Care Home: Amersham Park House

What the care home does well The person living at Amersham Park said that he was happy there. There is a small stable staff team and therefore people are supported in a consistent way by staff that they know and who know them well. The person living at Amersham Park is receiving an individualised person centred service in line with his needs and preferences. He is being supported to be as independent as possible and to participate in activities in the community in a way that he wishes. The home is clean, comfortable, well decorated and well maintained and a safe environment is provided for people living in, working in or visiting the home. What has improved since the last inspection? Requirements and recommendations from the previous inspection have been addressed. In that there is now new documentation for pre-admission assessment and for verifying staff references. Risk assessments have been updated and lone working assessments completed. In addition water temperatures are now checked and recorded. All of these help to ensure that people receive a safe service. Some improvements have been made to the environment. For example a new music system and new furniture have been purchased and emergency lighting has been installed. In addition one of the bedrooms has been redecorated and the garden fence and sheds have been repainted. What the care home could do better: There are no requirements or recommendations as a result of this inspection. The service is providing an individualised person centred service to the one person living there. The service takes on board advice given and to address any issues that may arise. Key inspection report Care homes for adults (18-65 years) Name: Address: Amersham Park House 111 Amersham Road Harold Hill Romford Essex RM3 9JA     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: Jackie Date     Date: 2 3 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 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) © 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 28 Information about the care home Name of care home: Address: Amersham Park House 111 Amersham Road Harold Hill Romford Essex RM3 9JA 01708704963 01708704963 bobjfinlayson@hotmail.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mrs Lynne Griffin,Mr Darren Griffin,Mr Robert Finlayson Name of registered manager (if applicable) Mrs Lynne Griffin Type of registration: Number of places registered: care home 3 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 3 The registered person may provide the following category of service only: Care Home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD Date of last inspection Brief description of the care home Amersham Park is a home registered to provide care and support for three people with learning disabilities with overlying mental health problems. The house is situated in a residential area of Harold Hill close to local shops and transport routes. Accommodation is spread over three floors with two bedrooms and one communal bathroom on the first floor and with one bedroom, the staff office and a communal Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 3 2 7 0 4 2 0 0 9 Brief description of the care home shower room being situated on the top floor. The building is well maintained and people living there are encouraged to become involved in the day to day running of the house. Both the manager and deputy are also registered proprietors in respect of the home and work at the establishment on a daily basis as part of the staff team. The scale of charges is at present one thousand pounds per week and is adjusted according to the level of service required. This information was provided by the manager/proprietor at the time of the visit. Information about the service provided is contained in the services users guide available at the home. 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 last inspection of this service was on 27th April 2009. This inspection was unannounced and took place over four and a half hours. The inspection started on 22 April 2010 but the person living there was just about to go out with a member of staff. Therefore the inspection was completed the next day. This was a key inspection and all of the key inspection standards were tested. This is a small home and at present only one person is living there and there was an opportunity to talk to him. The deputy manager was on duty on the second day and the manager was also at the home. The manager and deputy are both proprietors of the service. All of the shared areas and the vacant bedrooms were seen. Staff, care and other records were checked. Services are now required to complete an AQAA (Annual Quality Assurance Assessment) and the completed form was received in March 2010. Information Care Homes for Adults (18-65 years) Page 6 of 28 provided in this document also formed part of the overall inspection. The inspector would like to thank the person living at Amersham Park and the manager and deputy for their input during the inspection. 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. Information is available to help people to decide if they want to move into this home. Assessments completed by the home and information and reports received from health and social care professionals would mean that the service has the necessary information available to enable them to determine whether or not the home can meet a persons needs. Evidence: Standards 1, 2, 3 & 4 were tested. There have not been any new admissions to the service since the last inspection and the one person using this service has lived there for nine years. However the home has an admission policy and the AQAA (Annual Quality Assurance Assessment) states that the person would be invited to visit the home, meet other people living there and eventually stay overnight. This would enable them to get to know the people who already live there and to see what it is like living at Amersham Park. In addition the service would obtain the necessary information from the person, their care manager Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: and their families. They would also carry out their own assessment. Since the last inspection a new pre-admission assessment folder has been created to ensure that all of the necessary information has been gathered and is available. From discussions with the manager and the deputy it was evident that they would gather sufficient information to enable them to identify a persons needs and to determine whether or not the service could meet those needs. There is a service user guide and a statement of purpose and these are available in a written and visual format to help people to understand them. They are reviewed regularly and kept up to date. People interested in moving into this service would be given this information to help them decide if they would like to live at Amersham Park. 