Inspection on 13/02/09 for Tanners Wood Close

This inspection was carried out on 13th February 2009.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Tanners Wood Close 14/03/07

Tanners Wood Close 24/01/06

Tanners Wood Close 19/09/05

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

Extracts from inspection reports are licensed from CQC, this page was updated on 10/07/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Tanners Wood Close 5 & 5a Tanners Wood Close Tanners Wood Lane Abbots Langley Hertfordshire WD5 0HR 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: Julia Bradshaw Date: 1 3 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: 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 32 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (20092008) 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 32 Information about the care home Name of care home: Address: Tanners Wood Close 5 & 5a Tanners Wood Close Tanners Wood Lane Abbots Langley Hertfordshire WD5 0HR 01923270270 01923270095 tannerswoodclose.residentialunit@ 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) : Hertfordshire County Council care home 8 Number of places (if applicable): Under 65 Over 65 8 0 learning disability Additional conditions: Date of last inspection A bit about the care home Tanners Wood Close respite care unit is a local authority facility operated by Hertfordshire County Care Homes for Adults (18-65 years) Page 4 of 32 Council, located in a quiet residential area of Abbots Langley. Local amenities and shops are close by. The respite facility comprises of two wheelchair-accessible bungalows providing eight places. The service provides mainly short stay accommodation on a prearranged rotational basis for over 85 service users with learning disabilities, many of whom have complex needs. Staffing numbers and skills and appropriate special equipment are provided that reflect the diversity of the client group accommodated. Care Homes for Adults (18-65 years) Page 5 of 32 Information relating to the service can be found in both the Statement of Purpose and Service User Guide, which are displayed within the main office at Tannerswood Close. The range of fees for respite services are not applicable for the purposes of this report. Care Homes for Adults (18-65 years) Page 6 of 32 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 Care Homes for Adults (18-65 years) Page 7 of 32 How we did our inspection: This is what the inspector did when they were at the care home The focus of the inspections undertaken by We looked at four care plans and tracked individual care for those people As part of the planning we looked at the information we received including the Annual Quality Assurance Assessment (AQAA), any concerns, and feedback received from relatives, staff and the people who use the service. We observed staff at work and how they interacted with the people who use the service. Care Homes for Adults (18-65 years) Page 8 of 32 A selected tour of the building was conducted during which the inspector spoke with people who use the service, staff and visitors and the Registered Manager. The last Key Inspection was conducted on the 13th March 2007 with an Annual Service Review being conducted on the 9th January 2009. The fee range for the service is not available. However the fee range is dependant on individual needs. The fee would exclude personal items, hair dressing, some personal choices for trips, newspapers, toiletries and other personal items of choice. Care Homes for Adults (18-65 years) Page 9 of 32 What the care home does well This respite care service provides a diverse range of support and care to people with both a learning disability and physical disability, with 84 families on the register who require the respite services at Tannerswood Close. There are detailed care plans in place which have involved those people who use the service. Tannerswood Close provides detailed information about the service. Care Homes for Adults (18-65 years) Page 10 of 32 Bedrooms and communal areas have been redecorated and recarpeted and provide a well maintained and well presented private space for individuals which promotes peoples dignity and provides an acceptable level of comfort and individuality. The staff spoken to during the inspection appeared to have a clear understanding of their individual roles and responsibilities. The service has clearly defined job descriptions. Staff have received a series of mandatory training in order to carry out their roles effectively and professionally. Care Homes for Adults (18-65 years) Page 11 of 32 The registered manager is very competent and experienced in the field of learning disabilities and mental health and has created a very welcoming and inclusive environment for people to both service users and staff. What has got better from the last inspection A new kitchen has been fitted in House 5. The grounds have been decked and are in the process of being further improved and new carpeting has been fitted in two bedrooms of House 5A. Care Homes for Adults (18-65 years) Page 12 of 32 A games room has been set up to provide the people who use the service with a choice of activity. The rotas have been adapted and extended to provide daytime activities for people who currently do not have a day care placement .This additional service is another example of how the staff team are both committed and creative in striving to develop ways in which the service can continually be improved. What the care home could do better There is little that Tannerswood Close needs to do to further improve