Care Home: 71 The Fremnells

Similar services:

• Claremont House
• Sun Court Nursing Home
• Bramley Avenue (73)
• 15 Bramble Close
• Dolphin Court
• Fen Road
• Wakes Hall

What the care home does well The Fremnells provides individualised care that meets the resident`s needs and preferences. The registered person ensures effective monitoring of the resident`s health and well-being and access to appropriate services to ensure this is maintained. The resident is supported to maintain appropriate relationships outside the home. At home they have the opportunity for supportive relationships within an ordinary family environment. Personal care is provided by a limited number of people who clearly know the resident`s needs and how to meet them. This provides consistency of care for the resident. The resident`s relative spoken with told us that having the resident cared for at The Fremnells "is like winning the lottery for myself and the resident". What has improved since the last inspection? There have been a number of improvements to the environment and the equipment available to the resident. This ensures they have a pleasant and comfortable place to live and facilities and equipment to meet their needs. The registered person has improved the organisation of their record keeping. This includes being able to find documents more easily and also to the quality of the care documentation. What the care home could do better: The registered person could continue to work on their record keeping and ensure that all documents that they require in relation to their registration are readily available. Key inspection report Care homes for adults (18-65 years) Name: Address: 71 The Fremnells 71 The Fremnells Basildon Essex SS14 2QZ     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Bernadette Little     Date: 2 4 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 26 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 26 Information about the care home Name of care home: Address: 71 The Fremnells 71 The Fremnells Basildon Essex SS14 2QZ 01268526692 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mrs Julie A Atkins Name of registered manager (if applicable) Mrs Julie A Atkins Type of registration: Number of places registered: care home 1 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 physical disability Additional conditions: Date of last inspection Brief description of the care home The home is a four-bedroomed terraced modern house in Basildon suburbs. The home consists of three bedrooms upstairs with bathroom and w.c. Downstairs facilities consist of a large living/dining room/sun room and kitchen. The Service Users room is also on this floor. A hatch has been made from the kitchen that allows the carer to monitor the service user when asleep without disturbing them. There is a door with a key for emergency access. There is also a large enclosed garden that includes an accessible cabin with a hot tub. The Service User shares the home with the registered persons family and is considered to be part of the family. The Service User attends a day college locally during the week and is at home in the evening. When at home they join in activities with the family. 1 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The last key inspection of this service took place on 6th May 2007. This key inspection site visit took place by prior arrangement over a two and a half hour period on a Saturday morning. An announced inspection was agreed as, while other members of the family are, the resident and the registered person are generally not at home during weekdays. Both the registered person and the resident were present during the site visit. Prior to the site visit, the registered person completed an Annual Quality Assurance Assessment (AQAA) as required by law and returned it to the Commission within the agreed timescale. The AQAA provides an opportunity for them to detail their assessment of what they do well, what has improved and what they plan to do better. The AQAA contained an appropriate level of information for this service that was considered as part of the inspection process. Care Homes for Adults (18-65 years) Page 5 of 26 Prior to the site visit, we sent the registered person a survey to give to the resident. We could not send surveys to staff as no staff are employed at the home. The registered person told us that the residents foster brother completed the survey with them/on their behalf. This indicated the residents satisfaction with the care they receive at The Fremnells. We also subsequently spoke by telephone with another relative of the resident who was very complimentary regarding the quality of the care provided. The information provided and comments made are included in this report. A tour of the parts of the premises used by the resident was undertaken and some records were sampled. The outcomes of the site visit were discussed with the registered person. The assistance provided by all those involved in this inspection process is appreciated. Care Homes for Adults (18-65 years) Page 6 of 26 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 7 of 26 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 8 of 26 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 residents assessed needs were known to and met by the registered person. Evidence: There is no service user guide or statement of purpose. This home was registered specifically only to allow the continued provision of accommodation and care to one individual person. The registered person again confirmed this and that no further residents have been or will be admitted. The resident already lived on a shared basis at the registered persons home prior to their registration and therefore there was no need for a service user guide or a statement of purpose. The registered person has appropriate training and skills to meet the residents needs. They also demonstrate ability to meet the persons needs through their detailed knowledge of the persons needs and preferences having provided shared/foster care to the resident for a number of years prior to this current legal registration for residential care. The registered person advised that following the last key inspection, they contacted Care Homes for Adults (18-65 years) Page 9 of 26 Evidence: Essex County Council regarding obtaining an updated contract for the resident. However, the resident has no social worker allocated currently and so this has not been provided. We we had previously seen a copy of the registered providers general agreement with Essex Social Services as foster carers for the resident who prior to this had offered the resident a shared care placement. Care Homes for Adults (18-65 years) Page 10 of 26 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. Care planning was relevant and person centred and the service user involved in appropriate decision-making. Evidence: A person centred care folder is kept in a pocket in the residents wheelchair so that it goes everywhere with them. It provides adequate information on the residents care needs and includes issues such as mobility, communication, nutrition and oral care. There is also a communication diary that is completed both by the registered person and the day centre to ensure there is up-to-date information available to all who support the resident. It is noted positively that the community nurse has supported a review and update of the persons care needs and care plan. There are clear pictorial instructions in relation to the residents oral care and