Care Home: Station Road 159a

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What the care home does well The home is clean, bright and tidy. There are experienced and trained staff to meet the needs of the people who use the service. The home`s admission procedure and practice are good. This means that new residents are admitted only if their needs can be met at the home. There are good systems for reviewing care plans and risk assessments. The home`s system of medication administration has ensured all medicines are correctly administered and recorded. What has improved since the last inspection? A new sensory room equipped with facilities that meet the residents` needs has been provided since the last inspection. The manager is in the process of applying to the Care Quality Commission to be the registered manager of the home. What the care home could do better: The cupboards and the cooker in the kitchen are in need of attention. They must either be repaired or replaced to ensure that they are safe to use. It is also important for the manager to address the potential hazards that can occur due to the high number of staff and residents that come into the kitchen while meals are served. We also suggest all staff who prepare or serve food must adhere to basic food hygiene guidelines. The staff should not touch or serve residents` food with their fingers. It is also important for the home to ensure that any allergies the residents may have are recorded on their medication administration sheets. Key inspection report Care homes for adults (18-65 years) Name: Address: Station Road 159a 159a Station Road Hendon London NW4 4NH     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: Teferi Degeneh     Date: 0 4 0 8 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 27 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: Station Road 159a 159a Station Road Hendon London NW4 4NH 02082035029 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: 159astationroad@norwood.org.uk bucketsandspades@norwood.org.uk Norwood Ravenswood Ltd T/A Norwood care home 8 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability mental disorder, excluding learning disability or dementia physical disability Additional conditions: One specified service user who is over 65 years of age may continue to be accommodated until such time as the service can no longer meet their needs or until they are discharged. Two of the eight service users who have a learning disability and/or a mental disorder may also have a physical disability. Date of last inspection Brief description of the care home The home is registered as a care home for eight adults who have a diagnosis of learning disability or mental disorder. Two specified residents may also have a physical disability. The home continues to care for one resident who is over sixty-five years of age. The home is run by Norwood, a Jewish charity operating services for adults and children with learning disabilities. The building opened in June 1997. 159A is a purpose Care Homes for Adults (18-65 years) Page 4 of 27 Over 65 1 0 0 8 8 2 Brief description of the care home built property located to the rear of a site that is shared with another, smaller home, also run by Norwood. There are five residents? bedrooms on the first floor and three on the ground floor. There are toilet and bathroom facilities on both floors. The shared facilities of a lounge, dining room, kitchen and laundry are on the ground floor. There is a good-sized garden. The home has good access to local shops and the transport and other amenities of Hendon. The stated aim of the service is to provide high quality individualised residential care that will, together with day opportunity programmes enable people to maximise their educational and personal development. To develop a strong sense of religious and cultural identity, ensuring each person can self-determine their lifestyle and achieve their goals in life. The fees are from £1,730 to £961 for each placement per week. Included in this charge, residents receive an allowance of £300 per year for clothing and £400 per year towards holidays and they are expected to pay separately for items such as hairdressing and clothes. Following Inspecting for Better Lives the provider must make information available about the service, including inspection reports, to residents and other stakeholders. 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: 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 peterchart Poor Adequate Good Excellent How we did our inspection: This was unannounced inspection which means that the home had not been informed of our visit. Three care staff were at the home when we arrived at 8.55 am. The manager, a visitor and another member of staff came on while the inspection was in progress. The inspection activity undertaken included a tour of the building, the examination of the residents files including care records, the examination of health and safety records, the viewing of staff rotas and observation of people who use the service, care staff and the homes management. We interviewed a visitor, two residents and two care staff. Before this inspection we had requested for the annual quality assurance assessment (AQAA) from the home and have received it after the inspection. We have included the information from the AQAA in our judgment of the quality of the services of the home. Care Homes for Adults (18-65 years) Page 6 of 27 An AQAA is a self assessment which the home is required to complete and send to us yearly to tell us how they intend to improve the care they provide. We have also considered the last inspection report and all other information we have about the home when writing this inspection report. 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. 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 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 9 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. New residents can be confident that their admission to the home is based on the outcome of their assessments and the ability of the home to provide them with good services and facilities that meet their needs. Evidence: The files of two people who have recently been admitted were examined. Both these files contained information about the needs of the people and how to meet these through care plans. One of the newly admitted residents has been at the home only for about a week but all their information and care plan from a previous home where they had been living have been transferred to this home. The manager explained the process of admission. She said that all new referrals are sent to the head office of the company that owns and runs the home. A responsible manager from the head office recommends new residents to a home where there is a vacancy and where they think that the facilities and services are suitable for the resident. Once this is done, a manager from the home meets with the resident and their social workers or relatives to talk about the needs of the resident and to give them information about the home. If all concerned agree to the referral to go ahead a day visit and over nights stays Care Homes for Adults (18-65 years) Page 10 of 27 Evidence: would be arranged.The manager said residents are admitted to the home only if everyone involved believes that the available services and facilities can meet their needs. The AQAA confirms that the manager has visited and assessed the new residents at their homes