Please wait

Inspection on 26/06/09 for Albany House Nursing Home

Also see our care home review for Albany House Nursing Home for more information

This is the latest available inspection report for this service, carried out on 26th June 2009.

CQC found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Both before, and during our inspection we were told many good things about the service offered, the staff and the food. The people living here told us that they are well cared for and that they are kept up to date about matters affecting the home and their care. Clear information is sought and obtained about each persons needs before they come here. This ensures that their needs can be met here. People told us that they are well cared for, and that the staff are pleasant, courteous and listen to them. Mealtimes are a pleasant and everyone we spoke to commented positively about the food on offer. Dining tables are well presented and there is always a choice of main meal and pudding. Staff are knowledgeable about peoples dietary preferences and particular needs, for example if they need particular help, have an allergy or are diabetic. The building is an adapted care home. It is clean and well maintained. There are regular checks by the manager to make sure the good standard is kept up. The people living here and their relatives are asked for comments and suggestions about the service they receive. The people we spoke to all knew who to speak to if they had a concern or were unhappy with any aspect of the service. They told us that they were confident any such concerns would be properly dealt with. The home is effectively managed.

What has improved since the last inspection?

The manager and her team have worked to make improvements to the areas highlighted at the last inspection. This has included: - Ensuring that the garden is safe and tidy. - Arranging for the lift to be repaired. Improving record keeping, by ensuring daily update notes are factual, and do not contain judgemental comments. The manager has also identified other areas for improvement. She has taken steps to ensure these have been acted upon. These have included: - Purchasing new equipment, such as high grade pressure relieving mattresses. - Arranging for redecoration of some areas of the home. - Obtaining a new sluice disinfector.

What the care home could do better:

Overall the home operates at a good standard however, some areas need attention. These include: - The need to ensure medicines are stored within the temperature range specified by the manufacturer. - Making sure all service users (including those on short breaks) have a care plan in place. - Obtaining all the information required for staff recruited to the home. (This relates to staff recruited prior to the current manager taking up her post.)

