Care Home: 40a Manor Road

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What the care home does well The individual needs and choices of people living at Manor Road are upheld and supported people by a knowledgeable and experienced staff team. The manager and staff encompasse the values of a person centred approach and are skilled at promoting choice for individuals. This leads to people having individual plans of care and having different interests and lifestyles choices. The care plans are completed in good detail and are individual to each person, information is included about activities and hobbies. Each person living in the home has an individual health action plan, and this ensures that peoples health care needs are addressed and attended to in the best way for that person. 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. The staff assist people who live in the home to participate in activities that are interesting and stimulating. People are supported to be part of the local community through attending local clubs and churches as well as shops and other local facilities. People are able to meet with their family and friends as they wish. The home provides comfortable and safe accommodation for the people who live there, with suitable aids and adaptations to assist people in their daily lives. The furniture and fittings are of a good quality. The staff group were competent and had a good mix of skills and experience to enable them to provide the right sort of care for people. Training had been provided in all of the key areas and there was a training plan detailing the training to be provided in the future. More than 50% of staff had completed a National Vocational Qualification in Care. The Registered Manager of this home is very experienced, qualified and competent, and runs the home in the best interests of the people who live there. She is supported by Senior managers of the organisation and by a committed, well established senior and staff team. What has improved since the last inspection? The home has further developed care plans to make them more individual, and to include the person in the whole process of drawing up the plan, using photographs and pictures when appropriate. Everyone who lives in the home now has a health action plan. The staff team have become more skilled at monitoring healthcare needs and take part in multi-disicplinary meetings with other health care professionals. What the care home could do better: The organisation should review its management structure to ensure that the registered manager has enough hours to realistically be named the registered manager. The home however, is well run by the team effort of a very good senior and committed staff team. The Manager should continue to persue the problem of damp within the home as this is no longer acceptable in a home for people with fragile health. Key inspection report Care homes for adults (18-65 years) Name: Address: 40a Manor Road 40a Manor Road Upperby Carlisle Cumbria CA2 4LJ     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: Elizabeth Kelley     Date: 1 4 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: 40a Manor Road 40a Manor Road Upperby Carlisle Cumbria CA2 4LJ 01228548118 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: The Glenmore Trust care home 5 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability physical disability Additional conditions: The registered person may provide the following category of service only: Care home only - Code PC. To service users of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD. Physical disability - Code PD. The maximum number of service users who can be accommodated is: 5. Date of last inspection Brief description of the care home 40a Manor Road is registered to provide residential care for 5 people with learning disabilities, two of whom also have a physical disability. The home is operated by the Glenmore Trust, a charitable organisation providing services for people with learning disabilities throughout North Cumbria. The house is leased from Impact Housing Association who were responsible for repairs and maintenance. 40a Manor Road is a large detached bungalow, situated in the Harraby area, on the outskirts of Carlisle. There are local shops within easy walking distance and a regular bus service runs into the city centre. Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 0 5 5 1 7 1 0 2 0 0 8 Brief description of the care home There are five people resident in the home, all have a single room with washbasin. There is a large lounge, dining room and kitchen with a separate utility. There is also an office/sleep-in room used by staff. Lifting hoists, high/low beds, plus a walk-in shower are provided to promote independence and provide a safe environment. 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 an unannounced visit to the home, meaning that the manager and staff did not know that the visit was to take place. This visit was part of the key inspection of the home. A key inspection takes place over a period of time, and involves gathering and analysing written information, as well as visiting the home. During the visit we (Care Quality Commission) spent time with residents and the staff who were on duty during the day. Every year the manager is asked to provide us with written information about the quality of the service they provide, and to make an assessment about the quality of their service. It also asks for information about plans to make any improvements to the service. This information, in part, is used to plan our inspection activity. Care Homes for Adults (18-65 years) Page 6 of 28 Surveys were sent to residents, staff and health care professionals who visit the home, and the responses are included in this report. During the visit staff records and resident care records were viewed, alongside policies and procedures that the home works to. We looked around all areas of the home, including communal and individual accommodation. 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: The organisation should review its management structure to ensure that the registered manager has enough hours to realistically be named the registered manager. The home however, is well run by the team effort of a very good senior and committed Care Homes for Adults (18-65 years) Page 8 of 28 staff team. The Manager should continue to persue the problem of damp within the home as this is no longer acceptable in a home for people with fragile health. