Care Home: Housemartins

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What the care home does well Housemartins is a good home. People said staff are friendly and kind. The home is well run.The manager makes sure everyone is happy. People living at Housemartins and staff have meetings often. This means people are helped to make decisions about their lives and how the home is run. There are lots of activities going on and people can chose what they would like to do.Everyone has a care plan and each person is involved in what information is put in their care plan. These are written well. Peoples` health needs are well met. People living at the home can talk to the manager or staff if they are unhappy and want to complain about anything. Housemartins is a warm, homely safe place. What has improved since the last inspection? When the owner of Housemartins goes into the home and talks to people, he writes reports. This helps the manager make sure the home is being run well. What the care home could do better: Staff should have some more training to keep them up to date on good practices. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Housemartins Housemartins Colebrook Lane Cullompton Devon EX15 1PB The quality rating for this care home is: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Michelle Oliver Date: 2 0 0 4 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. They reflect the things that people have said are important to them: 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 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 Commission for Social Care Inspection aims to:  Put the people who use social care first  Improve services and stamp out bad practice  Be an expert voice on social care  Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (20092008) Commission for Social Care Inspection (CSCI). 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 CSCI 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 28 Information about the care home Name of care home: Address: Housemartins Housemartins Colebrook Lane Cullompton Devon EX15 1PB 0188435443 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) : Jason Stuart Collins care home 5 Number of places (if applicable): Under 65 Over 65 5 0 learning disability Additional conditions: A person meeting the criteria for registration as a manager under the Care Standards Act 2000, as described in Standard 37 of the National Minimum Standards for Care Homes for Adults (18-65) and Regulation 9 of the Care Home Regulations 2001, must be appointed at all times. Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 28 A bit about the care home The home provides support and personal care for 5 people with a learning disability. The home is owned by Mr Jason Collins and managed by Anne Morey. Housemartins is a detached two storey property on the edge of the town of Cullompton, which is within walking distance. There are five single bedrooms with a bathroom on both floors. On the first floor there is a bedroom, office, kitchen with a dining area and a lounge. To the front of the property there is an enclosed garden. At the rear of the property there is a larger garden, which includes a patio area with garden furniture. Information received from the home prior to the inspection indicated that current fees range from #490 to #600 per week. Additional costs are charged for transport, holidays, chiropodists and personal items. CSCI reports are pinned to the notice board in the kitchen and are discussed with the staff team and the people who live at the home as appropriate. Care Homes for Adults (18-65 years) Page 5 of 28 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 Care Homes for Adults (18-65 years) Page 6 of 28 How we did our inspection: This is what the inspector did when they were at the care home This inspection was done Monday 20th April 2009. People did not know that we were coming. We talked to 4 people who live at the home. We talked to people in their bedrooms and looked around the rest of the home. We looked at some of the policies and procedures in the office. Policies are rules about how to do things. Procedures tell people how to follow the rules. What the care home does well Housemartins is a good home. People said staff are friendly and kind. The home is well run.The manager makes sure everyone is happy. People living at Housemartins and staff have meetings often. This means people are helped to make decisions about their lives and how the home is run. There are lots of activities going on and people can chose what they would like to do. Care Homes for Adults (18-65 years) Page 7 of 28 Everyone has a care plan and each person is involved in what information is put in their care plan. These are written well. Peoples health needs are well met. People living at the home can talk to the manager or staff if they are unhappy and want to complain about anything. Housemartins is a warm, homely safe place. What has got better from the last inspection What the care home could do better Staff should have some more training to keep them up to date on good practices. Care Homes for Adults (18-65 years) Page 8 of 28 If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Michelle Oliver 33 Greycoat Street London SW1P 2QF 02079792000 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 set out 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 28 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 28 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. People considering making Housemartins their home benefit from the assurance that their aspirations and needs can and will be met at the home. Evidence: All the people living at the home have done so for a number of years, the most recent admission to the home being in 2003. A comprehensive assessment of the person needs was undertaken to ensure the home were able to meet their individual needs. The manager told us that if the service were to admit a new person to the home it would only be following a full assessment of their needs, after they had visited