Care Home: Baytree House

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What the care home does well One person wrote to us "I like the food. I like going out with staff".Care plans tell staff how the person prefers their care to be provided.One person wrote that "staff make sure I am always fit and well and help me to see my doctor".The house is homely, clean and comfortable. What has improved since the last inspection? The dining room has been redecorated, has a new carpet, and the windows have been redone. People have chosen how they wanted the dining room and sitting room to be arranged.Staff have arranged new things for each person to do.Each person has chosen how they wanted their bedroom to be decorated and furnished. What the care home could do better: Hot water in bedrooms may not always at a temperature safe for people using it. Key inspection report Care homes for adults (18-65 years) Name: Address: Baytree House 28 Chesswood Road Worthing West Sussex BN11 2AD 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: Edward McLeod Date: 2 9 0 9 2 0 0 9 This report is a review of the 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 stars – excellent  2 stars – good  1 star – adequate  0 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. They reflect the things that people have said are important to them: 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 31 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 31 Information about the care home Name of care home: Address: Baytree House 28 Chesswood Road Worthing West Sussex BN11 2AD 01903210800 01903206869 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) : Sutton Court Associates Ltd care home 9 Number of places (if applicable): Under 65 Over 65 9 0 learning disability Additional conditions: The maximum number of service users to be accommodated is 9. The registered person may provide the following category/ies of service only: Care home only - (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 (LD). Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 31 A bit about the care home Baytree House is a care home registered for up to nine service users in the category LD (Learning Disabilities 18-65 years). The establishment is a spacious converted premises situated close to Worthing town centre. Public transport services are easily accessible. Accommodation is provided over two floors, with office space on the third. The service is privately owned and the registered provider is Sutton Court Nursing Associates. Mr N Ramdin is the Responsible Individual on behalf of the organisation. Annette Care Homes for Adults (18-65 years) Page 5 of 31 Bishop is the Registered Manager in charge of the day-to-day running of the home. The fees currently range from 347 to 550 pounds per week. Care Homes for Adults (18-65 years) Page 6 of 31 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 Care Homes for Adults (18-65 years) Page 7 of 31 How we did our inspection: This is what the inspector did when they were at the care home We visited to assess if the home was providing the care people needed and keeping them safe. We visited the home on the 29nd September 2009 from 12.45 p.m. to 4.35 p.m. As part our assessment we looked at all the information that we had received or asked for since the last key inspection and this included the annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. The AQAA was received by the due date and included the information we asked for. Care Homes for Adults (18-65 years) Page 8 of 31 We also looked at what the service has told us about things that have happened, and what other people and organisations have told us. During our visit we spoke with six people living in the home, a member of staff and the manager. Records and policies and procedures we sampled during our visit included the admission assessment for one person, the care plans for three people, and recruitment and training records for two members of staff. We looked at some health and safety, complaints and medication records. What the care home does well One person wrote to us I like the food. I like going out with staff. Care Homes for Adults (18-65 years) Page 9 of 31 Care plans tell staff how the person prefers their care to be provided. One person wrote that staff make sure I am always fit and well and help me to see my doctor. The house is homely, clean and comfortable. What has got better from the last inspection The dining room has been redecorated, has a new carpet, and the windows have been redone. People have chosen how they wanted the dining room and sitting room to be arranged. Care Homes for Adults (18-65 years) Page 10 of 31 Staff have arranged new things for each person to do. Each person has chosen how they wanted their bedroom to be decorated and furnished. What the care home could do better Hot water in bedrooms may not always at a temperature safe for people using it. Care Homes for Adults (18-65 years) Page 11 of 31 If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Edward McLeod Care Quality Commission South East Region Citygate Gallowgate Newcastle upon Tyne NE1 4PA 03000 616161 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 12 of 31 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 13 of 31 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 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. Evidence: The four people living in the home who completed a Care Quality Commission (CQC) survey told us that they were asked about moving in to the home, and one told us I am glad I chose to live here. We sampled the pre-admission assessment carried out for one person, and records indicated that the person had a visit to see the house and a visit for dinner and meeting people before admission was agreed. Care Homes for Adults (18-65 years) Page 14 of 31 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. Peoples 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. Evidence: The four staff who completed CQC survey forms told us that they always received up to date information on peoples care needs. We sampled care plans for three people receiving a service, and found that care plans were telling staff how the person prefers their care to be provided and their preferred routines. Staff we spoke to told us that care plans are updated when there is a change in what the person needs. Care Homes for Adults (18-65 years) Page 15 of 31 Evidence: Mrs Bishop the manager told us that the provision of handrails in bathrooms and in the garden have helped people maintain their dignity and independence. People choose their own household tasks - for example one person usually likes to clean out lunch boxes, and one person usually feeds the two cats. People choose their own key worker and are asked if they would like a lock on their bedroom door. A member of staff we spoke to told us the key worker will help the person sort out birthday presents and GP appointments, and support them doing shopping for toileteries or clothes for example. The four people receiving a service who completed a Care Quality Commission (CQC) survey form told us that they make their own decisions and staff always treat them well. Three people told us staff listen to them and act on what they say, and one person wrote that usually staff listen to them and act on what they say. Care Homes for Adults (18-65 years) Page 16 of 31 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. Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, 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 their 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 opportunities to develop their social, emotional, communication and independent living skills. Evidence: There have been changes to the day programme provided for each person to better Care Homes for Adults (18-65 years) Page 17 of 31 Evidence: ensure that their interests and abilities are being encouraged. For example, one person who likes to be outdoors attends a course that involves country walks and other outdoor activities. Another person now attends a college course that gives them more contact with people in their age group. People we spoke to told us about the variety of places they go to or courses or work placements they attend. People have a choice of evening clubs they can go to, some of which are more suitable for younger people and some for older people. Mrs Bishop told us that these clubs are well attended. One person was noted to have a copy of their activities time table in an easy read picture format to refer to. Talking to staff and observing people sitting and talking together, it was evident that people take an interest in each other. Mrs Bishop said that because some people had lived so long together they saw each other as family and liked to do things together. Staff support people to go into town on Saturdays, and usually everybody wants to come along. People have lunch in town on Saturdays and are also supported to do shopping and go to the bank. One person we spoke to said they went to church on Sundays, and a member of staff indicated that several people are supported to go to church. The AQAA tells us that people living in the home continue to be involved in agreeing the menus and the times of meals. People have a choice where they eat. Mrs Bishop told us that changes to meals are made at residents meetings, and that over time people have developed a menu of their own. Some people like to help with preparing, and some help with washing up. One person living in the home told us in their CQC survey that I like the food. I like going out with staff. Another person said in their survey form I enjoy the food and having lots of friends to keep me company. During our visit food was being freshly prepared, and there was fresh fruit and vegetables. Care Homes for Adults (18-65 years) Page 18 of 31 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 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. Evidence: One person receiving a service told us in their survey form that staff make sure I am always fit and well and help me to see my doctor. We found that each person has an annual health assessment and a plan of action for their health care needs. We looked at the annual health assessment for one person which had recently been completed and reviewed by medical staff. The AQAA tells us that where people find dental or chiropody treatment difficult they are able to attend a central clinic where their needs can be met. Care Homes for Adults (18-65 years) Page 19 of 31 Evidence: Training in health related topics undertaken by staff has included diabetes, epilepsy and autism, to support their understanding of these conditions. Medication storage is suitably secure, and information on the side effects of administered medications is held. On the morning of our visit medication training for staff had taken place to familiarise them with a new administration system that was being introduced had been held. The new system will better ensure secondary dispensing does not take place, for example when the person is away for the weekend and their medication goes with them. The AQAA tells us that each person signs a medication consent form, and that the consent form is in the format preferred by the person. Each person has their medication reviewed each year by health care staff - we sampled a medication review which had been carried out on 16/9/09. Care Homes for Adults (18-65 years) Page 20 of 31 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. If people have concerns about 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 home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. Evidence: We are told in the AQAA that each person has a copy of the complaints procedure in their service user guide. Mrs Bishop said that when people have voiced their grumbles in residents meetings this has given staff the opportunity to remind people about the complaints proceedure. We received CQC surveys from four people living in the home, which told us that they knew who to speak to if they felt unhappy. Three of the four people told us in their survey form that they knew how to make a complaint. We looked at the complaints record, and found that no complaints had been recorded in the past year. We sampled the protection from abuse policy and procedure, which was most recently reviewed in June 2009. Care Homes for Adults (18-65 years) Page 21 of 31 Evidence: Training records we sampled indicated that staff are continuing to receive training in safeguarding vulnerable adults. A member of staff we spoke to said this training had been useful as a reminder of how vulnerable people can be and things which should be looked out for. The AQAA tells us that each person has or will have a bank account in their own name. We found that each persons money was held seperately, and that signed records are made and receipts held for transactions. No safeguarding referrals or investigations have been carried out since our previous visit. Care Homes for Adults (18-65 years) Page 22 of 31 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 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. Their room feels like their own, it is comfortable and they feel safe when they use it. Evidence: We found that the premises including the garden and grounds were being well maintained, and that arrangements are in place for maintenance work to be carried out within a reasonable timescale. At our visit we discussed our concerns about the safety of hot water temperatures in bedrooms, and this is referred to in the Management section of this report. One member of staff told us in their survey form that a family type environment