Inspection on 02/02/09 for Klair House

This inspection was carried out on 2nd February 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

Klair House 06/03/07

Klair House 31/01/06

Klair House 27/06/05

Klair House 15/02/05

Klair House 15/09/04

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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: Klair House 236 Wroxham Road Sprowston Norwich Norfolk NR7 8BE     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: Ruth Hannent     Date: 0 2 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: Klair House 236 Wroxham Road Sprowston Norwich Norfolk NR7 8BE 01603417617 01603400038 klairhouse@lineone.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Klair House Ltd Name of registered manager (if applicable) Mr Robert Ian Arneil Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability mental disorder, excluding learning disability or dementia Additional conditions: Maximum number accommodated must not exceed twelve (12). Up to twelve (12) services users who have a mental disorder may be accommodated in the category MD. Up to two (2) service users who have a learning disability may be accommodated in the category LD. Date of last inspection Brief description of the care home Klair House offers care for up to twelve adults with mental heath needs. It is a domestic style detached house situated in a residential area on the outskirts of Norwich and the home blends extremely well into its surroundings. The bedroom accommodation is situated on both ground and first floors. There is good car parking Care Homes for Adults (18-65 years) Page 4 of 28 care home 12 Over 65 0 0 2 12 Brief description of the care home space at the front of the house and a well-maintained garden area at the rear. Within the last year a great deal of building work has taken place to extend the facilities. There is now self-contained accommodation in an annex where people can live and maintain a semi-independent lifestyle. The garden area has been quite markedly reduced by the new building, but still has a summerhouse. There is now a function/activities room in the grounds where activities and games can take place. Each resident in the main house now has a larger bedroom with an en-suite bathroom. They have a new kitchen attached to their dining room and a large lounge/sitting area. Care Homes for Adults (18-65 years) Page 5 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: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This inspection was carried out using the evidence sent to the Commission that included the comprehensive Annual Quality Assurance Assessment completed by the Manager. We also look to see if any information such as accidents or complaints have been sent. Nothing had been received by the Commission. Records looked at on the day were care plans, medication records, fire alarm checks, personnel files, quality monitoring forms and food handling records. A tour of the premises took place and residents and staff were spoken to. Care Homes for Adults (18-65 years) Page 6 of 28 Care Homes for Adults (18-65 years) Page 7 of 28 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home does carry out a comprehensive assessment process that includes trial visits to ensure the home can meet the individual needs of the person. Each person is issued with a contract to understand the terms and conditions of living in this home. Evidence: The Annual Quality Assurance Assessment (AQQA) tell us that people who may be suitable for a place at Klair House are offered a copy of the statement of purpose and the service users guide enabling the person to make an informed choice as to the suitability of this home. The Manager will carry out an assessment of suitability if the decision is made that the home could meet the persons needs. Risk Assessments are completed in detail. Comprehensive information (seen) about the person is received from the professionals involved with this person and staggered visits to the home growing in length are put in place. One resident recently admitted gave a full picture of his introduction to Klair House and although it had been a slow process it had worked Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: out as the best place for him. I was coming for day visits for a long time before I was given a permanent place. The Manager informed us that each person has a 3 month trial period which is reviewed after 1 month to ensure the placement is suitable. Families and friends are actively encouraged to be part of the settling process and other residents are asked to share there views in sharing their home with this potential resident. The AQAA tells us that each new person admitted to the home has a contract giving them the information about the terms and conditions of living in the home. 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. Each resident has a detailed care plan that they are actively involved and reflects their personal aims. Decisions affecting the residents lives both individually and as a member of the home is listened to and acted upon. Residents are supported to take risks as part of their own independent lifestyle. Evidence: Each resident has their own care plan that is held in the main office. Three were looked at in detail. These documents give a clear picture of the aspirations and goals that each person wishes to achieve. A number of these decisions are of the choice of the resident with some extra encouraging choices made by the staff. Noted were comments such as needs to be encouraged more with personal care. Needs support to eat a more healthy diet. The way the plans are written, it is noted, that they are Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: very much person centred focused. The decisions on what they want to achieve is written for the next few months. One person stated they wish to develop skills on the computer. The home has an activities room where this can take place and time is allocated to support this person to achieve this goal. The staff at the home interact with residents all the time and actively encourage them to participate in all aspects of the home. There is planned activities that all can be involved in such as the menus and what choices people would like. Although residents are encouraged to live a full life, each event is risk assessed and protocols on managing the risks are in place. The home does receive a lot of outside support from a multi professional team to ensure the proper support is available and comprehensive risk assessments are documented. (seen). 