Inspection on 01/12/08 for Roselands

This inspection was carried out on 1st 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

Roselands 12/01/07

Roselands 28/11/05

Roselands 27/06/05

Roselands 14/12/04

Roselands 13/09/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Roselands 50 Reculver Drive Beltinge Herne Bay Kent CT6 6QF     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: Wendy Gabriel     Date: 0 1 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: Roselands 50 Reculver Drive Beltinge Herne Bay Kent CT6 6QF 01227360738 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr Gary John White,Mrs June Rose White,Mrs Julie Ann WhiteFort,Mr Donald Arthur James White Name of registered manager (if applicable) Mrs Christine Margaret Fagg Type of registration: Number of places registered: care home 15 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Date of last inspection Brief description of the care home Roselands is registered to provide care for up to fifteen adults with learning disabilities aged 18-65. The residents have been identified as preferring a quieter pace of life. Roselands is situated in Beltinge, a village on the outskirts of Herne Bay. The home is a detached, two storey property at the end of a lane overlooking the sea. It has its own vehicle. The gardens are spacious and to the side and rear of the house. There is limited parking space within the grounds but a small municipal car park is directly opposite the home. Information about the home, including the last inspection report would be made available by the home on request. Fees start at £745.00p. For up to date details of fees please contact the provider. Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 15 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 inspection was unannounced. We looked at records and cross-referenced them with documents and information provided to us by the registered manager. Information from the previous inspection was also referred to. The home sent their completed AQAA when we asked for it and information from this was also looked at. The home was fully staffed and the registered manager was in the home soon after we arrived. Some people were at the day centre and others were in the home either in the lounges or in their own rooms. We were introduced to people living in the home and to staff on duty. An accompanied tour of the premises was undertaken. Care Homes for Adults (18-65 years) Page 6 of 29 What the care home does well: The registered manager and the staff attitude to people who live in the home is that whatever issue may arise something positive can come from it. One member of staff said the registered manager is very supportive and the home could not ask for a better manager. Another said she was approachable. The home was welcoming and had a warm and friendly atmosphere. The environment is clean and hygienic and the decor and furnishings are very pleasant and homely. Some people who live in the home were introduced and although communication abilities are varied, it was clear by some conversation and facial expressions that people were comfortable and happy. Staff were observed through the day spending time talking to individuals and ensuring they were comfortable. The home sources a wide variety of health care professionals to address health and well-being issues. There is evidence of a range of health and welfare issues being observed, managed and recorded by the home. Many who live in the home are older people and consequently their needs have changed over the years. This has been addressed by good support from the learning disability team and health care professionals. Despite the older age range of people who live in the home and communication and mobility limitations, the home has a robust activity programme both in the wider community and in house. Very good community links are maintained and people are able to take advantage of events offered by local groups and organizations. The home fund raises for two good causes in the area. This was explained as being able to give something back to the community. Several people attend day centres and learning ventures. Events are held in the large garden where other people from the community are invited. There were local press cuttings about activities and fund raising undertaken by the staff and the people in the home. Staff and the registered manager spoke sensitively about the families and friends of people who live in the home. Families are welcome. People were having fun decorating the home for Christmas. One person said she had bought a new gown for the Christmas ball they were attending later in December. Some people said they were very excited about the event and that they had been to a Summer ball earlier that year. One member of staff said they were gradually completing person centred plans and showed some finished work that gave a clear picture of the individuals likes and dislikes and their preferred daily routines. It also contained photographic evidence of changes over a few years, to an individual including hairstyle and dress preferences. The service has undertaken a big project to improve the garden surrounding the home to create a sensory and accessible environment for people to use. Although staff said Care Homes for Adults (18-65 years) Page 8 of 29 they had further plans for the garden, it presented as a varied and attractive area and is surrounded by a high brick wall that has had substantial renovation over the past few years and that now shelters the garden. The home is very welcoming and has a warm and friendly atmosphere. The environment is clean and hygienic and the decor and furnishings are very pleasant and homely. 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 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents needs and aspirations will be assessed. Prospective residents have the information they or their representatives needs to make an informed choice about moving to the home. Evidence: The registered manager said that prospective residents are often referred to the home through the recommendation of the care manager or community nurse. Three files were looked at and cross referenced with day reports, observational and monitoring records. There was evidence of pre admission assessment that included information from the placing authority. This information forms the basis of the care plans. People are invited to visit the home, perhaps for lunch and then for short stays to enable them and their representatives to make sure the home is suitable for their needs. The registered manager said that she advised families to speak with the care manager or community nurse and network to gain a wider understanding of the homes ethos. The home uses an assessment format that is based on person centred Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: planning that focuses on individual wishes as well as needs. The home has an admission policy. 