Inspection on 19/11/09 for Holmleigh Nursing Home

This is the latest available inspection report for this service, carried out on 19th November 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 18/02/2010.

Key inspection report Care homes for older people Name: Address: Holmleigh Nursing Home Holmleigh Beechwood Road Cressington Liverpool Merseyside L19 0QL     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: Jeanette Fielding     Date: 2 5 1 1 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: Holmleigh Nursing Home Holmleigh Beechwood Road Cressington Liverpool Merseyside L19 0QL 01514270672 01514275780 holmleigh@btconnect.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Ashbury Care Solutions Limited ta Beechwood Care Service Ltd Name of registered manager (if applicable) Type of registration: Number of places registered: care home 54 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: 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 with in any other category - Code OP The maximum number of service users who can be accommodated is 54. Date of last inspection Brief description of the care home Holmleigh is a purpose built care home located in a residential area of Aigburth in Liverpool. Due to its location, it is well placed for accessing local facilities and public transport. A car park is provided at the front of the building. Care Homes for Older People Page 4 of 26 Over 65 54 0 Brief description of the care home It is registered to provide nursing care for up to 54 older people. Cahared accommodation includes a dining room, large lounge and a well maintained garden with seating areas. All bedrooms are for single occupancy and each is provided with en-suite facilities. Nursing and care staff are available twenty-four hours each day to support people with their personal and health care. In addition, the home employs housekeeping, laundry, catering, administration and maintenance staff to meet the needs and choices of people living there. It currently costs between 330 and 540 pounds per week to live at Holmleigh depending on the level of care required. 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: 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 is the first inspection of the home since it was purchased by Ashbury Care Solutions Ltd. The Registered Manager of the home resigned her position and left the home two weeks prior to the inspection. An acting manager has been appointed to manage the day to day running of the home, oversee the care of the service users and to manage the staff team. This unannounced inspection was was undertaken over two days and a total of nine and half hours were spent in the home. As part of the inspection process, all areas of the home were viewed including many of the service users bedrooms. Assessments and care plans were inspected together with staff records and certification to ensure that health and safety legislation was complied with. Observation of the interaction between staff and people who live at the home provided further evidence of the actual Care Homes for Older People Page 6 of 26 care given. The care files of five service users were case tracked to evaluate their care. Discussion took place with Care Solutions manager, the acting manager, nurses, care staff, service users and visitors to the home. The acting manager has completed an Annual Quality Assurance Assessment form to give additional information regarding the home. 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. The home provides detailed information regarding the services and facilities within the home to enable prospective service users to make an informed decision regarding their care provider. Evidence: The service user guide has been updated since registration to reflect the changes in the management of the home. The document provides full information regarding the home, the management and the services provided to enable prospective service users and their relatives to make an informed decision regarding their care provider. Plans are in place to develop a brochure or to further improve the service user guide to include photographs of the service. The service user guide is provided in each service users and is also displayed in the foyer together with a copy of the last report and other information regarding finances, benefits and services provided by the Local Authority. Care Homes for Older People Page 10 of 26 Evidence: Prospective service users and their relatives are invited to visit the home and can view vacant bedrooms. This visit also provides the opportunity to meet with staff and other service users, and enables a more informed pre admission assessment to be undertaken. Initial assessments are usually undertaken by Social Workers and a copy of their report is sent to the home. A full assessment of care and social needs is then undertaken by the acting manager or one of the qualified nurses. Information is gathered from the service user, their relatives and any health professional involved in their care. This information is recorded on a dedicated form and the acting manager stated that she is currently reviewing the form and will change it to enable additional information to be recorded. The pre admission assessments for two recently accommodated service users were inspected. One was found to be detailed and provided sufficient information to enable a plan of care to be prepared but the other would have benefited from additional information regarding diversity issues. This information was gathered on the day of the admission. Information is gathered regarding personal choices and preferences to ensure that staff are fully informed of these prior to admission. Details regarding the need for specialist equipment is gathered during the assessment to ensure that the home can arrange for this equipment to be in place in preparation for admission. Discussion with the acting manager provided evidence that she has a clear understanding of the need to gather as much information as possible and hopes to have the new pre admission forms in place within the next few months. On admission, new service users are presented with a gift of toiletries that are gift wrapped. This has proved particularly welcome by service users who are admitted from hospital and do not have relatives who can provide these. