Care Home: 23 Mount Pleasant

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What the care home does well The staff make an effort to find out what people living in the home like to do and try to make sure that they can do it. The staff are friendly they encourage and support people to be as independent as they possibly can be. The staff ensure that a persons privacy and dignity is preserved by providing person centered and individual care. The home is very well managed and run, the management team make sure that the people living at the home are safe and well cared for. The recruitment procedures are robust and staff get sufficient training to do their job. People can get clear information on the service and what can be expected if they decide to live at the home. The documents are reviewed on a regular basis and are available in a variety of formats. What has improved since the last inspection? Maintenance, redecoration and refurbishment continue on a rolling programme to ensure that the property remains at a good standard of decor and repair. The care plans have been further developed and include a 24 hour support plan to ensure that people are receiving the care they require at the time they require it. What the care home could do better: From the information provided in the AQAA and from the findings of this inspection it is considered that the service is currently performing well and setting its own objectives for continual improvement. No requirements and recommendations have been made as a result of this unannounced inspection. Key inspection report Care homes for adults (18-65 years) Name: Address: 23 Mount Pleasant 23 Mount Pleasant Chesterton Newcastle Staffordshire ST5 7LH     The quality rating for this care home is:   three star excellent 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: Joy Hoelzel     Date: 1 7 0 6 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: 23 Mount Pleasant 23 Mount Pleasant Chesterton Newcastle Staffordshire ST5 7LH 01782565437 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: mntpleasant@choiceshousing.co.uk Choices Housing Association Limited care home 8 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability physical disability Additional conditions: The maximum number of service users who can be accommodated is: 8 The registered person may provide the following category of service only: Care Home Only (Code 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) 8 Physical disability (PD) 4 Date of last inspection Brief description of the care home 23, Mount Pleasant is registered to provide care for eight Adults with a learning disability, four of whom may have a physical disability. This is one of a group of homes managed by the Choices Housing Association that is based in North Staffs. It is situated in the midst of local residential properties, close to shops and other neighbourhood facilities. It is not distinguished by signs or other means as a care home, and is in keeping with other adjacent properties. Care Homes for Adults (18-65 years) Page 4 of 27 Over 65 0 0 8 4 Brief description of the care home This accommodation is purpose built and situated on two levels. Each level provides a self-contained unit, which accommodates four service users. Access between the two floors is via a staircase. The ground floor comprises of four single bedrooms, spacious lounge, spacious kitchen/diner, assisted bathroom, separate toilet and laundry. The first floor comprises of four single bedrooms, spacious lounge, spacious kitchen/diner, assisted bathroom, separate toilet and an office, which also serves as the staff sleep-in room with en-suite facilities. [Currently night staff are watchful waking, and the facility is retained for anyone who wishes to be accommodated during the terminal phase of the life of someone who uses the service to whom they are very close, such as a parent] The grounds are compact but well maintained, with a private and enclosed patio area to the rear accessible to all service users. Information of the home and the provision of the service are available in the statement of purpose and service user guide, both documents have recently been revised and are readily available. The actual fees are not included in the service documents but are dependent on the care package required. The reader may wish to obtain more up to date information from the care service. Care Quality Commission reports for this service are available from the provider or can be obtained from www.cqc.org.uk 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: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The last unannounced key inspection was carried out on 8th June 2007, with an annual service review 24th October 2008. The home did not know the exact day we would be visiting to inspect the home on this occasion. A look around the home took place, which included a number of bedrooms as well as communal areas. The care documents of a number of people using the service were viewed including care plans, daily records and risk assessments. Other documents seen included medication records, service records, some policies and procedures and staffing records. Discussions were held with people living and working in the home. However some people were unable to fully comment about their experience of life at the home. Observations were made of how they spent the day and of the interactions offered by staff in an attempt to obtain an overview of how they may be feeling. Prior to this inspection an Annual Quality Assurance Assessment (AQAA) document was Care Homes for Adults (18-65 years) Page 6 of 27 posted to the home for completion. The AQAA is a self-assessment and a dataset that is filled in once a year by all providers. It informs us about how providers are meeting outcomes for people using their service and is an opportunity for providers to share with us areas that they believe they are doing well. It is a legal requirement that the AQAA is completed and returned to the commission within a given timescale. The registered manager completed this document and returned it to us. Comments from the AQAA are included within this inspection report. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People wishing to move into the home can be confident that their needs will be met. Evidence: Information on the service is available from the home in the form of a Statement of Purpose and a guide for people living at 23 Mount Pleasant. Both documents have recently been reviewed and revised and offer details of all aspects of what can be expected when living at the home. The guide can be available in bold print, audio cassette and other languages on request. The guide has information on the fees but the actual amounts are not recorded as this is very much dependent on the level of care and the support required. More information on the fees is available directly from the home. The AQAA told us that it operates an effective admissions policy by arranging Pre admissions trial/period to assess suitability and compatibility of all parties. Social worker involvement, liaison with multi disciplinary teams and health professionals, full family involvement encouraged. Care Homes for Adults (18-65 years) Page 10 of 27 Evidence: We looked at the case files of two people currently living at the home and found that comprehensive assessments of their care needs were obtained prior to offering a place at the home. Information had been gathered from various specialist agencies and an assessment of care needs had been conducted by the home. The deputy manager explained the process and confirmed that people and their representatives are invited to visit the home prior to making the decision to move in. This gathering of information ensures that the service and the person can be confident that care needs can be satisfactorily met. The people at the home were unable to comment on the admission procedures but indicated with a thumbs up gesture that they were happy and settled with life at the home. Care Homes for Adults (18-65 years) Page 11 of 27 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home are supported to make informed choices, understand the range of options available to them and to take responsible risks. Evidence: The AQAA, completed by the manager told us that they have Risk assessment and risk management strategies for all service users, and that Service users individual needs and wishes are taken into account when choosing a personal carer and where possible, interests and hobbies are co-ordinated to maximise levels of engagement and enjoyment. It went on to tell us that there is a Pro-active approach to managing service users who may experience disruptive/volatile or aggressive behaviours. Comprehensive management plans in place to guide staff. And that they operate a Person Centred Team approach. We looked at the case files and care records of two people currently living at the home. The plans are informative, and in parts in a pictorial format to assist the person to participate fully in the planning of their care. We saw that the plans were based on Care Homes for Adults (18-65 years) Page 12 of 27 Evidence: the care needs and preferences of the individual. For example one person experiences periods of distress which can put themselves and potentially other people at risk of harm. The care plan gave full details of what may trigger these periods of upset and the action to be taken to reduce the risk of harm. Staff described how they help and support this person each day and during the periods of distress. The case files contain a 24 hour support plan based on the preferred activity of the individual and includes the preferred time of getting up in the morning, the level of assistance a person requires and how the person likes to spend their day. To further promote and preserve independence an assessment has been carried out in relation to the Mental Capacity Act and includes information on the decisions I can make for myself, decisions I need support with and decisions to be made in my best interests. This ensures that people are fully supported to make decisions about their lives and that their wishes and aspirations are carried out. Some people have difficulty with verbally communicating their needs and preferences. Included in the case file is a person centred plan that records the behavioural cues that are used for conveying what a person may or may not want or what they are experiencing. We observed people at the home interacting very well with each other, both verbally and non -verbally. Through out the time of this visit to the home we observed staff offering choices and assisting people with deciding the activity of the day. It was decided that the local pub would be visited for lunch. The people were unable to communicate verbally but gestured that this was a very good decision. Care Homes for Adults (18-65 years) Page 13 of 27 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the service are involved in daytime activities of their own choice and according to their individual interests and capability; they have been fully involved in the planning of their lifestyle and quality of life. Evidence: People living at the home attend the local day centres at regular times during the week. One person offered a thumbs up gesture in response to our asking whether they enjoyed going to the centre. The home is situated in a residential area and as such is convenient for accessing the local shops and pubs. Staff told us that people living at the home help with the weekly grocery shopping at the local supermarket. People are involved with the planning and preparing of the meals taken in the home. Care Homes for Adults (18-65 years) Page 14 of 27 Evidence: We observed good practice when staff were assisting and supporting people with breakfast and making drinks, demonstrating a clear understanding of peoples requirements and needs. Leisure and recreational activity is very much dependent on what people wish to do. The AQAA informs us All service users hold a blue badge and some service users wishing to utilise public transport hold bus passes to improve access to local community facilities. Provision of house vehicle to improve activities in the evening and weekends. The case files looked at included a range of activities that are enjoyed by people in the home and in the community. People are offered a key to the home and to their own personal bedrooms. Not all people are able to retain the key; staff told us that when people go out they are given their key so that they can access the house when they wish to return. The main front door is kept locked; people answer the door and allow entry. A number key pad is sited at the entrance to the ground floor unit. The deputy manager explained this is sometimes used and access to the unit is restricted for the privacy of the people residing on the ground floor. One person was seen easily accessing all communal areas of the home during the time of this inspection, no areas being restricted. The Statement of Purpose document includes information on visitors and states that the service has an open visiting policy, where friends and relatives can be invited for meals and that overnight stays can be arranged. We saw staff knocking on bedroom doors before entering and people were asked their permission before we went to look around the building. The care records recorded the name that people preferred to be called and through out the inspection we heard staff addressing people accordingly. Care Homes for Adults (18-65 years) Page 15 of 27 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff understand the key principles of offering personal support and are responsive to the varied and individual requirements of the people using the service. Evidence: The AQAA informs us that Female service users are supported by staff of the same gender. Active support offers a flexible approach to routines and 24 hour support plans are in place. The case files we looked at contained comprehensive information regarding the amount of personal support each individual requires. We asked a person if they are happy with the care and support they receive. They indicated a satisfaction with a thumbs up gesture, nod of the head and a broad smile. Staff discussed the specialist equipment available and used on a daily basis to support people to be as independent as practicably possible. During