Inspection on 16/10/09 for Briarfields

This is the latest available inspection report for this service, carried out on 16th October 2009.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Briarfields 06/12/05

Briarfields 14/07/05

Briarfields 06/12/04

Briarfields 08/06/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

Extracts from inspection reports are licensed from CQC, this page was updated on 16/02/2010.

Key inspection report Care homes for older people Name: Address: Briarfields Raby Crescent Belle Vue Shrewsbury Shropshire SY3 7JN     The quality rating for this care home is:   three star excellent 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: Karen Powell     Date: 1 6 1 0 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 26 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 26 Information about the care home Name of care home: Address: Briarfields Raby Crescent Belle Vue Shrewsbury Shropshire SY3 7JN 01743353374 01743232943 cwilliams@coveragecareservices.co.uk www.coveragecareservices.co.uk Coverage Care Services Ltd Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Nicholas Harding Type of registration: Number of places registered: care home 43 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is 43. The registered person may provide the following category / ies 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 categories Old age, not falling within any other category OP 43 Date of last inspection Brief description of the care home Briarfields is registered with the Care Quality Commission to provide a residential care service to 43 older people. The home is situated in Belle Vue close to Shrewsbury town centre. It is a well established home set in its own grounds. Briarfields is one of a number of care homes run by the Coverage Care organisation. Care Homes for Older People Page 4 of 26 Over 65 43 0 Brief description of the care home The registered manager Mr Nicholas Harding manages the home on a day-to-day basis. Briarfields offers single room accommodation for 41 people, which includes 7 respite care and one shared room. The home has been designed to provide sitting, recreational and dining space in 4 separate areas. The garden is well maintained and accessible providing a safe attractive area for people to use. Coverage Care Services Ltd make their services known to people in: The Statement of Purpose, Company Brochure and web site which also contain their contact e mail address. The inspection report is mentioned in the statement of purpose and summarised in the service user guide. It is also on display in all homes entrance halls with a note stating the document can be made available to copy and take away. Coverage Care Services rates are reviewed annually on 1st April each year and people are notified one month in advance. The only additional charges to service users are for toiletries, hairdressing, newspapers and escorting to hospital for routine appointments. This is clearly laid out in the terms and conditions. Care Homes for Older People Page 5 of 26 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: three star excellent 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 inspection of the service was unannounced and took place on 16th October 2009 by one inspector over a period of approximately five hours. An expert by experience also visited the home during the inspection. An expert by experience is a person who, because of their shared experience of using services and ways of communicating, visits a service to help us get a picture of what it is like to live in or use the service. During the visit they met with a number of people living at the home, visitors and toured the home. A range of evidence was used to make judgements about this service to include discussions with people using the service, visitors, the registered manager, deputy and staff. We also examined a number of records to include care records of people living at the home, staff training, staff recruitment and health and safety records. Care Homes for Older People Page 6 of 26 Three people who live in the home were case tracked this involves establishing individuals experience of living in the care home by meeting them, discussing their care with staff, looking at care files and focusing on outcomes. Tracking peoples care helps us understand the experiences of people who use the service. An Annual Quality Assurance Assessment AQAA document was posted to Briarfields for completion. The AQAA is a self assessment and a dataset that is filled in once a year by all providers. It informs us about how providers are meeting outcomes for people using their service and is an opportunity for them to share with us areas that they believe they are doing well. By law they must complete this and return it to us within a given timescale. The registered manager completed this, and some of the information is included in the report. The purpose of the inspection was to assess all 22 Key National Minimum Standards for Care Homes for older people and any further standards necessary. An annual service review was carried out on 17th April 2008 and 10th November 2008. This did not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection. The reports are available at the service. Information to produce this report was gathered from the findings on the day and also by review of information received by CQC prior to the inspection date. A quality rating is provided throughout the report based on each outcome area for the people who use the service. These ratings are described as excellent/good/adequate or poor based on findings of the inspection. Fees are published in information given to prospective clients. The weekly fee range is 425.00 to 501.25 per week. Readers wishing to know more about this information should contact the service directly. Care Homes for Older People Page 7 of 26 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 Older People Page 8 of 26 