Care Home: Duke Street Bungalows

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What the care home does well These bungaloews home provide a clean, well maintained, safe and homely environment for the people who live there, with suitable aids and adaptations, so that people can be as independent as possible. There are good, detailed records which means that staff know what support each person needs and the way they prefer to be helped. Staff are proactive in making sure that people are helped to receive the right services to maintain and improve their health. People are helped to live full lives, maintaining contact with people in the community and going on a variety of outings and holidays. Efforts are made to involve people in decisions about their care and life in the home. The staff team is stable. This means that people receive care from staff who know them, their methods of communication and the way they need to be supported. Staff are very well qualified and receive ongoing training so that they continue to provide the right support to people in the home. The bungalows are very well managed and there are very good arrangements for making sure that the high standards are maintained and improved upon. What has improved since the last inspection? People`s individual plans are now more person centred and communication passports have been developed further so that staff have better information about people`s needs and preferences. There is now a vehicle with wheelchair access so that people can be supported to attend a greater variety of services and activities in the community on a more individual basis. There are improved working links with health and other professionals, to make sure that people`s health and communication needs are better met. Best interest meetings have been held where people have limited ability to make decisions for themselves. Staff have received more training so that they are better able to meet people`s needs. One to one `key worker days` have provided people with an opportunity to spend time away from day centres, accessing community facilites or spending time in their home with staff. What the care home could do better: There are no requirements or recommendations following this visit. The manager has identified many areas in which good practice can be further developed so that the people receive a more personal service. These include involving people in the selection of new staff, increased `key worker days` and direct timed observations of people to provide better evidence of their preferences. Key inspection report Care homes for adults (18-65 years) Name: Address: Duke Street Bungalows 21/23/25 Duke Street Wednesfield Wolverhampton West Midlands WV11 1TH     The quality rating for this care home is:   three star excellent 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: Christine Lancashire     Date: 2 7 0 1 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 26 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 26 Information about the care home Name of care home: Address: Duke Street Bungalows 21/23/25 Duke Street Wednesfield Wolverhampton West Midlands WV11 1TH 01902553356 F/P01902553356 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: www.wolverhampton.gov.uk Wolverhampton City Council care home 20 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: 20 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 (LD) 20 Date of last inspection Brief description of the care home The three purpose-built bungalows in Duke Street were opened in 1996 and are registered to provide accommodation and personal care for a maximum of twenty adults with a learning disability. The home is owned and managed by Wolverhampton City Council. The three bungalows provide a range of specialist, long term social care and accommodation services for twenty adults with high support needs due to their learning disability. 21, Duke Street provides a home for six people who are mobile and active and require constant supervision and support in order to safely participate in Care Homes for Adults (18-65 years) Page 4 of 26 Over 65 0 20 Brief description of the care home everyday activities. 23, Duke Street provides a home for six people who have behavioural disabilities and require a high level of support promoting individual personal development. 25, Duke Street provides a home for eight people who have high levels of physical care needs and require much stimulation in order to maintain and develop skills in areas such as mobility, communication and personal care. Each bungalow has its own staff team. The fees are available on contacting the home. Care Homes for Adults (18-65 years) Page 5 of 26 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: three star excellent 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: We visited the home on a weekday, without telling anyone that we would be visiting. We looked round the buildings, looked at records which the home is required to keep, talked to the manager and one assistant manager. We also talked with 5 members of staff and met six people who live in the home. Before the inspection we had asked for information about how the home runs in a questionnaire called an Annual Quality Assurance Assessment. The manager provided this information. On the day we looked at the records which the home keeps in respect of three people who live there, so that we could find out how they are being supported and kept safe. We also looked at their rooms. We looked at other records which the home is required to keep. These include the staff training records, rotas, menus, safety records and minutes of meetings. We spoke with two visiting health professionals. We used this information to write this report. Care Homes for Adults (18-65 years) Page 6 of 26 What the care home does well: What has improved since the last inspection? What they could do better: There are no requirements or recommendations following this visit. Care Homes for Adults (18-65 years) Page 7 of 26 The manager has identified many areas in which good practice can be further developed so that the people receive a more personal service. These include involving people in the selection of new staff, increased key worker days and direct timed observations of people to provide better evidence of their preferences. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 26 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 26 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. Peoples needs and aspirations are fully assessed prior to coming to this home and there are good arrangements to make sure that the home can continue to meet their needs. Evidence: The home has a Statement of Purpose and service user guide which provide information about the home for people who are thinking of moving in and their representatives. We saw copies of these on sampled files. The manager told us that these documents are updated on a regular basis so that they reflect the current conditions. We saw that they had last been updated in May 2009. We looked at files for people who had most recently been admitted to the home and talked to staff about the admission process. We found that staff go out to visit the person in order to assess their suitability to move into this home. They also have access to assessments carried out by other professionals. Should they feel that the home is suitable, they arrange visits, including meals and overnight visits so that the person can sample the atmosphere and meet the staff and the other people who live Care Homes