Care Home: Hollybrook House

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What the care home does well The Home is situated close to the city of Norwich which is easy to access through walking or by bus. Many of the residents like the location as it makes it easier for them to use community facilities and maintain contact with friends and family. The Home provides accommodation in a range of houses and flats. There is a large main house, two smaller houses and also two blocks of individual flats. This provides options for residents to move on as their independence increases. The staff are enthusiastic about supporting the residents. They were seen and heard to support the residents in a kind and relaxed manner. There was a nice atmosphere at the Home. The residents are supported to take part in a range of meaningful activities which includes voluntary employment, hobbies and social activities The Home provides care and support to residents with a range of mental health difficulties, some of whom have very complex needs. The staff liaise with health and social care professionals who are involved in the residents care. Complaints are taken seriously and action taken to address any issues arising. Training is provided to staff with regard to ensuring that the residents are protected from abuse. What has improved since the last inspection? Improvements have been made to the accommodation. Some rooms have new carpets and have been redecorated. New furniture has been provided in some communal areas. A kitchen has been provided for the residents to use to make drinks and snacks. A new medication room has been provided. The Manager has a new office which provides additional privacy. There are plans for further improvements. The residents no longer have to walk to the main house for their meals. The staff now go to the kitchen and bring meals back for the residents. Some residents are now responsible for their own shopping and cooking. Additional training has taken place so that staff now receive training with regard to mental health issues and other issues affecting individual residents. Staff receive good support and supervision. More detailed audits have taken place as part of the organisations quality assurance and action plans are developed from these. These are monitored by senior managers to ensure improvements take place. What the care home could do better: There have been changes to the management of the Home in the last year and the Home would benefit from a stable period of management. Following a long period of time when the Home was managed on a part time basis by the manager of another of the organisations Homes a permanent manager was appointed in June 2009. This manager left in October 2009. A full time acting manager has been appointed and staff and residents all spoke highly of her leadership. The Operations Manager and other senior personnel within the organisation have been providing additional support during this time. The care plans are in the process of being updated and reorganised so that they are easier for staff to use. The ongoing programme of redecoration and refurbishment needs to continue to ensure that the residents live in comfortable and homely accommodation. Key inspection report Care homes for adults (18-65 years) Name: Address: Hollybrook House 85 Silver Road Norwich Norfolk NR3 4TF     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: Lella Hudson     Date: 0 4 1 2 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: Hollybrook House 85 Silver Road Norwich Norfolk NR3 4TF 01603767578 01603611620 hollybrook@swantoncare.com www.swantoncare.com Swanton Care and Community Ltd Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Type of registration: Number of places registered: care home 43 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability mental disorder, excluding learning disability or dementia Additional conditions: 4 named residents who are now over 65 years of age who have resided at this Home for a number of years. Hollybrook House may accommodate up to forty-three (43) service users of either sex aged between 18 and 65 years who have a mental disorder. Up to fifteen (15) services users may also have a learning disability. The conditions and safeguards for this condition are as set out in a letter from Andrew Frederick Care Homes Ltd to the Commission dated 2nd September 2003, a copy of which is on file. These 15 service users are included within the overall total of 43 service users. Date of last inspection Brief description of the care home Hollybrook House provides care and support to up to 43 adults with mental health needs, some of who may also have learning difficulties. The resource consists of a Care Homes for Adults (18-65 years) Page 4 of 26 Over 65 0 0 15 43 0 7 0 1 2 0 0 9 Brief description of the care home main house catering for up to 12 people and a series of shared houses and flats that offer the opportunity for more independent living. Hollybrook House is located within walking distance of Norwich city centre. Fees are £307 - £1600 per week but are agreed on an individual basis dependent on need. 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 includes information gathered about the Home since the last Key Inspection (January 2009). The Manager returned the completed Annual Quality Assurance Assessment which is an annual quality review of the service provided. We carried out an unannounced visit to the Home on the 4th December 2009. During this visit we spoke to the management team, to staff and to residents. We looked around some of the communal areas of the Home and we inspected a selection of records. The Inspector was joined for part of the visit by an Expert by Experience. The Commission defines this person as someone who has experience of using services. The Expert by Experience particularly focused on talking to residents and staff about how residents spend their time and the activities available to them. Their findings are included within this report. Care Homes for Adults (18-65 years) Page 6 of 26 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: There have been changes to the management of the Home in the last year and the Home would benefit from a stable period of management. Following a long period of time when the Home was managed on a part time basis by the manager of another of the organisations Homes a permanent manager was appointed in June 2009. This manager left in October 2009. A full time acting manager has been appointed and staff Care Homes for Adults (18-65 years) Page 8 of 26 and residents all spoke highly of her leadership. The Operations Manager and other senior personnel within the organisation have been providing additional support during this time. The care plans are in the process of being updated and reorganised so that they are easier for staff to use. The ongoing programme of redecoration and refurbishment needs to continue to ensure that the residents live in comfortable and homely accommodation. