Care Home: Wingrove Road

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What the care home does well The staff and residents know each other very well.Everyone likes living in the home.Most people go out regularly and have lots to do.The home is very clean and tidy.The care plans tell staff how people like to be supported and what help they need. What has improved since the last inspection? The manager has made some changes to the Statement of Purpose. This gives people better information about the home. Peoples health care needs are better monitored to keep them well.Staff are well trained to look after people and make sure they are safe in the home.The complaints procedure is easier to understand so people know what to do to sort any problems they have.Some improvements have been made to the home with new flooring in dining room and toilets and a new carpet in the lounge. What the care home could do better: To help with disputes that may arise some house rules should be agreed between the people who live in the home.The manager should review the medication system to ensure people are safe.People living in the home should be weighed regularly to monitor their health.All staff should have Mental Health Act training to better support people who live in the home.One person would like more staff to be available for outings and holidays. Key inspection report Care homes for adults (18-65 years) Name: Address: Wingrove Road 182 Wingrove Road Newcastle Upon Tyne Tyne & Wear NE4 9DB 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: Allan Helmrich Date: 0 8 0 6 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 38 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 38 Information about the care home Name of care home: Address: Wingrove Road 182 Wingrove Road Newcastle Upon Tyne Tyne & Wear NE4 9DB 01912738861 NOFAX wingrove@stcuthbertscare.org.uk 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) : St Cuthberts Care care home 8 Number of places (if applicable): Under 65 Over 65 8 0 learning disability 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 only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: Learning disability Code LD, maximum number of places: 8 Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 38 A bit about the care home 182 Wingrove Road is a detached house for eight people with a learning disability. It is on a busy road and it is similar to all the other houses in the street. Some shops are nearby and the home is on a bus route into the town centre. Everyone who lives at the home has their own bedroom. Nobody has to share a room. Care Homes for Adults (18-65 years) Page 5 of 38 One bedroom has a ensuite toilet. Everyone shares the lounge, dining room and kitchen. The home has three floors and there is a lift to each level. The design of the house makes it easy for people to get around and do things for themselves. Care Homes for Adults (18-65 years) Page 6 of 38 The accommodation charges for Wingrove Road range from £510 to £630 per week. The Statement of Purpose and the Service User Guide tell people about the home. Care Homes for Adults (18-65 years) Page 7 of 38 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 8 of 38 How we did our inspection: This is what the inspector did when they were at the care home Before we visited we sent surveys to people who live in the home, to staff and to professional visitors to find out what they think of the home. We also asked the manager to give us written information about the way the home is run. Care Homes for Adults (18-65 years) Page 9 of 38 When we visited this time we talked with most of the people who live in the home. We looked at some care plans and other papers the home must keep. We looked around the home to see if it was a safe and comfortable place to live. We talked with the manager and some staff who work at the home. Care Homes for Adults (18-65 years) Page 10 of 38 We decided to give the home 2 stars. This means the people who live there get good care and support. People living in the home said some nice things like; Staff treat me well and take me out Staff take me to the pub for lunch and a glass of wine. Ive been here twelve years and I like it very much. I would not like to live anywhere else. I feel safe here. The look after me when I am not well. Two professional people who completed a survey felt the home provides a good standard of care and support. GOOD Care Homes for Adults (18-65 years) Page 11 of 38 What the care home does well The staff and residents know each other very well. Everyone likes living in the home. Most people go out regularly and have lots to do. Care Homes for Adults (18-65 years) Page 12 of 38 The home is very clean and tidy. The care plans tell staff how people like to be supported and what help they need. Care Homes for Adults (18-65 years) Page 13 of 38 What has got better from the last inspection The manager has made some changes to the Statement of Purpose. This gives people better information about the home. Peoples health care needs are better monitored to keep them well. Staff are well trained to look after people and make sure they are safe in the home. Care Homes for Adults (18-65 years) Page 14 of 38 The complaints procedure is easier to understand so people know what to do to sort any problems they have. Some improvements have been made to the home with new flooring in dining room and toilets and a new carpet in the lounge. Care Homes for Adults (18-65 years) Page 15 of 38 What the care home could do better To help with disputes that may arise some house rules should be agreed between the people who live in the home. The manager should review the medication system to ensure people are safe. Care Homes for Adults (18-65 years) Page 16 of 38 People living in the home should be weighed regularly to monitor their health. All staff should have Mental Health Act training to better support people who live in the home. One person would like more staff to be available for outings and holidays. Care Homes for Adults (18-65 years) Page 17 of 38 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 Allan Helmrich St Nicholas Building St Nicholas Street Newcastle upon Tyne Tyne and Wear NE1 1NB 01912333300 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 18 of 38 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 19 of 38 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. The home has sufficient information on the needs of the people who live there and access to appropriate services to enable their needs to be met. Evidence: No one has moved into the home since the last inspection. We looked at the care plans and information for three people who live in the home. An evaluation of each persons care needs has been completed since the last visit to the home, which provides comprehensive information on their history and up to date information on their interests and needs. The evaluation of needs provides the basis of each persons care plan and provides good information for the staff so that they know how to support each person appropriately. One person spoken to stated they were aware of their care plan and they said they could see it when