for Adults (18-65 years) Page 10 of 26 Evidence: there. The records show that relatives of the person are also invited to these visits. Managers take care to make sure that the process is not rushed and that all parties are agreed that this home is the right placement for the person. This makes sure that the person knows, before they move in, that the home will be able to meet their needs. Care Homes for Adults (18-65 years) Page 11 of 26 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs and personal goals are reflected in their care plans. They are encouraged to participate in decisions about their lives and are supported to take risks as part of an independent lifestyle. Evidence: The manager told us that there are plans for each person in the home so that staff know how to provide support in the way people need and prefer. These are developed from the original assessments and contain information provided by professionals, the person themselves and others who know them well. We sampled three peoples files and saw that each one contains care plans. We looked at three plans in detail and found that they contain relevant details to help staff to know what support is needed and how the person likes to be supported. We saw person centred plans which are more concise than the longer ones. The home has also developed communication passports since last inspection. They have been prepared with the assistance of a speech and language worker. We saw that these Care Homes for Adults (18-65 years) Page 12 of 26 Evidence: contain pictures and photographs. They cover areas including communication, daily care and health and explain, in simple language, the basic needs and preferences of the person concerned. For example, we saw details such as I can get excited when new people are around me at home.....If I do not like something I will show you by turning away or leaving the room.....When I am happy I smile, make noises, laugh and hold my stomach, clap my hands. A member of staff was updating one of these passports at the time of our arrival and she explained that, since additional information about the person had been gathered over the past months, the passport needed to be updated to reflect this. These passports would be useful to people who were not used to working with the person, such as new or agency staff. Staff told us that people who live in the bungalows have limited verbal communication, but they get to know the gestures and moods of the people they support, so that they are able to offer choices. We saw people being offered choices at the mealtime and staff also showed us the varied decorations and items which people had chosen for their bedrooms. We saw that peoples files contain the decision making policy and instructions about when decisions need to be made in peoples best interests. We saw detailed records of how and why certain decisions had been made, using evidence gained from peoples behaviour and what they had enjoyed doing in the past. We saw risk assessments on peoples files, indicating that people are encouraged to be as independent as possible and sample a variety of activities. The risk assessments cover activities such as wheelchair use, transport, swimming, a tea dance and walking in the park. They show that many aspects of each activity have been considered and show clearly the actions which has, or needs to be taken in order to minimise the risks. Care Homes for Adults (18-65 years) Page 13 of 26 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 are supported to take part in a range of appropriate activities and to maintain links in the local community. Their rights are respected. They are supported to have a healthy diet and enjoy their mealtimes. Evidence: The manager told us that people are encouraged to take part in a range of activities of their choice. The bungalows now have the use of a vehicle, which enables more individual trips. This means that staff can now respond more easily to peoples requests to go out. We saw records and photographs which show that people have been on trips to places including garden centres, the theatre, cinemas, the seaside and pubs for meals. The rotas allow for key worker days, so that staff can support people to have better Care Homes for Adults (18-65 years) Page 14 of 26 Evidence: access to the community facilities or spend time with their key worker in their home whilst other people are at day centres. We also saw that visitors are encouraged and peoples relatives and friends are welcomed to a variety of social events. Staff described holidays to Devon, Blackpool and Bournemouth. They also talked with great enthusiasm about events such as a Christmas party and a Diwali event where staff dressed in Asian dress. They described how they meet peoples cultural and religious needs. The menus show a variety of meals which appear to be well balanced in terms of nutrition. These are prepared using knowledge of peoples needs and preferences. Staff told us that alternative meals are prepared when people express a preference for something different. We saw evidence of monthly nutritional monitoring on peoples files. People are weighed on a regular basis and staff encourage people to eat a diet which will encourage them to reach and maintain a weight which is considered to be healthy. There is evidence of good practice in the preparation and serving of food and the home has 4 stars from the environmental services. Staff are trained in food hygiene. Care Homes for Adults (18-65 years) Page 15 of 26 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 excellent 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 in the way they prefer and require so that their physical and emotional health needs are met. They are protected by the homes practices in dealing with medicines. Evidence: The records which we sampled contains good details of peoples health needs and includes records of monitoring in a variety of relevant areas. People are supported to use a range of healthcare services in the community. The records show that they attend appointments with various health care professionals including dentists, chiropodists and GPs. The manager and staff demonstrated awareness of the kinds of symptoms which may prompt the need for an appointment. They also provided us with examples of when they had advocated on behalf of people in the home to make sure that they receive appropriate services. Staff have referred people to community nurses where needed and they also work with dietitians and other health professionals to make sure that peoples health needs are met. We met a visiting health professional on our visit and she told us that the staff are proactive in raising issues and always implement any advice which they are given. Care Homes for Adults (18-65 years) Page 16 of 26 Evidence: We saw records of best interest meetings where people had needed invasive medical treatment. Staff told us that, when people are in hospital, a member of staff stays with them at all times. This helps then to feel less anxious and assists with communication between the person and the medical staff. The records show that people have a range of different needs in terms of personal care and manual handling. Staff have received appropriate training and there is a range of suitable equipment in the home, which meets the specific needs of individuals. There is suitable, secure storage for the medication and we saw that sampled records had been completed appropriately. All staff who administer medication are suitably trained. The manager told