Care Home: Parkside Lodge

Similar services:

• Ashlea Mews Residential Home
• Harwood House
• South Chowdene Care Home
• Farmborough Court
• St Albans Place (14)
• Bisley Drive (18)
• Ransdale House

What the care home does well People told us many positive things about the service they receive here. Amongst other things they said that: - their needs are well met, - the staff are pleasant, - the home is kept clean and fresh, - their views are listened to and acted upon. From our observations we saw that staff are approachable and offered a high standard of service. Support is provided to enable people to regain their skills and move on to more independent settings. Visiting times are also flexible, and a range of activities (including holidays) are offered. The views of people living here are listened to. People know how to complain and raise their concerns. The home is adapted from two terraced houses. It meets the needs of the people living here. What has improved since the last inspection? Regular line management visits are now undertaken. What the care home could do better: During our inspection we found: - Care managers assessments are not being obtained before people move here. This means that important information is not passed on to the home. - Care planning needs to be implemented in a more focused manner that covers key areas of need. This is so clear guidance is available to staff about how they are to meet each person`s needs, and for staff to work in a consistent manner. - Staff recruitment arrangements are not as robust as they could be, and evidence of pre-employment checks are not being retained and made available for inspection. - The manager has yet to apply to be registered. Key inspection report Care homes for adults (18-65 years) Name: Address: Parkside Lodge 17 - 19 Windermere Street Gateshead Tyne and Wear NE8 1TU     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: Lee Bennett     Date: 0 1 1 2 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 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: Parkside Lodge 17 - 19 Windermere Street Gateshead Tyne and Wear NE8 1TU 01914770719 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Potensial Limited care home 12 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia sensory impairment Additional conditions: The maximum number of service users who can be accommodated is: 12 The registered person may provide the following category 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: Mental Disorder, excluding learning disability or dementia, Code MD maximum number of places: 12 Sensory Impairment - Code SI, maximum number of places 2 Date of last inspection Brief description of the care home Parkside Lodge is care home, providing personal care for up to 12 people with a mental health need. Nursing care is not provided, but District and Psychiatric Nursing services can be arranged where necessary. It is an adapted, terraced care home with accommodation provided over three floors. The first and second floors are accessed by flights of stairs, so the home would not be suitable for a person with a physical disability. There is a small paved garden to the front, and an enclosed yard to the rear of the home. The home is situated within walking distance of central Gateshead, and is Care Homes for Adults (18-65 years) Page 4 of 27 Over 65 0 0 12 2 Brief description of the care home near to local public transport links and a wide range of local facilities, including a health centre, a library, shops, pubs and places of worship. The fees charged by the home are for each person vary, dependant upon their needs. They are agreed on a case by case basis, and further information is available directly from the home. 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: During the visit we: - Talked with people who use the service, their relatives, staff and the manager. - Observed life in the home. - Looked at information about the people who use the service & how well their needs are met. - Looked at other records, which must be kept. - Checked that staff had the knowledge, skills & training to meet the needs of the people they care for. Care Homes for Adults (18-65 years) Page 6 of 27 - Looked around parts of the building to make sure it was clean, safe & comfortable. - Checked what improvements had been made since the last visit. After the visit: We told the manager what we had found. Previous Requirements: We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use the service are not put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. Care Homes for Adults (18-65 years) Page 7 of 27 What the care home does well: What has improved since the last inspection? 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. Care Homes for Adults (18-65 years) Page 8 of 27 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs are mostly assessed before moving here, but care management assessments are not always obtained. Obtaining information about a persons needs is important in ensuring that everyone concerned is confident that this is a suitable place to live, and that everything is in place to make people comfortable. Evidence: Before a person moves to a care home they are entitled to have an assessment of their needs carried out, either by a social worker or a health care worker, such as a nurse assessor. This person is commonly known as a Care Manager. Even when a person pays for their own care, they are still entitled to such an assessment. All of the people moving here have their care arranged by Health or Social Services. Nobody has come here by private arrangement. The manager of a care home must also obtain information about those people who would like to come here. This will include a copy of the assessment, and a summary care plan written by the care manager, which explains how each persons needs are to be addressed. This is to make sure their needs are looked at and then can be Care Homes for Adults (18-65 years) Page 11 of 27 Evidence: properly met. We looked at the information obtained for two people who moved here during this year. For these people the manager has not been able to obtain a care needs assessment or a summary care plan. The manager has however undertaken her own assessments. Based on the information gathered a plan of care is then developed by either the manager or senior staff. Care Homes for Adults (18-65 years) Page 12 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living here are supported to make their own decisions, and receive generally well planned care. Up to date information is important in ensuring that both service users and staff are well informed about what care is to be offered. Evidence: To help guide the care that staff offer to the people living here, a care plan file is compiled. All of the people living here have had one developed. These are all