Care Home: Beaconsfield Road, 39

Similar services:

• Clover House
• Parkside
• Park Lodge
• Mere Hall View
• St Bonaventures
• Hudson Road
• Whitewalls
• Home Farm

What the care home does well The service had good information about the home and strict processes in place, which ensure people choose a home which is right for them. Good care plans were in place, which the residents have been involved in putting together. The plans, which have been regularly reviewed and up dated provided staff with all the information they need to support residents in the right way. The residents health and personal care needs were well recorded, supported and monitored to ensure they stay well. Procedures, which were in place at the home make sure that residents are protected from abuse or neglect and staff were confident about reporting anything they are worried about. The home was clean and tidy, nicely decorated and there were no hazards found, making the home a safe and comfortable place for residents to live. The home was being well run in the best interests of the resident and staff. What has improved since the last inspection? Person centred care plans are being introduced to the home which enable residents to have more choice and control over their own lives. Parts of the home have been re decorated and new furniture has been bought making the home more comfortable and attractive for the residents that live there. What the care home could do better: The right equipment must be provided to enable one resident to make choices and decisions. All residents should be offered the right opportunities to take part in activities to suit their needs and choices. Arrangements should be made for all staff to attend refresher training, so that they have the necessary knowledge and skills in dealing with medication. Staff need to be provided with the right training to help them communicate more effectively with one resident. Key inspection report Care homes for adults (18-65 years) Name: Address: Beaconsfield Road, 39 39 Beaconsfield Road Bootle Liverpool Merseyside L21 1DS     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: Janet Marshall     Date: 2 7 0 8 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 25 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 25 Information about the care home Name of care home: Address: Beaconsfield Road, 39 39 Beaconsfield Road Bootle Liverpool Merseyside L21 1DS 01519280087 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Expect Limited care home 3 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: 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 The maximum number of service users who can be accommodated is: 3 Date of last inspection Brief description of the care home 39 Beaconsfield Road is a mid-terraced property situated in a residential area of Seaforth. The home is registered to provide residential care for three adults. There are currently three men living at the home. The home is owned by Liverpool Housing Trust and operated by Expect, formerly Sefton Support Services. Car parking is available on the road at the front of the house. The home is well maintained both internally and externally. The main philosophy of the home is to enable residents to experience an ordinary life as possible within a domestic style environment. The fees for the home vary depending on the needs of the residents. 3 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 25 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 Quality rating for this service is 2 star. This means the people living at the home experience good outcomes. This was a key inspection. We consider 22 out of the 43 National Minimum Standards for this type of service, Care Homes for Adults (18-65) as the key standards, which have to be inspected during a key inspection. The key standards are highlighted in bold in the different outcome sections of this report. A key inspection is a planned inspection, the report has been put together using information gathered in a number of different ways, which helps us decide the overall rating of the service. We keep all information we receive about the home in a file, we looked at all the information we have received since the last inspection. We sent out a form to the home called an Annual Quality Assurance Assessment (AQAA). The AQAA has to be filled in and returned to us by a set date usually before Care Homes for Adults (18-65 years) Page 5 of 25 the site visit takes place. The AQAA was filled in by the registered manager and returned to us on time, it provided us with all the information we asked for about the service and was used to support some of the judgments we have made. We carried out an unannounced visit to the home, this is when we visit the home with out any body knowing. The registered manager and support staff that were on duty helped with the inspection. Discussions took place with the manager, staff and residents that live at the home. Also during the site visit a selection of records and certificates, which have to be kept in the home by law were looked at and checked to make sure they were up to date and accurate. Two residents were case tracked. This is a process we use to find out whether residents are receiving good quality care that meets their individual needs. It is done by talking to people, looking at results of surveys and reading the records of a sample of people that live at the home to give us a good idea of what it is like for them. Before the site visit took place we sent out Have Your Say surveys to people asking them about what it is like to live and work there, three staff surveys were returned at the time of writing the report. Care Homes for Adults (18-65 years) Page 6 