Inspection on 23/04/09 for Lansglade

This is the latest available inspection report for this service, carried out on 23rd April 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

Lansglade 19/05/06

Lansglade 10/01/06

Lansglade 12/08/05

Lansglade 09/12/04

Lansglade 03/09/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Lansglade 14 Lansdowne Road Bedford Bedfordshire MK40 2BU     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Neil Fernando     Date: 2 3 0 4 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. 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 Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Lansglade 14 Lansdowne Road Bedford Bedfordshire MK40 2BU 01234356988 01234359194 lansgladehomes@btconnect.com 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) : Lansglade Homes Limited care home 31 Number of places (if applicable): Under 65 Over 65 31 31 31 dementia old age, not falling within any other category physical disability Additional conditions: Date of last inspection Brief description of the care home 0 0 0 Lansglade House is a large double fronted Victorian building that has been converted to provide residential care for up to 31 older residents, who may have dementia and physical disability. The registered provider is Lansglade Homes Limited. The accommodation is arranged over three floors with the communal areas on the ground floor. The bedrooms are located on each of the three floors. Bathrooms and toilet facilities are located for convenient access throughout the building. The upper floors can be accessed by a shaft lift. The home is situated in a pleasant residential area of Bedford within close proximity to the towns centre. Its amenities including local and national travel networks are easily accessible. Care Homes for Older People Page 4 of 28 Brief description of the care home A copy of the service users guide and latest inspection report from the Commission is available for residents, visiting relatives and professionals to read. The fees for this home vary from £480 to £512 per resident, per week. Care Homes for Older People Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: 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 quality rating for this service is 3 stars. This means the people who use this service experience excellent quality outcomes. We, the Care Quality Commission, undertook this unannounced key inspection on 23 April 2009, the last having occurred in April 2007. We spoke with five residents, the manager, one of the directors and four staff including an ancillary staff member. We had a look round the home and viewed a range of records the service must keep. At the time of the visit, there were twenty nine people in residence with two vacancies. We have received a comprehensive AQAA (Annual Quality Assurance Assessment), a document which gives the manager the opportunity to tell us how the home is meeting Care Homes for Older People Page 6 of 28 the standards and regulations. We have also received surveys from ten residents and eight members of staff. The manager was available throughout the inspection. An annual service review was carried out on 24 April 2008. What the care home does well: What has improved since the last inspection? There were two requirements made in the last inspection report dated 23 April 2007. These have been implemented to good effect. The previous registered manager left in December 2007 and the current manager was Care Homes for Older People Page 8 of 28 appointed in January 2008; Her application to become the registered manager was approved in May 2008. Evidence shows that the home is being managed very well. The residents interests are the main focus of the decision making process. This is clear from documentation viewed, discussions with staff and management, residents and relatives and observations of care practices. Evidence demonstrates that the overall standard of care and support for the residents has continued to improve, a view echoed by the manager, staff and residents spoken to. There is excellent communication between management, staff and residents; this promotes consistency and continuity of improved outcomes for residents. The overall rating for this service has improved from Good to Excellent. 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 set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 28 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Comprehensive assessment is undertaken as part of the admission process; thus assuring the residents identified needs could be fully met on admission. Evidence: The AQAA tells us All prospective service users participate in a comprehensive preadmission assessment to confirm that the home would be able to meet their wishes and needs should the person choose to take up a place at Lansglade House. The statement of purpose and service users guide are reviewed annually and updated as necessary, by the manager. A copy of the service users guide and the last inspection report from the Commission is available at the home for any residents and visitors to read. The information in the service users guide is presented in a format that is both informative and interesting. Evidence shows that each resident is given a copy of the guide; My copy is in this drawer, said a resident who was spoken to in her Care Homes for Older People Page 11 of 28 Evidence: room. The case files for three residents including a new admission to the home were examined; these demonstrate that they have been issued with individual terms and conditions of their placement and the current charges; this has been signed by the resident and or their representative where appropriate. The manager said that the service agreement is being reviewed and would be replaced by a more user friendly format. All three case files also contain comprehensive pre-admission assessments completed by the manager or another home manager within the organisation, prior to an offer of a placement being made. Each file provides detailed information of the residents identified needs and the level of support required. This includes pressure care, mobility, history of falls, continence, medication