Care Home: Abbey Lodge Care Home

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What the care home does well When we spoke to the people who live in Abbey Lodge they told us that they were happy there and that they were treated well and that they could tell people if they were not happy about anything. When we looked at important records, they were up to date and well filled in, so that they did what they are supposed to do and were accurate and useful. When we looked around Abbey Lodge, we found that it was clean and tidy and that it was very comfortable and like a real home. What has improved since the last inspection? The good things we found last time we visited the home are still being done, like looking after people well and making sure that wherever possible things are done in the way they like and want. The number of useful policies and records has been increased and they are now being used better than they were, and there are more people living in the home which makes it more like a real home. Because there are more people living in the home and also working there there is more going on in the home and people living in the home are able to go to more things outside of the home. What the care home could do better: The important thing is that as more people come to live at Abbey Lodge, everyone is still able to say what they want and that people who work in the home will listen to what they say and try and do things as the people who live in the home tell them they want them to. We talked to the area manager about some things that could be done to make sure that the way medication is given is as safe as it can be. Key inspection report Care homes for adults (18-65 years) Name: Address: Abbey Lodge Care Home 3 Finch Lane Bushey Herts WD23 3AH     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: Jeffrey Orange     Date: 1 9 1 1 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 28 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: Abbey Lodge Care Home 3 Finch Lane Bushey Herts WD23 3AH 02084218174 02075381559 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Venus Healthcare Group Ltd care home 7 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability mental disorder, excluding learning disability or dementia Additional conditions: The maximum number of service users who can be accommodated is 7 The registered person may provide the following categories of service only: Care Home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning Disability - Code LD Mental Disorder, excluding learning disability or dementia - Code MD Date of last inspection Brief description of the care home Abbey Lodge is a residential care home for younger adults with either a learning disability or a mental health disorder and provides both accommodation and care. The home is a newly refurbished and adapted building in a residential area of Bushey, close to the shopping and leisure facilities of Watford and within easy reach of good public transport services. Parking is available to the front of the home or on the road subject to local parking restrictions. The home has been designed to provide domestic scale accommodation, with sensitive provision of any necessary adaptations. All bedrooms are ensuite and provide pleasant Care Homes for Adults (18-65 years) Page 4 of 28 0 9 0 2 2 0 0 9 7 7 Over 65 0 0 Brief description of the care home and spacious accommodation in each case. There are appropriate communal facilities, including a lounge and dining area, together with a large kitchen and laundry facility. The home has a large rear garden that includes a decked area accessible for people living in the home to sit out on. Current fee levels range from £1200 to £2500 (November 2009) depending on individual assessment of need. Each person living in the home has a contract that sets out what is included in the fee and what may be subject to additional charge. The home has a detailed service user guide and statement of purpose that include contact details for the Care Quality Commission (CQC) 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: The first key inspection of Abbey Lodge was in February 2009. At that time it was soon after it had become operational and there was only one person living there for a few weeks respite care. After that visit we assessed that Abbey Lodge was an adequate service because although there were a number of good things in place, it had not been open long enough for us to tell how it would do over a longer time period and with more people permanently living there. The current inspection was unannounced and was carried out by one inspector. Where the report refers to we it recognises that it is written on behalf of the care Quality Commission (CQC). In writing this report we have taken account of all the information that we have Care Homes for Adults (18-65 years) Page 6 of 28 received about Abbey Lodge since February 2009. This might be from the service itself, in the form of notifications about significant events affecting the home or people living there, from those responsible for people living in the home or from health and social care professionals associated with them in any way. We have sent surveys, in an appropriate format to people living in the home and to the care staff who work there. Where these have already been received they have been taken into account in this report, any received later will be recorded and assessed and used to determine the future regulation of Abbey Lodge. The home have also sent us their annual quality assurance assessment or AQAA. The AQAA is a self-assessment document that sets out how well care outcomes are being achieved for people living in Abbey Lodge and also contains some useful statistical information, for example about complaints and staff training. During this inspection visit we talked to all the people who live in Abbey Lodge so that they could tell us what it is really like living there, we also talked people who work in the home like care staff and the area manager and acting manager so that they could tell us about training and other things that help them care for the people who live in Abbey Lodge. We looked at some important records like care plans and other records that tell us about checks made on people who may work in Abbey Lodge helping the people who live there. We made sure that medication was being safely handled and recorded. We also looked around the home to make sure it was clean and tidy and had all the things in it it should had so that it is safe and comfortable for the people who live there. Care Homes for Adults (18-65 years) Page 7 of 28 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 28 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who are considering Abbey Lodge as a home for themselves or someone they are responsible for can be assured that there will be a thorough assessment of their individual needs before they are admitted, that they will be able to visit the home before they move in and that only those people whose needs can be fully met will be admitted. Evidence: When we looked at the information that Abbey Lodge provides to people considering it as a home for themselves or someone they are responsible for, we found that it was up to date, having been recently reviewed and revised where necessary. We saw that it contained information about what is provided, what facilities the home has and what the terms and conditions that apply to their stay are. It is provided in a format that is designed to ensure the people can understand it, this means that they should be able to make a well-informed decision about moving into Abbey Lodge. Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: Since we last inspected this service, two people have moved in, a third person has visited twice and a room has already been prepared to their specification. When we looked at each care plan and pre-admission assessments we found that they were comprehensive and involved a range of professionals associated with the people concerned as well as evidence of their involvement in the assessment process. When we looked in detail at care plans we found that there was not a summary life history that could be readily accessed by care staff to help them understand some of the significant events of the persons life journey that had brought them to Abbey Lodge. Such a summary would make it easier for staff to gain a greater insight into their individual background and how it might influence their current lifestyle. When we discussed this with the area manager they told us they would consider including such a summary. This would improve what is already a good standard of care plan documentation. When we spoke to the people who currently live in the home, they told us that they were happy there and that it was turning out much as they had expected. 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. People who live in Abbey Lodge can be confident that they will be supported and encouraged to control their own lives to the greatest possible extent. This will be done within an individual framework of risk assessment that ensures that they can do so safely whilst allowing them to take reasonable risks. Evidence: When we looked at care plans for the two people currently living in Abbey Lodge we found that they were comprehensive and well-completed. As well as individual personal care guidelines we saw that there were a series of risk assessments covering environmental risks, risks from others and risks to others. When we looked in detail at care plans we found that there was not a summary life history that could be readily accessed by care staff to help them understand some of the significant events of the persons life journey that had brought them to Abbey Lodge, and which would help them gain a greater insight into their individual background and how it might influence their current lifestyle. Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: There was evidence of a review process being undertaken for care plans and risk assessments which should ensure that they address current and changing care needs and risks effectively. When we spoke to people who live at Abbey Lodge and observed their care routine during our visit we found that they are fully involved in decision making and are offered choices, for example as to food and activities. When we spoke to and observed care staff and the homes management team, we found a strong commitment to building confidence and independence and we found that there was evidence in care plans that progress had already been made in meeting some short term goals since admission into Abbey Lodge from other care settings. Care Homes for Adults (18-65 years) Page 13 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in Abbey Lodge can be confident that they will be supported to access community activities and facilities and will be encouraged and enabled to maintain contact with their friends and family if that is what they want. Evidence: When we looked at the care plans of people who currently live in Abbey Lodge and when we spoke to them or observed the routine of the home whilst we were there, we found that they are able to access the local community for leisure and meaningful activity. We were informed in the homes AQAA that they arrange access to leisure centres, college, day care provision and a leisure activities in the community. On the day we visited one person was being assisted to go for a routine health visit in the community. Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: Another person has regular trips home to stay with their family and families are welcomed and encouraged to build and maintain contact with people living in the home, in line with their wishes. We saw evidence of menus in place and were able to hear and see choices being offered in an open and consultative way to people living in the home by care staff. We observed one person who lives in the home being rightly assertive as to what they wanted to do and this was readily accepted and supported by care staff in a nondirective way. All of the interactions that we saw during this inspection visit between care staff and people living in the home were appropriate and demonstrated a proper degree of mutual respect. Care Homes for Adults (18-65 years) Page 15 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in Abbey Lodge can be confident that they will be supported to access the healthcare services they require to maintain their health and well-being and that where they require assistance with their medication it will be provided safely. Evidence: When we looked at the personal care plans for people living in Abbey Lodge we found that they contained precise details as to how the people concerned wanted their personal care provided. We saw that the degree and detail of health related information held in respect of people living in Abbey Lodge is good and should ensure that any healthcare needs are identified and action taken to ensure that they are appropriately met. On the day we visited one person was being supported to keep a follow-up dental appointment. This confirms that people living in Abbey Lodge have ready access to the healthcare services in the community that they need in order to maintain their health and well-being. Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: When we looked at the way that they home records and administers medication for those people living in the home who require assistance we found that it was essentially sound. Some improvements to the way that medication that is only given from time to time as it is required is being recorded was discussed with the area manager and it was emphasised that care staff should not alter administration of medication instructions without the prior agreement and authoriation of the healthcare professional responsible for the prescription. This is to ensure medication is always given in the amounts, at the time and in the way that is intended and required. Care Homes for Adults (18-65 years) Page 17 of 28 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in Abbey Lodge can be confident that they are well-protected from actual or potential abuse by the appropriate policies and procedures that are in place and are being followed and by staff training that ensures staff would recognise abuse if it were seen or suspected and would know what action to take. Evidence: Those people contacted during this inspection have all indicated that either they or those that they are responsible for feel safe and well-protected in Abbey Lodge and that they able to raise any concerns they may have. We saw that the home has devised worry cards that enable anyone visiting or living in the home to raise a