Care Home: Old Barn Close (5)

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What the care home does well People have been supported to reviewtheir support plan/ELP. The support plans include really good information about individuals life choices and personal care routines, they explain how much support the person needs and how to provide the support. The personal and healthcare needs of individuals are also well met. We think that this home would be able to meet the needs of lots of people and would take into account their religious, racial or cultural backgrounds.People who live in the home are encouraged and supported to take part in a variety of activities that reflect their choices and assessments are completed to ensure that people are safe.There is a friendly, relaxed and welcoming atmosphere at the home and there are positive relationships between individuals and the staff.People are provided with the information about how to complain, and how their concerns will be listened to.The home has a good level of staffing to support the needs of the people who live there. Staff are attentive and respectful, they are well managed, supervised and trained to ensure peoples needs can be met.The home continues to have a good range of policies and procedures to assist staff to do their job well. What has improved since the last inspection? The laundry room where cleaning fluids are stored is now locked at all times to ensure the safety of the people who live in the home. The range of extra duties that care staff are involved in e.g. cleaning, laundry, cooking and gardening has been reviewed and a number of task are now undertaken by staff at night. The people who live in the home are also supported to take part in the cleaning, doing laundry and cooking within their home. What the care home could do better: All of the information to support an individuals` needs is held in three separate files, with a number of the files containing a large amount of information. Consideration must be given to archiving out of date information, ensuring that information about care needs can be easy to find. Spare medication is stored in an airing cupboard alongside household items, linens and a Hoover. The temperature within the airing cupboard exceeds the recommended storage temperature for medication of 25 degrees Centigrade. Consideration must be given to storing the spare medication in accordance with the guidance produced by the Royal Pharmaceutical Society `The Handling of Medicines in Social Care`. Key inspection report Care homes for adults (18-65 years) Name: Address: Old Barn Close (5) Gawcott Bucks MK18 4JH The quality rating for this care home is: two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Nancy Gates Date: 3 0 0 6 2 0 0 9 This report is a review of the 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 stars – excellent  2 stars – good  1 star – adequate  0 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. 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 Care Homes for Adults (18-65 years) Page 2 of 30 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 30 Information about the care home Name of care home: Address: Old Barn Close (5) Gawcott Bucks MK18 4JH 01280824799 01280824799 5oldbarn@nildram.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Hightown Praetorian & Churches Housing Association The registered provider is responsible for running the service care home 5 Name of registered manager (if applicable): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 5 0 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 5 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 Care Homes for Adults (18-65 years) Page 4 of 30 A bit about the care home 5 Old Barn Close is a care home registered to provide care and accommodation for up to five adults aged 18 to 65 years with learning and physical disabilities. The home is a modern, single-storey building at the end of a quiet cul-de-sac in the village of Gawcott, close to Buckingham. The home is in a rural location with limited public transport. There are 5 single bedrooms, a lounge, kitchen/diner and small conservatory leading onto an enclosed garden at the back of the home. Bathroom facilities are adapted for people with physical disabilities and consist of a spacious bathroom and a separate shower room. Parking space is available at the front of the home. The home has its own transport and this is used to take residents out. Activities in the home are also provided. The standard fee is GBP 1,445.29 per week. Care Homes for Adults (18-65 years) Page 5 of 30 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 30 How we did our inspection: This is what the inspector did when they were at the care home Before visiting the service we reviewed the previous inspection report, viewed information provided by the manager of the home and reviewed any information we have received about the service since the last inspection in July 2007. We visited the home on the 30th June 2009 to complete an unannounced key inspection. We arrived at the home at 2.30 pm and finished the site visit at 6.30 pm, we were at the home for 4 hours. During our visit we discussed changes made and any proposed changes to the service with the senior project worker/staff team. We also talked with one person who lives in the home and with two staff members who were on duty at the time of the visit to gain their views. We looked at a number of records including care/support plans, staff records, training records, complaints and compliments and health and safety information. We also made a tour of the premises and looked at meals and refreshments provided to people. What the care home does well People have been supported to review Care Homes for Adults (18-65 years) Page 7 of 30 their support plan/ELP. The support plans include really good information about individuals life choices and personal care routines, they explain how much support the person needs and how to provide the support. The personal and healthcare needs of individuals are also well met. We think that this home would be able to meet the needs of lots of people and would take into account their religious, racial or cultural backgrounds. People who live in the home are encouraged and supported to take part in a variety of activities that reflect their choices and assessments are completed to ensure that people are safe. There is a friendly, relaxed and welcoming atmosphere at the home and there are positive relationships between individuals and the staff. People are provided with the information about how to complain, and how their concerns will be listened to. Care Homes for Adults (18-65 years) Page 8 of 30 The home has a good level of staffing to support the needs of the people who live there. Staff are attentive and respectful, they are well managed, supervised and trained to ensure peoples needs can be met. The home continues to have a good range of policies and procedures to assist staff to do their job well. What has got better from the last inspection The laundry room where cleaning fluids are stored is now locked at all times to ensure the safety of the people who live in the home. The range of extra duties that care staff are involved in e.g. cleaning, laundry, cooking and gardening has been reviewed and a number of task are now undertaken by staff at night. The people who live in