usage, health, personal safety and risk, personal care and well being, recreational activities, culture and religion and preferences. Assessment records are dated and appropriately signed by the person undertaking the assessments. There are other assessment of needs completed by the social worker from the placing authority. Appropriate and comprehensive assessment completed ensures that the residents identified needs could be met on admission. The manager and staff said that the prospective resident and their representative are always encouraged to visit the home as part of the assessment process, so that their needs could be fully assessed. My son visited this place to see if its alright, reported a resident. Evidence on files indicates that the home has links with placing authorities and has their continued support throughout the placement. Care Homes for Older People Page 12 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The care plans for each of the people in residence is detailed and staff members have a thorough knowledge of their needs; this ensures that their health and personal care are appropriately and fully met. Evidence: The AQAA states, A detailed care plan is produced from the preadmission assessment of need. The plan is inclusive of the details outlined in Standard 7 of The National Minimum Standards. It is subject to ongoing review, particularly so in the initial stages after admission as the service users needs and wishes change due to a change of accommodation/circumstances. The care plan is developed with contribution from the resident, their representative and home staff. Information from the care plans, residents, two relatives and staff members demonstrates that the needs of residents are being identified and addressed systematically. The care plan indicates how the identified needs are to be met. Staff members record the care given, progress made and interactions with other people. Care Homes for Older People Page 13 of 28 Evidence: Identified health care needs are being addressed and observations are maintained, in order to respond to any changes, as noted from the records viewed. Any information that needs to be passed on to staff about a service user is acted on immediately, reflected a staff in their survey. Each resident has a monthly internal review attended by the resident, their representative and key worker and a senior staff member, in order to reflect any changes that have occurred. A more comprehensive three monthly review system has also been introduced by the manager. Records indicate that Residents also have an annual review each, which is undertaken by the social worker from the placing authority. Staff members spoken with are fully aware of the identified needs of residents and how these are being addressed. The key worker takes time to explain the outcomes of reviews, thus ensuring they are aware of changes and how they would be addressed. Evidence shows that the signature of the resident and their representative is being obtained in the care plan. This demonstrates their involvement and agreement with its content and also quite appropriately, making the residents needs the focus of staff attention. Some residents have specific moving and handling needs; all care staff have received moving and handling training, in order to ensure these peoples safety is protected and promoted at all times. Evidence of individual risk assessments and reviews at regular intervals are in place. The policy and procedure on medication remains satisfactory. Four senior care staff have recently completed a three months training on medication and another five members are scheduled to start this course in May 2009. Only senior staff plus a few identified night staff are authorised to administer medication. These staff members have received training in the administration of medication. A random sample of medication administration records for 6 residents were viewed and these were in order. Controlled drugs are not being used currently. The storage and auditing of medication is safe and satisfactory. All residents are registered with a GP. Other professionals that residents have access to include dentist, optician, podiatrist and dietician. Good quality records are maintained for any input from health care professionals. Residents spoken with expressed a high level of satisfaction in the manner their health care needs are being addressed. Exceptional and very happy, reflected a resident in their survey and I am very satisfied and happy, indicated another resident. The care and support received by my sister is simply very good, reported a visiting relative. Residents stated that their care is provided in a dignified and respectful manner, and Care Homes for Older People Page 14 of 28 Evidence: their privacy is upheld. Always so polite, if you need to know, said a resident. Staff members only enter rooms when invited. Residents are able to spend their time as they wish. Staff members respect residents right to live as they like in their own space. We do always respect our residents rights, said a staff member. Care Homes for Older People Page 15 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents have the opportunity to participate in a range of activities that develop and enrich their social and personal lives. Evidence: The AQAA states Our philosophy is that every resident is a unique individual with individual views, wishes and needs. Therefore, the daily lifestyle in the home is arranged to support individuals needs and to meet their preferred lifestyle where this can be met within their capabilities. The care records viewed and residents, and staff spoken to confirm that activities and facilities accessed reflect the needs of each individual in relation to their interests and abilities. The care plans viewed evidence that individuals want different things to do. The home makes use of two occupational therapists; one visits twice weekly and another, monthly. They facilitate a range of activities to suit residents taste and preference. Activities that have occurred with some regularity include art and crafts, reading newspapers and books, monthly quiz competition