is being provided for people. We found that improvements to the premises have included the dining room being redecorated and recarpeted and the sash windows redone. Care Homes for Adults (18-65 years) Page 23 of 31 Evidence: The main communal areas are the dining room and the sitting room. Mrs Bishop told us that since our previous visit the sitting room has been re-arranged the way people living in the home wanted it. Also, people said they didnt like sitting round a large dining table, so this has now been replaced with two smaller tables. We visited five bedrooms, and found that these had been decorated and furnished according to the wishes of the person occupying the bedroom. For example, one person chose the wallpaper, curtains and pictures when their room was redecorated. People now have their own individual bedding and towels which match the colour scheme in their rooms, which helps promote their individuality and dignity. We foiund that people were living in a pleasant and homely environment which meets their needs. All areas of the home visited were found to be clean and free from odours. Care Homes for Adults (18-65 years) Page 24 of 31 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 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. Peoples needs are met and they are supported because staff get the right training, supervision and support they need from managers. Evidence: In their CQC survey forms two members of staff told us there was always enough staff on duty and two told us there was usually enough staff on duty. During the day of our visit we found that the staff provided were able to ensure that peoples needs were met. This is also indicated by the number of trips made and activities attended which people are being supported with. In their CQC surveys the four staff told us that required checks and references had been obtained for them before they started work in the home. The AQAA tells us that all staff commenced in the past 12 months have had recruitment checks. We sampled the recruitment records for two staff who have begun work in the home since our previous visit, and found that the required checks and references had been Care Homes for Adults (18-65 years) Page 25 of 31 Evidence: obtained before they commenced work. We are told in the AQAA that the home has five full time and two part time care staff, five of whom have achieved the National Vocational Qualification (NVQ) at level 2 or above. Mrs Bishop told us that all staff are up to date with their mandatory training, and that staff have also been taking up training in interventions and working with challenging behaviour. We looked at the training certificates for two members of staff, and found that regular mandatory training was being provided for staff. The four staff who responded to our survey told us that they received support regularly from their manager. Mrs Bishop told us that one to one sit down supervision was provided for staff every six to eight weeks, and this was evidenced by the supervision records for two staff which we sampled. Care Homes for Adults (18-65 years) Page 26 of 31 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 have confidence in the care home because it is run and managed appropirately. Peoples 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. Health and safety practices are carried out, but more could be done to ensure the safe supply of hot water in the home. Evidence: The manager Mrs Bishop has the appropriate experience and training to run the care home. During our visit we found that the home is being managed well and is run in the best interests of the people living there. People living in the home and staff we spoke to indicated that there is a good atmosphere in the home, and several people said that it felt very much like a family environment where people know each other well and like to do things together. It was our observation that by listening to the views of people, for example on how they Care Homes for Adults (18-65 years) Page 27 of 31 Evidence: wanted the sitting room and dining room arranged, that people feel at home and that they make a valued contribution to the running of the service. The AQAA tells us that there is an annual review of the service which includes seeking the views of people living in the home and their family. Peoples suggestions for changes which are expressed in residents meetings, such as changes to the menu, are being implemented. We sampled the hot water temperature records for the period 16th August 2009 to 28th September 2009 and found that temperatures of hot water taps in bedrooms were recorded as being between 51 degrees centigrade and 62 degrees centigrade. We sampled a hot water risk assessment for one person which advised that a warning of hot water risk was posted above the hot water outlet. The risk assessment did not fully consider the risk of scalding to the individual where water temperatures are high. We also note that the high hot water temperatures recorded in bedrooms had not prompted a review of the safety of that hot water outlet and the risk of this to the individual occupying the room. We discussed our concerns with the manager Mrs Bishop who told us that usually people did not use their bedroom hot water outlets unaided. Mrs Bishop hand tested a hot water outlet we had hand tested, and agreed it may not be at a safe temperature for the person occupying the bedroom. A requirement has been made concerning the safety of hot water in the home. We found that monthly health and safety checks are being carried out which indicate matters which need attention. The maintenance records then indicate the action taken. The AQAA advises us of the most recent services and inspections carried out on equipment in the home. Staff training certificates we sampled indicated that staff were continuing to receive training in health and safety topics such as food hygiene, first aid, fire procedures, infection control and health and safety. Care Homes for Adults (18-65 years) Page 28 of 31 Are there any outstanding requirements from the last inspection? Yes  No  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 29 of 31 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 Description 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 Description Timescale for action 1 42 13 The registered person shall 13/11/2009 ensure that all parts of the home to which service users have access are so far as reasonably practicable free from hazards to their safety. The temperatures at which hot water is provided in bedrooms may present a scalding risk to the person occupying the bedroom. 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 30 of 31 Helpline: Telephone: 03000 616161 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. 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