Care Home: 23 Wood Street

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• Home Farm
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What the care home does well In November 2009 Home Farm, where resdeints previously lived, was badly flooded and the residents had to be evacuated. They were temporarily housed in a church hall and then in a nearby hotel for a couple of weeks. A suitable house, Wood Street, was found in Maryport that could take most residents. The manager and the staff team managed the situation extremely well, and did over and above their duty to ensure that everyone was safe and their well-being looked after. Good systems are in place to make sure people`s care needs are assessed before they move into the home and on an ongoing basis making sure the home is suitable and safe. Detailed person centred care plans have been developed with each person that records their personal and health care needs and describes in detail their preferences about how they like to live their lives. These also include pen pictures and a record of people`s social and health care needs. People are enjoying a fulfilling lifestyle with staff supporting and promoting their independence making sure decisions are in their best interests. Staff support individuals to pursue their interests and hobbies which provides them with a varied range of activities. The home`s policies and procedures make sure both people living in the home and the staff supporting them are kept safe at all times. The home benefits from having an experienced and well trained staff team who have developed good relationships and a good understanding with individuals. They take on an enabling role to make sure they are promoting people`s independence and helping them to achieve their goals. The manager has the respect of the staff team and values their contributions to the effective management of the home, with regular supervision and team meetings. Personal development needs of all staff are being assessed with relevant training planned for them to make sure they have the appropriate skills and knowledge for their role. What has improved since the last inspection? The staff team have had a difficult job over the last few months having lost most of the paperwork including care plans and documents relating to residents. They have worked hard in developing individual plans that promote choice and encourage personal development and this is a notable strength of the staff team. The manager and staff team are skilled at involving people in decision-making and have spent a significant amount of time and effort to ensure that peoples next move, will be the right one and provide longer term consistency. What the care home could do better: There were no issues identified on this inspection for improvement. Key inspection report Care homes for adults (18-65 years) Name: Address: 23 Wood Street 23 Wood Street Maryport Cumbria CA15 6JZ     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: Elizabeth Kelley     Date: 2 5 0 5 2 0 1 0 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 28 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) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: 23 Wood Street 23 Wood Street Maryport Cumbria CA15 6JZ 07564329552 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): West House Name of registered manager (if applicable) Miss Beverley J Steele Type of registration: Number of places registered: care home 5 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 5. The registered provider may provide the following categories 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 Code - LD. Date of last inspection Brief description of the care home 23 Wood Street is a three storey mid-terrace house. It is located in the town centre of Maryport. Having good local transport links and a wealth of local community facilities and shops. On the ground floor is located a lounge and dining kitchen, the laundry is separate to the kitchen. Outside is parking for staff cars and the homes adapted vehicle. A small outside area is Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 5 Brief description of the care home available for people to sit outside and garden furniture is provided. People have large bedrooms. Two people share a bedroom and this is the one room which is en-suite. Bathing facilities are available one each floor. Staff have a sleep-in room and a separate office. Care Homes for Adults (18-65 years) Page 5 of 28 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 quality rating for this service is 3 star. This means the people who use the service experience excellent quality outcomes. During the visit we, The Care Quality Commission, met with people living in the home, visitors and spent time with the manager and care staff on duty. The manager completed a self assessment questionnaire called an Annual Quality Assurance Assessment (AQAA) and sent it to us before the inspection visit. This provided us with information about how the home is run and the managers views on what the home does well, where they have improved and plans for the future. There is also information about the people who live in the home and the staff working there. Surveys were sent out as part of this inspection to people living in the home, their relatives, care staff and other professionals involved with the home, with their views being used to formulate the judgments in this report. Care Homes for Adults (18-65 years) Page 6 of 28 We also examined records relating to the running of the home that are required by legislation, which included care plan files that guide staff in supporting people to achieve their goals and lead independent lives. We examined staff files and records relating to the maintenance and safety of the home. Care Homes for Adults (18-65 years) Page 7 of 28 What the care home does well: What has improved since the last inspection? What they could do better: There were no issues identified on this inspection for improvement. Care Homes for Adults (18-65 years) Page 8 of 28 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 9 of 28 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 28 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. There are good systems in place to ensure that people have successful placements and the staff team are skilled at assisting and empowering people to make informed decisions. Evidence: The service has a Statement of Purpose and Service User Guide which contains all of the necessary information about what the home provides. The home has re-done these recently due to the flooding of their old home. These are avaiable in the home and are made avaiable to people considering using the service. There is a robust assessment procedure in place to make sure that anyone who comes to live in the home can have their needs met. This includes a full assessment of need carried out by the Manager or senior staff member. Adult Social Care also provide an assessment of need for the person when appropriate, which forms part of the overall assessment process. Staff have received training about assessments to improve the way these are carried out and how any prospective person may be introduced to the service. The manager and staff team are skilled at involving people in decision-making and Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: have spent significant amount of time and effort to ensure that peoples next move, will be the right