Care Home: Yorkminster Drive

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What the care home does well People have information about the home and opportunities to visit, before moving in, so that they can be confident their needs will be met there. People are supported to make choices and decisions so that they experience a meaningful lifestyle. People are offered a range of healthy food which they enjoy. There are good systems to recruit staff so that people are protected from possible harm. Medicines are well looked after so that people receive their medication in a planned and safe way. What has improved since the last inspection? The records that explain how people like and need to be cared for are well written and staff understand people`s needs. Helath care appoinments and their outocmes are recorded so that staff have up to date information about people`s current needs. There are more staff on duty so that people can go out and do things they enjoy. Some refurbishment of the home has made the environment look more pleasant and feel more comfortable for the people who live there. What the care home could do better: The kitchen in bungalow number 3 has equipment and furniture that is damaged or not working properly. We have been assured that action will be taken to address these matters for the safety and well being of people living there. Key inspection report Care homes for adults (18-65 years) Name: Address: Yorkminster Drive 1-5 Yorkminster Drive Chelmsley Wood Birmingham West Midlands B37 7UG     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 Preston     Date: 3 1 0 3 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 27 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: Yorkminster Drive 1-5 Yorkminster Drive Chelmsley Wood Birmingham West Midlands B37 7UG 01217882763 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): www.CareTech-uk.com Caretech Community Services Ltd Name of registered manager (if applicable) Ms Elaine Stephanie Sherman Type of registration: Number of places registered: care home 12 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 12. 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 the home are within the following categories: Learning Disability (LD) 12. Date of last inspection Brief description of the care home Yorkminster Drive is situated in Solihull close to shopping facilities, the town centre of Chelmsley Wood, places of worship and public transport. The home provides care and accommodation to up to twelve people with a learning disability, some of whom have a physical disability. There are three bungalows housing four people in each bungalow. Facilities available include bathrooms, individual bedrooms, and lounge and kitchen space and laundry facilities. Equipment is provided for people who have difficulties with Care Homes for Adults (18-65 years) Page 4 of 27 Over 65 0 12 Brief description of the care home moving around, including ramps, hoists and adapted bathing facilities. Each bungalow has its own front door and back door entrance and staff are designated to work in each bungalow. The fees charged each week are varied according to peoples needs. More details can be obtained from the home. People pay a contribution according to their individual welfare benefit. The inspection report from the CQC is made available in the home for people andor their representatives to look at. Care Homes for Adults (18-65 years) Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The focus of inspections undertaken by the Care Quality Commission is upon outcomes for people and their views of the service provided. This process considers the homes capacity to meet regulatory requirements, national minimum standards and focuses on aspects of service provision that need further development. Before we visited the home we looked at their Annual Quality Assurance Assessment (AQAA) which provides information about the way that the service are meeting standards and identifies how they plan to maintain and improve outcomes for people. We also reviewed information about complaints and notifications regarding the protection of vulnerable adults. Our visit took place over one day and was unannounced, so that people did not know we were coming. We were able to meet the manager of the home and a number of staff who work with the people who use its services. We spoke to three people about Care Homes for Adults (18-65 years) Page 6 of 27 their experience of living in the home. Three people were case tracked. Case tracking involves talking to people about the care they receive, looking at their records and talking to the staff who support them. This helps us focus on outcomes for people who use the service. We looked at staff training records, policies and records relating to health and safety, quality assurance and medicines management. We interviewed three members of staff to get information about the training they receive and how they are supported to meet peoples needs. We looked around the home to make sure that it was warm, clean, comfortable and equipped to meet the needs of the people who live there. There were no immediate requirements made as a result of our visit. This means that there was nothing that needed to be done urgently to ensure people remained safe and well. Care Homes for Adults (18-65 years) Page 7 of 27 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 27 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs are assessed before they move in so they can be confident that the home is suitable for them. Evidence: There have been no new people move in to the home since we last visited in June 2009. The service has a procedure for assessing the needs of people who may wish to live at Yorkminster Drive. The manager explained that this is completed alongside assessments made by health and social care professionals in order to be clear that the home is suitable for the individual. This remains the same as at our last inspection in June 2009. Care Homes for Adults (18-65 years) Page 10 of 27 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are effective systems of care planning and risk assessment in place, which should ensure that peoples needs are understood and met. People receive good support to make choices and decisions about their lifestyles. Evidence: We looked at care plans and risk assessments for three people who live in the home. These records give information about the type of support that people need to carry on with their day to day lives. The home has begun to implement a new system of care planning, which is person centred and focuses on supporting people to make choices and decisions as part of their daily routines. The staff members we spoke to commented that using the new system helped them consider how to promote peoples independence and described assisting individuals with skills such as cooking and planning activities. Care Homes for Adults (18-65 years) Page 11 of 27 Evidence: The care records we sampled clearly stated how staff should support people and identified safeguards against them taking unreasonable risks. Care plans and risk assessments had been reviewed on a regular basis so that they remained relevant to individuals current needs. The five members of staff that we spoke to demonstrated knowledge of each persons individual needs, which indicates that care records had been read and understood. We received three completed surveys from people who live at the home. Our surveys ask questions about