Care Home: 10 - 11 Rowan Close

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What the care home does well This home provides people with a safe, clean and homely environment to live in. People benefit from having personalised bedrooms that reflect their individuality and enable them to express themselves. People`s personal and everyday care support needs are clearly identified and written up into care plans that provide step by step instructions regarding the level and type of support needed with various care needs. This is especially important, as people livingat the home are often unable to verbally communicate their needs. People have access to a full range of health care support as necessary and receive personal support in the way they prefer and according to their needs. Staff are appropriately trained and recruitment procedures offer the people living at the home protection. What has improved since the last inspection? There were not any issues identified at the last inspection requiring improvement. Since our last inspection the home has continued to keep policies and procedures under review and update the physical environment and furnishings. What the care home could do better: There are no requirements as a result of this inspection. There are things that can be improved such as some floorcoverings and some of the detail recorded in care plans. These issues have however been identified by the home and were being addressed. Key inspection report Care homes for adults (18-65 years) Name: Address: 10 - 11 Rowan Close Pilands Wood Bursledon Southampton Hampshire SO31 8LF     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Chris Johnson     Date: 1 5 0 7 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 27 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: 10 - 11 Rowan Close Pilands Wood Bursledon Southampton Hampshire SO31 8LF 02380407870 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): www.macintyrecharity.org MacIntyre Care Name of registered manager (if applicable) Type of registration: Number of places registered: care home 6 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 6. 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 10-11 Rowan Close is a registered home providing care support and accommodation for up to six adults with learning disabilities. Comprising two adjoining purpose built bungalows that mirror each other in size and layout, the home is accessible to wheelchair users and has been adapted to provide low kitchen surfaces, lowered light switches, specialist baths, moving and handling equipment and wide doorways. The Care Homes for Adults (18-65 years) Page 4 of 27 Over 65 0 6 Brief description of the care home home is located in a residential cul-de-sac on the Pilands Wood estate at Bursledon, and is within 100 metres of local shops, a community centre and a church. 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 purpose of this inspection was to assess how well the home is doing in the meeting of all key National Minimum Standards, compliance with regulations and to assess what the outcomes are for people who live at his home. The findings of this report are based on a number of different sources of evidence. These included: An unannounced visit to the home, which was carried out over one day on 15th July 2009, whereby we looked at all key standards. Any regulatory activity since the last inspection was reviewed and taken into account including any notifications sent to the Care Quality Commission and the predecessor organisation the Commission for Social Care Inspection. The Commission for Social Care Inspection carried out an Annual Service Review (ASR) of the home on 20th June 2008 and this did not change the commissions opinion of Care Homes for Adults (18-65 years) Page 6 of 27 the service or raise any issues for concern. We requested that an Annual Quality Assurance Assessment (AQAA) be completed prior to the visit. We had not received this at the time of this visit. However this has subsequently been submitted by the person currently managing the service and forms part of the evidence for this report. During this visit we looked at the physical environment including, peoples bedrooms and all communal areas of the home. Staff and care records were inspected. Some members of staff were spoken with and others were observed during their day to day interactions with those living at the home. We examined records, policies and procedures. Due to the communication needs of the people living at the home we were not able to hold discussions with them. However we did talk to people briefly, interact with them and spend time observing the care being given to them. The person managing the service was present during the visit to answer questions and discuss issues. Verbal feedback was provided at the end of the inspection. Care Homes for Adults (18-65 years) Page 7 of 27 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 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 9 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. Peoples needs are fully assessed prior to admission so that the individual and the home can be sure that the home is right for them and will meet the persons needs. Evidence: At the last inspection of the home on 25th July 2007 we found this outcome area to be good. Since our last visit there had not been any new admissions to the home. The person managing the service confirmed that there had been no new admissions to the home since October 1999. Therefore the home has not has not had to implement its pre-admission assessment process for nearly ten years. From discussion with the person managing the service we were told that the assessment process was unchanged since the last inspection. This included the opportunity for prospective residents to visit the home prior to moving in. The person managing the service confirmed that the organisation had a written assessment procedure and that this would be implemented should the need arise. Care Homes for Adults (18-65 years) Page 10 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. Care plans provide clear instructions for staff to follow and enable them to provide support and care in a way that people prefer. Evidence: At the previous inspection on 25th July 2007 quality in this outcome area was judged to be good. On this occasion we looked at the care plans of three people who live at the home. Our findings were similar to as the last inspection. All three care plans looked at were written in the first-person and were personcentred. They had all been written from the persons perspective. Sections within each care plan included the following information; Things you should know about me, Snippet of my day, My hopes, dreams and fears, What people say about me and How to support me. The three care plans looked at provided evidence that peoples independence was being promoted and highlighted peoples abilities as well as their needs. Peoples Care Homes for Adults (18-65 years) Page 11 of 27 Evidence: personal care and daily support needs were clearly identified and care plans provided clear guidance regarding the level and type of support needed with various care needs and described the preferred way and method that the person receiving the support liked it to be carried out. The person managing the home told us that they were in the process of reviewing all care plans and