Inspection on 31/03/09 for Newby Drive Residential Care Home

This inspection was carried out on 31st March 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Newby Drive Residential Care Home 02/04/07

Newby Drive Residential Care Home 17/01/06

Newby Drive Residential Care Home 02/11/05

Newby Drive Residential Care Home 30/11/04

Newby Drive Residential Care Home 26/04/04

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: Newby Drive Residential Care Home 63 & 64 Newby Drive Huyton Knowsley Merseyside L36 2QT     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: John Mullen     Date: 3 1 0 3 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.cqc.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: Newby Drive Residential Care Home 63 & 64 Newby Drive Huyton Knowsley Merseyside L36 2QT 0151-489-3053 01512900632 newbynewby@pss.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : PSS care home 13 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Additional conditions: Service users to include up to 13 MD Date of last inspection Brief description of the care home 13 Newby Drive is managed by the Personal Service Society (PSS), which has a long history of providing social care. The registered manager is Mrs Sharon Cooper. The home is registered to provide personal care and accommodation to a maximum of thirteen adults in the category of mental disorder. The home is a detached house, which is divided into four units. Three of the units are for permanent service users and one provides respite care to a maximum of two users of the service. Each person has his or her own bedroom. Although a number of people who use the service have been accommodated in the home for a considerable period of time, the home has recently been accommodating younger adults which is more in accordance with its rehabilitation remit. The home is based near the centre of Huyton within easy access of local facilities. It is staffed twenty four hours a day and has full policies to underpin its practices. At the Care Homes for Adults (18-65 years) Page 4 of 28 Brief description of the care home time of the visit to the service, the home had two vacancies for permanent places. The trend has been for a greater demand for its respite service. The homes standard charge is 357.00 a week. 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: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 stars. This means that people who use this service experience good quality outcomes. This was an unannounced key inspection of Newby Drive Care Home which included a visit to the service. All key standards were assessed in addition to a selection of other standards. The inspection encompassed information received since the last inspection. In addition it included information provided by the agency through its Annual Quality Assurance Assessment Document (AQAA). The AQAA gives an overall picture of the performance of the agency as well as factual information about the service. Care Homes for Adults (18-65 years) Page 6 of 28 Interviews took place with the registered manager, the deputy project manager and two resource workers. Three users of the service were case tracked; that is their care was examined in detail and two of whom were interviewed. Other users of the service were interviewed during a tour of the premises. Comment cards were received from staff. The premises were inspected and a large amount of documentation examined. 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.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 8 of 28 Care Homes for Adults (18-65 years) Page 9 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 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The plan of care is based on full information and assessment. Evidence: The AQAA gave evidence of a very detailed admission and assessment process by which the home prepares its care of users of the service. An examination of a selection of service user files confirmed that full assessment material was present on service users. The assessments were both from the referring agency and the home to confirm a comprehensive approach. An examination of a file of a person using the service for a respite stay also showed full assessment material to guide staff. Interviews with staff found them knowledgeable about the needs of people who use their service, confirming that the work is based on assessed needs. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The care of users of the service is provided individually and safely and promotes their individual choices. Evidence: An examination of service user files found them to contain detailed care plans to guide staff. The plans contained the signature of users of the service to confirm their involvement and agreement and had been reviewed regularly to ensure they are up to date. An interview with the deputy manager confirmed that there was active involvement by people who use the service in the care planning process and this was confirmed by interviews with them. Staff interviewed felt there had been an improvement in the care plans within the home and felt that these were now a working document to guide staff. Interviews with users of the service found them complimentary about their care in Newby Drive. Typical comments were brilliant and no complaints at all. Those who Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: were spoken to felt that they were involved in their care and could make decisions about their future within a constructive framework. They felt that the rules that exist in Newby Drive were reasonable and were designed for their safety. Documents seen during the visit to the home included minutes of meetings for people who use the service and questionnaire forms for them, which showed that the home was actively seeking their views in framing their approach to care. The AQAA confirmed that the home seeks a full assessment of risk prior to the admission of people into the service so that care can be planned within a safe framework. It also committed the home to a continuing review of this to reinforce this safety. An examination of files of people using the service found full and detailed risk assessments in place which contained their signatures to confirm their involvement. Interviews with managers and staff showed that they fully appreciated the need for care within a carefully constructed, individualised environment. The home is arranging for staff to be further trained in the area of risk assessments to reinforce this process. Interviews with staff found them well aware of the risks associated with individual users of the service and for the need to provide care within a safe context. Care Homes for Adults (18-65 years) Page 13 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home promotes an individualised and person centred approach to the care of users of the service so that their needs are met. Evidence: An interview with the deputy project manager revealed that users of the service are supported to attend educational establishments dependent on their own wishes. At the time of the visit to the home one was hoping to train as a plumber and another was attending an art course both of which confirmed that access to opportunities are available. An interview with the former found him highly appreciative of the support the home has given to him in pursuing his ambitions. Other users of the service were less active because of their enduring illness but all confirmed that their wishes in terms of occupation are respected. An interview with a resource worker found him very active in supporting people in pursuing activities outside the home. Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: The AQAA stated that the home promotes community links and use of facilities based on individual wishes, so that an active lifestyle can be promoted. An examination of the minutes of meetings for people using the service confirmed this to be the case with a clear commitment from the home to consulting them in this area. Interviews with users of the service found them very complimentary about the support of staff with comments such as the staff are brilliant and the staff are lovely. Interviews with staff confirmed that the home has a positive and welcoming relationship with the neighbourhood which has been enhanced by the erection of security cameras to deter any vandalism. The deputy project manager stated that the home has an open visiting policy with the reasonable exception that visitors leave by 10pm. for the convenience of others in the home. Interviews with users of the service showed that they are free to either visit or receive visitors as they wish, so that links are maintained. This was confirmed by interviews with resource workers, although these also showed that family visits vary considerably depending on individual circumstances. The AQAA stated that the rights of users of the service are promoted through, amongst other things the giving of individual keys or security pads to bedrooms and through respecting the rights of users of the service generally. This was confirmed by interviews which found them very complimentary about Newby Drive describing it as good and brilliant. Observations during the visit to the home found a positive and agreeable interaction between staff and users of the service which, again, was confirmed by the latter. An examination of their files found a full occupancy agreement within them which clearly stated the expectations of the home. Interviews with users of the service found them aware of these terms and supportive of them. The AQAA stated that meals are served on the basis of individual preferences to reinforce a person centred approach. An interview with the deputy project manager reinforced this by confirming that the arrangements for shopping, preparation and serving of meals are based both on individual capacity and preference. At the time of the visit to the home three users of the service were shopping on their own whilst others needed staff support. An examination of files of people using the service found that the food eaten by them was individually recorded to ensure a balanced diet. In addition, the files also showed that the home was meeting the specific dietary needs of a user with diabetes so that this condition remained stable. Interviews with users of the service confirmed that the food served was based on their own preferences and that they are assisted appropriately in this area. One commented that his cooking and shopping abilities had improved considerably over the three years he has lived in the home. Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: 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 personal and healthcare support for users of the service is arranged individually and safely for their benefit. Evidence: An interview with the deputy project manager confirmed that the home does not provide personal care but rather supports people to develop their independence skills. He also confirmed that individual choice is promoted and that there are no unnecessary restrictions on their care to the extent that this is compatible with their safety. Both he and the registered manager could show that the home is promoting the role of key worker with users of the service although interviews with the latter did not completely bear this out. However, all interviews with them were positive about the guidance and support they were receiving from the home with comments such as the staff are brilliant and no complaints at all. Interviews with staff confirmed their commitment to the individualised support of users of the service and this was confirmed by observations during the visit to the home. The home is not suitable for the accommodation of people with a physical disability due to the nature of the premises. This is particularly unfortunate as the home has recently had to turn down Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: an application for a person using a wheelchair which was a matter highly regretted by the registered manager. A review of the evidence since the last inspection confirmed that the home has been able to access medical help, specifically psychiatric assistance, when required for the benefit of service users. An interview with the deputy project manager confirmed that this continues with appropriate help being made available when required. It also confirmed that the home attempts to normalise routines for users of the service by, for example, supporting them to attend clinics rather than accessing home visits. Examination of their files confirmed that they are assisted to use medical facilities according to individual need and that these are recorded appropriately so that a full record can be kept. The AQAA stated that the home has improved its medication policy and practice since the last inspection. The visit to the home included a review of the new medication policy, dated November 2008, which is very detailed and gives full guidance to staff in this area. Interviews with staff found them confident in the area of medication and with up to date training to reinforce practice. A tour of the premises found appropriate medicine facilities in place, including individual locked cabinets in each bedroom. However, the visit to the home also found some gaps in the medicine records which is potentially hazardous and needs attention for the safety of people who use the service. 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. The policies and procedures of the home result in a safe service. Evidence: The AQAA confirmed that there was a full complaints procedure in place which was known to people who use the service and which previous experience with this home has confirmed as robust and open. The AQAA stated there had been five complaints over the last twelve months, one of which was upheld. Interviews with managers of the home confirmed that complaints are taken seriously and that the procedure is well known to its users. Interviews with users of the service during the visit to the home revealed no complaint about the home or the level of support being provided to them. Interviews with the registered manager and deputy project manager revealed that the home uses Knowsley Councils safeguarding policy to ensure a consistent and thorough approach. They also confirmed that there had been one safeguarding issue over the last twelve months which interviews revealed had been managed appropriately and correctly and that the allegation was not upheld. An examination of training documents held in the home showed that staff have either recently received training in safeguarding or, in the case of one newly appointed member of staff, are to receive such training in the near future to update their knowledge. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The premises detract from the ability of the home to provide a full service to all potential residents. Evidence: There has been no major change to the premises of the home. One internal door has been removed to create more space and a smoking shelter has been erected in the garden to provide users of the service with a safe smoking area. A tour of the premises found them reasonably comfortable and decorated with appropriate floor covering to enhance appearances. Users of the service spoken to were complimentary about the building, one describing it as brilliant. However, the tour did show that bedrooms did not have a lockable facility within them and that some did not have an easy chair due to lack of space which means that they are limited in their use. In addition, the premises are not suitable for the accommodation of people who have limited mobility which, again, limits the usefulness of the home and prevents it meeting its full potential. An interview with both managers of the home confirmed that PSS have been actively seeking to relocate the premises but this has been unsuccessful due to failure to gain planning permission. The registered manager stated that the attempt to relocate is continuing which she felt was necessary to enable the service to reach its full potential. Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: The AQAA confirmed that the home has appropriate policies and procedures to maintain a good standard of hygiene, including the training of staff in this area. A tour of the premises found them clean and hygienic with the required number of hand washing and bathing and showering facilities to assist users of the service. The home does not employ domestic staff because of its intention to help its users to maintain standards and develop their independence. Users of the service were complimentary about the home which they felt was clean and pleasant. Newby Drive has appropriate washing and laundry facilities to maintain the standards of cleanliness. 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. The home recruits, trains and supports staff to a good standard resulting in a well balanced work force. Evidence: Interviews with managers of the home revealed that they had a good opinion of the balance and experience of the workforce to meet the homes objectives. There has been a core of senior staff, who have been employed for a considerable period, which provides a central element to underpin the work of the home. The interviews with managers revealed a very high level of national qualifications held by staff and this was confirmed by training documents seen. In addition, the home is providing training at a higher level in these qualifications so that staff can be further developed and supported. Interviews with staff confirmed the comment cards received from other staff members that the home is providing a good quality of service to people using the service. This was confirmed by interviews with the latter who described staff as lovely and brilliant. Comment cards received from staff prior to the visit to the home were positive about the processes of recruitment and selection which they felt fair and robust. An interview with a recently appointed member of staff confirmed these findings and revealed that Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: she received appropriate induction to the home so that she was prepared for her work. An examination of staff files found that essentially all the required information was present on recruitment and selection to confirm a correct approach. The exception was in relation to police checks which did not always show evidence of when they were renewed. PSS retains most of its information in Liverpool but it is important that a full record of checks is maintained in some form within the home so that the registered manager can be confident that these have been undertaken. Comment cards received from staff prior to the visit to the home were complimentary about the training they received which they felt assisted them in their work. Interviews with managers and staff revealed that the quality of the training did vary but that the home has been able to access extra training both through Knowsley Council and a private agency which has improved the quality being provided. An examination of training records showed that training is being provided systematically and regularly to staff to ensure they are up to date. The interviews confirmed a positive view of training with one member of staff stating there is no complaint about training. The AQAA stated that there had been an improvement to the formal level of supervision and that team meetings were being held more frequently for the benefit of staff. A comment card received from one staff member felt that more meetings were required and this was agreed by the registered manager who could demonstrate that she has already addressed this with a programme of meetings throughout the year. Interviews with staff and comment cards received were very positive about the general level of support they receive. An examination of staff files found that both formal supervision and appraisals are being provided regularly to inform and direct staff. Care Homes for Adults (18-65 years) Page 23 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is managed well in the interests of the users of the service. Evidence: There has been no change to the management of the home for some considerable time which provides continuity and stability. Both the registered manager and her deputy have been in post for a number of years and both have the required experience and training to undertake their roles. The AQAA was completed to a good standard which confirmed the positive approach of the registered manager and her abilities. An examination of the registered managers training record showed that she continues to update her knowledge and, therefore, maintains her expertise. An interview with the registered manager revealed a positive view of the work and an acceptance of the need to relocate if the home is to fully meets its potential. The AQAA confirmed that the home has a number of internal and external methods by which it monitors the quality of its work. During the visit evidence was seen of regular meetings for users of the service taking place whereby views were ascertained. In Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: addition, the registered manager has devised a new questionnaire format which seeks to expand the input from users of the service into the running of the home. Questionnaires seen from last year revealed a high opinion of the home from users of the service which was reflected in the comments received during the visit to the home. The visit to the service confirmed that the home does seek to improve its work based on the views of its users and that policies are updated to meet changing standards in this field. A tour of the premises found them a safe environment for the care of people accommodated. The AQAA confirmed that the home has a full range of policies and procedures within the field of health and safety to promote a safe service. An examination of documents relating to health and safety showed that regular updates are obtained in the required fields, including in respect of fire and the checks on utilities. In interview, the registered manager could show that she has a clear programme in respect of health and safety so that these matters are regularly attended to. An examination of training documents showed that staff are regularly trained in the relevant areas of health and safety so that their safety and those of users of the service is maintained. 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 1 19 13 The home must reinforce its recording of medicines. So a complete picture can be kept for the safety of users of the service 01/05/2009 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 1 2 23 34 The company should continue its attempts to relocate the premises so that the home can reach its full potential. The home should keep a record of police checks so that the registered manager is fully aware of this information. Care Homes for Adults (18-65 years) Page 27 of 28 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). 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