Inspection on 30/06/09 for Gurney House

This is the latest available inspection report for this service, carried out on 30th June 2009.

CQC found this care home to be providing an Good 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

Gurney House 13/10/06

Gurney House 16/10/05

Gurney House 09/05/05

Gurney House 07/02/05

Gurney House 09/09/04

Extracts from inspection reports are licensed from CQC, this page was updated on 15/11/2009.

Key inspection report Care homes for older people Name: Address: Gurney House Upton Road Slough Berkshire SL1 2AE     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 Willis     Date: 3 0 0 6 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 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 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 27 Information about the care home Name of care home: Address: Gurney House Upton Road Slough Berkshire SL1 2AE 01753521060 01753511868 gallos@bupa.com www.bupa.co.uk BUPA Care Homes (Partnerships) Limited care home 35 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users to be accommodated is 35 The registered person may provide the following category of service only : Care home only (PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following category : Old age, not falling within any other category (OP) Date of last inspection Brief description of the care home Gurney House is a purpose built residential home for 35 older people situated in a quiet cul-de-sac, close to Slough town centre. The building is owned by Slough Borough Council and is managed by BUPA. Service users can only be admitted to the home through a local authority referral. Fees are 427.16 pounds per week. 0 Over 65 35 Care Homes for Older People Page 4 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 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: This inspection of the service was an unannounced Key Inspection. It took place on Tuesday 30th June. The inspector arrived at the service at 0930 am and was in the service for five and a half hours. It was a thorough look at how well the service is doing. It took into account detailed information provided by the services manager, and any information that CQC has received about the service since the last inspection. Prior to the visit a questionnaire was sent to the Manager along with survey and comment cards for residents, relatives and visiting professionals such as doctors and nurses. The inspector received responses from 23 residents, 1 care manager, 2 health care professionals and 4 staff. Consideration has also been given to other information that has been provided to the Commission since the last inspection. The inspector toured the building, examined records and met most of the residents. The inspector also spent time talking informally to staff and observing how care was being delivered to the residents. Care Homes for Older People Page 5 of 27 The Organisation has a range of policies and procedures relating to equality and diversity. Care plans have been designed to take account of individual needs and cultural and religious preferences. From the evidence seen by the inspector and comments received, the inspector considers that this service would be able to provide a service to meet the needs of individuals with various religious, racial or cultural needs. The inspector gave feedback about her findings to the homes duty manager. There were no legal requirements made as a result of this inspection. The Commission has received no information concerning complaints since the last inspection which took place on 9th July 2007. Care Homes for Older People Page 6 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 Care Homes for Older People Page 7 of 27 order line 0870 240 7535. Care Homes for Older People Page 8 of 27 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 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 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. Residents are fully assessed prior to admission to ensure the home will be able to effectively meet their need. Evidence: The home provides prospective residents with sufficient information prior to admission to enable them to be able to decide if the home will be right for them. The information in the Statement of Purpose and Service User Guides is clear and concise and written in an easy to read plain English. The Service User Guide details what prospective residents can expect from the service and gives clear information about the services provided. It sets out the type of accommodation provided, qualifications and experience of staff, how to make a complaint and the admission and discharge process. All residents are provided with a copy of the Guide on admission. The home has a contract with the local Social Services department who have a number of block booked beds at the home. After the initial referral is made the home Care Homes for Older People Page 10 of 27 Evidence: insists on receiving a copy of the care management assessment, which is carried out by the Local Authority, for care management purposes. Following the receipt of the referral senior staff from the home visit the prospective resident in their own home or in hospital to ensure that the home can effectively meet the prospective residents need and to provide any information that the person may need about the home. From examination of the pre-admission assessment of four residents and discussion with management, staff and residents it is evident that the home gathers as much information as possible before admitting a new resident to the home. Admission will only take place if the management are confident that they can effectively meet the needs of the individual. Information is gathered from a variety of sources including the prospective resident, their relatives, advocates and other health and social care professionals. The information is collated and used to formulate an initial care plan. The pre-admission assessment (called a QUEST assessment) is very thorough and holistic. Information is sought about all aspects of the persons life including