they wanted to. The support staff who were spoken to said that the care plans contain sufficient information so that they can meet each persons needs. Also there is a document tracking folder that contains new care plans and risk assessments that are being introduced. Staff review and sign these as read before being put into individual files. Risks in daily living are assessed and a good example was found in one file where a risk Care Homes for Adults (18-65 years) Page 20 of 38 Evidence: using public transport was identified. This was addressed using the Nexus buddy service that provided training and an information card that can be carried by the service user when using public transport to alert staff to support the card carrier with any assistance they may need. The home supports people to live together in harmony but have not adopted any agreed house rules to resolve disputes. Care Homes for Adults (18-65 years) Page 21 of 38 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 people who live in the home are involved in their own care planning and are consulted on their lives in the home Evidence: Seven people who live in the home were seen during the inspection and most were spoken to during the day. People said that they choose what to do and where to go. One person told us how much they enjoy living at Wingrove Road, helping around the home and also about their good friends both inside and away from the home. People talked about the activities they enjoy in the community such as; shopping, visiting the library, the cinema and various clubs and church. People talked about holidays past and future holidays to Scarborough. One person is planning to go to Spain with staff support. One person who is very able, enjoys making peg bags and knitting. She sells these items and any monies are used to promote other activities in the home. The care planning is person centred and involves each person in helping to write their own care plan and making decisions and choices about their lives in the home and the Care Homes for Adults (18-65 years) Page 22 of 38 Evidence: support that they need. Three care plans were reviewed and used to track the care and support that is provided for the people who live at Wingrove Road. All the care plans have been reviewed and revised since the last inspection. The care plans are clearly written, with good details of each persons needs and procedures and guidelines for meeting those needs. For example, one person has a care plan for managing their behaviour which is clearly written. It identifies the need for staff to take time to explain issues and discuss problems. Another plan to assist someone who self cares instructed staff of the limited support this person requires to promote independence. The risk assessments seen included a management plan for supporting the person to use public transport safely, to self medicate and to carry hot drinks. These all promote the individuals independence. In each persons file there is a list of their strengths and needs. Daily records are written. These describe how each person has spent their day and show that people who use the service are encouraged to lead an independent life and make their own decisions. During the visit to the home, staff were observed to encourage the people who live at the home to make choices about food and where they spent their time. Care Homes for Adults (18-65 years) Page 23 of 38 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 who live in the home are encouraged to make choices for their activities, and the staff support them to develop their skills for independence. Evidence: The ages of people who live in the home range from mid fifties to eighties. Some people cannot get about very well or walk very far. Others cannot see very well. Everyone can communicate their needs and preferences. Some people like company more than others. This means that their social needs are varied. To address this the service encourages each person to have an individual plan of activity and personal hobbies. The preferences of each person are recorded and so are the things they like to do, the places they go and the people who are important to them. The activities record showed that people are regularly in the community, use public transport and one person has a work placement and also does an IT course each week. Some of the women living at the home attend church and church groups with people of Care Homes for Adults (18-65 years) Page 24 of 38 Evidence: their own age. Individual friendships are encouraged. For example one service user has a long standing relationship with a male friend and the staff help her with visits to and from this person. The home has a four weekly menu that has been revised to take account of healthy eating. People in the home were involved in this and there has been involvement from a dietitian. The meals provided are well balanced and everyone spoken to said they enjoy the meals. Some residents stated they are involved in the preparation of meals and go shopping with staff. Following a recent inspection by the local authority the food and food hygiene provision was rated excellent. Care Homes for Adults (18-65 years) Page 25 of 38 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 staff support people to maintain their health needs and to consult other medical professionals. Evidence: The care plans contain good details of each persons care needs. The health care records seen included references to hospital visits, and contact with GPs and other health professionals. A pain monitor in picture format records how one person feels on a regular basis. Staff are following the instruction of a physiotherapist to ensure one persons comfort is promoted. Staff were observed during the day ensuring this persons feet were supported. Another person suffers from Asthma and a risk assessment is in place to alert staff to ensure an inhaler is readily available. Since the last inspection a nutritional screening tool has been introduced and one person is receiving dietetic support. Two health care professional who completed a survey are content with the service provided. Comments included; The staff at Wingrove Road seem to be very caring and concerned about the residents and act appropriately in seeking medical attention. They seem to have good knowledge of the residents and treat them in a kind respectful way. Respond to residents health issues quickly and inform relevant professionals. Offers a Care Homes for Adults (18-65 years) Page 26 of 38 Evidence: warm comfortable home. People are weighed and the manager has accessed somewhere to weigh people in a wheelchair. However weights are not recorded regularly which is necessary to monitor peoples good health. One persons care package was recently reviewed by the local authority and recorded as appropriate to meet the persons needs. The home has systems in place to manage peoples medication safely. All the staff have training in administering medication, followed by supervision until they are judged to be competent to administer medication without supervision. The medication records were checked, no signature gaps were found on the