the home a few times, or as many as needed and had spent a short introductory stay. A permanent place would only be offered if they were happy with this and all other parties were happy with the service. The manager has developed an Admission policy and procedure that includes an admission form that complements assessments that have been undertaken by other health care professional. It includes assessments of all areas of need including medication and consent issues. Care Homes for Adults (18-65 years) Page 11 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home can be confident that they will be involved in the planning of their individual care and that their wishes and needs are considered when plans are completed. Evidence: All people living at Housemartins have individual comprehensive plans of care. Individuals are involved in the drawing up of their plans and in regular reviews and updating information. We looked at 3 plans of care during this inspection. All plans of care included all aspects of individuals care and how best these needs can be met by the person and staff at the home.The plans provide short-term goals, how they will be met, assessments of risk and good monitoring. Daily records are kept of all areas of need, including health care appointments, activities, foods eaten and achievement of the goals in care plans. Since the last inspection the manager and staff have developed some of the recorded information providing more details in relation to activities undertaken and about peoples choices. This information helps staff to meet peoples needs consistently and safely. Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: Decisions are made in full consultation with the people living in the home wherever possible and their relatives or representatives,ensuring that decisions are made in peoples best interests. Formal and informal meetings, either individually or as a group, are held at the home. We were told that as much choice as possible is offered at the home, such as what food or drinks people would like, what hoobies and interests people would like to take part in, going out and things people may like to do within the home. People living in the home talked about how they are supported to make choices and said their requests and wishes are usually listened to and acted upon. Care plans goals are reviewed regularly and updated as necessary. This ensures care plans are documents that are used as working tools, showing the progress made towards goals. Care plans also include assessments of risks that may cause danger to the individual or make it unsafe for them to do certain things. for those people who have limited understanding and communication difficulties pictures and photos are used in care plans so people have a better understanding of the things that may affect them. Daily records are also kept so that any outstanding issues can be dealt with on a day to day basis and any outstanding issues can be added to individual care plans. People living at the home are encouraged and supported to add things to their diaries if they wish. Care Homes for Adults (18-65 years) Page 13 of 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at Housemartins can be confident that they will be supported to make choices about their lifestyles, will be provided with choices of well balanced meals and will be treated respectfully and consulted in all decisions about their lives. Evidence: We spoke to 4 people living at the home during this inspection all of whom confirmed that staff treat them in a kind and caring way. During the inspection we saw staff treating people respectfully, offering choices and being supportive. The home is working hard to encourage people to be as independent as possible, for example some people living at the home are able to use the local facilities and public transport independently now. Care plan goals and risk assessments reflect this work. Two people we spoke to were happy to tell us about some of the activities they take part in and enjoy. These included both leisure and educational activities. One person works locally and enjoys taking an active part in weekly shopping for groceries for the Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: house and two people attend college courses. Many activities take part in the house such as art & craft sessions and we saw several products of these classes around the house. We were also told that people enjoy swimming, keep fit, clubs, pubs, tenpin bowling, cinema, walks, shopping, picnics and many more. Three people were looking forward to going to a gym during the afternoon of this inspection. Photographs are taken of people taking part in various activities and outings and are displayed throughout the home. A time table of organised activities is displayed in the kitchen so people can see what is planned. Daily records confirmed the activities that people take part in are their own choices. Activities are not limited to just during the day. We were told that people go out to the pub discos, clubs or to the cinema. People told us how much they enjoy going on holiday and told us of some overseas holidays that are already planned for this year. People living at Housemartins are encouraged and supported to maintain close contact with the families and it is clear when looking at care plans that this is achieved. One person was due to return on the afternoon of this inspection after spending a weekend with their parents, another told us how they enjoyed the long train journey, which they undertake independently, when they visit their parents and another one told us what they had done when they had recently visited their parents. Another person, who is going on holiday accompanied by a member of staff is also looking forward to their brother accompanying them. Pictures are used to display menus of food on offer. We saw a wide choice of dishes available. the manager told us these have been compliled by people living at the home as they are their favorite meals. During this visit we heard one person