Care Home: 31a Liphook Road

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Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 31a Liphook Road 31a Liphook Road Lindford Hampshire GU35 OPU     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Christine Bowman     Date: 2 1 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: 31a Liphook Road 31a Liphook Road Lindford Hampshire GU35 OPU 07901557542 08717155885 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Norman Donovan Bent Type of registration: Number of places registered: Robinia Care care home 2 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 2. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD). Date of last inspection Brief description of the care home 31a Liphook Road is a care home for two younger adults with learning disabilities. The home opened in June 2008 and is owned and operated by Robinia Care Limited, an organisation that has been a care provider since 1995. The home is located in a residential area of Lindford and is within easy walking distance of the local shops. The home is a detached property, which has been newly developed and completely refurbished to a high standard with new fittings and furnishings. Communal space includes a large fully fitted domestic style kitchen with dining area, a utility room, a spacious lounge and a small quiet room for relaxation and therapy. There is a small Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 2 Brief description of the care home garden to the rear of the home for the enjoyment of the people who live there. The two single bedrooms have ensuite facilities. There is parking for four cars at the front of the home. It costs 4878 pounds and14 pence per week to live at the home. Service users also have to pay for hairdressing, newspapers, chiropody, toiletries, transport and annual holidays over 500 pounds. Care Homes for Adults (18-65 years) Page 5 of 29 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: This inspection report includes information gathered about the service since it was registered in June 2008 under the Commissions Inspecting for Better Lives (ILB) process. The registered manager completed an Annual Quality Assurance Assessment (AQAA) giving up to date factual evidence about the running of the home and informing us of what they think they are doing well, how they have improved the service and of their plans for further improvements. One service user and three by staff members completed surveys giving their views on the service. An unannounced site visit was conducted on 21st November 2008, to assess the outcomes of the key inspection standards for younger adults with respect to the service user currently living at the home. The registered manager was interviewed and provided support for the inspection process by making service user and staff files and other documents available Care Homes for Adults (18-65 years) Page 6 of 29 to be sampled. A tour of the premises was undertaken and communal areas and the residents bedrooms were viewed. Service user and staff records, maintenance certificates and complaints and compliments records were sampled and the Statement of Purpose, the Service User Guide and policies and procedures were viewed. What the care home does well: What has improved since the last inspection? What they could do better: Clearer information could be recorded in the assessment documentation with respect to equality and diversity to ensure the staff are aware of the individuals specific needs with respect to these issues. Risk assessments could be more informative to the staff by including the positive benefits to the service users of taking the risks, balancing this with the likelihood of harm being caused to the service user, and indicating actions to minimise the risks. Care plans should be signed by the service user or their representative to confirm their agreement. Contact details for the Commission for Social Care Inspection should be updated in the Service User Guide and the complaints procedure to inform the service users and their relatives and representatives. Care Homes for Adults (18-65 years) Page 8 of 29 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 29 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 29 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. Service users are involved in making decisions about coming to live at this home, provided with sufficient information and visits to help them to make the decision. An assessment of their needs is carried out to ensure the staff have sufficient information to understand and support them. Evidence: The service user pack, which included the service user guide and the statement of purpose, was illustrated with photographs of the home and of the community facilities, and was written in language accessible to those with learning disabilities. The information stated clearly the range of specialist needs provided for at the home and how this was to be achieved to enable service users to develop independence and achieve positive outcomes. Prospective service users and their relatives and representatives were informed of the mandatory and specialist training with respect to communication, autism and learning disability accessed by the staff to enable them to carry out their role effectively and fulfil the needs of the service users. Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: The service user, who completed a survey, confirmed they had been asked if they wanted to move into this home and that they had enough information about the home before they moved in to decide if it was right for them. The AQAA also recorded that a comprehensive transition plan had been drawn up to support the service users move to the home, which involved visits to the home with their relatives to enable them to decide if it was the right place for them. They had chosen the colour scheme for their bedroom and brought items to make the surroundings familiar to them. The staff team, which had been working with them for several years, had also moved with them to provide consistency and continuity. Although the service was new, the only service user currently residing at the home had been with the organisation for several years and accommodated in another home, their documentation had not been reviewed to update this information and their contract of terms and conditions indicated they lived elsewhere. Assessment documentation, sampled, had been completed several years ago and provided comprehensive information about the service users likes and dislikes, needs and abilities and specialist interventions with respect to behaviour needs. The manager stated that the provider organisation were in the process of reviewing the assessment documentation, including risk assessments to make them more person centred and to including more references to equality and diversity. He also stated that the organisations development officer had carried out the original assessment, but that he would be involved in assessing any person, who was new to the service to ensure their needs could be provided for at the home. Care Homes for Adults (18-65 years) Page 12 of 29 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. Service users have care plans describing their needs and preferences, they make decisions about their lives with support and are enabled to take risks and to remain as independent as their individual circumstances will allow. Evidence: The service users care plans had been generated from a full assessment of need and covered all aspects of personal support and healthcare needs. Information about likes and dislikes were included in the service users passport, which was written from their point of view