Care Home: Holly House

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What the care home does well The home provides care and support to enable users of the service to live fulfilling and meaningful lives. Residents are given choice in their day to day lives with appropriate support provided by staff at the home. There is an effective care planning system in place and each resident is supported to be involved as much as possible in this process. Residents are supported to access the local community and to undertake leisure pursuits of their choice and all residents have individual programmes of activities. The home has a dedicated and stable staff team and they receive appropriate training to enable them to provide effective support to residents. What has improved since the last inspection? Since the last inspection the home has improved the risk assessment documentation and has ensured that these are regularly reviewed. All recruitment records required for staff are now held at the home. The bathroom at the home has been re decorated with service users being involved in the choice of tiles used and also the colour scheme. What the care home could do better: No requirements or recommendations have been made as a result of this visit, however other areas that could improve the service for residents are contained in the main body of the report, these included; The homes medication cabinet was checked and this was suitable for the current medication kept at the home. The home does not currently hold any controlled drugs, however the law concerning the storage of controlled drugs has recently changed and the home was reminded that should there be a need for any controlled drugs to be held at the home in the future, they must be stored in a proper Controlled Drugs Cupboard. A proper Controlled Drugs cupboard is one, which meets the standard set in the Misuse of Drugs (Safe Custody) Regulations 1973. Suppliers of CD cabinets can confirm that a cupboard meets the legal requirements. Key inspection report Care homes for adults (18-65 years) Name: Address: Holly House 32 Chapel Street Newport Isle Of Wight PO30 1PZ     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: Mick Gough     Date: 1 2 0 5 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: Holly House 32 Chapel Street Newport Isle Of Wight PO30 1PZ 00441983825886 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: guy@hamiltonhousefreeserve.uk Mr G Elliott,Mrs Brenda Mary Furse care home 3 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number ot be accommodated is 3 The registered person may provide the following category of service only: Care home only( PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following category : Learning disability (LD) Date of last inspection Brief description of the care home Holly House is a small home providing care and accommodation for up to three younger adults with a learning disability. The home is a mid-terrace town house situated in a residential area of Newport, the County Town of the Isle of Wight. Resident accommodation within Holly House comprises three single bedrooms, a communal lounge and shared bathroom and kitchen. Being a small care facility the proprietors/manager live in and share many of the homes amenities with the residents. The central location of the home affords residents easy access to the many shops and Care Homes for Adults (18-65 years) Page 4 of 26 Over 65 0 3 Brief description of the care home amenities the town centre has to offer. Transport is also readily accessible with the towns main bus depot a short walk from the home. Fees at the home range between pounds 450 to pounds 500 per week and this is denpendant on the type and level of support required. Full details of fees are available from 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: 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: This report details the evaluation of the quality of the service provided at Holy House and takes into account the accumulated evidence of the activity at the home since the last inspection, which was carried out in May 2008. The inspection took into account the homes Annual Quality Assurance Assessment (AQAA) that was forwarded to us prior to a site visit to the premises and this provided us with good information about the home. Included in the inspection was an unannounced site visit to the home, which took place on the 12 May 2009. Evidence for this report was obtained from reviewing the homes completed AQAA, reading and inspecting records, touring the home and from talking with the registered manager of the service. It was not possible to gain the views of the people living at the home on this occasion as they were all out of the home. The home is registered to provide support for 3 residents who have a learning disability and at the time of the Care Homes for Adults (18-65 years) Page 6 of 26 inspection the home was full. 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. Prospective service users aspirations and needs are assessed before they move into the home. Evidence: There has been one new service user admitted to the home since the last inspection, the other 2 service users have been at the home for over 5 years. The home has an admission process that it follows and the most recent service user moved into the home as an emergency placement two prior to our visit. The service user concerned had been visiting the home prior to moving in as originally this was going to be a planned placement. The home carried out an assessment as soon as the service user moved in and a Social Service assessments was also obtained. Care Homes for Adults (18-65 years) Page 10 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. Service users assessed needs and personal goals are reflected in an individual plan of care and service users are supported to make decision about their lives with assistance give by staff. Service users are supported to take responsible risks and this allows service users to live an independent lifestyle as much as possible. Evidence: Care and support plans were seen for all 3 service users and these were clear and easy to follow and gave clear information for staff on what support was needed and how and when this support should be given. Care plans had good information for staff and had details about daily routines around the home, bathing, washing dressing, shaving, foot care, mental health, emotional well being, family contacts, eating and drinking, activities, employment and education, finance, holidays and day service provision. The plans were in a simple format which was understood by the service user. All care plans had the same headings but one plan seen was made out in picture format so Care Homes for Adults (18-65 years) Page 11 of 26 Evidence: that the service user could understand its contents and this also provided clear information for staff on the support that was required and also had information as to how the service user wanted the support to be give. The care plan for the most recent service user who only moved into the home two weeks ago was still being compiled by the homes manager, there was sufficient information in the care plan to ensure that the service users needs could be met but the manager told us that she was working with the service user to ensure that