before admission. Care Homes for Adults (18-65 years) Page 11 of 27 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents can be confident that care plans that meet their needs are developed and reviewed for them on a regular basis. Evidence: The files of three residents were examined. All of these files contained detailed day and night care plans. The day care plans include areas such as personal, health, social, behavioral, independent skills and emotional needs and support for the residents. The night care plans identify things such as night routine, sleeping pattern and safety needs which the staff need to know in order to support the people who use the service. It was evident from the files that the care plans have been reviewed. It was also clear from the files that the residents families have been encouraged to attend the residents reviews. The manager said the care plans are updated by the residents key workers. A key worker is a member of staff who has a special interest in the care and welfare of a resident. The AQAA says: We [the home] hold regular meetings for and with the service users to ensure the service users are empowered to make choices in areas that directly affect them. We explain the choices available and Care Homes for Adults (18-65 years) Page 12 of 27 Evidence: offer advice where they may be doubt offering an impartial view to try and assist service users to make the ultimate decision. The files we examined also contained detailed risk assessments. From discussions with the manager and the review of the files it was clear that the risk assessments are regularly updated for each of the residents. We also noted from the files that each member of staff has signed to confirm that they have read the risk assessment. Care Homes for Adults (18-65 years) Page 13 of 27 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The activities organised by the home have enabled the people who use the service to be engaged. The kitchen and the handling of food at the home are in need of improvement. Evidence: Seven of the eight people who use service were at the home during most part of the inspection. The manager said one of the residents was on a holiday. From discussions with the manager and the examination of the files it was clear that all the residents have different activities that meet their needs. We spoke to two residents and observed the others. The people we spoke to said they are happy with their activities. One of the people said they do not have fellow residents who they can talk to over the meals. During our visit a support worker from day opportunities, a service that provides day care and is run by the company that owns this home, came to assess a resident. The officer told us that their purpose on the day was to assess the resident Care Homes for Adults (18-65 years) Page 14 of 27 Evidence: and provide activities that meet their needs. Discussions with the manager indicated that the home has arranged advocates for some residents. A residents file has details of how a decision was made to move them to a suitable room. The home has recently provided equipment and facilities in a sensory room. From discussions it was clear that the people who use the service have started using this service. We checked the visitors book and confirmed that friends and families have visited the residents. A resident showed us a picture of their friend who they met at a day activity and who they said have invited to the home. We checked the kitchen and the food items. There were fresh fruits, vegetables and food stuff which reflected the residents dietary, religious and cultural needs. The people we talked to said they like the food provided at the home. The files contained the residents preferences and dislikes of certain food. The home has a cook who prepares the main meals, usually lunch and dinner. On the day of this visit a care worker from another home was preparing the lunch. Our observation of lunchtime showed that there were four or more care staff, a service user and the cook in the kitchen at the same time. We thought this was a risk for all involved. We were also concerned to see some of the dishes being served by hand. We raised our concerns with the manager who agreed to improve the situation. It is important for the home to give attention to basic food hygiene. Some units in the kitchen including the cooker were not in good working order. We discussed this with the manager and asked her to repair or replace the doors of the units and the cooker knobs as soon as possible. Care Homes for Adults (18-65 years) Page 15 of 27 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents health and personal care needs are met by the homes good practices and medication management systems. Evidence: From the residents files and discussion with the manager it was evident that all the residents are registered with their own General Practitioners (GPs). The residents files showed that they have accessed medical care when needed. During this inspection, a district nurse was at the home providing medical care for one person. We noted from discussions and records that the residents have seen an optician, a dentist, chiropodist, psychiatrist and other health professional. A resident we spoke to said they have been for an eye test. All the residents we saw looked well and comfortable on the day of the inspection. From discussions with the manager and from the records it is clear that the home works closely with all the other relevant health professionals. For example, the AQAA states: ... we have a very good relationship with the GPs and a great in put from the Diabetic Nurse who is available to be contacted 24/7. There is also input from Barnet Learning Disability Team who have community nurses, Speech and Language Therapist, Psychology, Dietician and Psychiatrist... Care Homes for Adults (18-65 years) Page 16 of 27 Evidence: We spoke to two members of staff who were able to explain how they ensure the residents right, dignity and privacy when providing personal care. One resident said the staff always knock on the doors before entering bedrooms. The manager said seven of the eight residents who live at the home are on prescribed medication. We checked the medication administration record sheets (MARS) and the medicines. All these were in order. From discussions with the staff and from their files it was clear that the staff have attended training on medication administration. We were satisfied to see that medication administration is witnessed by a second care worker who also signs to confirm that the medicines are taken by the residents. However, we were concerned that the allergies were not clearly written on the MARS even though it was reported that one of the residents had an allergy. We will ask the manager to ensure that allergies are clearly written for each of the people who use the service. Care Homes for Adults (18-65 years) Page 17 of 27 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents feel protected and safe by the homes safeguarding and complaints policies and procedures. Evidence: There is a complaints policy. The manager said the people who use the service have been given information on how to complain if they have concerns. Two residents we spoke to said they can talk to the manager or the staff if they have a concern. The AQAA states: The service users, staff, families, friends, health and social professionals etc. are all aware of the complaint procedure which is clearly