Inspection on 27/10/08 for 98 Old Milton Road

This inspection was carried out on 27th October 2008.

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

98 Old Milton Road 31/10/06

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Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 98 Old Milton Road 98 Old Milton Road New Milton Hampshire BH25 6EB     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: Sue Kinch     Date: 2 7 1 0 2 0 0 8 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 © (2008) 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: 98 Old Milton Road 98 Old Milton Road New Milton Hampshire BH25 6EB 01425638212 Telephone number: Fax number: Email address: Provider web address: janet.tolson@sanctuary-housing.co.uk Name of registered provider(s): Name of registered manager (if applicable) Mrs Janet Tolson Type of registration: Number of places registered: Sanctuary Care Ltd care home 5 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 5. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD). Date of last inspection Brief description of the care home The purpose of the home is to provide accommodation and address the individual needs of five younger adults who have a learning disability in a person centred way. The home and facilities are domestic in size and situated up a short drive close to the town centre of New Milton. Individual rooms are on the ground and first floors. People have a moderately sized dining room, a lounge and a small garden to share . A car is available but people are also encouraged to use public transport. 5 Over 65 0 Care Homes for Adults (18-65 years) Page 4 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: 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: Following a review of the information held by CSCI about this home we have completed an unannounced inspection and this was the first inspection since 31/10/2006. The manager completed an Annual Quality Assurance Assessment (AQAA) in May 2008 and information provided was included in our assessment of the home as was our findings from our Annual Service Review of the home completed on 29/1/2008. We had five completed surveys returned from the people living in the home who had been assisted by a volunteer who knows them. We also had eight from staff. During our visit we met four of the people living there and three staff. We sampled records including care plans, staff training and recruitment documents, and monitoring records. We also saw some of the policies and procedures for the home. Care Homes for Adults (18-65 years) Page 5 of 28 The manager informed us that the weekly fee for 2008-2009 is 931 pounds and 96 pence. 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 Care Homes for Adults (18-65 years) Page 7 of 28 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 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 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Procedures are in place to ensure that the needs of people thinking of living in the home are met before they move in. Evidence: Since the last inspection of the home there has not been a further admission to the home as a vacancy has not arisen. In the AQAA the manager confirmed that there are procedures to guide them through any admission to the home. She said that there is an assessment process to work through with any interested residents and their representatives. Initial visits would lead to a trial period and the manager said that The views of current residents would be sought before inviting someone to join their group. If a decision was made to offer a placement,a detailed care plan would be drawn up with the resident and their representatives,outlining their care needs,interests, etc. A staff member,during our, visit drew our attention to pictorial information available Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: for current people living at the home also available for future residents and the manager ,in the AQAA said that to address diversity they intend to make the information as user friendly as possible. Care Homes for Adults (18-65 years) Page 11 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. People living in the home are regularly consulted about the support they need and want, to lead the lifestyles that they wish to have . They are assisted to make decisions such as about holidays and money and their choices are promoted. They are also supported to take risks to enable them to maintain independence. Evidence: We sampled the personal files available and found that there are up to date care plans and risk assessments which have been reviewed. The contents of one of these files were discussed with one of the people living in the home who said they had seen the care plans and risk assessments before. The file contained many pictures relevant to the person who was able to describe the help received from staff. The person confirmed that the help recorded was given and they had some of the information in their room. The second file viewed was similarly illustrated and included risk assessments, guidance for staff and evidence of regular updates. The risk assessments included a number of activities in which independence is promoted such as in using the Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: laundry,self medication, and personal care. A member of staff explained the development of life plans which the home is working on and showed us one under development. This contained many pictures of activities and photographs about that persons life. The manager, in the AQAA, said that this is to give people living in the home more opportunities to express views about their care. We found evidence of a recent review in one file sampled and, although overdue as the homes policy is to review every six months, staff confirmed that plans for another persons review were taking place. In the surveys completed by people living in the home with the assistance of a volunteer, all said that the are able to make decisions and that they can do what they want to do in the evenings, weekends and day time. Flexibility was discussed with a member of staff who agreed that recruitment was taking place to fill a role at the weekends. Theb staff memeber said that taking the needs of people living in the home into account, the staffing level was sufficient to meet needs. During our visit staff had planned to separately take two people swimming in the afternoon. They were clearly considering the wishes and choices of the people involved and taking action to positively motivate one person who they thought may change their mind and miss out on a chosen activity. In the staff survey all eight said they always have up to date information about the people that they support. They all also said that the systems in place to ensure information is passed between staff and management usually or always works well. One said that these include regular staff meetings,good shift hand overs and daily logs. All staff said that they are usually or always able to meet the diverse needs of people. One said that home is good and creates a relaxed atmosphere in the home for people. Care Homes for Adults (18-65 years) Page 13 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home are encouraged to pursue their own individual interests and hobbies in and out of the home through person centred planning. Family and other relationships and friendships are supported to help people living in the home maintain links and socialize. People are supported to consider healthy