of 25 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 25 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 8 of 25 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. Processes which have to be followed ensure that people choose a home that is right for them. Evidence: No new residents have been admitted to the home since the last inspection so it was not possible to fully assess key standard 2. The AQAA told us that polices and procedures are available at the home for assessing and admitting a new resident. The manager was able to describe them in good detail. Records showed that residents care and support needs are regularly reviewed and if needed they are reassessed to make sure they can continue to be met at the home. Care Homes for Adults (18-65 years) Page 9 of 25 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. Information is available for staff about how best to support residents needs but the lack of equipement and staff training means that one resident is not fully able to make choices and decisions. Evidence: As part of the case tracking process care records were looked at in detail for two residents. Each of the residents had a personal file, which included up to date information about them and how best to meet their needs. The files were made up of a number of person centred care plans covering residents care need requirements such as risk assessments, healthcare, finances and communication. Daily records and future development plans were also included in residents files. Staff spoken with had a good understanding of care planning and the importance of them. One member of staff said, residents care plans are important because they tell us about the best way to support the person and how they want to be supported as Care Homes for Adults (18-65 years) Page 10 of 25 Evidence: well as the things which are important to them and what they like and dont like. Records seen during the inspection visit showed that residents care plans have been reviewed and updated since the last inspection with the full involvement of the resident and other people who are important to them, such as family members and staff that work at the home. Residents care files were locked away at the home in a safe place. The AQAA told us that residents are encouraged and supported to make everyday choices and decisions as part of an independent lifestyle. This was evidenced during the inspection visit when staff were seen asking residents things such as, what they want to eat and where they would like to go. A member of staff said, I always offer choices to residents and encourage them to make their own decisions. Residents who are unable to communicate using words are assisted by staff to make choices and decisions in a number of other different ways such as by using gestures and signs. One resident uses a communication method called Picture Exchange Communication also known as PECs, which is a way of communicating using pictures. The manager explained that the system has not yet been put in place and staff have not yet received the training to show them how to communicate with the resident using this method. The PEC system must be put in place for the resident and staff must be provided with the necessary training so that the resident can communicate choices and decisions in a way that they prefer. Were required risk assessments were part of each of the residents care plans . They provided staff with up to date information about how they need to support residents, so that they can take part in tasks and activities, which is likely to pose a risk to them. Risk assessments, which were looked at showed they have been reviewed and updated at regular intervals. Care Homes for Adults (18-65 years) Page 11 of 25 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. Better oppertunities could be provided for residents to get out and about. Evidence: The AQAA showed the residents social care needs have been assessed and they are offered a variety of activities inside and outside the home, which meet their needs and promote their personal development. Care plans, which were looked at provided staff with information about the kind of things residents like to do during the day, during the evenings and at weekends. However, discussion with staff showed that activities for residents could be improved if they had a vehicle to help them get out and about a bit more. Although residents can use public transport such as buses and trains some of them find it difficult to do this because their mobility is not so good. Each of the residents had an activity programme as part of their care plans, daily records showed that these are well followed for two of the residents, who get out and about a lot but one residents programme is not always followed as well as it should be. This was also Care Homes for Adults (18-65 years) Page 12 of 25 Evidence: raised by staff during discussions and commented upon by staff in surveys, which they sent to us. Comments included, increasing activities for one resident would improve their lifestyle, the home could be better equipped with activities for one resident. All residents should be offered the right opportunities to take part in activities to suit their needs and choices. Activities that residents are involved in outside the home include, meals out a pubs and cafes, shopping and the cinema. Activities residents take part in at home include, listening to music, watching TV and boardgames. Residents are also encouraged and supported to help with small tasks around the house such as cleaning their bedrooms, laundering their clothes polishing and shopping for personal items and food. On the day of the visit staff were seen encouraging