written up, evaluated and reviewed by the manager and a key worker; a member of staff who works with a named service user and takes a lead on the planning and delivery of care. Some people will also write their own care plans. We found that these are regularly reviewed, and key needs have been monitored. For one person we found that some key areas of need (such as those relating to mental health and alcohol use) did not have associated care plans in place. Nevertheless, the care files do contain a lot information on each persons needs, and are written in a person centred way. The files themselves are logically organised. The care practice that we observed reflected the guidance in the care plans. Care Homes for Adults (18-65 years) Page 13 of 27 Evidence: Closely linked to care planning arrangements are risk assessments. Again, these are written up by a key worker when there is an identified area of risk, either to the service user, or to others by that persons behaviour or needs. They follow a standardised format, and detail the area of risk, consider the benefits of certain risks being present, and outline how unnecessary risks are to be managed. We found that areas of risk were being documented based on each persons particular needs. Both care plans and risk assessments are a formal way of documenting decisions about important matters affecting a persons care and lifestyle. There are also regular group meetings (house forums) held. The people living here are clearly able to express their views and come to decisions about the things that affect them. One person said that staff use the house forum to explain about how important it is to respect the workers and each other and not to swear. When asked about how much service users contribute to the meetings, some people said they felt able to make comments whilst others said they didnt. People did say that they were asked in the residents forum to make decisions about outings, holidays, etc. Where decisions may need to be taken by others that involve a deprivation of liberty, or require actions in a persons best interests, the manager is aware of current procedures under the Mental Capacity Act that have to be followed. Although care planning is an important element of the care and support delivered, of more direct relevance is the assistance actually provided. We received several positive comments about the service people receive here. All of the service users who expressed an opinion said that they thought the service provided for them in Parkside Lodge was excellent or very good. They said staff were marvelous and very helpful. One person said, I absolutely love it here and I will be sorry when I have to leave. The staff here also stated that they had been working very hard to promote peoples skills, confidence and independence, which was helping people move on to less supported settings. Care Homes for Adults (18-65 years) Page 14 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living here are assisted to spend their time in an active and fulfilling way, at a pace reflective of their needs. This can help promote each persons sense of wellbeing. Evidence: A broad range of activities, both within and outside of the home are promoted, and several service users benefit from the one to one input of staff to help them go further afield. Service users access community facilities both independently and with staff support. These include local colleges, music events, clubs, pubs, a local womens health project and trips out to local places of interest. One person talked about his college course. On the day of our visit most people were going out on a pre-arranged trip in a limousine to celebrate the birthday of one of the people living here. A monthly programme of events, activities and occupation is planned and many activities are discussed and planned at the house forum meetings. The people living here have also Care Homes for Adults (18-65 years) Page 15 of 27 Evidence: been supported to have holidays away from the home. As well as going out and about, contact with friends and relatives can affect the quality of life enjoyed by people. A variety of relationships exist within and beyond the home. These are normally detailed within each persons care plan, with staff respecting peoples sensitivities where necessary. If necessary the help and advice of other professionals is also sought. Staff are able to provide advice, and will also signpost service users on health related issues. To further help to protect and promote peoples rights and lifestyle choices staff have received training on equal opportunities. The varied cultural preferences and needs and backgrounds of service users are acknowledged and acted upon by the team, so, for example, religious preferences are respected in discussions, and service users can attend religious service of their choice. Service users are also able to voice their opinions and views formally through care planning reviews and the house forums, and can exercise independence and control in the planning and evaluation of activities. Meal times are an important element of the daily routine, and where people have particular dietary needs and preferences these are outlined within their care plans. If necessary people will receive dietary or vitamin supplements. A choice menu is operated and a record kept of the meals planned and provided. Meals are normally taken within the dining room, but service users can eat their meals elsewhere in the home if they wish. Service users are encouraged to be involved in meal preparation and related tasks. Special adaptations have been obtained to help a person who is blind with his drinks. Care Homes for Adults (18-65 years) Page 16 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. Each individuals personal care and healthcare needs are well supported band privacy ensured. Evidence: As noted above, the people that we spoke with were all complimentary about the care and support provided here. The people living here have their personal and healthcare needs outlined within their case files. Their needs are supported and met, where appropriate, in private. Specialist support and input has been sought and obtained where necessary, and multi-disciplinary input (such as that from the Occupational Therapist, or with mental health needs) is made available. As well as making sure healthcare advice is sought, the manager, and other staff in the team, help the people living here to access healthcare treatment. This is so people get the help they need to keep well. The results of healthcare visits and routine monitoring is recorded within each persons care file. Clear recording can help ensure that staff follow any advice and guidance that has been made by the healthcare professional. Care Homes for Adults (18-65 years) Page 17 of 27 Evidence: Linked to these health and