Inspection on 09/12/08 for Knaresborough Two Group

This inspection was carried out on 9th December 2008.

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

Knaresborough Two Group 01/02/07

Knaresborough Two Group 31/01/06

Knaresborough Two Group 03/08/05

Knaresborough Two Group 01/03/05

Knaresborough Two Group 21/09/04

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Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

Extracts from inspection reports are licensed from CQC, this page was updated on 27/02/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Knaresborough Two Group 17 Park Way Knaresborough North Yorkshire HG5 9DP     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: Irene Ward     Date: 0 9 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: Knaresborough Two Group 17 Park Way Knaresborough North Yorkshire HG5 9DP 01423546326 Telephone number: Fax number: Email address: Provider web address: Steve.Jones@homestogether.net Name of registered provider(s): Name of registered manager (if applicable) Homes Together Ltd Type of registration: Number of places registered: care home 10 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 10 The registered person may provide the following category of service only: Care home only - Code PC, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following category: Learning disability Code LD Date of last inspection Brief description of the care home The Knaresborough Two Group is registered to provide residential, personal and social care for ten service users with learning disabilities and an associated sensory impairment. The Group is comprised of three homes; 21 Farfield Avenue, 17 Park Way and 13 Rievaulx Avenue. The three homes are all on residential housing estates close to Knaresborough town centre and have good access to the local services and amenities. The registered provider is Homes Together Ltd. At the time of the site visit the fees for the home ranged from 700 pounds to 1000 pounds per week and do not include costs for holidays, hairdressing, chiropody and toiletries. Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 10 Care Homes for Adults (18-65 years) Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: 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: The quality rating for this service is 3 star excellent. This means that people who use the service experience excellent quality outcomes. The Commission for Social Care Inspection inspects homes at a frequency determined by how the home has been risk assessed.The inspection process has now become a cycle of activity rather than a series of one-off events.Information is gathered from a variety of sources, one being a site visit. More information about the inspection process can be found on our website www.csci.org.uk.This is what was used to write this report. A review of the information held on the homes file since its registration. One visit to one of the group homes,17 Park Way Knaresborough by one inspector which was unannounced that lasted for two and a half hours. Information asked for before the inspection, this is called an Annual Quality Assurance Assessment.Comment cards returned from three people who live at Care Homes for Adults (18-65 years) Page 6 of 29 the home and two from relatives one from a health professional and four from staff. Looking at two peoples care files in detail.Some time was spent with one person who live at 17 Park Way. Time was also spent talking to one member of staff. The site visit took place on the 9th December 2008. However most people living at 17 Park Way were out at various activities.The team leader and the director of care were available to assist throughout the visit and available for feedback at the end of the site visit. What the care home does well: What has improved since the last inspection? What they could do better: The home does not currently have a registered manager. The director of care was advised that there should be a manager in post who takes day-to- day responsibilities Care Homes for Adults (18-65 years) Page 8 of 29 for the group homes. A managers application to be registered should be submitted to the Commission For Social Care Inspection for processing, when a manager has been appointed by the organisation. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 29 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs are properly assessed prior to admission, this makes sure that 17,Park Way and the other group homes are the right place for them to live. Evidence: The director of care confirmed that information is made available to anyone interested in moving into any of the group homes in the form of the service user guide before they move in.There are three group homes,17 Park Way Knaresborough,21 Farfield Avenue Knaresborough and 13 Rievaulx Avenue Knaresborough which is closed at the moment. Three people have moved into 21 Farfield Avenue from one of the other homes, 151 Knaresborough Road that the organisation owns.If a person was considering moving into one of the group homes, they would be given the opportunity to visit the home and stay for a meal, overnight or whatever they were comfortable with.The director of care is aware however of the need for comprehensive pre-admission assessments and explained that any such admission would be arranged via a planned introductory programme which would include visits to the home and a trial placement prior to this Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: being made permanent. People who have recently moved into 21 Farfield Avenue were consulted as were their families,advocates and local authorities before any move took place.One relative said that their daughter had moved into one of the group homes and has settled well,is eating better and is happy so it was decided to let her stay. Care Homes for Adults (18-65 years) Page 12 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The care provided is of a high standard and encourages people to make their own decisions about how they wanted to live their lives. Evidence: One person was seen at the time of the site visit they looked well cared for and staff were seen supporting people during the day and it was clear that they understood individuals needs. They supported people sensitively and supported people to make choices. Each person has an individual care plan detailing their individual needs and the action that staff needs to follow to meet these. The care plan focuses on the person and contained information about every aspect of the persons life, they focus on achievement and improving opportunities for individuals. The care plans were very detailed and covered morning and evening routines and how people preferred their care to be provided. All areas of daily life such as peoples daily routines, activities were covered in the plans. The document provided the reader with very good information, was easy to understand and gave a sense of the person. The plans are Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: reviewed regularly. One person spoken with and from surveys we received