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. People know their changing needs and wishes are reviewed and supported. People are supported to take risks to enable as independant lifestyle as possible. Evidence: Three individual care plans were looked at and cross referenced with observational and monitoring records. A member of staff showed us a person centred plan that the home is setting up for each person living there. The new documents enhance the care plans with good pictorial evidence of people and items or activities that are preferred or meaningful for the individual. The member of staff was very committed to the use of the plans and explained how they could be used by the staff to better understand the preferences of individuals who have little or limited communication. The home holds regular residents meetings and with support from staff, try to ascertain choices and wishes from people living there. Regular reviews for individuals are held plus an annual review and, if applicable, a day centre review is also Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: undertaken. Families, key worker, care manager and any health care professional involved with an individual is invited to attend. Reviews seen were thorough and included health and social assessments. Good written evidence was seen of the use of health care professionals by the home and the service has the benefit of its own physiotherapist and occupational therapist. A psychiatrist visits three monthly for particular people and the speech and language therapist also has input into the ongoing care of some people. People each have a communication passport for if they should go to hospital, to assist other staff to understand their particular communication needs. Health care professionals have assisted the home to use interactive profiles and a life book. Risk assessments are undertaken. The home is aware of independant advocacy for people and the registered manager spoke with awareness of the mental capacity act. The registered manager is a member of the Canterbury District Planning Group that meets regularly to discuss learning difficulty issues. Many of the people living in the home are in an older age range and consequently their needs have changed over the years. Records indicate that this has been addressed by the home with good support from the learning disability team and health care professionals. 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 are enabled to take part in community and in house activities. People are encouraged to maintain their family and friends contacts. Peoples rights are respected. Menus offer a varied and healthy diet. Evidence: Activities are arranged to enable people to be part of the local community and the home has good contacts with local local groups and associations. The registered manager said they encouraged everyone to join in with community efforts to raise funds for local good causes. This is to give something back to the community who, the registered manager said, are supportive and inclusive towards the home. Activities are varied and can be made suitable for any range of needs and preferences. Although some people do not join in with everything, they will be encouraged to do Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: what suits them and what they wish to do. Staff are very aware of what peoples preferences are and there was evidence and records of people using local facilities including day centre and learning opportunities where different life skills may be undertaken, the local football club and church. The occupational therapist who is employed by the service has organised walk and talk where staff and people from the home go for a walk and join in with other people to fund raise. Staff said this encourages people to meet others from the community. The British Legion club is in the town and has contacts with the home. A person centred plan indicated choices and favoured activities. The home enables art and craft activities that can be adjusted to suit the abilities of individuals so that everyone can have the opportunity of being involved. There was evidence of homemade Christmas items around the home and for sale made by people living in the home. People were having fun decorating the home for Christmas. One person said she had bought a new ball gown for the Christmas ball to be held in December. Some people said they were very excited about the event and that they had been to a Summer ball earlier in the year that had been a happy occasion. The garden has been a major project by the staff and this now provides an attractive, well kept, sensory area that is accessible to all. Staff said they have further plans to improve this area. Despite the older age range of people living in the home and of some limited communication, the home encourages all the people living there to be a part of the community and there was pictorial evidence of many people attending different events. Families are welcomed into the home and are invited to join in activities. Families are also invited to be part of individual reviews held in the home. The registered manager has questionaires for families and health care professionals, to help the home make further improvements to what they could offer people living there. The kitchen was well organised and there was fresh, stored and frozen food in a variety to ensure dietary needs and choices are met. The dining room is pleasant and light and people can receive dignified support as required. One person was seen enjoying a late, unhurried breakfast. 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. People are protected by the homes policies and procedures and their physical and emotional needs will be responded to. People know their health care is supported by good health care contacts. Medication administration is supported by policies and procedures. Evidence: Good written evidence was seen of the use of health care professionals by the home and the service has the benefit of its own physiotherapist and occupational therapist. The psychiatrist visits every three months for particular people and the speech and language therapist also has input into the ongoing care of people. Details of health care professionals reviews are included in care plans for staff to follow. People living in the home have a communication passport that is taken with them to appointments such as hospital stays to assist others to understand their particular communication needs. Healthcare professionals have assisted the home to use interactive profiles and a life book. The home maintains health care monitoring and observational records and these were cross referenced and indicated that robust Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: recording of any changes to peoples health is maintained. Where an individual is nearing the end of life, the registered manager has been supported by health care professionals and guidelines and procedures are in place. People are enabled to make choices where possible and if they are less able to communicate their wishes, staff support them to make their preferences known. A member of staff said that the new person centred plans has information where possible to give some indication of previous preferences. Some plans seen had useful information about peoples known preferences and day to day life skills. People living in the home are supported to attend regular meetings. Medication is stored securely and administration records are completed. Only senior members of staff give out medication. The home has policies and procedures in place regarding administration of medication. Senior staff receive medication administration training and certificates were seen. 