Inspection on 12/03/09 for 2 Buckby Lane

This inspection was carried out on 12th March 2009.

CSCI found this care home to be providing an Poor service.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

2 Buckby Lane 08/08/06

2 Buckby Lane 24/10/05

2 Buckby Lane 25/04/05

2 Buckby Lane 06/09/04

2 Buckby Lane 26/04/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 12/10/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 2 Buckby Lane Riverdene Basingstoke Hampshire RG21 4PS     The quality rating for this care home is:   zero star poor 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: Kathryn Kirk     Date: 1 2 0 3 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: 2 Buckby Lane Riverdene Basingstoke Hampshire RG21 4PS 01256334820 Telephone number: Fax number: Email address: Provider web address: keith.creasey@new-support.org.uk www.new-support.org.uk Name of registered provider(s): Type of registration: Number of places registered: Dimension (NSO) Ltd care home 4 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 4. 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 2 Buckby Lane is registered to provide care and accommodation to four people between the ages of 18 and 65 who have learning disabilities. Each service user has a single bedroom and shares the use of a bathroom and a shower room. Service users share the use of a lounge, with a dining area and the kitchen. There is an enclosed garden to the rear of the home that service users are able to access. The home is located in a residential area, approximately half a mile from Basingstoke town centre. 4 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 27 Brief description of the care home Current fees per person are 1365.39 pounds a week 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: zero star poor 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 purpose of the inspection was to assess how well the home is doing in meeting the key National Minimum Standards (NMS) and Regulations. The findings of this report are based on several different sources of evidence. These include: A visit to the home by a Regulatory Inspector. This took place on 12 March 2009. During this time one resident and two staff spoke about what it was like to live and work at Buckby Lane The needs of most of residents are such that they are unable to verbally convey their opinions and so time was spent observing interactions between them and staff in the communal areas. Time was also spent looking at some records and in touring parts of Care Homes for Adults (18-65 years) Page 6 of 27 the building. Four surveys were returned to us by staff. An Annual Quality Assurance Assessment (AQAA) was returned to us. The AQAA is a self-assessment that has been completed by the manager. It focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. We looked at the previous key inspection report of December 2006 and the most recent Annual service Review of December 2007. We looked at What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The manager who was not present at the time of the visit was contacted afterwards and also provided some information . Although there are a lot of areas where the service does well in meeting National Minimum Standards it has received a quality rating of Poor 0 star on this occasion because it has not followed procedures designed to safeguard service users. When we discussed this with the maanger he was very willing to put this right. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 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 9 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. New service users are admitted only on the basis of a full assessment by people competent to do so. Evidence: At the last key inspection, quality in this area was judged to be good. There was evidence that an assessment of service users needs had been completed before they moved in. This helps the service to be confident that staff have the skills and the home has the resources necessary to supportpeople appropriately. One service user has been admitted since the last key inspection. Records checked showed that the home had obtained a full care management assessment of need before the person moved in and staff spoken with said that the individual had a two week trial period at the start of the placement to ascertain that the home would be suitable for him. Care Homes for Adults (18-65 years) Page 10 of 27 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care planing systems have improved and so peoples needs and wishes are understood well by staff. The service could however at times be more effective in supporting service users to make decisions about their lives Evidence: The personal files of two service users were inspected during the visit. Each service user had a care plan that was developed from their initial needs assessment. Since the last inspection the service has developed more person centred plans which include information about peoples likes, dislikes and aspirations. The plans are produced in pictorial format to make them easier for service users to understand.The AQAA says that the person centred plans are reviewed at least every six months and that relatives are involved in the care planning and review process. The AQAA also says that keyworkers complete a monthly summary regarding the people they support. This was verified in records seen. Staff surveyed said that they are generally given up to date information about the needs of the people they support . Care Homes for Adults (18-65 years) Page 11 of 27 Evidence: Service user files seen contained a document called Our Purpose which is in pictorial and easy read format This tells people, for example, what they can expect from the service and what staff will help with. Care plans seen provided information about what service users can do for themselves and what decisions they are able to make for example records seen said will say when tired During the visit staff were observed to respect peoples wishes about meals. As a result all service users ate different things at different times. Less clear was how staff have supported people to realise their wishes, for example for one service user who has expressed a wish to move. Staff on duty were asked if they have any knowledge of the Mental Capacity Act. This legislation is designed to protect people who cannot make decisions for themselves Staff said they did not. The manager, who was contacted following the visit, said that he had just received information on this and was intending to share this with staff. One service user has, according to records some understanding of maketon.Staff spoken with showed that they knew how to communicate with them in this way. Risk assessments were in place for both service users whose files were inspected. These documents set out the assessed hazards and action needed to minimise the risk of harm.The risk assessments were clear in respect of, for example, bathing but did not exist for other areas of risk, for example, there was no record available regarding skin integrity for a service user who has developed issues regarding continence. The manager said that he was liaising with a nurse and intended to draw up a risk assessment and care plan on the basis of the specialist advice given. Records show that existing risk assessments are reviewed regularly and updated where necessary Care Homes for Adults (18-65 years) Page 12 of 27 