Inspection on 09/03/09 for 64 Stagsden Road

This inspection was carried out on 9th March 2009.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

64 Stagsden Road 06/03/07

64 Stagsden Road 17/01/06

64 Stagsden Road 16/08/05

64 Stagsden Road 11/03/05

64 Stagsden Road 13/07/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 18/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 64 Stagsden Road 64 Stagsden Road Bromham Bedfordshire MK43 8PU     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Sally Snelson     Date: 0 9 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 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: 64 Stagsden Road 64 Stagsden Road Bromham Bedfordshire MK43 8PU 01234826106 F/P01234826106 stagsdenrd@walsingham.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Walsingham care home 5 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: 1. The registered person may provide the following category/ies of service only: Care home only Code PC 1. The registered person may provide the following category/ies of service only: Care home only Code PC 2. The maximum number of service users who can be accommodated is: 5 2. The maximum number of service users who can be accommodated is: 7 to service users of the following gender: Either to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning Disability Code LD whose primary care needs on admission to the home are within the following categories: Learning Disability Code LD 5 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 29 Date of last inspection Brief description of the care home 64 Stagsden Road is a detached residential house for five service users with learning disabilities. The home is managed by Walsingham organisation. The accommodation consists of four single bedrooms, a lounge, dining room, staff office, kitchen, and laundry. The bathroom is on the first floor and there is a toilet on the ground floor. Linked to the main house is a two bedroom semi-independent unit in what had been the garage. This unit has a lounge/diner kitchen and a newly furbished wet room. There is a good-sized enclosed garden to the rear of the property. The house is located in the riverside village of Bromham. The village has a post office, take away shops, a small supermarket, two churches, a library and several pubs. The fee for the service is from £995.00 per week. Care Homes for Adults (18-65 years) Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This inspection was carried out in accordance with the Commission for Social Care Inspections (CSCI) policy and methodologies, which requires review of the key standards for the provision of a care home for older people. The methodology that takes account of residents views and information received about the service since the last inspection. Evidence used and judgements made within the main body of the report include information from this visit. Sally Snelson undertook this inspection of 64 Stagsden Road. It was a key inspection, was unannounced, and took place from 11:00hrs on the 9th March 2009. Mr Steve Iodice the manager were present for the inspection. Feedback was given throughout the inspection, and at the end. Care Homes for Adults (18-65 years) Page 6 of 29 During the inspection the care of one of the people who used the service (residents) was case tracked in detail. This involved reading his/her record and comparing what was documented to what was provided. At the same time as the inspection a reviewing officer was reviewing one of the residents and information from the review was shared with us to support our inspection. In addition to sampling files, people who lived at the home, visitors, and staff were spoken to, and their opinions sought. All of the residents met the inspector. Any comments received from staff or residents about their views of the home, plus all the information gathered on the day was used to form a judgement about the service. We would like to thank all those involved for their assistance with the inspection. What the care home does well: What has improved since the last inspection? What they could do better: The home must look at ways to secure more permanent staff. Care Homes for Adults (18-65 years) Page 8 of 29 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.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 9 of 29 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service recognised the importance of ensuring that a new resident could be looked after by the staff team, but would also fit in with those already residing at the home. Evidence: The home had a statement of purpose and Service Users Guide that covered all the areas required by the National Minimum Standards. These documents outlined what the home provided and information about any additional costs, such as hairdressing and chiropody costs. Both documents were available in a pictorial format and the manager told us that the format could be altered to suit the individuals needs. There had been no new admissions to the home since the last inspection, but there was a vacancy and the manager told us how a prospective resident would be assessed to ensure that the home could meet his or her needs and that the person would integrate with the people already living at the home. Ideally the pre-admission assessment would allow time for a number of visits before a decision was made. Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: The staffs ability to meet the needs of the people using the service will be discussed in the staffing section of this report. Each of the residents had a contract which had been signed where possible by the resident and/or by someone on their behalf. It was apparent that residents were aware of their rights and what they could expect to receive while living at 64 Stagsden Road. The manager confirmed that staff spent a lot of time with residents supporting them to understand documents before they were asked to sign anything. Care Homes for Adults (18-65 years) Page 12 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There was clear documentation for each resident that defined the support they needed and confirmed that they had been involved in decisions. Evidence: Each of the people using the service had a variety of different plans of support which had been agreed by them. The plans were well set out, and gave clear guidance to staff on the needs and support required by residents. The plans were reviewed at least six monthly monthly and changes were made as necessary. Currently each person was allocated a drawer of a filing cabinet in which their files could be stored. There were many different files, for example a Person Centred planning (PCP) file, a Health Action Plan (HAP) file, a finance file and a support plan. When we discussed with the manager the amount of different files and consequently the duplication of some generic information, we were told that the company had identified the need to streamline the documentation and were in the process of introducing new paper work. However we were satisfied that all aspects of the individual support and care of the residents were incorporated within one of the files and where problems were identified Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: risk assessments had been carried out. The risk assessment covered both personal risks and those risks considered generic. The risk assessments provided guidance for staff on how to identify the triggers