and explained their individual communication needs and behaviour patterns, indicating to the staff how they would like them to respond in certain circumstances. Levels of independence were recorded with respect to self-help skills and levels of risk with respect to all aspects of daily living were also recorded. Review dates were included at six monthly intervals or more frequently, but no changes had been made as a result of the reviews. There was no indication that the service user or Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: their relative or representative agreed with the care plans, as they had not signed them. A service user confirmed they usually made decisions about what they do each day. The service user, whose file was sampled, was able to communicate verbally and indicate yes and no to suggestions and choices offered by the staff. Support was given with respect to finances and service users had their own personal accounts at Head Office, from which they could choose to withdraw money. Records were kept of any transactions with receipts to safeguard the service users interests. Risk assessment included only basic information about the level of risk and could be more informative to the staff by including the positive benefits of taking the risk, balancing this with the likelihood of harm being caused to the service user and indicating actions to minimise the risks. Behaviour plans included a more detailed risk assessment and recorded active diversion techniques and coping strategies. The manager wrote in the AQAA that, over the next twelve months, we will develop new risk assessments that are more person centred and demonstrate more service user involvement. Care Homes for Adults (18-65 years) Page 14 of 29 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. Service users are treated as individuals, supported to access the community, maintain important relationships and enjoy a healthy diet according to their needs and wishes. Evidence: On the day of the site visit the current service user was attending a day service. A weekly activity schedule on their notice board indicated that they enjoyed art and craft, drama, trampolining and swimming at the centre and were taken to an off site facility in Havant for bowling. A visit to a local public house had been arranged for the evening, the manager stated. A service user, who completed a survey, confirmed that they could do what they wanted to do during the day, in the evening and at the weekend and that they usually made decisions about what they did each day. The company provided a minibus to enable access to the day service, to facilitate visits Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: by relatives and to take trips out. Records confirmed that the service user frequently visited the local leisure centre, restaurants, parks and shops and that contact with relatives was supported. Future plans for the improvement of the service, included looking into the possibility of local employment on a part time basis, to access local social groups and to support a service user in preparing a meal for their family on a weekly basis. The AQAA recorded that healthy eating was promoted and that service users were involved in planning, shopping and assisting in the preparation of meals. A pictorial menu highlighted the makeup of meals with respect to the protein, carbohydrate and fat content and menus included both traditional English and Oriental choices. Care Homes for Adults (18-65 years) Page 16 of 29 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. Service users personal and healthcare needs are met according to their preferences and wishes and safe procedures are in place to promote their access to medication. Evidence: Service users preferences with respect to personal care were recorded in their care plan and included actions for the staff to follow and the ability of the service users to make their own choices. Same sex carers were always involved in intimate care as this is what the service user, whose file was sampled, felt more comfortable with. Key workers were allocated to provide consistency and continuity. The three staff, who completed surveys, confirmed they were always given up to date information about the people they care for. The AQAA recorded that a service user visits hairdressers of their choice in local towns. Service users health care needs were recorded and a medical profile and history were available to inform the staff and promote their understanding. Behaviour plans were detailed and clear guidelines instructed the staff of positive actions to take in a variety Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: of situations. Daily reports were written in detail and covered communication, community participation, behaviour management, medication, appointments and other issues. Dental appointments and treatment were recorded and visits by the General Practitioner and opticians. The AQAA recorded that there were plans to access a chiropodist and a complementary therapist for reflexology in the next twelve months. A new method of Healthcare Action Planning was in the process of being introduced to make the process more accessible to the service users, the manager stated. The AQAA recorded that policies and procedures were in place with respect to the control, storage, disposal, recording and administration of medication. Medication administration records sampled, had been completed satisfactorily, and controlled drugs were stored appropriately and recorded in a controlled drugs register. The number recorded matched the number remaining, confirming that records were accurate. Most of the medication was supplied in blister packs for safety and convenience and copies of staff signatures were kept to identify who had administered the medication at any time. Care Homes for Adults (18-65 years) Page 18 of 29 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. There are clear accessible guidelines to service users on raising concerns and making complaints, which inform them of how the home will respond and when to expect a formal response. The care home safeguards service users from abuse, neglect and self harm and has clear policies and procedures to follow in the event of allegations being made. Evidence: The complaints procedure was included in the service user guide, written in accessible language, and illustrated with symbols to facilitate understanding. Response times were included to inform the complainant, but the contact details for the Commission had not been updated. Service users were also informed of how to make a compliment. A service user, who completed a survey, confirmed that they knew how to make a complaint and who to speak to if they were not happy. The AQAA recorded that no complaints had been received since the home was registered in June and the Commission had received no complaints on behalf of this home. The home had a copy of the local authority safeguarding policy and procedure to inform the staff, should they need to make a referral. The AQAA recorded that it was company policy, and written into the job description, that new staff read and sign to verify they have read the local policy for safeguarding adults and the whistle blowing policy. A flowchart of the safeguarding procedure was posted on a notice board to raise Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: staff awareness. The recruitment process included Criminal Record Bureau checks and Protection of Vulnerable Adults list checks to ensure that only people suitable to work with vulnerable adults were employed. Staff training and development files confirmed that the staff had received training in Safeguarding Adults. No