told us they received the care and support they need, they said that they are always able to do what they want. Examples of comments made were,It is lovely, brilliant here, get on with all of the lads in the house. Excellent service it is a good company that owns it.Relatives said, I am very satisfied with all levels.As our daughter cannot communicate very well, carers have to get a feel for our daughters needs, so she needs consistency. Our daughter has been on good form most of this year. Our daughter has settled with Homes Together for a long time now and we would not wish her to be disrupted. Also present were a range of risk assessments with the purpose of supporting people to live as independently as possible with safeguards in place, these were reviewed regularly.Through discussions with the director of care at the time of the visit and the contents of care plans it was clear that people are able to make choices wherever possible. Care Homes for Adults (18-65 years) Page 14 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use this service are always able to make choices about their lifestyle and are supported by staff to carry these out. Evidence: People who live at the group homes have the opportunity to attend specialist day centres. People also have days at home to participate in personal shopping, laundry and household tasks. People continue to have opportunities to pursue other interests outside of the homes such as going out to the gym, bowling, shopping, pub outings to the karaoke nights, phab club and walking, going to the United Reform Church, piano lessons. People go out into town or to Leeds or Ripon and go out on day trips.Some people attend Arts and Craft at Henshaws College or The Juction or St Lukes. One person enjoys scuba diving and goes each week, whilst another person works parttime at Scope the charity shop and one person sings in a band. People who live in the Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: group houses made comments via the surveys and said,If enough staff on duty at the weekend, i then like to be able to go out for a walk. Relatives also made postive comments in the surveys sent to them such as, Has activities arranged that my daughter appears to enjoy.A programme is set out for my daughters actvities and jobs in the house. My daughter depends on carers to take her out so presumably this depends on availability and practicalities. I understand this is easier at her new home. Surveys returned from staff were also positive and when asked what the service does well said,Promotes independence. Caters for individual service user needs. Provides a cheerful, homely atmosphere.The service respects the individuals choices,views and preferences and encourages independence as far as possible. Menus were looked at and those seen were varied giving people plenty of choices. Menus are on rotation and people living in the houses are supported to shop and cook their food. Comments made from one person who lives at one of the group homes was, The food is very good here. Also all staff have now had some training in health and wellbeing.This helps staff to promote a better and healthier lifestyle for everyone, including staff.The home has worked with a health nutritionist who has looked at improving menus for people so that people are concious of what they eat and drink, which has improved peoples eating habits.Specialist diets are also catered for such as diebetics. Care Homes for Adults (18-65 years) Page 16 of 29 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples personal and healthcare is provided appropriately and sensitively according to individual needs. Evidence: Each person living at 17 Park Way is registered with a General Practitioner. People receive support from staff in attending dental and other health care service appointments. Peoples health needs were recorded in their individual care plans with additional step-by-step instruction as to how they wished to be supported. Care plans also detailed of any other health care support people recieve such as, dentist, chiropodist, diebetic nurse and care manager visits recorded in peoples care plans. Harrogate District Hospital is used for Accident and Emergency service and most out patients appointments. The medication system for 17 Park Way was looked at. The home operates a monitored dosage system. There is a policy in place for the storage and administration of medication for all staff working in the home to follow. The Medication Administration Records show that everyone receives their medication as prescribed. Records were up to date and well maintained. Medication seen in the home was securely stored in a locked cabinet. No controlled drugs are currently held. All Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: staff that administers medication in the home have been provided with medication training. One relative said,As parents we can ring at anytime and take our daughter out and/or discuss her well-being. One survey returned from a health professional when asked what the service does well said, Provide a safe and caring Homes for the service users. Provides a good standard of comfort. Respects individuality of service users. Care Homes for Adults (18-65 years) Page 18 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service have access to an effective complaints procedure and are protected from harm. Evidence: A comprehensive complaints procedure is followed and is made available to people and any other interested parties.People living in the group houses have regular meetings in which they can express any concerns.There have been no complaints since the last inspection. No complaints have been received by the homes or the Commision. People when asked were clear as to whom they would speak to if they had any concerns or worries. One person said,I would speak to Sheila or Steve Jones or the CSCI(Commision For Social Care Inspection). One survey returned from a relative said,As parents we would contact Homes Together if we were unhappy with our daughter and /or her home etc. There is a policy and procedure with regard to safeguarding adults and the procedure to take if there is a suspicion of abuse and staff demonstrated a good awareness of this. Staff receive training in adult protection and safeguarding issues during induction training and further training when required. The last safeguarding training was held in February 2008 and was organised by North Yorkshire Social Services department. There have been no allegations regarding safeguarding made to the home or to the Commission for Social Care Inspection. Appropriate recruitment procedures are followed, with references and Criminal Records Bureau (CRB) checks made to reduce the risk of unsuitable people working in the Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: home. Peoples finances were not checked at this site visit. Historical evidence from previous reports gives evidence that their financial interests are safeguarded. Care Homes for Adults (18-65 years) Page 20 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a clean, comfortable