Care Home: Levina House

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What the care home does well People who live at Levina House have their needs assessed in a person centred way and comprehensive support plans ensure that their needs are met in away that considers their choices and aspirations. People are supported to undertake activities of their choice both within the service and the community and independence is encouraged at all times. What has improved since the last inspection? This was the first key inspection of this service, which opened in August 2008. What the care home could do better: This first key inspection has not identified any areas that would benefit from improvement at this stage. As occupancy increases the manager should monitor the impact this has on the people who already live at the service in order tomaintain the standards that have been achieved to date.New services cannot be awarded an `excellent` rating as part of the criteria for that to be achieved, is the length of time that excellent outcomes have been sustained. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Levina House 17 Victoria Embankment West Bridgford Nottingham NG2 2JY 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: Angela Starr Date: 0 9 0 2 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. Reader Information Document Purpose Author Inspection report CSCI Page 2 of 32 Care Homes for Adults (18-65 years) Audience Further copies from Copyright General public 0870 240 7535 (telephone order line) Copyright © (2009) 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.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 32 Information about the care home Name of care home: Address: Levina House 17 Victoria Embankment West Bridgford Nottingham NG2 2JY 01159861555 01159861555 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): John Pownall T/A Because We Care,John Riley T/A Because We Care Name of registered manager (if applicable) Sarah Hardy Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 5 0 care home 5 learning disability Additional conditions: The registered person may provide the following categories of service only: Care Home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning Disability - Code LD The maximum number of service users who can be accommodated is 5 Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 32 A bit about the care home Levina House is an attractive Victorian property built in the 1900s. It comprises of three floors and has five bedrooms. In 2007 it was purchased and modernised by the current proprietors for the sole purpose of providing residential care for a small group of people with learning disabilities. Levina House is in a prime location within walking distance of Nottingham city centre and West Bridgford. This makes easy access to local amenities including shops, cinemas, bowling, the ice arena and other public facilities such as libraries. Care Homes for Adults (18-65 years) Page 5 of 32 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 32 How we did our inspection: This is what the inspector did when they were at the care home The focus of Inspections undertaken by the Commission for Social Care Inspection is upon outcomes for people who use the services and their views on the service provided. This process considers the providers capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provision that need further development. We have introduced a new way of working with owners and managers. We ask them to fill in a questionnaire called an Annual Quality Assurance Assessment, which tells us about how well their service provides for the needs of the people who use it and how they intend to improve their service. We received this back from the Care Homes for Adults (18-65 years) Page 7 of 32 manager within the required timescale and the form was completed in a satisfactory manner, providing us with information to assist in planning our visit and deciding what areas to look at. We also reviewed all the information we have received about the service since we last visited and we considered this in planning the visit and deciding what areas to look at. The main method of Inspection we use is called case tracking which involves us selecting a number of people who use the service and looking at the quality of the care they receive by speaking with them, observation, reading their records and asking staff about their needs. We also sent Have Your Say questionnaires to a random selection of people who use the service, some relatives and some Care Homes for Adults (18-65 years) Page 8 of 32 staff members. The information provided in the replies we received, was also a contributory factor in the focus of our inspection visit. We spoke with three members of staff, three people who use the service and three relatives to form an opinion about the quality of the service being provided. We read documents as part of this visit and medication was inspected to form an opinion about the health and safety of people who use the service. The fees range from £1,100 to £2,500 per week. What the care home does well People who live at Levina House have their needs assessed in a person centred way and comprehensive support plans ensure that their needs are met in a Care Homes for Adults (18-65 years) Page 9 of 32 way that considers their choices and aspirations. People are supported to undertake activities of their choice both within the service and the community and independence is encouraged at all times. What has got better from the last inspection What the care home could do better This first key inspection has not identified any areas that would benefit from improvement at this stage. As occupancy increases the manager should monitor the impact this has on the people who already live at the service in order to Care Homes for Adults (18-65 years) Page 10 of 32 maintain the standards that have been achieved to date. New services cannot be awarded an excellent rating as part of the criteria for that to be achieved, is the length of time that excellent outcomes have been sustained. 