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Inspection on 28/01/10 for Radcliffe Manor House Care Home

Also see our care home review for Radcliffe Manor House Care Home for more information

This is the latest available inspection report for this service, carried out on 28th January 2010.

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.

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

What the care home does well

Residents needs are assessed prior to admission, which means staff, will be able to plan for their individual needs and know how to care for them. Residents have care plans in place to enable staff to deliver appropriate care and residents stated they are happy with the care they receive. Medication procedures promotes residents safety. Residents are given the opportunity to participate in recreational activities if they wish and can maintain social contacts beyond their home environment. Residents receive a nutritious and appetising diet with individual preferences being met. Residents feel able to raise concerns and complaints and are confident that the manager will act on them. Staff know how to safeguard residents and are provided with appropriate training in this area. Ongoing maintenance and housekeeping procedures provide residents with clean and homely surroundings in which to live. Staff receive training to ensure they have the knowledge and skills to provide good care for the residents and the homes recruitment procedure are effective in protecting residents. The home is well managed and run in the best interests of the residents. Routine maintaining promotes a safe environment.

What has improved since the last inspection?

The care planning and risk assessments now adddress residents needs. Medication administered by staff at the home is now signed when given.

What the care home could do better:

The registered provider should install radiator guards and window restricts as a matter of priority to promote the safety of residents. Some additional redecoration would would improve the environment within some areas within the home.

