Care Home: 82 Chaucer Road

Similar services:

• Coopers Mill Ltd
• Bramley Avenue (73)
• Paradise Lodge
• Grangewood
• Upaya Ananda
• Newton Court (1-2)
• Kings Lane (32)
• Pemdale

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 82 Chaucer Road 82 Chaucer Road Bedford Beds MK40 2AP     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Angela Dalton     Date: 1 2 0 5 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. 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. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.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: 82 Chaucer Road 82 Chaucer Road Bedford Beds MK40 2AP 01234216319 01234346362 dpchauceroad@aol.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Caretech Community Services Ltd care home 8 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: 8 1. The registered person may provide the following category/ies of service only: Care home only Code PC 2. The maximum number of service users who can be accommodated is: 8 Age: 18-65 years Category: All persons admitted to the home must have Learning Disabilities as their primary assessed need. No service users with additional physical disabilities shall be admitted, unless it can be demonstrated that the home can meet their needs by way of accessible private and communal space and appropriate aids/adaptations. Number of places: 8 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 Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 28 Brief description of the care home 82 Chaucer Road was first registered in June 2004 as a care home for up to eight adults with learning disabilities. Caretech Community Services Limited who provides a number of homes for people with learning disabilities nationwide owns this home. The stated purpose of the home is to provide care and support to people who have diverse needs associated with their learning disability, such as behaviour that challenges, autistic spectrum disorder and people who require alternative communication systems. The home is not suited to people with mobility needs although ground floor accommodation is available. The home is a refurbished Victorian villa in a residential area on the west side of Bedford. Accommodation comprises of a large lounge, dining room/conservatory, kitchen and laundry room on the ground floor. All bedrooms are for single occupancy and have en-suite facilities. There are bathing and toilet facilities on both floors and the office is situated on the top floor. The ground floor room previously used as an office has been converted into a sensory room. 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: One inspector conducted this unannounced site visit on 12th May 2009 between 2.35pm and 8pm. The previous inspection was conducted in May 2008. Two people were case tracked. We followed the care of people who use the service to ensure the care they receive is reflected in the care plan and meets their individual requirements. The case tracking process cross references all the information gathered to confirm that what we are told is happening is actually occurring, and, reflects the Statement of Purpose, which contains the aims and objectives for the service. We spoke to the people who use the service, their relatives, members of the staff team and the manager. We were present during dinner time and observed interaction between staff and people Care Homes for Adults (18-65 years) Page 6 of 28 who use the service. We toured the building and examined documentation to check that what was happening in the service was being recorded. The services weekly fees are range from 1319.69 pounds to 1548 pounds. This does not include toiletries and private chiropody and other personal expenses. 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 set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 28 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Information is availble for people to make an informed choice about the service. Evidence: The manager has worked hard to improve the documentation that is available to people who use the service. The service users guide and statement of purpose have been revised. They are now in an easy read version and have been translated into symbols and supported by text and photographs. Contracts have also been updated to reflect individual fees and agreements. Previous service user agreements and contracts had been signed by the people who use the service or their representative and the new versions will be signed in the near future. The service users guide is available as an audio CD or power point presentation if required. One person has moved in since the previous inspection. They told us that they had been given information about the home before moving in and that the moving in Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: process was taken at their pace. They said they were very happy and liked the freedom that they had at Chaucer Road. The care plan reflected that a comprehensive assessment had been completed and provided a foundation for an individual plan of care. The assessment reflected likes and dislikes and how the staff proposed to meet needs. Care Homes for Adults (18-65 years) Page 11 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users are the focus of the service and care plans illustrate how social care needs are monitored, managed and met. Evidence: We followed the care of two people, one person had moved in six weeks ago and the other had been living at Chaucer Road for some time. One service user has moved onto living more independently and this is clearly a testament to the hard work of staff that this process occurred. Each person has a support plan detailing their individual needs. People are very involved in devising their plan of care and are passionate about contributing to the information that is written about them. People we spoke to confirmed that they had worked with staff in writing about the way that they wished to be cared for and how they wanted staff to work with them. The focus of the service is upon enabling people to do things for themselves and being supported to make choices. One person keeps their cigarettes and lighter in the office but carries one cigarette with them. They stated that they had agreed this arrangement to prevent Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: them from smoking all their cigarettes. This arrangement is recorded in their care plan. Care plans are in a user friendly format but a new and improved version is being introduced. Pictures are easier to understand and staff will not be restricted by the layout and will be able to record more detailed information. The service has software to enable text to be translated into pictorial or symbol forms which enables information to be user friendly. Each person had a health action plan which described how health needs were met. Again, this documentation is being updated into a new format. This has more detailed explanations of needs and how they are monitored and managed. Comprehensive risk assessments were in place which focused upon how individual risks were considered and the impact upon others e.g. with regard to