with the involvement of the people using the service. A greenhouse is provided and generally the external area is very attractive. There is a sensory garden including a water feature. Safety and security Fire, environment, lighting, call systems, alarms, lifts, etc. A final certificate of works re the demolition and rebuild of Tregarne has been provided (dated 28th May 09). This certificate has been issued following all the work as per the original notice. The certificate is as per the Building Regulations 2000. Fire risk assessments were inspected on site. Evidence is in place of testing of all new equipment. A call bell facility has been provided in 2 of the bedrooms (higher disability) These are to be identified in the SOP. Specialist areas Treatment, sluice, clinical, etc. 2 small laundry areas with separate hand washing facilities are provided in each bungalow with a sluice facility. Staff facilities Offices, sleeping, staff rooms, etc. A pleasant sleeping in en suite bedroom has been provided for staff. Tregarne DS0000041927.V376300.R01.S.doc Version 5.2 Page 21 The offices for the staff are in a separate bungalow in the grounds of the above. This accommodation is very spacious and includes an office for the manager and an office for the assistant manager. Staff will report first to these areas first and then take over any documentation required for the day. The final registration request for bedrooms will be in the bungalow where staff areas are provided. Summary of overall assessment: This new build has been completed to a very high standard. All National Minimum Standards are met (24 to 30) and therefore registration can take place. We inspected the premises, which are now occupied and found them to be clean and hygienic. They presented as being welcoming and finished to a high standard. Tregarne DS0000041927.V376300.R01.S.doc Version 5.2 Page 22 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the 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 staff team at Tregarne is a relatively stable team offering continuity to the guests. Recruitment procedures are satisfactory. Training is ongoing and supervision of the staff team is taking place. EVIDENCE: The home has a stable staff team consisting of:- Registered Manager, Senior Assistant Officer, Assistant Officers, Care Staff, Night Staff, two General Assistants/Drivers, four part time Housekeepers and a part time Administrator. Recruitment procedures were found to be satisfactory on the day of the inspection. During the peak time activity at the home there are care staff, ancillary staff, driver and management on duty. As the guests attend their day care activities these staffing levels are reduced. The home does use agency Tregarne DS0000041927.V376300.R01.S.doc Version 5.2 Page 23 staff but tries to minimise this usage and to ensure that the same agency staff are used for continuity to the guests. Staff training is being implemented re medication administration, adult protection, health and safety training and moving and handling. Staff receive support in the form of documented supervision to allow them to undertake their jobs. The registered manager supervises all the senior staff. Delegated responsibility is given to officer staff to supervise others and this is taking place every other month for each individual. Tregarne DS0000041927.V376300.R01.S.doc Version 5.2 Page 24 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the 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 competently managed for the benefit of residents. There are formal and informal systems in place to ensure that residents’ views are taken into account in the ongoing management of the home. The home is maintained to a high standard to ensure that it is safe for all those who live, work and visit the home. EVIDENCE: Appropriate arrangements are in place to promote residents’ health and safety and provide a safe environment. The providers have established a range of Tregarne DS0000041927.V376300.R01.S.doc Version 5.2 Page 25 policies and procedures to guide and direct the actions taken and to make sure good safety standards are maintained. Records required by legislation are in place and are consistently under review. A good standard of record keeping exists. Residents benefit from competent and accountable management of the service. Tregarne DS0000041927.V376300.R01.S.doc Version 5.2 Page 26 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 x 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 4 26 x 27 3 28 3 29 4 30 4 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x Version 5.2 Page 27 Tregarne DS0000041927.V376300.R01.S.doc Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Tregarne DS0000041927.V376300.R01.S.doc Version 5.2 Page 28 Care Quality Commission South West Region Citygate Gallowgate Newcastle upon Tyne NE1 4PA National Enquiry Line: 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. Tregarne DS0000041927.V376300.R01.S.doc Version 5.2 Page 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!