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The Home has robust and well-established procedures in place to introduce new residents in a manner which ensures successful long term placements. Evidence: The service has not admitted any new residents for sometime, but still keeps all information on the home up-to-date. Peoples files demonstrated that information and assessments were available which assisted in ensuring a successful introduction to the home. Close working relationships have been developed with social workers and other professionals to ensure that placements are reviewed closely over a trial period. These assessments form the basis of the individuals plan of care and include any potential restrictions on choice, and limitations due to risk as agreed with the person and their family. The manager ensures that they provide plenty of information for prospective residents. For example the homes Statement of Purpose and Service Users Guide contain relevant details to assist the person, their relatives and professionals in Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: making an informed choice on the appropriateness of the home. The latest Statement of Purpose includes pictures of all staff, photographs of the house and symbols which make the document user friendly. 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. The individual needs and choices of people living at Manor Road are upheld and supported people by a knowledgeable and experienced staff team. Evidence: The manager and staff have encompasse the values of a person-centred approach and are skilled at promoting choice for individuals. This leads to people having individual plans of care and having different interests and lifestyles choices. Each plan is written and set out in styles that suit each persons needs, and they have clearly been involved in putting them together. The Annual Quality Assuarance Assessment(AQAA)completed by the manager states: The services and support provide is based on a person centred planning framework. This enables the staff to be clear about each individual needs, wants and aspirations. This planning framework is reviewed on a regular basis and as and when required. It is a live document and as such is the key document against which all plans are made. When planning takes place, family members are involved as much as possible. Where Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: no family member is available, staff will utilise the service of the relevant advocacy services. This is demonstrated by the control that each person is given drawing-up their latest person centred plan. Leading to different hobbies followed by people for example love of musicals and concerts and another person being a railway enthusiast. The care plan includes a comprehensive risk assessment, which is regularly reviewed. The service has a can do attitude and risks are managed positively to help people using the service lead the life they want. The AQAA stating: We believe that individuals have the right to take risks, but within a clearly defined assessment framework. This clearly defined framework is based on ability of client risk associated with the activity and the outcome for the clients and others if for any reason the proposed action goes wrong. Any limitations on freedom, choice or facilities are always in the persons best interests. The organisation and staff team are aware of how the Mental Capacity Act affects their work and what steps they must take if they feel a possible restriction is in a persons best interests. Working in this way ensures that each person is supported to live a lifestyle of their choosing through the skilled support of the staff team. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Central to the homes aims and objectives is the promotion of the individuals right to live a meaningful life. Evidence: The staff team understands the importance of enabling people to achieve their goals, follow their interests and be integrated into community life and leisure activities in a way that is directed by the person using the service. This extends across both the home and in the community, and allows people living at the home to enjoy full lives. Decision-making has a high profile in the home and staff have a good understanding of residents support needs. Risk assessments are in place to support decision making and to assist in activities to take place rather than preventing them. Emphasis is on what people can do rather than cannot. Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: Families have expressed their satisfaction with the contact with the home and have said that communication has been good. Meals are well balanced and nutritional and cater for peoples varying dietary needs. Care staff are sensitive to the needs of those residents who find it difficult to eat and give assistance with feeding. They are aware of the importance of eating at the pace of the each individual , making them feel comfortable and unhurried. Mealtimes are flexible and relaxed, staff are patient and helpful, and allow individuals the time they needed to finish their meal comfortably. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Health care is well managed by the careful monitoring and diligence of the staff team. Evidence: 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. Two members of staff have recently been trained to carry out assessments to ensure they receive the right aids. Staff members are alert to changes in mood, behaviour and general wellbeing and fully understand how they should respond and take action. Health Action Plans are also being developed in line with current good practice guidance. Staff are trained and competent in health care matters. The home arranges training on health care topics that relate to the health care needs of the people, for example care of people with epilepsy and communicating with people with limited speech. Medications in the home are well managed, with an orderly medicine cabinet and well Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: ordered and accurate medication charts. Staff have received training in the care and dispensing of medications and this was an area well managed by the home. The home has developed efficient medication policy, procedure and practice guidance. Staff all has access to the written information and understand their role and responsibilities. Quality assurance systems confirm that policy is put into practice. Health care plans were identified as an example of good practice in enabling the individual to be involved according to their capacity. Recording in these plans was in good detail making it easy to identify contacts and outcomes from health care professionals. This ensures that regular appointments and checks are carried out in all health areas, such as dentist appointments, drugs reviews, chiropody and well persons clinics. 