Key inspection report Care homes for older people Name: Address: Radcliffe Manor House Care Home 52 Main Road Radcliffe On Trent Nottingham NG12 2AA     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: Steve Keeling     Date: 2 8 0 1 2 0 1 0 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: Radcliffe Manor House Care Home 52 Main Road Radcliffe On Trent Nottingham NG12 2AA 01159110138 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: radcliffe.manor@virgin.net The Trustees of Radcliffe Manor House care home 24 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Radcliffe Manor House Care Home is a voluntary organisation and a registered charity which is owned by the Trustees of Radcliffe Manor House. The home is located on the outskirts of the village of Radcliffe on Trent and local amenities and public transport links are a short walk away. The building is a converted and extended manor house and provides personal care and accommodation for up to 24 older people. All bedrooms are single occupancy, five having en-suite facilities. There is a passenger lift to the first floor, also a stair lift to aid access to the first floor in the annexe area. The home sits in its own private grounds and there is a car park to the side of the building. The current fees range from £379 to £500 per week, some top up fees may also apply and these are discussed at the point of enquiry. These fees do not include the cost of personal toiletries, newspapers, hairdressing and chiropody services. 0 Over 65 24 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: The focus of the inspection undertaken by the Quality Care Commission is upon outcomes for people who use the service and their views on the service provided. The process considers the providers capacity to meet regulatory requirements, minimum standards of practise, and focuses on aspects of service provision that needs further development. One inspector conducted the unannounced visit. The main method of inspection used is called case tracking which involves selecting residents and looking at the quality of care they receive by speaking to them, observation, reading their records and asking staff about their needs. The registered manager and members of staff were spoken with as part of the visit, records relating to medication management was also inspected to form an opinion Care Homes for Older People Page 5 of 27 about the quality of care provided. A partial tour of the building was undertaken which included residents bedrooms and communal areas they frequent to make sure that the environment is homely and safe. We also reviewed the information we have received about the home since the last key inspection was performed, which included the Annual Quality Assurance Assessment which was provided by the registered manager. 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. Care Homes for Older People Page 7 of 27 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 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. Effective needs assessments are performed prior to residents being admitted to the home, which means staff, will be able to plan for their individual needs and know how to care for them. Evidence: Information provided by the registered manager in the Annual Quality Assurance Assessment states We have a detailed brochure to give to prospective residents, this also contains the results of the residents survey. People are invited to visit the home at any time although many prefer to make an appointment if they want to speak to the Manager, arrangements are made for prospective residents to spend time in the home including spending the day with us before they make the decision to move into the home. Residents admitted for respite care are supported in maintaining their independence and this is clearly documented in the care planning. There is a detailed pre admission assessment and arrangements for visiting the home or staying for a day will be documented. Care Homes for Older People Page 10 of 27 Evidence: We asked residents if they received enough information to determine if the home could meet their needs prior to being admitted to the home, both case tracked residents stated Yes. Records showed that residents had undergone a full needs assessment before gaining residency and additional information from Social Services departments is incorporated into the evaluation process when available. Staff confirmed that the needs of all new residents admitted to the home are discussed at staff hand-overs. Staff also confirmed that the needs assessments are always available for further reference and guidance if required. 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 have care plans in place to enable staff to deliver appropriate residential care and residents are happy with the care they receive. Medication procedures promotes residents safety. Evidence: Information provided by the registered manager in the Annual Quality Assurance Assessment states Monthly reviews are carried out regarding the residents daily needs, nutrition and pressure areas. Referrals are made to District Nurses for equipment and continence assessments. Regular domiciliary visits are made by the optician and dentist; and the residents have access to an aromatherapist who visits on a monthly basis. If residents wish to see their dentist or optician in the community they are supported in doing this. The GP sees the residents as required and when the resident asks to see the GP, a member of staff will stay with them only if they request this or if they are unable to communicate with the GP without support. The case tracked records showed that care plans had been developed to address the identified needs of the residents from pre admission assessments. In addition risk Care Homes for Older People Page 12 of 27 Evidence: assessments are preformed to ensure any identified risks are addressed through the care planning process. The case tracked care planning documentation was reviewed on a monthly basis to ensure that the changing needs of residents can be identified and addressed. The registered manager stated that the current care planning format is being reviewed to make them more person centred which is good practise. It was noted that the care plans examined on the day of the inspection did not show that consent to the content of the care plans had been obtained from the residents or a representative of theirs. The registered manager stated that this issue would be addressed as the care planning format is amended. We asked residents if they receive the care and support they need, responses included Yes without doubt, the staff are very good, they could not do a better job and All the staff are very nice and very supportive. We asked residents if they receive