associated risk assessments and that this would be completed by the end of August. The reason given for this was that it was felt that some information was outdated. We noted that some information within the care plans was undated and this was brought the attention of the person managing the home. All staff who returned a survey were of the opinion that they were given up to date information about the people living at the home (for example, in the care plan). The home had recently introduced a procedure whereby staff are required to sign to demonstrate that they have read each persons care plans and associated risk assessments. From examination of the three care plans these had all been signed by staff in line with the procedure. We saw evidence that people are supported to make their own decisions, with assistance where necessary and that identified risks posed to each person are managed appropriately. Care Homes for Adults (18-65 years) Page 12 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 living at the home are able to make choices about their life style, and are supported to develop life skills. People are supported to engage in activities and to keep in contact with friends and family. Evidence: Our last visit to the home found that, people who live at the home were encouraged and supported to make choices about their lifestyle and develop skills. During this most recent visit to the home one person was celebrating their birthday with a number of other people who live at the home and the staff on duty. Several people then went bowling accompanied by members of staff. The home has a specially adapted people carrier to enable people with physical disabilities to make the most of outside excursions. Care Homes for Adults (18-65 years) Page 13 of 27 Evidence: Evidence recorded in care plans detailed peoples individual lifestyle choices and their interests. The home environment reflected this with personalised bedrooms and photographs and prints around the home of the people who live their taking part in their chosen activities. One persons care plan listed their personal interests as swimming, trampolining, bowling and going to the cinema. Records held at the home provided evidence that they do have the opportunity to undertake these activities. Due to peoples level of need they are not able to participate in all aspects of domestic life such as cooking and cleaning. However where ever possible this is encouraged. People maintain contact with their families to varying degrees and family and friends are welcome at anytime. Visitors can meet with people in their rooms or any of the communal areas. We saw samples of menus at the home and these were found to be healthy and Varied. Care Homes for Adults (18-65 years) Page 14 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. People are fully supported with their health care needs and have access to a range of specialist health care support. People receive personal support in the way they prefer and according to their needs. Evidence: From evidence recorded in the care plans and from observations and discussion it was evident that people were receiving support with their personal care needs in line with their needs and preferences. The How to support me section within all three care plans that we looked at provided a detailed description of how the person liked to be assisted with their personal care needs. Care plans and associated documents provided us with enough information to demonstrate that health care needs are being met and that people have access to a range of health services. The home had recently introduced new systems for recording and detailing peoples health and medical needs and this included the introduction of individual health and medical profiles for each person. Each file looked at contained a health appointment schedule, indicating the frequency of appointments and demonstrated that people had access to GPs, opticians, chiropodists and dentists as Care Homes for Adults (18-65 years) Page 15 of 27 Evidence: well as more specialist health care services as appropriate to the individual. A summary of each appointment had been maintained and there were also health appointment information sheets that are taken to each appointment whereby health care professionals are requested to sign the sheets detailing the reason for any intervention, the diagnosis and any outcome or advice . Care plans described the level of support required with medication.The How I like to take my medication section within all three care plans that we looked at provided a detailed description of how the person liked to be assisted with their medication support needs. The medication administration records were checked for three people during the visit. From examination of these records it was evident that staff were following correct administration recording procedures. The home has a written medication policy and clear procedures. This included a procedure for place for checking in medicines received into the home, procedures for logging any medicines returned to the pharmacy and regular auditing of the records. The records examined during the visit had been maintained in line with the homes written procedure. The person managing the home reported that the home was not holding any controlled medication, however there was written guidance and appropriate storage procedures should the need arise. Evidence was seen to demonstrate that staff undergo training before being able to administer any medication. Care Homes for Adults (18-65 years) Page 16 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 homes policies and procedures serve to protect those who live there. Evidence: The home reported that they had not received any complaints in the last twelve months. We looked at the complaints log during our visit and can confirm that none were recorded. At previous inspections of the home this outcome area has been judged to have been met. Since the last inspection the home has made efforts to make the complaints procedure more accessible to people living at the home. They have introduced a talking photo book and recorded an audio description of the different stages involved in making a complaint, what will happen and whom people can speak to if they are unhappy. There this is also a pictorial version. Due to the communication needs of people living at the home we were unable to ascertain from them whether this had aided their understanding of their right to complain. However staff have told us that they are aware of the homes complaints procedure and understand their role should a concern or complaint be raised. Examination of staff training files evidenced that staff receive training in adult protection and managing challenging behaviour. Information within the three care plans looked at during our visit to the home detailed each persons way of communicating if they were unhappy with anything. The home supports people to manage their finances. Each person is risk assessed as Care Homes for Adults (18-65 years) Page 17 of 27 Evidence: to their ability to manage their own finances. At the time of this visit a new system had recently been introduced to provide additional safeguards for those needing support with their finances. To coincide with this care plans were being updated and revised risk assessments were being completed. The new system requires a coded tag to be used after each transaction and a regular system for checking the accuracy of peoples balances. We examined the records of two people. All transactions had been recorded and receipted as per the homes policy and the storage facilities were safe and secure. 