Latest Inspection
This is the latest available inspection report for this service, carried out on 27th April 2010. CQC found this care home to be providing an Good service.
The inspector found no outstanding requirements from the previous inspection report,
but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.
For extracts, read the latest CQC inspection for Crows Nest.
What the care home does well There are sufficient staff employed who are well trained to meet each person`s needs. People are encouraged to take part in community based activities of their choice. Each person living in the home is supported to go on holiday each year. Visitors are always welcome in the home and people are supported to keep in contact with their relatives and friends in the community. The staff make every effort to help people make decisions and choices about all aspects of their lives. They encourage people to be independent and support them with household chores. There are good systems in place to help ensure people`s views are listened to, including relatives and staff. This help to ensure a good service is offered and is run in the best interests of the people living in the home. The people who were spoken to said they liked living in the home. They said the staff were very nice and they were well looked after. Menus are varied, well balanced and special diets are catered for. Every one said they enjoyed the food and were always offered choice. The staff are provided with appropriate training to carry out their roles. What has improved since the last inspection? The care plan format has been changed so it is more person centred. Two people living in the home said they were involved in developing their care plan. The policies and procedures have been reviewed and updated. These are readily available to the staff. The medication system is audited on a daily basis by a senior care assistant and audited monthly by the operations manager or registered manager. Competency assessments are completed annually for the staff who administer medications. A new shower room has been provided on the ground floor. What the care home could do better: A risk assessment should be carried out for staff when accessing the medication cupboard or alternative storage should be sought. This will help protect the health and safety of the staff. A copy of the complaints procedure should be displayed in a prominant place in the home so it is accessible to visitors. The trailing electricity cable in one bedroom should be made safe to protect people`s health and safety.The caravans should be removed from the garden so people living in the home can enjoy the full space. Key inspection report
Care homes for adults (18-65 years)
Name: Address: Crows Nest Prospect Place Newbiggin By The Sea Northumberland NE64 6DN 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: Anne Brown
Date: 2 9 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 29 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 29 Information about the care home
Name of care home: Address: Crows Nest Prospect Place Newbiggin By The Sea Northumberland NE64 6DN 01670-817696 01670817696 jyball@btinternet.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Miss J Ball,Mr John Ball Name of registered manager (if applicable) Miss J Ball Type of registration: Number of places registered: care home 12 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: 12 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 category: Learning disability Code LD, maximum number of places: 12 Date of last inspection Brief description of the care home The Crows Nest is a stone built, end terrace house that looks like any other house in the street. It is on the edge of Newbiggin and overlooks the golf course and sea front. The owner is also the Registered Manager and works as part of the staff team. There is one double bedroom and ten single bedrooms. Some bedrooms are on the ground floor for people who have difficulty getting around. Care Homes for Adults (18-65 years)
Page 4 of 29 Over 65 0 12 2 2 0 4 2 0 0 9 Brief description of the care home People who live in the home can use all of the shared space that includes a sitting room, dining room and kitchen. At the front of the house there is a conservatory that looks over the large walled garden. There is a bus service that runs from the end of the road. It costs £400 a week to stay at The Crows Nest. If you want to read the Care Quality Commission inspection reports you should ask the manager. Care Homes for Adults (18-65 years) Page 5 of 29 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 that the people who may use this service experience good quality outcomes. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. How the inspection was carried out:Before the visit we looked at:Information we have received since the last inspection on 22nd April 2009. Care Homes for Adults (18-65 years)
Page 6 of 29 Any changes to how the home is run. The providers view of how well they will care for people. The visit:An unannounced visit was made on 27th April 2010. During the visit we: Talked to the operations manager and the staff on duty. Looked at assessment information about the people who may use the service and how well their needs are met. Looked at some policies and procedures. Looked at staff training programmes. Looked at the homes recruitment and selection procedures. Looked around the premises to make sure they were clean, safe and comfortable. We told the operations manager of the home what we found. Care Homes for Adults (18-65 years) Page 7 of 29 What the care home does well: What has improved since the last inspection? What they could do better: A risk assessment should be carried out for staff when accessing the medication cupboard or alternative storage should be sought. This will help protect the health and safety of the staff. A copy of the complaints procedure should be displayed in a prominant place in the home so it is accessible to visitors. The trailing electricity cable in one bedroom should be made safe to protect peoples health and safety. Care Homes for Adults (18-65 years) Page 8 of 29 The caravans should be removed from the garden so people living in the home can enjoy the full space. 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 9 of 29 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 10 of 29 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. Thorough assessments are carried out prior to people moving in to help ensure their needs can be met. Evidence: No one has been admitted to the home for three years. The case files for three people living in the home were examined. The records showed that peoples care needs had been reviewed five months ago and they are evaluated every month. This helps ensure any change of needs are identified and appropriate action taken. People are encouraged to visit the home and spend time there prior to deciding to move in as this helps to ensure their needs can be met. Care Homes for Adults (18-65 years) Page 11 of 29 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 are involved in planning their care and independence is encouraged. They are encouraged to make choices and decisions in all aspects of their lives. Evidence: The operations manager is currently introducing a care plan format which is more person centred and gives comprehensive information as to how care needs should be met. Two files were available in this format. The files contain a personal profile which outlines likes and dislikes. There are support plans for communication, eating and drinking, finances, laundry and ironing, medications, hygiene, grooming and dressing, accessing the community and challenging behaviour. Risk assessments have also been carried out on all aspects of peoples lives and they take calculated risks if this will enhance their lifestyles. Each person living in the home is involved in developing their care plan and they meet with their keyworker each month to discuss how well their care needs are being met
Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: and any changes that need to be made. This information is recorded and signed by them. People are able to make decisions and staff help them to make informed choices. These include how to spend their time, menus, holidays, activities, what to wear etc. Regular house meetings are held and minutes recorded to discuss all aspects of life in the home. A pictorial rota has recently been introduced in the hallway so people can see who is on duty each day. This is proving popular with the people living there and two people were seen checking to see who was on duty the following day. Care Homes for Adults (18-65 years) Page 13 of 29 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 living in the home are supported to participate in activities in the local community and the staff encourage lifestyle choices and personal development. Evidence: Each person living in the home decides how they spend their time and what activities they wish to be involved in. Some people attend day centres which they really enjoy. One person really enjoys gardening and spoke enthusiastically about this. Another person said they had a part time job at a local pub and is also involved in voluntary work with the RNLI. The staff make sure people are aware of community activities which take place, for example fund raising appeals, Lifeboat days, Heritage Centre Activities, church functions etc. Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: Some people are able to go out alone and access the local shops, cafes, library, sports centre etc. Seven people had recently been on holiday to Skegness and one person was eager to show his photographs. Another person said he was looking forward to planning a camping trip with the staff. People also enjoy outings to local places of interest such as Woodhorn Museum, Alnwick Market, Amble and Cramlington. Visitors are welcome in the home and people are supported to keep in touch with family and friends. One person said they regularly visited their family and friends in the community. Everyone is involved in planning the menus for the week ahead. Some people enjoy helping with the food preparation and this is encouraged by the staff. Everyone who commented said the food was good and they were always offered plenty of choice. Some people enjoyed going shopping for the food supplies. This was discussed in the staff meeting and the operations manager suggested doing two shopping trips a week so different people could be involved. The menus were varied and nutritious. Sometimes people decide they would like a takeaway meal and every six weeks a themed evening is planned and different foods are introduced. Care Homes for Adults (18-65 years) Page 15 of 29 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 living in the home are given personal support when they need it in a way they prefer and staff promote their health and well being. Evidence: Most people living in the home are able to attend to their own personal care needs. The manager stated that personal care and private conversations are not undertaken in communal areas. The health and welfare of people living in the home are constantly monitored by the staff and they are encouraged to attend annual health care checks. Details of health checks, hospital appointments, visits to GP, dentist, optician are recorded on the individual case files. Weights are recorded and monitored each month. A staff meeting was taking place during the inspection and staff were given a up date on each persons health. The operations manager also discussed the importance of recording incidents of behaviour which may be challenging. This information can then be looked at so triggers can be spotted and plans put in place to reduce this behaviour.
Care Homes for Adults (18-65 years) Page 16 of 29 Evidence: Since the last inspection a monitored dosage system for administering medications has been introduced. Staff who dispense medications are trained in the safe handling of medicines. Changes to peoples medications were discussed in the staff meeting so staff are fully aware of these. A senior carer in the home is responsible for monitoring the medication system on a daily basis and a monthly audit is carried out by the operations manager. Competency assessments are carried out on the staff each year. The medication storage is appropriate for the size of the home. However staff have to bend down to open the cabinet as the storage area is small. This could pose a health and safety hazard. Assessments are carried out and if people are able they are encouraged to adminster their own medications to retain their independence. Care Homes for Adults (18-65 years) Page 17 of 29 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. There are systems in place to protect people from abuse and complaints/concerns are taken seriously. Evidence: There is a complaints procedure in place but this was not displayed in the home. However staff meet with people on an individual basis once a month to discuss any concerns and this information is then recorded. The procedure about how to make a complaint is discussed in house meetings and the minutes confirmed that people discussed any issues they had or what they would like to have changed. No complaints have been received since the last inspection. The people living in the home who were spoken to said they would speak to the manager or staff if they were unhappy or concerned. The staff have completed training on safeguarding adults and were aware of the procedure to follow if they observed any bad practice. The people living in the home can manage their money to varying degrees. Money is held on behalf of some people. This is well recorded and two staff signatures are
Care Homes for Adults (18-65 years) Page 18 of 29 Evidence: retained for any transactions. The people living in the home do not sign to say they have deposited or received money which does not encourage their independence. The staff do not make any purchases on behalf of people. Care Homes for Adults (18-65 years) Page 19 of 29 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 clean and comfortable and provides people with a pleasant place to live. The bedrooms reflect the individual tastes of the people who live there. Evidence: The home is at the end of a terrace and overlooks the sea and the golf course. It blends in with other properties in the street. The home was clean and reasonably maintained although some areas were showing signs of wear and tear. The operations manager said there were plans to address these areas over the next few months. The bedrooms that were seen were personalised and reflected the hobbies and interests of the people living in them. The handle on the wardrobe door in one bedroom was broken. The operations manager said a new handle had been purchased and they were waiting for the handyman to fit it. There was an electrical cable trailing over the wardrobe in another room which could pose a safety hazard.
