Inspection on 09/03/09 for Hope House

This inspection was carried out on 9th March 2009.

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

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

Other inspections for this house

Hope House 07/03/07

Hope House 26/01/06

Hope House 03/08/05

Hope House 24/01/05

Hope House 09/06/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Hope House No 1 Hope House Wainwright Way, Grange Farm Kesgrave Ipswich Suffolk IP5 2WS The quality rating for this care home is: three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Tina Burns Date: 0 9 0 3 2 0 0 9 Care Homes for Adults (18-65 years) Page 2 of 32 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. They reflect the things that people have said are important to them: 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. Reader Information Document Purpose Author Inspection report CSCI Page 3 of 32 Care Homes for Adults (18-65 years) Audience Further copies from Copyright 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.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 4 of 32 Information about the care home Name of care home: Address: Hope House No 1 Hope House Wainwright Way, Grange Farm Kesgrave Ipswich Suffolk IP5 2WS 01473612198 01473611782 hope.house@optua.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Optua (East Anglia) Name of registered manager (if applicable) Mrs Maureen Elizabeth Withey Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 4 4 0 0 care home 4 learning disability physical disability Additional conditions: The home only accomodates young people in the following age range - 16-25 years. The home only accomodates young people who have both a learning disability and a physical disability. Date of last inspection 0 7 0 3 2 0 0 7 Care Homes for Adults (18-65 years) Page 5 of 32 A bit about the care home Hope House registered as a care home for younger adults in March 2002 and provides residential care for four young people with profound / multiple physical and learning disabilities. Although the care is provided by the charitable organisation Optua (formerly known as Rethink Disability) the property is owned and maintained by Orbit Housing Association. Hope House is situated at the end of a cul-de-sac in Kesgrave, Ipswich, close to shops, services, and facilities. It is purpose built with all accommodation on the ground floor. It has its own minibus for transport purposes, and there are local bus services within walking distance of the home. Each service user is provided with a private wellequipped single bedroom and ensuite facilities are shared between two service users of the same gender. The home has been designed, furnished and equipped for young people with physical disabilities, based on specialist advice. It has ceiling tracking, hoisting equipment, and specialist bathroom and toilet facilities designed to meet the needs of people with physical disabilities. Hope House is small, accessible, and homely in appearance. Communal areas are open plan Care Homes for Adults (18-65 years) Page 6 of 32 and include a kitchen, dining area, lounge and conservatory. There is also a small sensory room and ball pool. At the time of inspection fees were £1719.05 per week. Care Homes for Adults (18-65 years) Page 7 of 32 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 8 of 32 How we did our inspection: This is what the inspector did when they were at the care home We asked the representatives of people who use the service for their views. We spoke with some of the staff and looked around the home. We looked at some peoples care plans and other records that are held in the office. Care Homes for Adults (18-65 years) Page 9 of 32 What the care home does well Staff do their jobs well and they treat people with respect. People have detailed individual care plans so they get the right care and support. The home is well managed, safe, comfortable and clean. Care Homes for Adults (18-65 years) Page 10 of 32 People have opportunities to get out and about and participate in lots of activities. What has got better from the last inspection What the care home could do better They have agreed to ensure that fire doors can be shut at all times so that people are safe. Care Homes for Adults (18-65 years) Page 11 of 32 If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Tina Burns 33 Greycoat Street London SW1P 2QF 02079792000 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.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line - 0870 240 7535 Care Homes for Adults (18-65 years) Page 12 of 32 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 13 of 32 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 home has appropriate information available and ensures that assessments are undertaken and remain current and up to date. Evidence: The AQAA tells us that there is a Service User Guide in place that is reviewed annually and updated as necessary. A copy was given to us at the inspection, it was suitably detailed and reflected the service provided. The certificate of registration was displayed and it was noted that two people living at the home had reached the maximum age specified in the homes conditions of registration. The manager agreed to liaise with the Commissions registration team as a matter of urgency to apply for the removal of or variation to the conditions. Hope House has been home to the same young adults since it opened in 2002; consequently there were no pre admission assessments examined on this occasion. However, the AQAA tells us that pre admission assessments were undertaken and records we examined provided good evidence that peoples needs are regularly reviewed in consultation with their relatives and where