Care Home: Priors Piece

What the care home does well Priors Piece provides a clean, comfortable and homely place for people to live. Good information about the home is made available to people before they move in. People`s needs are thoroughly assessed so that the home knows it can meet their needs before they move in. There are detailed care plans and records to help staff understand what people need and how to support them. The support includes helping people to make choices and decisions about their lives and become more independent. Good links with health professionals and support by staff helps people to maintain and improve their well being. If people have concerns or complaints the home has effective systems in place to make sure their concerns are listened to and acted upon. Many opportunities are available to experience new activities and develop people`s skills and confidence. The home supports people well to keep in touch with those who are important to them. People enjoy individual support from staff who are well trained and have good relationships with them. The home is well managed for the benefit of people who live there. What has improved since the last inspection? Some improvements to the home`s environment have been made since we last visited. This includes replacing flooring, decorating people`s rooms and providing a bird table in the garden for people to enjoy. Key inspection report Care homes for adults (18-65 years) Name: Address: Priors Piece Priory Drive Totnes Devon TQ9 5HU     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: Graham Thomas     Date: 2 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 28 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 28 Information about the care home Name of care home: Address: Priors Piece Priory Drive Totnes Devon TQ9 5HU 01803865473 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): enquiries@comae.org.uk Mrs Lilah Ramsden,The Very Rev Mitred Archpriest Benedict Ramsden,Mr Simeon James Antony George Rams care home 3 Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia 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: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Mental disorder (Code MD) Date of last inspection Brief description of the care home Priors Piece is a small, single storey residential home on the outskirts of Totnes providing care for up to three people with mental health problems. The home is part of the Community of St. Anthony and St. Elias which has a number of homes in the Plymouth and South Hams areas. For ease of reference this will be referred to as the Community throughout the report. Each service user has a single bedroom and access to a kitchen and lounge / dining room. There is a small garden. Parking is limited as canoes and vehicles belonging to the Community are stored at the site. The Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 3 Brief description of the care home Community provides a well-established outdoor activities programme. Arts activities are also organised through the Communitys own arts co-ordinator. Other local opportunities for the maintenance and development of life skills in the home and local community are provided. At the time of this inspection The home had appointed a new manager who was not yet registered with the Commission. Current charges between approximately 1600 to 1700 pounds per week Information about the home is available from the Community of St Antony and Elias who also have a web site Care Homes for Adults (18-65 years) Page 5 of 28 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: Before we visited Priors Piece, the home sent us a completed Annual Quality Assurance Questionnaire (AQAA). This provides us with information about the home and people living there. We looked at our records and anything people have told us about the home since we last visited including compliments and complaints. We also looked at information sent to us by the home about incidents. These are called notifications. Two staff returned surveys to us about working in the home. We visited the home and spent three and a half hours there. While we were there we looked around the building. During our visit we spoke with two people who live in the home and saw how staff worked with them. We spoke with staff and the manager telephoned us while we were there. We also met other senior staff from the Community. We looked at care plans and other records about how people were being supported. Care Homes for Adults (18-65 years) Page 6 of 28 Staff files were examined as well as other records about the management and running of the home. Care Homes for Adults (18-65 years) Page 7 of 28 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. 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 8 of 28 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 9 of 28 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. Standard 2 People can feel confident that their needs will be thoroughly assessed and understood before they move into the home. Evidence: No new people had recently moved into the home. The AQAA completed by the provider and sent to us before the inspection stated: New residents are given and have explained to them, a Service User Guide including statement of purpose, Individual contract, Complaints Procedure, Rights to Advocacy and Individual Care Plan (....) The Care Plan evolves with the residents changing needs and aspirations. Prospective residents can feel confident that their needs will be thoroughly assessed and understood before they move into the home. Previous inspection has demonstrated a thorough assessment process. This includes meeting a prospective service user in their current placement, gathering information Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: from referring authorities and visits to the home. Clear care plans have been produced for each service user based on their needs and goals. Care Homes for Adults (18-65 years) Page 11 of 28 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. Standards 6,7 and 9 People living at Priors Piece are well supported to make choices about their lives. Individual needs and goals are well understood by staff and clearly recorded in individual plans. Evidence: We looked at the individual plans were for two of the three people living at the home. These were clear and well organised. Each plan set out very clearly individual needs and goals. The staff with whom we spoke were familiar with peoples individual needs and goals and how they were to be supported. In one persons plan these included for example, domestic routines, community relationships, leisure, personal hygiene health and anger management. All the plans covered social, personal, family and health care needs including psychological needs. The plans had been reviewed regularly and had been signed by the person they concerned. Some peoples freedoms were restricted. Where this was the case, the reasons were clearly stated in the care plans and there were records showing that this had been considered in the light of new legislation. Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: Work undertaken by other professionals with the person were detailed in each plan In addition to the care plans a new system of daily recording had been introduced. These daily records were detailed and clearly linked to the needs and goals set out in the care plans. It was therefore easy to see how individual plans and goals had been followed through. During the inspection visit we saw staff offering choices and supporting two people to make decisions about their daily routines. The person concerned has complex mental health needs and was known to us from several previous visits. We observed that the persons wellbeing had improved markedly since our last visit to the home. The records and our observations demonstrated that the home had worked well with mental health professionals and others to bring about improvements in the persons ability to interact with others and access the wider community. Clear, well structured risk assessments and management plans were seen in each file. These covered personal and environmental risks. Care Homes for Adults (18-65 years) Page 13 of 28 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. Standards 12, 13, 15, 16 and 17 People are very well supported to make choices about their lifestyle. Excellent support is provided for people to maintain and develop their interests and activities. Evidence: The Community provides a range of activities for people living in its homes. During our visit we saw a timetable of activities and there were individual records as to which activities people had joined. The available activities include arts and crafts, music, sports, outdoor activities, and local trips. Co-ordinators who are skilled and qualified in these areas are employed by the Community. One person had complex mental health needs and had previously experienced Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: significant difficulty in relating to others and accessing the community. We saw in the persons plan how the person had been encouraged and supported to go out and join in activities as part of a wider range therapeutic interventions. We saw that the person had joined a singing group, arts and craft activities and had been on social outings. We spoke with the person who confirmed this. We also heard how another person had been supported to join Rethink groups, participate in canoeing and dry-slope skiing, and follow a course in horticulture. People living at Priors Piece receive support, including transport, to maintain contact with friends and families. This contact was supported through clear goal setting and peoples individual plans clearly demonstrated how the contact was maintained and promoted. During our visit, one person received a visit from a friend who lives in another of the Communitys homes. The visitor was warmly welcomed and staff spoke with us about how the friendship provided mutual support through pursuing common interests. We looked at how the home supports and promotes individual rights and responsibilities. People all have locks on their room doors and were seen to be able to spend time alone if they wished. During our visit we saw that interactions between people living in the home and staff were relaxed, supportive and respectful. This respect was also reflected in the daily notes and records. We saw that an individuals choices not to participate in activities were respected, though appropriate encouragement was offered. As mentioned in a previous section of this report, records showed that new legislation was being considered where individuals freedoms were being restricted. A rota had been produced concerning peoples responsibilities for everyday chores in the home. Menus seen in the home showed a varied and balanced diet. We saw that people are actively encouraged to make decisions about meals and encouraged to participate daily in shopping and meal preparation. Care Homes for Adults (18-65 years) Page 15 of 28 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. 18, 19 and 20 People living at Priors Piece receive a high standard of personal and healthcare support. This judgement has been made using available evidence including a visit to this service. Evidence: On the day of our visit, two of the three people were present in the home. They were being supported by two staff. Rotas showed that three or four staff were routinely on duty when all people living in the home were present. A high degree of individual support and attention was therefore routinely provided. We spoke with both the staff on duty who demonstrated a detailed awareness of peoples individual needs and goals and how these were to be met. One persons plan showed clear goals in relation to, for example, personal hygiene, physical and mental health and self-care. The plans and notes described the significant improvements in well being that had been achieved since our last visit and this was confirmed by our own observations. Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: All three care plans we examined revealed that both routine and specialist health care treatments had been made available to people living in the home. Specialists had been engaged where necessary. For example, one person was supported to attend routine appointments for routine testing related to the medication they were receiving. The Community has its own Consultant Psychiatrist whose specialist input was shown in care plan documentation. The care plans also demonstrated that the home is very active in maintaining relationships with external mental health professionals. The homes system for the administration of medicines was examined. All medicines were securely stored in the office. A monitored dosage system was in use. Records concerning the medicines brought into the home and administered were up to date. Changes to peoples medication were covered by notes from a medical consultant. At the time of inspection there were no controlled drugs in use in the home. The homely remedies in use were covered by an approved list. One person was receiving as required and there was clear guidance for staff in the use of this medication. All staff receive training concerning medication and evidence of this was seen in training records. Care Homes for Adults (18-65 years) Page 17 of 28 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. Standards 22 and 23 People living at Prios Piece can feel assured that their concerns will be listened to and acted upon. There are sufficiently robust systems in place to protect service users from abuse. Evidence: In the AQAA returned to us by the home before our visit they told us Records are kept of any complaint made. No residents have wished to make an official complaint in the last 12 months, as they make any concerns known to staff or the manager, which is recorded in their daily record and acted upon promptly before they escalate. Clear policies and procedures are in place concerning complaints, Safeguarding Adults and whistle-blowing. The staff induction includes training on the Safeguarding and de-escalation and physical intervention techniques. The complaints procedure is available in each residents service user file. Completed accident and incident reports, which have been reviewed and commented upon by the manager and the Communitys senior management. Since our last visit, we have received no complaints about the home. During our visit we examined samples of the records described above and were able to confirm what the home had told us. Daily notes are very detailed and describe any issues raised by people and how they have been dealt with. Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: We found that the recruitment practices of the home included careful checking of staff before they started working with people to ensure they were suitable to work with vulnerable people. Clear records were maintained of financial transactions which were available for inspection. In discussion staff were clear about what might constitue abuse and how to report any suspicion of it. Care Homes for Adults (18-65 years) Page 19 of 28 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. Standards 24 and 30 Priors Piece provides a sufficiently clean, homely and comfortable place for people to live. Evidence: Priors Piece is a bungalow close to the centre of Totnes where there are shopping and recreational amenities. There are three bedrooms, a bathroom and toilet, kitchen office and utility room. Sleeping in and separate toilet facilities are provided for two staff. Communal space includes a lounge and dining area and gardens to the rear of the property. Parking is limited by local restrictions and the necessary use of the homes driveway by staff. In the AQAA returned to us before our visit told us about improvements to the homes environment that had been made since our last visit: Replaced the carpet in the office with laminate flooring. A bird table has been purchased for the back garden which is fully stocked with food and visited by many birds and squirrels, giving great pleasure to one resident in particular. We have redecorated another residents bedroom and supported him in buying furniture rugs, posters, curtains and a new television (which is covered with a protective plastic sheet Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: as he is prone to drawing on things that come to hand) so as to modernise the decor of his room. After consultation with a service user we have replaced the carpet in his room with a more suitable substitute due to hygiene issues The home also told us about further maintenance and refurbishment work that is planned. In our tour of the premises, we confirmed these improvements. One person living in the home expressed pleasure in the improvements to their room. We examined how hygiene is managed in the home and the control of infections. The homes laundry has cleanable floors and walls and hand washing facilities. We saw records confirming that arrangements were in place for the disposal of clinical waste. Detailed risk assessments were seen concerning environmental hazards such as the risk from hot water. Care Homes for Adults (18-65 years) Page 21 of 28 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. Standards 32, 34, 35 and 36 People living at Priors Piece can feel confident that they are supported by sufficient numbers of well-trained staff. Evidence: During our visit, we examined a sample of staff files. these confirmed that the home operates a robust recruitment procedure to protect people from potentially unsuitable staff. This includes a formal application, interview and the taking up of references and criminal records checks. The recruitment process also involves applicant being invited to a taster day involving a visit to one of the Communitys homes to meet people living there and staff. Records confirmed that staff are employed for three months in the first instance. The Community organises its training centrally. Induction training for new staff comprises a full weeks training followed by twelve, one day sessions. This induction involves involves a range of topics relating to mental health and the needs of people using the service, health and safety topics, and other areas relevant to the needs of people living in the Communitys homes. Ongoing training and refresher training was demonstrated by certificates held in staff files and discussion with staff. All the staff at Priors Piece had recently received first aid training and evidence of other recent Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: training was seen including, for example, equality and diversity and safeguarding vulnerable adults from abuse. Evidence was also seen of support for staff to gain nationally recognised qualifications in care. The Community has previously won a regional training award. Staffing rotas and discussion with staff confirmed that there are three to four staff on duty during the day time. This provides 1 to 1 support for people using the service. Two staff sleep in at night. The staff team is drawn from a pool of staff used flexibly by the Community. Staff rotate between the homes. Some spend longer periods in each home to provide a degree of consistency though some staff felt that they would like to spend longer in one home. During our visit we saw that staff enjoyed relaxed and supportive relationships with people living in the home. In discussion they demonstrated a clear understanding of their roles, of peoples individual needs and goals and how these would be met. During our visit to the home we confirmed that systems are in place for the management and supervision of staff. This includes individual supervision, handover meetings and management monitoring of incidents and accidents. Care Homes for Adults (18-65 years) Page 23 of 28 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. Standards 37, 39 and 42 Priors Piece is well managed for the benefit of people who live there Evidence: Since our last key inspection of the home, a manager was appointed and registered with the Commission. However, she has since left. Therefore there is currently no manager registered with the Commission. A manager has been appointed to run the home who has 12 years experience of working with the community and six years experience as an assistant manager. this person is currently undertaking a national vocational qualification in care at level 4 and a managers qualification. The Community has developed a quality monitoring system that involves consultation with people using the service and their representatives. There are regular recorded visits to the home for quality monitoring purposes that meet the requirements of current regulation. During our visit we saw evidence of managerial monitoring of, for example, house menus, accidents and incidents and risk management plans with action taken as required. The AQAA provided by the home before our visit showed that Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: the home is aware of improvements that are required and has plans and strategies for implementing such improvements. We looked at how the home manages health and safety issues in their systems and practices. Our examination of staffing records and discussions with staff showed that there is routine training for staff in health and safety topics such as first aid, infection control and moving and handling. Training is also provided for staff in responding to people who may be physically challenging. Incidents and accidents in the home were very well recorded with recorded reviews by senior Community staff and details of action taken and modifications to working practices where this might be necessary. We saw examples of records indicating that there were regular checks of systems and equipment. These included, for instance checks of electrical and gas systems which had taken place since our last visit and regular checks of water temperature. Care Homes for Adults (18-65 years) Page 25 of 28 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 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 27 of 28 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. 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