Inspection on 06/01/09 for 36 Bramley Road

This inspection was carried out on 6th January 2009.

CSCI found this care home to be providing an Excellent 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

36 Bramley Road 11/01/07

36 Bramley Road 24/01/06

36 Bramley Road 19/09/05

36 Bramley Road 25/02/05

36 Bramley Road 28/10/04

36 Bramley Road 02/02/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 12/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 36 Bramley Road 36 Bramley Road Market Deeping Peterborough PE6 8JG     The quality rating for this care home is:   three star excellent 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: Tobias Payne     Date: 0 6 0 1 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. the things that people have said are important to them: They reflect 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 28 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.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: 36 Bramley Road 36 Bramley Road Market Deeping Peterborough PE6 8JG 01778348125 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Janet Bolton Type of registration: Number of places registered: Sense, The National Deafblind and Rubella Association care home 4 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability sensory impairment Additional conditions: The maximum number of residents who can be accommodated is 4. The registered persons may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission are within the following category: Sensory impairment - Code SI Learning disability - Code LD. Date of last inspection Brief description of the care home 36 Bramley Road is part of a group of homes in the area, managed by Sense East. The home is a two storey house located in a residential area of the town of Market Deeping, not far from the town centre, which has a range of shops and local facilities. The property is domestic in design and in keeping with other houses in the road and has a small garden at the rear. The home is registered to provide personal care for up to 4 people with dual sensory impairments. On the day of our inspection visit there Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 0 4 4 Brief description of the care home were 3 people living in the home. All of the people live in single bedrooms. There is no stair or shaft lift installed. The stated aims and objectives are to provide a safe and supportive environment, based on best care values for people who are deaf/blind, to promote a presence in the community through the use of local amenities and services and to build and maintain good relationships and a positive image. The homes statement of purpose confirms that the minimum staffing ratio of the home is one staff member to 2 people during the day and at night one wakeful member of staff and one who is sleeping in and on call. In view of the communication needs of people living in the home, we relied on observations between staff and the people, information provided by staff members and records as evidence as to whether standards were being met. The fees at the inspection visit on the 6/1/2009 ranged from £1, 260, 97p to £1, 478, 36p each week. All information about the home including the statement of purpose, service users guide and copy of the last inspection report can be obtained from the manager of the home. Information could be provided on request in Braille, symbols, audio tape, large print, enlarged digitally printed copy, PDF or MP3 file. Care Homes for Adults (18-65 years) Page 5 of 28 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: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This key inspection was unannounced and started at 10.15 am. It was undertaken using a review of all the information available to us about 36 Bramely Road. It took place over 3 hours. In view of the communication needs of the 3 people living in the home, we relied on observations between staff and the person in the home during our inspection visit, information provided by staff and records as evidence as to whether standards were being met. We spoke with one member of staff and the manager. The main method was called case tracking. This involved selecting one person and tracking the care they received Care Homes for Adults (18-65 years) Page 6 of 28 through the checking of records, discussions with the care staff and observation of how staff responded to their needs. We also examined the annual quality assurance assessment (AQAA) that was sent to us by the manager before this key inspection. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the home. It was very clear and detailed. Before making our visit we asked the people who live there to send us comments about the support they receive. We received on this occasion no comment cards from the people living in the home or their relatives. We did however receive 2 comment cards from staff which were in the main positive. 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.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 28 Care Homes for Adults (18-65 years) Page 9 of 28 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 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at this home receive clear and detailed information in many forms to suit their needs to enable them or their relatives/advocates to make an informed choice as to whether or not they wish to live in this home. Where a person is referred to the home they receive a comprehensive assessment to ensure that their needs can be met. Evidence: There was a statement of purpose and service users guide which had been reviewed in May 2008. The information was very clear and detailed and included Senses mission statement, values and aims and objectives together with specific aims and objectives for 36 Bramley Road. This information was available from the manager and stored in the office. We noticed that our address and phone number referred to our old Lincoln address. We asked that all information now referred to our Cambridge Regional office. The manager agreed to act on this as soon as possible. There is an established community and no person had been admitted since the people Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: came to the home in 2006. Where a person was admitted Sense had very clear procedures to ensure that a detailed assessment would be carried out to ensure that they could meet all the assessed needs of that person. All involved in the persons life would be consulted to ensure a smooth transition took place. Each person had a contract/terms and conditions of residency. This contained Sense East terms and conditions. This was clearly outlined in the statement of purpose and service users guide. The fee included all costs, rent, utility charges, personal care, laundry, food, comprehensive programme of choices, activities inclusive of a 7 day holiday or equivalent. Care Homes for Adults (18-65 years) Page 12 of 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is detailed care planning which includes risk assessments. People enjoy choices about what activities they want to get involved and have a varied social programme. People are encouraged to make decisions for themselves and be independent with the support and guidance of staff. Evidence: Each