Inspection on 20/11/08 for Summerlands

This inspection was carried out on 20th November 2008.

CSCI found this care home to be providing an Good 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

Summerlands 21/11/06

Summerlands 13/01/06

Summerlands 27/06/05

Summerlands 25/01/05

Summerlands 13/04/04

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Thorndene

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Southfields

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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: Summerlands Westwell Leacon Ashford Road Charing Ashford Kent TN27 0EE     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: Julie Sumner     Date: 2 0 1 1 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 27 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 27 Information about the care home Name of care home: Address: Summerlands Ashford Road Westwell Leacon Charing Ashford Kent TN27 0EE 01233713454 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Paul Speakman Type of registration: Number of places registered: Counticare Ltd care home 9 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 9. The registered person may provide the following category/ies of service only: Care home only ? (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD) Date of last inspection Brief description of the care home Summerlands is registered to provide 24 hour accommodation, personal care and support for up to 9 adults with learning disabilities. The fees range from 1000 - 1500 pounds. The home is a modern detached property situated by a busy man road in a rural location on the outskirts of Ashford. There are 4 acres of well-maintained grounds incorporating a large lake that, with prior agreement, may be used by the public. Residents have unrestricted use of a secure garden area with large patio, and assisted Care Homes for Adults (18-65 years) Page 4 of 27 Over 65 0 9 Brief description of the care home use of the lake area. To the front of the property is a large tarmac area for parking. There is a small detached day unit with snoozelem sited close to the main house. Service users accommodation is on two levels. The ground floor consists of four en suite bedrooms that are wheelchair accessible, a large lounge, dining room, kitchen, laundry and sunroom. There is access to the patio area from the lounge. To the first floor there are three bedrooms and the managers office. There is also a room that is currently being used as a sleep in room. Access to the first floor is by stairs. Care Homes for Adults (18-65 years) Page 5 of 27 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 star. This means the people who use this service experience good quality outcomes. This report is based on information received about Summerlands, including an annual service review carried out last year and a visit to the home lasting around 7 hours. The visit was unannounced, which means that the people living in the home, staff and homeowners did not know that we, the commission for social care inspection, CSCI, were calling. Information was gathered for this inspection in a variety of ways throughout the year, Care Homes for Adults (18-65 years) Page 6 of 27 since the last inspection visit and during the visit to the home. Surveys were sent to visiting professionals and easy read surveys were given to the people living in the home, who were helped to complete them. The information in the surveys received has been included in this report. The visit included talking with people living in the home and members of the staff team and the registered manager. General observations were made during the day of how people are supported. We walked round and looked at the building and various records were inspected. One recommendation was made as a result of the visit. What the care home does well: What has improved since the last inspection? What they could do better: The staff support individuals well with their health care. It would be good for the staff to also teach individuals about how to take responsibility for their own healthcare. The health action plans can be used for this to develop individuals knowledge and understanding a little at a time. This could be carried out in the same way that the staff are completing the individual plans of support. The manager said he would encourage this. Some parts of the home, including the kitchen, are locked to protect individuals. Some of the people in the home do not need this level of restriction to protect them. The manager agreed to look at this and see if there are any other ways to protect the individuals who need it without restricting everyones access around the home. He said he would write the risk assessment down and look at it each year to check. The company needs to look at the maintenance needs of the home. Some repairs were needed and were taking a long time to be fixed. The people living in the home had complained about this using the complaints procedure and some had been fixed but Care Homes for Adults (18-65 years) Page 8 of 27 this is an ongoing problem. The front door is broken. People have been using another door for six months. A recommendation has been made for this as it is not in the registered managers control. The doors to the home including the front door have a large, clear glass window in them instead of frosted or coloured glass. This does not protect peoples privacy. The manager said he will see if everyone would like this changed. 