the medical support they need, responses included Yes always and The staff will always call for my doctor if I need one, they are very good. We spoke to a visiting Community Nurse who stated that the staff at the home would always refer residents to the community nursing team in a timely manner and stated This is a very caring, home from home, type place, its very good indeed, any concerns are always addressed. We asked residents if the staff listen and act on what they say, and if staff are respectful, comments included The staff could not be any better if they tried, my respect and dignity is always promoted and I would recommend this place to anyone, I feel the staff are genuinely caring. Residents also confirmed that the routine in the home is flexible in meeting the their needs and their decisions as to how they spend their days is always respected. We observed interactions between staff and residents throughout the day, all observed interactions were respectful, supportive and promoted a relaxed and caring environment. Information provided by the registered manager in the Annual Quality Assurance Assessment states A robust medication policy is in place and our pharmacist carries Care Homes for Older People Page 13 of 27 Evidence: out regular medication inspections. Staff training is in place for the administration of medication and regular meetings are held with staff who administer medication to discuss any issues. The manager carries out regular medication audits. Residents confirmed they receive their medication on time and expressed no concerns in relation to medication management. A medication round was briefly observed, the Medication Administration Records (MAR) were maintained effectively and a suitably qualified member of staff was administering residents medication in a safe competent manner. Care Homes for Older People Page 14 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. Residents are given the opportunity to participate in recreational activities if they wish and can maintain social contacts beyond the home. Residents receive a nutritious and appetising diet with individual preferences being met. Evidence: Information provided by the registered manager in the Annual Quality Assurance Assessment states We have daily activities for residents who wish to take part and residents are taken out by the care staff to carry out activities in the community such as Mothers Union, Womens Institute, British Legion, shopping and socialising in the village. We take details of residents interests, past and present, and incorporate this into the residents care plans and daily living. Residents are encouraged to treat the home as their home and they receive visitors when they want. Drinks and snacks are offered to visitors and we have a small lounge where residents can entertain their visitors in private if they wish. We positively encourage residents to personalise their own rooms and the communal areas are made homely with ornaments and decoration the residents have been encouraged to choose. We discussed the provision of social activities with the residents who stated that the home always arranges activities that they can take part in if they want to and they Care Homes for Older People Page 15 of 27 Evidence: were very satisfied with aspect of service provision. Information provided by the registered manager in the Annual Quality Assurance Assessment relating to the provision of meals states Menus are on a 4 weekly cycle and residents are encouraged to make suggestions as to what is contained in the menus. Residents are given choices and if residents want something different this is offered to them daily. The food is of an excellent quality and our Head Cook is well qualified. Care staff and catering staff undergo training on Nutrition in the Elderly. Residents may have their meals where they wish although most prefer to come to the dining room but trays are taken to individual rooms if that is preferred. We asked residents if they enjoyed the meals provided at the home, comments included The food is lovely, lots of choice and I have no complaints at all, its very nice. On the day of the inspection the lunch time menu consisted of cheese flan or chicken pie. A good range of fresh fruit and vegetables was incorporated into the residents meals which were well balanced and well presented. We spoke to the chef who confirmed that meat,fresh fruit and vegetables are locally sourced, after an examination of the food stocks within the home and it was evident that food supplies were plentiful. It was observed that residents who required support from care staff during mealtimes were assisted in a sensitive and discrete manner thus ensuring their respect is maintained. Residents also confirmed that they could have a drink or snack whenever they wish. Care Homes for Older People Page 16 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. Residents feel able to raise concerns and complaints and can be confident that the manager will act on them. Staff know how to safeguard residents and are provided with appropriate training in this area. Evidence: Information provided by the registered manager in the Annual Quality Assurance Assessment states We have a complaints procedure that encourages and supports the resident in making complaints or raising concerns. Complaints are treated with the respect and seriousness they deserve. Responses to complaints are sent in accordance with our policy. All staff are aware of the Safeguarding Adults and this is usually an agenda item at staff meetings. Almost all the staff, including the ancillary staff have completed Safeguarding training. We asked residents if there is someone that they can speak to informally if they are not happy, and did they know you know how to make a complaint. All the residents spoken with felt confident in highlighting any concerns or complaints to the manager and comments included I feel safe here, I have no concerns at all but I am confident that any issues would be addressed, the manager is very good and I have no complaints at all, I feel very safe and well looked after. We asked a health care professional if she was confident that any issues of concern or complaints would be managed effectively, the response was The manager is very Care Homes for Older People Page 17 of 27 Evidence: good, I have never seen anything that would give me cause for concern, in fact if needed, I would choose this home for a relative of mine, its so good. Records showed, and staff confirmed that training in Safeguarding Adults has been provided. We spoke to a member staff to determine her level of understanding in this area. The member of staff demonstrated a very good level of knowledge in relation to Safeguarding Adults procedures and demonstrated