minor concern or worry and have it discussed and addressed. When we looked at the complaints policy we found that it was easy to understand, was readily accessible and available in appropriate formats so that everyone can make sense of it and know what to do if they want to complain. When we spoke to care staff they indicated that they understood what safeguarding was, how abuse can be recognised and what to do if it is seen or suspected. When we looked at training plans for care staff we found that safeguarding training is included and we saw that copies of the Hertfordshire County Council Adult Care Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: Services safeguarding policy and procedure are available in the the home. This should ensure that staff have the training and knowledge they need to make sure that they know what to do if they saw or suspected abuse was taking place. When we looked at recruitment files for recently employed care staff we found that they contained evidence of rigorous checks that had been made to ensure that unsuitable people were not employed to provide care services for people living in Abbey Lodge. The AQAA set out a system for the recording and regular external audit of any financial transactions carried out on behalf of people living in the home that should protect them from financial abuse or mismanagement. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Abbey Lodge provides a safe, comfortable and well-maintained environment for the people who live and work there. Evidence: When we looked around the home we saw that it was in excellent decorative order, it was clean and tidy and the furnishings were of a high standard, which all goes to provide a homely, comfortable and safe environment for those people who live and work in Abbey Lodge. We saw the room that is being prepared for a prospective resident and it had already been personalised and furnished in a way that met their expectations, tastes and preferred colours. The gardens to the rear are extensive and provide an excellent sense of space, with decking for sitting out on. It is understood that a covered smoking area is to be included for those people living in the home who require it, as the home itself is a non-smoking environment for the safety and comfort of the other people who live and work there. During our visit, new gates and fencing were being fitted to the front of the building Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: where the home is adjacent to a busy road and roundabout. It was agreed that any restriction of access would be covered by risk assessments and that any potential deprivation of liberty would be assessed and dealt with in line with statutory requirements in order to protect and uphold the rights of the people who live in Abbey Lodge. 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 live in Abbey Lodge can be confident that they will receive care from a well-trained and supported staff team with the skills and experience required to meet their needs and who have been subject to a rigorous recruitment process. Evidence: When we spoke to care staff they were very positive about the standard of training and support that they received and felt that it gave them the skills and expertise that they needed to provide a good standard of care for the people who live in the home. When we looked at training records for staff we found that they provided evidence of a range of appropriate and relevant training, skills and qualifications. In their AQAA the home informed us that more than 50 of permanent care staff already hold the appropriate national vocational qualification in care. When we looked at how staff were recruited we found that all the checks required had been carried out in order to ensure that people living in the home are cared for by suitable people. On the day of the inspection there was an excellent level of staffing, partly because Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: there are only currently two people living in the home. We were told that if the third person currently under consideration is admitted, steps are already in place to enhance the overnight cover to include one waking and one sleeping night care staff. This demonstrates that the home is keeping staffing requirements under review and is prepared to increase it when required in order to provide a safe and effective care service to the people who live in Abbey Lodge. When we spoke to care staff and saw staff records we were able to confirm that care staff feel well-supported by the home and acting manager. This benefits not only the care staff concerned but also people living in the home for whom they provide a care service. Care Homes for Adults (18-65 years) Page 23 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in Abbey Lodge can be confident that the home is well-managed and that their needs are kept at the heart of decisions made about how the home is run. Evidence: Abbey Lodge has had a series of management changes since registration. The current acting manager has not yet been able to submit an application to the CQC in order to be assessed as a fit person to manage a registered care service. The previous acting manager is no longer active in the home and the home has until recently been effectively managed by the area manager of Venus Healthcare Group. The people living in the home appear to have been protected from any obvious detriment in the course of these management changes and the management outcomes assessed at this inspection have been good. The staff team told us that they felt progress was being made and that they felt wellsupported, people living in the home had an easy and appropriate relationship with Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: both managers and staff and the standard of record keeping found was good. The AQAA submitted by the previous acting manager was a realistic appraisal of where the service is, what has been achieved and what is yet to be done or is capable of improvement. The atmosphere in the home on the day of the visit was very positive and the support given to staff and people living in the home by the acting manager and area manager was also good. When we looked at care records and spoke to the people currently living in the home we found that they have benefited from the skill and experience of past managers of the service in provisioning and establishing the home and in particular from the current involvement of the area manager. In the AQAA submitted by the then acting manager we were told that the home has devised a letting us know what you think procedure that is accessible to everyone and is in pictorial format and that regular service user reviews and meetings take place. We were able to see some records of routine meetings involving people who live in the home, although as there are only two people currently living in Abbey Lodge, much of the consultation is on a one to one informal basis. 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 1 6 The home should consider including within care plan documentation a summary of the life history of each person so that the way their care is provided can be informed by a fuller knowledge and insight of and into the significant events of their life. Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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