Inspection on 12/08/98 for Ball Tree Croft

Inspecting for better livesKey inspection reportCare homes for adults (18-65 years)Name: Address: Ball Tree Croft Western Road North Sompting Lancing West Sussex BN15 9UX   The quality rating for this care home is: two star good serviceA 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: Ann Peace   Date: 1 2 0 8 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 reflectThis 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 organisationOur 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 InformationDocument 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.ukInternet addressCare Homes for Adults (18-65 years)Page 3 of 27 Information about the care homeName of care home: Address: Ball Tree Croft Western Road North Sompting Lancing West Sussex BN15 9UX 01903 753330 01903 750194 Ball.Tree.Croft@westsussex.gov.ukTelephone number: Fax number: Email address: Provider web address:Name of registered provider(s): Name of registered manager (if applicable): Type of registration: Number of places registered:West Sussex County Councilcare home 16Conditions 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 16. 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) 0 Over 65 0Date of last inspection Brief description of the care home Ball Tree Croft is a Care home registered to provide care and accommodation for up to 16 Service Users with Learning Disabilities between the ages of 18-65. The home is situated within Sompting, next to a doctors surgery and within walking distance of other local amenities. The home has its own mini bus and car. Accommodation is provided within two units, each consisting of eight single bedrooms, lounge/dining area, kitchen, laundry and bathroom facilities. The Registered Providers of the service are West Sussex County Council. The Council have undertaken a consultation process on the future of the home and a decision has been taken to close the home once new Care Homes for Adults (18-65 years) Page 4 of 27 services have been created. It is anticipated that this will take between 2 - 3 years. During this time the current residents of the home will be supported to find alternative accommodation through the `Place to Live? project. The registered manager position is currently vacant. The responsible individual on behalf of West Sussex County Council is Mr. John Dixon. The current fees are #485. Additional charges are made for hairdressing, toiletries, magazines, chiropody and aromatherapy. The inspection report is made available in the main entrance of the home.Care Homes for Adults (18-65 years)Page 5 of 27 SummaryThis 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 serviceChoice of homeIndividual needs and choicesLifestylePersonal and healthcare supportpeterchartConcerns, complaints and protectionEnvironmentStaffingConduct and management of the homePoorAdequateGoodExcellentHow we did our inspection: The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. A visit to the home was carried out on the 12th August 2008 by Mrs Ann Peace Regulatory Inspector and lasted five hours. We met people in the different houses and in their bedrooms, we observed residents and staff interactions throughout the day and we spoke to as many residents as we could to gain an insight into life at the home. We observed that residents were relaxed and content in the home and had good relationships with the staff who do try to care for residents in a caring, friendly and professional manner. We also looked at surveys Care Homes for Adults (18-65 years) Page 6 of 27 sent to us by residents and representatives. What the care home does well: Surveys indicated that residents are happy at Ball Tree Croft and they have a committed and caring team of staff looking after them. Despite plans for the closure of the home there is a service development plan being followed for the home to improve outcomes for residents and despite the closure plans the manager and staff continue to operate the home positively as business as usual maintaining the routines for the residents. Residents have been involved in holiday planning to a greater degree and have also been making choices about meals. What has improved since the last inspection? The new manager has adjusted well to the change in role and is a strong team leader which benefits the residents and the staff. Some decoration has been undertaken, curtains purchased and new lighting fitted to improve the environment for residents. A New telephone system has been installed and computers have had broadband fitted. The home has been rewired and mixer valves fitted to baths to prevent accidents with scalding. Work has been carried out to improve drainage in the car park and a new lease car for the home to use has been provided. Monthly reviews at care team meetings have improved communication and awareness of residents changing needs. Some of the day care arrangements for residents have been made more flexible to meet their changing needs. Residents have been more involved on planning their holidays and one resident has been supported to manage some of his own money keeping it in a small safe, this has promoted his independence. What they could do better: Mandatory staff training should be provided at regular intervals, starting with fire safety training to ensure residents are safe and with staff who know safety procedures. Care plans and assessments should be updated with information gained at the monthly meetings so all staff are aware of any changes. Risk assessments should be completed as soon as changing needs are identified and those already compiled should be updated at regular intervals. Regulation 26 reports should be available in the home for inspection.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 findingsContentsChoice 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 inspectionCare Homes for Adults (18-65 years)Page 9 of 27 Choice of homeThese 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. Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service. Prospective residents and their representatives are given the information they need to make an informed decision about the home and are able to visit prior to admission. Each resident has a written contract/ statement of terms and conditions with the home. New residents are only admitted following a pre assessment to ensure the home can meet their needs. All residents had a full assessment.Evidence: The statement of purpose is available to interested people, but does need updating with the new managers details. Contracts are with the residents files. Records showed that prospective residents are assessed prior to moving into the home although in some recent cases residents ability to choose where to live was overtaken by immediate needs, however the home endeavored to arrange short introductory visits to make them more comfortable. Once admitted to the home full needs assessmentsCare Homes for Adults (18-65 years)Page 10 of 27 are carried out. Surveys received were positive about the move into the home. On the day of the visit one residents health had deteriorated quite quickly and we could see that measures were being taken to ensure the home and the staff would be able to meet these changing needs.Care Homes for Adults (18-65 years)Page 11 of 27 Individual needs and choicesThese 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. Quality in this outcome area is good.This judgment has been made using available evidence including a visit to this service.Residents assessed needs and goals are reflected in their person centered care plans and residents are involved in developing their plans. Staff support residents to make decisions about their lifestyle and are supported to take risks through a process of assessments to ensure their safety.Evidence: Six sets of care records were seen as part of the inspection. The records seen included information about individuals personal, social and health care needs and stated what their personal preferences were. Where complex needs had been identified staff were given written guidelines on how to meet these needs. The majority of the care plans seen did have a signature to say the residents had agreed to the person centeredCare Homes for Adults (18-65 years)Page 12 of 27 plan. We are told that recent changes are that staff meet monthly to review residents to make sure needs are still being met, changing needs are identified and staff are up to date and evidence of this was seen. However the information gathered at the monthly meetings is not being transferred to the assessments and care plans so do not show they have been updated. This was the case in all 5 sets of records seen. We were unable to see if the Registered Provider had picked up on this as part of their monthly Regulation 26 visits as there were no reports since May 2008 available. This is discussed later in the report. Residents who were spoken with said they were happy at the home and that staff did support them to make decisions about their daily lives. One resident said in their survey staff encourage me to communicate my needs and they act as soon as possible. Residents manage their own finances if they are able and two residents have their own wall safes. There is an in house system for supporting residents to manage their finances and copies of these were seen. Residents also have their own individual post boxes in the main hallway of the home which promotes independence. Where possible residents are encouraged to participate in the running of the home and are able to take part in meetings related to the home. There were basic general risk assessments available and the acting manager was advised to ensure risk assessments were updated to reflect changing needs. Residents records are kept in their individual house in a locked cabinet to safeguard confidentiality. The home is due to close in the near future and West Sussex project A place to live is in operation to ensure all residents have a well planned move when the time comes and all residents have been reassessed so that suitable placements can be found for them.Care Homes for Adults (18-65 years)Page 13 of 27 LifestyleThese 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. Quality in this outcome area is good.This judgment has been made using available evidence including a visit to this service.Residents enjoy a variety of activities inside and outside the home and are part of the local community. They are supported by staff to maintain relationships. Staff recognise and respect residents rights and responsibilities and residents are offered a varied diet.Evidence: Residents do have opportunities to maintain and develop all independent living skills and they do say staff support them, however due to the age and changing health needs of residents we are told by staff that some are staying more at home ratherCare Homes for Adults (18-65 years)Page 14 of 27 than going out even though the staffing levels were set when more residents did go out.Two residents did say on their surveys that they would like to go out more but there was sometimes not enough staff available.Staff also said that because of the changing needs of the residents some of whom do not go out to day centres and other outside activities due to their age and changing health it is sometimes difficult to meet all the individual needs. The Manager did acknowledge this but did say that they do try to meet residents needs when staff are available and they have increased indoor activities. Residents do go to a local church group that offers activities and also evening classes. Residents spoken to on the day of the visit were quite happy with what was on offer and a number of them went off in a minibus during the visit.In house activities include interactive music group, dance and drama workshop, karaoke and ad hoc film and games nights.Outdoor trips organised for