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 27 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 27 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. A person does not move into the home without a thorough assessment to make sure their needs can be met. Evidence: No new people have moved into the home in the last year. All the people living in the home have been given a service user guide and part of this is in pictures. The information is clear and tells the people living in the home what support they can expect from the staff and what the home is like. Each person has an assessment when they first move in and a plan of support is written based on this. The staff talk to the person to get to know them and listen to what is important to them. Two assessments were looked at and contained all the necessary information to make sure they can meet their needs in this home. Care Homes for Adults (18-65 years) Page 11 of 27 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home are supported to make their own choices and decisions. Support plans are written with the person and contain all necessary information to meet their individual needs. Evidence: Each person has a written plan of support. Two plans were looked at. These contain information about the person and guidelines for staff on how to support them. Plans contain information about personal care needs including what the person can do and what help they need, what health support they need and if they have any medical conditions that need specialist support. Risk assessments have also been written. These are carried out for everyday activities in the home and activities that the person might want to participate in like cooking, going out shopping, swimming. Some people have difficulty in some social situations and risk assessments are written for this. Guidelines are also written with the risk Care Homes for Adults (18-65 years) Page 12 of 27 Evidence: assessments for what staff should do to support the person. And make sure that the situation is managed to avoid accident or behaviour that can be unhelpful. There are person centred plans that have been produced by the company in addition to the support plans. The key workers are busy completing the information with the people living in the home. The difference between these plans and the others is that they have less words, some pictures and are written so that the individual can understand what is in it. Two of these plans were looked at. One plan did not have much in it yet. The person said that he is talking to his key worker and they are filling it in a bit at a time. There was more content in the other plan. It included photos of him, things I like, what do I want to do or have happen in the future. How the person wants to be supported to make decisions and choices are explained and written in the plan. Each week there is talk time. This is where there is time allocated to the person for them to talk to their key worker. Each week there is a different focus, for example, feelings, relationships, emotions, home and activities. These are all written down and if something needs to be done they decide what that is and it is planned for. There are also group meetings held for everyone to talk about what they want to do during the week this includes planning meals and activities. Care Homes for Adults (18-65 years) Page 13 of 27 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are involved in meaningful activities of their own choice and encouraged to maintain important relationships. Evidence: We saw that everyone was able to choose what they want to do with their time and are supported to have an active lifestyle. There is an activities timetable, which includes horse riding, bowling, swimming, going to arranged discos and social events. College courses are also attended by people in literacy, numeracy and computing. We looked at some of the activities records and spoke to people about what they liked doing. Talk times are held once a week with each individual where they say what they want to do. Once a month a more special activity is planned and during talk time they Care Homes for Adults (18-65 years) Page 14 of 27 Evidence: decide where and what they want to do for this. Recently they have been to Hastings and Brighton. Five people went swimming on the day of the visit. One person was out at the local KCC day activities centre for the day. One person was getting ready to go out during the evening and was talking about what he was expecting. Some people said they also enjoy staying at home. There is a snooker table in the lounge and a large screen TV on the other side. People are also encouraged to participate in the day to day activities of running the home, including housework, shopping and laundry. They are supported to keep their own rooms clean and organised in the way they want it. The people living in the home spoke about their families and meeting up with friends at the clubs they attend. There is a section in the person centred plan to write who is important to the person. We saw that individuals are supported to maintain contact with their families. Visits are also arranged for individuals to go and see their families. Access to parts of the home is restricted due to some of the behaviour of individuals. The manager said this has been risk assessed and for health and safety reasons some areas of the home are locked. The office, the laundry and the kitchen are locked. All staff carry keys. There is a key pad for the external doors including the front door. We talked to the manager about whether it is necessary to have the kitchen locked. The manager said not all the people in the home were at risk of harm if they could access the kitchen. However because of one or two people it was necessary. He agreed to keep this under review and consider alternative ways of managing the risk. The people in the home are involved with the menu planning each week. Some people like to help with the meal preparation. Drinks and snacks are available throughout the day but people have to ask staff and can go into the kitchen with supervision. Mealtimes