the home are also supported to take part in the cleaning, doing laundry and cooking within their home. Care Homes for Adults (18-65 years) Page 9 of 30 What the care home could do better If you want to read the full report of our inspection please ask the person in charge of the care home Care Homes for Adults (18-65 years) Page 10 of 30 If you want to speak to the inspector please contact Nancy Gates The Oast Hermitage Court Hermitage Lane Maidstone Kent ME16 9NT 01622724950 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 11 of 30 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 12 of 30 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. Information is available to help people decide whether the home can provide a service to meet their needs. A clear assessment process that takes into account the needs of prospective house members and the needs of existing household members is completed before people move into the home. Evidence: The home has information available for prospective house members and available to the people who live in the home detailing what Old Barn Close has to offer to help people decide if the home is suitable to meet their needs. However, the information is not up to date (currently dated as November 2007) and should be reviewed to ensure it contains relevant and up to date information including the details of the Care Quality Commission. The people who live in the home are supported to gain an understanding of whats on offer in a one-to-one situation, ensuring individuals have time to gain an understanding of what available on a day to day basis. Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: There is a vacancy at the home, however at the time of the inspection visit no prospective house members were considering a move to Old Barn Close. We looked at numerous assessments and information gathered for the people who currently live in the home which told us that needs were fully assessed before they moved to the home and that careful consideration was made to ensure that individuals needs could be met. Prospective house members would be given the opportunity to visit the home on a number of occasions to assess whether the service at the home is able to meet their needs and whether the people currently living at Old Barn Close feel comfortable with the new person. The process also includes the views of people who support the individual currently to ensure the move is in the interest of all parties. Care Homes for Adults (18-65 years) Page 14 of 30 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The needs and personal goals of people who live in the home are recorded within support plans of a good standard People are appropriately supported to make decisions and to take acceptable risks with a risk assessment framework. Evidence: We looked at the support plans of all of the people who live in home. All staff members have supported people to write and review their support plan and make the presentation of information unique to each person. The plans are based around the principles of person centred planning which identifies and prioritises life choices by reflecting the individuals wishes. The support plans include clear information about individuals life choices and personal care routines, they explain how much support the person needs and how to provide the support. How each person communicates is also included within support plans. Clear descriptors of response required from staff are available within each plan. Specialist needs are recorded and staff are informed of identified needs and areas Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: of training can be identified. Each person also has a daily diary recording events within each day and at night that clearly inform staff of the format of each persons day. Future needs and goals are noted within reviews attended by individuals and people who they feel are important in their lives ensuring that the future goals accurately reflect the persons wishes. There remains clear descriptions of individuals abilities with regard to decision making and how to ensure people are given appropriate choices in relation to lifestyle and activities. All of the information to support an individuals needs is held in three separate files, with a number of the files containing a large amount of information. Consideration must be given to archiving out of date information, ensuring that information about care needs can be easy to find. From the evidence seen and comments received we consider that this home would be able to provide a service to meet the needs of individuals from various religious, racial or cultural backgrounds. Risk assessments remain detailed and regularly reviewed to support individuals needs and choices. Care Homes for Adults (18-65 years) Page 16 of 30 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home are supported to take part in a variety of activities that reflect there individual needs and wishes. Evidence: The support plans for each person at the home provides lots of information about what people like to do and how they would like to be supported to engage in activities. Whilst we were at the home staff demonstrated a clear understanding of individual need and supported people to engage in activities described in their support plan. Many of the activities provided in-house are based on what people prefer to do in their leisure time; these included listening to music, watching TV, videos, DVDs, magazines, puzzles and games, arts and crafts, cooking, hand and foot massage, aromatherapy, baking and gardening. Activities outside the home include going to the shops, out for coffee, organised groups, for walks and organised trips to places people have identified Care Homes for Adults (18-65 years) Page 17 of 30 Evidence: they would like to visit. The local community remains very much part of the activity programme. Peoples rights and responsibilities continue to be respected and these are recognised in support plans supported by the appropriate assessment of risk. We were in the home when lunch was being prepared and served. Lunch is generally a snack (tuna and mayo sandwiches, jacket potato with a filling, beans on toast, soup & rolls) due to people going out during the day with the main meal eaten as a group in the evening. People are encouraged to take an active part in the selection of the daily menu, participating in shopping and preparation of meals. Regular drinks and snacks are available; a varied menu is provided, including fresh ingredients and individuals special dietary needs are catered for. Care Homes for Adults (18-65 years) Page 18 of 30 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The personal and healthcare needs of individuals are supported appropriately in accordance with assessed needs. Evidence: Personal and healthcare needs are described for all individuals within clear support plans. A number of plans in addition to ELPs hold clear guidance of how people wish their needs to be supported and it is clear that a number of people are consulted when a person is unable to communicate their needs. This continues to ensure that staff can meet individual support needs in a manner in which people prefer to be supported. The records held are clear and showed us that people are supported to have regular health checks and attend healthcare appointments as