July and August were Bluebell railway, a boat trip with fish and chips, a trip to Windsor castle, visit to a stables and a walk in the woods and a pub meal.This year the home held a holiday evening to ask residents about their holiday ideas and residents have enjoyed holidays in Blackpool, Devon, Isle of Wight, and at Eurodisney.Residents who may already have or may want to develop relationships with others are supported and staff have attended a sexuality and relationship training workshop so they can help and support residents .There is a large communal dining room with enough seating for all residents and they usually have their cooked evening meal in this room. We are told that this was by their choice about 18 months ago.The room is a bit outdated and institutional however flowers were on the tables and pictures and residents artwork around the walls, we were told that even though the home is due to close there are plans to decorate the room to make it more homely.The menus seen looked well balanced and we are told that residents did help with the choice. On the day of the visit the main evening meal was going to be chicken pie or fish morney followed by fruit salad or yogurt. The home is following healthy meal options to encourage residents to have a healthier diet. A cook is on duty to prepare and cook the main meal and will help with sandwiches at lunch if staff are busy.The houses have small kitchens in them so staff usually prepare sandwiches at lunchtime. On the day of the visit because one resident needed additional supervision, residents from the two houses were eating lunch together in one house so staff could be available if needed. Residents did not seem worried by this, they were not overcrowded and were all at ease and having a relaxed lunch.Fresh fruit was available in the lounges in the houses.There is a nice courtyard area between the houses which is planted with flowers and shrubs and there is seating and tables in the courtyard for residents to use.Care Homes for Adults (18-65 years)Page 15 of 27 Personal and healthcare supportThese 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. Quality in this outcome area is good.This judgment has been made using available evidence including a visit to this service.Residents receive personal support in the way they prefer and require and staff meet their needs. Residents are protected by the homes practice for dealing with medication. The ageing illness and death would be dealt with care and respect.Evidence: Care records seen evidence that personal and health care needs are documented and detailed to tell staff how to meet these needs while ensuring residents preferences are respected, although some do need updating. Surveys say that staff do meet residents needs. Residents spoken to said they were happy at the home and were observed to be at ease and relaxed with staff on duty.On the day of the visit one resident had got up late and was enjoying a relaxed breakfast. When speaking to staff we could see that they are very caring and enjoy working at the home, they told us they were well supported by the manager. Records showed that residents are supported to attendCare Homes for Adults (18-65 years)Page 16 of 27 health care, dental, chiropody and optical appointments.One residents health had recently deteriorated and is becoming more dependent on staff, however we could see that outside agencies and other social services departments had been contacted for help, advice and equipment so the resident can stay at the home as long as possible.The manager was advised to ensure the risk assessments were updated to reflect the changing situation.Arrangements for the storage and administration of medicines are satisfactory. Senior staff do receive training and the medication administration records were seen and found to be completeCare Homes for Adults (18-65 years)Page 17 of 27 Concerns, complaints and protectionThese 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. Quality in this outcome area is good.This judgment has been made using available evidence including a visit to this service.Residents and their relatives feel their views are listened to and acted on and staff have training to safeguard residents.Evidence: The home seeks residents views and opinions through the regular house meetings. There is an open door style of management and we could see that residents do wander at will and do come into the office to see staff. Surveys said that people feel they could complain if they wanted to but there was no complaint procedure displayed. However there were picture prompts available to help residents.The records showed that there are no complaints presently outstanding and records indicated that the home did refer a safeguarding matter to Social Services according to the procedure.We were told by staff that the home does provide mandatory safeguarding training and the manager confirmed this in the AQAA.Care Homes for Adults (18-65 years)Page 18 of 27 EnvironmentThese 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. Quality in this outcome area is good.This judgment has been made using available evidence including a visit to this service.Residents live in a clean, hygienic, comfortable, homely and safe environmentEvidence: The home provides accommodation in two houses both of which comprise eight bedrooms over two floors, a small kitchen, laundry area, a communal lounge/dining area and bathrooms.Surveys said that the home is always clean and fresh and this was also the case on the day of the visit. In each house there is a notice board which has photographs of the residents who live there and also the staff on duty for that shift. Another house which does not accommodate residents is being used as an extra communal facility.There is a large communal lounge/dining area in the main building and residents tend to have their evening meal there. Although there are plans to close the home it is being satisfactorily