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans provide staff with full information regarding service users needs to ensure that each is provided with the appropriate level of care and support. Evidence: Individual care plans are prepared for each service user. These are prepared, initially based on the information gathered at the preadmission assessment, and then built on and updated as more information is gathered about the service user or as their care needs change. Information is recorded following visits to or by GPs or other healthcare professionals and care plans are updated with information or advice given by these persons. All care plans are reviewed on a monthly basis and whenever necessary. A sample of five care plans were inspected and four of these were detailed to provide staff with full information regarding the service users nursing and personal care needs. One file would benefit from more specific details relating to how the care is to be provided. A new format of care plan is currently being implemented to provide a more person centred approach and to clearly identify individual preferences in a format that is easily understood. The acting manager has a clear understanding of how she wants the care plans to be completed and will work with staff when the new Care Homes for Older People Page 12 of 26 Evidence: documentation is in use. Regular audits of care files are undertaken by the acting manager and the Care Solutions manager and they have identified improvements that are necessary. Information is recorded in care files regarding individual preferences such as preferred time of going to bed and rising, diet and activities. Risk assessments are undertaken and risk management plans are put in place to ensure that service users are not placed at risk of harm. Moving and handling equipment, assisted bathing and pressure relieving equipment are available in the home and are used followed a detailed assessment of need. All staff have been given training in the use of equipment to ensure that service users are protected. All accidents are recorded and the acting manager undertakes audits of falls and accidents and puts plans in place to prevent reoccurrence where possible. Many of the service users have high dependency needs. A number of service users require care to wounds and a dedicated folder is used to hold the records in relation to these. The folder contains detailed information regarding the specific wound care required and evidence of the actual care given. Photographs of wounds are held together with maps of the wounds. These records are maintained to a high standard. Daily records are completed by the staff and provide evidence of the actual care given. These records provide evidence that the healthcare needs of the service uses are met. Specific charts are maintained where the service uses identify these as necessary i.e. turning and fluid intake. Medications are administered to the service users by the qualified nurses. Service users may hold and administer their own medications subject to an assessment of ability and risk. Medications were seen to be dealt with in accordance with the homes policy and procedure. Medication administration record sheets were seen to be well maintained and up to date. Medications are securely held and all storage areas were clean and organised. Arrangements are in place for all unwanted medications to be disposed of safely and detailed records are held of medications entering or leaving the home. Regular audits of medications are undertaken by the acting manager and the Care Solutions manager to ensure that medications are dealt with safely and that records are kept accurate and up to date. Service users spoken to during the inspection said that they were very happy at the home. They said that the staff were kind and caring and that the staff do everything they could to look after them the way they wanted. One relative said that they were very happy with the care that was provided and had been part of the care planning Care Homes for Older People Page 13 of 26 Evidence: process. Discussion with service users and the acting manager provided evidence that appropriate action was being taken to meet the cultural needs of service users. The acting manager had contacted relevant organisations and put systems in place for service users to communicate in their own language and for the provision of spiritual care where this had been identified as necessary. Observation of staff and service users at the time of the visit showed that staff spoke discreetly with service users when referring to personal care. Service users interacted with the staff and the staff were polite and professional at all times. All service users are provided with single bedrooms to provide privacy and dignity. Staff were observed to respect these values in their interactions with service users. Care Homes for Older People Page 14 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. A high number and range of activities are offered