necessary. Staff continue to support people to look after their medication. Individuals medicines are held securely in a locked trolley which is securely fixed to a wall. Spare medication is stored in an airing cupboard alongside household items, linens and a Hoover. The ambient temperature within the airing cupboard exceeded the recommended storage temperature for medication of 25 degrees Centigrade. Consideration must be given to storing the spare medication in accordance with the guidance produced by the Royal Care Homes for Adults (18-65 years) Page 19 of 30 Evidence: Pharmaceutical Society The Handling of Medicines in Social Care. The home continues to use a standard medication administration record (MAR) which is provided by a pharmacy and no errors or omissions were noted within the records held. Staff are trained and assessed to ensure they are competent to administer medication and a member of staff confidently demonstrated how an individual is helped to take their medication. Care Homes for Adults (18-65 years) Page 20 of 30 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 people who live in the home are provided with the information about how to complain which enables individuals to have their views listened to and acted upon. The people live in the home are protected from abuse, neglect and self-harm through safeguarding guidance, appropriate staff training and staff awareness. Evidence: Information on how to make a complaint, which has been produced in a user-friendly format is available to the people who live in the home. No complaints have been recorded at the home since the last inspection visit. Clear policies and guidance regarding complaints, concerns and allegations are available to staff to ensure they are aware of how to respond appropriately to concerns raised by individuals and their families. The Care Quality Commission has received no information in relation to complaints or safeguarding issues since the last inspection. All staff complete training regarding safeguarding and protection which reflects the multiagency codes of practice. Staff were able to describe a good understanding of protection issues and how to respond to allegations. Refresher training is available to ensure Care Homes for Adults (18-65 years) Page 21 of 30 Evidence: knowledge remains up to date. We were assured that individuals finances are appropriately managed and monitored externally on a regular basis. Care Homes for Adults (18-65 years) Page 22 of 30 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 a homely and safe environment for individuals that meets their assessed needs. Evidence: We looked around all areas of the home and found that people are provided with a comfortable, homely place to live. The furniture and fittings are modern and domestic in style. With individuals permission we were shown bedrooms, which we found to be individually furnished and reflected people personalities and interests. Specialist equipment counties to be provided to those who need it. Toilets and bathrooms continue to offer privacy and the bathrooms are comfortable and safe areas in which to bathe. Staff clearly aim to provide a clean and comfortable home for individuals. All areas of the home were seen to be clean on the day of the inspection. Care Homes for Adults (18-65 years) Page 23 of 30 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. The home has an appropriate level of staffing to support the needs of the people who live there. Staff are attentive and respectful. Training provided to staff ensures that they are competent and qualified to meet individuals needs. The recruitment of is supported by a clear process that protects the welfare of the people who live in the home as far as possible. Evidence: Old Barn Close has an appropriate level of staffing to support the needs of the people who use the service. The staff supporting people when we visited the service were enthusiastic and motivated, offering respectful support to individuals. Staff described a robust recruitment and selection process conducted by the provider. It is clear that the selection of employees aims to ensure that competent and motivated people are available to support individuals at the home. We looked at three staff files held at the home. The senior support worker confirmed that two written references are obtained before the start of employment. Criminal Record Bureau checks, including POVA first are held centrally within the organisation, Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: appointments confirmed following the receipt of acceptable references and CRB check. All information relevant to the recruitment of staff is held centrally with confirmation of receipt forwarded to the home. Staff spoken with were clearly knowledgeable regarding the needs of people who live in the home and described how courses provided by the organisation have supported their development and knowledge. This was confirmed by information held within staff files regarding the training that is provided and has been completed by staff members. Staff also confirmed that regular supervision is being provided to ensure staff remain supported and that any training or support needs can be identified and acted upon. Care Homes for Adults (18-65 years) Page 25 of 30 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 home is well managed and staff work as team, which benefits all of the people who live in the home. The organisation has good systems in place to monitor the quality of care and to ensure that standards are being maintained. Health and safety practices safeguard the the people who live in the home. Evidence: The manager of the home is experienced and has the skills and knowledge relevant to supporting people in the home. She remains actively involved in the day-to-day running of the home and in providing hands on care and support to individuals and to supporting staff. Staff describe the manager as being supportive and knowledgeable, ensuring that the needs of individuals and staff members are met as far as possible. The manager has regular meetings with the people who live in the home, with relatives, with health and social care professionals and with staff to ensure continuity of support as Care Homes for Adults (18-65 years) Page 26 of 30 Evidence: far as possible. Regular visits to the home are completed by a representative of the organisation to look at the quality of care/support. Reports of the visits are held at the home and no issues are apparent. Policies regarding safe working practices are available and staff are required to undertake training. Health and safety is promoted; training is provided to staff in induction and all staff receive regular training updates. The manager confirmed within information provided to the CQC that records held in relation to health and safety are accurate and up to date, promoting the safety of all. Risks assessments are in place for the individuals who live in the home and for safe working practices. Care Homes for Adults (18-65 years) Page 27 of 30 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 28 of 30 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 29 of 30 Helpline: Telephone: 03000 616161 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) 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 30 of 30 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!