Care Home: Eleanor Lodge

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What the care home does well Good relationships between staff and people who use the service were evident through observations during the inspection. Staff were providing people with support appropriate to their needs. They were supportive and encouraging in their approach. The staff team are skilled and experienced in meeting people`s needs and good communication systems are in place which helps to provide people who use the service with consistent support. The views of people who use the service are sought and respected. People are involved with the development of their care plans which were relevant to their individual support needs. People are encouraged and supported to to participate in all aspects of daily living, including daytime activities and recreational and leisure pursuits. The service was going through a period of transition at the time of this inspection. As a result of the changing expectations of people, in addition to the short break service, there will be a service which has a clear remit for assessment and support to enable people who wish to, to access more independent living arrangements. The Registered Manager is experienced and has a clear understanding of the work required to manage the change of focus for the service and meet peoples individual needs and expectations. What has improved since the last inspection? People now have a care plan which is in a format appropriate to their needs. For example a care plan that someone who uses the service shared with us was in picture format. What the care home could do better: Improvements to the management of staff recruitment records, and availability of relevant information for inspection, are needed to ensure that a robust recruitment procedure can be demonstrated. In order to effectively support people to increase their independent living skills, it will be necessary to have in addition to detailed assessment and care planning systems, sufficient flexibility within budgetary systems to enable people to undertake their own grocery and household shopping. Key inspection report Care homes for adults (18-65 years) Name: Address: Eleanor Lodge 25 Camborne Close Delapre Northampton Northants NN4 8PH     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: Kathy Jones     Date: 2 5 0 6 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 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) 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 26 Information about the care home Name of care home: Address: Eleanor Lodge 25 Camborne Close Delapre Northampton Northants NN4 8PH 01604764583 01604768920 SAGreenfield@northamptonshire.gov.uk www.northamptonshire.gov.uk Northamptonshire County Council care home 20 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: That 25a is a separate facility providing respite services for up to 3 service users within the Learning Disability Category. The Unit to have its own dedicated staff team. That 25b is used to provide an assessment service for up to 3 service users within the Learning Disability Category and to have its own dedicated staff team when in use. Date of last inspection Brief description of the care home Eleanor Lodge is a care home providing a service for people with a learning disability. The focus of the service was changing at the time of this inspection. The service will provide assessment and support for people with a learning disability, for up to six months, to enable them to access more independent living arrangements. A short break service will continue to be provided. The bedrooms are single and without ensuite facilities, dedicated areas are in place for the different services, which Eleanor Lodge provides, all having dedicated communal areas, including kitchen and bathing facilities and bedrooms. Eleanor Lodge is surrounded by a small garden, and has a patio area with seating. Information is located on site detailing the range of services offered, which includes the Statement of Purpose and a copy of the Commission for Care Homes for Adults (18-65 years) Page 4 of 26 20 Over 65 0 Brief description of the care home Social Care Inspections, Inspection Reports, which are located in the office. The individual contribution of fees payable is dependent upon an assessment undertaken by Care Management, which will determine the level of contribution payable by the service user. Due to changes taking place with the service, we have not included a guide fee and advise that current information is obtained from the Registered Manager. There are additional costs payable for activities and purchasing of personal items. 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: 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 focus of inspections undertaken by the Care Quality Commission is upon outcomes for people who use the service, taking in account their views and experiences of the service provided. Prior to the inspection visits we reviewed the information we had received about the service through correspondence or contact with the service and people associated with the service. This information was collated and taken into account as part of the inspection. Two inspection visits to the service were made by one Regulation Inspector. The first visit was unannounced and took place on the afternoon of 23rd June 2009, which was a weekday. The second inspection visit took place on the afternoon of 25th June 2009. We used a method of inspection called case tracking, which involves selecting samples of peoples records and tracking their care and experiences. Observations of the homes routines and care provided were made and views on the care provided were sought from people who use the service and staff. The management of peoples medication Care Homes for Adults (18-65 years) Page 6 of 26 was checked through reviewing prescribed medication and associated records for a sample of people. A sample of staff files were reviewed to check the adequacy of the recruitment procedures in safeguarding people who use the service and looked at the training staff receive. Shared areas such as lounges and dining rooms and a sample of peoples bedrooms were looked at during the inspection. Changes to the service to be provided meant that the service was undergoing a period of change at the time of this inspection. The changes and how these were being implemented were discussed with the registered manager during the inspection and we were satisfied that work was in progress to implement the changes with minimal disruption to people using the service. Verbal feedback on our inspection findings was given to the manager during the inspection. Care Homes for Adults (18-65 years) Page 7 of 26 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 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. A thorough pre-admission assessment of each persons needs, helps to ensure that they get appropriate care and support and clear information about the services that Eleanor Lodge provides, helps people to be better informed about the home and the choices they have. Evidence: Surveys from four people who use the service confirmed that they were asked if they wanted to move into the home, and that they had received enough information to help them decide it was the right place for them. We spoke with the registered manager about the services provided which are changing in line with the needs and expectations of support services for people with a learning disability that they have identified. We also looked at a draft statement of purpose. The statement of