Inspection on 06/01/09 for Waters Park House

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

Waters Park House 20/02/07

Waters Park House 07/03/06

Waters Park House 11/10/05

Waters Park House 15/12/04

Waters Park House 22/06/04

Waters Park House 22/01/04

Waters Park House 19/06/03

Waters Park House 12/09/02

Extracts from inspection reports are licensed from CQC, this page was updated on 27/02/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Waters Park House Exmouth Road Stoke Plymouth Devon PL1 4QQ     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: Jane Gurnell     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. 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.csci.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: Waters Park House Exmouth Road Stoke Plymouth Devon PL1 4QQ 01752567755 01752562111 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Waters Park Limited care home 23 Number of places (if applicable): Under 65 Over 65 0 0 mental disorder, excluding learning disability or dementia physical disability Additional conditions: Date of last inspection Brief description of the care home 23 23 Water Park House is owned by Waters Park Limited and managed by Miss Elizabeth Waters. Waters Park House provides intensive rehabilitation support for up to 23 service users who have suffered a brain injury. The home is situated in a pleasant residential area of Stoke, adjacent to the park and within a short distance of Stoke Village. The home provides accommodation 22 units with en suite accommodation with several units offering self-contained accommodation. Communal areas include a large lounge room and conservatory with a kitchen area, a dining room and a separate kitchen. In addition to the communal areas, the home offers a number of therapeutic training areas, including a workroom and computer room with internet access, an art room, a kitchen and a gym/physiotherapy suite. There is level access to all areas of the home and a passenger lift provides access to the first floor. There is a sheltered patio area with seating where service users may smoke if they wish and a small but pleasant patio. The large staff team includes rehabilitation care staff, occupational Care Homes for Adults (18-65 years) Page 4 of 27 Brief description of the care home therapists, physiotherapists, education and activity assistants, a workshop coordinator, maintenance, catering and domestic staff as well as administrative staff. Speech and language therepay, couinsleling and psychology support are provided by external professionals who visit Waters Park each week. Waters Park has a Statement of Purpose and Service Users Guide; these documents provide information about what the home can offer. Both of these documents are available in the main office, and provided to prospective service users and their relatives when they visit. The fees for Waters Park are based on an assessment of need, and the home has three bands: high dependency, 1643 pounds per week, medium dependency, 1509 pounds per week and low dependency, 1436 pounds per week. Items not included in the fees include chiropody, hair dressing, toiletries, newspapers and magazines, taxis and holidays. 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: 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 inspection was unannounced and took place between 9:45am and 5:30pm on 6th January 2008. The majority of people living in the home were spoken with, as were the staff on duty and two visiting relatives and a social worker. A tour of the building was made and the records relating to the care of three people were examined. The Commission received an Annual Quality Assurance Assessment (AQAA) completed by the Clinical Director on behalf of the Registered Provider, which provided information about various aspects of the service. As part of this inspection 10 surveys were sent out to people living in the home, 2 were returned completed, as well as to care staff and the GPs, Social Workers and District Nurses who support the home: four of these were returned. Care Homes for Adults (18-65 years) Page 6 of 27 Care Homes for Adults (18-65 years) Page 7 of 27 What the care home does well: What has improved since the last inspection? What they could do better: 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 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. People considering moving to Waters Park can be assured their needs will be thoroughly assessed by health care professionals prior to their admission. People are given sufficient information about the service to make an informed decision. Evidence: Waters Park is a rehabilitation unit that supports people to regain skills and abilities that have been lost through trauma or illness, and as such, staff recognise the importance of accurate assessments to identify peoples needs. From the examination of 3 peoples files it was clear that a thorough pre-admission assessment had occurred for each person. These had been undertaken by the Clinical Director, the occupational therapists and physiotherapists employed by Waters Park as well as other health care professionals responsible for the persons care prior to their admission, including a consultant psychiatrist. People living in the unit confirmed they had been given appropriate information to allow them to make a decision about the suitability of the unit and also that they had been invited to visit prior to making any decisions. Care Homes for Adults (18-65 years) Page 10 