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents do have opportunities and do take part in suitable and appropriate daily occupations. Residents do take part in the local community that is part of their assessed need. Residents do take part in suitable activities. Residents are supported correctly with having appropriate relationships when required. Rights for residents are respected when promoting independence in their everyday lives. Residents are offered a well balanced and healthy choice of meals at times that suit the person. Care Homes for Adults (18-65 years) Page 14 of 28 Judgement: Evidence: On the office wall in the home there is a comprehensive list of which resident goes where for different days of the week. Seven of the twelve spend time at various day centres. The home has close contact with the centres and staff will attend meetings when required. The home has a designated staff member who will encourage and motivate residents to take part in various activities at the weekends where in the past less activities were available on Saturdays and Sundays. One resident spoken to talked of his quiche he had baked and how he was planning to cook an Indian meal the next week. On discussion with the Manager it is sometimes hard to motivate residents who have mental health problems but the staff recruited work hard to get some stimulation happening rather than people just sitting around. Another resident spoken to has a room full of electronic equipment from a huge flat screen television to a large electronic drum kit. The home, during the recent refurbishment, had more sockets and a reinforced wall placed in his room so he can enjoy all his gadgets. (seen). There are outings planned, trips to the cinema, football matches and one resident attends church. The Manager tells us in the AQAA that the new activities room in the garden encourages residents to use the varied items within. There is a computer for sending emails and keeping in contacted with friends and families, arts and crafts, table tennis and exercise machines. The home has sky plus throughout and connected to the TV in the activities room is a new Wii. It was noted in one of the care plans that a residents aim this year is to learn to use the computer. The Manager stated this is now being programmed in for this particular person. The AQAA tells us of the support it will give to residents who wish to maintain links with families and friends of either sex with one resident over heard talking about the problems of trying to contact a family member with the staff talking to him of different ways of managing this. The home has set routines to help structure the expectations of living in a shared environment with all residents. How and when to work with their key worker to keep their room clean and tidy, when to do their laundry etc. Standards are set to ensure that the house is clean and records are in order. Each person has their own front door key to their room and that door was knocked on before anyone entered. The cleaner was noted going around the building and did not enter the bedroom without asking the person if it was O.K. Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: The menus for the home are in a folder seen in the kitchen and have a four week cycle. The food is offered along side healthy options to encourage low fat, healthy diets. One person is diabetic that is controlled by insulin. This person has a very precise meal plan that has been created with her to prevent hypos. Before this pattern was introduced this resident was having many diabetic episodes. These have now reduced right down. One resident spoken to is a vegetarian who told us that he enjoys the meals available to him and has just tried new recipes with quorn and enjoys it. I can choose what I like and the food is very good. A recent survey carried out by the home gave a result of the meal experience at 100 . (seen). The home also has a small tuck shop that offers healthier choices (seen). This is to encourage a better eating programme, as before the residents were buying very unhealthy snack food. Care Homes for Adults (18-65 years) Page 16 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. The residents are offered support for their personal care in the way that is preferred. Any support for the healthcare of residents is provided. The policies and procedures for medication do protect and safeguard the residents. Evidence: The majority of the residents manage their own personal care but noted on care plans was information on who needed encouragement to bathe regularly. The AQAA tells us that any support is always offered with dignity. Residents seen on the day of this visit all appeared smart, clean and appropriately dressed. One resident who used to need support to have a bath now has installed in her own bathroom a special bath that opens on the side allowing her to have a bath in private. Each resident has been registered with local GPs. The home has very good support from the specialists at the local hospital and regular reviews take place with consultants with residents attending. The home has regular visits from the CPN with Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: clear records (seen) in the persons individual care plan. The home also has regular contact with the continence advisor who supports one or two residents in the home. Noted in each care plan seen were the weight charts that have a record for every month. One concern is how to encourage residents to manage what they eat when they are not in the home. On talking to the manager this is a particular problem with some residents. Constant encouragement is attempted but not always achieved. The medication is supplied by Boots in a monitored dosage system. This is kept in a locked cupboard in an office that is locked when not occupied. The staff are all trained in medication administration (certificates seen). The medication record sheets are all colour coded for easier management. The Manager has recently received praise from the Norfolk PCT who have asked to use Klair House medication policy as good examples to show other homes. Care Homes for Adults (18-65 years) Page 18 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. Residents do feel they will be listened to and concerns will be acted upon. residents are protected from abuse. Evidence: The home has not received any complaints since concerns were addressed in 2007 between 2 residents. The records show that this was managed properly and the outcomes have been achieved. The home does have a complaints procedure and on the recent quality survey received 100 of residents say they have the availability of the homes manager to discuss any problems when they need to. The commission has not received any notifications about this home. There is no evidence to say that anyone is being mistreated and the home does have a whistle blowing policy. (Not looked for on this occasion). 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents do live in a homely, comfortable and safe environment. Residents bedrooms suit their needs and lifestyles. Residents bathrooms meet fully the needs of the individual. Shared space is comfortable, safe and fully accessible for everyone. Residents are offered specialist equipment to maximise independence. The home is commended for its cleanliness. Evidence: The home has undergone a very extensive alteration and refurbishment programme. The environment has still been kept in a family style/domestic type house. Each bedroom is large and spacious with a very large wardrobe and own bathroom. As mentioned previously one special bath has been installed to allow this person to bathe independently. Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: There is a security camera showing different areas on the outside of the building that is shown on the screen in the main office. The home has weekly fire alarm checks that are recorded and were seen. The home has an evacuation process every six months that were also noted with one slightly over due for this month. The manager has arranged for the local fire service to bring an engine to the home and to give a talk to the residents and staff about maintaining a safe environment. (This was decided when it was noted that too much equipment was being left on stand-by and not turned off properly, even with encouragement). The shared areas are comfortable and homely. The main lounge has large deep leather sofa, the floor is wooden for easy clean and pictures are around the walls. The dining room is furnished with modern and solid dining room furniture that has sky television and a DVD player inset in the wall. The residents have their own kitchen for preparing snacks that has records kept of fridge temperatures and appeared very clean and tidy with a main kitchen adjacent for staff to prepare the main meals. There are two units attached to the house that are a stepping stone environment for residents with potential to eventually live in the community in their own accommodation. These units have their own bed/sitting area with a bed that folds up to the wall if more sitting room space is required. There is a kitchen for individual cooking and their own bathroom. The resident spoken to living in one of these units had only moved in recently but was full of praise for the support staff offered and the comfortable unit he had been given. The person who cleans the home was spoken to. Pride in her work was obvious. The home cleanliness throughout was of a high standard and is to be commended. The laundry area has just been extended and is awaiting new machines to make the room more spacious for when staff are working alongside residents. The manager talked of the most suitable machines to purchase to ensure that all cycles on a machine would meet the needs of the residents. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are supported by competent and qualified staff. The skills and numbers of staff on duty is suitable to meet the needs of the individuals. The residents are protected by the procedures used to recruit new staff. Staff are suitably trained to ensure residents needs are met. Supervision is planned and carried out to ensure staff are well supported. Evidence: Staffing at the home is set according to the needs of the individuals and rotas seen show staff are on duty when residents are home. On the day of this visit one care staff member and one cleaner was in the house with the Manager. More staff have now been recruited to ensure the needs of residents can be met when residents are not attending day care or outside activities. The home is fortunate that support is offered by the Managers mother and father who are very actively involved in the home with administration and gardening (The garden activity is carried out with 2 residents who work hard to keep the garden neat and tidy). The Managers sister also works within Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: the home buying in all the food to ensure the correct quantities are purchased and choices of food offered is available daily. The AQAA tells us that the majority of staff have been employed in the home for a number of years. Records looked at such as care plan recording show competency and understanding of the outcomes for residents. In total 8 staff have the NVQ 2 qualification with 1 holding level 3 and three more staff aiming for this qualification. Record certificates of various training sessions that have taken place over the last year were seen. Planned for March is more training around health and safety that will include safe handling. The training programme on the office wall is to be updated as it still showed training of 2008. The most recently recruited staff members personnel file was looked at. It showed the correct paperwork was in place including two references the POVA first check, and forms of identification. The manager was asked about the CRB clearance forms and these are stored separately in a locked filing cabinet drawer. The home has a pattern, seen on the notice on the wall in the office, of who has staff supervisions and when. This was a recommendation at the previous key inspection and has now been carried out. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. This home is managed well by a qualified and experienced Manager. The ethos in the home is beneficial to the residents. The views and opinions of the residents is listened to measured, monitored and reviewed. Good comprehensive policies and procedures are in place. The health, safety and welfare of residents and staff is promoted and protected. Evidence: This Manager is very well qualified with the Registered Managers Award, NVQ 4 in Management and a Diploma in Management of Care Services plus many years of experience and knowledge about the client group within this home. The AQAA had been completed very comprehensively and the evidence found on this visit proved the Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: AQAA was accurate. Throughout the day the interaction between residents and staff were supportive, listened to and carried through. The policies and procedures are available and robust with, as mentioned previously encouraging comments made from the Primary care Trust. The office is available to everyone and people are encouraged to speak openly. Talking to the Manager and seeing the clear procedures that are carried through it is evident that at all times residents are the centre of all that happens in the home A survey was completed by the residents in the later part of 2008 and the outcome of these surveys was put on a report in November (seen). 30 questions were asked in total covering catering, personal care, daily living, premises and management. The results were all very satisfactory with only one question showing one person was a little unsure in one small area. The residents spoken to were all very happy and each one was smiling and only too keen to share some jokes. The home is visually very well presented with certificates displayed of insurance and the Commissions registration. The home is very hygienic, correct storage of cleaning products is in place and seen as directed by COSHH regulations and preparation and record keeping of food handling is held in the kitchens. (seen) Staff are trained in all statutory subjects and the home has contracts with outside companies to maintain the main utility services to the home. Health and Safety is considered with every activity conducted and risk assessments are in place. The AQAA tells us that accidents are recorded in a loose leaf folder and in order. (seen on a previous visit). All staff receive the induction training and the home use Skills For Care to support further training. 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 © (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. 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