to problem behaviours, and should they present themselves, gave clear instruction on how to respond and de-escalate or manage the behaviour. Any restrictions considered necessary for the safety of the individual, or others, was recorded within the support plans and risk assessments. Throughout the inspection it was apparent that residents (we saw from meeting notes, that this was the name that collectively they wished to be known by) made decisions about their lives. They were supported to do this by staff, families, social workers and an advocacy service if necessary. The resident who we case tracked had a bank account a card but requested that the home held small amounts of money for general use on her behalf. Staff completed detailed daily logs throughout the day that recorded exactly whet residents were doing at various times; these were shared with the residents and used as the basis of the staff handover. Staff supported residents, in a respectful manner that recognised the residents skills to be as independent as possible. There was a homely atmosphere within the home, the residents were relaxed and friendly with each other and the staff. Care Homes for Adults (18-65 years) Page 14 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Routines, activities and plans were person centred, individualised and reflected needs. They incorporated personal goals, aspirations, preferences and wishes. Independence was encouraged and supported, and actively promoted the right of each resident to make informed choices. Evidence: Residents were encouraged to be as independent as possible and to learn some practical skills while helping staff with daily chores. Staff kept a clear record of how residents managed tasks, and it would be clear from support plans how much support was to be given. Each resident had their own activity programme. All residents attended a variety of local day centres or other pursuits, including voluntary work. There was also a variety of leisure activities available to these residents. These included outings to shops or Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: local pubs, Mencap Club activities, local discos and seasonal events such as pantomimes, fetes, football matches and holidays. All of the residents had the opportunity to have one weeks holiday of their choice with a member of staff, or independently. Many of the residents had close relationships with their families and friends, and the staff encouraged them to maintain these contacts, and support them where necessary. We saw evidence of a resident going out to buy a birthday card and gift for a relative who lived some way away. Staff shift patterns ensured that they could offer support to at least one resident each evening to go out or pursue an activity of choice. Ideally it should be possible for each resident to be supported to pursue and activity each evening. All of the residents had a front door key, although some choose not to use them. Residents and staff had a good relationship with their neighbours and the local community. One resident attended the local church. There was a weekly menu in place, and a picture card of the main meal and a copy of the recipe was put on display on the fridge each day. Each resident took the main responsibility for choosing and preparing one meal each week. It was proposed that new picture menus would be introduced shortly. Residents were consulted on a one to one basis, as well as through house meetings, about what meals they would like. The bulk weekly shopping was done on-line, but staff and residents shopped locally for fresh fruit and other items. On the day of the inspection residents, supported by staff were preparing or looking forward to, chicken supreme and rice for their evening meal. An added bonus was that as the dining room was being redecorated the evening meal would be taken in the lounge in front of the TV; an activity that is usually discouraged. Care Homes for Adults (18-65 years) Page 16 of 29 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Resident had access to healthcare. Staff made sure that residents were encouraged to keep appointments, and have regular health checks, based on the rights of dignity, equality, fairness, autonomy and respect. People were supported to maintain independence. Evidence: The support plans clearly defined how much support and promoting people required and staff were clear that it was not beneficial for a resident to be done unto. Although the local Health Authority had not introduced Health Action Plans to the home, the manager had acquired a template and the key workers had worked with the residents to complete the documentation, which provided a clear picture of a persons health needs. All of the residents had their own GPs and attended general and specialist appointments as necessary. Residents were part of the GPs health screening programme, such as breast screening. During this inspection we examined all the residents medication files. Medication records (MAR) sheets were all appropriately completed with signatures and omission Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: codes, and the reverse of the sheets had been appropriately completed. A sheet in each file identified how the resident chose to take their medication. All were clearly dated and signed. Staff kept a running audit of the number to tablets or the amount of medicine held by the home and this was completed daily. There had been one medication error identified in the last six months and this had been identified quickly and rectified. The home had a recent medication audit undertaken by the supplying pharmacy At the time of the inspection no residents needed controlled drugs (CDs), but storage was available. In the past staff had supported residents to understand the death of their family members and of other residents, including attending funerals. Care Homes for Adults (18-65 years) Page 18 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home had an open culture and encouraged residents to express their views and concerns. A clear complaints policy, in formats suitable for all those that used the service, ensured that people were aware of how, and to whom, to complain, and what outcomes to expect. Training for safeguarding was provided for staff. Evidence: The home had a clear complaints policy in place; this was on display in the home and easily accessible to all residents and visitors to the home. The complaints procedure also formed part of the pre-admission documentation and the contract. There had been no formal complaint made to, or about, the home since the last inspection. The manager was aware of how to investigate a complaint and staff knew the importance of informing the manager if a complaint was raised with them in the first instance. Observations of the interactions between staff and residents gave an impression of trust and mutually respectful friendships. As already detailed there was evidence that residents were involved in the planning of their own care with consideration being given to their personal goals and aspirations. Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: The records of residents personal expenditures were examined. These were all accurately recorded and balanced with the funds available. Any allegations of abuse, including service user on service user, were correctly reported to us via Regulation 37, and to the safeguarding team at the Local Authority. All staff had attended training about the safeguarding of Vulnerable Adults (SOVA) and appropriate referrals had been made following confrontation between two of the residents. Care Homes for Adults (18-65 years) Page 20 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provided a physical environment that was appropriate for the residents. The design allowed for small clusters of people to live together in a non institutional way, and promoted privacy, dignity and autonomy for the residents. Evidence: This was a small home, which was only registered for five residents and at the time of the inspection only had four people accommodated. It was very clean and comfortable and had a homely atmosphere. Downstairs there was a lounge, a dining room, the kitchen, the office and the two bedroom self contained flat, and upstairs was the bathroom and the remaining bedrooms. The bedrooms were decorated and furnished to meet with the tastes of the individual residents. One resident showed us his room. He was very proud of his display of family photos. His room had furnishings relating to his favourite football team. At the time of the inspection the home was undergoing maintenance and redecoration. The dining room was being decorated so was out of action and the the halls and landings were being painted and had new carpets. The workmen worked around the residents and made sure communal areas were as back to normal as possible when theresidents returned from day centres. A downstair shower room was being Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: converted to a wet room to support a resident who was finding it difficult to climb the stairs. An occupational therapist had supported the adaptation and the resident was choosing colours and floor coverings. The laundry room was appropriate for residents use and the garden was tidy and accessible. The office was central and residents were not restricted from it. In the office the manager held a variety of easily accessible information for staff from making a safeguarding referral to how to contact the local door to door bus. The home had a five year maintenance programme. Care Homes for Adults (18-65 years) Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staffing levels reflected the needs of the people who used the service, but in order to do this the home were relying on agency and bank staff. The rotas were flexible to fit around the lifestyles and daily activities of the residents. Evidence: At the time of the inspection the staff team was very small, consisting of just four permanent staff and one bank staff to assist with covering shifts, holidays and sickness. The manager explained that he mainly worked, Monday to Friday 07:30 to 15:00 hours, and the other staff worked early mornings and evening shifts from 15:30 to 22:00 hours with one person doing a sleep-in until the following morning. Every weekend and whenever residents were in the home there were a minimum of two staff on duty. To cover this at present the home were using staff from an agency. Where possible, and to ensure consistency, the same staff were requested. We were aware that at times it was necessary for all the staff on duty to be agency staff. The manager was aware that this was not ideal. The manager was in the process of recruiting new staff and had a number of completed application that confirmed that the recruitment of staff were satisfactory. All of the residents had previously been involved in staff recruitment, one showed candidates around, another was on the panel and others spoke and explained various procedures. Head office had asked for this to stop. Managers were preparing to challenge this as they believed that the original system Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: was a fair system, and did not infringe equal opportunities. During this inspection we examined the files of two members of staff. Both contained fully completed application forms, including an employment history. The company have an agreement with CSCI that some recruitment documentation was held centrally. The manager confirmed that he had been made aware of the contents of any of the held documentation when interviewing. Our Provider Relationship Manager (PRM) report for the company confirmed that recruitment practises were good. Training records were examined and identified that all staff were up to date with mandatory training, and the manager was aware of when refresher courses were required. Copies of training certificates were held in the home. At the time of the inspection 100 of the permanent staff had an NVQ level 2 or above, and all staff had completed a period of induction. A member of the stakeholder group (the mother of a resident) was responsible for auditing staff training on behalf of the group. Records that we looked at showed that staff supervision and appraisals were being carried out 4-6 weekly, ensuring that all staff at least six supervision sessions a year. Staff confirmed that these sessions covered their work and their training needs and offered them the opportunity to discuss issues of concern, both professional and personal. All staff had a signed supervision agreement. Care Homes for Adults (18-65 years) Page 24 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager was competent in delivering effective care. He had good people skills and understood the importance of person centred care and the effective outcomes for the residents who lived in this home. Evidence: The manager had worked at the home for 16 years working up from a senior carer to become the registered manager. He had therefore made good links both personally and professionally within the area. He confirmed that he kept himself updated and in his words enjoyed a challenge. The staff spoke highly of his commitment to the home, the residents and themselves. One staff member said, we are a happy group here, referring to staff and residents. The home, supported by the head office, had a plan to regularly check that the residents were satisfied with the standard of care that was being provided. We were pleased to see that residents that needed support to complete any questionnaires, were provided with this support independently and not by the staff team. We suggested that to improve on these audits the manager may like to extend the groups Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: the questionnaires are sent to by involving more stakeholders. As already mentioned residents had the opportunity to meet together and ensure that their opinions were sought. The staff team met together approximately every three weeks. The record keeping in the home was of a good standard and it was noted that all documentation was signed and dated and correctly held by the home. Policies and procedures are in place. Health and safety checks including fire call point and equipment testing and emergency lighting were carried out and correctly documented in line with these policies. The correct insurance certificate was displayed. Care Homes for Adults (18-65 years) Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 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 1 33 The permanent staff team should be sufficient to met the needs of the residents. This ensures consistency and allows people to have their Care Homes for Adults (18-65 years) Page 28 of 29 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 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!