Care Home: 38 Alinora Crescent

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What the care home does well The service is well organised to ensure that bookings are available when people need them. Great care is taken to ensure the environment is right for the individuals staying and that staffing numbers are suitable to support people. There is a well established staff team with a good knowledge and understanding of the needs of people who come here for respite care. This ensures stability and continuity of care. There was a relaxed and natural rapport between staff and service users. Staff responded to people in a friendly and respectful manner. Staff are well trained and supervised which ensures staff are confident and competent at their job. What has improved since the last inspection? This was the first inspection of the service. What the care home could do better: No requirements were made as a result of this inspection. The home has identified it`s own areas for improvement in their AQAA. For example, supporting staff with the shift from being a service where people using the service were NHS in-patients to being registered with us for social care only. Key inspection report Care homes for adults (18-65 years) Name: Address: 38 Alinora Crescent 38 Alinora Crescent Goring-By-Sea Worthing W Sussex BN124HZ     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Liz Palmer     Date: 0 6 1 0 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 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) 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 28 Information about the care home Name of care home: Address: 38 Alinora Crescent 38 Alinora Crescent Goring-By-Sea Worthing W Sussex BN124HZ 0000 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Sussex Partnership NHS Foundation Trust Name of registered manager (if applicable) Mrs Brenda Mitchell 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 to be accommodated is 5 The registered person may provide the following category 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 category: Learning disability (LD) Date of last inspection Brief description of the care home 38 Alinora Crescent is a 5 beroomed respite care service. They provide respite/short stay care for people with a learning disability. All 5 bedrooms are single and have sinks with a vanity cupboard beneath and a mirror above. The service is a bungalow and is in keeping with the surrounding area, there is level access throughout. There are 4 toilets and two bathrooms. There are two lounges and a kitchen and seperate dining room. Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 5 Brief description of the care home The back garden has level access with a patio area and grassed area. The service is situated in a quiet residential area close to the sea. With amenities which include shops, public houses, cafes and restaurants. There is a cinema and theatre approximately 2 miles away. The service was registered with the Care Quality Commission in April 2009. 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: 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 was the first inspection of the service since they registered with us in April of this year. It had previously been providing this service for 10 years as part of the NHS inpatient care The inspection took place between 9.15 am and 3.00pm. Brenda Mitchell is the registered manager of the home. She has been referred to as the manager throughout this report and was present for the duration of the inspection. Mary Griffiths is the responsible individual on behalf of Sussex Partnership NHS Foundation trust. We met her during the inspection and she was present for the feedback. To help us make our judgements we spoke privately with two staff members and two relatives about their views of the service. We met two service users and observed staff Care Homes for Adults (18-65 years) Page 6 of 28 working with them over the course of the day. We also looked at a sample of care plans, daily records, staff files, policies and medication records. We used the homes Annual Quality Assurance Assessment (AQAA). The AQAA is a document we require the home to complete and return to us with a given timescale, on an annual basis. The home completed theirs within the given timescale and gave us all the information we asked for. 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: 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 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 9 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service can be assured that their individual needs would be assessed prior to them using the service. Enough information is provided to help them make an informed choice. Evidence: The home has produced a Statement of Purpose and Service User providing detailed information on the services to be provided and how those services are to be met. This includes information on the staffing structures, facilities provided and care provided, including social and recreational needs. The manager told us that great care is taken when planning admissions to ensure that enough staff are available according to the needs of service users. The mix of service users is also considered at the point of booking people in. In their AQAA they tell us that a home visit and an assessment is carried out prior to potential new service users using the service. The assessment is carried out by a deputy house manager who is skilled at communicating with people with learning disabilities, their parents carers and significant others. An assessment of the most recent service user was sampled. It Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: was very detailed and included an assessment from their adult services, care manager. The assessment included details of the personal care the person would need as well as detailed descriptions of their social, religious and cultural needs. Communication needs were also included and again the attention to detail in this would greatly help the staff to communicate with the individual. Emotional and health needs were also covered in the assessment, providing enough background for the home to know whether or not they could meet this persons needs. The AQAA states that prospective service users are invited to visit the service prior to staying and can come for lunch or tea visits and for the day prior to their first over night stay. They will be shown around the unit and introduced to staff and other service users. This was confirmed by parents met during the inspection who said their relative had come for day care for several weeks before staying overnight. Care Homes for Adults (18-65 years) Page 11 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The arrangements for care planning ensures that people who use the service have individual care plans and risk assessments that are detailed and clear. People are able to participate in the decision making in the home and in making choices about how they spend their time and express their individuality. Evidence: We looked at three care plans during the inspection. They were written in a person centred way with the individuality and best interests of the individual at the forefront. The plans covered all aspects of a persons life and the