their respite care Care Homes for Adults (18-65 years) Page 13 of 32 services. The manager has highlighted in the recent AQQA completed in January 2009 that the following areas require further development within the next twelve months. Request for an intense clean via Aldwyck Housing Association. Replace the dining room chairs in House 5A. To continue to improve the grounds and garden areas with a sensory area. The manager has also highlighted the plans to increase the opportunities for people to take people out, with a target of at least four times a week. Care Homes for Adults (18-65 years) Page 14 of 32 The two remaining bedrooms within the respite care unit should be fitted with overhead tracking in order to improve the frequency of stays for some people with complex needs. If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Julia Bradshaw CQC Capital Park Fulbourn CB21 5EX 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 15 of 32 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 16 of 32 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. Information about the service is kept up to date and provided for all prospective users of this service and everyone wishing to enter the home has a full assessment of need completed. This ensures that all parties can be sure the home can meet all individual needs. The terms and conditions of the home are agreed in writing so that people are clear about the roles and responsibilities of all those in the home. Evidence: The Statement of Purpose is updated and reviewed annually or, as and when required. The Statement of Purpose and Service Users Guide are two separate documents. A copy of the Service User Guide should be provided to all service users. A comprehensive assessment is completed for all new service users. It is in the format that is easily interpreted and covers all aspects of care needs and the services that are provided to meet them. Referrals are taken directly from Social Services District Teams, or from private individuals. It is the responsibility of the manager or seniors to carry out a service delivery assessment prior to the service commencing. The assessment includes discussion with the service user regarding needs and choices, details of other agencies involved, support mechanisms, risk assessments including medication (where necessary) and to access any other relevant information. Care Homes for Adults (18-65 years) Page PAGE of NUMPAGES 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. Care plans reflect a detailed and detailed record of peoples needs, which ensures that people using the service are assessed, receive a service that meets their needs that is also reviewed and safe from risk. Evidence: People living at Tannerswood Close have an individual care plan and an allocated key worker to support them in the service. Detailed pen pictures are in place for each person and provide good information goals, likes and dislikes of the individual. People appeared to have been involved in the development of their support plans and consulted in the way that care is received in terms of preserving rights and dignity. Individual daily notes and guidelines for the people living within the service were available. People who use the service are supported within either the Care Management or the Whole Life Review framework. Risk assessments have been reviewed and updated since the last inspection was carried out. Staff work with people to assist them to lead safe and enjoyable lives and regarding decision making and offering support where needed. People spoken to on the day of the inspection and comments received by way of surveys carried were all positive about the way that care is received in terms of preserving rights and dignity. Care Homes for Adults (18-65 years) Page PAGE of NUMPAGES Evidence: People spoken to stated, I like the staff here, they are kind to me. The Community learning disabilities team based in Watford provides health care support. Care Homes for Adults (18-65 years) Page PAGE of NUMPAGES 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 can feel assured that they will be offered and receive appropriate opportunities for social/leisure and community involvement, which meets their needs and expectations. Evidence: Staff endeavour to support service users to continue with the regular activities and commitments they take part in, when they are not in the respite unit. Evidence was seen of on-going work taking place between families and care staff from the unit. There are written guidelines on promoting individual choice and staff clearly promote this policy. The parameters of the daily routines in the unit are also set out in the information given to service users and their families. The care staff prepares a weekly list of activities and residents are able to take part in these events if they wish. Visits to religious services or to regular therapy sessions would be supported by staff in the home whenever possible. Service user are able to take part in any appropriate local events, with staff support, whilst staying at Tannerswood Close. Appropriate relationships are supported by staff and relatives of service users are involved in all aspects of daily life in the home. Menus were inspected and offer a Care Homes for Adults (18-65 years) Page PAGE of NUMPAGES Evidence: range of diverse meals that are representative of the cultural needs and wishes of the people currently staying at Tannerswood Close. People are also encouraged to support in preparing meals in the kitchen , as appropriate. Care Homes for Adults (18-65 years) Page PAGE of