between three homes within the organisation, tea dance, bingo, sweets shop, music and movement, sing a longs, watching television or listening to music and day out with family. A few residents help Care Homes for Older People Page 16 of 28 Evidence: with vegetables preparation and setting and clearing tables before and after meals. Some residents have also been to the local circus,pub lunches and shopping. The survey undertaken in March 2009 indicates satisfaction in respect of activities from 87 of residents, as opposed to 39 satisfaction, in March 2008. I participate in various activities and read novels and newspaper, said a resident. However, responding to our survey as to What could the service do better?, two staff made the following comments: I think residents should be taken out more on trips as they all stay in and More for service users who cannot go out on the outings, so they do not feel left out. In term of improvement one member of staff said, Residents to be taken out a bit more. This issue has been shared with the manager to deal with. The three care plans examined show that residents are being assisted to follow the lifestyle of their choice as discussed and agreed at the time of their assessment. Four residents spoken with said they are satisfied with their lifestyle at this home. Evidence shows that family and friends visit regularly and they are always made welcome. Staff would do anything to please, said a visiting relative. Resident are able to entertain their visitors in the communal areas or the privacy of their own bedroom. Birthdays are celebrated; two residents had their birthdays celebrated on the day of the inspection and evidence demonstrates that staff worked extremely hard to make it a special occasion. Equality and diversity issues are given a high profile. Residents are actively encouraged and they are able to practice their religion and their culture, as they wish. The local church representative offers services and a priest visits the residents regularly. All residents spoken with were aware that a service had been arranged on the day if the visit. Really looking forward to the service said a resident. She was extremely grateful in the manner staff respect and promote the cultural and religious needs of residents. The menu seen provided for a nutritious and varied diet. The dining room is well decorated and staff work very hard to make meal time a socially enjoyable occasion. Provision is made for residents to take their meal in their own room if they so wish. The cook consults the residents daily regarding the menu and their taste and preference. Evidence shows alternative meals are provided if a resident does not like the meals on the menu. The dietary needs of the individual resident are well catered for. All four residents spoken to commented positively on the quality and variety of food offered to them. Few examples include: Quality and plentiful, if you ask and I enjoy it. Care Homes for Older People Page 17 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The complaints and safeguarding procedures ensure that residents are listened to if dissatisfied with any aspects of the service; they are also protected from harm. Evidence: The AQAA states At Lansglade House we believe that we are not perfect, but that we strive to provide excellent outcomes for service users. Therefore, there may be times when we fall short of service users expectations and we encourage service users and visitors to offer their suggestions as to how we could improve. The homes complaints procedure is satisfactory. Residents are given information in writing on how to make a complaint if they are unhappy with any aspects of the service they receive. Completed surveys from ten residents show that they feel able to make a complaint. I havent had any cause to complain, staff are amicable enough to talk to them regarding anything, echoed confidently a resident. Equally, surveys from 8 staff members show that they Know what to do if they receive a complaint. I would speak to supervisor or manager of any concerns a service user, family or a friend has and I would always report any concerns voiced to me directly to the senior carer or manager, whichever is appropriate are examples reflected in surveys from two staff.There have been no complaints recorded in the home complaints file, since the last annual service review report in April 2008. There have been no complaints made to the Commission in the previous year. Care Homes for Older People Page 18 of 28 Evidence: The policies and procedures in relation to whistle blowing and safeguarding of vulnerable adults are satisfactory. Staff members spoken to and records examined show that they have attended training in relation to safeguarding adults, provided by an external organisation. There has been one matter referred to the local safeguarding team, in relation to a fall incident of a resident. The home management followed the local protocols for the protection of vulnerable adults. Information gained shows that staff take appropriate action to protect and promote the welfare of residents. Care Homes for Older People Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The domestic style furnishings and fittings helps to create a homely environment for the residents to live in. A high standard of cleanliness was evident. Evidence: We undertook a brief tour of the premises. The decoration and furniture and fittings in the lounge, dining room and bedrooms are of a good standard. Six bedrooms were viewed; they are personalised to suit the taste of the occupants.They contain numerous items such as photographs, pictures, television, music equipment and ornaments that help in creating a homely and personal space for the resident. The residents spoken with said that they are very happy with their room. There is adequate space for residents to sit quietly and or meet with their friends. A high standard of cleanliness was evident throughout those areas viewed. I have visited many homes but this is the best, not a trace of bad smell, reported a visiting relative. There were no areas, which were in need of repair. Records show that staff members have received