appropriate other professionals, Care Homes for Adults (18-65 years) Page 14 of 32 Evidence: such as social workers, occupational therapists and physiotherapists. Feedback from staff and relatives and observations we made on the day of inspection confirmed that support workers have a good understanding of the needs and preferences of the people they support and care for. Care Homes for Adults (18-65 years) Page 15 of 32 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 . People can expect highly individualised personal care. Further more, decisions about their lives are made in a way that protects their rights and best interests. Evidence: We examined the records of two people who live at the home. They included care plans that were very detailed and highly individual. There were clear guidelines in place for staff about the action required to meet basic and complex needs such as communication, mobility, eating and drinking and personal hygiene. Key workers were responsible for reviewing the care plan monthly and completing a report which highlighted any changes or matters that needed to be addressed. There was also good evidence that service users relatives and appropriate professionals were fully involved in the development of care plans. People who live at Hope House have high complex needs and are unable to make independent decisions about their lives. It was very positive to see that the home works closely with their relatives regarding routine decisions and where more difficult decisions have to be made they are discussed as part of a review process or at a best Care Homes for Adults (18-65 years) Page 16 of 32 Evidence: interest meeting. Feedback we received and observations made during the inspection indicated that support workers had a good understanding of peoples needs and their likes, dislikes and preferences and, as at our last inspection, we found that staff continued to be tuned in to individuals non-verbal communication such as body language, signs or gestures and facial expressions. Care plans examined included a wide range of individual risk assessments. They covered areas such as moving and handling, mobility, use of wheelchairs, PEG feeds and use of bedsides. Those sampled were suitably detailed and signed and agreed by parents and/or other professionals. Care Homes for Adults (18-65 years) Page 17 of 32 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 at the home can expect their daily routines and activities to be based around their personal needs and preferences. Evidence: The AQAA tells us that people enjoy a wide range of activities within the home and the wider community and our findings confirmed that to be the case; on the day of inspection two service users had gone swimming, one had gone out for a picnic lunch and another had been to a physiotherapy session. The records we looked at included individual, person-centred activity plans that had focused on the needs, wishes and interests of the individual. Each of the plans had been signed and agreed by the service users relatives and daily records confirmed that people had participated in the activities programmed. People had access to public transport and the home had their own adapted minibus so that everyone could access community facilities. People were also assisted to occupy Care Homes for Adults (18-65 years) Page 18 of 32 Evidence: themselves at home with activities such as reading / story telling, musical instruments and cooking. They also benefited from having their own sensory room and ball pool and one service user was observed thoroughly enjoying the use of these facilities on the day. There was good evidence that the home values the involvement of relatives who act as advocates for their sons or daughters and they are made welcome at the home. Both relatives who completed questionnaires told us the home always helps their relative keep in touch with them, one said they always support people to live the life they chose and one said they usually support people to live the life they chose. Comments we received from them were highly positive and included; ... has a very good quality of life. They are always happy. Discussion with staff on duty and care plans in place indicated that service users are involved, as much as possible in the daily routines of the home, for example shopping, cooking and laundry. Menus incorporated peoples likes and dislikes and staff had received specialist training to support those service users requiring gastrostomy feeding regimes. Care Homes for Adults (18-65 years) Page 19 of 32 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The health and personal care that people receive is highly individual and based on their needs. The principles of respect, dignity and privacy are promoted and put into practice. Evidence: Due to the nature of their disabilities people living at the home require full assistance with their personal care. Personal care is provided in the privacy of their own rooms or en-suite bathroom. Where females require the assistance of two staff the homes policy is that male staff may assist but the individual concerned must have their dignity maintained at all times (for example, remain covered) and more intimate care is provided by female staff. Care plans examined included the assistance required with personal care. They were very detailed, highly individual and reflected peoples likes and preferences. Staff had a good understanding of service users needs and had learnt to recognise their moods and gestures and adapted support accordingly. As an example, one care plan said; During the week I sometimes have to be woken up to go on activities. I like you to do this gently by opening my curtains, raising the head of my bed