telling staff what they would like to have for lunch. Records of meals eaten by people are maintained and show a healthy, well balanced diet is provided and encouraged. One person living in the home talked about how much they enjoyed shopping, preparing and cooking meals. Care Homes for Adults (18-65 years) Page 15 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home benefit from their dignity and privacy being fully respected and their health needs being closely monitored. Medication practices protect peoples health and welfare. Evidence: We were told that people living at Housemartins are treated with respect and dignity and this was confirmed by the people at the home that we spoke to during this inspection. Plans of care included detailed information of how people chose to be assisted or supported with personal care. There are no set routines or times when people have a bath or shower, they can choose whenever they wish to. Staff support people to make and attend appointments with health care professionals such as doctors, consultants, dentists and opticians. During this inspection a person attended a dentist and told us that they did not need any treatment because they looked after their teeth well. Records are kept of all appointments people attend also information about any treatment or dates of follow up appointments. Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: We saw records of routine health care checks and some strategies for preparing people for some of these, which had been planned with sensitivity and understanding. Medication practices are good ensuring appropriate policies and practices are followed. All staff have received training in good medication practices and the manager assesses their competencies regularly to ensure they continue to understand safe practices. A list of medications that can be bought over the counter at chemists [ Homely remedies] has been agreed with a GP and form part of the homes mediucation policy. Since the last inspection the manager has looked at how people could be more independent with regard to their medicines and has now included information about peoples wishes or abilities to undertake this in their individual plans of care. Currently nobody looks after their own medication. Care Homes for Adults (18-65 years) Page 17 of 28 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 living at the home are listened to and complaints are dealt with appropriately. There are good systems in place to ensure people are protected from abuse. Evidence: The home or commission have received no complaints since the last inspection. The service has policies and procedures in place relating to complaints and concerns and copies of these are included in the comprehensive service user guide.We were told that all relatives and interested parties are also given copies of these procedures. I response to a questionnaire a health care professional told us I have never had any concerns about their care. the care I have been privileged to witness has always been of a high standard. One of the people living at housemartins who responded to a questionnaires told us that they did not know how to make a complaint but would tell their relatives if they had a complaint. If they were unhappy they would speak to their key worker of the manager. The manager holds house and individual meetings where complaints or concerns can be raised. Staff said their knowledge of the people living in the home helps them to recognise when someone if unhappy and to try and resolve the problem. All staff have received training in the protection of vulnerable adults. Staff Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: demonstrated a good awareness of types of abuse and knew what to do if they suspected any. Peoples finances are managed well. People said they had their own bank accounts where benefits are paid and a standing order is set up to pay their contribution towards the homes fees. We looked at financial records for all living at housemartins and they were accurate and up to date. Care Homes for Adults (18-65 years) Page 19 of 28 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. Housemartins provides safe, comfortable, clean and homely accommodation and environment for people living and working there. Evidence: Housemartins is a 5 bedded house providing a warm and comfortable environment and on the day of the inspection was clean and fresh. Each person living at Housemartins has their own room, which they have personalised to their own tastes and interests and those who are able have a key to their room. There is a spacious kitchen diner, which is the heart of the house, a utility area, spacious lounge, a bathroom on the ground floor and a bathroom and shower room on the first floor. Furniture and fittings are of a good quality and meet the needs of people living there. There is an ongoing maintenance programme of updating and re-decorating House martins. The provider visits the house at least once a month when an unannounced inspection of the premises etc is undertaken by them ans any maintanance jobs will be highlighted. Work undertaken during the last 12 months include redecoration of one bedroom and replacement of the stair carpet. Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: To the back of the house there is an area of lawn where people enjoy playing football, basketball and having barbecues. The service has comprehensive assessments of environmental risks and information received prior to this inspection indicates that all contractual checks of equipment has been maintained appropriately.This means that people live in a safe, well maintained environment. Care Homes for Adults (18-65 years) Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Housemartins benefit from being cared for and supported by staff that are caring, experienced and well recruited following a robust recruitment procedure. People would benefit further by staff ensuring their knowledge is up to date. Evidence: Housemartins employs 6 members of care staff, most of whom have worked at the home for many years. One person has been employed since the last inspection. The manager aims for there to be two staff on duty from 8.am until 8.pm, plus themselves and one sleep in staff. People living in the home told us there are always enough staff to enable them to go out and about as they choose. If chosen activities or social events go on after 8.pm staff will stay on and any planned evening activities that take place after 8.pm are always accommodated for. We looked at the recruitment file for the most recently employed person at Housemartins. The recruitment procedure followed at the home is robust and we saw an application form, 2 references, proof of identity and police checks. This means that people living at the home are protected by the recruitment procedure and policies. Staff demonstrated a good understanding of individuals needs, health & safety issues and told us about training they had undertaken and what they had learned from it. Training undertaken included safeguarding adults, fire training and first aid. This Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: means that peoples needs and welfare are met and protected by appropriately trained staff. Two staff members have completed a Nationally recognised qualification [NVQ] at level 3, and another is working toward this level and one has completed the qualification at level 2. The manager confirmed that training undertaken since the last inspection has been mandatory health & safety training but that more staff training was being considered. There was no indication to suggest that staff were anything but competent in their understanding and knowledge of individuals needs at the time of this inspection, however, good practice training is recommended to ensure that staff are up to date with their knowledge in relation to, for example, autism and forms of communication. Housemartins is a small family run home and staff are in close contact with each other and people living there. The manager supervises and advises staff daily and holds staff meetings to update them on care issues. Formal recorded supervision takes place every ten weeks. This provides staff with the time and opportunity to identify training issues, look at care practices in more depth and have individual and confidential time with the manager. Care Homes for Adults (18-65 years) Page 23 of 28 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. People benefit from living in a well managed, safe home where their views and wishes are listened to and they are included in the running of the home. Evidence: The manager is a Registered General Nurse and who has many years of experience in working in learning disability services and as a registered manager. She has completed a Registered Managers Award, a Higher National Diploma in Care Management and a Nationally recognised qualification [NVQ] in Social Care. During this inspection staff and people living at the home had an easy going, cheerful respectful relationship with her. The manager was helpful and co operative throughout the inspection and produced all documents and information required efficiently and cheerfully. We were told the service is operated in an open management style encouraging people living and working there to speak openly without fear of being judged or in any way victimised. Confidentiality is respected and if a person wishes to speak privately they can do so at any time to whoever they wish to speak to. The home has good systems in place to audit the quality of services delivered in the home. The manager has developed the homes quality assurance policy highlighting areas to develop, with goals and action on how it will be achieved, including time Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: scales and who will be responsible. Individual care plans are reviewed regularly, house and staff meetings are also used to review the services. This is to to ensure the home is being run peoples best interests. The provider visits the home regularly and talks to the people living there and the staff and manager and these visits are recorded. This means that although the provider does not have day to day charge of the home, these visits ensure the home is being run appropriately and the reports form part of the homes quality assurance system. The fire logbook was found to be up to date and accurate. Fire risk assessments and staff training were completed, therefore protecting peoples safety and welfare. A questionnaire was completed by the manager prior to the site visit. This provides information about the people living in the home, staff, and fees and indicates whether necessary policies are in place. The information helps the commission prepare for the inspection and send surveys to appropriate people. It is also used to help the commission form a judgement as to whether the home is being run appropriately and safely. In this instance this information, the site visit and responses to surveys indicates the home is being well run. Care Homes for Adults (18-65 years) Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes  No  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 1 39 26 The registered provider must 30/06/2007 visit the home monthly, carry out an audit and complete a report. This is repeated with a previous time scale to be achieved by 30/09/07) Care Homes for Adults (18-65 years) Page 26 of 28 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 Description 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 Description 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 1 35 Staff should complete some good practice training to ensure their knowledge is up to date, for example up dated training on autism and forms of communication would be beneficial to the needs to the people living at the home. Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 03000 616161 or Textphone : or 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) Commission for Social Care Inspection (CSCI). 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