Care Home: Longford

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What the care home does well Detailed needs assessments undertaken by the clinical team ensure that only service users whose needs can be met are admitted to the home. Detailed care plans outline the care and support to be undertaken as agreed with service users and their representatives. People are supported to maintain their independence and their privacy and dignity is respected. They are given choice in all aspects of daily living. A key worker system provides additional support to maintain this. Service users confirmed that they enjoyed living in the home and one said "the staff listen to me". The staff team are competent and have the skills necessary to undertake their roles. They are professional and polite and understand the needs of service users with challenging behaviours. A staff member stated " we get plenty of training". The systems for monitoring quality assurance are excellent ensuring the home is run in the best interests of the service users living there. The activity arrangements in place reflect each individual`s needs. The manager stated that service users can involve themselves as much or as little as possible depending on how they feel. One service user wrote on the notice board his cigarette allocation for the day, another talked about the holiday he was planning and another was looking forward to taking his first flight. Staff support service users to follow a healthy eating plan. Menus are planned by service users with the support of staff. The manager stated that there is access to a dietician for specialist support if required. The home is very well managed by an experienced manager and her deputy both of whom have a sound knowledge and understanding of supporting people with challenging behaviours. Their management approach creates a calming but professional atmosphere. The health, safety and welfare of service users and staff are promoted and protected. What has improved since the last inspection? The requirements and recommendations from the last inspection have been met. The vanity unit in the bathroom has now been replaced with a new fitted bathroom on the first floor. A service user stated the liked to have a bath rather than a shower now. The garden patio has been weeded and cleaned, providing a pleasant area for service users to sit. The service has identified areas of the home that require refurbishment and have prioritised these according to need and budget. This included the provision of more cupboard space in the kitchen. What the care home could do better: There are no requiremnets or recommendations as an outcome of this inspection. The home provides an excellent service for the people living there and continue to consult service users, relatives and staff for ideas and suggestions to maintain this standard. Key inspection report Care homes for adults (18-65 years) Name: Address: Longford 40 Massetts Road Horley Surrey RH6 7DS     The quality rating for this care home is:   three star excellent 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: Mary Williamson     Date: 0 3 0 8 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 27 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 27 Information about the care home Name of care home: Address: Longford 40 Massetts Road Horley Surrey RH6 7DS 01293430687 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Ashcroft Care Services Ltd Name of registered manager (if applicable) Mrs Gillian Hickman Type of registration: Number of places registered: care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 6. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD). Date of last inspection Brief description of the care home Longford is owned by Ashcroft Care Services. The home is a large detached house in a residential area of Horley, Surrey. The home is close to the town centre where facilities and amenities are available. The accommodation comprises of ground and first floor facilities. All bedrooms single and three have en-suite facilities. In addition there is one communal bathroom, a shower plus two toilets. There is ample space including two lounges and a large dining room. There is a spacious kitchen with a separate utility area. There is a large garden to the rear of the house and adequate parking is Care Homes for Adults (18-65 years) Page 4 of 27 Over 65 0 6 Brief description of the care home available at the front. The weekly fees range from £1,000 to £3,000. Care Homes for Adults (18-65 years) Page 5 of 27 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: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is THREE STAR. This means that people using the service experience EXCELLENT quality outcomes. This was a key inspection and was unannounced. It was carried out over four and a half hours. The registered manager and deputy manager represented the service at various stages during the visit. It was possible to meet four of the five service users living in the home. The first two and a half hours hours were spent in the kitchen/breakfast room talking with staff and service users getting their views and comments about living in Longford. There was a lot of activity taking place with service users planning various outings and appointments for that day. The inspector was shown around the home by the manager and some service users Care Homes for Adults (18-65 years) Page 6 of 27 invited the inspector to view their rooms. Records relating to the management of the home and the care of the service users were examined and included needs assessments, care plans, medication administration, menus, staff training profiles and staff employment files. An Annual Quality Assurance Assessment (AQAA) was completed by the home and sent to us when we asked for it. This provided us with detailed information about the home and some numerical information we also require. Care Homes for Adults (18-65 years) Page 7 of 27 What the care home does well: What has improved since the last inspection? The requirements and recommendations from the last inspection have been met. The vanity unit in the bathroom has now been replaced with a new fitted bathroom on the first floor. A service user stated the liked to have a bath rather than a shower now. The garden patio has been weeded and cleaned, providing a pleasant area for service users to sit. The service has identified areas of the home that require refurbishment and have prioritised these according to need and budget. This included the provision of more cupboard space in the kitchen. Care Homes for Adults (18-65 years) Page 8 of 27 What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 27 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 27 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. New service users are admitted to the home only on the basis of a full needs assessment undertaken by people competent to do so. This will establish the suitability of the placement and if the home can meet specific needs identified. Evidence: All prospective service users have a full needs assessment undertaken prior to being admitted to the home. Ashcroft Care has its own procedure in place for this process. The manager stated that a full needs assessment will be undertaken by the behaviour therapist and this will be discussed with the clinical team. The manager will then go to meet the prospective