Care Home: 43, Florence Avenue

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What the care home does well People are actively involved in the running of the home. Individuals are able to make choices and are supported by staff to live as independently as possible. The manager is focused on providing a good service and if consistency is achieved, Florence Avenue has the potential to become an excellent service. The AQAA showed us clearly where the home is doing well and where it could improve. What has improved since the last inspection? Redecoration and maintenance issues are now being addressed. This will make sure that people live in a comfortable environment. What the care home could do better: No requirements were made as a result of this inspection. Key inspection report Care homes for adults (18-65 years) Name: Address: 43, Florence Avenue 43, Florence Avenue Morden Surrey SM4 6EX     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: Janet Pitt     Date: 2 1 0 4 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 29 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: 43, Florence Avenue 43, Florence Avenue Morden Surrey SM4 6EX 02086465921 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): www.caremanagementgroup.com Care Management Group Ltd Name of registered manager (if applicable) Beverley Knapp Type of registration: Number of places registered: care home 8 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 8 The Registered Person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: Learning Disability Code LD Date of last inspection Brief description of the care home 43 Florence Avenue is a registered care home for eight adults with learning disabilities. The home is owned and managed by Care Management Group CMG and is situated in a quiet residential road in Morden. Public transport, churches, leisure facilities, local shops and the shopping centres of Morden, Sutton and Mitcham are close by. The home is set over two floors with a self-contained flat for one resident within the grounds. The home is staffed twenty-four hours a day. Information about the home is Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 8 Brief description of the care home provided to residents and their representatives in a written guide. The current range of fees is GBP1200 to GBP1600 per week. 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: The quality rating for this service is two star. This means that people experience good quality outcomes. One inspector undertook this unannounced inspection. A site visit was made that lasted two hours. During this time we were able to look around the home and speak with the people that live there. We looked at care records and spoke with some staff members. We sent surveys to individuals that live in the home and staff members. Florence Avenue sent us their Annual Quality Assurance Assessment that gives details of what the service can provide and how it hopes to improve. Information from all these sources and records that we hold have been used in this report. Care Homes for Adults (18-65 years) Page 6 of 29 Care Homes for Adults (18-65 years) Page 7 of 29 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 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 9 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. People can be confident that their health and personal care needs will be assessed prior to and on moving in. Individuals are able to test drive the home before moving in. A contract is given to people telling them what is included in the fee and what they can expect from the service. Evidence: The homes AQAA tells us that: service users are offered a transition programme which is set over short visits to the home, which will include staying for lunch, evening meal, then an overnight stay. This would be prior to making a final decision to move into the home. all new service users moving into Florence Avenue are provided with a service users guide and statement of purpose in appropriate format. the statement of purpose and service has recently been updated and also put into picture format that the service users will understand. after six weeks a review meeting is held to see if the service and service user are compatible During our site visit we were able to look at individuals files. We found that an Care Homes for Adults (18-65 years) Page 10 of 29 Evidence: assessment of need had been carried out. The person was involved in this process. Contracts detailing what service are provided in each persons file. We found that information could be made available in large print or pictorial formats if needed. The assessments covered areas of health and personal care and information from health professionals or authorities had been included. We were able to confirm that individuals are able to visit prior to moving in to enable them to make an informed choice. One persons file told us about when they had visited the home before moving in. Florence Avenue plans to improve in the next twelve months by:creating an abbreviated version of the service users guide for the service users to keep for themselves in their rooms. To have in place a picture/photo brochure about the home. For any prospective new service user to have a more rounded view of the house/service. People who responded to our surveys said that they had enough information to make a choice about moving in. Care Homes for Adults (18-65 years) Page 11 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. Individuals are involved in their care planning. They are able to make choices and take risks if necessary. Planned reviews take place and the person is involved in the process. Any change in need is noted and acted upon. Evidence: Florence Avenue said in their AQAA: [The]support plan[s], these have been developed with the service user and others. This plan is used as a basis for developing new goals and aspirations the service users may wish to pursue. A brief version of their lives and disabilities, activities, the home, clothing or dietary needs. Communication systems that we have in place to support individuals to with their communicative needs which has enabled individuals to make choices and more able to be involved in the decision making within the home. When we looked at care plans we found that they were well organised. The index showed us that the plan covers health needs, psychological and mental health needs, managing emotions, communication skills, daily living skills, self care skills. Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: Relationship and sexual needs. Community presence and participation. Employment/education,recreation/relaxation and Cultural and Spiritual needs. We found that care plans had been routinely reviewed, with changes made if needed. Other health professionals who are involved in a persons care were recorded. An action plan had been drawn up reflecting individuals priorities. There were risk assessments and guidelines covering activities such as abuse and exploitation, mobility and behaviour. Each person had their own risk sheets that informed staff on their personal abilities. For example, one person had guidelines on signs of them becoming agitated. There were details how to prevent and de-escalate situations occurring. We were told by the manager that risk assessments and guidelines are to be reviewed. We saw that each file had a description of the person in case they went missing. The section on personal skills covered areas such as household tasks and personal care. The AQAA stated that: The service users at Florence Avenue are involved in the decision making of the house, menu planning, taking part in daily household chores and tasks, initial input into activity planning both outside and inside the home encouraging them to make choices. The way people are able to communicate was well documented eg gestures, body language and facial expression. Communication passports are in place. These are to be re-evaluated so they are a usable document in the community. Individuals are able to practice their chosen religion or faith. There was information if a person did not want to participate eg does not show any desire to attend any places of worship. One member of staff was going to training on Person Centred Plans on the afternoon of the site visit. The member of staff told us that the training was looking at making sure that plans were written from the persons point of view. They also said that all plans were to be reviewed in line with this. Care Homes for Adults (18-65 years) Page 13 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. People are able to chose what activities and hobbies they want to do. They are supported by staff when needed. Individuals are able to keep in contact with loved ones. The people that live at Florence Avenue are involved in planning and preparing meals. Evidence: The home tells us in their AQAA that: Florence Avenue is a home that provides and supports the service users with the opportunity to feel part of the community, by regularly visiting the local shops getting to know and interact with the shopkeepers. going out to lunch or dinner at the local Chinese restaurant, visiting the local pub and meeting the locals. service users have the opportunity to pursue their own hobbies and go to college or the Wimbledon resource centre, discos, bowling, Tuesday clubs .by accessing these services gives opportunity to meet new people and make friends. Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: When we looked at care plans we were able to confirm this. Some plans had comments such as: Goes home most bank holidays and at times weekends Brother takes out for lunch and overnight visits.and [the person] fond of [members of the opposite sex]. Encouraged to deal with sexual feelings in the privacy of [their] own bedroom. People that live in Florence Avenue are able to voice what they would like to do. Work has been done on making sure that individuals preferred form of communication is used. For example some people find pictures with a few words easier to understand, than words alone. Survey respondents said that they were able to make choices about how they spend their day and are able to keep in contact with loved ones. The AQAA told us: service users are encouraged and supported by staff to assist with food shopping and active support to prepare and cook their meals to promote independence. Peoples care plans had details on what food likes and dislikes the individual has. When we looked around the kitchen we saw that the menu was in a pictorial format and healthy eating is promoted. Individuals are encouraged to stick up on a board photographs of what fruit they have eaten. This helps people to keep a track of their five a day. We saw that there was space in the kitchen for staff to support individuals in meal and drink preparation. We observed one person choosing their lunch. A member of staff opened one of the store cupboards and the individual chose what they wanted to eat and were supported in heating up the meal. Other people were seen helping themselves to fruit or snacks that were available. We noted in reviews and meetings that plans are being made for individuals to take holidays or go on outings. Florence Avenues AQAA told us that they plan to improve the service in the next twelve months by: develop[ing] in all areas to encourage each individual service user to be more involved within the house and further integration into the local community activities. To continue to meet service users needs. To develop a new format for service users meetings so all service users have a say through their preferred communication methods. Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: 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. People are support in their health and personal needs appropriately. Care is taken to make sure that care is individualised for each person. Health care needs are addressed and professional advice is sought when needed. Evidence: At Florence Avenue all service users have a developing health care plan that meets the needs their needs. All personal and healthcare support is maintained with privacy and dignity. Service users are encouraged to be as independent as they are able to. In this area the support is always on how the individual wants us to support them. [AQAA 2010] Individual support plans identify that routine appointments have been attended and any concerns have been acted upon. [AQAA 2010] During our site visit we looked at peoples care plans. These were well organised and information was easy to find. Individuals personal skills in relation to doing tasks such as housework, or personal hygiene needs had been detailed. There were details on how to assist a person when they showed challenging behaviours. Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: Each plan had a review date and the persons keyworker wrote a monthly report, summarising what had happened the previous month. Appointments with other health professionals were noted and action taken if needed. Other areas covered by the plans were managing emotions, communication skills, daily living skills and self care skills. People individual strengths, wants and needs were noted. A pen portrait of the person and their life picture gave information on what there personality was like and social interests. Peoples wishes for death and dying were sensitively recorded. If a person did not wish to discuss this, it was recorded. Evidence from our regulatory activities indicates that there are no concerns relating to medication handling at Florence Avenue. 