Care Home: Premier Care (Plymouth) Ltd

Similar services:

• 2 Perhaver Park
• The Vicarage
• St George`s
• 5 Seafield Road
• Radfords
• Honeybourne House
• 32 Beaumont Way

What the care home does well This service provides a happy home for the people who live here.They are helped to do things they like at home.They are supported to go where they want to safely.Staff listen to what they say, and they listen to each other. They have made their own house rules. What has improved since the last inspection? This is the first inspection. What the care home could do better: They are doing very well. We have no requirements or recommendations to make. Key inspection report Care homes for adults (18-65 years) Name: Address: Premier Care (Plymouth) Ltd 60 Station Road Keyham Devon PL2 1NH 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: Stella Lindsay Date: 0 9 0 9 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: Premier Care (Plymouth) Ltd 60 Station Road Keyham Devon PL2 1NH 01752 308106 01752510362 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Premier Care (Plymouth) Limited Name of registered manager (if applicable) Mrs Linda Veronica Bowden Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 3 3 care home 3 learning disability Additional conditions: The maximum number of service users who can be accommodated is 3 The registered person may provide the following category of service only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Learning Disability - code LD Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 30 A bit about the care home 60 Station Road is a terraced house on a residential street, close to parks and shops. There are steps to the front door. There are three well presented bedrooms and a bathroom upstairs, and a separate lounge, dining room and kitchen downstairs, as well as a second bathroom and a utility room. There is a small enclosed courtyard at the back of the house. Residential care is provided for up to three men or women with a learning disability. The service is offered to people with conditions that may challenge services. The house is not suitable for people with severe mobility problems as there are steps to the front door, and a staircase to all bedrooms. Care Homes for Adults (18-65 years) Page 5 of 30 Fees ranged from one thousand to eleven hundred pounds per week. This does not include travel costs, entry to social activities unless specifically agreed within the care plan, or personal items including toiletries. Care Homes for Adults (18-65 years) Page 6 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 7 of 30 How we did our inspection: This is what the inspector did when they were at the care home We visited the home. We met the people who live there, the manager and some of the staff. We looked at care plans. We looked at how medicines are looked after. Care Homes for Adults (18-65 years) Page 8 of 30 What the care home does well This service provides a happy home for the people who live here. They are helped to do things they like at home. They are supported to go where they want to safely. Care Homes for Adults (18-65 years) Page 9 of 30 Staff listen to what they say, and they listen to each other. They have made their own house rules. What has got better from the last inspection What the care home could do better They are doing very well. We have no requirements or recommendations to make. Care Homes for Adults (18-65 years) Page 10 of 30 If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Stella Lindsay Colston 33 33 Colston Avenue Bristol Avon BS1 4UA 01179307110 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Great care is taken in the assessment of peoples needs and in the introduction of new residents to the home. Evidence: The home has produced a Statement of Purpose, which includes full information about the running of the service, including the admission policy. Each resident had visited before moving in, and been able to make choices. A staff member told us that when one of the people visited before moving in they had been very enthusiastic. They had been supported by staff from their previous placement and staff they knew through day care, and were able to discuss their options. The home had provided service users with a full specification of the service provided. All information provided to service users had been produced in a form to aid their understanding. We saw that the home had provided contracts, and that a resident had signed, as well as their advocate and the Registered Manager. We saw that the 1;1 time specified in contracts had been implemented. Care Homes for Adults (18-65 years) Page 13 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are supported to lead fulfilling lives, with help to make decisions about how they lead their lives. Risks are well assessed so that they can organise their lives in the home and outdoors with their personal safety well managed. Evidence: We saw that each resident had a care plan, with all necessary information available for staff to provide care in a way to suit the resident. Directions regarding personal care included when people needed prompting, and when they needed actual assistance. Advice for staff on communication included particular problems some residents needed help with. Risk assessments had been drawn up with respect to many aspects of residents lives, including their health conditions, as well as in the practice of daily living skills and social activities. Staff had signed to say they had read and understood. The home had actively supported residents to consider who they would share their home with. Residents were known to each other in previous settings, and were able to express Care Homes for Adults (18-65 years) Page 14 of 30 Evidence: their views. A social worker told us that this service is good at meeting individual peoples needs, which are discussed in a positive light, and their aspirations, always maintaining positive regard for their service users. Staff are really committed to person centred practice, they said. Activity planners were being constructed to suit each resident. One had symbols or pictures on velcro, so they could be removed quickly if changes were made. The team were pleased to have begun work with all three residents to develop their person centred plans. It was considered that each had the ability to work towards independent living. Keyworkers had been appointed for each resident, and were due to go on training with respect to person centred planning. Care Homes for Adults (18-65 years) Page 15 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at 60 Station Road were laying a good framework for a happy life together. Staff were supporting them in positive routines that pleased them and a good variety of out side activities. Evidence: This organisation has shown that it organises routines around the residents particular requirements. In this house, one