personal care arrangements is the support given with medication. Some people will deal with their own medicines. Other people, due to their levels of need, are not always able to administer their own medicines, and designated staff will help in this area. The staff here have had medication administration training (the safer handling of medication course). This has been supplemented by in-house guidance and competency testing. The medicines themselves are stored in a locked cupboard to keep them safe. There is only a small amount of loose stock, the rest being held in a monitored dosage system. This is where tablets are placed into a blister pack system by the pharmacist. Once given out staff write down who has had what medicine on printed administration records. A brief check of the medicines used here was carried out by us. All of the medicines we looked at were properly accounted for. Care Homes for Adults (18-65 years) Page 18 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. Clear systems help protect people from neglect, abuse and self-harm. Evidence: A clear, written complaints procedure is available at the home. There have been no complaints reported to us since the last inspection. The people living here are aware of how to raise concerns and complaints, both in the home and to external agencies, such as Social Services and ourselves. They told us: - If I have anything to say I can say it to the staff and they take on board any concerns I have. Other people living at Parkside Lodge said if they had any complaints they would feel able to bring them up with staff or management. The staff here have found it difficult to access training on adult safeguarding and abuse awareness matters as there has been very little provided by the local Adult Safeguarding Team. Nevertheless both the care providers and the local councils adult protection procedures are available here for staff to refer to. Appropriate actions are taken to protect people from harm, and the manager is aware of her responsibilities under the local adult safeguarding arrangements. Care Homes for Adults (18-65 years) Page 19 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. Service users benefit from well maintained, homely, safe and clean accommodation. This can help promote a positive image for service users, and ensure they remain comfortable and safe. Evidence: Parkside Lodge is an adapted terraced property, and provides accommodation across three floors. Access into the home and between the floors is by stairs, making the home unsuitable for people with a physical disability. Adaptations have been sought and provided for people who are deaf and who are blind. Communal areas consist of a lounge / dining area, and a separate lounge, which is the designated smoking area. Domestic style furnishings and fittings are provided, bedrooms have been decorated and furnished in a domestic manner also, and a regular, planned cycle of cleaning is implemented. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living here are supported by a competent and qualified staff team, but workers are not always thoroughly recruited. Evidence: There have been four new staff member recruited here since the last inspection. We were not able to see all the staffing recruitment records (such as CRB diclosures and POVA 1st checks) as these are held elsewhere. We were therefore not able to verify how safely staff are recruited. All of the staff employed here have two references on file, but sometimes staff have started before these have been received. Overall staffing levels and team members have remained reasonably stable and at the time of the inspection. There are no fewer than 2 staff on duty during the day and 1 at night. The majority of staff working here are either qualified to NVQ level 2 in care [or higher] or working to achieve this qualificatipon. The staff here also undertake periodic training on topics relating to safety and care. Care Homes for Adults (18-65 years) Page 21 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users benefit from a well managed home, where the quality and health and safety matters are regularly checked. This can help ensure the service remains focused on their needs and aspirations and that people remain safe. Evidence: To ensure that a care home operates in a smooth manner, and that leadership is provided, it is important that there are effective management arrangements in place. At Parkside Lodge there is a manager, supported by two Assistant Managers. These staff are overseen by an Area Manager, responsible for the operation of several services in the local area. This is the first management position for the homes manager, but she has previous experience of supervising staff in care settings, as well as working as a care worker. She is qualified to NVQ level 3 in care and has completed a management qualification (Registered Managers Award). She is currently working to complete a level 4 award in social care. She has yet to submit her application to be registered by us. The manager and her assistant managers are responsible for ensuring that certain Care Homes for Adults (18-65 years) Page 22 of 27 Evidence: quality and safety standards are achieved. This includes seeking and acting upon the views of the people who live here. They are supported in this role by an area manager, who undertakes regular inspections of the home. She also supports the people working here in an informal manner as well. She is well respected by the staff here. At the time of the inspection, policies, procedures and practices relating to health and safety matters appeared to be satisfactory, and there were no observed hazards. The records required by regulation are kept up to date by the manager and staff team. Care Homes for Adults (18-65 years) Page 23 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 24 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 1 2 14 The registered manager must seek to obtain a care managers assessment for the people moving here. This so clear information is available that ensures each persons needs can be met here. 04/02/2010 2 6 15 Care plans need to be developed that relate to each persons needs that require intervention and support from staff. This is so everyone has clear information about how needs are to be met. 04/02/2010 3 34 19 Evidence of thorough pre 04/02/2010 employment vetting must be retained here for inspection (including evidence of a POVA 1st check (or equivilant) and CRB disclosure. Two references must also be obtained Care Homes for Adults (18-65 years) Page 25 of 27 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 before a person commences duty. This is to ensure that evidence is available that unsuitable people are not employed here. 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. 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!