behaviour. Again where possible, risk assessments are written with service users to ensure that they are aware of how needs can be managed. This is valuable to some people who have specific triggers to behaviour and understand how staff will work with them. The front door is locked but this is discussed when people move into the service and is agreed with professionals as part of peoples behavioural management. The manager plans to develop the protocol in line with the Deprivation of Liberty aspect of the Mental Capacity Act. Regular reviews take place to ensure that the care plan is still relevant and meets peoples needs. Person centred planning is incorporated into care plans and specifically into the Life, Leisure and Experience section. This enables each person to record what they would like to do and plan it with staff. It also enables people to have hopes and aspirations that staff can assist in realising. Some people meet with an Advocacy Alliance representative each month and also have support from staff in one to one talk times. Care Homes for Adults (18-65 years) Page 13 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The leisure and occupational requirements of people who use the service are met in a flexible way. Evidence: The staff team work hard to ensure that service users have a varied leisure programme. This is devised in conjunction with people and changes as necessary. A variety of activities take place from French lessons to Aromatherapy sessions. Each person has a leisure plan which is planned each week and can be changed if required. Personal interests are reflected: people attend a farm, a recycling centre and daycare provision. In house activities are varied to include Art and Craft sessions and Gardening. People have organised their own walking group to explore the local area which some familiy members have shown an interest in. Each person is expected to participate in the running of their home and this is scheduled into their weekly plan. Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: Some people enjoy cooking and one person plans their own menu and has their own cookbooks which reflects their ethnicity. They are working towards inviting their family for a home cooked meal. Another person enjoys baking cakes and sharing the finished product. People also host themed meal nights and dress accordingly if they wish. Everyone takes turns to go shopping and plan the menus which was evidenced in the weekly house meetings. People are supported to attend community facilities. A local nightclub hosts Groovy Gecko evenings to enable people to enjoy a night out. Each person has a cinema pass and buss pass. The service has its own transport but currently only employs 2 drivers. The manager is investigating if a driver can be employed. People visit the local shops, library, pubs, restaurants and leisure facilities. One person regularly attends church and the option is regularly reviewed with all service users. Some people visit their families and others communicate in a bi monthly letter written with staff. This contains an update of what people have been doing and contains photographs. Families have given very positive feedback about receiving a letter and it enabling extended family to be involved. The room that used to be the office downstairs is being developed into a Snoezelen (sensory) room. Some equipment has been fitted and there are plans to develop the quiet room further. The office has been relocated upstairs. One person is a fan of Kylie Minogue and has been to see her in concert on 3 occasions with the support of staff and family. The manager is keen to promote activities as it is recognised that it leads to increased confidence and improving daily living skills. Holidays are tailored to individual wishes and some people enjoyed a camping trip to Brighton last year. Photographs are displayed throughout the house of service users and the activities they enjoy. One person was spending time sitting in the garden during the inspection. They said they enjoyed using the garden furniture. Two of the garden sheds have been painted to look like beach huts. Service users assist in maintaining the garden and this ensures it is a pleasant place to spend time. There is also a large conservatory which has an air conditioning unit to ensure it does not become too hot. People have rooms to choose from if they wish to be on their own. Care Homes for Adults (18-65 years) Page 15 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The medication system ensures the safety of people who use the service. Evidence: Each person has a health action plan detailing how their needs are monitored, managed and met. This document has been updated to ensure that staff can complete more detailed information. Some people have epilepsy and there was detailed information how seizures were managed. Each person has a GP and their involvement was reflected on any changes on the Medication Administration Record sheet (MAR). Where required people receive support from members of the multidisciplinary team: Psychology, art therapy, dietician and social worker. The manager is satisfied that any support that is required is available when necessary. We followed the health care of two people. All medication reconciled and records were well kept. Temperatures of the medication cupboard are recorded twice each day during the morning and evening. The manger plans to introduce a lunchtime check to ensure medication is stored at the correct temperature at the hottest time of day. An air conditioning unit is available if needed. There is no controlled medication or medication that requires refrigeration but facilities exist if necessary. Some people stay with their family and take a copy of the Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: MAR sheet to be completed. Amounts of medication are checked on leaving and returning to Chaucer Road to ensure that medication has been taken correctly. All staff receive medication training and the manager is currently working towards Level 2 Safe Handling of Medication in Social Care. There is a copy of the Royal Pharmaceutical Societys guidance of Administration of Medication in Social Care for staff to refer to. Care Homes for Adults (18-65 years) Page 17 of 28 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service has a clear system in place to enable people to express their concerns. Evidence: There is a complaints policy in place. Each person has a user friendly version in a pictorial and symbol format. The people we spoke to confirmed that they knew who to raise any concerns with informing us that they would talk to their keyworker or the manager. The Commission was notified of complaint made earlier in the year and this issue has been resolved. We were able to follow the process of the complaint and the outcome by examining the complaint records. A member of staff from Advocacy Alliance visits each month and acts as an independent representative for people who use the service. Records reflected that staff had attended Safeguarding training. An incident occurred earlier in the year and this was appropriately dealt with under the local SOVA (Safeguarding of Vulnerable Adults) policy. The manager keeps copies of compliments and is planning to expand the complaints procedure to illustrate how concerns or allegations are dealt with effectively and they do not escalate into complaints. This will also ensure that the process of any investigation or process that takes place is recorded. Safeguarding is discussed in one to one sessions with people who use the service to ensure that it is a subject that everyone is familiar with and discuss any questions. Training on the Mental Capacity Act has commenced and the manager plans Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: to incorporate this into peoples care plans. We checked two peoples financial records and there were no issues. Care Homes for Adults (18-65 years) Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The environment meets the needs of people who use the service. Evidence: The manager has worked hard with staff to reflect the tastes of people who live at Chaucer Road. Bathrooms are less clinical and have pictures and personal effects. The manager has purchased LED lights which change colour. These provide a relaxing atmosphere whilst bathing or in the quiet room for some of the service users to benefit from. People can play music in the bathroom and it is a valuable part of peoples personal care. Bedrooms reflect personal tastes and the newest service user plans to decorate their bedroom in the colours of their favourite football team. Some redecoration has taken place since the previous inspection. The quiet room and a bedroom have been repainted. New flooring has been fitted in the conservatory and a bedroom. Lighting has been improved on the staircase to assist service users. There are plans to redecorate and fit new flooring in the kitchen. During the inspection repairs were being carried out to the emergency lighting. Adequate protective clothing is in place for staff to minimise the spread of infection. Soap and alcohol gel were available. The washing machines do not have a sluice facility but when they require replacing the manager will ensure that this is a Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: consideration. There may be a potential problem with the wooden bath panel and flooring in the bathroom that the men choose to use as there was an occasional odour reported. The manager plans to raise this as a maintenance issue. 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 who use the service are supported by an effective staff team. Evidence: We checked recruitment records and found them to be satisfactory with the exception of an Agency employee. The manager receives a pro forma detailing the checks and training that a member of Agency staff has received. The Criminal Records Bureau check (CRB) had been transferred from a previous care employer and not applied for by the Agency. The manager stated that they would contact the Agency and not use them until they were satisfied that thorough checks could be evidenced. The staffing level currently meets peoples needs and vacant posts of a waking night, deputy and senior (who is on maternity leave) are being filled by Care Techs own Agency staff or by staff acting in roles on a temporary basis. A comprehensive training programme is completed by staff. Staff complete the Learning Disability Qualification and an induction. All staff have obtained or are working towards NVQ Level 2 and 3. In addition to mandatory training staff attend specific training relating to Autism,Epilepsy, Behavioural Interventions, Safeguarding and The Mental Capacity Act. Some of the staff have worked in the service for a Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: number of years and stated that they enjoyed their job. Staff receive supervision every four weeks from the management team which enables staff to set their goals with regard to training and performance. People who use the service were complimentary about the staff and said that they knew who their keyworker was and who they could talk to regarding any concerns. We were told staff are nice and friendly. We observed staff interacting with people and they appeared kind, friendly and patient. They demonstrated a good awareness of individuals needs. There are plans to commence Makaton training in the near future to enable staff to communicate more effectively with people who use sign language. The manager has put together a selection of DVDs to inform staff about specific conditions such as Autism. They have also identified films where Autism is featured to offer an alternative means of informing staff. Care Tech recognises the skills of a staff team and member of staff can obtain a Top Team Award which the staff team of Chaucer Road have won on several occasions. Each member of staff obtains a certificate and £10 shopping voucher. The manager also awards Employee of the Quarter which has a positive effect upon morale. 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. The views of people who use the service are incorporated into the running of the home. Evidence: The manager was previously the deputy manager and was promoted in January 2009. They have been proactive in implementing changes to reflect the personalities of the service users in their home. The manager is clearly passionate about their role and staff confirmed that they were dynamic and energetic in their approach to ensuring tasks were completed and service users were at the centre of Chaucer Road. The manager has demonstrated that they are able to manage challenging situations having dealt with a safeguarding alert and a complaint since their promotion. Staff have supported them and there are vacancies to fill in the management team so staff are acting in temporary senior roles until posts are filled. We inspected fire records and water temperature records. The service experienced a chip pan fire in September 2008. The fire plan has been updated and the manager Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: plans to review the content in the near future to ensure that it reflects the current needs of people who use the service as a new person has moved in and they smoke in the garden. Fire checks are conducted weekly and drills occur at different time to ensure the involvement of night staff. Hot water temperatures are checked and recorded daily and water was being delivered at a safe temperature. The Annual Quality Assurance Assessment (AQAA) had been completed and returned to the Commission. It accurately reflected the measures that had been implemented to improve the service. The company sends questionnaire to families and people who may be significant to the care of people who use the service. The manager plans to collate the feedback into a format that enables people who have contributed feedback about the service to know action the company is taking in response to any issues raised. Care Homes for Adults (18-65 years) Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 03000 616161 or Textphone: or 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) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 28 of 28 - 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!