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. People who live in the home are able to express any concerns they may have. These concerns will be listened to and acted upon. Staff are aware of how to safeguard vulnerable adults and make sure procedures are correctly followed. Evidence: The AQAA told us: service users at Florence ave are provided with a clear and effective complaints procedure. these are both in written and widget format. service users have regular opportunities to talk with staff through their preferred method of communication system to raise any concerns that they may have. We found on the site visit that Florence Avenue have not received any concerns or complaints. The Complaints Policy has recently been reviewed and is now in photographic form. The people that live in the home acted out the roles of members of staff and a person making a complaint. Photographs were taken that clearly showed each stage of the process. Descriptions were written alongside each picture. Information from the service informed us that staff have recently attended safeguarding training. There is a suitable policy in place for staff. Since the previous inspection there have been two Safeguarding alerts, both were handled appropriately. We have only received concerns about the environment. Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: The home hopes to:continue to support service users to raise concerns and feel confident in doing so. To feel valued and that they will be listened to. 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. Florence Avenue provides a homely and comfortable environment in which people can live. Improvements in re decoration and refurbishments have meant that individuals have had more say in how the home is decorated and what facilities there are. Some more work is needed to keep this standard consistent. Evidence: We were able to look around the house when we did our site visit. The hallway was in the process of being repainted and the bungalow that provides an independent living space has been completely refurbished to a high standard. The premises were clean and tidy on the day of the site visit. The manager told us that the downstairs bathroom is to be refurbished once the painting has been completed. There are also plans to make a shower room downstairs. We were informed that new furniture and carpets had been ordered. We saw that the kitchen provided sufficient space for staff to support individuals. The AQAA told us: All private rooms are single rooms. all service users bedrooms are personalised with items that they have chosen.Service users have been involved in choosing the colour schemes both for the communal areas and bedrooms. A Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: maintenance audit is completed monthly. As a home we have moved forward and listen to what our service users are telling us. Although progress has been made in maintaining Florence Avenue this could be further improved to make sure that people live in a homely environment. This was commented upon in the AQAA. One staff survey stated that the home could improve in maintaining the environment: Mostly maintenance issues, this has been alot better People have sufficient communal and private space in which to live. The main lounge is homely and has benefited from being repainted recently. 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. People can be confident that staff are recruited in a safe manner. Ongoing training and supervision makes sure that staff are able to support individuals in a way that helps the person. Evidence: Florence Avenues AQAA stated: The staff at Florence Avenue are of mixed gender and age, which provides service users with diverse angle of characters to suit service users needs. Staff have monthly and six monthly supervisions to continually monitor their performance, achievements, attitude and progress. and all staff work well as a team and are very effective and supportive towards each other. service users have developed trust from members of the staff team and find the staff very approachable. Staff who responded to our surveys were able to confirm this. The AQAA also said: staff training is up to date and CMG now provide mandatory training on line called E-Learning which is a way further for new staff and refreshers for staff that have already done the courses. Staff surveyed confirmed that they received training appropriate to the job they are expected to do. The manager informed us on our site visit that all staff files are kept Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: at the companys head office. It is recommended that a proforma is kept in the home detailing what checks and references have been obtained. Evidence from previous inspections when we looked at the staff files confirms that a safe recruitment procedure is followed. We saw that there were adequate numbers of staff available to support individuals. The manager told us that they work two shifts on rota and the rest of their time is supernumerary. We observed positive interactions between staff and residents. For example when assisting with food preparation or deciding what to do. 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. Individuals can be confident that the home is run in their best interests. Staff search for continuous improvement in the service provided, with the invovlement of individuals. Health and safety is maintained at all times. Evidence: The service is committed to making sure it is run in the best interests of the people that live there: At Florence Avenue we now use a range of tools to support service users with their communication needs in order to ensure that as a service we are able to effectively communicate with individuals who live within our service to ensure personal choices and new experiences with the use of communication passports, photos, pictures of feelings and emotions. At Florence we ensure that service meetings take place monthly. these meetings give service users a chance to talk about ideas or suggestions and implement action plans. [AQAA 2010] Florence Avenue considers that the service has improved by staff being more aware of the policies and procedures that underpin their work. Maintenance issues are being addressed. There is a new Area Care Manager who liaises with the estates manager Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: and regional director to develop areas of development and make sure maintenance is achieved in a timely manner. Staff supervision is in place and the manager considers that staff work well together as a team and show a positive attitude toward their work. We were able to confirm the above during our site visit and throughout the inspection process. A barrier to improvement has been the increased workload for managers of CMG homes. This has resulted in expectations being unreasonable at times. [AQAA 2010] Polices and procedures should be reviewed, as some had not been addressed for a few years. The manager reported that the company that runs the home would be addressing this during the next twelve months. On our site visit, all staff members were welcoming and willing to assist us. People that live in the home were able to interact freely with us, without staff directing them. All the records we needed were readily available and stored securely when not being used. No issues relating to health and safety were identified. 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 1 34 It is recommended that a proforma is kept in the home that has information on references and checks carried out on new employees. Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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. 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