are flexible and are organised around peoples activities. Records are kept of food prepared and eaten for health and safety reasons. Care Homes for Adults (18-65 years) Page 15 of 27 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. Personal and healthcare support is responsive to the varied and individual needs and preferences of the people living in the home. Evidence: People spoke about how they are supported with their personal care. Each person has a key worker. They get to know the individual and how they like to be supported. Staff said that they make sure that individuals do as much for themselves as they are able. We saw that staff treated people with respect. People said they are able to choose when they want to get up and go to bed, where and when they want to eat their meals and different activities and going out. There is a flexible approach to day to day living. Health action plans have been designed for everyone to assist with their understanding of their own health. Peoples health is monitored closely and additional support needed to manage a health condition is written in the care plan and health action plan. Individuals are supported to attend health care appointments including the dentist and Care Homes for Adults (18-65 years) Page 16 of 27 Evidence: optician. We discussed developing the health action plans to include more about how staff can support individuals to know more about how to understand health care. And what they need to do to take some of the responsibility for this themselves. The manager agreed to include more emphasis on how staff can assist individuals to be aware of what is healthy and what needs to be checked to maintain their health. The people have their medication given to them by the staff. They are assessed to see if they can manage some of their medication themselves. Medication is pre-packed with the doses required for each time and kept in a locked cupboard. There are clear instructions for all medication including additional information for medication that is only given when needed. Only trained staff administer medication and all staff have to read the procedures stored in the medication file. A list of staff competent to administer medication is kept and there is a list of sample signatures. Care Homes for Adults (18-65 years) Page 17 of 27 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has an open culture that allows people to express their views and concerns in a safe and understanding environment. Evidence: There is a complaints procedure with some pictures and symbols to support communication. Each person can also use their talk time with the key worker to express any concerns. We looked at the complaints and compliments folder. This is where the manager writes down information about what people have said and how he has investigated it if that was necessary. There were two recent complaints regarding maintenance issues in the home, where responses to repair the phones and a persons shower were considered too slow. These have been resolved. Staff have had training in safeguarding and Protection of Vulnerable Adults. There is a procedure for staff to follow if they suspect abuse or in the event of an incident where a vulnerable person might be at risk. People have support to manage their money. We looked at some of the records and how the money is stored and accounted for. We saw that there are procedures in place to safeguard peoples money and belongings. Care Homes for Adults (18-65 years) Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is comfortable and spacious. There is no maintenance plan and there is a long delay waiting for repairs or replacement of the fixtures and fittings. Evidence: We had a look round the home and talked to the people living there about what they thought of the building. The home looked clean and well organised. Each persons bedroom was arranged the way they want it. Some people have their own shower rooms and toilets, which they said they like. The front door is broken and has been out of action for about 6 months. Everyone is using an alternative door. Both the front door and the door that is being used are wide and have a large clear glass window in them. The clear glass windows were discussed with the manager in view of peoples privacy, as front doors usually have frosted or coloured glass panels, so you can not see right in as soon as you walk up to the door. The manager said he would talk to the people in the home about how they feel about the doors and take action depending on their response and the companys. There is only a small maintenance department and they have been unable to respond to the maintenance needs of the home in a timely way, like repairing the front door. There are also some minor maintenance jobs like changing a light bulb that the staff are not Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: allowed to do and are waiting for the maintenance person to attend to. The company need to look at the needs of the home and make sure that they are providing a maintenance service that meets these in a timely way. A recommendation has been made for this. The laundry is well situated with all the facilities required and is kept locked when people are not being supported to carry out their laundry. Care Homes for Adults (18-65 years) Page 20 of 27 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 people living in the home have confidence that the staff will support them to meet their needs. Evidence: Most of the staff have worked in the home for some time and have got to know the people living in the home well. The people in the home said that they were well supported by the staff. Staff spoke about what they do. We discussed staff recruitment with the manager. All staff have an interview and two references are requested. A check