MAR (medication administration record) charts. However hand written entries were not signed and the correct method of identifying self medication was not used. Also the temperature that medicines are stored is recorded but not with a max-min thermometer for accuracy. Care Homes for Adults (18-65 years) Page 27 of 38 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 feel safe in the home and can be sure that any complaints they have are taken seriously. Evidence: The home has a complaints procedure that is written in a way to help service user understand it. Each person has a copy and a copy is displayed in the entrance to the home for the benefit of visitors. All six people who responded to a survey stated they were aware of how to make a complaint. Complaints that are made are recorded in a log and signed by the complainant. A recent complaint was passed to the head office and the resident making the complaint has been invited to a meeting. Staff have received training in the procedures for protecting vulnerable adults. Those spoken to were aware of their responsibility and they are supported by a written policy and procedure and national guidance. The procedures for supporting people with money and finance make sure that staff have to account for all transactions they are involved with. Some people are able to manage these things independently. This is encouraged and supported by good risk assessment and management plans. Care Homes for Adults (18-65 years) Page 28 of 38 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 provides a comfortable and well maintained environment for the people who live there, and the staff maintain a good standard of cleanliness and hygiene that protects people from the risks of the spread of infection. Evidence: Wingrove Road is located on a main bus route and gives easy access to the city centre. Externally the gardens are not ideally suited for sitting out as the home is on a corner site beside a busy main road. There is a small yard to the rear of the house where people can sit and a greenhouse. There is an assisted bath and the home has a shaft lift for access to the upper floors. It is very comfortably furnished, pleasant and airy. The bedrooms that were examined were all individually furnished, personalised with the individuals belongings and reasonably decorated. People said that they were happy with their rooms and enjoyed living in the home. Recently some new flooring was laid and the manager has further plans for improvement. There is a regular maintenance check carried out and a cleaning schedule. The effects of these are that the home is clean and well presented. Care Homes for Adults (18-65 years) Page 29 of 38 Evidence: The home has a separate laundry room. This is spacious and properly equipped. The guidelines for food safety and infection control are openly available for staff to follow. Care Homes for Adults (18-65 years) Page 30 of 38 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 live in the home are supported by a stable staff team who are provided with training to give them sufficient skills to understand and meet their needs. Evidence: Staff cover on the rota shows that the agreed staff level is being provided. This is one staff member at night and two working through the day. The manager provides some of this cover as well as call out cover. The manager also stated that staffing is flexible to meet peoples needs and activities. One person commented in a survey that they would like more staff for outings. Other people stated they go out regularly with staff support. Six staff have obtained a National Vocational Qualification (NVQ) in care at level 3 and two staff are working towards that. All new staff undertake learning disability training and the records show that all staff have received training in the past year. Training has included; safeguarding vulnerable people, disability awareness, non violent interventions and palliative care as well as training regarded as mandatory. Senior staff have been provided with training related to the Mental Health Act. All staff should be made aware of issues related to mental capacity and deprivation of liberty. A system is in place to ensure recruitment processes are followed and people in the home are encouraged to be part of the recruitment process. Care Homes for Adults (18-65 years) Page 31 of 38 Evidence: Staff confirmed that they are supervised regularly and have the opportunity to speak in team meetings. Their survey returns indicated that training provided is relevant to their roles and that they are well supported. One staff felt the staff team could work together better but that people are cared for very well. Care Homes for Adults (18-65 years) Page 32 of 38 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 ensures the home is run for the benefit of the people who live there. Evidence: The manager has worked with people with a learning disability for over 10 years and has managed this home for over 2 years. She is registered with The Commission, has the Registered Managers Award and has recently completed a 9 week manager development course. She is committed to providing good quality care and assesses the care provided using quality assurance tools. Questionnaires provided to residents and their visitors have been completed as part of this assessment. Each month key elements of performance are sent to head office to demonstrate peoples involvement in outings, activities, changes in need are identified and changes in health together with any actions taken. Regulatory visits are made to the home by a representative of the company to assess the standards of care provided. The home is safe for residents. Requirements made at previous inspections by The Commission and others have been addressed. Electrical items have been checked to Care Homes for Adults (18-65 years) Page 33 of 38 Evidence: ensure they are safe to use and electrical wiring and gas systems are maintained. Care Homes for Adults (18-65 years) Page 34 of 38 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 35 of 38 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 1 2 Consider developing house rules to be agreed by all and to be used whenever disputes arise between people living in the home. Ensure that people are regularly weighed to monitor their health. Should anyone refuse the opportunity this should be recorded in their plan of care. Hand written entries in the medical administration records should be signed by the transcriber and countersigned by the person checking the record for accuracy. Provide a max-min thermometer to accurately record the temperature that medicines are stored. Ensure that the legend used on the medical administration records clearly identifies the action taken. 2 19 3 20 4 35 All staff should receive training related to The Mental Care Homes for Adults (18-65 years) Page 36 of 38 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 Health Act and Deprivation of Liberty. Care Homes for Adults (18-65 years) Page 37 of 38 Helpline: Telephone: 03000 616161 or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). 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