us that there are plans to upgrade the storage facilities and trolleys have been ordered. Care Homes for Adults (18-65 years) Page 17 of 26 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. This home has systems to ensure that the views of the people who live there are listened to and acted upon and appropriate action is taken so that people are well protected. Evidence: This home has a policy and procedure for dealing with complaints and the details for making a complaint are in the homes Statement of Purpose and service user guide. The manager told us that staff also explain how to make a complaint to people living in the home and that people are provided with pictorial versions of the information. They are also provided with the addresses and contact details of advocacy organizations and the Care Quality Commission (CQC). The manager told us that the home has received no complaints since the last inspection. The records show that staff have received training in recognising the possible signs of abuse and the action to take should they have any concerns. Staff demonstrated a good level of understanding of the issues involved in protecting people. The local procedures for safeguarding people are in the office. This means that there are good arrangements for making sure that people are kept safe. Care Homes for Adults (18-65 years) Page 18 of 26 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 people who live in these bungalows live in a homely, clean, safe and comfortable environment which is well maintained and where there are good arrangements for infection control. Evidence: We looked round the communal areas of the buildings and saw inside several peoples rooms. We found all areas to be clean and free from unpleasant odours and to be in a good state of repair and decoration. The manager has a small office in one of the bungalows. The living and dining rooms are homely and have suitable facilities, with specific chairs for people who need these. The kitchens is large enough for their purpose and is not institutional. The bedrooms which we saw are decorated in an individual way, with personal items, such as ornaments, pictures and soft toys. The garden areas are accessible. There are procedures for the control of infection and staff confirmed that they have access to gloves and aprons when required. The manager told us that staff have attended Health and Safety and infection control training. These measures help to make sure that people are kept safe in the home. Care Homes for Adults (18-65 years) Page 19 of 26 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported by adequate numbers of appropriately trained and competent staff so that their needs are met. People are protected by the homes recruitment practices. Evidence: The manager told us that staff are recruited through a standard process which includes taking up references and checks through the Criminal Records Bureau. Staff do not start work until the checks are completed and they receive induction training which meets the current requirements. We looked at records which confirmed this and spoke to staff about their training. Staff told us that they are encouraged to undertake NVQ training and in addition, they attend various courses which are relevant to their roles. There are good arrangements for making sure that people update training in various areas and we saw that several dates had been booked for the near future. The records show that all staff have achieved at least NVQ level 2 and senior staff have achieved level 3. The manager told us that there are regular staff meetings for staff in each bungalow and across the site. We sampled the minutes of these. They show that staff are involved in making decisions about possible changes and future work. The manager Care Homes for Adults (18-65 years) Page 20 of 26 Evidence: showed us the dates for staff supervision on a six weekly basis and we also saw the records of some sessions in staff files. Staff told us that they feel very well supported by the manager. One told us, She always thanks you when you have done something well. All the staff who assisted in the inspection demonstrated a very good level of knowledge about the needs of each of the people in the home and enthusiasm for their role. One told us, This is the best place I have ever worked. The staff rotas show that there is adequate cover to meet the needs of the people in the home. Rotas are changed to take account of the activities and needs of the people in the home. The records show that the staff team is stable, with some longstanding members, and diverse in terms of gender, age and background. This means that people are supported by staff who know them and their needs. Care Homes for Adults (18-65 years) Page 21 of 26 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live in this home benefit from a well run home where their views underpin self monitoring, review and development. Their health, safety and welfare is promoted and protected. Evidence: The registered manager is suitably qualified and experienced to run the home. She has a social work qualification and NVQ level 5 as well as a variety of practice experience, including inspection. She is well supported in her role by a team of senior staff, who are well trained, to at least NVQ level 3. All the staff who assisted in the inspection demonstrated a very good level of knowledge about the needs of each of the people in the home. People who live in the home are consulted about many aspects of its day to day management, such as menus and outings. The home also sends surveys to relatives and relevant professionals, but the manager and staff told us that they mainly communicate with people directly to obtain their views. There are systems, such as Care Homes for Adults (18-65 years) Page 22 of 26 Evidence: checklists to make sure that the high standards of service are maintained and we saw from the records that the manager makes sure that policies, procedures and other systems are kept up to date. We saw that the manager carries out regular audits in areas such as accidents, complaints and finances. There are visits from representatives of the council, but these have recently been reduced due to a decision that good and excellent homes will not receive the monthly visits which are required by the Care Standards Act 2000. We saw the reports of some of these visits. The manager has an action plan, based on the findings of audits and the last inspection. There is constant updating and improvement of records. The manager described areas in which she intends to improve on the good practice in order to further improve the quality of life for the people who live in the bungalows. This demonstrates a commitment to making sure that high standards are maintained and improved upon. We saw risk assessments for the building, fire, people and tasks. These are clear and provide details of the measures which have been taken to reduce risks. Before the inspection, the manager provided us with information about the dates of the servicing and checking of equipment in the home. We checked a sample of dates against the records and found them to be correct. This shows that there are good arrangements to make sure that people who use the building are kept safe. Care Homes for Adults (18-65 years) Page 23 of 26 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 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 25 of 26 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). 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