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 Angela Starr CPC1 Capital Business Park Fulbourn Cambridge Care Homes for Adults (18-65 years) Page 11 of 32 CB21 5XE Tel. 01223 771350 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.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 Care Homes for Adults (18-65 years) Page 12 of 32 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 13 of 32 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 who want to live at the service have their needs fully assessed to ensure that these needs can be met. People are given accurate information about the service that is provided. Evidence: The manager told us in the written information she provided to us We provide a high quality of accommodation incorporating peoples choices. We provide people with information including the aims, objectives and philosophy of the home, a service user guide and admissions policy. Full assessments are carried out for each person, before admission to the home. We looked at the aims, objectives and philosophy of the home as well as the service user guide. These were specific to the people living at the service and were available in a suitable format. The information provided about the service was comprehensive and detailed and it included descriptions of local amenities. A person we spoke with who lives at the service told us I am really independent and I can go out on my own now. I go for a walk everyday to get fit. Care Homes for Adults (18-65 years) Page 14 of 32 Evidence: Staff we spoke with were very knowledgeable about each persons individual needs and aspirations and how to meet those needs. The manager told us that all the referrals for the service come to them through the Local Authority. Following a referral she then visits the person and carries out a very thorough and detailed assessment of the persons needs alongside a multi-disciplinary team made up of professionals already involved with the persons support. This includes all aspects of daily living and also considers how the person will live alongside the other people already living at the service. Care Homes for Adults (18-65 years) Page 15 of 32 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 . People living at the service have their personal and health care needs assessed and met. Care is provided in a way that promotes choice and respect for peoples privacy and dignity. Evidence: The manager told us in the written information she provided us with that all the people who use the service have individualised and comprehensive care plans in place. There are also plans relating specifically to activities within the home and in the community. We looked at the care files for all four people living at the service. Each one contained a very thorough pre-admission assessment and detailed support plans, as well as appropriate risk assessments. It was evident that the plans for each person had been developed with the persons full involvement and any changes were clearly documented. The manager told us that there is a key worker system in place. Some people who use Care Homes for Adults (18-65 years) Page 16 of 32 Evidence: the service have very complex needs and therefore, each person has two key workers who work together to provide the person with a high level of support and continuity. This system enables support to be provided in a way that is constant even when one key worker is absent for any reason. People we spoke with knew who their key workers were and one person said that their key workers know them really well and know if they are not feeling happy. The staff we spoke with told us that they are aware of the needs of the people they support and they know how to meet those needs. They have had training in person centred planning and value it as a tool to enable them to get to know the people and to provide support in the most appropriate manner. On the day of our inspection visit, three of the four people who currently live at Levina House went to a local gym, accompanied by two members of staff. We spoke with them on their return and they were all very enthusiastic about this activity. One person said I need to get fit and I want to lose weight. I love cooking and enjoy my food, but I want to be more healthy. Where an assessment identifies a need for someone to be supported on a one to one basis, this is provided. On the day of the inspection, three staff were on duty to support four people. The interactions we observed between staff and people living at the service were very positive. People were spoken to and treated in a respectful manner. We observed staff only entering peoples rooms with their consent. Care Homes for Adults (18-65 years) Page 17 of 32 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 living at Levina House experience a fulfilling lifestyle. Evidence: The manager told us in the written information she provided to us Levina House promotes personal development, support to access the community and facilities for people to be able to achieve their personal goals. Family and friend contact is encouraged where it is appropriate and support is given for people to access outside agencies such as advocacy services. Peoples spiritual and cultural needs are catered for and daily activity plans are in place for each person. A wide range of meals is provided and these are nutritious and well balanced. People choose what they want and meal times are flexible. Care Homes for Adults (18-65 years) Page 18 of 32 Evidence: We spoke with people who live at the service and all told us that they like the home and they have their bedrooms the way they prefer. One person said Its like a mansion. Its always clean and I help to do my room. Its warm and comfortable. I always have clean