up or putting my music on gently. At the weekend please let me lay in. It then went on to provide detailed Care Homes for Adults (18-65 years) Page 20 of 32 Evidence: instructions regarding the personal care and assistance required. Feedback we received from surveys and observations we made on the day confirmed that personal care provided was of a high standard. Records examined included comprehensive details about individuals health needs and there was good evidence that the home worked closely with a wide range of health professionals including GPs, Community Nurses, Physiotherapists, Occupational Therapists, Dentists and Dieticians to ensure that people’s health needs are met. Daily records seen evidenced that routine and specialist health matters were appropriately monitored and staff had received specialised training in areas such as artificial feeding. There was also good evidence that service users relatives were fully consulted in personal and health care matters. Feedback from staff and records we examined confirmed that staff undertake appropriate training so that they handle and administer medication safely. Newly trained staff administer medication under supervision and are not given responsibility to administer without support until they have been assessed as competent. The manager reported that spot checks are also carried out twice yearly as a minimum. The service has appropriate medication policies and procedures in place that included comprehensive guidance on matters such as what action to take if service users are away, out with friends or family, use as required medicines or refuse medication. There were also procedures to follow in the event of an error or if medication had been missed or not signed for. Medication records were fully complete with no evidence of any gaps or omissions. Controlled medication was appropriately stored and recording of such medication was carried out in the appropriate controlled drugs register. All routine medication was stored in each respective service users bedroom in a small metal cabinet and equipment for administering medication via peg were also stored discreetly in the service users room. Care Homes for Adults (18-65 years) Page 21 of 32 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 is committed to protecting service users from abuse. Further more people can expect the home to listen to their complaints and take them seriously. Evidence: There is an appropriate complaints procedure in place and feedback from relatives confirmed that they knew how to make a complaint or raise a concern and issues are taken seriously and acted upon. Records examined during the inspection told us that there had been three complaints made in the last twelve months. They were not of a serious nature and were not specifically care related. They had all been addressed and handled appropriately by the home. The AQAA tells us that staff undertake safeguarding adults training every year and this was confirmed by staff at the time of our visit. Since the last inspection the home has kept us notified about potential safeguarding matters and shown us that they act openly and responsibly. They have a clear policy in place that recognises their responsibilities and includes guidance on recognising the signs, symptoms of abuse. It specifies that all allegations will be referred to Social Care Services in line with the Suffolk Inter Agency Policy and Procedures for Safeguarding Adults. Records examined evidenced that where appropriate individual Physical Intervention (Restraint) protocols had been agreed at Best Interest Meetings attended by the service users relatives and multi disciplinary professionals. The protocols in place were clear and thorough and aimed to eliminate or minimise the need for physical Care Homes for Adults (18-65 years) Page 22 of 32 Evidence: intervention. Since the last inspection protocols had been signed and agreed by all relevant parties. Care Homes for Adults (18-65 years) Page 23 of 32 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 can expect to live in a safe, clean and comfortable environment. Furthermore, they can expect to have a room of their own that reflects their needs and interests. Evidence: Hope House is a purpose-built ground floor home situated at the end of a cul-de-sac in Kesgrave, Ipswich. The property is owned by Orbit Housing Association who retains responsibility for repairs, maintenance, and upkeep of the premises. The home has been designed, furnished and equipped for young people with physical disabilities, based on specialist advice. There is ceiling tracking, hoisting equipment, and bathroom and toilet facilities designed to meet the needs of people with disabilities. At this visit the accommodation reflected our findings at the last inspection; The home was fully accessible and communal areas included an open plan lounge, dining room and kitchen, a small ball pool, a sensory/relaxation room and a conservatory. There was also a small office that doubled up as a staff sleeping in room. Service users had private, well-equipped bedrooms with en-suite facilities that were shared by two service users of the same gender in adjoining rooms. All bedrooms were individually decorated and furnished, and personalised with individuals belongings. Moving and handling equipment was in place and had been serviced and maintained in safe Care Homes for Adults (18-65 years) Page 24 of 32 Evidence: working order. The AQAA tells us that the bedrooms and communal areas were redecorated in November 2008 and areas looked well maintained when we visited. It also tells us that there are plans to extend the conservatory to provide more space and funds are being raised to replace the existing