purpose appears to be clear about the services that will be provided and the manager confirmed that it will be reviewed and revised as necessary as services develop. This information is important in helping people who are looking Care Homes for Adults (18-65 years) Page 10 of 26 Evidence: for services to determine if the service is able to meet their needs. The statement of purpose also helps to provide a focus for the service, helping to determine what needs to be in place to support people. A service user guide was also in the process of being developed, which the registered manager confirmed would be in an easy read pictorial format providing accessible information to people who may or are using the service. There is an assessment process in place to gather information about peoples needs prior to admission to help ensure that they can be met. Discussion with staff and the registered manager identified that in some cases people had been admitted in an emergency due to a breakdown in their existing support arrangements. In these cases basic information was obtained and built on. This is important in helping to ensure that peoples needs are met. Discussion with the registered manager confirmed that the assessment process would be developed to take into account the particular needs of people who will be admitted in the future. It is planned that staff from Eleanor lodge will work closely with care managers involved with arranging placements during the assessment process. The plans are to continue to provide a short break service in one area of Eleanor Lodge to support those people who choose to live at home with families who require an occasional break. In addition a service will be provided to support people in planning their future accommodation needs with a focus on developing skills they will need to help them to live more independently. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples individual needs are supported and respected by staff. Evidence: People have a plan of care which they are involved in developing. They are encouraged, and receive support in making decisions about their life. Decisions include day to day decisions and also decisions about their future. Staff were positive, encouraging and supportive in their interactions with people who use the service. They demonstrated a good understanding of the individual and their needs and aspirations. Staff were clear about the support needed to help individuals reach their goal which in some cases was to live more independently. We discussed the need to develop the care and support plans further alongside the planned changes to the service, to better reflect the support staff are providing, and achievements people are making in steps to reach particular goals towards becoming more independent. Care Homes for Adults (18-65 years) Page 12 of 26 Evidence: Staff were promoting peoples rights and choices within day to day conversations and interactions, helping people to be more confident in their decision making. 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 receive support to enable them to live the life that they choose. Evidence: Care plans contained information about peoples preferences in relation to their daily lives and leisure activities. Someone who uses the service showed us their support plan which contained pictures of things that they enjoyed doing such as bowling, going to the cinema or pub, swimming. In addition to these leisure activities they were able to tell us about day placements they attended. The majority of people using the service are involved in a variety of day activities, work or educational placements. One person spoken with was keen to obtain full time employment with a particular employer and staff were working with him, helping him to understand what this would entail and what he would need to do to achieve this goal. Care Homes for Adults (18-65 years) Page 14 of 26 Evidence: Staff and people who use the service spoke about people who had moved on to more independent living. Discussions with staff confirmed that they were keen to support people in choosing options for the future which suited their individual needs and preferred lifestyle. Peoples religious needs are respected and care plans include information about the arrangements that are in place to support peoples religious needs. One person was enthusiastic about an arrangement, where he was collected each week to attend Church. One person spoken with said they enjoyed cooking and learnt cooking skills at a day centre. On the day of inspection staff had prepared the meals, however said that people using the service are also often involved. The manager identified that they are planning as part of the changes to the service to give people more responsibility for managing their own budgets and shopping and cooking within this as part of their support towards more independent living. Food has been purchased through central suppliers which has made this difficult, however changes to the way budgets are organised are being made to accommodate this change and give people more independence. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Personal and healthcare support is provided according to individual needs. Evidence: People receive support with personal care which is appropriate to their needs and preferences. Staff were respectful of their individual choices, such as choice of hairstyle. People using the service were confident in seeking advice and support from staff about choices of clothing and footwear and staff were sensitive in their responses. Peoples care records include information about contact with health professionals which include General Practitioner, Optician and Podiatrist. Advice is also sought from the Community Learning Disability team where appropriate. Records identify that peoples medication is kept under review by the General practitioner and changes are recorded, helping to ensure that people receive their medication as prescribed. We looked at a sample of medication and records relating to the administration of medication. There was no signature against the record for one medication on the morning of the inspection. A member of staff was later able to confirm that the Care Homes for Adults (18-65 years) Page 16 of 26 Evidence: medication had been given which was supported by checking the records of medication received, signed as given, and left in stock. Staff were aware of their responsibilities in relation to the safe management of medication and we were informed that new medication procedures are being introduced by Northamptonshire County Council which are more thorough. At present all medication is administered by staff. We discussed the changes to the focus of the service to more independent living and the need to consider peoples ability to safely manage or work towards managing their own medication. 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. People using the service are aware of someone they can speak to if they are not happy, and there are procedures for dealing with concerns, complaints and allegations which help to safeguard people. Evidence: People who use the service who completed surveys and those spoken with during the inspection confirmed that they know who to speak to if they are not happy. Those spoken with said they felt able to speak with a member of staff. Records show that complaints and concerns are acknowledged and investigations carried out. The outcome of two complaints had not yet been determined at the time of the inspection. The manager confirmed that the findings of complaint investigations are reviewed to see if there are any improvements that need to be made. Records of compliments are also kept which helps to confirm what the service does well. Staff spoken with were clear about their responsibilities in relation to safeguarding the vulnerable people in their care and procedures for reporting any concerns. The annual quality assurance self assessment identifies the need to increase the number of staff who have attended updated safeguarding vulnerable adults training. 