service user on several occasions to gain an understanding of individual needs. Visits to the home are also encouraged to observe the reaction, and interaction between fellow service users and the prospective service user. Three needs assessments were seen. These are detailed, informative and relevant to people with a challenging behaviour. Care Homes for Adults (18-65 years) Page 11 of 27 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. Service users are assured that their assessed and changing needs and personal goals are reflected in individual care plans. Service users are encouraged to make decisions regarding all aspects of their daily lives enabling them to live an active and fulfilling lifestyle. Service users are supported by risk assessments that promote safety and independence. Evidence: All service users have a care plan in place. These are generated from the needs assessments, input from service users, care management assessments, and information gathered from relatives. Three care plans were seen and outline in detail how, personal care, health care needs and social support will be provided. Care plans are reviewed in the home every six months to evaluate how the home is meeting current and changing needs. Annual reviews of care are undertaken by the care management team. Relatives are encouraged to participate in the care planning process and attend review meetings. Care plans are kept in service users own rooms. Care Homes for Adults (18-65 years) Page 12 of 27 Evidence: Service users are actively encouraged and supported to make decisions and choice in all aspects of their daily lives, and the routine of the home. The manager and deputy manage explained that service users choose when they get up and go to bed, how their personal care is undertaken, what clothes they wear, what activities they wish to take part in, and what they eat. A service user was observed to get up late as he had been to camp the previous week and was tired, another service user chose to do the weekly shopping with a member of staff and another asked for a shower as opposed to a bath before he went out. Non verbal communication skills have been facilitated for some service users. One service user uses Makaton sign language together with his own signs. The deputy manager has compiled a communication book with the makaton sign and a photograph of the service user using his own interpretation of the sign enabling communication between staff and the service user. This is an excellent piece of work. Another service user is deaf but staff have developed a system of communication face to face and gestures in order to communicate effectively. Risk assessments are in place for all identified risks both within the home and in the community. These promote safety without restricting service users independence in any way. Risk assessments are reviewed frequently to accommodate changing needs and goals. Care Homes for Adults (18-65 years) Page 13 of 27 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. Service users are able to choose to take part in a wide range of activities available to them that meet their individual and diverse needs. Family and community links are maintained and staff facilitate this. The dietary needs of service users are being met and healthy eating is promoted. Evidence: Individual activity programmers are in place and these form part of the care pan. These are planned according to service users needs and choice. Activities include group music, cookery sessions, one to one music activity, reflexology, Ashcroft walks and rambles, train spotting, cinema clubs, swimming, shopping, pub outings, and trips to the coast. These are all offered to service users and it is their choice to take part or not. Some service users attend organised activities for example pottery, and one service user attends horticultural college using public transport. A service user asked to take a picnic lunch to Earlswood Station to undertake some train spotting Care Homes for Adults (18-65 years) Page 14 of 27 Evidence: accompanied by he manager during the inspection. The deputy manager continued with the inspection in her absence. The home has its own transport and also has access to a shared car. Service users also use public transport, and have an individual bus pass, and rail card. All service users have a holiday of their choice. One service user signed that he was going on a plane to Portugal with two staff, another said he was going to the Isle of Wight as I enjoy it there, and another told the inspector that he had enjoyed a cottage holiday in Dorset. Family and friendship links are maintained and staff support service users to visit their friends and family at home. Relatives and visitors are made welcome in the home and relatives are also encouraged to take an active part in the care planning process and to attend care reviews. Spiritual needs are respected. A service user stated that he attends church every Sunday and I have coffee and a cake in the church hall after. Menus are planned every Sunday evening by the service users with the support of the staff. A service user went shopping with a member of staff during the inspection for the homes food shopping. A healthy eating plan is encouraged and the food offered is wholesome, nutritious and fresh. The main meal is usually served in the evening but this can be flexible to accommodate service users choice and lifestyles. Service users are encouraged to participate in food preparation although some choose not to. Some choose to clear away after meals and load the dishwasher. All staff working in the home have a current food hygiene certificate and there is also access to a dietician if required. Care Homes for Adults (18-65 years) Page 15 of 27 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users receive sensitive support that promotes dignity and enables them to maxamise independence and control over their lives. Service users physical and emotional needs are being met. The medication procedure in place protects service users and staff. Evidence: Staff provide personal support for service users as outlined and agreed in individual care plans. This is flexible based on choice and individual daily programmes. Service users are very well cared for and staff heve to appropriate skills and understanding to support people with challenging and complex behaviour needs. Privacy and dignity is observed and service users are treated with respect at all times. Staff were seen to knock on service users bedroom doors prior to entering. Provision is made for sensitive issues to be discussed in private. Arrangements are in place to meet individual health care needs. All the service users are registered with Local GPs at a nearby surgery. Staff provide support for service users when visiting the doctor and also support service users to visit the chiropodist and the dentist. Specialist support for behaviour management is provided by the the organisations behaviour therapist. Care Homes for Adults (18-65 years) Page 16 of 27 Evidence: The home has a medication policy in place and staff administer medication in line with this policy. All staff undertake medication awareness and safety training and will only administer medication having been assessed as competent to do so. Lloyds Pharmacy supplies the medication to the home mainly in blister pack format. They also