she was fully involved in the plans compilation. The manager told us that the service user was still unsure as to what format she would like her care plan to be in and the home will respect the service users wishes regarding this. Both of the existing service user had a life plan which gave staff information on all aspects of the service users life and provided information on what they liked doing, how they wanted to be supported, and also provided information about any problem areas. The life plan was made up using picture symbols and also had written information alongside the pictures. Care plans and also the life plans were reviewed monthly. The service user concerned sits down with the manager and together they go through the plans to make sure that the information and support needs are correct. The reviews are signed by the service user and in the case of a service user who is unable to write there is a picture symbol to show if the service user is unhappy or happy with each section of the care and life plan. Staff are made aware of any changes at the handover of the shift. All service users have an annual review and this is recorded and all interested parties are invited to attend. Service users were supported to make decisions about their day to day lives and there was evidence in care plans of service users preferences for when they would like to get up and go to bed and there was good information in the life plan about service users preferences regarding their day to day routines and the manager told us that service users were involved in all every day decisions in the home. Service users are able to have a key to the home and are free to come and go as they please, although one service user requires staff support to go out into the community. All service users plans looked at contained risk assessments and these gave details of the assumed risk, details of the risk, service users understanding of the risk, the anticipated consequences of not taking the risk and the support required and the action to be taken to minimise the risk. We saw risk assessment in service user files Care Homes for Adults (18-65 years) Page 12 of 26 Evidence: concerning; making hot drinks, self medication, finances, falls, self harm and there were also guidelines in place for staff about how specific situations should be managed. Risk assessment were regularly reviewed and monitored. 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. Service users are supported to take part in age, peer and appropriate activities and they access the local community on a regular basis. The homes visiting policy supports service users to maintain family links and friendships both inside and outside the home and service users rights are respected. Service users are offered a healthy and varied diet and service users enjoy their meals at the home. Evidence: Two of the service users at the home are able to undertake paid employment one service user works 4 hours per day 4 days per week at a local supermarket and also helps out a the local cat protection league 1 day per week. Another service user works 4 hours per day 3 days per week at a different supermarket and also attends college to improve budgeting skills and also computer skills. The other service user at the home is a volunteer 5 days a week at a local farm and helps out feeding the animals and collecting eggs. Care Homes for Adults (18-65 years) Page 14 of 26 Evidence: All of the service users are supported to maximise their independence and staff provide support as and when required. Two of the service user at the home are able to go out independently and go into town which is only a short walk from the home, the other service user requires staff support to go out and regularly goes out shopping and visits local pubs and cafes and attend local fete and community events in the local area. Service users are supported to maintain family relationships and 1 service user regularly goes to see her mother each week and another has a sister who regularly keeps in touch. One service user has family in Wales but currently is not in contact, the manager told us that in the past the service user would regularly phone his relatives but at present is not interested. The manager told us that she regularly suggests the he phone but the response is always, I might do it later. There is a clear visiting policy and the we were informed that staff would respect service users wishes on who they wish or do not wish to see. Daily routines in the home promote service users independence as much as possible and service users are encouraged and supported to do as much as they are able for themselves. The life plans for service user give clear information on the service users individual daily routines and staff ensure that this is followed to provide a consistant approach. Service users help out around the home and clean their own rooms regularly and the manager told us that staff support is available if required. Mail is given to service users unopened and staff will support individuals with their mail. Service users are able to access all areas of the home, with the exception of the managers bedroom. The home has a 3 week rolling menu, but this is flexible to allow service users to make changes at short notice. Breakfast at the home is normally cereals, lunch is normally a packed lunch in the week and the main meal of the day is normally in the evening. Meals are discussed with service users who will tell the manager what they would like for the evening meal and the manager told us that on occasions she has made 3 different meals. The most recent resident at the home is a vegetarian and the manager told us that she tries to make the same meals for everyone and uses a meat substitute. Records are kept of what each service users has had to eat if this is different to the planned menu. Food shopping normally takes place once a week with top up shopping being done on a day to day basis as required. Service users are able to go with staff to buy shopping for the home. 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. Service users receive personal support in the way they prefer and service users physical, emotional and health needs are met. The home has policies and procedures in place regarding medication and it is securely held and appropriate records are maintained. Evidence: Personal support is given flexibly and service users plans give clear information to staff on how service users would like their personal support to be given. Each service users is given personal support in private and the preferences of service users on who they prefer to give them the support they need is respected. Two of the service users are very independent and can carry out their own personal care tasks but need some promting from staff. The other service users requires more support and the care plan gives good information about what support is required and also how this support should be given. All of the service users at the home are registered with the same GP surgery, however some have different GPs. Service users all have a health file and this gives information on any health issues for each service user. Service users have specialist input from Care Homes for Adults (18-65 years) Page 16 of 26 Evidence: the local learning disability team, from learning