of 27 Care Homes for Adults (18-65 years) Page 11 of 27 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are good systems in place to ensure peoples needs are met. Evidence: During the day the majority of people living at Waters Park were spoken to, and all confirmed they received the support they required and were very satisfied with the services they received. One person said, its great here, it couldnt be better and another person said they had received such care and support that they were now ready to move to the their own home. Each person at Waters Park House has a document that identifies what their needs are, identifies any associated risks and any actions staff are to take. Staff spoken with had read these documents and when asked about care needs of individuals were able to explain what they were. In addition there are documents called morning and evening programmes, these provide detailed clear guidance to staff about the assistance they are to provide each person. Review meetings are held every 3 months Care Homes for Adults (18-65 years) Page 12 of 27 Evidence: with each person as well as their relatives, if appropriate, and those responsible for their care. Three care plans were looked at and in general these were well written: one care plan however, did not give sufficiently clear information. For example it stated the person had reduced mobility but there was no explanation as to what this meant. Information on the care plans is currently framed in terms of deficits, issues and problems, whilst the information in the reviews identified competencies, needs and abilities. The Clinical Director was advised to include both needs and abilities on the care plans and to also to reflect the changes in the plans when reviews had taken place, as at the time of the inspection, it was not possible to tell when the care plans had last been reviewed. Care staff were spoken with throughout the day about the needs of the people living at Waters Park and they had a good understanding of what each person needed. They explained how they were expected to read information about individuals that is on file, and how they were also introduced to individuals and shown what to do. Those health care professionals consulted prior to the inspection and at the visit to the home, confirmed their satisfaction in the services provided at the home. The systems for handling peoples money was looked at. There is a good system in place to ensure that money that is held by Waters Park is properly accounted for. The Clinical Director said that people are involved in managing their money as part of their rehabilitation development and preparations to leave Waters Park. Care Homes for Adults (18-65 years) Page 13 of 27 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are offered very high standard of meals that are healthy, well cooked, and well presented. There are excellent facilities at Waters Park House for people to use as part of their rehabilitation, with specialist staff to guide individual programmes. Evidence: One of the points consistently raised by people and staff spoken with during this inspection was the high standard of the meals provided by the chef: people said the meals were excellent. Some people did however say that the days the chef was not on duty the meals were not of such a high standard: the Clinical Director was informed of this. The chef was spoken with about the meals, he explained how the food was cooked using fresh ingredients, and how he took into account dietary needs: a number of people were following special diets. People said that they liked the way that he came and spoke with them about what they thought about the food. On the day of the Care Homes for Adults (18-65 years) Page 14 of 27 Evidence: inspection there was a choice of two main meals for lunch and a hot dessert. Waters Park has a pleasantly decorated and furnished dining room, although some people have their own kitchen where they may prepare meals as part of their agreed programme. People also have access to a small kitchen in the lounge so that they are able to make their own drinks between meals. Waters Park House has an excellent range of in house facilities to support people with their rehabilitation as well as leisure activities: there is a gym/physiotherapy room, an arts and crafts room, a disabled access kitchen, a computer room with interent access and a quiet room. The Clinical Director explained that people were not just encouraged to use these facilities exclusively but to also use those in the community, for example, the local gym, a community art group and local colleges. People were supported to use the local shops for food shopping and newspapers etc. One person is also supported by staff to undertake voluntary work. Waters Park employs a physiotherapist and 3 occupational therapists to help design rehabilitation programmes, as well as offering the support of a counselor, a speech and language therapist, a psychologist and a neuro-psychiatrist. Each person has a timetable of activities, both rehabilitative and leisure, for the week. During the inspection people were seen going out shopping for food to later prepare meals, or to local education facilities. People were also seen to be enjoying a quiz and games of cards and dominoes with staff. Two relatives of a person living at the unit were spoken with about the service and they both praised the owner and staff for the marvelous support they provided. They both said their relative had shown a