to provide service users with stimulation and entertainment. Evidence: The home employs an activities co-ordinator to provide activities and stimulation for the service users. Service users were observed to be enjoying making Christmas cards and calendars. A morning coffee event included cakes and a chocolate fountain with fruit. Other activities that take place include aromatherapy, bingo, board games, films, cookery, crafts, gardening, skittles reminiscence and shopping trips. Parties are held to celebrate birthdays and significant dates and a range of celebrations for different religious events. The home also provides a mobile shop which sells toiletries and sweets. Photographs of events are displayed around the home and service users showed the pictures enthusiastically. Service users spoken to said that the activities co-ordinator was wonderful and had a wide range of ideas for activities. One service user said that she looked forward to the chocolate fountain and enjoyed all the events that took place. Service users who are unable to participate in group activities are provided with one to one activities. The activities co-ordinator was able to give details of the activities that were given to service users who were confined to bed and this included hand and foot massage, reading books and newspapers to them and Care Homes for Older People Page 15 of 26 Evidence: chatting. Relatives are encouraged to assist with the activities and two volunteers have been actively involved with assisting with these. Staff are also involved with activities and the activities co-ordinator is currently looking to improve the way that activities are recorded. Ministers visit the home on a regular basis and provide services for service users who wish to participate. Meals are taken in the dining room, the lounge or the service users own bedroom as they wish. Dining tables were observed to be attractively laid with tablecloths, place mats and napkins. Cruet sets were provided together with a selection of sauces. Meals were observed to be well presented and smelled appetising. Service users spoken to said that the meals were lovely and confirmed that a choice was offered. The menu provided evidence that a varied and nutritious diet is provided. Fresh fruit was readily available for service users and a good supply was seen. A record of all special diets are held in the kitchen and the chef confirmed that any special diet or meal preference can be provided. Work is currently taking place to review the menus. Service users are involved in this. Relatives and friends are free to visit service users at the home at any time and two relatives said that they were always made very welcome. 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. The complaints procedure is good so people wo live in the home are able to express their concerns and be listended to, their rights are protected and they are safeguarded from abuse. Evidence: The home has a robust complaints procedure which is displayed in the foyer and also detailed in the service user guide. The records held in the home show that all complaints have been dealt with appropriately. Detailed records are held of the investigation and the outcome. Service users spoken to during the inspection said that they would speak to their relatives or one of the nurses if they had any complaints. One service user said that she might speak to the new manager, but at the moment, would feel more comfortable in asking her relative to deal with any concerns. All staff are given training on the protection of vulnerable adults during their induction training and were given subsequent updates on this on a regular basis. Evidence of training is documented in the staff training files. Staff spoken to were able to demonstrate that they were aware of the different types of abuse and of the action they would take in the event of abuse being suspected. The home has a whistleblowing policy to enable staff to report any issues to the acting manager. All staff are fully vetted prior to commencing work at the home to ensure the protection of service users. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Investment in the home has resulted in service users being provided with a high quality, comfortable and safe environment. Evidence: The ownership of the home has recently changed and the new owners are investing heavily to improve the standards. New carpets have been fitted in corridors and in all communal areas and are bright and clean. The programme of redecorating and refurbishing bedrooms is well underway, with 60 of the bedrooms having been completed. New flooring has been fitted in bathrooms. Plans are in place for the flooring in the kitchen and the laundry to be replaced. Plans are also in place for many of the windows to be replaced. The lounge is bright and pleasant with a number of seating areas to enable service users to sit with others or alone as they wish. A new conservatory has been provided off the lounge to provide an additional seating area. Another conservatory and activities lounge are available for service users to use as they wish. All communal areas are comfortable and homely. Service users are accommodated in single bedrooms, all having en-suite facilities. Bedrooms are personalised with pictures, photographs, ornaments and items of memorabilia to provide a homely environment for the service users and to reflect their Care Homes for Older People Page 18 of 26 Evidence: individual lifestyle. The home has a dedicated hairdressing salon with an adjustable sink to enable it to be used by all service users. The salon is functional and every effort is made to make visits to the hairdresser