the registered person told us that the resident will only cooperate with those that they feel comfortable with to provide them with personal care, so operating choice and making decisions. In their AQAA, the registered person states that they able to fully understand the Care Homes for Adults (18-65 years) Page 11 of 26 Evidence: residents communications, that they listen to the residents wishes and views and respond to these at all times. There is clear evidence throughout this report and also from the observations of the interactions/communications between the resident and the registered person during the site visit that the residents views are appropriately considered in relation to decisions made about their lives. This was also confirmed in a telephone conversation with a relative of the resident. The registered person confirmed they had undertaken training in relation to risk assessment and regularly completed risk assessments as part of their role as a teacher in undertaking activities with pupils. At The Fremnells, pictorial instructions that are specifically of the resident and the equipment that they use had been implemented with the support of for example the occupational therapy team. This included specific pictorial instruction in for example how to hoist the resident that shows the actual equipment that they use so that this could be done safely. It also ensures safety in relation to the continuous feeding line. A specific recording sheet is also in place between the home and the day centre to record any issues in relation to a specific condition to allow it to be monitored so that risks/changes can be identified and appropriate action taken. This is a noted improvement from the last inspection. Care Homes for Adults (18-65 years) Page 12 of 26 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The resident is well supported to have a fulfilling lifestyle where they are treated as an individual and to maintain appropriate relationships and nutritional intake. Evidence: The resident regularly attends a local day centre. Through this they meet other people, including those of their own age and participate in a range of activities. These include cooking, karaoke, going to the pub, bowling and going out shopping. The resident also takes part in a mens club at the day centre. At home the resident is a member of the family and photographs demonstrated enjoyment of the close relationships this provides. The resident goes away on holiday as part of that family and photographs made available demonstrated participation in a range of events including swimming. The registered provider also supports regular time spent with the residents own relatives. A relative of the resident told us that Care Homes for Adults (18-65 years) Page 13 of 26 Evidence: they viewed several places prior to placing the resident and realise how fantastic it is for the resident to be living at The Fremnells in this family environment. The registered provider told us that the resident is clearly able to communicate their wishes and preferences for the routines of daily living and should they not wish to do something, it will not be done. Photographs also showed evidence of days out and the residents available communication confirmed enjoyment in going out in the evening and with friends to various events. The registered provider recently arranged for the resident to experience a ride in an open top sports car as this was an ambition of theirs. The resident is regularly taken to Brands Hatch were their keen interest in motorbikes is supported. The resident also verbally communicated their interest in the fruit bushes being grown in pots on the garden patio and there was shared laughter about the registered person sitting through a football match to which the resident had been invited. The resident is entirely fed through a gastronomy tube although can have tasters which the registered provider had written information on. The registered provider and their husband have undertaken training on providing nutrition, fluid and medication in this way. Evidence was provided of recent additional supplements that had been provided for the resident and the registered person was clearly aware of the need to monitor and increase fluid intake in line with the weather and temperatures. Care Homes for Adults (18-65 years) Page 14 of 26 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The resident is provided with advocated support for their healthcare needs and personal support in a way that meets their preferences and promotes their privacy and dignity. Evidence: There are clear routines around medication, nutrition, personal care and opportunities for interesting activities, and continuous and consistent carers that closely monitor and support the residents emotional and physical health and well-being. Ample equipment is available to meet the residents needs including apnoea monitors and suction machines. The registered person told us that social services had to cut the funding that provided carers to collect the resident and take them to and from the day centre each day. To support the resident to continue this, the registered provider and their spouse made a decision that one of them would give up work and stay at home to enable the resident to continue at the day centre. Personal care is therefore mainly provided by the registered person although increasingly there are times when the other person also provides this, for example if the registered provider was unwell or was at work and Care Homes for Adults (18-65 years) Page 15 of 26 Evidence: the resident had the day off, as this way the resident could have a lay-in if they they wanted to. The registered provider stated that they both have had training in the past in moving and handling and theirs is routinely updated as part of their job as a special needs teacher locally. There is a clear rule in the house that if the door to the residents bedroom is closed then you do not go in, this is to protect the persons privacy and dignity, particularly during personal care. There was evidence of involvement and routine monitoring by healthcare professionals and the registered provider explained the excellent support they receive from a range of services including their GP, the community nurse etc. There was record of recent medication review and a copy of the updated medication list, signed by the registered provider, that was sent to the day centre with their information. Records showed monitoring with an overnight stay in hospital as part of an ongoing sleep study in line with a record of spasmodic events noted by the registered provider. There is a shared records sheet that is also completed by the day centre in line with this which the registered person then shares with the community nurse as part of review. The registered person advised that the resident has a high level of medical and health care needs that these are well monitored and managed to support their well-being. Examples include that the resident has not lost any weight and records from the day centre indicate that they have both maintained and increased their weight over time. The registered person also advises that despite the residents lack of mobility, they do not have any pressure sores. A relative of the resident told us that due to the persons condition, they have a high level of health care needs which the registered person is well in control of. They added that it is obvious that the resident is as well as they are because of the care and love they receive at