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. People benefit from living in a comfortable, safe and clean home. Evidence: During the visit to the home we saw all communal areas and each persons bedroom. On arrival, the home was found to be clean and tidy and smelt pleasant. Each persons bedroom had been personalised and reflected the persons individual interests. Some were themed. For example one person liked music and their room had been decorated and accessorised to reflect this. It was reported that one person was in the process of choosing a new colour scheme for their room and the person managing the home provided evidence that the individual was at the centre of this process. Symbols and tactile surfaces had also been fitted around the home to assist people living at the home with orientation and to stimulate them. The home has a sensory room and this contained a variety of sensory equipment including a projector for showing films, speakers, various lighting sources to create different moods, bean bags and other electronic equipment. From observation people were relaxed and at home in the environment and free to access their rooms and other areas as they so chose. Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: The home continues to replace furnishings and update the decor. We were informed that there are plans to redecorate the lounge and replace the lounge carpet in the near future. Work had recently commenced in the garden to create some raised flower beds.The intention being that these will be more accessible to people living at the home particularly those who use wheelchairs. It was identified that the flooring in the bathroom was worn and needed to be replaced. The person managing the home acknowledged this and said that it had been reported and was being dealt with. The home had also purchased some new hoists and a new assisted bath in recent months. The laundry room, kitchen and bathrooms were all seen and it was evident that infection control procedures were being followed. Paper towels and hand soap dispensers were in use used and the home had a cleaning schedule in place. 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. Staff are employed in sufficient numbers to meet the needs of people living at the home. They are well trained and undergo a thorough recruitment process. Evidence: We looked at the staff rota for the day of the visit and this proved to be a true reflection of the actual staff on duty. staff were asked whether there were enough staff to meet the individual needs of all the people who live at the home. One person responded, Sometimes and all others said that there Usually were. MacIntyre Care has an agreement that staff records will be held at their head office. However as part of this agreement they are required to hold evidence within the home that certain checks have been completed including the dates of when these were obtained. We looked at the recruitment records for two members of staff who had been recruited to work at the home since our last visit. This evidence was available for the first person but not fully for the second. The person managing the home contacted head office and obtained the missing information during the visit. Once all necessary information had been obtained we saw that the home had followed an appropriate recruitment process and that this included; the submission of an application form, an interview, the receipt of two written references and that both Criminal Records Bureau and Protection of Vulnerable Adults checks had all been completed prior to the person Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: commencing work at the home. Evidence was seen to verify that both members of staff had been inducted into the home and that they had completed an induction programme that was linked to the Skills for care induction standards. Staff have told us that their induction covered everything that they needed to know to do the job when they started. We know from previous inspections that staff receive training appropriate to their role. When asked whether they considered that they received relevant training all staff who responded to the questionnaire said that they did. We looked at the training records for the two newest members of staff and saw that they had undertaken the following training; medication, first aid, infection control, fire safety, food hygiene, protection of vulnerable adults (POVA), manual handling and safe swallowing in adults with a learning disability. The person managing the home acknowledged that prior to the previous manager leaving there had been a decline in the frequency that staff had received supervision. Records seen at the time of the visit demonstrated that this was being addressed and that formal one to one supervision had been recommenced on a regular basis. The person managing the home said that these will be carried monthly and that additionally an observational assessment of each staff member would be completed to ascertain whether they required any additional training. Our observations with staff were that they were friendly and supportive toward the people living at the home. Staff and people living at the home were observed to be relaxed in each others 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 managed. Safety is promoted within the home. Evidence: Since the last inspection of this home the previous registered manager has left the organistation and since the beginning of June 2009 there has been a new person managing the service. The previous registered manager had also been overseeing the management of another registered home within the organisation and this had meant that they had not been able to dedicate all of their time to the running of Rowan Close. This has had an effect on the service such as the lack of frequent staff supervision. However the person currently managing the home is based at the home full time and has started to rectify this. Examination of a sample of policies and procedures during the inspection demonstrated that these are kept under regular review. We saw that a representative from the organisation visits the home on a monthly basis to monitor the effectiveness of the service. Other systems of assessing the quality of the service include questionnaires for the people who live at the home a nd regular monthly meetings Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: with each person. The Annual Quality Assurance Assessment (AQAA) identified that were plans to improve on this area by training people with a learning disability to carry out their own audits of services and to review the current questionnaire. We saw documented evidence during our visit to the home that maintenance checks, tests and servicing of equipment are carried out regularly. Examination of the fire logbook confirmed that weekly fire alarm checks are undertaken. We saw recorded evidence that regular fire drills take place. 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 Care Homes for Adults (18-65 years) Page 26 of 27 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). 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