Key inspection report Care homes for older people Name: Address: Albany House Nursing Home Albany House Nursing Home Albany Washington Tyne & Wear NE37 1BJ     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: Lee Bennett     Date: 0 7 0 7 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 Older People Page 2 of 28 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 Older People 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 Older People Page 3 of 28 Information about the care home Name of care home: Address: Albany House Nursing Home Albany House Nursing Home Albany Washington Tyne & Wear NE37 1BJ 01914153481 01914173433 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Cotswold Spa Retirement Hotels Limited (wholly owned subsidiary of Four Seasons Healthcare Ltd) care home 38 Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 38 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: Old age, not falling within any other category - Code OP, maximum number of places: 20 Dementia - Code DE, maximum number of places: 17 Mental Disorder, over 65 years of age, excluding learning disability or dementia - Code MD, maximum number of places: 1 Date of last inspection 17 0 0 Over 65 0 1 20 Care Homes for Older People Page 4 of 28 Brief description of the care home Albany House offers permanent accommodation with nursing and personal care for up to thirty-eight older people. The home accommodates persons with general nursing care needs on the ground floor and persons with dementia care needs on the first floor of the building. The home does not provide nursing care for people with dementia. The property is situated in a residential area of Washington and is within walking distance of a range of local amenities, including a large shopping complex with a post office, banks and a pub. Churches of three denominations are also nearby. The area is well served by public transport. Accommodation is provided over two floors, each with self-contained facilities including lounges, dining areas and bathrooms. Externally generous car parking is available, along with a pleasant, secure courtyard area, which service users can enjoy in good weather. The home has developed a Statement of Purpose and Service User Guide that informs people of the aims and objectives of the home. These are readily available in the home. The current fee ranges for this home are between #359 and #492 per week The nursing care element is extra and is set nationally. Care Homes for Older People Page 5 of 28 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 Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The visit; Before the visit: We looked at: - Information we have received since the last visit in July 2008. - How the service dealt with any complaints & concerns since the last visit. - Any changes to how the home is run. - The providers view of how well they care for people. - The views of people who use the service & their relatives, staff & other professionals. Care Homes for Older People Page 6 of 28 The Visit: An unannounced visit was made on the 26th June 2009. An further announced visit was made on 7th July 2009. During the visit we: - Talked with people who use the service, their relatives, staff and the manager. - Observed life in the home. - Looked at information about the people who use the service & how well their needs are met. - Looked at other records, which must be kept. - Checked that staff had the knowledge, skills & training to meet the needs of the people they care for. - Looked around parts of the building to make sure it was clean, safe & comfortable. - Checked what improvements had been made since the last visit. After the visit: We told the manager what we had found. Care Homes for Older People Page 7 of 28 What the care home does well: What has improved since the last inspection? The manager and her team have worked to make improvements to the areas highlighted at the last inspection. This has included: - Ensuring that the garden is safe and tidy. - Arranging for the lift to be repaired. Improving record keeping, by ensuring daily update notes are factual, and do not contain judgemental comments. The manager has also identified other areas for improvement. She has taken steps to ensure these have been acted upon. These have included: - Purchasing new equipment, such as high grade pressure relieving mattresses. - Arranging for redecoration of some areas of the home. - Obtaining a new sluice disinfector. Care Homes for Older People Page 8 of 28 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 Older People Page 9 of 28 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 28 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 and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. 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 them 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 excellent 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 moving here. Obtaining information about a persons needs is important in ensuring that everyone concerned is confident that this is a suitable place to live, and that everything is in place to make people comfortable. Evidence: Before a person moves to a care home they are entitled to have an assessment of their needs carried out, either by social services or a health care worker, such as a nurse assessor. Even when a person pays for their own care, they are still entitled to such an assessment. Most people moving here have their care arranged by Social Services, but some have come here by private arrangement. The manager of a care home must obtain information about those people who would like to come here. This will usually include a copy of the assessment, and a summary care plan, written by a care manager. They may also undertake their own assessment, which explains how each persons needs are to be addressed. This is to make sure that Care Homes for Older People Page 11 of 28 Evidence: each persons needs are looked at and then can be properly met, for example by ensuring appropriate equipment such as pressure relieving aids are in place. For all of the people whose care we looked at, a detailed assessment had been carried out, from which a plan of care was been generated. The assessments we examined were comprehensive in detail and matched with the needs we observed. They were written by well qualified and competent staff and were person centred (that is they related directly to each persons unique needs.) Intermediate care is not provided at this care home. Care Homes for Older People Page 12 of 28 Health and personal care 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 health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they 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. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them 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 people living here receive the right level of care and support to meet their health and personal care in a well-planned way. Evidence: To help guide the practice of staff, after a person has been admitted here a plan of care is written up. This is so that important areas of need, such as those around health and personal care, diet and social interests, can be clearly identified, and the support that staff are to provide is clearly explained. With the exception of one person who was staying here for a short break, everyone living here has a care plan file in place. For the people whose files we looked at, the care plans themselves are clear and relevant to the needs observed and that have been assessed by the the manager and other nursing staff. Staff keep regular notes about each persons welfare and any care that they have provided. These records are clear, factual and relate to each persons health and personal care needs. Where people have medical needs, evidence is kept of appointments attended, nursing care provided, and other visits by healthcare Care Homes for Older People Page 13 of 28 Evidence: professionals. This can help ensure peoples health needs are regularly monitored and met, and proper advice and intervention sought. Furthermore, where personal care is needed this is written down in a care plan. During the inspection, there were no instances where personal care was carried out in the public areas of the home (other than support with eating), which shows that staff are conscious of peoples privacy and dignity. The support offered by staff was carried out in a friendly, and pleasant manner. Everyone was well dressed, and provided with clean, well laundered clothes. Each persons personal tastes and dress appeared to be promoted. The people we spoke to told us that they are cared for in a good manner. The comments we heard from service users and relatives included: - Nice place this. - (Relatives name) has received excellent care by all the staff. - Staff have shown endless patience seeing to all of (relatives name) needs. - I have nothing but praise for all the staff. A common area where staff help people with their health care is in the way medicines are administered. All of the people here have their medicines looked after for them. To keep them safe, medicines are stored in a secure way and the rooms where they are kept are clean and well ordered. Staff check the temperature of the medicine room and the medicine fridge to make sure that these are correct for the medication being stored. This will make sure the medicines concerned remain safe and effective. However, one medicine storage room consistently has a temperature above 25 degrees C. When staff administer medication they tell the person concerned what medication they are receiving, and also follow good hygiene practices. There are clear records kept of the medicines administered by staff. The stocks held for all the medicines we checked corresponded to the stock records. Medicine records are accurate, and the reasons for medicines being missed is clearly recorded. To help ensure staff are aware of the importance of good record keeping, along with other aspects of medication management, they have been trained on this topic as part of their nursing qualification. Senior staff on the residential floor have also received medication handling training. Competency checks are also carried out. All medicines are administered from the manufacturers original containers, and all stocks are regularly counted to make sure errors dont occur. Care Homes for Older People Page 14 of 28 Daily life and social activities 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 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. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living here are offered regular opportunities to participate in activities, and are well supported to maintain friendships and family contacts. People are enabled to express choice and control in their lives and receive varied, wholesome and wellpresented meals. Evidence: At the time of the inspection there was an activities worker employed here, whose planned activities for the day included light chair exercise. We spoke to her and she was very enthusiastic about her job, and engaged with people well. There is clear evidence of regular in-house activities. There are also periodic outings, and one to one work. Entertainers are occasionally booked. There are also links with local church and religious groups, to support people who wish to practice these beliefs. Visits from relatives form an important part of many peoples day. Visitors can come and go freely, and those visitors we spoke with were all complimentary about the staff and care offered. People also commented positively to us about the food on offer. A choice of main meal and pudding is always offered. Staff were noted to be helpful at meal times, and took the time to sit down with those who need help with eating, Care Homes for Older People Page 15 of 28 Evidence: supporting people in a dignified way. Routines are flexible here, and if someone wants to have a lie-in they can have their breakfast later in the day, to suit them. The dining tables here are nicely presented, and condiments are provided so that people can help themselves. A lunchtime meal was shared with several of the people living here. Staff were courteous, encouraging people to be independent. A choice of dilute juice, with tea or coffee was offered. Care Homes for Older People Page 16 of 28 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. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. 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 suitable arrangements in place here to protect people form abuse, and this enables people to make their views heard, and to raise any concerns or complaints they have. Evidence: A complaints procedure is available within the home with a copy placed on display. This informs the people here, and those acting on their bahalf, how they can make their views known and how any complaints will be dealt with. A record of complaints and suggestions is maintained, and a review of these indicated that there has been one since the last inspection. The complaint has been clearly documented, investigated, and the outcome logged. No complaints have been referred to the Commission since the last inspection. We were told by the people living here, and their relatives, that they know how to complain and that they are confident that this would be looked into. As well as ensuring peoples views are listened to, staff have a responsibility to ensure service users are protected from harm and abuse. To make sure staff know how to identify and act upon suspected abuse, they have received training on Adult Protection from the local Social Services Department. This training was to help explain the role of adult protection, and to offer guidance to staff. The care provider has adult protection procedures, which are available in the home, should staff need guidance in this area. Where staff have had possible concerns, appropriate steps have been taken to ensure Care Homes for Older People Page 17 of 28 Evidence: that this is dealt with. Care Homes for Older People Page 18 of 28 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, 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. 