and appropriately supporting residents with some of these tasks. None of the residents have keys to their own bedroom and the front door, information about this and the reasons why were recorded in their care plans. Daily records showed that residents are encouraged to maintain contact with family and friends and personal relationships are respected and appropriately supported by staff at the home. Menus, which where viewed at the home showed a variety of healthy meals. A member of staff said menus can be changed if a resident chooses. The member of staff showed a good awareness of the importance of nutritious and balanced diets. Staff explained that residents make choices about food by selecting what they want from the kitchen. Staff said they encourage and support residents to prepare their own drinks and snacks. Care plans included information about residents likes and dislikes with regard to food. A good stock of fresh, frozen and tinned food was seen at the home. There were also sufficient crockery, cutlery pots and pans, a fridge, freezer and microwave, which were all of a domestic style. A staff member said residents are always involved in the main weekly shop for food as well as shopping daily for essentials such as fresh bread and milk. Care Homes for Adults (18-65 years) Page 13 of 25 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. Residents health and personal care needs are well supported to make sure they stay well. Residents healthcare could be put at risk because some staff who handle medication have not been provided with up to date medication training. Evidence: Each of the residents had a care plan about their health and personal care needs and how they need to be supported with them. Records kept with the care plans showed that residents have been offered yearly health checks including visits to the dentist, opticians and doctors. Records which were looked at showed that residents have also been supported when needed to attend hospital appointments and other healthcare services. Information about the visits had been recorded in good detail. During the inspection visit staff were observed assisting residents in a polite way. Through discussion staff showed that they understood the importance of ensuring residents privacy and dignity. A staff member said, I talk to residents and explain the help I am giving them. Another member of staff said, I encourage residents to do as much as they can for themselves. During this inspection visit all medication and medication administration records were Care Homes for Adults (18-65 years) Page 14 of 25 Evidence: examined. Medication and records were stored in a locked cabinet. Discussion with staff and examination of records showed that in the past staff have completed medication awareness training. The records including copies of training certificates showed it has been more than two years since some staff attended the training. Arrangements should be made for all staff to attend refresher training, so that they have the necessary knowledge and skills in dealing with medication. A policy for the safe handling and administration of medication was available at the home. The manager showed a good awareness of the homes medication polices and procedures. Care Homes for Adults (18-65 years) Page 15 of 25 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. Residents are protected from abuse neglect and harm by the rules and regulations that staff have to follow at the home. Evidence: The AQAA told us that no complaints have been made directly to the home since the last inspection and the commission have not received any complaints about the home during this time. The AQAA detailed a number of policies and procedures, which are in place at the home to protect both residents and staff. They included procedures about complaining, whistle blowing and protection of vulnerable adults. A pictorial complaints procedure was also on display at the home for residents who have difficulties reading words. A visitors book was available in the hallway, which visitors are expected to sign when they enter and leave the home. For the protection of residents no visitor is allowed to gain entry unless they produce some form of identification. Staff spoken with described well how the would deal with a complaint and they knew about the homes complaints procedure and said they were confident about complaining if they needed to. One staff member said, I would definitely complain if I needed to. Detailed in the AQAA and available at the home were a number of policies and procedures relating to protection of vulnerable adults (POVA). They included the companies own version and a copy of Sefton Local Authority procedures. Care Homes for Adults (18-65 years) Page 16 of 25 Evidence: Staff training records, which were looked at and discussion with staff showed they have received POVA training in the last 2 years. Staff spoken with said that they would immediately report any incidents of abuse and they described in good detail how they would do it. Care Homes for Adults (18-65 years) Page 17 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is comfortable and safe for the residents that live there. Evidence: The home is a mid terraced property located in a residential area of Seaforth, Merseyside. It is near to local shops, pubs and health centres. Bus stops and the train station are also close by. Off road parking is available directly outside the house. There is a small flagged area at the front of the house and a good sized yard with some planted out borders at the back. The AQAA told us about the improvements which have been made at the home since the last inspection which included the redecoration of