of the residents was particularly keen on routines, for instance, they were intent on checking that everyone was safe at night. The Manager was careful to see that they did not feel obliged to keep to routines, but were able to relax and work out what they wanted for themself. The residents had discussed house rules, which they formulated themselves. These included taking turns with the house work, keeping toiletries in their own room, to ask other people in the room before changing the television channel, and to listen to each other. This demonstrates an excellent basis for group living. The Manager had arranged for one resident to work at a local hairdressers one day per Care Homes for Adults (18-65 years) Page 16 of 30 Evidence: week, which was proving to be a success, with positive relationships building up, and improved self esteem. The residents were exploring new social venues. They had been to a new disco earlier in the week, and been joined by a family member. The residents were enjoying each others company, and pleased to go out together. One resident had been taken to Speedway, and the other two had been excited to see the Red Arrows perform. There had been celebrations at home, including a house warming party, and a birthday party. The residents told us that they like cooking, and one likes to wash up while another likes to dry. One was excited about making pancakes, and showed us butterfly cakes they had made earlier. They were clearly enjoying setting up house together. Activity Evaluations had been completed by staff to show that they had listened to what people said about these different activities and observed their levels of satisfaction and engagement. We saw that a good variety of meals were enjoyed. One service user had a particular need for a healthy diet, and this was encouraged by special lunch boxes, which they clearly appreciated and enjoyed. The main meal of the day was shared in the early evening. Staff told us they provided the vegetables without butter where this was advised, and were careful with portion sizes, according to peoples individual needs. Residents told us they sometimes get to choose the meal, and they know how to find out what is for supper. Care Homes for Adults (18-65 years) Page 17 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. Residents receive effective personal and health care support which is consistent while remaining flexible. Evidence: Residents were supported in their personal care with flexibility. One liked to start the day slowly, and they were given a shower in due course when they were ready. long after the others had gone out to their day activity. New, interesting and age appropriate clothing was being organised at the time of this inspection, with disco outfits in residents favourite colours. Dietary requirements were included in care plans, and we found that staff were familiar with residents needs. People were encouraged to use the gym, though not all wanted to. We saw much evidence of collaborative working with health professionals. There was a specific care plan for diabetes. The organisation had a suitable and sufficient policy and procedure for the safe administration of medication. All staff had received training. Recording was seen to be accurate. The Manager should ensure that each medicine is signed for when it is received from the pharmacy and checked in, to make sure that complete audit is possible, and recording of non-prescribed drugs should also enable audit, so that the Manager may know how much of any medicine is in the house at any time. There was a suitable procedure for the storage and recording of any Controlled Drugs, Care Homes for Adults (18-65 years) Page 18 of 30 Evidence: and a satisfactory arrangement for recording medication that accompanied residents when out for the day. Care Homes for Adults (18-65 years) Page 19 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 excellent 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 open culture, where individuals feel safe to express themselves, and are supported to give their views. Residents are protected from potential harm by good assessment and recording, and the observations of well trained staff. Evidence: The homes complaints procedure had been clearly written, with symbols to help understanding. Staff told us they were not sure whether residents would have the comprehension to know to speak up if they were unhappy, so staff ask regularly in order to get a positive response, as well as observing peoples general demeanor. No complaints had been received by the home or by the Care Quality Commission. One of the Directors recorded during one their monthly visits to the home that the Registered Manager acts swiftly to ensure that any concerns raised are dealt with appropriately. Staff had received training in the Protection of Vulnerable Adults, and the locally agreed arrangements called the Alerters Guidance was available in the office. Professional assessment had shown that residents did not have capacity to make decisions about tenancies, so suitable advocacy arrangements had been made. Staff had been advised to ensure that advocates were present when any important decision was being considered. All service users had arrangements in place to ensure their money was administered in their own best interests. Pre-admission assessment had recorded directives from previous safeguarding issues, and staff had been given instructions relating to peoples personal safety. Care Homes for Adults (18-65 years) Page 20 of 30 Care Homes for Adults (18-65 years) Page 21 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. 60 Station Road provides a safe and comfortable home for the residents, in easy reach of all amenities. Access to local amenities and transport supports the life style of the residents. Evidence: 60 Station Road is a terraced house in a residential area of Plymouth, close to many local amenities including a supermarket, post offices, churches, parks and pubs. Plymouth Argyle Football Club is approximately two miles away. There is a frequent and reliable bus service to and from Plymouth City Centre. Several stone steps lead to the homes front door. All residents were able to manage stairs. The main front door opens into the hallway, off which are the lounge, a separate dining room, kitchen and a downstairs bathroom which is accessed through the kitchen. Beside this, there is a utility room with laundry facilities. There is a very small rear patio area, which is accessed from the kitchen which provides some limited outdoor space. From the hallway there is a flight of stairs leading to the first floor where there are three well appointed bedrooms, each with a wash hand basin, and a communal bathroom comprising a toilet, wash hand basin and bath. Residents had been able to choose their room, except for the last arrival, who was happy with the room available. We saw that Care Homes for Adults (18-65 years) Page 22 of 30 Evidence: there were personal effects in the rooms, such as posters with pop stars, and family photos. All three bedrooms were of a suitable size, good proportions and pleasantly furnished. They had been decorated and furnished to a good standard, with sufficient electric sockets. Suitable locks had been fitted to bedroom doors. The Manager told us that all laundry is bagged when carried through the kitchen and if a service user were to have a bath in the downstairs bathroom any dirty clothing would be put straight into the washing machine and not pass through the kitchen. This bath is little used, however, as residents prefer to use the one close to their bedrooms. 