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 9 of 26 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are provided with information and encouraged to make informed decisions about the home before moving in. Pre placement assessments ensure that individual needs are met. Evidence: We spoke to the manager about how they assess new people who wish to move into the home. He told us that where possible a pre placement assessment is undertaken by either himself or a senior member of the management team. Discussions take place with any other relevant people involved with the person. For example social workers and relatives. People wanting to move into Briarfileds can visit and spend some time there to meet other people living at the home and staff. This is sometimes done by a relative or advocate on their behalf. We looked at the most recent persons records who had moved into the home. The manager explained to us that this was done in quite a short space of time and the Care Homes for Older People Page 10 of 26 Evidence: family visited the home on the persons behalf. The home did not have the opportunity to visit the person as they were in hospital at the time and the discharge to Briarfields was done quite speedily. The manager did obtain a full and comprehensive assessment from the hospital social worker, which we saw on the persons file. People are provided with a statement of purpose and service user guide which gives them information about the home, including the fees. It also contains some photographs of the home. People who move in to Briarfields are given a welcome pack in their rooms. We saw these in place on our visit. The home does not provide intermediate care. Care Homes for Older People Page 11 of 26 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff have the information they need and have a clear understanding of how to offer care to each person, which ensures peoples health and personal care needs are met in a way that they prefer. Evidence: We looked at the care plans for three people living at Briarfields. All care plans were written for the individual. They were very easy to read and gave a clear instructions to the staff on how people want their care or support to be provided to them. Staff told us that they felt they had enough information about the people they support and that they are given regular updates in handovers which take place at the start of each shift. Care plans contained risk assessments where a potential risk had been identified. These were reviewed regularly, this means that staff are aware of any changes in people and information about people living at the home is accurate and up to date. People living at the home told the expert by experience of their satisfaction with Briarfieds she states during my visit, I spoke to thirty residents and they all spoke of Care Homes for Older People Page 12 of 26 Evidence: their love of their home. Care plans contained a photograph of the person, this is helpful to new staff who can identify the person easily. Care plans were all signed by the individual or their representative, this shows that people are involved in the care planning process. Care plans we saw had been reviewed regularly including the new admission which had been reviewed as all new people are after the first twenty four hours of their stay. The daily record maintained by staff was seen to be very detailed and gave a clear account of how each person had spent their day. People we spoke to were very pleased with the home and there were no complaints brought to our attention during our visit. One person told us I have no grumbles, I like the home and the staff are very nice. Staff were observed throughout the inspection to be kind and courteous to people. People told us carers respected their dignity and their privacy was all maintained during any personal care giving. We saw a visiting audiologist attend to someone during our visit. Staff were seen to explain to the person about the visit and escort them to their room where the appointment took place in private. All people spoken to told us that medical consultations are undertaken in their bedrooms. People living at Briarfields have access to healthcare specialists and one care plan showed that the district nurse was consulted when the home felt they needed some expert advice. On the day of our visit we saw the chiropodist attending to people in the treatment room. She told us From a podiatry point of view staff always know which service users are in need of treatment and bring them promptly to the treatment room and advise me of any problems or concerns that they may have. Staff are always very friendly and there always seems to be some laughter which creates a nice atmosphere. Briarfields told us in the completed AQAA that there are policies and procedures for the safe handling and administration of medication and staff receive training before they can give medication to people. We looked at the records kept by the home for medication and the way that medication is stored. We saw that all procedures were being carried out correctly. Care Homes for Older People Page 13 of 26 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Briarfields are provided with opportunities to experience a meaningful lifestyle that ensures self esteem and well being. People are provided with healthy, well presented meals according to their dietary requirements and choice. Evidence: All three care plans we looked at identified peoples likes and dislikes and preferred routines, this includes night time preferences. For example rising and retiring times. One person we spoke to took us to the homes activity notice board and showed us the advertisement of forthcoming events, these included a coffee morning and a visit by the donkey sanctuary. The expert by experience met with people who live at the home and told us that she thought the home provides a wide range of diverse activities, this is evidenced by photographs and programmes displayed