overhead hoists which have become unreliable and costly to maintain. The laundry room was appropriately equipped with a commercial washer and dryer. Paper towels & gloves were supplied and although initially there was no hand wash available this was immediately addressed when raised. The home had an Infection control policy in place that included the local health protection team contact details. They had also completed the NHS Essential steps to safe, clean care self assessment tool and had an action plan in place to address any shortfalls. The manager advised that they had a designated support worker responsible for taking the lead in infection control and Infection Control was now an agenda item at team meetings. A cleaning schedule was in place and all areas seen on the day of inspection were clean, hygienic and odour free. Care Homes for Adults (18-65 years) Page 25 of 32 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 . People can expect to have their needs met by a highly committed, well trained and competent team of staff. Further more they are safeguarded by thorough and robust recruitment procedures. Evidence: Information provided tells us that people who live at Hope House are supported by a team of staff that know them well and are committed to providing a good service. Staff undertake a wide range of training to ensure that they have the appropriate knowledge and skills to do the job. There was a staff training matrix in place which evidenced a good range of both mandatory and service user specific training. Mandatory training included: Peg feeding (Percutaneous endoscopic gastostomy), disability awareness, fire awareness, food hygiene, adult protection, mental capacity act training, moving and handling, medication administration, and appointed persons first aid. Service user specific training included; cerebral palsy, foot care and communication. During the course of the inspection three members of staff were spoken with and they confirmed that access to staff training was good. The homes AQAA tells us that seventeen out of a total of twenty care staff have completed NVQ level two or above. Staff records examined included copies of all documentation required, for example; application forms, written references, evidence of health screening checks, Criminal Record Bureau checks (CRBs), face-to-face interviews and verification of personal identity. It was also very positive to see that the home had a policy of undertaking new CRB Care Homes for Adults (18-65 years) Page 26 of 32 Evidence: checks on a three yearly basis. Staff told us that they had individual supervision sessions every six to eight weeks with the registered manager, their deputy or a senior team member. Those responsible for providing supervision had been provided with appropriate training. Supervisions were documented and staff were provided with a written copy. Care Homes for Adults (18-65 years) Page 27 of 32 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 benefit from a well run home and their health, safety and welfare is promoted and protected. Evidence: Since the last inspection the previous registered manager has resigned and been replaced by the deputy manager Maureen Withey. Ms Witheys registered managers application was approved by the commission in February 2009 but she had been acting manager for some time previous and been the deputy at the home for approximately five years. Ms Withey has the Registered Managers Award and undertakes ongoing training and relevant training on a regular basis. Staff spoken with confirmed that the manager was open and approachable and they felt provided them with a clear sense of leadership and direction. The homes AQAA was submitted within timescale and completed to a good standard. It showed us that the manager had a good understanding of National Minimum Standards and a clear understanding of the self assessment process. They demonstrated that they have a good knowledge of what they do well and where they need to improve. Other quality assurance procedures in place included monthly visits Care Homes for Adults (18-65 years) Page 28 of 32 Evidence: undertaken by the area manager, relatives meetings, staff and relatives surveys, joint advisory group meetings and service user reviews. The home works within the framework of Optuas policies and procedures and these were available in the office on the day of inspection and easily accessible to staff. All records required by us were in place and provided at our request. A range of safety certificates were viewed including fire, emergency lighting, automatic fire alarm detection and electrical installation certificates, all of which were in order. Hot water temperatures were maintained close to forty three degrees centigrade and checked on a monthly basis. Copies of accident reports were maintained at the home and demonstrated that incidents and accidents were handled appropriately. Procedures in lace to monitor one service user at night involved wedging open a fire door and this contravened fire regulations. The manager agreed to address the matter immediately so that risks were more appropriately managed. Care Homes for Adults (18-65 years) Page 29 of 32 Are there any outstanding requirements from the last inspection? Yes  No  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 30 of 32 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 Description 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 Description 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 31 of 32 Helpline: Telephone: 03000 616161 or Textphone : or Email: enquiries@cqc.org.uk Web: www.cqc.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 32 of 32 - 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!