Care Home: The Foam

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What the care home does well The people living in the home are assessed regularly to make sure the service is meeting their needs. Staff work well with health professionals to ensure that people have the support they need to remain healthy and well. The home is clean and well maintained. People can get out into the garden so can get fresh air when they want to. The staff team is stable and some staff are longstanding. This means that they know the people living in the home well. People are supported to have an active lifestyle. They are encouraged and supported to do as much as possible for themselves. Relatives and visitors are made to feel welcome when they visit. What has improved since the last inspection? All the people living in the home have a person centred plan and the staff have all attended person centred planning training. People have been supported to learn new skills depending on what they want to do. There are risk assessments and guidelines for staff to support each person. The manager has made sure that all complaints are recorded in the complaints log. People said they felt listened to. The staff times of working have been considered and the manager makes sure that staff do not work for too long. Meetings are held for the people living in the home to discuss how the home runs and what is important to each person. The manager is reviewing the policies for the home a few at a time and if something to do with one of them comes up in a meeting. What the care home could do better: The manager has continued to develop the service and knows which areas can still improve and what the priorities are. Person centred planning is underway and needs to continue to develop so that people have more ownership of their plans. The manager and team are continuing to support people to develop their independence as much as they want. We discussed people having their own front door keys sot that they can let the staff in when they have been out together instead of the staff. The manager is going to talk about this in one of the house meetings. Key inspection report Care homes for adults (18-65 years) Name: Address: The Foam Chapel Road Dymchurch Romney Marsh Kent TN29 0TD 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: Julie Sumner Date: 1 8 1 1 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 © (2010) 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: The Foam Chapel Road Dymchurch Romney Marsh Kent TN29 0TD 01303875151 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): www.craegmoor.co.uk Parkcare Homes (No.2) Ltd Name of registered manager (if applicable) Mrs Caroline Davies Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 3 0 care home 3 learning disability Additional conditions: The maximum number of service users to be accommodated is 3. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD). Date of last inspection 2 0 0 2 2 0 0 9 Care Homes for Adults (18-65 years) Page 4 of 30 A bit about the care home The Foam is a detached bungalow in Dymchuch. Three people with a learning disability live there. There are three bedrooms, a lounge/diner, kitchen, and bathroom. There is a small office which doubles as a staff sleep in room. There is a garden at the back for people to sit in and a small garden at the front. The house has a driveway for one parked car and there is a car park nearby. The home is very close to the seaside town with all the shops and the bus stop is on the main road. It costs about £905 and £1195 to live here. Craegmoor Healthcare (ParkCare Homes no 2) is the registered provider. For more information about the fees and services please contact the Provider. Care Homes for Adults (18-65 years) Page 5 of 30 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 6 of 30 How we did our inspection: This is what the inspector did when they were at the care home The manager sent us an annual quality assurance assessment (AQAA) which tells us about the service provided, what improvements have been made and how they plan to develop it further. The AQAA was clearly written giving us a good range of information. We talked to the manager about including more detail in the AQAA next time. We sent 3 surveys out to the people living in the home and 10 to the different people who are involved with them. We received 5 surveys back which was quite a good response. We visited the home without telling anyone we were coming so that we could see what they do on a usual day. We were in the home from 11.15 in the morning to around 2.30 in the afternoon. We talked to all the people living in the home who were in. We talked to the manager and the staff who were working that day. We had a look around in the house and outside. We looked at some of the policies and procedures. Care Homes for Adults (18-65 years) Page 7 of 30 We also looked at staff records like what checks have been made before they started work and training they have been given. We looked at plans and records for supporting the people living in the home. What the care home does well The people living in the home are assessed regularly to make sure the service is meeting their needs. Staff work well with health professionals to ensure that people have the support they need to remain healthy and well. The home is clean and well maintained. People can get out into the garden so can get fresh air when they want to. The staff team is stable and some staff are longstanding. This means that they know the people living in the home well. People are supported to have an active lifestyle. They are encouraged and supported to do as much as possible for themselves. Relatives and visitors are made to feel welcome when they visit. Care Homes for Adults (18-65 years) Page 8 of 30 What has got better from the last inspection All the people living in the home have a person centred plan and the staff have all attended person centred planning training. People have been supported to learn new skills depending on what they want to do. There are risk assessments and guidelines for staff to support each person. The manager has made sure that all complaints are recorded in the complaints log. People said they felt listened to. The staff times of working have been considered and the manager makes sure that staff do not work for too long. Meetings are held for the people living in the home to discuss how the home runs and what is important to each person. The manager is reviewing the policies for the home a few at a time and if something to do with one of them comes up in a meeting. Care Homes for Adults (18-65 years) Page 9 of 30 What the care home could do better If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Julie Sumner The Oast Care Homes for Adults (18-65 years) Page 10 of 30 Hermitage Court Hermitage Lane Maidstone Kent ME16 9NT 01622724950 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line - 0870 240 7535. Care Homes for Adults (18-65 years) Page 11 of 30 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 12 of 30 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Admissions are not made to the home until a full needs assessment has been made and the person has had the opportunity to visit the home and decide if they like it. Evidence: All the people living in The Foam have lived here for several years. We looked at the assessments in one of the individual plan folders. Assessments are carried out to see if skills have developed and there is ongoing risk assessment for activities or any changes and if they want to do something different. Each person has a service user agreement forming a contract in his folder and a service user guide. Both documents contain clear information. The service user guide has pictures and symbols to make it easier to understand. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People know that their needs and goals will be recorded and supported. Risks are managed so a risk does not stop a person leading a fulfilled life. People have the support they need to make decisions and choices. Evidence: Each person has an individual care and support plan. We looked at one of these in detail and discussed its contents with the manager. The plans contain clear information about the person and how they would like to be supported. The plans are generally reviewed every month and if there is a change in need. Each person has an annual review with their care manager and people who are important to them. We talked to the manager and staff about how they support each person to make decisions about their life. They explained that each person has key worker. People have chosen their key worker and we saw that one person had requested a particular member of staff and this had been arranged. People discuss different things with their key worker and if they want to do something it is written in their plan. Guidelines are written for staff and risk assessments are carried out if needed. Your Voice meetings are held in the Care Homes for Adults (18-65 years) Page 14 of 30 Evidence: home and this gives people the opportunity to express their views and say what they want. If a person needs to make a major decision the support needed is arranged. The manager explained that they are arranging an advocate for one person to assist with a decision he wants to make about his life. Your Voice meetings are also held as an area meeting in the company and one person from each home can attend to as a representative to put their views forward about what is working well and what needs to change. We looked at how the staff team support people to learn new and different skills and how each person is supported with activities outside the home. We saw risk assessments in the individual folder to say what people are doing and how they need to be supported to keep safe. The risk assessments contained clear information and were relevant to day to day activities that the person participates in. They contain clear guidelines for staff to describe how to respond in each situation to minimise the risk of accidents and support the person to get the most out of the activity. There were risk assessments for different activities 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living in the home are involved in meaningful daytime activities of their own choice and participate in the day to day running of the home. Evidence: People have decided what they usually like to do and have a general plan throughout the week. Staff complete records which can be referred back to see what everyone has done. We saw an activity timetable in one of the peoples support plan folder. Everybody living in the home has the opportunity to say what they like to do and also to try new activities. We saw that people have recently been on holiday and that they have been out regularly to different places. People have recently been to Monkey World, to the amusement arcades, to the pub and ten pin bowling. One of the staff described a recent visit to a London show with one of the people. One of the people is interested in having a job and the manager explained that an interview has been arranged for a job in a local shop. Families are involved with each persons support and they attend the reviews of their care. The manager said the families keep in touch and she keeps them up to date with Care Homes for Adults (18-65 years) Page 16 of 30 Evidence: events at the home. People spend time with their families and some go and stay regularly for week ends. One person said he was looking forward to seeing his brother who was visiting at the week end. The people living in the home are supervised by staff and supported in the home. They are able to access any part of the home and garden. People have been asked if they would like a lock on their bedroom and their responses are recorded in their plan folder. At present people have chosen not to and they each respect each other s privacy. We saw people knocking and gaining permission before entering bedrooms. Each person has a safe in their room so that they can keep valuable things in it if they wish. Menus are planned and everyone joins in with this. One of the people in the home showed us the menu on the board in the kitchen. There is a list and for each day there is a large picture of the main meal for that day. We saw that it was beef stew that evening which the person said was his favourite. Meals vary and an alternative is provided if people change their minds about what they want. Each person can also cook their own meal and have something different to the others. People are supported to cook and also to participate in the preparation of the main meals. The people living in the hone and the staff all eat together if they are in. One person prefers to eat most of his meals in his bedroom and this is respected. Also people go out for meals. 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. People know that their personal and health needs will be supported. Each person has the support they need to take their medication safely. Evidence: Each person has guidelines written in their person centred plan that explain what is important to them and how they would like to be supported. This includes support with their personal care and their general day to day routine. The staff find out what people want by having one-to-one meetings with them as part of the their care and support plan review. Each person has a health action plan. These contain clear information about what support each person needs with their health care. The staff also assist each person to understand about healthy living. They have information about recent appointments and any necessary follow ups. No one has any medical conditions that need specialist support. The manager and key workers have recently explained about the flu jab to offer this to those that wish to have it. We saw a consent form in one of the folders with symbols and pictures which the staff have used to explain and then have recorded each person s decision. People are registered with a GP and are able to go for a routine annual health check. Care Homes for Adults (18-65 years) Page 18 of 30 Evidence: They have access to community health services and attend regular appointments to maintain their health like dentist, chiropody and eye care. We talked to the manager about medication practices in the home and what changes have been made. The people living in the home are supported by the staff to take their medication. One person is being supported to learn to take his own medication and it is the intention for him to self medicate. Risk assessments have been written and training programme has started for this. Each person has their own medication cabinet and medication is dispensed using a monitored dosage system. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living in the home are supported to voice their concerns and the procedures in the home protect people from abuse. Evidence: The company has produced a service user friendly complaints procedure. We looked at the complaints folder with the manager. There have been three complaints in the last year. These have all been resolved and the details have been recorded in the folder. One-to-one meetings are held with each person and their key worker to give them an opportunity to express their views. We saw that the people living in the home were listened to and staff were responsive to them. Once a month the home holds a Your Voice meeting with all those who want to attend. We looked at the minutes of the last two meetings. We could see that people say what they want and if they have a suggestion it is acted on. One of the people living in the home said that if he was upset or worried about something he would talk to one of the members of staff he likes who he named. The company has a clear safeguarding policy and procedure. All the staff have attended safeguarding training. The manager gave some examples of people saying when something was not right and how she has managed the situations. We could see that the procedures are used effectively and that there is good communication between the team. 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. The home is well maintained and provides a clean, comfortable living environment for the people living here. Evidence: We looked round parts of the home. The home looked clean and well organized. The people living in the home have it organized and decorated the way they like it. One person showed us his bedroom. He chose the colour scheme and has his furniture and belongings arranged how he wants them. There is a cycle of redecoration and refurbishment and the home has been completely redecorated. The manager explained that they are going to buy new sofas after Christmas. There is a large garden at the back that looks well maintained and has various shrubs and plants and a paved area. The driveway needs attention and the quotes have gone in to have block paving so that it is in keeping with the rest of the houses in the street. Equipment and training in infection control is provided to all the staff. There are cleaning Care Homes for Adults (18-65 years) Page 22 of 30 Evidence: schedules and procedures so that the home is kept clean and the people living in the home are protected from infection. Care Homes for Adults (18-65 years) Page 23 of 30 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living in the home have confidence in the staff who care for them. Evidence: The company has a thorough recruitment process to make sure the people applying for the job are who they say they are and will work in the right manner. The company asks for identification like a passport and 2 references from people who know the person including their previous employer. They request a Criminal records bureau (CRB) check and protection of vulnerable adults list (POVA) check to make sure they have not done anything in the past that will indicate that they are unsuitable or cannot be trusted. Staff work for a trial period of time in the company while everyone gets to know each other and the member of staff decides whether this is the right job for them. We looked at two staff files with the manager and saw that all these checks had been carried out. We talked to the manager about the staffing level and looked at the duty rota. We could see that there were enough staff to support the individually assessed needs of the people living in the home. We talked about staff training with the manager and the staff. They told us that they regularly attend training that they need to do to comply with the law like health and safety training. They also told us that they have training for their specific job roles and to support the individual needs of the people living in the home. All the staff have attended person centred planning training and equality and diversity. The manager has recently Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: attended training about the mental capacity act and deprivation of liberty. The staff team are also going to have this training. There is a national vocational qualification (NVQ) training programme in the company that the staff access. All the staff have either achieved this or are studying it to level 2 or 3. One member of staff was having one of their NVQ level 3 assessments at the time of the visit. The manager holds one-to-one meetings with the staff and each person will have an annual appraisal. These meetings and the appraisal give them the opportunity to discuss any issues and to consider their knowledge and skill development. Care Homes for Adults (18-65 years) Page 25 of 30 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager has good people skills, understands the importance of person centred support and has a clear understanding of what is going well and how the home can continue to improve and develop. Evidence: The manager became registered with the commission last year. She has many years of experience supporting people with learning disabilities and has worked her way up to being the manager. She has achieved NVQ level 4 in care and management. When she took up the post she could see what needed to improve to enable people to have more choice about their lifestyles and more independence. We could see that improvements have been made from the last key inspection to this one and how the service has developed from what was said in the AQAA. The company have an established quality assurance system. Questionnaires are sent out to families and people who are involved in the service by the home manager and are returned to the company head office. The manager said that she does not receive any feedback from this system but that it is all changing since the company has changed. In the meantime the manager and staff team gain peoples views on the service through the Care Homes for Adults (18-65 years) Page 26 of 30 Evidence: one-to-one meetings, the reviews with families and care managers and from general comments from people visiting the home. The manager also carries out a monthly quality audit and this gets sent off to head office for analysis. From the audit, the manager identifies what needs to improve in the home. We looked at some of the minutes from some of the meetings and looked at the areas of improvement and plans for development in the AQAA. We could see that there have been improvements in the way people are supported and that the staff listen to what the people living in the home say and they act on it. All health and safety checks are carried out to maintain the building safely. The staff have all attended essential health and safety training. The maintenance person carries out the regular fire safety equipment and emergency lighting checks. Each person has a set of instructions on their bedroom door of what to do in the event of fire. One of the people living in the home showed us this and said he knows what to do to keep safe. Environmental risk assessments have been completed and the manager goes through a checklist each month as part of the homes audit. There are thermostatic controls on the bath taps and the staff check the hot water temperatures routinely to make sure nobody is injured by scalding. 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 © (2010) 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!