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. A good staff team is being built using a sound recruitment procedure. The staff had skills to communicate with the residents, and residents had confidence in their staff. Relevant and thorough training was provided, in order to meet the individual needs of the residents. Evidence: One resident told us that staff were good to them, and the resident who completed a survey told us that the staff always treat them well and listen to what they say. We were given a staff rota, which showed that two care staff were employed, except when two of the residents were out at their day facility, at which times one Support worker was sufficient. They organised their times to provide transport for the residents as they were coming on duty, showing their flexibility and competence. The Registered Manager worked with residents three days per week, to ensure good team understanding and clear sharing of information. She dedicated two days per week to management tasks. The team was still being built, with recruitment on-going. At night there is one staff member on sleeping in duty, which was sufficient for this group of service users. They had on-call managers contact details in case of any emergency. A member of staff who had been recently recruited told that all their colleagues were helpful and friendly - I love it here, its a nice house, they said. One said it would be difficult to manage if all the residents were all to get upset at the same time, but so far Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: that had not happened, and it was not felt to be an issue. We looked at the files of two recently recruited staff. They were employed by Premier Care Ltd, but the Manager told us that each was dedicated to one house or service, and not moved between them without good cause and consultation with service users. We saw that all checks had been made, in order to protect residents from potential harm, and all documents were in place. An induction check list had been completed in-house, and staff had attended a Learning Disabilities Induction training Another Premier Care m=home manager had assisted with probationary reports.Performance issues had been discussed, and commitment and good work appreciated. The staff whose files we examined had achieved NVQ2 in care, and had attended the mandatory training including Moving and Handling, Medication, First aid, food hygiene and medication. Epilepsy training was booked for the month following this inspection.Some staff had also benefitted from training in autism, Challenging behaviour, and Communication. Staff in surveys said, Staff training is, I feel, excellent and the support from my Manager is second to none. 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. This home is well managed in the best interests of the residents. Safe working practices are in place. Evidence: Mrs Linda Bowden is the Registered Manager. She has worked in the care sector for over thirty years, with a range of client groups in the community and in care homes. She has also worked as a lecturer at City College Plymouth on Health and Social Care courses. Mrs Bowden became part of Premier Care (Plymouth) Ltd when it was formed in 2006, and is one of the three Directors. She stated she herself is currently undertaking the NVQ level 4 in Health and Social care having completed two units so far and which she anticipates completing within the next three months and following this will undertake the Leadership and Management qualification. Her achievements include the City and Guilds 740/7 Further Adult Teaching Certificate, NVQ Assessor and Verifier Awards, and the Manual Handling Trainers Award. She has been involved in training, assessing and verifying carers from learning disabilities, physical disabilities, mental health, and older people and is well placed to maintain a well trained and supported workforce at Station Road. Staff told us that she was very approachable, with good people skills. Care Homes for Adults (18-65 years) Page 26 of 30 Evidence: Ms Tracey Underwood is the Responsible Individual for Premier Care (Plymouth) Ltd. She is very experienced and skilled in the care of this client group. She recently resigned from her post of Senior Lecturer at Plymouth City College, in order to concentrate solely on these services. Since 1998 she had been involved in training, assessing and verifying carers in attaining competence to National Occupational standards. She visits the home frequently, and produces monthly reports on performance, which include recording the views of people who live and people who work at the home. They were assisted in monitoring the service by Peninsular Management services. There were various checklists for Senior staff in the company, used to audit the accomplishment and maintenance of systems for care and safety. Staff had been supplied with Health and Safety handbooks. A risk assessment of the house had been completed on 5th August prior to this inspection. Fire training had been provided, but the management team were considering alternatives, as the training pack they had used depended on videos, and they considered that their staff learned better in other ways, and liked to have a work book to consult. There was fire risk assessment in place and certificates were seen, which had been provided by the Organisations fire awareness service provider stating that the service met the correct standards in respect of fire equipment. Fire equipment and fire alarms were serviced in February 2009. Certificates were also available in respect of the installation of electrical wiring 12/12/08 and gas safety 17/01/09. The Registered Manager is a qualified First Aid trainer. She said they were planning to obtain external first aid training in addition, to ensure their provision of qualified first aiders is sufficient in an emergency. The home had a check list that had been completed monthly to ensure that the premises were maintained safely. Window restrictors had been provided where needed to protect residents from potential harm. These had been included in the monthly check. 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!