medical conditions, medication, sensory needs, social interaction, religious beliefs, skin integrity, mobility needs, comprehension and orientation, lifestyle, personal preferences and personal care needs. The home also checks whether the person to be admitted has had a Mental Capacity Act assessment. From discussion with residents and their relatives it is clear that the resident and their relatives, friends or advocates are always offered an informal visit to the home where they can meet staff and other residents and observe and experience the routines of the home. A tour of the home is offered, in order that residents may see what services are available. Following admission the residents experience living at the home for a trial period of 6 weeks before making a decision to remain permanently. Several residents spoken with at the time of inspection said that they had experienced some respite care in the home before they were admitted permanently. One resident said, the staff are very kind they helped me to settle in, its not like being in you own home but its the next best thing. Another said, Im happy enough, I have good food, people to talk to and I dont have to worry anymore. Care Homes for Older People Page 11 of 27 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. Residents are encouraged to make choices about their lives and to take everyday risks. The written records accurately reflect the individual needs, aspirations and lifestyle choices of each resident Evidence: Staff at the home understand the principles and values that underpin their work with residents. Staff do their best to promote and facilitate the residents full involvement in the planning of their care. Residents are provided with a key worker on admission that takes a special interest in their care. Several residents could name who was caring for them on the day of inspection and were able to confirm that they have the opportunity to say how they wish to be cared for. The care plans for four people were examined. They were detailed and holistic and considered all aspects of a persons lifestyle including their health and social care needs. There was evidence that the plans fostered independence and promoted residents choice and autonomy. Care plans are regularly reviewed and updated and any changes to the plan are discussed and agreed with the resident and their family. Care Homes for Older People Page 12 of 27 Evidence: All risks to residents are fully assessed using a range of assessment tools and effective guidelines and equipment is in place to reduce the likelihood of occurrence. All care provided by members of the staff team was documented in the daily records. Observation of practice demonstrated that care was provided in a manner, which maintained the residents right to dignity, privacy, independence and choice. Residents confirmed that they are provided with access to health and social care professionals for advice and support as necessary. They regularly see their GP and are referred to hospital when necessary for further advice and treatment. The local General Practitioners and nurses provide routine screening and preventative treatments to all residents of the home. The home has a robust medication policy, procedure and practice guidance in place. The senior staff spoken with at the time of inspection were aware of their responsibilities in relation to the safe administration of medication and follow best practice guidance. The system used for the safe administration of medication is the monitored dosage system. This system reduces the likelihood of medication error and provides an accurate record of administration. Medication is stored securely and disposal systems are safe. The inspector spoke at length individually to two residents and to nine of the residents in small groups in various parts of the home. The residents were very positive about the qualities and caring attitudes of the staff. One resident said, the staff are fine, you get to know how they do things, another said, the regular staff are good, Im not so sure about others though. Care Homes for Older People Page 13 of 27 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. A range of activities is offered that provide opportunity for mental and physical stimulation. Residents are encouraged to maintain contact with their family and friends and are able to have visitors at any time. The home provides a varied and nutritious menu designed to meet the needs of its residents. Evidence: BUPA have recently introduced some themed activities for residents that live in their homes. When the inspector arrived at the home the activity organiser and other staff were preparing the home for the round the world cruise. They were putting up bunting and flags of the nations that were being traveled to. The menus, music and entertainment will reflect the destinations visited and give residents a taste of other cultures. An Elvis impersonator, a keyboard player and a Victorian evening hosted by the Gaslight company are also popular with residents. The home employs a part time activity organiser who works twenty-one hours a week. Care Homes for Older People Page 14 of 27 Evidence: The Activity Organiser has drawn up a weekly programme of activities, which includes British food week, carnival week, community spirit week and world egg day. In addition there are always games, puzzles and quizzes on a daily basis. Residents regularly go on trips out and a recent trip to Bournemouth has been a particular favourite. There are plans to take residents to the Milestone Museum in July. The home also organises a firework display in November which everyone enjoys. Several residents take an annual holiday and this year residents went to Cricket St. Thomas. The residents are accompanied by staff and volunteers. Residents confirm that their visitors are made most welcome at any time and are offered appropriate hospitality during their visits. A number of social events are held throughout the year which promotes community involvement and which provide residents families with the opportunity to engage