all residents bedrooms, new sofas, carpet and a TV for the lounge and new flooring to the bathrooms. All the improvements which were looked at during this inspection visit have been carried out to a good standard. The AQQA told us that there are plans in place to redecorate the lounge in the next year. On the day of the inspection visit all parts of the home were clean and tidy and there were no hazards found. The AQAA told us that available at the home are all the required policies and procedures, relating to the environment, they included disposal of clinical waste, infection control, health and safety and food hygiene. Care Homes for Adults (18-65 years) Page 18 of 25 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. Residents are supported by staff who are properly recruited and trained in most of the required subjects, however specialist training needs to be provided to all staff to help them fully meet the needs of one resident. Evidence: A member of staff spoken with said there is usually the right amount of staff on duty to support the residents, surveys returned to us by staff also told us this. A member of staff spoken with showed really good knowledge and understanding of the needs of the residents and clearly explained what their role and responsibilities were. The staff member confirmed that they were given a copy of their job description. Staff spoken with said all the staff get on and work well as a team. Staff recruitment, selection and equal opportunities policies and procedures which we were told about in the AQAA were available at the home and kept in a place were staff could read them when they wanted to. The AQAA told us that all the required checks are carried out on new staff before they are allowed to start work at the home. Personnel files for two members of staff were looked at in detail. The files contained records, which showed that the staff were recruited in the right way. Induction records were also available and showed that staff took part in induction training. Staff told us in surveys that they did take part in induction training which covered everything they needed to know about the job before Care Homes for Adults (18-65 years) Page 19 of 25 Evidence: they started work. Information we were given in the AQAA, discussion with staff and records looked at during the inspection showed that staff have completed the required training. Staff training records and certificates, which were looked at during the inspection visit showed that since 2008 staff have attended training in subjects such as first aid. protection of vulnerable adults, fire safety and record keeping. Staff need to be provided with training to help them communicate more effectively with one resident as described in the individual needs and choices section of this report. The AQAA told us that most of the staff have got an National Vocational Qualification in Care level 2 or above. A member of staff spoken with said, Yes I have my NVQ level 2 in Care. Care Homes for Adults (18-65 years) Page 20 of 25 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed to the benefit of the residents. Evidence: Sue Gallon is the registered manager of the home. Sue has started her NVQ Level 4 in Care and reguarly attends training, which is relevant to her role as manager. Residents and staff spoken with made the following comments about the manager, she is a very good manager, Sue is very good with the residents and I think she runs the home really well. By law and as part of the homes quality monitoring processes, a representative for the company is required to visit the home each month to check that it is running in the best interests of the residents. Following the visit they need to write a report about their findings and send a copy of it to the home. Records, which were seen showed that the visits have been taking place each month. The AQAA told us about other processes that take place at the home to ensure ithe home is running in the best interests of the residents. They include giving out questionnaires to residents and their families to find out what they think about the home and the way it is run. Records, which were seen also showed that regular care Care Homes for Adults (18-65 years) Page 21 of 25 Evidence: plan reviews and weekly checks on medication and residents finances have also taken place. The AQAA told us that the home has available all the health and safety policies and procedures, which they have to have by law to ensure the health safety and welfare of the residents and staff. It also told us that all the required checks are carried out on the systems and equipment used at the home to make sure they are safe. Records for some were looked at, including gas, electricity and fire checks. All records were accurate and up to date. Care Homes for Adults (18-65 years) Page 22 of 25 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 23 of 25 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 1 7 12 The right equipment and training for staff must be provided to enable one resident to make choices and decisions. 30/11/2009 2 35 18 Staff need to be provided with the right training to help them communicate more effectively with one resident 30/11/2009 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 2 14 20 All residents should be offered the right opportunities to take part in activities to suit their needs and choices. Arrangements should be made for all staff to attend refresher training, so that they have the necessary knowledge and skills in dealing with medication. Care Homes for Adults (18-65 years) Page 24 of 25 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 25 of 25 - 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!