Care Home: 130 Whitworth Road

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What the care home does well People are supported by a long standing staff team who support them in all aspects of their lives. The environment is clean and cosy, calm and homely place where people are encouraged to express their views. Good systems are in place which ensure that peoples` end of life wishes are carried through to provide dignity and respect during their illness and death. People said "I go on holidays, get involved with activities and more". The home has developed a number of pictures and symbols to assist the residents to make decisions and share their opinions. What has improved since the last inspection? The service has met the requirement from the previous inspection which was to identify any potential risk to the residents and to keep them under review. What the care home could do better: The property is in need of redecorating which would make the home a pleasant place to live for the residents. Key inspection report Care homes for adults (18-65 years) Name: Address: 130 Whitworth Road 130 Whitworth Road Swindon Wiltshire SN25 3BJ     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: Kath Houson     Date: 0 3 0 8 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: 130 Whitworth Road 130 Whitworth Road Swindon Wiltshire SN25 3BJ 01793651678 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: www.milburycare.com Milbury Care Services Ltd care home 4 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is 4. Date of last inspection Brief description of the care home Whitworth Road is a care home which provides personal care and accommodation for 4 people with learning disabilities. The property can be described as a detached house with domestic facilities. The home can be found in the residential area of Swindon. People who live in the home have easy access to a number of local shops and amenities including the town centre which can be found close by. The aims and objectives of the service are to provide a high quality, good value service which is responsive to the needs and aspirations of the people who use the service; we encourage people to achive their maximum potential in social and everyday living skills so they may live an independent life.The home has 24 hour staff cover and is supported by a long standing team of staff. The home now has a permanent manager in place. The home is one of a cluster of homes owned by Voyage Ltd. The fees charged for each placement is based on an indivdual assessment of care needs; and range from GBP1200-GBP1600 per week. Items not covered by the fees are: chiropody, hairdressing, daily newspapers and the dental hygienist. Care Homes for Adults (18-65 years) Page 4 of 27 4 Over 65 0 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: We looked at: Information we received since the last visit on 9th August 2007. How the service dealt with any complaints and concerns since the last inspection visit. Any changes to how the home is managed. The providers view of how well they care for the people who use the service. The visit: An unannounced visit was made on 3rd August 2009. During the visit we: Care Homes for Adults (18-65 years) Page 5 of 27 Talked with the people who use the service, the staff team and the manager. Looked at information about the people who use the service and how well their needs are being met. Looked at other records such as the homes polices and procedures, staff rotas and the medication procedures and practice. Checked that the staff team had the knowledge, skills and training to meet the needs of the people who use the service. Looked around the building to make sure it was clean, safe and comfortable. Checked what improvements had been made since the last inspection visit. We informed the manager what we found during the inspection. Care Homes for Adults (18-65 years) Page 6 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 7 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 8 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. Potential admissions are given sufficient information which helps them to make an informed choice about their place of residence. A comprehensive assessment of needs is carried out before and after admission which ensures that peoples needs can be appropriately met. Evidence: The homes Statement of Purpose (SoP) provides people with sufficient information about what the service has to offer. This helps people to make an informed choice about their potential place of residence. The SoP contains information which describes the care provider Voyage; a brief summary of the service and their aims and objectives which include; to provide high quality, good value services, which are responsive to the needs and aspirations of the people who use the service. The aims continue to say people are encouraged at Whitworth Road to achieve their maximum potential in social and everyday living skills so they may live an independent life. Potential admissions have their needs assessed by the manager and other suitably qualified members of staff. A pre and post assessment of need is made which ensures Care Homes for Adults (18-65 years) Page 9 of 27 Evidence: that the service can meet peoples needs. The service also encourages the existing residents to take part in admissions. This encourages people to be active in their own home. The manager would follow the organistions admissions procedure and encourage potential admissions to take part in a trial admission which includes a short visit to the home and overnight stay. People had contracts and their own individual copy of the homes SoP in their files. The contracts show residents rights and the obligations and responsibilities of the service provider. All the residents when asked if they wanted to move into this home? said yes. 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. People who use the service are confident that their needs can be met and that they are involved in the planning of their care. People are supported to make their own choices and the risk assessments reinforce the decisions people make. Evidence: A selected number of care plans were looked at and found to contain; individual photos, likes and dislikes, medication, plan of support, physical health plan, communication skills, daily routines, risk assessments, weekly plans and activities plans. There is also a separated folder which staff would take if residents have sudden hospital admission. This folder includes a hospital plan which details how people wish to be treated whilst in hospital. Some of the care plans are being changed to a new format. The care plans show residents involvement in the planning of their care which affects their quality of life. Staff spoken with understand the importance of residents taking control of their own life and support the residents. Care Homes for Adults (18-65 years) Page 11 of 27 Evidence: The care plans show that people make their own decisions for example; residents inform the staff that they wish to take part in other types of activities such as horse riding. The staff support the residents to find and take part in new hobbies and pastimes. This was evident in their care plans. For