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 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 10 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. An effective admissions procedure is in place. Evidence: The Home has a pre admission procedure which includes a range of information that needs to be gathered prior to anyone being offered a place at the Home. We looked at the care records for one of the residents who has recently moved to the Home and could see that an effective assessment had been carried out. The Manager had gathered information from all health and social care professionals involved in the residents life as well as the resident themselves and their relatives. 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. The care plans provide detailed guidance about how to meet residents needs. The residents are encouraged to take an active part in decision making about the running of the Home and about their own care. Evidence: We looked at two of the care plans and can see that they contain detailed guidance for staff about how to meet residents needs. The residents are involved in this process one of the residents told us that they speak to their keyworker about reviews of their careplan. Some of the care records contain a lot of information that could be archived and this process is currently being carried out. In addition to this it would be of benefit if each of the care plans were updated when changes are agreed at reviews rather than staff having to read all of the review notes to check for changes. The care plans include the views of the individual resident and there is evidence that they have been encouraged to take an active part in developing their care plans. Care Homes for Adults (18-65 years) Page 12 of 26 Evidence: Risks are identified and appropriate risk assessments have been carried out. Recently there have been several situations that have arisen which have included some element of serious risk of harm. These have been well managed by the management team and the staff. The risks have been considered as well as the views of the individual resident and appropriate professionals have been involved in this process. The acting Manager and the deputy have attended training about the Mental Capacity Act and the Deprivation of Liberty and there is evidence that Independent Mental Capacity Advocates have been involved where appropriate. The Operations Manager said that this training is planned to be provided to the rest of the staff team this year. A member of staff is currently in the process of reviewing the care plans and putting them on to the organisations new care plan formats. This process will ensure that older, out of date information is archived appropriately. It will also provide the information in a format which is easier to use. The organisations clinical development nurse has been involved recently in the review of care plans. Currently the senior staff complete the daily notes but there are plans to change this so that the member of staff who provided the support to the resident will be responsible for completing the care records. A residents meeting was taking place on the day of our visit. The acting Manager said that she is going to change the time of day that this takes place to encourage more residents to attend. At the last Inspection we were told that there were plans for residents to have their own bank accounts. This has not happened and if residents need assistance with their money then it is paid into the organisations bank account which has been set up for this purpose. Residents are then given cash from this account. Records are kept of expenditure with receipts kept where possible. Residents are encouraged to sign for receipt of their money. The care records need to include a financial risk assessment with clear guidance about how individuals money is managed. 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. Residents are supported to take part in a range of meaningful activities. The residents said that they enjoy their meals and that they are offered choices. Evidence: The Expert by Experience specifically spoke to staff and residents about the issue of meaningful activities and how the residents spend their days. The Home has two staff who take on an additional responsibility with regard to organising activities. Residents who spoke to us said that they are able to take part in a range of activities, both away from the Home and at the Home. These have recently included going to the coast, to car boot sales, nature walks, the Sea Life Centre, going to see live music and going to the Theatre bar. Some of the residents carry out voluntary work in a range of situations. One of the residents has recently taken up bell ringing. Care Homes for Adults (18-65 years) Page 14 of 26 Evidence: Staff who spoke to us were enthusiastic about encouraging residents to be involved in activities that they enjoy and gave examples of how they have been trying to find out more about what individual residents like. Staff have particularly tried to provide additional opportunities for the older residents who choose not to take part in the more active pursuits. The care records show that risk assessments are carried out for individual residents for whom some activities may present additional risks. Residents told us that they are able to go out when they want to and that staff support is provided if they need it. Some of the residents have 1:1 hours provided and the purpose of this is regularly reviewed to ensure that the residents are receiving support in the most appropriate way. Next door to the Home the organisation has built new flats for people living in supported living situations. This building has a large, commercial kitchen and the meals for the Home are now provided from there. Previously residents had to walk over to the kitchen to get their meals but this has changed and it is the staff who now go to the kitchen to collect the meals. Residents told us that they enjoy their meals and that they are offered a choice. Mealtimes and the menus have recently been reviewed as part of the organisations ongoing quality assurance and actions have been planned to make improvements. The old kitchen has been converted into a small kitchen that the residents in the main house have access to. There are drinks and snacks available here. There is a kitchen in each of the smaller houses and in the flats. Since the last Inspection one of the improvements has been the increase in the number of residents who are given money each week to do their own shopping and who then do their own cooking. This needs to be further developed to encourage residents to maintain and develop their independence and to give them additional choices. 