significant improvement in his well-being since being at Waters Park. They said they always felt very welcome when ever they visited. Care Homes for Adults (18-65 years) Page 15 of 27 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are good systems in place to manage medication. Peoples support needs, both physical and emotional, are well met. Evidence: Each person has a single room with en suite shower facilities, so that all personal or health care can be provided in private. There is one separate bathroom, for individuals to use if they would like a bath rather than a shower. Several rooms offer selfcontained accommodation including a kitchen area and separate lounge and bedroom. Staff were observed knocking on doors before they entered bedrooms, and people spoken with commented that staff always treat them with respect, and always come promptly if they ring the bell for assistance. The two people who responded to the survey said that staff always or usually treat them well, and listen and act on what they say. Staff comments about Waters Park include the unit provides excellent trained staff in all aspects of care, a friendly atmosphere and excellent choice and quality of meals. Care Homes for Adults (18-65 years) Page 16 of 27 Evidence: A social worker who visits Water Park frequently was spoken with and she expressed her confidence in the skills and competence of the staff team. She said that staff treated people with respect and ensure that their dignity is maintained. Not only is the emphasis on improving physical health and abilities to perform the usual activities of daily living, the unit provide emotional and psychological support for people to adjust to the significant life changing events they face. One person said she cant thank the staff enough for their support as initially she never thought she would get back to be able to do things for herself. Waters Park uses a monitored dose system, which is prepared by a pharmacist, for much of the medication. Only the designated team leader of each shift administers the medication and the team leader on duty confirmed that he and his colleagues had received training in safe medication practices from the local pharmacist. Medication is well managed and records are well maintained, including those for controlled drugs. Care Homes for Adults (18-65 years) Page 17 of 27 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are good systems in place to deal with complaints, should they be made, and to protect people from abuse. Evidence: Waters Park has a clear complaints procedure that is part of the Service Users Guide, and it is also displayed on the notice board. Neither the unit nor the Commission had received any complaints since the previous inspection. In the entrance hall, there are cards with addressed envelopes that people can use to provide feedback or to comment on the service. Those people spoken with confirmed that felt able to express any concerns to the staff and owner. Both staff responding to the staff survey, and those spoken to in person, said they were aware of the adult protection procedures. The Clinical Director confirmed all staff were sent, at the first opportunity, on the Social Services course on the protection of vulnerable adults, and that a training programme from an external training provider had been obtained and all staff would be working through this together in due course. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Waters Park House provides spacious, clean, comfortable and well-adapted accommodation for people with a range of disabilities. Evidence: Waters Park House offers people a range of accommodation, from bedrooms with en suite facilities, to bed sitting rooms with en suite facilities, to large and spacious flats. All of the 22 accommodation units exceed the 12 sq. m of usable space, set in the national minimum standards. Not all of the rooms were seen, however those that were seen were well decorated and well maintained. People had brought items of their own furniture or equipment. Each of the rooms has an en suite shower facility. In addition there is a bathroom with a hoist. There is level access throughout the building and there is a passenger lift to the first floor. Waters Park has a large communal lounge, conservatory and dining room. There is also a small kitchen area in the lounge so that people are able to make their own teas and coffees. In addition there is a gym/physiotherapy room, an arts and crafts room, a computer room with internet access, a quiet/counseling room, and a disabled access kitchen. These facilities are used with staff as part of rehabilitation programmes. There is ample space for staff, administration and for meetings. This unit is well adapted to Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: meet the needs of people who have disabilities and who are being rehabilitated. The fact that everyone has ample private space means that people can opt in and out of communal life, and this may help lessen potential conflicts between individuals. The Registered Provider continues to invest in improving the facilities and has made several improvements since the last inspection, including improving access to and upgrading the main reception area, increasing the size of the dining room, building a conservatory, remodeling the kitchen area in the lounge room to make it more accessible, improving the outside patio area and improving the office space. There were no offensive odours, the home has a well-equipped laundry and domestic staff are employed to help maintain the high standards in this home. There was evidence of good hygiene and control of infection practices. Gloves and aprons were being used appropriately, and staff were aware of what was expected of them. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living at Waters Park are well supported by competent and well-trained staff, who are present in sufficient numbers. The records of staff recruitment indicate that, as far as possible, only staff suitable to work with vulnerable people are employed. Staff are well supervised and supported whilst working. Evidence: Both staff who responded to the staff survey said that they were never asked to care for people outside their area of expertise and that they, and all of the staff spoken to in person, felt that they were well supported to do their jobs. Comments made by staff include, Waters Park House is a great place to work in, I really enjoy my job and we received excellent training and support. The recruitment records for three staff were looked at, including one for someone recently employed. As part of the recruitment process care homes are required to ensure that they take a full employment history, two written references and make checks as to whether the individual has a criminal records bureau check or should not work with vulnerable adults. There were records to show that all of these were in place. Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: There were good training records showing staff had received induction and other training to enable them to do their job safely. Two new members of staff on duty at the time of the inspection confirmed they were being well supported and were working alongside a more experienced member of staff. The recruitment files held evidence of this with the name and shift details of the person the staff member would be working with for at least four weeks. The home has its own internal training programme, which including training manuals from an external training provider in subjects such as manual handling, fire safety, infection control, protection of vulnerable adults, the Mental Capacity Act, as well as formal training days facilitated by external trainers. In addition the unit provide short in house training sessions alternate weeks, lasting half an hour and focusing on a particular subject such as strokes, lobes of the brain, diabetes, diet and nutrition and the role of the physiotherapist. In addition there was evidence to show that staff had received more in depth training including in relation to epilepsy, and motivational techniques. At the time of the inspection there were 21 people living at Waters Park. Conversations with staff and examination of the duty rota indicated there were sufficient care staff to meet the needs of people in the home. The rota indicated there were 6 to 7 rehabilitation staff on duty during the day and evening with the support of a team leader. Three waking staff were available during the night. In addition there was support from 3 occupational therapists, a physiotherapist, 3 occupational therapist assistants, catering, domestic, reception and administrative staff as well as the Clinical Director who ran the home on a day-to-day basis and the registered provider who attended the home most days. Staff said there was sufficient time to not only carry out care tasks but to spend time with people. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Waters Park is well managed. The Registered Provider, Clinical Director and the staff team as a whole endeavour to provide a stimulating, rewarding and safe environment for the people who live there. Evidence: Ms Elizabeth Waters is the Registered Manager at Waters Park House. She has many years experience of running care homes, and has the appropriate qualifications. In addition to Ms Waters, a Clinical Director is employed to over see much of the day-today operation in the home: she is a Registered Nurse and demonstrated a thorough understanding of peoples needs and a committment to their well-being and development. Both are supported by administrative staff. The home is well organised, records are ordered and up to date, and staff know what they are doing. These all indicate a well-managed service. There is a good quality assurance system that is based on seeking the views not only of the people living at Waters Park, but those who work there and external health care Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: professionals such as the local GP and social workers. The results of the most recent survey were available and indicated high satisfaction with the services and support provided. The actions identified as a result of this survey were recorded in the AQAA and included increasing community based activities and changes to the staff rota to allow more flexibility. An Annual Development Plan was available but this only included the planned environmental improvements. The Clinical Director was advised to include all the actions planned as a result of the survey in the annual development plan to indicate the level of good practice shown by the unit. The home is well maintained and records were available for the servicing of equipment to ensure it was maintained in good working order. Care Homes for Adults (18-65 years) Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 26 of 27 Helpline: Telephone: 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 27 of 27 - 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!