example, the staff team have devised a learning log which informs them of what has worked well and what could be done better. Residents are encouraged to take risks as part of their independent lifestyle which is based on the use of the learning log. This document includes information about residents aspirations and is used instead of a daily diary. The information is then pulled together to see what has been achieved for the residents. For example, residents likes are supported ,planned and risk assessed to ensure that their aspirations are met within safe conditions. The outcome for the residents means that they could take part in new activities such as horse riding in a safe and risk assessed way which promotes their independence. The homes Annual Quality Assurance Assessment (AQAA) states the home is looking at introducing more diverse range of activities and work placements for the residents. The use of the learning log can be seen as a step towards helping the residents to take part in a new and exciting range of activities which would promote their independence. The residents said in their surveys I can do what I want during the day, evening and at the weekend. 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 who use the service enjoy a stimulating lifestyle with a number of options to choose from which promotes their independence and their personal development. People benefit from meals that are well balanced with a wide and varied choice of healthy options. Evidence: People who use the service each have a lifestyle activities programme in place and are supported to take part in their own personal development and activities of their own choice. Residents activities range from attending Gateway Club,which close during the summer months, horse riding, lunching out and barbeques which tend to be planned at a variety of venues. Residents also attend community events such as summer fetes, local discos and sponsored walks. The residents benefit from having their own vehicle which enhances their independence. Care Homes for Adults (18-65 years) Page 13 of 27 Evidence: The staff team are working towards the residents becoming more involved in their community. Residents showed an interest in the Air Tattoo and the staff team took steps to ensure that the residents wishes to attend this aerial event happened. People are encouraged to maintain contact with family and friends. For instance care plans showed where arrangements are made for visits and contact with family and friends to happen. The home has a pictorial menu board which shows the items of food residents have chosen. The menu has a wide range of healthy options. During the inspection a resident said they would be helping to cook the tea. 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 have access to specialist healthcare services and benefit from the personal and emotional support. The homes medication practice protects people from errors with their medications; this could be improved with the help from the GP surgery and the pharmacy. Evidence: People who use the service each have individualised personal and healthcare support plans which include health action plans. This document consists of all the specialist appointments people have such as the dentist, optician and chiropody. Other documents which address peoples emotional and health needs are the hospital action plan. This document is used when people have an emergency admission into the hospital. It also details how people wish to be treated during their stay in hospital so that the hospital staff are aware of the individuals needs. All these documents were found to be well recorded and contained sufficient information for the staff team and other healthcare professionals to follow which would ensure that people who use the service are being treated according to their preferences and routines. The homes AQAA clearly states that the staff team would have a strategy for each individual should they require emergency admission into hospital. This was evident in the care Care Homes for Adults (18-65 years) Page 15 of 27 Evidence: plans. People were spoken to respectfully and each member of the staff team knocked on peoples bedroom door before entering. This shows that the staff team are aware of peoples dignity and exercise respect to the people who use the service. The service has an effective medication procedure which was assessed during the inspection. There was a lengthy discussion which took place about the delivery of the medication and peoples prescriptions. The staff team conducts its own weekly medication audit which allows them to assess the residents medication with the view to discuss any concerns with the General Practitioner (GP). However, there was a concern that the prescriptions and the medications were being delivered at different times during the month. It would be far safer if the medication and the prescriptions were delivered to the home at the same time. This would enable the staff to check the prescriptions against the medication and take note of any change to peoples medications. Although the home has not reported any medication errors this practice with the assistance from the pharmacy and the GP surgery would ensure that the potential for error is kept to a minimum. 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. People benefit from a complaints procedure which is clearly written and is available in a number of formats. The policies and procedures for safeguarding adults keep people free from potential risk of neglect and abuse. Evidence: The home has a complaints procedure which is available in a number of different formats. People are encouraged to make a complaint and are given a freepost card to write to the organisation themselves should any concerns arise. People with sensory disabilities are given emotionion cards which consist of happy, sad or indifferent facial gestures/features. This provides people with sensory difficulties the ability to communicate and thus express their views and opinions. The home has a complaints log book where one complaint had been reported; although the response has been filed with the residents documents for confidentiality; there was no entry to show if the concern had been dealt with in a timely manner. The home most recently had a compliment from social services who had expressed their thanks for all the support you have given the residents during their time of loss. The staff team in the home are fully trained in the Protection of Vulnerable Adults (PoVA). The subject of safeguarding adults and the mental capacity act are discussed Care Homes for Adults (18-65 years) Page 17 of 27 Evidence: at staff meetings and forms part of the staff induction programme. The No Secrets in Swindon & Wiltshire is readily available at the home and contains contact details, flowcharts for potential alerters and basic guidance for reporting and responding to allegations of abuse within the home. The home has copies of the Department of Health (DoH) booklet Deprivation of Liberty Safeguards available for all of the staff team to read and discuss. Good systems are in place for the safekeeping of peoples monies and people are supported to manage their funds. The staff training matrix shows that the staff team are up to date with their PoVA training which helps to keep people free from abuse and neglect. Residents said we know how to make a complaint. 