one and provide longer term consistency. One person spoke of a series of visits to a new home so she could have time to make her mind up about which move was best for her. Care Homes for Adults (18-65 years) Page 12 of 28 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 are well supported through individually tailored support plans that promote positive interactions and experiences. Evidence: The staff team have had a difficult job over the last few months having lost most of the paperwork including care plans and documents relating to resdients. They have worked hard in developing individual plans that promote choice and encourage personal development and is a notable strength of the staff team. Staff use a variety of skills and ways to engage residents in planning their care and setting goals. People are encouraged to take ownership of their files. Individuals plans are regularly updated and revised when goals have been attained. This leads to care plans that are dynamic and evolving documents that encourage significant personal developments for residents. The outlook of the staff has had a positive impact on people living in the home, and the flood has been used to re-assess what people want for their future and where they would like to live. Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: Each person who lives in the home has a care plan which is individual to them. The staff use picture aids and photographs to work with people to draw up plans which are person centred and contain information about how people will be supported to live their life. The plans contained good examples of the support people received to take part in interesting hobbies, activities and holidays. Risk assessments are completed and are very much part of the care planning process. They are reviewed on a regular basis. In discussions with people living in the home they spoke about their care plans, one person saying I had my PCP meeting last week, and Im looking to do a cookery course at college. The home has good relationships with health care professionals and surveys returned to us provided evidence of this, with comments such as committed to individual service users. Advocates are used to assist people who have communication difficulties in making decisions about their lives, with decisions recorded and regularly reviewed. Care Homes for Adults (18-65 years) Page 14 of 28 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 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 this home are supported to live active and interesting lives of their own choosing. Evidence: People have individual hobbies and interests and they plan and choose their own holidays with the support of the staff team. Staff encourage and support people in making their own decisions by helping them think through any implications. For some people, with more limited communication, this will involve taking a best interest approach developed through the staff teams thorough knowledge of the individual and with help from relatives and other professionals. The staff team take the time to find out what works best for each person and what they like and enjoy doing. Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: Personal decision-making covers a range of domestic, leisure and social activities, and residents are supported in undertaking their preferred activities wherever possible. Individuals files contain many well-recorded examples of how rights and choice are recognised and promoted, and it is clear that this is one of the underpinning values of the Home. In particular staff receive regular training on positive approaches to challenging behaviour and this sets the value base from which staff work. There are full risk assessments in place in respect of each resident, and these are frequently reviewed on the basis of the effectiveness of the strategies implemented to manage those risks. Individuals discussed how they spent their time and how they like to spend their day. A number of people had been on individual shopping trips, and had chosen new clothes for summer. One person had been to collect colour paint charts so that they could chose the paint for their new house. Residents are accessing and choosing a variety of holidays, hobbies, interest, college placements and engaging in the local community through the hard work and positive attitude of the staff team. Care Homes for Adults (18-65 years) Page 16 of 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive effective personal and healthcare support using a person centred approach with support provided based upon the rights of dignity, equality, fairness, autonomy and respect. Evidence: Staff ensure that care is person led, and that personal support is flexible, consistent, and is able to meet the changing needs of the residents. Staff respect peoples preferences and have expert knowledge about individual personal needs when providing support, including intimate care. The staff group is balanced to enable choice of male, female and age related preferences when delivering personal care. Staff respond appropriately and sensitively in all situations involving personal care, ensuring that it is conducted in private and at a time and pace directed by the person receiving the care. Aids and equipment are provided to encourage maximum independence for people using services, these are regularly reviewed and replaced to accommodate changing needs. Specialist advice is sought by the home to ensure effective use of equipment in keeping people as independent as possible. Everyone has a health action plan. This is used in a way that empowers people to take Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: charge of their own healthcare needs, with the support of staff. People are being supported to make informed decisions about all aspects of their lives. Staff make sure people attend appointments and have their health issues dealt with correctly. Individuals have had support from specialists in learning disability, speech therapists, dietitians and other practitioners. Staff receive training in managing conditions like epilepsy. They are also able to help people with sexual health issues. We learnt from residents that the staff help them make nutritionally sound choices when they go out to shop or when they prepare meals. Staff have a good understanding of residents healthcare needs. The staff team work positively with health care professionals to offer a responsive and supportive approach in assisting people to maintain good health. Records on healthcare needs are well maintained and kept up-to-date, these are linked to care plans to alert staff on any changes, and include monitoring sheets for specific issues. The home has sensitively handled the ageing process and offered good support to minimise any impact on independence, gaining expert advice where appropriate. Everyone has their medication reviewed regularly by their doctor or by a specialist. Staff have received training in managing medication. The home works to an efficient Medication Policy supported by procedures and practice guidelines. Staff follow robust systems to make sure that medication records are fully completed, contain required entries and are signed by staff. We looked at the ordering, storage, administration and disposal of medicines. We had a discussion with the manager about a couple of minor things they might do to update their arrangements, for example having two people