detail provided would support staff to provide consistent care in the way the service user prefers. Individual communication styles were clearly recorded for each person ensuring that staff know how to meet the needs of service users and support them to make choices about their daily life. Examples of promoting independence and supporting individuality were seen in the care plans. Details of religious and cultural needs and how staff should best promote these were clear. People using the service were observed making choices during the day and staff were seen to communicate well with individuals and respond Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: to their needs and requests. Where care plans stated that care should be given on a one to one basis this was given. Some care clans state a preference of gender for their care, this was seen to be observed during the inspection and staff said that other than in extreme circumstances this is always adhered to. Clear guidelines are in place for the extreme circumstances. People who use the service are supported to take risks and risk assessments are in place and regularly reviewed. Risk assessments are drawn up on an individual basis with an emphasis on independence and positive outcomes to support people to achieve lead full and active lives during their stays. There was some evidence of service users and their relatives being involved in the process although the plans were signed by the staff member writing them. Care Homes for Adults (18-65 years) Page 13 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are supported to access a range of educational, social and community activities. Healthy and varied meals are provided with the preferences of people who use the service taken into account. Evidence: The AQAA states that when receiving respite care, service users continue with their usual daily activities and routines, such as attending an activity or day centre and accessing community facilities such as cafes, shops, place of worship, pubs, theatre and parkland to enable individuals to meet their spiritual, social, cultural and religious beliefs. Service users were observed going out to their individual day time activities and being supported to do this as described in their care plans. Peoples hobbies, interests, religious and cultural needs are clearly detailed in their care plans. A thank you letter from one service user stated they had enjoyed their stay and in particular going shopping with staff. Other documented evidence showed that people are Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: supported to pursue their hobbies inside and outside the home. Staff confirmed that staff are deployed to enable activities to take place, in particular at the weekends. The service has a minibus to assist service users to access the community. Service users can choose how they spend their time, including spending time alone in their rooms of they wish. In their AQAA the service tells us that as they provide respite care, families, parents and carers regularly come to the service and are welcomed. Service users are able to see family members and friends in private should they wish. The parents of one service user told us they are made to feel very welcome when they drop off and collect their relative. They also said that arrangements for other family members to visit during their stay can be made. During the inspection we observed one service user having breakfast and another having their lunch. The AQAA states that they have menus that offer a variety of foods which can be adapted to meet specific dietary, religious and cultural needs and individual preferences. These individual needs and preferences were seen to be written into care plans and people were observed to receive food in the way they prefer during the day. Some of the detail in care plans stipulated where people prefer to sit and how staff should support them at meal times. This was seen to be followed during the day. Pictorial menus for the day were displayed in the dining room. Alternatives are always available and details of how to support choices are written into care plans. Meal times were observed to be relaxed and unhurried. Support was given as described in care plans and was given in a respectful, calm and relaxed manner, promoting the independence and dignity of the person being supported. Care Homes for Adults (18-65 years) Page 15 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are supported to maintain their health and receive personal care in a way that meets their individual needs and preferences. Emotional needs are recorded in care plans to support staff to meet these. They are protected by the homes policies and procedures for storing, recording and administering medication. Evidence: The individual needs and preferences of people who use the service regarding their personal care are recorded in their care plans. The plans are detailed to promote consistency in approach, this enables personal care to be given in the way preferred by the person receiving it. Some people prefer their care to be given by a staff member of the same gender, staff confirmed that they are deployed in a way that makes this possible. Some people need two carers to deliver their personal care; this is written into care plans and staff say there are always enough people on duty to provide the levels of support needed. Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: Records are kept of each persons medical history, current health issues and details of their general practitioner (GP) and any other health care professionals involved in their care. The manager stated that arrangements are in place for a local GP to visit on a weekly basis and for community nurses from that practise to attend to people if required. Care plans and daily records show that people get the support they need and that staff respond to any indication that the persons health or well being is effected. Parents spoken to during the inspection said that they had 100 confidence in the staff to pick up on any health issues and gave two examples of how this had happened in the past. Evidence in care plans shows that emotional and psychological needs are considered individually and the home has good links with relevant professionals who can offer advice and support. Peoples moods are recorded on each shift and ways of interpreting behaviour and individually supporting people who may be below par are detailed in their care plans. Arrangements are in place for recording medication received into the home. Storage of this is safe and meets current legislation. A storage area for controlled drugs was seen to be suitable, no controlled drugs are currently stored. There is a protocol in place for each person on how their medication is to be administered. One person has their tablets disguised. A mental capacity assessment has been undertaken and the procedure for administering the medication has been agreed by the prescribing doctor and the pharmacist. We found that some stock medication is held. It is only given to those who have been prescribed it, however, stocks of medicines must not be held in a care home. This has been discussed with the manager who agreed to return the stock to the pharmacy and discontinue