person had a detailed care plan describing their care and support. The care plan had been produced wherever possible with the involvement of the person, their family/advocate and other relevant people. Care plans were very detailed and included details about their background and family, birthday, mobility, health and professional involvement, personal care, eating and drinking, vision and hearing, sensory activities, communication profile, behavioural guidelines, social and emotional, making choice and specific needs. Each person also had information about how staff could relate to each persons needs. Since the last Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: inspection care plans now included a capacity assessment for each person. Each person also had information about how staff could help with each persons needs. There were also very detailed risk assessments covering all aspects of their life. A compressive My Health Record was kept for each person, which had details about their health needs and any specialist equipment required. There were 6 monthly detailed reviews and risk assessments. These reviews included wherever possible the person and their family/advocate. Where required, assistance could be obtained from other professionals to formulate risk management strategies. There was evidence of regular reviews involving all associated in the persons needs. These included the person, their family/advocate, representative of the home, representative of the Resource Centre and their social worker. The home also used the advice/support of a behavioural therapist who visited the home every 6 months. The care plans were available for each person to access but currently they did not. Sense had detailed policies and procedures concerning accessing personal records, confidentiality and data protection. Staff were trained to respect confidences. Choice and decision making was clearly shown in the care plans. The people were given choice about their interests activities, lifestyle and what they wanted to eat. Staff received training to assist and support them. The care records were detailed, person focused and reviewed regularly. We looked at the financial records for the people living in the home. They too were well maintained with receipts and signatures. They were also checked every month. The manager and staff had received training in order to manage challenging behaviours. There were also detailed policies and procedures. Records were kept securely. Care Homes for Adults (18-65 years) Page 14 of 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People continue to be involved in meaningful and appropriate activities, which include educational and recreational activities. They enjoy varied and nutritious meals which within their capabilities they are involved in. Evidence: All people continued to attend the Bourne Resource Centre operated by Sense from Monday to Friday between 9.30 am and 4 pm. Each person had a personalised timetable which included , rambling, woodcraft, life skills, community awareness, language and literature, cooking, photography and maintenance. Two of the people had also chosen to go horse riding at a centre operated by Sense. Activities outside the resource centre included local walks, swimming and bowling. They also went to the local Gateway Club, enjoyed pub outings, trips to the cinema, pottery activities and took part in personal shopping. Some evening activities they chose to participate in Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: also have included gardening, baking, cooking, arts and crafts, foot spas, massages, watching DVDs and listening to music. The people had also been on a holiday to Spain supported by staff. The staff also worked closely with families and arranged for the people to visit them. The people within their risk assessments were supported/guided in housework, which included cleaning, laundry and cooking. When being admitted to the home details were obtained about each persons food preferences, likes and dislikes. They also chose what they wished to eat but the staff monitored the nutritional content. At breakfast there was a choice including a hot meal. At lunch, when attending the resource centre there was a packed lunch and an evening meal provided a hot meal including a choice. Meals were taken in the dining area in the lounge on the ground floor. All staff were required to prepare meals and all had food hygiene training provided. Menus had pictures to enable the people to have more choice. On their community day when they had the opportunity of spending a day at home with their key worker they had the option of 2 meal choices. Records were kept of food provided for each meal. Care Homes for Adults (18-65 years) Page 16 of 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from being fully involved in identifying their own needs and choices. Clear care plans, created from assessments of need help to ensure that the peoples health and welfare needs are fully met. Medication is safely given by staff who know what they are doing. Evidence: Each person was registered with a GP and their medical needs continued to be met. The manager had also made efforts to ensure that each person had access to an NHS dentist. Care records clearly showed that any health or emotional needs were being met either by staff, specialist staff from Sense East or by the GP. Staff also showed knowledge of the particular needs of each person. Where required, people were referred to their GP, Community Nurse, Continence Nurse, physiotherapist and Optician and Podiatry. Sense also had access to a behavioural therapist. There were 6 monthly audiology and dental checks. Each person received an annual health check. Where required, staff would accompany the person to these services. Sense operated a designated social tutor system in order to give a specific member of staff Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: responsibilities for a particular person. Sense had detailed policies and procedures concerning the receipt, storage, handling, administration and disposal of medication. A new medication system was introduced in December 2006 and all staff had been trained and had a recent update. Up to date records were kept of the stock of medication. We did observe that the home had no controlled drug cupboard and advised that the law now required a care home to have this facility whether or not there were any controlled drugs in the home. The manager agreed to act on this. On account of their sensory impairments, none of the people living in the home were self-medicating. Care Homes for Adults (18-65 years) Page 18 of 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported by staff to enable them to make a complaint and feel that staff will listen to their views. The care team know how to respond to a complaint and how to act in order to protect people from abuse. They are protected from abuse by correct and safe recruitment procedures. Evidence: Sense East had produced a Resolving Issues policy, which gave written and pictorial guidance concerning how any person could raise any issues. This could be provided in Braille, tape or other languages other than English. No complaints or safe guarding adults issues had been received by