in various places throughout the home. Every effort is made to enable people who live at the home to experience new and exciting experiences, for example a visit to the home of exotic pets and a (sixties night) with costume. One person is encouraged to follow her life long interest in literature and a staff member seeks out suitable books for her. During my visit she told me that after Care Homes for Older People Page 14 of 26 Evidence: a hard and busy life she relishes the time to read. Individuals told us that their family and friends could visit at any time. One visitor told us they are welcomed on their visits and made to feel at home, they are encouraged by staff to use the facilities to make refreshments when they visit. Visitors we spoke to told us there are no restrictions on visiting. The expert by experience took the opportunity of meeting visitors, she told us during my visit I had the opportunity to talk to four visitors. One man said his mother was so well cared for in the home in the last years of her life, that he liked to maintain links with the home by visiting the residents. One lady said she had every confidence in the excellent care her mother was receiving. Religious observance is supported and regular visits by the local churches takes place. The home has links with the local community and the local school are regular visitors to the home. Outside the grounds are well maintained and accessible to those who wish to use them. There is a large decked area with garden furniture that has been installed since our last visit, this makes a pleasant area for people to enjoy. On the day of our visit the weather was good and people were seen to enjoy the grounds. The staff told us about the cake sale and barbeque held in the summer months that was enjoyed by all. A regular Coverage Care newsletter is available for all people living at the home and their families. We saw the recent edition which included news from other homes in the organisation, people we spoke to said they enjoyed reading it. The expert by experience saw the meal at lunch time, she told us the dining area are pleasant and friendly. There is an adequate supply of soft drinks, comfortable seating and lots of cloth napkins. In each dining area a menu is readily available. I observed a nice meal nicely presented on warm plates with unobtrusive assistance for those residents needing a little help. People we spoke to told us they were happy with the food provided at the home. We spoke to the kitchen staff and commended them on their achievement of being awarded again the platinum healthy eating award. Menus are on a four week rolling programme and were seen on each table. They offered choices and a well balanced diet. The menu reflected what was being served on the day of our visit. We saw lunch being served which looked appetising and was being enjoyed in a relaxed dining area on Rosewood lounge. Care Homes for Older People Page 15 of 26 Evidence: Care Homes for Older People Page 16 of 26 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. People living at Briarfields have access to a complaints procedure, which is accessible and ensures the views of people are listened to. Staff receive training so that they have an understanding in adult protection to ensure people they support are protected from abuse, ensuring their well being. Evidence: People living in the home indicated that they knew who to talk to and said that they would discuss any issues with the manager or their key worker whom they were sure would sort out their problems. There have been two complaints since the last inspection dealt with through the homes complaints procedure. There have been no complaints to us. The manager keeps a record of complaints and we looked at these on our visit. The complaints were investigated and well documented as we would expect to see. Both complaints were upheld and the home told us that the complainant was satisfied with the outcome. The manager has a good understanding of the safeguarding of adults process. The completed AQAA told us that there had been three referrals to the safeguarding of adults team which the home fully co operated in. People told us they feel safe and secure at the home. Staff are trained in adult protection. The manager has attended the safeguarding of adults training for managers and the depravation of liberties awareness training for which we saw certificates on his file. Care Homes for Older People Page 17 of 26 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Briarfields are provided with a clean and homely place to live, which is equipped to meet their individual needs and makes them feel safe and secure. Evidence: We took a tour of the home and found it to be clean and tidy. The furniture and fittings are of a good standard and communal areas are pleasantly decorated. We saw rooms that were full of personal possessions reflecting the persons life and family. People we spoke to said they liked their rooms and commented on the cleanliness of the home in general. A programme of redecoration is followed which keeps the home well maintained. The expert by experience toured the home and told us the home is custom build and the decor is of a very high standard. It is clear and pleasant and devoid of bad odours. The bathrooms are of an adequate size and spotlessly clear. Each bedroom contains the personal artifacts of the service user and that sense of homeliness permeates the home. We spoke to one of the senior members of the house keeping team who was very committed to keeping the home clean and tidy. The home told us in the completed AQAA that they manage infection control well. We saw evidence that staff receive Care Homes for Older People Page 18 of 26 Evidence: training in this topic. Staff were wearing protective clothing appropriately during our visit. The laundry is well equipped to deal with the demands of the service. Peoples clothing looked clean and well cared for. The completed