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 premises were clean and comfortable and appropriate for the type of service provided. Evidence: Eleanor Lodge consists of five living areas. There are two three bedroomed houses within the grounds, one first floor four bedroomed flat, five bedroomed ground floor accommodation with shared kitchen, lounge and dining areas and four bedroomed ground floor self contained accommodation with office space. The changes to the service mean that people will be admitted with a view to staying no longer than six months. Separate areas will be used for people admitted for a short break and those admitted as part of the transition and assessment service. The premises allow for these different types of service to be provided. All areas were found to be clean and comfortable and people spoken with were happy with the rooms and the accommodation provided. The level of personalisation of rooms varied according to the individual and the length of time they had been at Eleanor Lodge. People are encouraged to add their own personal touches to their rooms. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs are met by a skilled and experienced staff team. Evidence: During the inspection we observed staff to be supportive, sensitive and encouraging in their approach to people who use the service. People were observed to respond well to staff and there was a relaxed atmosphere. Surveys received from four people who use the service confirm that staff treat people well and listen and act on what they say. At the time of the inspection observations indicated that there were enough staff to meet peoples needs. Discussion with staff and the registered manager identified that due to the type of service and the fact that people with a wide range of needs use the service staffing needs can vary from week to week. The manager confirmed that staffing budgets and arrangements are sufficiently flexible to allow for a fluctuation in the level of needs. It is anticipated that the change in the service with some people requiring some very focused and specific support as part of a transition to more independent living that the need for flexible staffing arrangements may increase. We observed there to be good communication between staff, with clear information Care Homes for Adults (18-65 years) Page 20 of 26 Evidence: being passed from one shift to another. This is really important in helping to ensure that people using the service have consistent support. The annual quality assurance self assessment submitted by the registered manager identifies that twenty of the twenty seven permanent care staff have obtained a National Vocational Qualification in care. A sample check of staff records and discussion about planned training confirms that there is an ongoing programme of training which helps staff to keep their knowledge and skills up to date and meet the needs of people using the service. One member of staffs training has included, National Vocational Qualification level 2, fire safety, movement and handling, first aid, food hygiene and dementia. Further training has been booked for staff on Deprivation of Liberty Safeguards. Although no-one was identified as being affected by this new legislation at the time of the inspection, it is important that staff receive this training to help them to identify anyone who may be affected and arrange for appropriate safeguards to be implemented. People who use the service are involved in asking questions during interviews of new staff and their views are taken into account as part of the recruitment process. We found that staff recruitment files in some cases contained incomplete information. For example the disclosure number for a criminal record bureau clearance was recorded on staff members file, however there was no information as to who had checked the criminal record bureau clearance to determine their suitability to work with vulnerable people. Following the inspection we have received confirmation of a new process where a form will be completed and signed off by the registered manager. We were informed that some records were held centrally by Northamptonshire County Council Human Resources department and all staff files would be checked to ensure that required information to confirm a robust recruitment process had been retained. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service is managed in the interests of people using the service. Evidence: The Registered Manager, Mrs Sally Greenfield is experienced in managing services for children and adults with a Learning Disability mainly within a residential setting. Mrs Greenfield has attended various courses and has a Higher National Certificate (HNC) in Management and Social Care and the holds the Registered Managers Award. As part of the quality assurance process a representative of Northamptonshire County Council (NCC) carries out a monthly unannounced visit to Eleanor Lodge. A sample check of the reports of these visits identifies that people who use the service and staff are asked about their experiences and a sample of records are reviewed, which helps them to maintain an overview of the service and how they are meeting peoples needs. Records reviewed include accident and incident records, complaints and staff recruitment. Reports of the visits indicate that relevant issues are being identified. For example the reports identify issues about records in place on staff files to confirm a robust recruitment process. The reports and discussion with staff identify ongoing Care Homes for Adults (18-65 years) Page 22 of 26 Evidence: issues with obtaining copies of relevant records from the human resources department. The registered manager confirmed that changes to the way applications for employment are managed will eliminate this problem and they are working with human resources to ensure that all relevant information relating to current staff is available. The views of people using the service are obtained through reviews and also during regular meetings. An annual quality assurance self assessment (AQAA)was completed by the registered manager as requested, prior to this inspection. This clearly identifies aspects of the service that they feel they are good at and what needs to be improved. Plans for improvement over the next twelve months are also included and are based on continuous improvement of outcomes for people using the service. No health and safety concerns were identified during the inspection. Staff training includes training in safe working practices such as fire safety, health and safety, first aid and food hygiene. 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 1 34 19 All information relating to staff recruitment as detailed in schedule 2 of the regulations must be kept and available for inspection. To demonstrate a robust recruitment procedure is in place which safeguards people. 30/10/2009 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 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). 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. 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