and safe home that is decorated and furnished to a high standard. Evidence: 17 Park Way, is a large detached property and provides spacious accommodation for people. This includes communal areas such as the kitchen, lounge, dining room, toilet all on the ground floor.The home has two bedrooms on the ground floor of which both have en-suite facilities.There are a further two bedrooms on the first floor and a shared bathroom. There is a staff sleeping in room on the first floor. There is also a separate office on the first floor which, incorporate built in and enclosed laundry facilities.People who use the service all have single bedrooms. Peoples bedrooms seen had been personalised with posters and their various possessions such as CD players, television and items they had collected and made. Rooms have been decorated and furnished appropriate for their age. People made comments about the home such as, It is lovely, brilliant here, get on with all of the lads in the house. Excellent service it is a good company that owns it. I was glad to get back to this house after the fire. 17,Park Way has a large rear patio area for people to sit out and a garden to the front with parking for one car. There is on street parking also to the front of the home. All areas including the lounge, dining room, kitchen and bathroom were all clean, free Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: from any odours and maintained to a high standard. The home has recently gone through some re-decoration and re-furbishment to the kitchen, which has been done to a high standard due to fire damage earlier on in the year.The home had a fire early in the year. This was caused by a pan fire. People who live at the home are encouraged and participate in regular fire drills. The director of care said that at the time of the fire, people living at the home knew exactly what to do when evacuating the home.They did it without panic and were clear as to what to do and where to go. The director of care said that people living at the home said that, after having a fire in their home they now understood why they needed to carry out regular fire drills. In promoting this good practice, the organisation and the staff at the home are commended as this could have led to serious consequences of peoples lives being put at risk. A range of maintenance checks is completed on a regular basis to make sure that the house is safe and secure. Care Homes for Adults (18-65 years) Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Sufficient staffing levels, proper recruitment procedures and good staff training meant that peoples needs were met and their interests were safeguarded. Evidence: Staffing levels were sufficient for meeting the needs of people. The duty rota showed that there are usually one or two members of staff on duty during the day at 17 Park Way.This maybe increased and is dependent on what people in the house are doing.This makes sure that peoples social activities are not compromised. At night there is one staff on sleep in duty. The organisation operates an on-call system in case there is an emergency. Currently there is no registered manager. This was discussed with the Director of Care as the manager moved to 151 Knaresborough Road. Advice was given that there should be a manager in post who takes day-to-day responsibilities for the group homes. It was agreed that the organisation would look into this and appoint a manager for the group homes. The staff records of two staff one of which was recently appointed were looked at. These showed that all the necessary pre-employment checks had been carried out prior to the new worker starting in post. All records showed completed application forms, two written references, CRB (Criminal Record Bureau) checks had been obtained. A POVA (Protection of Vulnerable Adults) first Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: check had also been carried out. The home provides all the mandatory training that is required. A range of other training has been completed by staff such as Health and nutrition, autism, safeguarding alerters, food, health and hygiene, first aid, visual awareness, manual handling, fire safety, challenging behaviour,infection control. Two staff have completed NVQ (National Vocational Qualification) level 2 and 3, one staff is to commence NVQ level 2. Staff confirmed in surveys sent to them that they received regular supervision. Records of supervision were seen at the site visit to the home. Staff commented positively about the support they receive from team leaders. Staff meetings are held regularly and minutes of meetings were seen at the site visit. People living at the home made positive comments about the staff they said,Absolutely marvellous cant fault them. Staff also commented positively in the surveys they completed and said,I always feel i can speak to my manager about concerns i may have and receive support when needed. Another commented when asked what does the service do well, Give good support and regular training courses. Good support from the manager, being able to talk easily to the manager about any concerns. Being sent on regular traing courses.A great effort was made for me to complete my induction as quickly as possible. Care Homes for Adults (18-65 years) Page 24 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from a well managed home in which their needs and wishes are put first. Evidence: Currently there is no registered manager. This was discussed with the Director of Care as the manager moved to 151 Knaresborough Road. Advice was given that there should be a manager in post who takes day-to- day responsibilities for the group homes. It was agreed that the organisation would look into this and appoint a manager for the group homes. The management of the home will continue to be overseen by the Director of Care until such person is appointed as the manager. The home has a good and effective management team in place. The ethos of the home is open and positive. People who use the service,relatives, health care professionals and staff all commented highly about the homes. Regular house and staff meetings are held at 17 Park Way and minutes are taken. There are Quality Assurance systems in place and surveys were last sent to relatives and health and social care professionals in April 2008. All accidents are recorded as Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: required and an accident book is maintained in line with the requirements of Data Protection. Peoples finances were not checked at this site visit. Historical evidence from previous reports gives evidence that their financial interests are safeguarded. Information provided from the (AQAA) Annual Quality Assurance Assessment and the examination of selected health and safety documents show that regular checks to electricity and gas and fire safety equipment are regularly undertaken. Care Homes for Adults (18-65 years) Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (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 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!