Care Home: Thistley Lodge

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What the care home does well The home provides a flexible homely service, people express their satifaction with the care they receive. They have a varied social life and are able to make decisions on their day to day activities and make plans for the future. People are supported to maintain social contacts and where they express a wish to be involved in a new activity or have a concern they are listened to and taken seriously. The home is spacious and people are supported in a sensitive manner while being able to exercise choice and independence. People told us that the staff were very good and they listend to what people said. There was good interaction between the staff and people, staff were consitent in their approach and the atmosphere was one of co-operation. People are able to build up appropriate relationships with staff because they are a consitent team, they are familiar to them and best meets their needs. What has improved since the last inspection? Staff are available at key times during the day and the manager can access extra staffing where people wish to partake in activities that require extra staffing as part of their recovery plan. The medication system has been improved there is a proper stock control in place so that people can be confident that medications are being administered correctly. What the care home could do better: People continue to smoke within the home, the home will be designated none smoking as soon as suitable facilities have been built outside. This has been planned for sometime and the home needs to make a decision as to what facilities will be provided so that people who do smoke can go ouside in comfort and safety. Key inspection report Care homes for adults (18-65 years) Name: Address: Thistley Lodge 40 Warwick New Road Leamington Spa Warwickshire CV32 6AA     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: Ashley Fawthrop     Date: 1 3 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 29 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 29 Information about the care home Name of care home: Address: Thistley Lodge 40 Warwick New Road Leamington Spa Warwickshire CV32 6AA 01926435045 01926435045 thistley@rethink.org www.rethink.org Rethink care home 8 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): 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: 8 The registered person may provide the following category of service only: Care Home with Nursing (Code N); To service users of the following gender: Either; Whose primary care needs on admission to the home are within the following categories: Mental disorder, excluding learning disability or dementia (MD) 8 Date of last inspection Brief description of the care home Thistley Lodge is a large, detached, three-storey house situated in a residential area of Leamington Spa. It is close to local shops and within walking distance of the town centre and local parks. The home provides services for eight people with enduring mental health problems and there are eight single bedrooms in the property. Although there is no lift in the property, there are two bedrooms and an assisted bathroom on the ground floor suitable for people with physical disabilities. There is a large garden to the rear of the property. Thistley Lodge is staffed 24 hours a day and there is always a registered nurse on duty. The aim of the service is to provide a warm, homely environment, where staff work with people in a supportive manner in order for the Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 8 Brief description of the care home people to achieve their maximum potential and independence. Thistley Lodge provides a permanent home for service users, although those who want to move on to more independent living are supported to do so. Thistley Lodge is part of the organisation Rethink (formerly the National Schizophrenia Society). People who wish to know the levels of fees charged should contact the home directly A copy of the most recent inspection report is available in the home. Care Homes for Adults (18-65 years) Page 5 of 29 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: The site visit was undertaken on Tuesday the 18 August 2009 between the hours of 10:00 and 16:00, the visit was made by one inspector. We received the services AQAA within the timescales given. The Annual Quality Assurance Assessment which is required to be sent to us by the home. AQAA tells us how the home assess their own performance relating to the outcomes of care for the people living in the home. The home tells us what it does well, what it does not do well, what and how it intends to improve over the next twelve months. People living in the home were involved in the inspection and were able to comment on their care. Care Homes for Adults (18-65 years) Page 6 of 29 Information seen prior to the visit were notifications sent to us recording accidents and incidents, information was gathered from the last inspection report. Documentation seen on the day of the inspection included the Statement of Purpose and Service Users Guide. Records were seen relating to the care and protection of people and included individual recovery plans and daily records, records of activities, medications, menus, complaints and Protection of Vulnerable Adults (POVA). Parts of the building were seen and records relating to staff training, recruitment and mangement were also seen. The manager and the staff team on duty on the day were also involved in the inspection. Care Homes for Adults (18-65 years) Page 7 of 29 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 29 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 29 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. People benefit from receiving sufficient information to make a judgement as to whether the home can meet their needs. They have the opportunity to visit the home and stay for a short period of time before the placement is made permanent. People benefit from being involved in their assessment before they move into the home. Evidence: There is a Statement of Purpose and a Service Users Guide available to people wanting to move into the home. This information has been updated in 2009 and reflects accurately the services offered by the home. This gives people information about the home and helps them decide whether the home can meet their needs or not. One person who was at the home on an assessment said that she had spoke with staff Care Homes for Adults (18-65 years) Page 10 of 29 Evidence: about the home when they visited her at her origional placement, so she had a good idea what the home was like before she came for her stay. There was a record in the care plan that this person had visit the home on more than one occasion and there was an assessment and her individual needs were recorded. Staff could then commence the recovery plan as part of the assessment. Care Homes for Adults (18-65 years) Page 11 of 29 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 benefit from having individual recovery plans that reflect their individual needs. People living in the home make choices about their lives, they are supported to take risks as part of their daily lives. People benefit from from being consulted and participating in all aspects of their lives. People can be sure that personal information about thenselves is kept safe and where appropriate confidential. Evidence: Two peoples care and recovery plans were seen, the guidelines for these were also seen and were on display for both staff and people to see. This gives people an insight into how their care plans are developed and gives them the opportunity to be involved. Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: There is evidence that a number of people including the person the care plan is written for are involved in the development of their care. There were key worker meetings that involved the individual, if people did not want to be involved this was recorded and the person passed on any information they wanted on a one to one basis. This allows the person to not be involved in the meeting but still have the opportunity to have an input into the decison making about their care. Records were updated regularly they were signed and dated by staff and where applicable by the individual to show that they agree with the care plan. Individual risk assessments were in place, were in place activities inside and out in the community as the majority of people do go out on a daily basis. Staff had a good knowledge of the individual risks and when an individual questioned why their actions might be constrained due to a risk staff gave clear reasons why and the information was consistent. This gives people clear guidelines about what is safe and people are informed about their care. People told us that they were involved in their plan of care and that staff were very caring and helpful. They also told us that it was their home and that they have a good relationship with staffand that staff assist them with their personal needs where required and they always treat them well. Care Homes for Adults (18-65 years) Page 13 of 29 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. People benefit from having the opportunity for personal development. They are enabled to take part in activities that are appropriate to their ability, age and culture. People are supported to have and benefit from a healthy lifestyle. Evidence: People go out by themselves or are supported by staff, there is a local bus service or people can walk to the town centre. The homes staff will use their own transprt to take people out and taxis are also available. Some people have their own transport. This give people flexibilty to know that they can access the transport they need. Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: Staff told us that the people living in the home were quite physically fit and were quite independent when it came to personal care. This allowed people a lot of time to be involved in other activities which staff felt was difficult to maintain with the numbers of staff on duty. People in the home are involved in external activities such as luncheon clubs and art club. Holidays are organised each year and this year people are going to Norfolk in October. People told us that they have the opportunity to visit places outside of the home as a group or individually with staff. This helps build up relationships between the people who live at the home and staff. The manager told us that where people are undertaking activities that require increased staffing then the levels can be increased. Staff told us that they support people to go out on a daily basis if a group of people want to go an a trip then the mini bus is used. Suggestions for trip and outings are put on the notice board to see if people are interested. Suggestions for trips come from people who live at the home and everybody has the opportunity to pick a place to vist. During the course of the visit people were going out to the shops, one person went out with staff to collect some items of clothing and furniture. People spoke about their families and how they are involved in their care, these vary as to the needs and wishes of the people as some family contacts have broken down. Where this is an issue advocates have been used to represent the individual to make sure that their needs are met. Menu were varied and provided people with a variety of food. people are involved in preparing meals each week. One person each day cooks for themselves. People were very positive about the food and all those spoken to knew their allocated day for cooking. The choice was also varied and took into account cultural needs as well as personal favourites. Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: The kitchen was well stocked and there was evidence of fresh fruit an vegetables, specialist diets are catered for in relation to culture and personal preferences such as vegetarian. People told us that they had access to food at all times. During our visit people were observed making drinks and snacks. Care Homes for Adults (18-65 years) Page 16 of 29 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 benfit from receiving support with their personal health care, their physical and emotional needs are met. Medications are stored , dispensed and recorded safely. Evidence: Staff were seen to support people in their daily activities this was done in a sensitive way that protected their privacy and dignity. Staff told us that the atmosphere in the home was friendly and supportive relationship. People told us that the staff were very supportive and helped them with their personal their care. The medications are dispensed by a trained nurse via a blister pack. On looking at the Medication Administration Record sheets, these were seen to be stored safely and accurately recorded with no gaps. Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: Due to mistakes being identified at the last inspection where tablets that were stored in bottles did not add up to the signatures when medications were administered the home has commenced a daily stock control for those medications to make sure that all medications are given correctly and that stocks balance each day. This means that all medications are checked to make sure that the number of tablets given out matches with the number of signatures on the administration sheets, then the tablets are counted to make sure they balance. This reduces the risk of error and protects people from receiving the wrong medication. People were seen to make requests of staff and these were attended to promptly and supportively. This shows that staff are committment to the needs and wishes of people. Records relating to the personal and health needs of people were up to date, there was evidence that other health care professionals were involved in peoples care. This means that where specialist input is required such as psychatiric care or physiotherapists these are made available. Care Homes for Adults (18-65 years) Page 18 of 29 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. People benefit from having the opportunity to express their ideas and concerns, their views are listened to and are acted upon, they are protected from abuse, neglect and harm. Evidence: The manager told us that there is an advocate and a volunteer that befriends people at Thistley Lodge and continue to visit regularly. Both these people have been checked by the Criminal Records Bureau to make sure people are not put at risk. Their role is to help people to complete questionaires relating to the services offered by the home and voice any ideas or concerns they may have. There is a complaints book and there