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 are protected by the homes complaints procedure and safeguarded by staff training. Evidence: The home has a copy of the Kent and Medway Multi Agency Adult Protection policy and a policy regarding abuse. Two staff files were viewed and both contained training certificates for understanding adult abuse as well as for PoVA training. A complaint procedure is available and indicates how and to whom to make a to. The home has a policy regarding supporting residents decision making. There are regular meetings for people living in the home and key workers support people whose communication is limited. Staff can use Makaton to support communication and families are encouraged to let staff know should they feel something is making their relative feel unhappy. No concerns or complaints have been received about the home. Staff spoken to are clear about their responsibilities regarding protecting the people in their care. Staff said they would have no hesitation letting the manager know if they saw or suspected abuse. Care Homes for Adults (18-65 years) Page 19 of 29 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. The premises are safe, hygienic and well maintained. People benefit from well funished accommodation. Evidence: The home is well furnished and decorated in a warm, homely and comfortable manner. The environment is bright and attractive and offered a welcoming atmosphere. People were seen accessing different areas of the home. Some people were at the day centre or in the home in the lounges or in their own rooms. Infection control policies are in place and the laundry is well ordered and has a suitable policy. The home is clean and well maintained. The home has thebenefit of a weekly maintenance person visiting. Risk assessments are in place for the house and are ongoing. Communal areas are spacious and create light and comfortable areas for people to sit quietly or watch tv or undertake activities. The lounge has the dining room off and there is a smaller seating area also off of the main lounge that is used for quieter moments but is still part of the main room. The dining room is also used for table top activities. There are plans for a small, down stairs room to be altered to become a Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: quiet room for people and staff are discussing how it is to be decorated to make it an attractive environment. Bedrooms are attractively and individually furnished and decorated. Beds have automatic raisers to assist people in and out of bed and for staff to maintain safe moving and handling. Bedrooms seen were individual and contained items that reflected peoples individual tastes. Bath and shower rooms were clean, tidy and attractive. The service has completed a big project to improve the garden to create a sensory and accessible environment for people to use. Although staff said they had further plans for the garden, it was a varied, accessible and attractive area. 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. People are supported by trained, competent and qualified staff and by the homes recruitment procedures. Staff are well supported and supervised. Evidence: The registered manager confirmed that the home is fully staffed. The rota seen was fully covered. Two staff files were chosen at random to be viewed. Both files had evidence of thorough recruitment procedures including references and criminal record bureau checks. Both files had evidence of training certificates for a wide variety of subjects including mandatory and service specific training courses. The home also uses DVDs on different subjects to enhance induction and other training courses. Staff receive induction in line with Skills for Care. Prospective staff are invited to meet people living there before they start work. Staff training includes NVQs and these are well underway with nine of fourteen staff having completed and 3 staff starting or taking NVQ2 or 3. Supervision is undertaken and evidence of this was seen in recorded. Staff said they are very well supported by the registered manager. Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: Staff were observed spending 1-1 time with different people throughout the day and it was seen that their conversation and interaction was respectful and loving. There was also a good deal of gentle humour that was enjoyed by people living there. Staff were seen to be patient and unhurried and clearly were aware of peoples different needs. Even if staff did not get a discernable response they would make sure the person was comfortable and restful. One person had a conversation with a member of staff and made a request, this was checked discretely with another member of staff and the request dealt with quickly, to the satisfaction of the person. One person was encouraged by staff to talk about the new ball gown she had recently bought for the Christmas ball and how much she was looking forward to that event. One member of staff in particular was enthusiastic about the meals in the home and had a good insight into the importance of ensuring people are able to express thir preferences. Another member of staff was knowledgeable about the person centred plans that had recently been started and explained with enthusiasm how these could be even more improved and what staff would be doing to make them worth while. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from a well run home and they or their representatives know that their views are taken into consideration in the development of the home. Their health safety and welfare is promoted and protected. Evidence: The registered manager is experienced in managing this client group and her knowledge of learning disability was demonstrated during the inspection. Staff were very forthright in their praise for her and felt that the home could do no better for a manager. Staff have meetings and regular supervision. The registered manager undertakes staff handovers when on duty. Communication noted between the staff on duty and the registered manager was very good in that it was respectful but relaxed. The registered manager was very much aware of what was going on in the home regarding the needs of the people living there. Staff said the registered manager runs the home well and there was an ethos in the home of can do and that something positive can always be found in any issue. Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: The registered manager now has access to useful websites and has been provided with formats for updating and putting into the computer ongoing records about the running of the home. Being a member of the Canterbury and District Planning Group means that the registered manager has regular contact and discussion about learning disability issues. Quality assurance is being promoted with new questionnaires for families and health care professionals. These were viewed and although none had been returned at the time will be collated and any improvements made as noted. Staff and the registered manager commented on the importance of families being kept informed about their relatives well being and there was photographic evidence of families being involved in the home especially during events and activities. The fire safety logbook was in date and maintenance checks seen were in date. The registered manager maintains good contacts with health care professionals for the benefit of the people living in the home. 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. 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