AQAA told us Previously unused area of garden has been made more aesthetic with improved seating and a very large decked area which has now got access from one lounge or access from the grounds. Grounds have improved with floral vegetation grow by service users. Lounge areas are being revamped and new equipment purchased for each area DVD players, digital boxes and large flat screen TVs for each lounge area. On our tour of the home we saw the improvements that the AQAA had told us about, people spoken to said they liked the improvements made. Care Homes for Older People Page 19 of 26 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The arrangement for staffing, their support and development ensures that the needs of the people living at the home are met. People have confidence in the staff at the home because checks are done to make sure that they are able to care for them. Evidence: The AQAA stated that recruitment selection is rigorous, follows equal opportunities, CRB checks are completed, and OH clearance is sort and references sort before commencement of employment. Service users also are involved in the recruitment process as an interview panel. We looked at the files of two staff employed since our last inspection to make sure that pre employment checks are undertaken so that staff are checked as being suitable to work with vulnerable adults. Files were well organised and contained all the checks required under regulation. The expert by experience told us that morale appears to be of a high level and the staff are encouraged to avail all of the statutory training. This is evidenced by the low staff turnover and the length of service several staff members have attained. Staff have a good relationship with the people living at the home and they carry out their tasks with great dignity and empathy to the individual needs of the service users. There appears to be a good team spirit and the home manager and his assistant are in Care Homes for Older People Page 20 of 26 Evidence: evidence working on the floor closely with staff and people living at the home and this approach seems to create a caring yet relaxed environment. All people consulted as part of the inspection told us that the staff treat them well and that they are happy with the care and support they receive. We observed staff supporting people throughout the day, they did this with respect and were professional at all times. Staff told us that they are given regular updates about people living at the home during handover on each shift, and supported through updated care plans. Staff we spoke to demonstrated a clear understanding of the peoples needs. Staff spoken to said they felt well supported in attending training relevant to the needs of the people in their care. Records showed that staff have all attended mandatory training as well as training that is necessary to provide a good level of care to the people living in the home. We looked at training completed by staff and saw the relevant training certificates on staff files. Training included dementia, moving and handling, protection of vulnerable adults, health and safety, and fire safety. Staffing levels are determined by the needs of people living at the home, we saw sufficient staff cover on the day of the inspection and staff spoken to on the day told us the staff ratio is generally good. The manager stated in the completed AQAA that over 50 of the care staff have obtained a nationally recognised care qualification NVQ at level 2 and above. All staff are formerly supervised and appraised, we saw records to support this. Staff spoken to told us said they felt well supported by the manager of the home. The homes induction process, consistent with Skills for Care expectations, is thorough and conducted over a period of time. We saw evidence of this on the file of one new carer appointed since the last inspection. Care Homes for Older People Page 21 of 26 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have confidence in Briarfields because it is effectively managed in the best interests of the people living and working there. Evidence: The registered manager is suitably qualified to manage the care home and has a number of years experience in the care sector. We observed a very open and approachable management style which people living in the home and staff said they liked. People living at the home are regularly consulted in what they think about the service and any improvements that could be made, although when asked no body thought the home could be improved in any way and were happy with the service. People who are unable to manage their finances are supported through the home. Policies and procedures are in place which gives clear guidance on managing peoples money, valuables and financial affairs. Care Homes for Older People Page 22 of 26 Evidence: There are regular internal audits carried out by the homes manager and head of operations. This forms part of the quality assurance system and ensures that standards are regularly monitored by the organisation. Shropshire Link visited the service on 4th September 2009. Shropshire Link represents Local Involvement Networks (LINks) and have been set up as independent organisations in every health authority area across England. They provide local people with a means to influence how their local health and social care services are delivered. The manager was open in sharing their findings with us, which were positive. All checks required such as of the fire safety systems; hot water systems, lifting equipment and electricity are in place. People are protected through regular maintenance of systems and equipment and records to show this are well organised. Care Homes for Older People Page 23 of 26 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 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 25 of 26 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). 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