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 live in a home that is pleasant and meets their physical needs. The planned decorating programme would provide people with an improved and comfortable place of residence. Evidence: 130 Whitworth Road is a four bedded detached property which has domestic facilities. Each of the bedrooms has en-suite shower facilities and good fixtures and fittings. The bathroom has a large corner bath which give people the added choice of bathing facilities. There is a good size kitchen which is neatly organised for people to take part in planning and cooking the meals. The lounge and the diner look out into a good size garden which is laid to lawn. There are mature shrubs and a ramp for easy access into the garden for wheelchair users. The property is located on a busy road but inside the house it is fairly quiet. The house is a pleasant place for people to live and reflects peoples individual tastes. The manager said the plans to redecorate are on hold at the moment as the residents and the staff team are involved in planning a big event once that is over we will start decorating. The residents have commented that the home needs new flooring and decorating another said the home needs decorating. Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: During the inspection the house was found to be clean and tidy with no offensive smells detected. 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. People benefit from an effective staff team who are competent to meet their needs. The staff rota shows there are sufficient levels of staff to provide flexible care for the people who use the service. People are protected from the robust procedures and practices when recruiting new members of staff and people play an active role in the recruitment of potential staff members. Evidence: The staff team consists of a core of care workers who are long standing and provide 24 hour care to the people who use the service. People who use the service are confident in the staff team that cares for them. This was evident from the surveys received for instance residents said the staff are friendly others said good communication between the staff and us residents. The staff rotas show that there are sufficient members of staff per shift to meet peoples needs. The staff team undertake training which provides them with the necessary skills to meet people needs. For instance staff spoken with said I go on regular training such as medication administration. The training needs of the staff team show that these have been met via the homes training matrix. The training for the staff team is continual and follows on from the induction programme; many of the staff team have the National Vocational Qualification (NVQ) levels 2 & 3. Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: People are protected by the homes and the organisations practice and procedures for recruitment and selection of new members of staff. The manager said I was also interviewed by the residents of the home. Staff files were looked at and found to contain good recording of the information for new recruits. The information included; an application form, job description, terms and conditions, two references, form of identification and account of their experience; enhanced Criminal Records Bureau (CRB) checks were carried out. The residents are also trained to interview and are involved in selecting new members of staff and show them around the house. This shows that residents have an active role and exercise their rights when deciding who can work at the home. Staff spoken with said that they received appropriate training and the training was ongoing. The manager also delegates some of the household chores to staff members to ensure that everybody works as a team. The staff team said they received regular supervision and the staff files containing the supervision notes confirmed that this takes place once every eight weeks. Regular staff meetings take place and the notes of the recent meeting confirmed that the team meetings happen on a monthly basis. The meetings appear to be informative and responsive to the service which ensures that any information which concerns peoples welfare is then cascaded to the staff team. The staff communication book is also used to share messages with the staff team. 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. People benefit from a home that is well managed; an effective management of care and good communication between the people who use the service and the staff team ensure that people continue to have a good quality of life. Evidence: The current manager had been in post for 1.5 months. An application to become the registered manager for the home has been sent into the Central Registration Team (CRT) for processing. The manager was able to take part in the inspection and was able to produce all documents requested. The manager has showed that she has the skill to manage this home. The staff team said its good to have a manager that is able to pull everything together. The home has an open door culture and the residents and staff team were seen to be relaxed in her presence. The manager delegates household tasks to members of staff with the aim to involve them in keeping the home a safe and well protected place of work. For example, the staff team are involved in making sure that; the water temperature has been checked and monitored, the monthly hazard inspections has been carried out to ensure that Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: the home is a safe place for the residents and those who enter the building. The food temperatures are checked to ensure people can eat their meals safely, the residents vehicle is also checked to ensure that it is safe to transport people to their destination. The staff team make sure that the vehicle is taken to the garage on its due date for its annual check up. The fire safety checks are carried out and the residents are trained in fire evacuation. All the documentation for the safety checks within the home were well recorded and up to date. The home has regular residents meetings where people who use the service have the opportunity to voice their opinions; the notes of the most recent meeting were seen. The home has a quality assurance system in place; regular visits from the area manager and members from the Voyage organisation make regular monthly visits. These visits are consistent and up to date. The manager ensures good health and safety practices for instance, the fire hydrants, fire alarms, emergency lighting, fire exit routs evacuation equipment have all been checked and documented. This was seen and found to be up to date. This demonstrates that the home is a safe place for people to live and for visitors.. 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). 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. Care Homes for Adults (18-65 years) Page 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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