disability nurses, psyciatrists and other health care professionals are arranged through GP referral. Dental checks and treatment is provided by a local dental health centre and one service user has recently had some teeth removed at the local hospital. Eye test are carried out by an optician in the local area and one service user has a hearing aid and staff support the service user to fit and remove the aid. Replacement batteries are available from the GP surgery. There was good information in the health files that staff support service user to attend any appointments. The homes medication policy and procedures were examined and discussed with the homes manager. All staff have recieved training in the administration of medication. The information for the receipt, storage, disposal and administration of medication was clear and medication recording records were checked and those records seen were accurate and up to date. One service user has an inhaler which he keeps himself and there is a risk assessment in place for his self medication of his inhaler. Medication was kept secure and currently the home does not hold any controlled drugs. However it was pointed out that the law concerning the storage of controlled drugs has hanged and the home was reminded that should there be a need for any controlled drugs to be held at the home, they must be stored in a proper Controlled Drugs Cupboard. In brief, the requirements for CD storage are; Metal cupboard of specified gauge, Specified double locking mechanism, Fixed to a solid wall or a wall that has a steel plate mounted behind it, Fixed with either Rawl or Rag bolts.The Misuse of Drugs (Safe Custody) Regulations 1973 gives full details and suppliers of CD cabinets can confirm that a cupboard meets the legal requirements. We recommend that care homes request formal confirmation when purchasing a CD cabinet. 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. There is a clear and accessible complaints procedure, which includes timescales for the process and service users can be confident that their views would be listened to and acted upon and any complaints would be logged and responded to appropriately. The homes policies and procedures help to protect service users from any form of abuse. Evidence: The home has a complaints policy in place and this contains all of the required information. The homes completed AQAA told us that there had been no complains since the last inspection and this was confirmed by the manager on the day of our visit. The home has a copy of the Isle of Wights Adult Protection procedure and staff also receive training with regard to adult protection and POVA. There have been no adult protection issues at the home and the manager was aware of her responsibilities in this area. The home does not keep any money on behalf of service users, however the manager told us that she does help out with budgeting skills. Service users all have bank accounts and receipts are kept of any major transactions. Service user are responsible for their own spending money and keep their own bank cards. 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. Service users live in a homely and comfortable environment and the home is clean and hygienic and free from offensive odours. Evidence: The home is a normal domestic family home and is laid out over 3 Floors. Downstairs there is hallway, 2 lounge areas a kitchen, bathroom and utility area and also a large rear garden with seating. On the first floor there is a bedroom and also the managers room. On the second floor there are 2 further bedrooms and also a toilet. All areas of the home were clean and furniture and fittings were of good quality and homely in appearance. The service was hygienic and there were no offensive odours, the laundry facilities were domestic in nature and there was a domestic washing machine in the kitchen which is able to wash clothing at appropriate temperatures. There is a tumble drier in the utility area and service users bring their own laundry down and put it in the washing machine, staff then support them to put in the washing powder and turn on the machine. There is information for washing any soiled items and the home has protective clothing available and there is an infection control policy and staff have received training in this area. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Competent, qualified and appropriately trained staff supports service users and meet their needs. The homes recruitment policy and practices protect service users. Evidence: The staffing at the home is made up from the provider, the manager and one care staff member who is the son of the manager. All service users are out of the home most days of the week between 0900 and 1600 and during this time there is normally one staff member around. From 1600 there are a minimum of 2 staff members at the home and no service users is left in the home unsupervised. With the current abilities of residents the staffing numbers at the home are sufficient. There have been no staff members appointed since the last inspection. We looked at the recruitment records for the one member of staff and this showed that there was a photo, Criminal Record Beaurue checks, Passport, References x 2, Medical questionaire, contract of employment, code of practice and job description. The manager informed us that she is looking to recruit another member of staff with management qualifications to provide cover as and when required and to provide cover in the event of an emergency. The home had a training log and this showed that staff had received training in the Care Homes for Adults (18-65 years) Page 20 of 26 Evidence: following; challenging behaviour, adult protection, moving and handling, fire safety, medication, first aid and infection control. The homes completed AQAA told us that staff receive appropriate training and the manager told us that staff are nearing completion of training for staff in learning disabilities. 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. Service users benefit from a well run home and the views of service users and other interested parties are sought on how the home is meeting service users needs. The health, safety and welfare of residents and staff are protected. Evidence: The manager at the home has completed the registered managers award and is currently undertaking NVQ4. She has been managing the home since 1992 and has the skills and abilities to manage the home effectively. The views of residents are obtained through residents meetings and also customer surveys. The manager told us that she also gets feedback from the local learning disability team and has a yearly visit from social services to see how the home is meeting peoples needs. The manager is fully aware of her responsibilities with regard to Health and Safety and there is a risk assessment for the building and monitoring takes place. The fire logbook was inspected and all appropriate testing and checks have been recorded. Care Homes for Adults (18-65 years) Page 22 of 26 Evidence: Appropriate certificates were in date for gas safety, fixed electrical wiring and fire alarms systems. 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). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 26 of 26 - 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!