to sign medications into the home to make this a more robust system. Care Homes for Adults (18-65 years) Page 18 of 28 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. Staff have good knowledge and understanding of how to safe-guard and protect residents from abuse and promote their well-being. Evidence: The organisation has recently changed the style of training for physical intervention and now uses a method called Team Teach. This places greater emphasis on promoting positive behaviours and understanding of individuals through improved communication and understanding. This is in line with the homes ethos and is good practice in enabling people to lead fulfilling lives. The service has a complaints procedure that is up-to-date, very clearly written, and is easy to understand. It can be made available on request in a number of formats, including other languages, large print, to enable anyone associated with the service to complain or make suggestions for improvement. People who live in the home are aware of and are assissted to use when required. The policies and procedures relating to protection of individuals are of a high quality and are regularly reviewed and updated. The service is clear when incidents need external input and who to refer the incident to for further investigation. All concerns and complaints are recorded and the outcomes of any investigations are also recorded. The policies and procedures relating to protection of individuals are of a high quality and are regularly reviewed and updated. The service is clear when incidents need external input and who to refer the incident to for further investigation. Care Homes for Adults (18-65 years) Page 19 of 28 Evidence: There are policies and procedures in place to make sure peoples money and financial affairs are looked after in a suitable way. Care Homes for Adults (18-65 years) Page 20 of 28 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. Wood street has provided a very good temporary home for the people living there. Evidence: The house has been newly refurbished and therefore covered by building regulations for heating, plumbing and fire regulations. The bedrooms are of a good size, with adequate toilet and bathroom facilities. The furnishing and building are of a high quality and are warm and pleasantly laid out. The manager had carried out a number of risk assessments for the new property including; use of the front steps, stairs, bath, the use of cleaning materials, electrics, and the use of oven/hob. People spoken to said they were very happy with the new home, with some people commenting that they liked this new house better. Some people will be staying here as part of their re-assessment. Good links have been established with local community and neighbours. there is good access to transport links, and the home is in the town centre of Maryport. The home also has accessible vehicles for people to use, as well as using local buses. The home provides suitable accommodation for people with both learning disabilities, and for people with minor mobility problems. The manager has arranged for an occupational therapist to assess the building and has carried out Care Homes for Adults (18-65 years) Page 21 of 28 Evidence: minor works based on this assessment. People spoken to said they were very settled, and liked the new house. They enjoyed access to town centre of Maryport. Care Homes for Adults (18-65 years) Page 22 of 28 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 are supported by a competent, well-qualified and carefully vetted staff team and this leads to high levels of satisfaction from people using the service. Evidence: When interviewed staff are clear regarding their role and what is expected of them. The manager said they had adopted a much more thorough approach to selection and interview to ensure that people were well suited to the role and had the right aptitude. New employees are also expected to undergo induction training and signed an undertaking to attend core skills training essential for the role of supporting people. The Home follows the recruitment procedures of West House, and this is supplemented further by the manager who spends time ensuring that applicants are fully briefed on the service and the role that is expected of them. The manager has found that this is time well spent as the drop out rate of new recruits is significantly reduced. Staff recruitment files are held at the organisations head office. An appointment was made to examine these and they contained all the relevant documentation, being clearly sectioned and well organised. The selection procedure includes obtaining two written references, a formal interview and an informal interview involving residents, Care Homes for Adults (18-65 years) Page 23 of 28 Evidence: wherever possible, and applications are subject to equal opportunities monitoring. All staff have CRB disclosure checks and a check list ensures that all safeguards are put in place prior to an appointment. These are carried out to a high level of scrutiny, and West House follow more stringent guidance set down for childrens services. Upon appointment staff are issued with a handbook, which includes job descriptions and terms and conditions. Appointments are subject to a six month probationary period. West House has a code of conduct and all members of staff have a statement of terms and conditions. A member of staff interviewed confirmed these procedures had taken place, and that they had been interviewed in two stages, one which included a visit to the home. These are all good practices to ensure that residents are supported by a carefully selected and vetted staff team. The home has a framework for supervisions and appraisals, and these have been carried out to good standards; staff reported that these are helpful and they feel well supported by the manager and the organisation. Staff training continues to have a high profile in the home and staff are keen to gain new knowledge and skills to assist them in supporting residents. For example all staff have recently completed a Safe Handling of Medication training course, and over three quarters have the recognised care qualification, NVQ2. Staff also receive varied training to equip them with skills and knowledge to support residents. A rolling programme of training includes first aid, abuse and neglect, fire wardens, moving and handling, health and safety and positive communication, dementia and autism awareness. Care Homes for Adults (18-65 years) Page 24 of 28 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 of the home has been effective and supportive over a particularly difficult period. Evidence: The new manager, Susan Graham, had updated the Statement of Purpose to reflect the circumstances of the move. Details included the old property Home Farm and the new property at 23 Wood Street in Maryport. She has coped extremely well and has been well supported by her staff team and the organisation. The manager has worked closely with the landlord to arrange for adaptations to the property, as well as with local fire experts to ensure that they comply with health and safety legislation. Care Homes for Adults (18-65 years) Page 25 of 28 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 26 of 28 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 27 of 28 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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