NUMPAGES 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. People who use the service have their health and personal care needs carried out effectively and respectfully, ensuring that their wishes and choices are promoted. Evidence: All care provided is individual to each persons needs in line with each persons choices. Assessments are completed ensuring that the approach adopted is person centered and holistic to each person. People are supported with all aspects of their physical and emotional health needs. There are male and female care staff on the staff team and the service is therefore able to fulfil any gender preference an individual might have for staff providing personal care. Appropriate aids and adaptations are in place to promote service user independence and staff work closely with other health professionals where additional support is required. There is always a member of staff with a First Aid qualification on duty which ebsures the safety of people staying at Tannerswood Close. The procedures for the administration of medication were checked and were thorough to ensure people are kept safe. The service ensures that two competent members of staff administering medication. Photographs of service users and details of all medication taken are recorded on entry and relatives sign for the administration of any non-prescribed medication. A new record sheet is produced for each service user, every time they enter the home and documents and risk assessments are completed for residents who self-medicate (where necessary). Care Homes for Adults (18-65 years) Page PAGE of NUMPAGES 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 living in this service can be assured that they will be protected from abuse and that they will be listened to if they raise any concerns or make a complaint about any aspect of their care. Evidence: The service has a detailed complaints procedure in place. A record is maintained in the service of any complaints made detailing actions and outcomes as necessary. Two people spoken to stated that they knew who to talk to if they had reason to complain. The recent Annual Quality Annual Assessment (AQAA) stated that 7 complaints have been received since the last inspection was carried out and 5 of these had been upheld. A detailed procedure is in place to ensure that people using the service are protected from abuse and harm. Staff receive suitable and adequate safeguarding training. Staff employed within the home are all subject to enhanced Criminal Records Bureau disclosure. Care Homes for Adults (18-65 years) Page PAGE of NUMPAGES 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 environment is maintained to a standard where people using the service can feel comfortable, safe and protected. Evidence: Several areas of the service have been improved for the benefit of the people who use the service since the last inspection took place, these include, an outside summerhouse being installed, the kitchen in House 5 has been completely refurbished, two bedroom carpets in House 5A have been replaced. All communal areas of the service are brightly decorated with new furniture in the main lounge and several bedrooms have been re-decorated with new flooring during recent months. A games room has been set up since the last inspection took place. The outside area has been decked and continues to be further developed in order for everyone to have easy access to the external grounds of the home. There are adequate communal areas with a range of home entertainment systems in place. All health and safety monitoring was up to date, including fire records and hot water temperatures. The manager stated that it would be greatly beneficial for two further bedrooms to have over-head tracking fitted, in order to improve the opportunities for people with physical disabilities and complex needs to be accommodated within the respite calendar. The lack of availability of these rooms with specialist facilities means that some respite service users cannot always be accommodated together. We saw that the home was clean and odour free on the day of the inspection. The cleaning is carried out by the care staff and with service users assisting where possible. The manager and care staff monitors this to ensure that standards of Care Homes for Adults (18-65 years) Page PAGE of NUMPAGES Evidence: cleanliness are maintained. The kitchen and laundry rooms are domestic in style and appear to manage their current workload effectively. There was adequate hand washing facilities within the service to ensure effective infection control procedures can be followed. Care Homes for Adults (18-65 years) Page PAGE of NUMPAGES 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A loyal, experienced and well-trained staff team ensures people using this service are provided with a good level of what and supporting documentation confirmed people are protected. Evidence: The manager and management team works extremely hard in striving to further develop the standards for the people staying at Tannerswood Close. Recording systems are detailed and comprehensive. Staff training is varied and staff are able to access a range of both diverse and mandatory training. Recent training includes, Autism Awarness, Epilepsy, Train the trainer (Makaton) Challenging Behaviour, Medication, Learning Disability and mental Health, Safeguarding and Mental Capacity Act training. During this inspection there were several examples observed where staff clearly demonstrated their commitment to their work in caring for the people who use the service. Two members of