food options and like the food and involvement in producing it in the home. Evidence: In the AQAA the manager said that a variety of activities are provided by the home and are identified in care plans and include therapy swimming,attending courses,going to the gym, and shopping and we saw evidence of this during our visit. Some of the Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: other activities referred to by the manager including parties, craft, theatre, clubs, using public transport and going to church were also supported through conversations and observations made at the home. In the surveys three staff commented that they are able to encourage independence. One said We try to promote as high a level of independence as possible for residents to achieve their potential. People have been encouraged to take more responsibility and are now involved more in financial arrangements and medication. We noted that they have lockable storage for this and are taking responsibility for some aspects of the security and decisions about these things. They are involved in the planning of their services and are involved in the tasks around the house. The manager in the AQAA said that family contact is encouraged and that the home received positive comments from families about family involvement. One staff member commented that they support people to maintain relationships with friends and families. One person living in the home talked of seeing a relative sometimes and seeing people at church. It was noted in one of the personal files that support is given and planned for the person to have regular contact with a relative and staff support is provided for calls and visits. This was backed up with picture evidence of a visit. In the AQAA the manager said that they had involved people in planning the menus and they promote healthy eating. Staff confirmed that people living in the home are involved in planning meals and one was food shopping with someone living in the home. Menus are posted on the wall of the kitchen and are based on the preferences of people in the home. People are able to choose what they want for lunches based on the food available and staff said this sometimes includes a hot meal. One person spoken with about food said that they liked the food and got to eat what they like. The manager said that they have made improvements from using information provided by the local community team and she plans to improve the service further by staff having training on healthy eating. Care Homes for Adults (18-65 years) Page 15 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive personal care and support with emotional and health needs in ways that they want it whilst promoting independence. Self medication is encourage for those able to have the responsibility and support is provided for those who need it Evidence: People living in the home need assistance with personal care, and emotional and physical health. In the records sampled we noted that these needs are recorded as is action required by staff to support people individually. Risk associated with elements of this are assessed such as use of the shower and bathroom. One person showed us one of the bathrooms and the facilities used and confirmed that staff help them. The bathroom contained the equipment needed as described and photographed in the care plans. In records sampled we noted that health needs are recorded on an individual basis and records are held of appointments including dentist, doctors and chiropody. We have also been informed by the manager that the local community team have advised Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: regarding diet. A review of medication procedures has taken place since the last inspection and the management has developed their own procedures to go with those for Sanctuary Housing. We recommended that the most recent Royal Pharmaceutical Society Guidelines are also obtained. Self medication has been increasingly encouraged to promote independence and people living in the home through risk assessment are beginning to take responsibility for some aspects of their medication. This mostly involves storage of some medication and creams and one member of staff said that it is an initial stage of development from which people may progress on an individual basis. When looking around the home one person showed us that storage facilities had been provided. They explained the responsibility they had and how staff recorded what they did. With additional information from a member of staff we noted that the process was as recorded and monitored. We also saw a sample of records of medication administration from the previous week and these had been completed by staff. A staff member said that the shift leaders also had the responsibility for checking daily to ensure medication was taken. This followed from an error earlier in the year. Medication has been discussed in staff meetings this year and we saw this was recorded in the minutes. A member of staff said there had been an emphasis on medication training recently and the manager had just finished a distance learning course with a local college. The staff member said two staff were also about to finish the training. In addition she said that a local pharmacist would shortly be training staff. Care Homes for Adults (18-65 years) Page 17 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home are able to air their views and are confident that they will be acted on . There are procedures in the home that staff are aware of to protect people living in the home from abuse. Evidence: The manager said that the home has not received any complaints since the last inspection. A staff member showed us the complaints log which contained no new complaints. The Commission has not needed to pass any complaints to the home for investigation. We surveyed people living in the home in January 2008 when we completed an Annual Service Review of the service provided and we were told by the four people responding that staff listen to them and act on what they say and that they knew who to speak to if they had concerns. For this inspection the home arranged for volunteer known to the people to assist them with the survey and all people gave the same response. The manager said that they recognise the need to promote the procedures among the people in the home and an advocate has been found for one person. These are provided in a pictorial format. House meetings are also regular for consulting people. In the surveys completed by staff they say that they know what to do if a person living in the home /relative/advocate or friend has concerns about the home. Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: At the inspection a member of staff confirmed that they had received training about adult protection and was aware of the types of abuse that may occur and of action taken if necessary although they said that they were not aware of any recent event occurring. The manager said that whistle-blowing is reinforced in staff in supervision and in team meetings. At the inspection visit we were told that further training was planned for six of the staff. 