a social occasion. Service users personal laundry, and the homes linens, are laundered on site. Clothing is carefully laundered and ironed and returned to the service users promptly. Personal clothing is labeled to ensure that it is returned to the correct service user, however, some unlabeled items remain in the laundry. Service users and relatives have been requested to check the items to identify any items which require to be labeled and returned. The home is maintained to a high standard with all repairs being addressed as soon as they are identified. Staff spoken to confirmed that they were all responsible for ensuring that health and safety issues are identified and addressed and for the reporting of repairs. All areas of the home were observed to be clean and fresh and there were no unpleasant odours. Infection control policies are in place and it is evident that staff follow procedures at all times. Regular audits are undertaken on all recliner chairs, mattresses, profiling beds, slings, hoists, wheelchairs and bedrails to ensure that all are in good condition to ensure the safety of service users. Records of these audits are held in the home. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staffing arrangements, recruitment and training ensure that service users are cared for and supported safely. Evidence: The home employs qualified nurses who are on duty at all times. The nurses are supported by care assistants to provide care for the service users. The home also employs housekeeping, catering, laundry, activities, maintenance and administration staff. All staff are aware of their role and responsiblities within the home. The home has a robust recruitment procedure. All prospective staff are required to complete an application form prior to being called for interview. Two references and taken and checks are made through the criminal records and protection of vulnerable adults bureaux. Qualifications are verified and certificates are required to be provided. New staff are required to complete a comprehensive induction training programme through a local training and education centre. Files inspected were found to contain all necessary information and were up to date. The home currently has a recruitment programme to employ a compliment of staff to provide a consistent level of care to the service users. At present, agency staff are employed to cover vacant positions, sickness and annual leave. The staff rota shows that all shifts are covered. The home provides three nurses on duty during the day who are supported by ten or Care Homes for Older People Page 20 of 26 Evidence: eleven care assistants. At night, two nurses are supported by six care assistants. Staff training continues to ensure that the staff have the skills and knowledge to enable them to provide the appropriate care to the service users. The acting manager maintains a training matrix to identify training undertaken together with details of updated training that is required. Plans are in place to give nurses specialist training to enable them to provide staff training and support in specific subjects i.e. diabetes, wound care, palliative care and dementia care. Supervision is given to all staff on a regular basis and annual appraisals are being planned. Staff meetings are held to provide a forum for open discussion and the disemination of information. All staff have full access to the policies and procedures provided by the home. Service users spoke highly of the homes staff, the care they gave and their friendly and professional manner. The acting manager is supported by the Care Solutions manager and they are working together to identify improvements in all aspects of care and service provision. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The acting manager is well supported by senior managers and the staff team to ensure that the home is run in the best interests of the service users. Evidence: The registered manager left the home two weeks prior to the inspection and the acting manager, who has only been in post during this time, assisted in the inspection. The acting manager is a qualified nurse who also holds a Diploma in Health, Degree in Health Studies, Registered Managers Award, NVQ 4 in Management, Dementia Care and Mentorship and is also experienced in managing care services for older people. Where possible, service users or their relatives deal with personal financial matters. Small amounts of money can be held in the home at the request of service users or their relatives. Detailed records of these are maintained. A meeting has been held with service users and their relatives to enable the acting Care Homes for Older People Page 22 of 26 Evidence: manager to introduce herself and to give details of her plans for the further development and improvements within the home. All records required are held in the home, however, some archiving of outdated documentation would enable relevant and current information to be more readily accessible. The records in the home provide evidence that the premises and the equipment used in the home is checked on a regular basis and certification of this is maintained. Health and safety issues are addressed as soon as they are identified to ensure that service users, staff and visitors are protected. 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 1 31 8 An application to register a 02/03/2010 manager of the home should be submitted to CQC To take responsibility for the day to day management of the home. 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). 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 26 of 26 - 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!