clothes to put on. We observed the atmosphere in the home to be relaxed and the relationships between the people living there to be friendly and supportive of each other. We also observed the interaction between staff and people using the service and found it to be very positive and respectful. People we spoke with told us that they decide what they want to eat and they help prepare a shopping list. Some people go to the supermarket with the staff to do the shopping. People help in meal preparation where it is appropriate and they make drinks as and when they want them. The service does cater for people with specific dietary needs including religious or cultural requirements. People we spoke with told us that they keep busy with activities planned for each morning and afternoon. These include, swimming, shopping, theatre trips and education. One person told us that they have achieved a National Vocational Qualification at college and wish to do a further course. Staff we spoke with told us that although activities are planned for each day they remain flexible. Due to the high staff ratio, if one person cannot or does not wish to join in an activity there are enough staff to provide support whilst other people continue to pursue their planned activity. People told us that they are planning a holiday. Arrangements have yet to be decided and confirmed but they are thinking of going to Center Parcs. There are regular meetings for people to attend and these are minuted, but people spend time each day, talking about and planning what they want to do. Care Homes for Adults (18-65 years) Page 19 of 32 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 are receiving personal support in the way they prefer and require and their health care needs are being met. Evidence: The manager told us in the written information she provided us with We work well with other professionals who may be involved with each person, through a multidisciplinary approach. We constantly review the support required and we ensure that staff receive training in all relevant areas. We ensure the safety and well being of the people who live at Levina House. As part of our case tracking process we looked at the care files for the people who live at the service. All contained detailed support plans that would enable staff to assist people in an appropriate manner whilst maintaining a persons independence as far as possible. Records showed us that people do see other professionals as necessary, including Doctor, dentist, optician and speech and language therapist. Staff provide the necessary support for people and this varies for each individual according to their needs. Care Homes for Adults (18-65 years) Page 20 of 32 Evidence: One person we spoke with told us I am really independent and one day I want to live on my own. Other people told us that they do need help with personal care and The staff are very good. We observed staff supporting people with a person centred approach and interacting in a respectful manner. We looked at the storage of medication and found it to be safe. All medication administration records were completed and accurate. The service has a reliable system for ordering medicines and disposing of any unused items. Training records showed us that all staff who handle medication have had training to do so. Staff we spoke with confirmed that they had received training and felt competent to manage this process. Risk assessments had been completed for each person to see if self-administration of medication would be possible. At the time of the inspection, none of the people living at the service were self-medicating. Care Homes for Adults (18-65 years) Page 21 of 32 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 Levina House are protected from potential abuse and harm by robust policies and procedures relating to concerns, complaints and protection. Evidence: The manager told us in the written information she provided Policies and procedures relating to complaints and protection are robust and are up to date. Staff receive training in Safeguarding adults, whistle blowing, mental capacity act, deprivation of liberty and NAPPI. (Non-aversive physical and psychological intervention.) Safeguarding Adults is a process of identifying and reporting suspected or potential abuse of vulnerable people and provides a framework of consistency to protect those individuals at risk. Whistle Blowing is a means for staff to feel supported to report anything of concern that they may witness. We spoke with people who live at the service and they told us that they know who to complain to if they are unhappy about anything. They also told us that they feel safe living at Levina House. One person said, I would tell my key worker. We looked at the record of concerns and complaints and there were none recorded. We Care Homes for Adults (18-65 years) Page 22 of 32 Evidence: have not received any since the service commenced supporting people in December 2008. We looked at staff files and saw evidence that all necessary pre employment checks had been carried out. All files contained two written references, Criminal Record Bureau and Protection of Vulnerable Adults checks. Staff we spoke with confirmed that they had been formally interviewed and had a period of induction when their employment commenced. The staff were able to demonstrate a clear understanding of the relating policies and procedures, Safeguarding Adults etc. Care Homes for Adults (18-65 years) Page 23 of 32 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The service provides an environment that is appropriate to the needs of the people who live there and it is well presented and maintained. Evidence: The manager told us in the written information she provided Levina House is well maintained and is inspected by external companies for fire safety, electrical testing and gas safety. A maintenance folder is kept in the office for