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 living at Amersham Park are involved in developing and reviewing their personal plans, if they so choose, and these provide staff with the information they need to meet individual needs. People are supported to take risks according to their needs and they have the opportunity to try things and develop their skills as safely as possible. People can and do make their wishes known and make decisions about their lives. Evidence: Standards 6, 7, 9 & 10 were tested. People are involved in the planning of their care, if they so wish, and are supported to take control of their own lives and to make their own decisions. The person living at Amersham Park is able to communicate his needs clearly to staff. The person currently living at this home is able to go out independently and likes to visit local cafes. The Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: care plan seen was written in plain language and was easy to understand. It had been reviewed and updated on a three monthly basis. The person whose care plan this was had declined to be involved in its preparation or to sign it and this had been recorded. There was sufficient information available for people to work with the person. Daily recordings are made about what each person has done, how they have been and support that they have been given. Records are kept when people decline support, activities or other things. Therefore there is information about each individual which can be used as part of the review process and to identify ongoing and changing needs. There are up-to-date risk assessments covering the necessary areas. These are relative to each person, the activities that they do and their own specific needs and behaviours. This means that risk can be reduced and that peoples needs can be met as safely as possible. Personal records are stored securely in the office and people spoken to were aware of issues of confidentiality. 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 have opportunities for personal development and are supported to be as independent as possible. They are supported to be part of the local community. People go out when they want to and are supported to keep in contact with their friends and families. People have meals that they like and that meet their needs and preferences. Evidence: Standards 11, 12, 13, 14, 15, 16 & 17 were tested. People are encouraged and supported to develop their skills. This includes helping with everyday chores such as washing, cleaning and making drinks and snacks. When appropriate people are encouraged and supported to self medicate to promote their Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: independence further. People decide what they want to do on a daily basis and do not always want to go on any organised activities or to college. As result of this the service financially supports people to do less formal activities. People are given the opportunity to go on holiday each year and some people have indicated they prefer to go on holiday with their families rather than staff. Therefore the service paid for this and also helped make the necessary arrangements. Family and personal relationships are promoted by the home. People can use the homes telephone to contact their family. People are supported to visit and stay with their family at weekends and as stated previously in some cases to go on holiday with the family. Meals and meal times are flexible and people are able to choose what they would like to eat each day. People are encouraged to eat a healthy diet, to help with shopping, meal preparation and washing/clearing up. At present there are not any specific dietary requirements. 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 use this service receive personal support and care in a way that they prefer and require. There are supported to receive the healthcare that they need. People are supported to receive their prescribed medication safely and when appropriate to be as independent as possible in this area. Evidence: Standards 18, 19 & 20 were tested. Individual plans identify peoples daily routines and include the support that they need in relation to personal hygiene. Currently staff do not need to provide personal care but do offer advice and prompts. To promote privacy and dignity discussions about personal care and personal hygiene are carried out by a member of staff of the same gender. Personal support takes account of individual preferences, for example if a person prefers a bath or a shower. Risk assessments are in place to ensure that people can maintain their independence and privacy as safely as possible. People are registered with a local GP and specialist help is received when needed. This Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: can include the psychiatrist and the community psychiatric nurse. Staff support people to their medical appointments as and when necessary. Individual files have details of health care issues and show that people have regular access to health care professionals. Records are kept of medical appointments and these show that people have checks in the optician, dentist and if needed the chiropodist. Therefore people are supported to receive the healthcare that they need. There are policies and procedures for the handling and recording of medication. Each person has a medication profile that contains a photograph, details of medication that they take, the reasons why and possible side-effects. When required, medication is administered by staff. Records show that staff have received medication training and that the manager carries out medication assessments to ensure their ongoing competence. People are also supported to self medicate if appropriate and systems are in place to ensure that this is done properly and safely. MAR (Medication Administration Records) are kept and these had been appropriately completed. For accountability there is a record of the names of staff able to administer medication along with their signed initials. Medication is appropriately stored in a locked cabinet in the office. There is also an appropriate controlled drugs cupboard and a record is kept of controlled drug administration. Therefore people are supported to receive their prescribed medication as safely as possible. 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 at Amersham Park are safeguarded by the working practices and support of the staff team. Evidence: Standards 22 & 23 were tested. The service has policies and procedures for dealing with complaints. The complaints procedure is available in a picture format to make it easier to understand and is displayed around the home. The proprietor/manager works at the home on a regular basis as part of the staff team and therefore has regular contact with people are living there. The person living there currently would be able to raise any concerns or complaints and independent advocacy would be used to support people if needed. There were not any recorded complaints and the Commission has not received any complaints or allegations about the service. The service has a safeguarding adults policy that tells staff the actions to be taken in the event of abuse/suspected abuse been discovered. All staff have attended POVA (Protection of Vulnerable Adults) training and this is also covered in the induction programme. Records also show that staff have received MCA (Mental Capacity Act) training and will therefore be aware of its relevance to their work. The section on staffing later in this report gives information that confirms that there is an appropriate recruitment procedure and this also helps to safeguard people living at the home. Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: People are given the support, to whatever degree is necessary, that they need to manage their finances. Records are kept of financial transactions and these are checked every shift and are also audited by the manager. Systems are in place to support people to be as independent as possible in terms of their finances but also to minimise the risk of financial abuse. 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. People live in a clean and comfortable home that is suitable for their needs. Evidence: Standards 24, 25, 26, 27, 28, 29 & 30 were tested. Amersham Park is a three-bedroom semi-detached property located in the area of Harold Hill. The home provides a main lounge, kitchen and a conservatory, which is the only smoking area the house. There are two bedrooms and a bathroom on the first floor and there is a third bedroom and shower on the third floor. The bathroom door is fitted with an override safety device to enable staff to enter in an emergency. The house is situated near to local bus routes and is conveniently situated for access to Romford town centre where there are shops, cinemas and other amenities. There is a well maintained rear garden with patio area. The person living there said that he does go out there sometimes to have a cigarette and a cup of tea. There are three single bedrooms and a time of the visit we were able to see the two vacant rooms. These were appropriately decorated and furnished and the AQAA (Annual Quality Assurance Assessment) states that people would be encouraged to personalise their rooms with their own belongings. People are given keys to their rooms and the person living there chooses to lock his. Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: Since the last inspection some new furniture has been purchased, a bedroom and both bathrooms redecorated and the garden shed and fence repainted. None of the people require any specialist adaptations and the home would not be suitable for people with mobility difficulties. The areas seen were clean and comfortable and decorated to a good standard. 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 are supported by a staff team that are appropriately recruited, trained and supervised. They are supported by a stable staff team who provide a consistent and person centred service. Evidence: Standards 31, 32, 33, 34, 35 & 36 were tested. As there has only been one person at the home for almost a year the staff team has become smaller and there are only four permanent staff. This includes the manager and deputy who are the proprietors of the home. People are supported by a small staff team that have been working with them for some time and who know them well. There is one staff on duty at the home at all times. Lone working risk assessments have been put in place since the last inspection. Staffing levels are sufficient to meet the needs of the person living there and to provide them with an individual person centred service. The person living there said that he was happy there and that the staff were okay. The home has an appropriate recruitment and selection policy and procedure. This includes interviews, references and CRB (Criminal Records Bureau) checks. There have not been any new staff since the last inspection. A staff file contained a Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: photograph of the person, confirmation of identification, interview questions and answers, references and CRB (Criminal Records Bureau) checks. The AQAA (Annual Quality Assurance Assessment) states that references are always followed up by a telephone call. The manager has devised a new form to record that verbal references have been verified. Therefore people are protected by the services recruitment procedure. As previously stated that not been any new staff since the last inspection but at the last inspection it was confirmed that all new members of staff completed an induction programme at the start of their employment. Records are kept of staff training and show that staff receive the training they need to meet the needs of the people using this service. This includes POVA (Protection of Vulnerable Adults), health and safety, food hygiene, epilepsy, medication and the Mental Capacity Act. In addition three staff hold NVQ level II or above in care. Therefore staff are appropriately trained and qualified. Staff records also confirmed that staff receive supervision at least six times a year and due to the fact that this is such a small home with the manager and deputy working as part of the staff team there is ample opportunity for people to discuss any issues, concerns and the development of the 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 living at Amersham Park benefit from a service that is appropriately managed and where their opinions are sought and valued. They live in a safe home Evidence: Standards 37, 39 and 42 were tested. The manager/proprietor holds NVQ level IV in management in care and is experienced in running services for, and working with, people with learning disabilities. In addition the deputy manager holds NVQ level III. The manager and the deputy are proprietors of the service. There is a very small staff team, four people in total, and therefore the manager and deputy both work alongside staff and provide support to people living at Amersham Park. The manager had taken on board requirements and recommendations made at the last inspection and these had been addressed. The manager monitors the quality of the service on a regular basis and quality assurance systems are in place. There are surveys for people who use the service, relatives, care managers and other professionals. Completed surveys were available at Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: the home but as there is only one person living there at present there was a very limited response. However, again because of the nature and size of the home, the manager has regular contact with these people and obtains feedback on a frequent basis. All of the necessary health and safety checks are carried out on early regular basis and records are kept of these checks. Records seen were up to date and accurate and a safe environment is maintained for everyone Amersham Park. 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 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 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!