the practise of holding stock. Records of receiving and administering medication were sampled and no errors or omissions were found. Care Homes for Adults (18-65 years) Page 17 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. People are protected by the homes procedures for complaining and they can expect to have their concerns and complaints listened to. They are protected by the policy and procedures relating to safeguarding and deprivation of liberty. Evidence: There is a pictorial complaints procedure wich is placed in a drawer in each bedroom for people to have access to during their stay. The home has received two complaints in the last twelve months and these were seen to have been recorded. The responses to these were not seen, the manager stated she had responded and agreed to keep records of this and the timescales involved. The parents of one service user told us they had never had cause to complain but had always found the staff and manager easy to talk to and open to their views and opinions. They said they would not hesitate to talk to someone if they had any worries or concerns. Certificates to show staff are trained in safeguarding adult procedures were seen and staff said they get annual updates on this. In their AQAA they tell us that they have considered if people that use their service have any Deprivation of Liberty Safeguards (DOLS) placed upon them. Deprivation of liberty initial assessments have been completed and a copy is kept with the service users support plan. These were seen on service user files as were mental capacity assessments where appropriate. The AQAA states that service users can bring in monies with them. On admission to Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: the service the monies are kept in a locked tin for the duration of the persons respite stay or the service user can keep their monies in the lockable draw in their bedroom. Details of amounts and expenditure are documented and reciepts and unspent monies are discharged with the service user. These were checked and found to be in order, during a recent monthly monitoring visit, (Regulation 26 visit). The records were not checked by us on this occasion. Care Homes for Adults (18-65 years) Page 19 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. People who use the service have a clean, homely and safe environment to stay in. Individual rooms complement and supplement the communal areas. Evidence: During the inspection we saw the lounge, sensory room, dining room, kitchen, two offices and three bedrooms. All areas were clean and homely and designed around the people using the service. In their AQAA they tell us maintainance jobs are reported and a log of these are kept. Jobs are usually carried out in a timely manner and are followed up by staff if not. Heating controls are fitted to the radiators and thermometers monitor the temperature in different parts of the building. There are 4 toilets for a maximum of 5 service users and 4 staff. The back garden has level access with a patio area and grassed area it is kept tidy. Specialist equipment is available for service users who require it. It is checked regularly to ensure safety. One bathroom has an assisted chair and a shower curtain to maintain privacy and the large, assisted bathroom has a hi/low bath which can be used by a wide range of service users, and has a call alarm. Regulation 26, monthly monitoring visits take place and issues regarding the environment were seen to be picked up. Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: Care Homes for Adults (18-65 years) Page 21 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. A trained and competent and staff team ensures the smooth running of the service. Evidence: In their AQAA the home tells us they have a well established staff team that are deployed according to the needs of service users accomodated at the time. The manager ensures that all staff receive mandatory training, such as, health and safety, manual handling, fire safety, food hygiene and first aid. Staff are trained in safeguarding adults and are aare of their responsibilities within the homes policy. Certificates were seen for training and staff confirmed they had attended the relevant courses. Two members of staff were spoken to privately during the inspection. They said they enjoyed their work and confirmed that there were always enough staff on duty to meet the individual needs of whoever was staying in the home. They spoke about people in a sensitive and positive manner. People who use the service were observed to be communicating their needs to staff and staff were seen to be responding in a positive, respectful and friendly manner. Two staff recruitment files were looked at and seen to contain all the required documentation, including a Criminal Record Bureau check. Records seen showed that regular supervision and appraisal takes place and this was confirmed by the members of staff spoken to. They said they were well supported and could always ask the manager or any of the staff for help. Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: Care Homes for Adults (18-65 years) Page 23 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. People who use the service can be assured the service is well run in the best interests of those who use it, by an experienced and qualified manager. There are procedures in place to protect the health and safety of people using the service. Evidence: Brenda Mitchell is the registered manager of the home. She has been referred to as the manager throughout this report. There are five deputy managers who are deployed to ensure that one is one duty to manage each shift. In their AQAA the service tells us that the manager is experienced, competent and committed to supporting adults with a learning disability who have additional complex needs. She has managed the service for over 10 years and has achieved NVQ level 4, Registered Managers Award. In their AQAA they tell us that there is an open management style in the home. Staff and service users say the manager is approachable, open to ideas and listens to the views of others. They say they have confidence in her and feel the home is well run. Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: The home has their own quality assurance system in place where they consult with people living in the home, their relatives and staff. In their AQAA they have told us about future improvements they would like to make and have a clear idea of how they will achieve these. The home holds monies on behalf of service users. There are procedures in place for this. These were checked and found to be in order, during a monthly monitoring visit, we call these Regulation 26 visits. The records were not checked by us on this occasion. A pictorial fire procedure was on display in the home. Staff confirmed that regular fire alarms take place and each person has an individual fire evacuation risk assessment and action plan in their file. A file containing a check list for safety checks was seen. Tasks included; checking bed rails, hoists, wheelchairs and water temperatures. 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. 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. 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