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. The home has good systems in place to protect the rights and well-being of service users. Evidence: People living at the home were observed freely expressing opinions to staff, and other ways of expressing views more formally via the complainants procedure were seen. Those with more limited communication are helped to express themselves through the use of the person-centred plan. The open atmosphere created within the home ensures that residents feel free to express their opinions and are confident that they will be listened to and concerns acted upon. People have been given a brochure with ways to make complaints in it and this was in various formats to aid understanding. People have good and varied links with outside organisations and advocate groups which ensures they have channels to express views and concerns if necessary. Also through the person-centred approach of the staff team people have been encouraged to be assertive in their daily lives. The home has polices and practices that safe guarded the handling of peoples monies that is looked after. Staff receive training in de-escalating any challenging behaviours. This ensures that the appropriate skills are used and positive approaches are used to help people when they may become upset or agitated.The organisation recently invested in a style of training called Team Teach, which promotes positive appraoches to behaviour. Care Homes for Adults (18-65 years) Page 19 of 28 Evidence: The Home has induction training that covers keeping people safe from abuse and the various forms of adult abuse and harm. A specific training course is also available and attended at various times of the year by different staff to ensure that the whole staff team is briefed, and is aware of their own role in keeping people safe. The organisation has recently up-dated its safe-guarding policies and has produced a Best Practice Booklet for staff to refer to. These measures and the approach of the staff team ensures that people are safeguarded from harm and their rights promoted. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. While staff do their best to provide a pleasant environment the persistant damp problem is making the home an unfit place for people with health problems to live in. Evidence: The home is a comfortable and relaxing environment that is maintained in a clean and pleasant manner. The garden areas are also very well maintained, as is the garden room to the rear of the home. Staff carry out cleaning duties as part of their role and the home is clean and hygenic. The house has had an on-going problem with damp despite being a relatively new building, having been purpose build as a care home approxiamtely 20 years ago. The housing assocaition reposnible have been investigating for a number of years. So far the problem has not been resloved, and if anything is getting worse, as now bathrooms, bedrooms and the lounge is affected by black mould. The double glazing is also of an old standard and condesation collects between the paynes. This is unsatisfactory as people living in the home are vulnerable to aliments and have fragile health. 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. People benefit from a well trained and skilled staff team who are dedicated to promoting a good quality of life tailored to each persons needs. Evidence: Staff have clear and thorough job descriptions and are, therefore, clear on their roles and responsibilities. Evidence was seen through staff individual involvement in developing care plans and how they used their knowledge and skills to carry this out in such a way that care plans meet the needs of the each person. While the home was judged to be well run, the legally responsible person for the home, the registered manager, is part-time. She works 18.5 hours and is allocated only 6 hours to decicate to this servcie. The rest of her time is spent managing other services in the community. A full-time senior is based in the home but also half of her hours are direct support/care hours. It is recommeded that the organisation review this structure to ensure that the registered manager is not a figure head or takeing on an operations manager role. The standards require that a manager should be in dayto-day control of the home. Based on discussions with staff and people living at the home, the staff team are well motivated and committed. They were actively involved in supporting peoples holidays, hobbies, and organising day trips. Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: Staff stated they are receiving regular and effective supervision and annual appraisal has also been carried out. Staff said they felt well supported and felt able to raise any issues with both the manager of the home and senior managers. The organisation, The Glenmore Trust, has good and varied ways of keeping staff informed and of creating a positive and developing workforce. All care staff had either completed or were registered on NVQs to level 2, and followed a rolling programme of mandatory training essential to ensuring a skilled work force. 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 benefit from a well run home where health and safety issues have a high priority. Evidence: All the working practices in the home are safe and there are no preventable accidents, or there are clear trends indicating a steady reduction in the number of preventable accidents, evidenced by good monitoring and record keeping systems. The home has a comprehensive range of policies and procedures to promote and protect residents and employees health and safety. Staff are trained, understand, and consistently follow these. There is full and clearly written recording of all safety checks and accidents, including analysis, and there is no evidence of a failure to comply with statutory reporting requirements and other relevant legislation. The home pro actively monitors its health and safety performance and consults other experts and specialist agencies about health and safety issues as required. There is evidence of organisational monitoring by operations managers. Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: The manager, senior team, and staff at all levels have a good understanding of risk assessment processes which is underpinned by promoting independence, choice and autonomy. These principles are taken into account in all aspects of the running of the home. The manager ensures that all staff are trained in health and safety matters. Individual training records reflect this and regular updates are planned ahead. An example of this was the homes Fire Risk Assessment which had been devised by the manager and senior, this was carried out to very high standards and identified and reduced all the possible areas of risk. Care Homes for Adults (18-65 years) Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 24 2 The Glenmore Trust must 31/12/2008 obtain a date from Impact Housing Association for when the damp problem in the bedrooms and bathrooms will be dealt with before it becomes an environmental health issue To make the bathrooms more pleasant for people to use 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. 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