with the staff and residents on an informal and regular basis. Residents may have visitors at any time and relatives confirm that they are always made welcome and are offered appropriate hospitality during their visits. The routines at the home are flexible and are designed to offer residents choice and autonomy. Residents can rise and retire at a time of their choosing. They can choose whether to be alone or in company and may wander freely around the home and gardens. Policies, procedures and practice guidance at the home focus on residents being empowered to take control over their own lives. The food is considered by residents and their relatives to be of reasonable quality. Residents are encouraged to take meals in the dining room to aid socialisation. There are many alternatives to the main course each day and these are displayed on a menu board outside the dining room. Special diets can be catered for including soft diets, diabetic and vegetarian meals. Care Homes for Older People Page 15 of 27 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. The home has a satisfactory complaints system. Residents feel their views are listened to and acted upon. Residents are protected from abuse and exploitation by well-trained and competent staff that can demonstrate knowledge of the homes safeguarding adults and whistleblowing policies. Evidence: The home has a complaints procedure that is up to date, clearly written and easy to understand. Each resident receives a copy of the complaint procedure when they are admitted. The complaint process is clearly explained in the homes Service User Guide. Residents spoken with at the time of inspection said that that they felt confident that any concerns or complaints would be remedied by the home in a timely fashion. None of the residents spoken with had ever had to make a complaint because they felt that management were approachable and quick to respond to concerns. Examination of the complaint records indicated that there have been three complaints made to the home since 1st January 2009 the matters had been properly recorded and had been investigated and dealt with by management. There has been no information about complaints reported to the CQC about the home since the last inspection. Care Homes for Older People Page 16 of 27 Evidence: There has been one safeguarding matter since the last inspection which has been dealt with by the Local Authority through safeguarding adult protocols. The matter concerned one residents assault on another. The incident was handled effectively at the time by the home and notified appropriately to the CQC under Regulation 37. There was evidence in staff files and from discussion with staff, that they receive training in adult protection as part of their formal induction. The training is later consolidated when staff undertake NVQ training in which it forms a core module. Safeguarding adults refresher training is regularly provided to all of the staff. Observation of practice concluded that staff appeared mindful of the need to respect residents privacy, dignity and independence at all times. Staff spoke with were aware of the homes whistle-blowing policy and understood the importance of protecting residents from abuse and exploitation at all times. The residents confirmed that they felt safe and well cared for. Care Homes for Older People Page 17 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, 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 standards of decor and furnishings in this home offer residents a comfortable and homely place to live. Standards of hygiene are good throughout. Evidence: The home provides a physical environment that is appropriate to the residents who live there, it is homely and welcoming. The management and staff encourage residents to see the home as their own. They encourage residents to bring in small items of furniture, pictures and ornaments to make their bedrooms more homely. The home has a good range of specialist aids and equipment available to meet the needs of residents. All areas are accessible and are kept free from obstacles and trip hazards. Bathrooms and toilets have been specially adapted to meet the needs of people with physical disabilities. There is a lift to the first floor which is properly maintained and serviced at regular intervals. The gardens to the side and rear of the property are generally well kept and are laid mostly to lawn and flowerbeds. However, the path around the home needs leveling to make it accessible to residents. Most residents prefer to sit in the shade by the main entrance. One resident said that they like to watch the general hubbub and see people coming and going. Care Homes for Older People Page 18 of 27 Evidence: Communal areas were spacious bright and airy and comfortably furnished. Residents made comments such as its a lovely home, always clean, I have my chair in the shade, its lovely. The home uses a specialist microfibre cleaning system which keeps the home clean, hygienic and free from odour. Cleaning staff have been trained to use the system and it appears to be effective. The laundry was tidy and uncluttered. It is clear that staff take pride in their work to ensure that the home is clean and hygienic throughout. There are policies and procedures in place for the control of infection and staff are required to undertake training in health and safety and infection control. Care Homes for Older People Page 19 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 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. There were sufficient numbers of staff on duty at the time of inspection to meet the needs of residents effectively. The skill mix of the staff team was appropriate for the size, layout and purpose of the home. Recruitment policies and procedures at the home are robust and transparent and ensure the safety of residents. Evidence: Throughout the inspection staff were observed to be providing care to residents in a discreet and sensitive manner. Staff were deployed effectively and in sufficient numbers to meet the needs of residents. The staff team