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. The residents personal and health care needs are met. Action is taken when the management team identify that a residents needs can no longer be met at the Home. Medication is managed safely. Evidence: There are some residents with very complex mental health needs currently living at the Home. Through discussions with the management team and through looking at care records we can see that the Home liase regularly with health and social care professionals involved in the residents care. Risk assessments are carried out for issues that pose a risk to the resident themselves or to those around them. The management team have taken appropriate action when it is felt that a residents needs can no longer best be met at the Home. Independent Mental Capacity Advocates have been involved in some situations where it was felt that the resident would benefit from an independent advocate. The care records show that attention is also paid to the physical needs of the residents and that they are supported to attend appointments with GP, dentist and opticians as Care Homes for Adults (18-65 years) Page 16 of 26 Evidence: necessary. Additional training has been provided to the staff team about working with people with mental health difficulties. Staff said that this has helped them to be more confident when working with the residents. Residents told us that they like living at the Home and that they like the staff. They said that staff are kind and that they help them when they need it. The staffing levels have increased since the time of the last Inspection which means that staff have additional time to spend with individual residents. We looked at the medication system. Medication is one of the areas that the clinical development nurse has been reviewing. Regular reviews are carried out for those residents who self medicate. The Home has a new medication room which provides a much better space for staff to work in and for medication to be stored safely in. The deputy manager said that there are plans to introduce individual locked cupboards in the smaller houses to store medication in. The acting manager said that only staff who have attended appropriate training are responsible for administering medication. There are plans for staff to have their competence assessed by one of the management team on a regular basis as part of the organisations ongoing quality assurance programme. 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. The Home has appropriate procedures and staff training in place to provide protection to the residents. Complaints are taken seriously and action taken to make improvements where necessary. Evidence: The complaints procedure is displayed around the Home. Residents told us that they know who to speak to if they are not happy about something. Residents are also encouraged to attend the residents meetings and to raise issues there. Any complaints/concerns are taken seriously with records showing that appropriate action is taken to address issues when raised by residents. Staff receive training with regard to Safeguarding and staff told us that they have confidence in the management team that any concerns will be dealt with appropriately. The management team have worked pro-actively with the Commission with regard to safeguarding referrals. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The Home provides adequate accommodation for the residents in a range of communal and private living areas. Evidence: We looked around the communal areas of the main house and of the two Mousehold houses. At the time of the last Inspection a requirement was made for the accommodation to be upgraded. Some improvements have been made and more are planned. Several carpets have been replaced and rooms have been decorated. Some lounge furniture has been replaced and there is more on order for other areas of the Home. A new kitchen has been provided for the sole use of the residents to make drinks and snacks. The problem with the hot water in one of the houses has been addressed. A new managers office has been created. 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. Staff are provided in sufficient numbers to meet the needs of the residents. Additional training has been provided to staff to ensure that they have the right skills to meet the needs of the residents. Evidence: We spoke to staff and residents about the staffing levels and they confirmed that there are now more staff on duty than at the time of the previous Inspection. There are usually 7 staff on duty between 8am to 8pm and four staff on duty overnight. We were told by the management team that 6 is the minimum number of staff who are on duty and that agency staff will be used if staffing falls below the minimum. In addition to the care staff there are also catering staff on duty. The Manager and deputy manager are also on duty Monday to Friday. There is always a senior member of staff on duty and the management team provide an out of hours on call service. Staff have received a lot of training since the last Inspection. Training in a range of subjects has been provided. Mandatory subjects such as Safeguarding have continued to be provided but there has been a lot of training about mental health issues which staff said has made them more confident in working with the residents. Further training is planned for the forthcoming year. Care Homes for Adults (18-65 years) Page 20 of 26 Evidence: Staff said that they have received regular formal supervision sessions and that there is always a senior member of staff on duty for advice. 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 acting manager is providing good leadership to the staff team. The views of the residents are sought on a regular basis as part of the ongoing quality assurance process. Health and safety has been given a high priority. Evidence: There have been several management changes since the last Inspection. At the time of our last visit the Home was being managed on a part time basis by the Manager of another Home owned by the same organisation. A permanent Manager was appointed in June 2009 but left in October 2009. The Home is currently being managed on a full time basis by an acting manager who was previously a deputy manager at another of the organisations Homes. Throughout the changes in management additional support has been provided by the Operations Manager and, more recently, the clinical development nurse. Staff told us that they feel that they have been provided with good support during this time. Staff spoke highly of the new acting manager and said that she is very supportive and takes action to address issues. Care Homes for Adults (18-65 years) Page 22 of 26 Evidence: The acting manager is a nurse and has previous clinical experience and some management experience. She is receiving good support from the Operations Manager and is proactive in her quest for information. The Home has appointed a new administrator. One of the deputy managers has left to work at the new unit next door to the Home. Additional senior care staff have been appointed. The organisation has a well developed quality assurance system in place and regular audits take place of a range of issues. The clinical development nurse has been involved in carrying out audits at the Home recently and action has been taken to address issues where they have been identified. We looked at a sample of health and safety records and can see that regular servicing and maintenance of equipment takes place. Staff receive training with regard to health and safety. The care records show that the health and safety of the residents in relation to their mental health and behaviour is taken seriously and that steps are taken to reduce identified risks. 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 7 15 A risk assessment with regards to looking after residents finances needs to be carried out To provide clear guidance to staff about how residents money is managed 31/03/2010 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 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!