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides good support for service users to take part in suitable activities, to maintain relationships with family and friends and provides good food Evidence: This area was found to be good at the last key inspection with residents able to participate in a good range of activities that they enjoy. The AQAA says that day services continue to thrive, for example, residents go horse carriage driving, visit a sensory suite and take trips to local and London Shows. The service has its own vehicle. On the day of the visit residents were going to go out as a group to the theatre accompanied by three staff. Staff spoken with said that service users go out regularly either in a group or individually.Staff described how they could be flexible for example, if one service user conveyed that they wished to go out by putting on their coat, there were generally sufficient staff on duty to accommodate this. Service user files seen contained records of what activities they liked to do. One file seen said that Care Homes for Adults (18-65 years) Page 13 of 27 Evidence: the service user enjoyed doing puzzles. The service user concerned confirmed that this was the case and there were a number of puzzles available to them in their bedroom. The AQAA says that the service has produced a holiday newsletter for relatives and there was evidence on files seen that relatives are consulted about the care service users receive.. As discussed in the previous section daily routines for example going out and mealtimes are varied to suit service users needs and preferences. Staff on duty at the time of the visit interacted positively with residents and gave service users the chance to do things they wished to in their own time, whilst encouraging them to do things that were necessary for their health and wellbeing. One resident spoken with said that staff sometimes knocked at their bedroom door before entering although sometimes they did not. This was discussed with the manager who said that all staff know that they should do so but said he would remind them all of this anyway. The kitchen contains pictorial prompts of various foods and staff explained that these are used with service users to help to plan the weekly menus. staff said that residents take it in turns to go food shopping. One resident said food was very good and it was in good supply on the day of the visit with plenty of fresh fruit and vegetables available. Service user records show that peoples nutritional needs are assessed. Care Homes for Adults (18-65 years) Page 14 of 27 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service offers appropriate personal and health care support but the needs of less mobile service users may not always be fully met because of limitations in facilities in the home. Evidence: Details of the personal care support service users need are set out in their care plans. The AQAA says personal care is always provided in private by person of the same gender.This was confirmed by staff and one resident on the day of the visit. The service has made some adaptations to enable a service user to live in the house more safely ,for example there is a stair lift. There are also adaptations in bathing and toilet facilities. There is no hoist in the house and it was identified in a care plan that this could be an occasional need for one service user. Records are maintained of service users visits to health services, including GP, dentist, chiropodist, speech and language therapist and occupational therapist. The records kept included details of any advice given by the practitioner. One service user spoken with confirmed that staff ensured they saw a doctor if they felt unwell. Each service user has a document entitled My Health which is in easy read and pictorial format. Care Homes for Adults (18-65 years) Page 15 of 27 Evidence: This provides information about the individuals health care needs and identifies what is needed to keep them well. Medication is stored in a locked cabinet in the office. At present no service users are able to manage their own medication and so rely on staff to assist them. The AQAA says that all staff administering medication have undertaken assessed training, which is updated every six months. Records seen verified this. Currently three members of staff have been trained to train other members of staff in the management of medication. The AQAA also says that two staff signatures are required on the recording (MAR) sheets when a medication has been administered. Records seen also verified this. Care Homes for Adults (18-65 years) Page 16 of 27 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users are listened to and their views are taken seriously but procedures that are in place to protect adults have not been followed and so people have been placed at risk. Evidence: The home has a complaints procedure available, which sets out who will deal with a complaint and how long the provider will take to respond to a complaint. The procedure had been supplied to all service users in an accessible pictorial format. One service user spoken with described what they would do if they were unhappy with the service, they said I would talk to the manager and said that he listens to them. The AQAA records that one complaint has been made during the past twelve months and confirmed that complaints are responded to ,following procedure within twenty eight days. The AQAA says that all staff have been issued with new guidelines about what to do if they suspect abuse and all staff have been trained in adult protection. Records checked clearly documented a number of incidents in which challenging behaviour had been exibited by service users. Despite these being documented in peoples files and accident reports there was no evidence that correct procedures had been followed, ie by reporting the incidents to Hampshire County Council under safeguarding procedures. Neither did the service report the incidents to CSCI as required under the Care Home Regulations. Staff described how they managed these Care Homes for Adults (18-65 years) Page 17 of 27 Evidence: situations and were observed to sucessfully diffuse an incident where one resident was growing agitated. Following the inspection, a referral was made under safeguarding procedures to adult services in Hampshire County Council. Requirements have been made to ensure that in future the service ensures that it follows procedures to help to safeguard people in their care. The manager agreed that this will be done. Care Homes for Adults (18-65 years) Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well maintained and and is comfortable. Facilities provided may not fully meet the needs of all current service users. Evidence: A tour of the communal areas of the home was made during the visit. A service user also showed the inspector their bedroom. The home was tidy clean and warm. It was also comfortably furnished. A service user spoken with said that this was always so. The AQAA confirms that Downland Housing Association continue to own the building and have the responsibility for maintenance. The manager said at the time of the last inspection that they provided a good service. Since the last inspection the kitchen has been upgraded. The AQAA identifies that some soft furnishings will need to be replaced soon and that the televisions will be changed from analogue to digital.The home has a stairlift to access the bedrooms upstairs. One service user needs to use this in order to go to their bedroom. They need staff support to do this so this increases their dependency on the staff team. As stated in a previous section the home has adapted bath and shower, although these are both downstairs. There is no hoist. This has been identified in a health care professional report as one of the reasons that the placement may not be suitable to meet one persons needs. Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: The home has a separate laundry room, which means laundry is not taken through food preparation of storage areas. There are hand washing facilities in the kitchen, laundry room, bathrooms and toilets.Washing facilities contained hand wash gel and there was a plentiful supply of protective clothing available to staff for them to use whilst assisting service users with their personal care needs. Care Homes for Adults (18-65 years) Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff have a good range of training and are employed following thorough recruitment procedures. They are deployed in sufficient numbers to meet service user needs and communicate well with each other and with the manager. This could be improved further with regular supervision sessions. Evidence: Staff spoken with one the visit demonstrated a good understanding of service users needs. One staff member was able to describe with confidence what signs to look for if a service user with no verbal communication was unhappy or unwell. They also showed a good understanding that challenging behaviours exhibited at times were another way of service users expressing needs preferences and frustrations. The AQAA says that over half the staff team have completed or are studying for an NVQ level 2 in care and that one person is about to complete level 3. Staff surveyed said that in general there are enough staff to meet individual needs of all the people who use the service. The AQAA says that the staff team have worked together for a long time the staff team is the backbone to the success of the serviceThe last person employed came in June 2005 and no one has left since. At the time of the visit a new worker had started but they had been regular bank staff before this and so had a good understanding of service users needs. During the visit there were two staff on duty in the morning and three during the afternoon and evening.The staffing levels reflected Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: what was planned for the day, an evening visit to the theatre. Staff spoken with said that there were always a minimum of two, usually three people on duty during the day and that there was one waking staff on duty at night. Staff said that staff meetings take place and the minutes of the most recent meeting were seen. A service user said that they liked the staff. one staff member said Its a good place to work and said there was a good staff team All staff surveyed confirmed that their employer carried out checks such as CRB and references before they started work. The records of the most recently recruited staff member were checked They contained a recent CRB check and induction checklist. There was no other information for example no written references. The manager said that these were being sent through from head office as the appointment was very recent. Staff surveyed said that their induction mostly covered everything that they needed to know to do the job when they started. All agreed that they are given relevant training which helps them to understand and meet the individual needs of service users and that keeps them up to date with new ways of working. staff spoken with said that training was good and described how they tend to do it in blocks. Records show that training is mandatory in first aid, health and safety moving and handling and food hygiene. Staff said they had training every 6 months in medication management.Records checked reflected this.Staff also confirmed that they have training in adult protection. Staff surveyed said that the manager sometimes meets with them to give support and discuss how they are working. The AQAA says that staff are supported and supervised using a new tool our way of working Staff spoken with and records checked showed that staff have not had formal supervision since 2006. One staff record checked showed that an appraisal had been carried out in 2008. Staff said that everyone had had one of these. One staff spoken with said things get dealt with as we go along Minutes from most recent staff meeting advised staff that they should have six supervisions a year and discussed arrangements to put this into place. The manager said that this would be done. A requirement about this has therefore not been made. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service is managed with the best interests of the service users at its core. The needs and wishes of service users are well understood but the home has not always met the needs of people that live there because policies and procedures have not always been correctly followed. Evidence: The manager has completed an NVQ level 4 in Care and the registered Managers Award. One service user said that he listens to them and staff also said that he is approachable. The company has a number of systems in place with which they monitor the quality of the service and discuss how it will develop with service users. These include surveys that are sent out to all people who use the service in the region. Results of the 2008 survey were on service user files and these were in easy read and pictorial form. The business plan until 2010 is also in a format that is more accessible to service users. Service user files seen contained The ten big questions These had been completed Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: with each service user in 2008. Questions included, Do you have an up to date person centred plan? and Do you like where you live and who you live with? Where the service user was unable to answer verbally a relative was involved in this process. Records show that Senior managers from the organisation visit the home each month to review the service quality. Reports of these visits contain actions that are required to improve the service.These however had not identified when Regulation 37 notices were required(This is when the service is required to notify us of any significant event) or where a safeguarding alert should be made. Records kept showed that risks around the home were assessed and reviewed every 6 months for example shopping and cooking. The AQAA says that All health and safety certificates are in date.Records showed that Accidents and incidents to service users and staff are recorded where necessary. Assessments are completed for chemicals used in the home, which are stored in a locked cupboard. The temperatures of the fridge and freezer are taken daily and recorded. 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 1 23 13 The service must follow Hampshire Safeguarding procedures. To ensure that people living in the service are protected 23/03/2009 2 37 37 The registered person must inform the Commission of any event in the care home which adversely affects the wellbeing or safety of any service user. This helps us to monitor how the service is keeping people safe. 23/03/2009 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 26 of 27 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. 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