Care Homes for Adults (18-65 years) Page 20 of 29 Evidence: A new shower room has been installed since the last inspection. The operations manager said this was very popular with some of the people who live in the home as they find it more convenient to use. The grouting in the upstairs bathroom was showing signs of wear and tear. The operations manager said the owner plans to replace one bathroom this year and one the following year. There was a hole in the plaster in the living room and one area of the dining room. There is a large garden to the front of the premises for people to enjoy. At present there are two caravans stored there that belong to the owner. The operations manager said plans had been made to have these removed in the next few weeks. The staff have completed training on to help prevent the spread of infection. Cleaning schedules are maintained. One person living in the home had assisted the staff to clean the kitchen and they were assisting them to fill in the schedule to confirm the tasks that had been completed. Care Homes for Adults (18-65 years) Page 21 of 29 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 living in the home are supported by a caring, stable and well trained staff team who are aware of their individual needs. Evidence: At the time of the inspection the Operations Manager and two Care Assistants were on duty. The Registered Manager was also on call if needed. The staff files confirmed that Criminal Record Bureau checks and two written references are received before staff are employed in the home. This helps to protect people from abuse. One person has been employed since the last inspection and is currently undergoing induction training. Courses have also been booked for mandatory health and safety training. Staff turnover is very low, therefore the staff know all the people living in the home and have good relationships with them. With the exception of the new member of staff, everyone has achieved a National Vocational Qualification (NVQ), Level 2.
Care Homes for Adults (18-65 years) Page 22 of 29 Evidence: There are training programmes in place to ensure staff receive mandatory health and safety training and specialised training to help meet the individual needs of the people living in the home. For example one person has been diagnosed with autism and the operations manager is currently organising training for the staff. The staff on duty felt they received a good level of training to help them carry out their roles effectively. The people living in the home who were spoken to said they were well cared for and the staff were very good. Staff have formal supervision sessions with the operations manager on a regular basis. These are recorded and signed so any issues can be fully addressed. Care Homes for Adults (18-65 years) Page 23 of 29 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 and the culture and systems help to ensure that the service is led by the needs and wishes of the people who live there, and protects them from harm. Evidence: The registered manager is experienced in the care of people with learning disabilities. She has recently employed an operations manager who also has experience and appropriate qualifications. They are both committed to providing a good standard of care and manage the home in the best interests of the people who live there. The people in the home are involved in their own personal care plans and in the day to day running of the home. They are consulted about their views on a regular basis. They are encouraged to make choices about every aspect of their lives. They spoke freely about things they enjoyed and the things they liked about the home. The operations manager has introduced a quality assurance system and audits are carried out by the registered manager on a regular basis. Surveys are due to be sent
Care Homes for Adults (18-65 years) Page 24 of 29 Evidence: to the people living in the home, relatives and staff. This information will then be used to make any improvements that may be necessary. The policies and procedures have recently been reviewed and staff were requested to read and sign to say they understood these during a meeting that was taking place during the inspection. The records showed that fire drills are carried out and fire equipment is checked on a regular basis. There is a programme to ensure staff receive up to date health and safety training and the staff on duty confirmed this. Care Homes for Adults (18-65 years) Page 25 of 29 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 29 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 24 13 The trailing electrical cable in bedroom must be made safe. This will help ensure the safety of the person using the bedroom. 31/05/2010 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 6 6 Continue to convert the care plans so each person has a plan in the new format. End of life preferences should be discussed with the people living in the home and the information added to the care plan so up to date information is available. A risk assessment should be carried out for staff when accessing the medication cupboard and a more appropriate storage area should be considered. This will help protect the health and safety of the staff. A copy of the complaints procedure should be displayed in a prominent place in the home so both the people living in the home and visitors can view it at any time. People living in the home should sign for any money they
Page 27 of 29 3 20 4 22 5 23 Care Homes for Adults (18-65 years) 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 deposit or withdraw to promote their independence. 6 28 The caravans stored in the garden should be removed so the whole garden can be enjoyed by the people who live in the home. The plans to upgrade the bathrooms and areas in the home showing wear and tear should continue to provide people with a pleasant place to live. 7 28 Care Homes for Adults (18-65 years) Page 28 of 29 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 29 of 29 - 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!