training in hygiene and infection control. Staff were observed to wear suitable protective clothing when carrying out certain activities. Domestic and clinical waste is disposed of in an appropriate manner. There were no health hazards noted. Care Homes for Older People Page 20 of 28 Evidence: There is a modest size, enclosed garden to the rear of the property, which is well maintained. The home has access to a gardener. Residents and staff said that it is well used by some residents during the warmer weather. Care Homes for Older People Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Adequate numbers of staff with appropriate skills provide a good standard of care. The homes recruitment and training processes ensure residents are protected from harm. Evidence: The AQAA tells us Lansglade House has a robust recruitment and selection programme based on equal opportunities and ensuring safeguarding of service users. At the time of the visit, there were twenty nine residents accommodated. There were sufficient numbers of care staff on duty on the day of the inspection to meet the residents needs. Staff duty roster for a period of one month was scrutinised and discussion with the manager, staff members and residents shows that the day and night staffing arrangements are adequate to meet the assess needs of the people in residence. The home always makes sure shifts are covered to ensure there is enough staff on and The rotas always provide for the correct numbers of staff, reflected two staff in their survey. Records show that all new members of staff receive induction training. A recently recruited staff said that she found the induction helpful to understand and settle better at work. I think todays induction booklet is much more informative and helpful than when I joined the company, stated another member in their survey. Evidence shows Care Homes for Older People Page 22 of 28 Evidence: that staff receive relevant training on a range of subjects including malnutrition, dementia, medication, sensory and visual impairment, continence management and care planning. All senior staff have done The Mental Capacity Act. Of the current twenty one care staff,including one senior and two team leaders, ten have completed an NVQ level 2 or equivalent qualification. One member is due to complete their NVQ level 2 by May 2009. This means that a good ratio (52.3 ) of care staff hold an NVQ Level 2 or equivalent qualification. The recruitment policy and procedure was discussed with the manager. Examination of personnel files for three staff including a new member evidence that the required checks are in place, including references and Criminal Records Bureau checks. Staff interviewed said that the above checks had been carried out and cleared before they started work at Lansglade home. Residents expressed a good level of satisfaction regarding the service they receive and complimented staff for their hard work. Examples include They are wonderful and helpful, always courteous if you ask, Always present and willing, so helpful at all times and Couldnt praise them enough. The care and support received by my sister is very good, said a visiting relative. Care Homes for Older People Page 23 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is very well managed and the staff team, appropriately supported. This ensures a good and safe standard of service delivery for residents. Evidence: The AQAA tells us Sharon holds the Registered Managers Award, NVQ IV in Care and other training qualifications including NVQ assessor and verifier awards. The manager is highly motivated and is very efficient and competent to run the home. The manager was appointed in January 2008 and her application to become the registered manager of Lansglade home was subsequently approved by the Commission. She held a registered home managers post for over 5 years prior to joining this service. She clearly has the knowledge, experience and skills to run a home for older people. Staff and residents told us that the manager is always helpful. One staff said that Positive changes have occurred since the new manager has been in post. Care Homes for Older People Page 24 of 28 Evidence: There is very good evidence to demonstrate that quality assurance systems are in place to seek the views of residents, their representatives and other stakeholders regarding the quality of services offered to residents. The last annual survey was undertaken in March 2009; residents, stakeholders and the Commission have been informed of the outcomes and remedial actions taken, if any. The registered manager has the support of an experienced operations manager. She also visits monthly to ensure appropriate standards are maintained. Reports of these visits are available at the home and these are noted to be very comprehensive. The registered providers are proactive and they maintain excellent contact with the residents and staff team. The care and staff management systems within the home are well organised. Staff received regular supervision, which is well recorded. Staff who spoke with us said they are fully satisfied with their supervision; management support was described as Excellent; Our new manager has been with us for just over a year and supervision with her is more involved and helpful than previously, she is very supportive and easy to approach with any problem, reflected a staff in their survey. Staff are not involved in the financial affairs of residents. We looked at some of the records the home is required to keep; these were found to be in order. Policies and procedures are available and accessible to staff. Various checks are undertaken and good records are maintained. Fire drills are carried out regularly and checks of break glass points, weekly. The annual fire risks assessment has been completed. Staff receive the required health and safety training to promote the safety of residents and their colleagues. Care Homes for Older People Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 27 of 28 Helpline: Telephone: 03000 616161 or Textphone: or 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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!