the commission and the home since the last inspection. The home had an adult protection policy and all staff as part of their induction received abuse training. The home also had a copy of Lincolnshire County Councils adult protection procedures. They also received yearly refresher training programme in the form of a questionnaire at their appraisal. The member of staff we spoke with knew about abuse and what they should do if they suspected abuse. Care Homes for Adults (18-65 years) Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a safe, clean and well decorated comfortable home suitable for their needs. Evidence: We found the house clean and odour free. We saw one persons bedroom accompanied by the manager. The room was well decorated and very individual and comfortable. Staff had gone out of their way to ensure that each person was supported and guided to make their bedrooms personal. Two bedrooms had laminate flooring provided on account of the individual needs of 2 of the people. This had been agreed with the sponsoring authorities. Accommodation was comfortable with a new 3 piece suite and flat screen television in the lounge and dining area on the ground floor. Adaptations have been installed which included an overhead hoist, bath aid, hand rails, stair rail and flashing light system to the front door and to one of the bedrooms to inform the person when someone was at their door. Sense carried out a health and safety audit in January 2008. We could also see there Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: were regular tests of fire equipment. There was also a planned maintenance and refurbishment programme. There was a small attractive garden at the back of the home. Care Homes for Adults (18-65 years) Page 21 of 28 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. There is a safely recruited, well-trained, supported staff team available who have the skills to meet the varying needs of the people living in the home. The home is adequately staffed with people who are experienced and competent to care and support people who have sensory impairments. Evidence: At night there was one wakeful and one sleep in member of staff who was available if required. We saw records which showed us that each new member of staff was recruited correctly with a check by the Criminal Records Bureau. There was a separate file which was well maintained. New staff had a 13 day induction programme to prepare them for their role. They then completed a Skills for Care certificate and post induction training in the first six months. They also received monthly supervision sessions and an annual appraisal. All staff had been trained to communicate using total communication skills and to understand each persons differences and needs by signing. They had received training in equal opportunities, disability equality, race equality and anti racism. Training over the past year had included moving and handling, fire prevention, adult protection, infection control, medication and non violent crisis intervention. In addition, Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: staff were encouraged to study for a qualification in care (National Vocational Qualification). As a result 43 of staff had obtained NVQ level 2 and the team leader was studying for NVQ level 3. Sense had achieved the Investors in People award as a result of its commitment to staff education and development. The member of staff spoke of the support they received and of the supervision and appraisal systems in place. The person felt they could meet the needs of the people and felt they had sufficient time. We observed during our visit the member of staff taking time to communicate with the person having their at home day in a calm, kind, friendly and sensitive manner. The person told us we provide a relaxing approach and work well as a team and I have also started my NVQ level 2. The person also confirmed the other training provided. Comments from staff surveys also included, I have found the training, staff and managers at local level are to be commended and congratulated on their work. All staff were responsible for care, catering, domestic and laundry duties. They were therefore responsible for all services in the home. Care Homes for Adults (18-65 years) Page 23 of 28 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. People and staff benefit from the positive leadership of the management team. Management record systems show that each persons health, welfare, safety and choices are promoted. The management team ensures that the people living in the home with the support of the staff, relatives, and staff have the opportunity to voice their views and opinions. Sense uses feedback from questionnaires and quality assurance systems to make improvements. Evidence: In August 2008 we registered a new person as the registered manager of the home. The manager had 20 years care experience including 2 years at a senior level. She was studying to obtain a management qualification. Despite these recent changes the member of staff we spoke with felt confident in the management. There were detailed policies and procedures, which enabled staff to deliver care and support the people in the home. Sense had a policy on equality and diversity. Monthly meetings were held with staff. They told us that they felt they valued and Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: supported. The member of staff was seen to attend to the one person in the home on the day of our visit in a confident, knowledgeable, and sensitive manner. They clearly knew the needs of each person and demonstrated excellent communication skills. There was a relaxed atmosphere. We received comments from staff which included, I found the induction course was very helpful and very interesting. I have a good relationship with Sense. The service is excellent in looking after the welfare, well being of its users sometimes in difficult circumstances. Our service does well for deaf and blind people giving them their own well being, independence and skills. Sense made monthly unannounced monitoring visits. We examined these reports and found them detailed and well maintained. There had been no concerns. Records throughout our visit were available, up to date and well maintained. Sense had very comprehensive quality assurance systems which included a Sense Annual Self Assessment Audit undertaken by the manager in May 2008 with the assistance of a member of Sense Policy and Quality Team. This audit included questionnaires sent to each person, their relatives, funding authorities, manager and staff. The results were then collated to highlight any areas for future improvement. Sense had comprehensive health and safety policies, which also included detailed and up to date risk assessments. These included risk assessments covering all aspects of daily living activities. A detailed fire risk assessment had also been carried out. There were regular tests of the fire system as well as regular fire drills. Care Homes for Adults (18-65 years) Page 25 of 28 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 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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 28 of 28 - 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!