whether people make decisions about their lives and what the home does well. People told us that they usually or always decide what to do each day; the staff are good at helping people go out and do things they enjoy and I get looked after very well. Care Homes for Adults (18-65 years) Page 12 of 27 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home experience a meaningful lifestyle that promotes their independence and reflects their personal choices. People are supported to keep in touch with friends and relatives so that they maintain relationships that are important to them. Evidence: People living at Yorkminster Drive had historically attended local day centres during weekdays. This no longer the case and people receive a day service from their home. We spoke to three people about the impact of not attending their day centres (which they had done for many years). We were told that coffee mornings sometimes take place so that people can keep in touch with friends and maintain relationships that are important to them. Care Homes for Adults (18-65 years) Page 13 of 27 Evidence: The manager and two of the people who live in the home confirmed that family members are welcome to visit and/or take their relative out if the person wishes to do so. We saw that family members birthdays had been recorded in individual care plans so that people could be supported to send cards and presents to their loved ones. From looking at records and talking to people who live in the home it was evident that a range of activities are provided that meet peoples needs and reflect their preferences. Individual preferences had been recorded in care plans and the frequency of activities offered evaluated as part of the homes monthly review system. One person told us that he had attended a night club with friends and was looking forward to going again. Another person commented that she enjoyed going out of the (new) mini bus to do her shopping. We saw that the mini bus was suitable for the needs of people who live at Yorkminster Drive; featuring a tail lift, with sufficient room for people who use wheelchairs. At our last visit in June 2009, it was evident that there were often too few staff on duty to support people to go out and do things they enjoy. We looked at staff rotas and activity records, which showed that more staff are available during the day and evenings so that people have better opportunities to take part in activities that meet their expressed needs and choices. Events such as St Patricks day and Easter had been celebrated, which reflects the cultural needs of people living in the home. We looked at menus and the records of food that people eat to make sure that a varied and healthy diet is offered that meets peoples needs and preferences. Menus varied in each of the three bungalows that make up Yorkminster Drive. Staff told us that meals are planned with people using books of photographs, to assist them to choose what they would like to see on the menu. The home keeps records of the food each person eats. Staff told us that this helped them establish that people are eating well and receiving a balanced diet. People told us, the food is good and I like the Sunday dinners. Care Homes for Adults (18-65 years) Page 14 of 27 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are effective systems in place to meet peoples personal and health care needs. Medicines are well managed so that people receive their medication in a planned and safe manner. Evidence: We looked at personal and health care records for three people. They contained clear information about peoples needs and had been recently reviewed to make sure that they were accurate and up to date. Personal and health care plans had been developed to make them more person centred and included specific detail such as the style of clothing people prefer and how they like to take their medication. Staff told us and records showed that care plans had been drawn up with the individual, or if this was not possible, with a member of staff who knows them well. The staff that we spoke to were able to describe how they supported people with their personal and health care, which indicates that they had read and understood Care Homes for Adults (18-65 years) Page 15 of 27 Evidence: individuals care plans. We looked at staff training records which confirmed that training in epilepsy awareness, dementia care, moving and handling and tissue viability had been provided. This is reflective of the needs of people who live in the home and should contribute to them receiving care that meets their needs. The individual records we looked at showed that people had regular appointments with healthcare staff and that the outcome of the contact had been recorded so that staff had up to date information about peoples health. We looked at the way medicines are managed in the home to check that this was being done safely. All medicines were stored securely within each of the bungalows. There are systems in place to make sure that staff receive training to administer medicines which include both accredited and in house training. We have received no notifications of medicines errors within the last twelve months which indicates that medication is being well managed. Care Homes for Adults (18-65 years) Page 16 of 27 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are effective procedures in place to listen to peoples complaints and safeguard them from possible harm. Evidence: The service advised us via the Annual Quality Assurance Assessment (AQAA) that they had investigated seven complaints within the last twelve months. We saw records which showed that feedback had been provided to complainants as part of the homes procedures. The people we spoke to during our visit said that they were confident that staff would listen to them should they wish to raise concerns or complaints. The manager commented that some people are dependent on family members to raise concerns on their behalf due to individuals communication needs. The manager went on to say that relatives are provided with a copy of the homes complaints procedure. Two safeguarding referrals had been made to the lead agency responsible for investigating safeguarding concerns since our last visit to the home in June 2009. We had been made aware of these referrals and the action taken by the staff team to protect people as a result of the concerns raised. This had been documented in individual care plans and risk assessments. It was evident that the home are following their own policies and procedures in order to protect vulnerable people. We looked at training records for four members of staff, which showed that they had Care Homes for Adults (18-65 years) Page 17 of 27 Evidence: taken part in safeguarding training earlier this year. The staff that we spoke to told us that they understood the importance of the training so that people could be protected from potential harm. People living at Yorkminster Drive receive support from staff to manage their finances. We looked at the records of the people we case tracked to make sure that robust systems were in place for their ongoing protection. Records had been audited on a monthly basis and no errors had been reported. Income and expenditure was clearly recorded with receipts attached to individual records to evidence personal spending. These systems should contribute toward the ongoing protection of people living in the home. Care Homes for Adults (18-65 years) Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience adequate 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 furnished, clean and warm. Minor repairs which remain outstanding may have an impact on the comfort and safety of some people living at the home. Evidence: Yorkminster Drive is situated in the Chelmsley Wood area of Solihull, close to amenities such as shops, pubs, parks and places of worship. This is important to the people who live there as they make regular use of these facilities. Accommodation is provided in three bungalows which are linked by rear gardens. Each bungalow has undergone some refurbishment since our last visit; new televisions, flooring, sofas, blinds and soft furnishings have been fitted. One person showed us her newly decorated bedroom and said that she had chosen the colour scheme and furniture. Bungalow number 3 has not had a new kitchen installed, unlike the other two bungalows. Staff identified some concerns about the facilities in this kitchen such as damaged splash tiles, taps, cooker rings, cupboard door hinges and sink seals. We spoke to a representative of the registered provider who confirmed that work would progress in response to these concerns as part of the ongoing maintenance programme and to address any issues that may impact on peoples health and safety. Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: Each bungalow was clean with no evidence of odour, which may indicate irregular cleaning routines. People told us, I help clean my own room. Surveys received from two people living at Yorkminster Drive stated that the home was always clean and fresh. Care Homes for Adults (18-65 years) Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported by a trained team of well established staff who have good understanding of their needs. The home operates a robust system of recruiting staff for the ongoing protection of the people who live there. Evidence: We asked people about the qualities of the staff who work with and were told that the team are good staff and very nice and friendly. Some people who live in the home were not able to express how they felt about the staff team due to their complex communication needs. We saw that people spent a lot of time with staff, choosing to sit next to them and stand with them. This indicates that people are comfortable with the staff who work with them. Staff were observed talking people through activities to help them understand what was happening. For example, a person who was clearly worried about using the tail lift to get onto the homes vehicle was shown (by a staff member) how it worked, then accompanied on the lift to reassure him. The staff team have made considerable effort to assist people to make choices and Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: decisions about their lifestyles including using photo menus and activity planners for projects such as gardening. This demonstrates that staff are aware of peoples communication skills and needs in their day to day lives. When we visited the home in June 2009 there were not enough staff on duty for much of the time to assist people to go out and do the things they enjoy. The rotas we looked at during this visit showed that a review had taken place to make sure that more staff were available to meet peoples needs. One person told us, I go out a lot more now. Having the bus has helped. Care Tech (the registered provider) have a training team who produce a rolling programme of training for staff employed at the home. Staff told us that training opportunities had improved so that they took part in sessions that were relevant to peoples needs, such as epilepsy awareness and pressure wound care. A senior member of staff commented that she had been on a leadership and management course, which she found beneficial in preparation for her new role. From looking at records and talking to staff and the management team, it was evident that training is provided on a regular basis in order to promote the development of staff knowledge and skills, for the ongoing benefit of people living in the home. We did not look at recruitment records for new staff employed as they are held at the registered providers head office. We have approved this arrangement as the records are inspected by us outside of this visit. No concerns had been raised about the robustness of staff recruitment processes within the last twelve months. Care Homes for Adults (18-65 years) Page 22 of 27 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is being well managed and peoples health and safety is promoted and protected. Evidence: The home has a full time manager who has recently submitted an application for registration to us. The manager has been in post for in excess of eighteen months and has over twenty five years experience of adult social care. The manager was present during our visit and demonstrated a commitment to continuing to improve outcomes for people living at Yorkminster Drive. She was able to describe some of the changes made to benefit people such as implementing new systems of person centred planning, reviewing the way that staff rotas are arranged to provide people with greater support and the development of a day service for people from their own home. People and staff commented that the manager was very supportive, a breath of fresh air and willing to push changes, not a bad word to say about her. Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: During our visit people came into the managers office to chat to her; it was evident that this was a regular practice and consistent with the open door policy described in the homes Annual Quality Assurance Assessment. There are systems of quality assurance in place. A representative of the registered provider visits the home on a monthly basis in order to report on the standard of care and service delivered. We looked at the most recent reports, which showed that the manager had responded to any issues arising so that improvements could continue to be made for the benefit of people living at the home. A number of checks are made to make sure that peoples health and well being is protected. We looked at some records that show this has happened. The fire alarm system had been tested and serviced on a regular basis to make sure that it was working properly. People had taken part in fire drills so that they had opportunities to practice leaving the building in the event of an emergency. We saw evidence that regular health and safety checks are completed, which are reported to the registered provider. A member of staff told us that if health and safety issues arise, they are resolved quickly by the registered provider. Training records showed that staff have taken part in health and safety, first aid, fire safety awareness, infection control and moving and handling training. This should contribute towards promoting peoples health and safety. Care Homes for Adults (18-65 years) Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 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 24 A review of the kitchen facilities in bungalow number 3 should be included in the homes ongoing maintenance programme to make sure that equipment and fixtures are safe to use and do not place people at risk of possible harm. Care Homes for Adults (18-65 years) Page 26 of 27 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 27 of 27 - 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. 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