against the Protection of Vulnerable Adults (POVA) list is made before starting work. Criminal record bureau checks are requested at the same time as the POVA checks. The main staff records are kept at the companys head office. There is a checklist kept in the home. The people living in the home do not participate in the selection and recruitment of staff but their views are listened to when new staff first start working. There is a trial period of time when the staff get to know their role and the people living in the home get to know the new staff. This gives everyone time to decide whether this is the right person for the home. It also gives new staff the chance to Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: settle in and have some initial training to see if it is the right job for them. The new staff work through the induction training workbooks in the home with the manager. Staff work at different times during the day. Some staff starting in the morning and finishing in the afternoon. And some starting in the afternoon and finishing in the evening. Some staff start 15 minutes earlier and some finish 15 minutes later to make sure there is time to pass information between shifts without reducing the staffing level. There are handover sheets for staff to record what has happened and to refer to. The senior staff have a checklist so that they know which tasks they are responsible for during each part of the day. There are always at least 4 staff on in the morning and afternoon and 1 night staff and 1 sleep-in staff on duty during the night. There is also a housekeeper who carries out the majority of the cleaning. The manager works flexibly but usually during the day. We talked to the staff about training. We looked at some of the records and talked to the manager. Staff have recently had training in person centred planning, supporting people with epilepsy, Learning Disability Qualification, Learning Disability advanced training and training in diversion techniques for managing behaviour. One of the staff is the training co-ordinator and makes sure that when staff need training updated the manager is notified and a request is put in to the training department. Caretech provides training for the National Vocational Qualifications from an external training company. Care Homes for Adults (18-65 years) Page 22 of 27 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 well run and in the best interest of the people who live there. The health and safety of the people is generally promoted and protected. Evidence: The manager Paul Speakman became registered in July 2008. The interview he had with the commission showed he has skills and experience to run the home. He was asked to gain a management qualification as a condition of the registration, as having this qualification is necessary for all registered managers. He is currently studying for the Registered Managers Award and then he is planning to study the NVA 4 in management. The company have their own system of monitoring the service provided in all the homes. Caretech employ a quality assurance manager for this. The registered manager fills in an assessment form for the home. Surveys are given to the people living in the home. Surveys are also sent out to families, staff and other professionals. The quality assurance manager gathers all this information together and writes a Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: report. The company development plans for the homes are made from this process. The registered manager said he did not have the company development plan or his own develoment plan in the home. A copy of the company development plan needs to be in the home. This would mean that everyone would know what the outcome of the quality monitoring was and the manager could pass on what is being done well and decide how he is going to make any suggested improvements. The manager agreed to do this. The manager is responsible for the budgeting in the home and has a variety of allowances that he is accountable for, including, fuel, cleaning and food budgets. The way fuel is paid for is being reviewed. At present each person living in the home pays for a part of the cost of the fuel used when anyone goes out in the cars. It is divided equally whether each person has gone out or not. The company are working on changing this so that people only pay for fuel when they have been out in the car. All the staff have attended essential training for health and safety law. The home has regular servicing for its heating, water and equipment. All substances hazardous to health are kept locked away. The manager and staff know who to and when they need to report incidents and accidents. The home has a fire risk assessment. The fire log, where the necessary checks are recorded, was looked at. We saw that the checks that were carried out by staff in the home had been done at the right times. The smoke alarms needed to be checked by the maintenance department, which is company policy. But these checks had not been done often enough. The company needs to make sure that the maintenance department is able to carry out the jobs it needs to do at the right times. This has been included in the recommendation made about the maintenance service as it is not within the registered managers control. Care Homes for Adults (18-65 years) Page 24 of 27 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 25 of 27 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 1 24 The company needs to look at the servicing, repair and refurbishment needs of the home and make sure that they are providing a maintenance service that meets these in a timely way. Care Homes for Adults (18-65 years) Page 26 of 27 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. 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