staff to report any problems, faults or necessary repairs and these are actioned within a timescale depending on importance. We undertook a partial tour of the service with some of the people who live there, and found all areas to be clean and comfortable, providing people with a homely and safe place to live. There is a large kitchen/dining room where people spend a lot of time around the table, talking to each other and doing some activities such as painting and drawing. People are encouraged to make drinks and prepare food according to their abilities. There are three further communal rooms on the ground floor, a large lounge with television, a smaller sitting room and a room furnished with equipment to aid relaxation, e.g. fibre optic lights. People we spoke with told us that they like being in the kitchen best but do spend time in the lounge in the evenings to watch television. Care Homes for Adults (18-65 years) Page 24 of 32 Evidence: We looked at some peoples bedrooms and all were clean and tidy and were furnished in a manner to suit the person with each person having their personal belongings. The bathrooms were warm and spacious providing facilities that were easily accessible. We also looked at the laundry room, which was equipped with machines that would be suitable for the service. This room was tidy, clean and well organised. Food is appropriately stored and we saw stocks of basic items. Fresh food is purchased weekly and people are involved in planning menus, creating the shopping list and going out to purchase the items. People told us My room is very big. I like it and I have my own computer. I like the view of the river from my room. We looked at the maintenance logbook and saw that staff record any necessary tasks that need to be completed. When this has been done, the book is signed. We also saw the various certificates issued for fire safety, electrical testing etc. Care Homes for Adults (18-65 years) Page 25 of 32 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 . Recruitment practices, training and support for staff are well managed and provide good outcomes for people living at the service. Evidence: The manager told us in the written information she provided Staff are recruited on their skills and abilities set by sector skills council workforce. 80 of the staff team have achieved National Vocational Qualifications and Learning Disabilities awards framework. All mandatory training is in place. We spoke with three members of staff who confirmed that they have received training in a number of areas including Food Hygiene, Infection control, Health and Safety and medication. Training records that we looked at showed us that there is a comprehensive training programme in place and this is ongoing. All three staff said they had a period of induction when they commenced their employment. The staff rota showed us that there are three staff on each shift throughout the day and two staff at night. The people currently living at Levina House have been assessed as needing this level of staff. There is always at least one senior on each shift. Care Homes for Adults (18-65 years) Page 26 of 32 Evidence: We observed staff to be communicating respectfully with the people they were supporting and with each other. Staff told us We have good team work and communication. There is a good atmosphere here. Its a good place to work. People living at the service told us The staff are great. Care Homes for Adults (18-65 years) Page 27 of 32 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The service is run in the best interests of the people living there. The health, safety and welfare of people and staff are promoted and protected. Evidence: The written information provided to us told us The manager of Levina House is a registered mental health nurse and has many years of working in the care sector. She has almost completed her National Vocational Qualification level 4 in leadership and management. The manager is approachable and creates a positive and inclusive atmosphere at the home. Staff we spoke with all said that they enjoy working at the service and feel supported and listened to by the manager. They all said they consider Levina House to be a well run home and run in the best interests of the people who live there. People who live at the service told us the manager is Very good, Easy to talk to”, Shes the boss. The manager has developed a quality assurance system to capture the opinions of the Care Homes for Adults (18-65 years) Page 28 of 32 Evidence: people who live at the service but this has not yet been implemented as people only began living at Levina House in December. She told us that she will be undertaking this survey imminently. We looked at the arrangements for supporting people with their finances and saw that the system is safe and all transactions are carefully documented. The manager is currently assisting people with opening their own bank accounts. We looked at the records of accidents and incidents. These were recorded in detail in each persons file and included any actions and outcomes. There were also records of regulation 26 visits being carried out by the proprietor of the service. The service has not received any complaints to date and we have not been informed of any concerns about the service. The manager told us Health and safety of staff and people living at the service is of primary importance. Records seen by us would support that statement. Care Homes for Adults (18-65 years) Page 29 of 32 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 Care Homes for Adults (18-65 years) Page 30 of 32 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 Care Homes for Adults (18-65 years) Page 31 of 32 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone : 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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. 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