referrals had been made to the Safeguarding team since the home was registered. Records were kept of service users expenditure and these were independently audited by the companys client finance manger to ensure records were accurate and to safeguard the interests of the service users. Care Homes for Adults (18-65 years) Page 20 of 29 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. Service users live in a clean, homely and safe environment. Evidence: The home was detached and situated in a residential street with parking spaces for four cars at the front of the building. It was located close to local amenities including shops, public houses, public transport and parks and was in keeping with adjacent residential properties, one of which, was operated by the same provider and managed by the same manager. Access to the home was through large iron gates. The property had been completely refurbished to a high standard prior to registration and all the fittings and furnishings were new. A tour of the premises was undertaken and communal areas viewed. They included a large, modern, fully fitted, domestic style kitchen with dining area, a separate utility and laundry area, a small sensory, quiet room, which was not yet fully equipped, and a spacious lounge providing comfortable seating and a large wide screen television and DVD player. French windows opened out from the lounge into a small garden, which was mostly down to lawn, and included a patio with outdoor seating for the enjoyment of the service users in good weather. The AQAA recorded that, in the next twelve months, a raised garden would be built to aid service users with garden projects. Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: A service users bedroom sampled was personalised with family photographs and the manager stated that the colour scheme had been chosen by the service user, prior to moving to the home, and that the bedding, curtains and flooring had also been their choice. Furnishings were solid and of good quality. The two bedrooms had their own private ensuite facilities including their own bath. Laundry facilities were domestic and the manager stated that independence was encouraged to enable the service users to do their own washing. The home was clean and fresh and staff records confirmed that infection control training had been accessed. Care Homes for Adults (18-65 years) Page 22 of 29 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. Service users are supported by staff, who have been safely recruited to protect them, and provided with the right training to support their needs. Evidence: Although the service was new, the staff team had been working together to support one of the service users for up to four years at another location, and knew them very well. A team leader had been recruited for the home, as recommended in the registration report, to deputise for the manager in his absence and support the staff team. The staff could not be seen interacting with the current service user as they were attending a day service at the time of the site visit. The AQAA recorded that all the staff had undertaken the Skills for Care Common Induction Standards as a good introduction to the caring role and help them to understand and meet the individual needs of the service users with respect to equality and diversity issues. 50 of the staff team had either achieved a National Vocational Qualification at level 2 or above or were working towards one. The service user, who completed a survey recorded that the staff always treated them well and always listen and act on what they say. Staff files sampled confirmed that appropriate checks had been carried out to ensure Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: that only staff suitable to work with vulnerable adults had been selected. The three staff members, who completed surveys, recorded that checks such as Criminal Record Bureau and references had been carried out before they started work. Interview records were held on file and scores recorded to ensure the process had been conducted fairly. Staff training logs sampled, confirmed that mandatory training had been updated in a timely manner to keep the staff up to date with current practice. This included moving and handling, health and safety, food hygiene, medication administration, safeguarding adults, infection control, proactive support strategies and fire prevention. Other training completed by the staff, whose files were sampled, included equality and diversity, effective communication, developing person centred plans, the Mental Capacity Act, epilepsy and food safety in catering. Certificates for the completion of National Vocational Qualifications at level 2 in health and social care were also viewed. The three staff, who completed surveys, recorded that they were given training, which is relevant to their role, helps them to meet the individual needs of the service users with respect to equality and diversity issues and keeps them up to date with new ways of working. Care Homes for Adults (18-65 years) Page 24 of 29 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. Service users benefit from living in a well managed home which is run in their best interests. Their health, safety and welfare is promoted and protected. Evidence: The registered manager had been in post since the home was opened earlier in the year and had also been the manager of the adjacent home since it was opened in August 2006. He had worked with people with learning disabilities for seven years, had five years of working with people with challenging behaviour, and had six years of management experience. He had completed a National Vocational Qualification in Care at level 4 and more recently completed the Registered Managers Award. A service user commented in the survey they completed, the manger is always here to support us. A system of quality assurance was in place and the manager stated that questionnaires had been sent out to service users, their relatives, staff and care managers, but had not yet been returned. The AQAA recorded that house meetings Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: were conducted monthly giving service users the opportunity to give their views and full annual reviews of service users care plans involved the service users full circle of support focussing on their achievements and aims. The manager was in the process of creating a three year development plan for the home incorporating the goals and objectives of the service users. A staff member, who completed a survey, thought the service was, an organised unit incorporating teamwork and good relations with our neighbours. The manager had not completed the section of the AQAA recording the dates that equipment had been serviced or tested, as recommended by the manufacturer or other regulatory body, but showed evidence at the site visit to confirm that they had been completed satisfactorily for the safety of the service users and the staff. Policies and procedures and codes of practice in relation to Health and Safety were in place to inform the staff and were available on the provider organisations intranet. Staff individual training logs confirmed that mandatory training in moving and handling, food hygiene, first aid, fire training and infection control had been undertaken. Records were kept of accidents and other serious incidences and the home kept the Commission for Social Care Inspection appropriately informed of such events. Care Homes for Adults (18-65 years) Page 26 of 29 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 27 of 29 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 28 of 29 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!