was one complaint recorded for 2009, this issue was dealt with by the manager and the outcome was satisfactory. There have been no complaints made to us since the last inspection. There is a compliments book but this has not been used. The manager told us that this is an area that needs to be developed because the home does receive compliments about the care they give. There is a suggestion box that is used by people in the home this gives them an Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: opportunity to pass on concerns and suggestion. People told us that they knew how to complain and said that firstly they would talk to staff, if they wanted to they could also talk to family or their advocate. There were records of meetings held by people in the home, there was information that related to wishes and concerns raised by people, there was also records of the action taken in relation to these. People also have the opportunity to meet on a one to one basis with their key worker, these were regularly undertaken and up to date. Staff undertake Adult Protection Training and there are policies and procedures in place. Staff were able to discuss adult protection issues and were aware about the procedures they would follow relating to these. There are polices and procedures and risk assessments relating to the safe keeping of peoples monies and the manager told us that all but one person looks after their own monies independently. Care Homes for Adults (18-65 years) Page 20 of 29 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. People benefit from living in a home that is well maintained, clean spacious and meets their needs as an individual. Evidence: The home is spacious with good sized bedrooms, there is also a variety of communal spaces. The home was clean and tidy and people who live in the home have some responsibility to keep their own rooms clean. This gives people the opportunity to be involved in activities as part of their recovery plan so that they have the skills to do this should they go on to live independently. A number of areas were seen including some bedrooms, these were individually furnished and decorated. People have the opportunity to furnish their own room with pictures and posters, these gave the rooms a feel of individuality and ownership. The kitchen area was clean and spacious and has domestic fittings which are used by everybody in the home to make main meals, snacks and drinks. The sache window has had a limiter fitted to reduce the risk of someone climbing or falling out. Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: There is a large garden that is well maintained, it has fruit trees and herbs that can be used for seasonal cooking. The laundry was clean and tidy the staff support people to launder their clothes, there are risk asssessments and Care of Substances Hazardous to Health (COSSH) assessments to reduce the risk of accidents. There is a room to the rear of the building which is used as a smoking room. This room is now seen as not appropriate for use and the home is looking to buy a structure to go in the garden so the home will then be a no smoking establishment. Care Homes for Adults (18-65 years) Page 22 of 29 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. People benefit from a consistent staff team that have the skills and knowledge needed to support them. Staff recruitment policies and procedures protect people from potential harm and abuse. Evidence: The rotas show that the home offers twenty four hour support with a qualified nurse on duty at all times. The role of the nurse is to deal with medications and medical matters. They are supported by care staff. There are two care staff on duty on each shift this allows one staff to accompany people out of the home on activities while the other remains at the home. The manager told us that where people have requested activities that may need more than one member of staff the home has additional funding to allow this to happen, however, it is more likely to be agreed if the activitiy is part of a persons recovery plan. Staff undertake regular training including Mental Health and NVQ. There is also Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: mandatory training including risk assessment, managing challenging behavoiur, abuse in the care home, health and safety and food hygiene. Staff folders record checks by the Criminal Records Bureau (CRB),staff support (supervision), sickness, performance and time management, terms and conditions. Training certificates included First Aid, Fire Safety, Moving and Handling, NVQ level 2, Recognising and Responding to Adult Abuse and Personal Safety. People told us that the staff had worked at the home for sometime and were aware of their needs, there were no concerns raised about the numbers of staff and people also told us that there was always someone there to talk to or help you. Care Homes for Adults (18-65 years) Page 24 of 29 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. People benefit from a service that is well managed. People have the opportunity to have a say in the development of the service. The policies and practices relating to health and safety protects the wellbeing of the people who live in the home, staff and visitors. Evidence: The manager holds a professional qualification in nursing and has undertaken management courses which gives her the skills to manage the home and supervise the staff effectively. The manager meets regularly with the area manager to discuss the needs of the people who use the service and any complaints and resource issues. These meetings make sure that the manager is supervised and that where required issues that can not be dealt with by the manager are passed on. Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: People have the opportunity to express their wishes and concerns in a number of ways, these are in the form of meetings with their key worker where people can discuss their care and issues relevent to themselves on a one to one basis. There are also group meetings where people have the opportunity to voice their opinions as a group and have the opportunity to influence the service. Where people do not have families people have access to an advocate this person this makes sure that they have the support of an independant person to represent their needs. The Quality Assurance System includes satisfaction questionaires for people living in the home, their relatives and advocates. This makes sure that other people have the opportunity to consider if they are satified with the service and that they have the opportunity to voice their opinions and have them taken seriously. There are policies and procedures in place to protect the health and safety of people in the home. This include information on fire protection, infection control, care of substances hazardous to health (COSHH) and general risk assessments. Staff are supervised regularly by senior staff, the minutes of these meetings are held on file. Information includes the needs of the service as well as the development needs of the person being supervised. Care Homes for Adults (18-65 years) Page 26 of 29 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 27 of 29 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 28 of 29 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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