the Fremnells. Care Homes for Adults (18-65 years) Page 16 of 26 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 resident is safeguarded by the knowledge and skills of the registered person. Evidence: A written complaints procedure is not available. In the specific nature of this care home, it is considered as unnecessary. The registered person advised that they routinely have contact with the residents family and will discuss any matters as they arise. The registered person confirmed they have not received any complaints regarding their service. A relative of the resident advised that they are able to discuss any issue with the registered person and would feel able to raise any concerns. They were highly complimentary about the service provided by The Fremnells and added I cant fault it. The registered person has had training on protecting vulnurable adults in their role as a special needs teacher and confirmed they have regular updates. The registered person confirmed that the other carer for the resident also attended this training through Essex County Council when they were a shared carer. The registered person advised that they would be aware of any responses or reactions by the resident that would be out of character and would follow these up. They would also be aware of any physical concerns as they provide personal care. The registered person confirmed they would take appropriate action to ensure the residents safety and well-being at all times. The Commission has not received any complaints, concerns or allegations regarding this service. Care Homes for Adults (18-65 years) Page 17 of 26 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. The Fremnells provides a clean, safe and comfortable environment that meets the residents needs. Evidence: The home was very clean and tidy. Consideration has been given to the amount and type of furniture available to maximise the space and accommodate easily the residents wheelchair as part of the family seating group. Since the last inspection wooden flooring has been fitted throughout the downstairs of the home to make it easier for the wheelchair to travel. The areas of the home used by the resident have been completely redecorated. A conservatory/sunroom has been added that allows more space and also provides better opportunity for the resident to look out and enjoy the garden. A patio area contained a number of tubs where fruit bushes were growing and the residents verbalisations indicated enjoyment from their involvement in this. A wooden cabin has been built in the garden that has a ramp for access. This houses a hot tub for the residents use and photographs available demonstrate the persons enjoyment of this. The registered provider told us that they had funded all of these Care Homes for Adults (18-65 years) Page 18 of 26 Evidence: improvements personally to improve the quality of the residents life. The idea for the hot tub came following a family holiday to Center Parcs where it became obvious that the resident really enjoyed the experience of a hot tub there. The residents bedroom is clearly limited in space. The registered person confirmed that it remains adequate for the residents needs and that they mainly only spend time in there to sleep or for personal care. They also confirmed that there is appropriate space to use equipment safely, for example the overhead tracking for transferring the resident. There is appropriate specialist equipment to meet the residents needs. A new high low bed is in place. A pressure relieving mattress is in use. The residents wheelchair is assessed for their individual needs. There is also a specially adapted vehicle for the residents use with a tail ramp that supports accessing the community. Care Homes for Adults (18-65 years) Page 19 of 26 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. The resident is supported by competent people who provide them with consistent care outcomes. Evidence: The registered person does not employ any staff. The registered person is the residents main carer. While the registered persons spouse more lately has taken on more of a role in this, they have always participated in supporting the registered person in the care of the resident, and jointly provided shared/foster care for the resident for a number of years. The registered person told us that they are a qualified special needs teacher with an excellent status. They have many years experience working with children who have disabilities. The registered person and their spouse have have cared for this resident for a number of years on a one-to-one basis. The registered person clearly demonstrated that they know all aspects of the persons care, personality, needs and communications and are competent to support these. The registered persons spouse was also aware of the residents needs and confirmed they had undertaken appropriate training in the past in their previous role. The registered person has completed a range of relevant training including in relation Care Homes for Adults (18-65 years) Page 20 of 26 Evidence: to specialist communication, epilepsy, moving and handling, risk assessment, mental capacity act, first aid, health and safety, sign language, intensive interaction and challenging behaviour. The registered person is also a qualified swimming teacher. As no staff have been employed, there were no recruitment files to review. The registered person and their spouse underwent a criminal record bureau checks in their role as shared/foster carers and provided evidence of appropriate criminal record bureau check in relation to registration. The registered person advised that they undergo updated criminal record bureau checks every two years and evidence of these are maintained by the school where they are employed as a special needs teacher. Care Homes for Adults (18-65 years) Page 21 of 26 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The resident clearly benefits from a service that is run in their best interest and strives to ensure they experience positive care outcomes. Evidence: The registered person oversees the ordering of items and equipment that the resident requires to ensure their health and well-being. They have a system for ensuring that these are obtained in advance to be readily available when required and are used in appropriate rotation. There was evidence that the service is run in the residents best interest. The interaction observed between the registered person and the resident demonstrated clearly that the resident is consulted routinely regarding any decisions that affect them and that their views are considered and taken into account. It was noted that the records maintained by the registered person were more organised and this should continue to be developed. The registered person provided the AQAA as requested prior to the site visit and it contained an appropriate level of Care Homes for Adults (18-65 years) Page 22 of 26 Evidence: detail. No health and safety hazards were observed. There was evidence that equipment was routinely serviced for example the overhead tracking hoist in the residents bedroom was recently inspected and the date of the next inspection was clearly recorded. Care Homes for Adults (18-65 years) Page 23 of 26 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 24 of 26 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 25 of 26 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. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 26 of 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!