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 living in the home benefit from being involved decisions about a clean,comfortable, safe and well maintained environment. Evidence: Comments from manager in were made in the AQAA about people living in the home being able to influence their environment. She said,for example, that they had been involved in the choice of flooring for the bathroom. A staff member confirmed this and we noted that the work had been completed. We looked a two bedrooms with the people who use them and noted that,as the manager had described, each person is assisted to develop their environment to their taste. Each room was differently decorated and filled with things of personal interest an for activity. We also noted that in one room equipment for safety been provided to address needs arising from a physical disability. The manager said that since the last inspection there had been external redecoration of the woodwork and that people had been involved in the decisions and development of murals on two walls of the home. A staff member described how individual preferences had been taken into account and how they had been involved. Peoples Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: responsibility for their environment is also encouraged with the provision of keys for bedrooms. The first floor bathroom was viewed with a person living in the home and we noted rails for the toilet and shower which the person agreed helped. The home has procedures for infection control. We also noted that there was all the equipment needed to maintain personal hygiene and a pictorial prompt for hand washing. The bathroom also contained disposable gloves to assist staff to promote infection control. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management commitment to training and supervision ensures that staff deployed in sufficient numbers have the right skills to meet the needs of the people living in the home . Recruitment procedures are robust and enhances the safety of people living in the home. Evidence: In the staff survey four said that there were always enough staff to meet individual needs and four said usually. One said that there was not always enough time for oneone support but care is provided and another said that staff are busy. A third said that there are bank staff to help cover shortages. We saw a rota indicating that two staff are usually on shift, as found on the day of our visit with some additional support at weekends. Staffing was discussed with a member of staff who said that the way that staffing was organised usually meant that there were enough staff to meet needs. Weekends were discussed as there is a vacant part time post. The staff member said that taking the needs of people and risks into account there were also usually enough staff to meet needs at weekends and that if Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: needed plans were made to use extra staff. We noted in the Annual Service Review earlier this year that the people living in the home had been involved in the recruitment of staff meaning that they are involved in decisions about people who support them. At this visit we looked at a sample of pre employment records and noted that checks are carried out before people are recruited to the staff team. In our survey of staff they all said that the employer carried out checks such as Criminal Record Bureau (CRB) checks and references. In the AQAA the manager said Staff receive training in mandatory subjects with refreshers as required. In addition training is provided in other subjects considered appropriate either for the whole staff team or individuals. and Through regular supervision and annual appraisal,staff training needs are regularly assessed. All staff in the survey said that their induction covered everything that they need to know well when they started and one person said that induction is also provided when new roles are started. All staff except one said that they are given training relevant to their role, to meet individual needs and to be kept up to date. One of the staff is in the final stages of the assessors award for National Vocational Qualification (NVQ) work. The manager said that six of the current staff team ,most of whom have worked at the home for two years or more have been assessed to NVQ level two or above. The manager said that training is provided in a rolling programme of in house training and course attendance. Discussions with staff and an observation of records supported this. There was also evidence of staff meetings,supervision and appraisal. 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 living in the home benefit from positive management and leadership with regular consultation and audits influencing the development of the home. The health safety and welfare of people living in the home is promoted . Evidence: The home is managed by an experienced registered manager who continues to be committed to updating her own training and development. The manager is supported by a deputy and the home has recently developed the role of shift leaders requiring them to complete training in order to be designated as responsible in the absence of management on a day-to-day basis. Staff spoke positively about the support from the manager which can be obtained regularly formally and informally. The manager said that the management team are supported by the senior management structure within the wider organisation. The manager continues to identify areas for improvement in the home and we found Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: that some of these noted in the AQAA supplied earlier in the year had been acted on such as the murals painted with people living in the home and the development of the designated responsible person staff role. The manager had also developed some in house policies to accompany the Sanctuary Housing policies to make them more detailed for service to people with learning disabilities. We received consistent verbal and written information about the inclusion of people living in the home in decisions for themselves (such as goal setting and activities) and as a group(such as decoration). They are involved in house meetings and in producing regular newsletters. The manager said that the home has a regular quality assurance process and seeks ways of improving the service. We noted various checking system is place in the home. We also noted through conversation with staff,someone living in the home and from the manager that one of the people living in the home represents the scheme on a committee of residents within the wider organisation for promoting involvement in the organisation as a whole. We assessed verbal and written information from the staff people living in the home, the manager and observation the environment regarding health and safety. In that sample we noted: evidence of regular monthly health and safety monitoring; fire checks;drills and training; use of window restricters;risk assessments and electrical checks. We noted that the maintenance person was working in the home and that no hazards were obvious during our visit. We noted that staff are given training in health and safety related matters regularly. We noted that water temperatures are monitored but, although regulated in the home, some temperatures recorded were above the normal level. This was discussed with a member of staff who was unsure of any action taken and was advised to ensure that the water temperatures in the home did not pose a risk. Subsequent to our visit the manager confirmed that action had been taken as a result of our findings and some thermostats would be replaced. She agreed also to check that risk assessments were in place regarding hot water in the kitchen and laundry. 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 © (2008) 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!