the tour of the premises we saw the various pieces of equipment and technical aids that are in use. The care plans record the specialist health care services that are accessed by the people living at the home, for example, the speech and language therapist, dietitians, Care Homes for Adults (18-65 years) Page 16 of 27 Evidence: physiotherapist and epilepsy specialist nurse. Medication is administered to people by the support staff, with the deputy manager at the time demonstrating a clear understanding of the procedures in place. We looked at the storage of the medications and a selection of the Medication Administration Records and found that arrangements are in place for ensuring a safe system is in operation. For the extra protection of people we advised the staff to introduce the practice of dating the external products/preparations/creams/ointments upon opening and to discard tubs after one month of opening and tubes after three months of opening. The deputy manager offered an assurance that this practice would be introduced. Care Homes for Adults (18-65 years) Page 17 of 27 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home are enabled to complain if they are unhappy. Evidence: The complaints procedure is clearly documented in the statement of purpose with a pictorial format available when required. The procedure is displayed in the entrance hall of the premises. The AQAA was completed by the manager in April 2009 and informs us that no complaints have been made since the last inspection. We, the commission have not received any correspondence in this area. The manager did contact us to inform us of a safeguarding referral made to the local authority when some concerns had been raised regarding two people living at the home. The investigation has been satisfactorily concluded. The deputy manager confirmed that all staff have received training in protection of vulnerable adults, abuse awareness and the management of actual and potential aggression. We saw recent certificates of training to support this in the staff personnel files that we looked at. Support staff discussed the action they would take if they had any suspicions of any wrong doings and the least restrictive options when physical interventions may be required. We looked at systems for safekeeping of peoples money and found they were in good order. The home has good records of all transactions and obtains receipts and two signatures. This will reduce the risk of errors occurring with Care Homes for Adults (18-65 years) Page 18 of 27 Evidence: peoples money. Care Homes for Adults (18-65 years) Page 19 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 excellent 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 safe, comfortable and homely environment. Evidence: 23 Mount Pleasant is a detached property situated in a residential area of Chesterton and is in keeping with the local community. The home is well maintained, decorated and furnished. The communal areas are homely and comfortable with the private bedrooms being as individual as the occupant. The rear garden is well maintained and provides a safe, pleasant area for people to enjoy. The Environmental Health Officer visited in October 2008, and for the safety of people at the home a fire risk assessment for the premises has been reviewed. The laundry area is fitted with domestic type appliances with people being supported to attend to their own laundry each week. Hand wash facilities have been provided in all areas for general hygiene purposes and for the effective control of the spread of infections. The AQAA tells us that the plans for the next twelve months are Continued programme for assets, renewals and redecoration. All areas of the home were spotlessly clean; the people responsible for the household cleaning must be commended on maintaining such high standards Care Homes for Adults (18-65 years) Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staff meet the individual needs of the people living at the home in a person centred way. Evidence: The AQAA informs us that there is a Full recruitment programme in line with equal opportunities and employment legislation. With Mandatory training to all staff including 1st Aid, food hygiene, fire safety, lone working, Management of Actual and Potential Aggression. Enhanced training including Rescue Medicines training. Manager has active role on Training and Development team. We sampled the files of staff recruited since our last inspection. All files were well presented and contained the information required to safeguard the people living at 23 Mount Pleasant. The file contained an assessment of their training needs and a development plan for the coming year. A training matrix has also been developed to offer an overview of the topics completed and those which are planned. Staff told us the training opportunities that are available to them including the mandatory topics moving and handling, fire safety etc, and the specialist topics for example lone working, epilepsy awareness etc. We observed staff working positively with the people in their care and they appeared Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: motivated and committed to their work and demonstrated a good understanding of the individual needs of the people whose case files we looked at. 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 management team work continuously to improve services. There is a strong focus on person centred thinking, with people living at the home shaping service delivery. Evidence: Ms Suzy Chard-Beech remains in the position of registered manager of the service. Ms Chard-Beech was not on the premises at the time of this inspection. The deputy manager was in charge of the home and offered her fullest cooperation with this inspection. It became very obvious during our time there that the home is very well managed and run. All documentation that we requested was available, well organised, up to date and in good order. The AQAA was completed by the manager, returned to us within the timescales and contains some excellent information of how the service is running and what improvements need to be made. Observations during this inspection confirm and support the information provided. Quality assurance and the monitoring of the home continue on a regular basis. People Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: are asked their opinion on how they feel the home is operating and any suggestions for improvements are actioned. The deputy manager explained that there are numerous opportunities for people living at the home to make their views known by regular reviews and the daily contact with the staff. A service improvement plan has been developed with who is responsible for the improvements, what is to be achieved and when action is required. The service makes sure that people are safe by ensuring that staff are well trained, that the systems, property and equipment are maintained and in good working order and that risk assessments are developed and reviewed. We saw records, documents and certificates relating to this, all were up to date. 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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