undertake audits of medication. The medication recording charts (MAR) were seen and are well maintained. Currently there are no service users in the home that self medicate. Care Homes for Adults (18-65 years) Page 17 of 27 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 complaints procedure and the safeguarding vulnerable adults procedures in place protect the service users living in the home. Evidence: The home has a complaints procedure in place. This is available to all service users and their relatives and forms part of the service user guide. Staff confirmed that they were aware of this document and a staff member stated that concerns are managed before they get to the formal complaints process. Records confirmed that there have been no complaints since the last inspection. There is a safeguarding procedure in place and all staff undertake training in abuse awareness during induction training. Certificates on staff files confirmed that they had undertaken this training. The home also has a copy of Surreys Multi Agencies policies and procedures on Safeguarding Vulnerable Adults in place. The manager has attended this training and has cascaded this throughout the staff team. Care Homes for Adults (18-65 years) Page 18 of 27 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 home is suitable for its stated purpose. Service users live in a homely, comfortable and well maintained environment that meets their individual and collective needs. The standard of cleanliness is good and systems are in place to minimise the spread of infraction. Evidence: The manager showed the inspector around the home. There is ample communal space available for the service users including two lounges, a dining room and a breakfast room providing service users with a choice of where to sit or dine whatever their choice or mood. These areas are well decorated and comfortably furnished. All service users have an individual bedroom and the inspector was invited to view some of these, which are nicely furnished and personalised to reflect interests and hobbies. The home has an ongoing maintenance and refurbishment programme in place, and repairs and redecorating are done in order of priority and budget. The home is clean and hygienic and staff support service users to maintain their Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: individual space and help with cleaning chores. There is an infection control policy in place and all staff undertake training if this procedure . The laundry facilities provided meet the requirements of the home. Care Homes for Adults (18-65 years) Page 20 of 27 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staffing arrangements are excellent ensuring that service users needs are being met. Staff training and development is ongoing providing a competent staff team to care for the service users living in the home. The recruitment and vetting of staff is good promoting the safety and welfare of the service users. Evidence: The staff duty rota was seen and indicated that at least four staff are on duty throughout the day. This includes three staff that provide a one to one support for three service users. There are two staff on duty during the night one waking and one who sleeps in. There is also a good on call service available. The staff team are very understanding of service users individual needs and behaviours and have the skills to manage these effectively. Ashcroft Care employs a training coordinator who manages the training needs for individual homes. All staff undertake an induction programme that is in line with Skills for Care. This is also home specific relating to individual challenging behaviours. Mandatory training is also in place and includes first aid, manual handling, food hygiene, fire safety awareness, and medication safety training. This is updated accordingly. NVQ training is ongoing and the inspector was informed that 100 of the Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: staff will an NVQ award by the end of 2009. The home has a staff recruitment procedure in pace. Three staff employment files were seen. These are very well maintained and included all the required documentation including two written references, an employment history and a Criminal Records Bureau (CRB) disclosure. Formal staff supervision takes place at least every two months. This is recorded and retained in a confidential folder. Annual appraisal is also undertaken. Care Homes for Adults (18-65 years) Page 22 of 27 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The arrangements for the management of the home are excellent ensuring that service users benefit from a well run home. Quality assurance monitoring systems ensures that the home is managed in the best interests of the service users. Policies in place protect the health, safety and welfare of the service users and staff. Evidence: The home is well managed by an experienced manager with over thirty years experience in management. She has an NVQ level 4 and a Registered Managers Award (RMA). She has a sound knowledge and understanding of the needs of people with challenging behaviours and generates a calming atmosphere in her management style. During the inspection she took a service user train spotting for an hour as this was important aspect of his activity programme. There is a deputy manager in post who also has an NVQ level 4, and is a registered psychologist. He also has a good understanding of the complex behaviours associated with the home and the skills to manage this. Staff said that they felt well supported with the management structure in place. Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: Systems are in place to monitor quality assurance. Regulation 26 visits are undertaken monthly by the quality assurance manager, and reports are retained in the home for information. Quality assurance surveys are distributed to service users, relatives, and stakeholders for comments. Feedback from these surveys are analysed and acted upon. A report is distributed for information. Service users meeting, relative meetings, audits of care plans, audits of medication, health and safety inspections, and audits of general facilities are undertaken as part of the quality assurance process. The health, safety, and welfare of the service users and staff are observed and promoted. All staff are familiar with the health and safety procedure having undertaken training in this during induction training. The inspector observed that COSHH (Control of Substances Hazardous to Health) procedures are adhered to. Risk assessments are in place for all identified risks and to promote safe working practice. Fire safety is observed and the home has a contract in place for the maintenance of fire fighting equipment and the emergency lighting system. All staff have regular training in fire safety awareness. The AQAA indicated that all the required safety certificates are in place and renewed as required. The inspector noted the home kept records of all accidents and incidents and that these are reported accordingly. Care Homes for Adults (18-65 years) Page 24 of 27 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 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 26 of 27 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 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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