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 accommodation here suits peoples physical and personal care needs, is clean throughout, well maintained and personalised to suite individual tastes. Evidence: Albany is a building that has been adapted into a care home. It is kept clean throughout and re-decoration and refurbishment has taken place to Keep the home clean and fresh looking. Many people have brought in personal items to make their rooms more homely. There are several shared lounges, some large, others smaller. Work has been carried out to make them more domestic in appearance. People told us: - The home is always clean and fresh. - The room and home is always fresh and clean. All bedrooms have en-suite toilets, and bathrooms and shared toilets have been located throughout the home to be near all of the living areas and bedrooms. There are adapted baths and an accessible shower, and there is a range of equipment (such as profiling beds and air flow mattresses) to meet peoples health and personal care needs. Care Homes for Older People Page 19 of 28 Evidence: There were no physical hazards observed during the inspection, although there is little storage, which means staff have to be mindful to ensure mobile hoists and stand aids do not form obstructions or trip hazards. Care Homes for Older People Page 20 of 28 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 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 to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staff working here are qualified and competent, but not all are recruited in a safe and robust manner. Evidence: For each day there is always a nurse on duty throughtout the day and night, with 3 care workers between 08:00 - 14:00, 2 between 14:00 and 20:00 and 1 between 20:00 and 08:00 the following day. There is also a team of domestic and catering staff. An activities worker is also employed here. Before staff start working here they have to undergo a series of checks. This is to ensure they have the right skills, experience and approach for the job they are being asked to do. There are also checks carried out to help make sure they are physically fit for the work they have to do, and do not have a criminal history that would make them unsuitable to work here. We looked at the records for a sample of the staff recruited here since the last inspection. We found that suitable pre-employment checks, including the receipt of a Criminal Record Bureau Disclosure and two, or more, references have been obtained for one out of the three files that we examined. For the other two staff one started before their CRB disclosure was received. The other had only one reference on file. These two staff were both recruited before the current manager took up her post, and Care Homes for Older People Page 21 of 28 Evidence: the current manager is aware of the need to ensure that detailed pre-employment checks are all received before an offer of employment is made. Once employed, staff receive an induction and regular training. Training planned for the coming year includes: NVQs Tissue Viability Infection control POVA Prevention of pressure ulcers Customer Care Boots medication - mop up. The staff here initially attend induction training if they are new to care work. Following this they will also be offered periodic training opportunities. Furthermore, those not already qualified will be supported to attain a vocational qualification in care. The majority of the staff here have achieved such an award, at NVQ level 2 or higher. Those who dont have this are working to attain an NVQ in care. Care Homes for Older People Page 22 of 28 Management and administration 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 led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate 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. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. 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 here benefit from living in a well managed home. This can help make sure their views are sought and acknowledged, and that their health and safety is promoted. Evidence: The manager has many years experience at a senior level within hospital and health care settings. She is a qualified nurse, who specialised in tissue viability. This is particularly relevant here, as many people spend all or most of their time in bed due to their current condition. For each shift the manager is supported by a nurse on the ground floor and senior carer on the first floor. There are clear lines of accountability within the home, and an Area manager oversees this and other homes in the area to make sure it operates to the companys own and current good practice standards. To complement this several quality checks are carried out in areas such as equipment Care Homes for Older People Page 23 of 28 Evidence: and the building. There is a record kept of service users views, and questionnaires are used to seek the views of family members. It was evident during the inspection that the manager has an open door approach, and service users, relatives and staff are able to easily raise matters with her. Staff we spoke to were complimentary about the managers approach and the work she has done here. People said to us: - The home is well run. - Albany is a lovely home good manager and staff. The records kept at the home, were up to date, detailed, and held in a safe and secure manner. Financial records are subject to the scrutiny of the area manager. Staff in the home do not usually hold or manage service users finances, but where these are left with staff for safe keeping they are securely stored, with clear records in place. The home was free of hazards to the safety of service users and staff, and where a person uses bed rails these have been risk assessed. This person also receives regular checks and support throughout the day and night. Care Homes for Older People Page 24 of 28 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 Older People Page 25 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 7 15 All service users (including those staying here for a short break) must have a care plan. This is so everyone is clear about what a persons needs are and how they are to be met. 22/08/2009 2 9 13 The downstairs medication storage room must be maintained at a sutable temperature (25 dec C or below). This is so medication is stored in line with the manufacturers guidance, and so medication is kept safe and effective. 22/08/2009 3 29 19 The manager must ensure that staff are not employed unless all the preemployment checks are in place, including two written references and a POVA 1st clearance. 22/08/2009 Care Homes for Older People Page 26 of 28 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 This is so service users are protected by robust staff recruitment procedures. 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 Older People Page 27 of 28 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 Older People Page 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!