written and easy to understand. There have been no recorded complaints since the last inspection. The home has a safeguarding policy. There is also a copy of the local authoritys adult protection policy and procedure. The two members of staff we talked to were able to explain how they safeguard the people who use the service. From conversation with the manger and from the training records it was clear that a number of staff have attended safeguarding training. Care Homes for Adults (18-65 years) Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. In spite of the good facilities and cleanliness of the home the residents comfort and safety are compromised due to the poor maintenance of the kitchen. Evidence: The home was clean, and well equipped with hand washing facilities in all of the areas where these were needed. Infection control is maintained by safe working procedures, including a red bag system, and washing machines have sluice cycles. From discussions with the staff it was clear that they have attended infection control training. We noted above, however, the way food was handled and asked the manager to improve the situation. We were also concerned about the conditions of the kitchen, especially about the broken doors of some cupboards and the broken knobs of the cooker. We had made a suggestion when we visited the home for the manager to consider replacing the kitchen units as part of the business plan for the home. This is yet to be done. A new sensory room with facilities and equipment that meet the needs of the people have been provided since the last inspection. From discussions with the manager and staff it was evident that the residents used and enjoyed good experience from the provision of the sensory room. Care Homes for Adults (18-65 years) Page 19 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who use the service are confident that they are supported by care staff who are vetted and trained well. Evidence: The staff rota showed that there are at least three care staff on duty in the early and four staff in the late shifts. The manager or the deputy manager are also on duty during different shifts. The manager said the home does not use agency staff but occasionally uses staff from the other homes owned by the company that runs this home. The home calls these staff cluster and they are permanent employees of company. We checked four staff files. All these files contained completed application forms, terms and conditions of employment and references from previous employers. The manager told us that the criminal record bureau (CRB) certificates are kept at the head office. However, we were able to see the CRB certificate numbers for all the staff and were satisfied to learn from the manager that all these were clear and satisfactory. The manager also told us the process of staff recruitment. She said that jobs are advertised and new staff are selected through interviews. All new staff attend a detailed induction programme. Care Homes for Adults (18-65 years) Page 20 of 27 Evidence: We observed all the staff in the morning and late shifts. We also interviewed two members of staff. From the files of the staff and discussion with the two care staff it was evident that they have attended training in safeguarding, health and safety, first aid, medication administration, basic food hygiene, and infection control. Many of the staff have also completed a national vocational qualification in care at level 2 or 3. The staff we talked to demonstrated their good knowledge and experience of working with people who have a learning disability. Most of them have previously worked with people in care home. The two residents we spoke with said they liked the staff. The home has a training plan and appraisal programme for each of the staff. 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. The people who use the service have benefited from the homes good management system. Evidence: The manager has a work experience as a support worker and a deputy manager before becoming an acting manager of this home in 2006. She has attended various training programmes in care and care management. She said she has successfully completed a national vocational qualification (NVQ) at level 4 in care management. The two residents and the staff spoken to said the manager is approachable and supportive. The manager was available throughout the inspection and was cooperative with the process. From our observations and discussions we believe that the manager is committed to making improvements to the care and support that the people who use the service receive and expect from the home. The manager said she is going to apply to the Care Quality Commission to be the registered manager of the home The home is yet to introduce a formal quality assurance system. However, from discussions with the manager we understand that the relatives of the service users Care Homes for Adults (18-65 years) Page 22 of 27 Evidence: meet occasionally to talk about the services and the home. The manager said the last such meeting took place at the home of one of the residents relative. The manager also told us that all the staff have attended training which enables them to communicate with the people who are non-verbal or have verbal communication difficulty. She said that key-workers regularly talk to the residents and ask them if they have any issues about their care or the services. She said the staff attend regular team meetings and it was also clear from observation that that there are formal handovers between shifts. We discussed with the manager the need to introduce a formal system of quality assurance which allows the residents, families and professionals to give their opinion which would help improve the services and facilities. From the review of the written records of the health and safety, it was evident that the necessary specialist health and safety and equipment checks had been undertaken. For example records showed that the portable electrical appliances were tested on 9th July 2009. The manager also confirmed by email that the gas boilers were serviced on the 19th August 2009 and were in good working order. The manager also told us that the fire alarms and emergency lights are checked and recorded regularly. 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 20 13 Details of any allergies that residents may have must be recorded prominently in their files and medication administration sheets. This is to ensure that staff are fully informed and to ensure the safety of residents concerned. 21/08/2009 2 24 23 The doors of the cupboards 30/09/2009 in the kitchen and the knobs of the cookers must be repaired or replaced. This is to ensure that the kitchen is safe and comfortable to use for the staff and residents. 3 39 24 A formal system of annual quality assurance must be implemented. This will enable the residents, relatives and professionals to comment on and help improve the quality 31/12/2009 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 of the services provided at the home. 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 1 17 The kitchen should not be overcrowded with the staff and residents. This is to ensure the health and safety of the staff and the residents. Food should not be served or dished out with hands. This is to ensure that the highest hygienic level is maintained at the home. 2 17 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. 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