were generally cheerful and professional in their approach to residents. Examination of four staff records and discussion with staff and management indicated that all necessary checks are undertaken on prospective staff to ensure the safety and protection of residents. Records were well kept and met the required standard. It is clear that the homes policy on recruitment is robust, transparent and meets the requirements of current good practice guidance and legislation. Examination of training records evidenced that most of the current staff have either Care Homes for Older People Page 20 of 27 Evidence: gained or are in the process of attaining NVQ qualifications at levels II & III. The Registered Manager and other senior staff provide the necessary support and guidance to candidates. All staff have been properly inducted to ensure that they are confident and competent to carry out the tasks of the job. Staff confirmed that they had undertaken an in house induction training to Skills for Care specification. The staff records were well kept and contained confirmation of police & POVA checks, copies of induction training, job descriptions, application forms, two written references, training certificates, supervision and appraisal records. These were examined to evidence compliance with good practice. The home has an up-to-date training record, which provides the dates of all training that has been undertaken by staff. The Homes Manager undertakes regular audits of the training records and identifies future training needs and requirements linked to fulfilling the business and financial plan for the home. The following comments were made to the inspector about the qualities of the staff, you cant get better, they always help you another said, the staff are pretty good overall another said,Ive no complaints, they come when I need them but sometimes you have to wait your turn. Care Homes for Older People Page 21 of 27 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 residents benefit from living in a well managed home, where there is evidence that there health, welfare and safety is of primary importance. The registered person is qualified, competent and experienced to run the home for the benefit of residents. Evidence: The Homes Manager Sheila Gallo is a widely experienced manager and has attained an NVQ 4 in care and the Registered Managers Award to further enhance her knowledge and skills. The homes manager is a certified fire safety trainer and regularly provides refresher training to the staff. The Manager is supported by an effective management and staff team that appear caring and committed. Staff confirm that they have the opportunity to express their opinions openly and have regular staff meetings, which follow a shared agenda. These meetings, supervision sessions and staff handover times provide plenty of opportunity for the staff to feel Care Homes for Older People Page 22 of 27 Evidence: included and involved in the way the service is delivered. The whole team aspire to providing quality care to users in line with the aims and objectives of the home and are kept well informed and up to date. Residents are complimentary about the management of the home. They say that the office is always open and accessible and the management always makes time to speak with them. From discussion with residents it was evident that they are consulted on issues that affect them and feel that their views are taken into account. From examination of the minutes of the most recent residents meeting there was evidence that when requests are made or concerns expressed in the meetings the issues raised are followed up promptly by management. The Organisation undertakes an annual quality assurance survey of its residents, relatives and other stakeholders. The outcome of questionnaires is collated to identify trends and to help identify where improvements can be made to services. From examination of records it is clear that the home has regular monthly visits from its Proprietors who gauge the on going level of customer satisfaction by observing care practice, talking to staff, residents and their relatives. Records indicate that the organisation is generally satisfied with the quality of services provided by the home. The administrator explained how residents monies are safely maintained and safeguarded at the home. Examination of two peoples cash account balance sheets indicated that a safe procedure is followed for deposit or withdrawal of residents monies. Receipts are kept of all cash spent. Most residents manage their own financial affairs or have family members that deal with their finances on their behalf Residents are regularly consulted about their care needs as part of the formal review process. They can ask to see their records at any time and will be given access. All records required by regulation were found to well maintained, secure and up to date. All staff were aware of the needs to treat information confidentially and to maintain records including computer held records securely in accordance with the Data Protection Act 1998 and other statutory requirements. A number of health and safety records relating to fire safety and the maintenance of the hot water system were sampled and found to be accurately documented and up to date. Routine serving and maintenance of equipment is carried out in accordance with the requirements of legislation and good practice guidance. Activities that pose a risk Care Homes for Older People Page 23 of 27 Evidence: to users are fully assessed and procedures are put in place to reduce the risk of occurrence Care Homes for Older People 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 Older People 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 19 The pathway to the rear of the property requires leveling to ensure that it is safe for residents. Care Homes for Older People 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. 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 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. 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!