maintained and there are plans to decorate to main lounge/dining area, so there are no indications that things are winding down which is good for the residents and the staff.Since the last visit new curtains have been purchased, a new light fitting in one lounge and various parts of the home have been decorated.A number of the bedrooms were visited and were very homely, they wereCare Homes for Adults (18-65 years)Page 19 of 27 well furnished and residents personal possessions were all around them. One resident told us that she had been able to choose the colour scheme for her bedroom. The external environment is pleasant and there are tables and seating for residents to use. The grounds are well maintained and have shrubs and flower borders.Health and safety records are maintained and up to date.Care Homes for Adults (18-65 years)Page 20 of 27 StaffingThese are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them.This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good.This judgment has been made using available evidence including a visit to this service.The manager provides strong leadership in the home which benefits residents and staff and residents are supported by competent and caring staff. The home operates a safe recruitment procedure and residents benefit from well supported and supervised staff.Evidence: The home has a committed team of staff but due to the planned closure are unable to recruit permanent staff and some staff have left when an opportunity arose. However agency staff are used and the manager told us that he is hoping to block book, so the same agency staff are employed to ensure continuity for residents. Staff complete the Learning Disability Award Framework and there are two in house assessors. There is a system in place for staff supervision and appraisal.Some mandatory training is not up to date, for example fire safety, the manager did tell us that he is aware of this and was planning to address. This had been identified as a concern at the last inspection and so a requirement has been made that all staff, starting with night staff have an update as soon as possible. The manager confirmed that all staff have the requiredCare Homes for Adults (18-65 years)Page 21 of 27 recruitment records.Staff did tell us that they have been consulted about the closure and they are supported to take the opportunity to move on to other jobs when they arise.We observed staffs interaction with residents and they showed a caring, relaxed and respectful attitude. Residents were also at ease with staff and showed they have good relationships with them.We were told in two surveys and staff also said that there is sometimes not enough staff on duty to be able to meet the social needs of the residents. This was discussed with the manager who did acknowledge this but said they are trying to address this.Care Homes for Adults (18-65 years)Page 22 of 27 Conduct and management of the homeThese 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. Quality in this area is good the judgment has been made using available evidence including a visit to the service. The management approach in the home is open and inclusive and residents benefit from a well run home. Resident’s views are sought and there is an up to date development plan for the home. In the main residents rights, best interests, health and safety are safeguarded by the home’s policies and procedures. Monthly Regulation 26 reports should be available in the home.Evidence: The manager has been in post at the home since April and staff are positive about the change and his leadership, staff said they are well supported and there is an open style of management. The managers qualifications are such that he is well placed to manage a home like Ball Tree Croft. He is in the process of completing the Registered Managers Award. The open style of management could be seen by the documentsCare Homes for Adults (18-65 years)Page 23 of 27 available in the hall of the home which included the AQAA which was sent to CSCI to inform the inspection, the Service Development plan which states what they have done recently and what they plan to do in the home and the previous CSCI reports. Some of the issues in the development plan were raised from the residents and relatives surveys undertaken at the home last year.The manager told us that he is planning to apply for registration with CSCI in the near future. Resident’s views are sought during house meetings. The providers monthly reports were only available up until May 2008, although we were told that they had been carried out but reports had not been sent to the home.The providers are reminded that they should be available in the home for inspection.We could not therefore evidence if the lack of mandatory staff training or the lack of updates to the care records had been picked up. There is support for residents from an independent advocacy service.The manager told us about how he is expecting to manage the closure of the home and he has had experience of this in the past.Care Homes for Adults (18-65 years)Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No ROutstanding statutory requirementsThese 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 StandardsNo. Standard Regulation Requirement Timescale for actionCare 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 action14223The registered person shall make arrangements for persons working at the care home to receive suitable training in fire safety procedures. That risks to residents and staff are reduced through a well trained team.26/09/2008Statutory 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 actionRecommendationsThese 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 RecommendationsCare 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 © (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 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. 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