staff spoken to during this inspection stated that they found the manager approachable and the training opportunities were very good The rota was checked on the day of this inspection and the service demonstrated that adequate staffing is provided on both day and night shifts. There are two team leaders allocated to this respite unit and acore statt team of 3 or 4 staff pershift, depending on the needs of the service users. Additional staff are provided where and when appropriate. The manager is supernumerary to these staffing levels. The recruitment records of 3 staff, including the most recent appointment were Care Homes for Adults (18-65 years) Page PAGE of NUMPAGES Evidence: viewed, evidence demonstrates that there are thorough recruitment practices within this service, which means that people living at the Tannerswood Close can be reassured that they are protected by the effective recruitment systems in place. Staff confirmed that they received a job description on starting employment and they underwent a period of induction. Staff received regular, recorded formal supervision and Appraisals. The recent Annual Quality Assurance Audit stated Performance Management - we undertake formal, written supervision on a monthly basis in addition to ad-hoc supervision on a daily basis. Written records are kept on each staff members individual file and an annual appraisal (also written) is undertaken. A six monthly review of the appraisal is an addition to supervision. The manager and staff team have worked hard to facilitate several of the service users who do not currently have a daycare placement by providing support throughout the daytime. However this has put a strain on the current resources of the staff team and has required staff to be extremely flexible with the current rota. The whole staff team should be complimented on providing this additional resource. The service currently has two care worker vacancies and the manager is hopeful that both these posts will be filled in the near future. Care Homes for Adults (18-65 years) Page PAGE of NUMPAGES 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. Service users can be assured that they are protected by the Health & Safety procedures in place, that theirhave their views listened to and benefit from a well managed home, with a supportive staff team and are protected by the Health and Safety procedures in place. Evidence: The manager of the home is registered with the CSCI and has completed NVQ level 5 training. The manager has successfully managed the whole of Tanners Wood Close for a number of years and has enabled the smooth separation of service provision into the respite care unit and the remaining supported housing provision. The manager currently manages both areas and is also responsible for providing the domiciliary care to the service users in supported housing. There is clearly a very good working relationship between senior staff members, which benefits the whole staff team and therefore the service users. A Quality Assurance system, linked to that of the Local Authority is in place. Leaflets asking for comments on the services provided are sent out to service users twice each year. The service could further benefit from developing all information that is provided to service users, in a format that is easily understood by all service users and covering all abilities. This information should also be provided in pictorial and on audiotape, where Care Homes for Adults (18-65 years) Page PAGE of NUMPAGES Evidence: necessary. The staff team have worked hard to further develop relationships between the families carers and holds regular co-ordinator meetings to improve communications. The service also sends out annual stakeholder and relative questionnaires as part of the Quality Assurance programme. The manager ensures that supervisions and staff training are held regularly and two staff spoken to on the day of this inspection staff confirmed that they feel very supported and respected by the manager. People are safeguarded from harm by the homes recruitment procedures, safeguarding training and the complaints procedure. The manager continues to further develop the Quality Assurance System in all areas of the service in order to ensure there is regular monitoring and reviewing to improve areas of development, with a particular focus on service user involvement. All records inspected were secure and were up to date and held in accordance with the Data Protection act 1998 ensuring that peoples rights and best interests are safe guarded by the homes polices and procedures. Individual and generic risk assessments have been reviewed within the past year to ensure people living at Tannersdwood Close are safe and protected. The general standard of health and safety including the fire checks is excellent and fire records on the day of the inspection were up to date and recorded accurate. There are systems in place in order to ensure that everyone living, working or visiting this service are protected from cross infection. Care Homes for Adults (18-65 years) Page PAGE of NUMPAGES Are there any outstanding requirements from the last inspection? Yes  No  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 30 of 32 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 Description 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 Description 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 31 of 32 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone : 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 32 of 32 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!