a good level of competency in this area. The CQC has not received any concerns or complaints about the service since the last inspection was performed. We examined the homes complaints book which showed that twelve complaints/concerns had been recorded. The concerns/complaints had been managed well, fully documented and outcomes and actions following the complaint recorded. Care Homes for Older People Page 18 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. Ongoing maintenance and housekeeping procedures provide residents with clean and homely surroundings in which to live. However some additional redecoration could make the environment more pleasant. Evidence: Information provided by the registered manager in the Annual Quality Assurance Assessment states Radcliffe Manor House dates back to the 17th Century and is a listed building. The home is comfortable and cosy. All rooms are single and some are en suite. There is a varied choice of bathrooms, toilets and shower rooms most with assisted bathing. There is an action plan regularly updated for the maintenance and decoration of the home. This is created by the Manager and the Maintenance man. The gardens of the home are exceptional and well maintained and are fully accessible to residents with choices of seating areas. We have installed en suites into 2 bedrooms. The bathrooms and toilets have all been decorated and new flooring installed. A sluice and laundry extension have been added to the home and the hair dressing room has been refurbished. The garden has been made more accessible for wheelchair use and raised beds have been installed where the residents can now grow vegetables and salad plants.. We asked residents if the home is fresh and clean comments included Yes always and I really like it here, its always lovely and clean. Care Homes for Older People Page 19 of 27 Evidence: We examined the residents bedrooms and the communal areas within the home . All areas were clean and odour free. It was noted that some areas within the home would benefit from additional redecoration. Following a discussion with the registered manager it was established that the identified areas are included in the homes maintenance action plan. Areas redecorated and upgraded as a result of the maintenance action plan were of a high standard. It was also noted that some of the residents bedrooms did not have radiators guards and window restrictors in place. Care Homes for Older People Page 20 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. Staff receive training to ensure they have the knowledge and skills to provide good care for the residents and the homes recruitment procedures are effective in protecting residents. Evidence: Information provided by the registered manager in the Annual Quality Assurance Assessment states Staffing levels are above the minimum standard. Staff training is of paramount importance to us and all staff are supported in their personal development. Over 50 of our staff have their NVQ and the Senior Care Staff either have or are undertaking their NVQ level 3. Robust recruitment procedures are in place and new care staff undergo the Common Induction Standards training. Records were available to support this. On the day of the inspection the 24 residents were accommodated at the home, supported by the registered manager, three care staff, a clerical officer, three kitchen staff and 2 domiciliary staff. We asked residents if staff are available when needed, comments included Yes always and I cannot fault the staff, there is always someone about. We examined a sample of staff recruitment records which showed recruitment Care Homes for Older People Page 21 of 27 Evidence: practises had been followed as the files contained Protection of Vulnerable Adult checks, Criminal Record Bureau Checks, an application form, two written references and proof of identity. We asked residents if they felt the care staff were confident and competent in performing their duties, comments included Yes very much so, I cannot fault them and They are very good I dont know where I would be without them. Records showed and a member of staff confirmed to us that an extensive training programme is provided, staff felt that a great deal of importance is placed on the provision of staff training and expressed no concerns in in this area. Care Homes for Older People Page 22 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 registered manager has the necessary skills, knowledge and commitment to ensure the home is run in the best interests of the residents. Routine maintaining promotes a safe environment. Evidence: The manager has demonstrated appropriate experience and qualifications to be registered with the Care Quality Commission. She has previous experience in health and social care and she has almost finished the Registered Managers Award (a nationally recognised work and theory based qualification designed to enhance the individuals management knowledge and skills.) Information provided by the registered manager in the Annual Quality Assurance Assessment states Residents are encouraged and supported to make comment and criticism regarding the running of the home. Contributions are positively received and acted upon. There are resident/relatives meetings held every 2 months and people are positively encouraged to talk about the running of the home, the food, the activities Care Homes for Older People Page 23 of 27 Evidence: and are asked to suggest ways in which the home could address issues and improve. Monthly audits are carried out and action plans created from these, this includes Health and Safety, kitchen and medication audits. Residents control their own money as they wish and the home will look after a small amount of money which is well documented and any transaction is signed for and witnessed by two staff, all receipts are kept. All care staff are supervised every 8 weeks and regular meetings are held with other disciplines. All Health and Safety is up to standards and the six monthly and annual checks are carried out. Records were available to support this. We asked service users what they thought the home does well, comments included Everything, I cannot think of any ways in which it could improve and I have no concerns, they [staff] could not do anything better. A member of staff commented The manager is supportive, confident and professional, she promotes a homely environment and is always available when needed. A visiting professional commented I have never seen anything that would give me cause for concern, this is a very good service and I have every confidence in the manager, she is always on the ball, yes very good indeed. Information provided by the registered manager within the Annual Quality Assurance Assessment, informed us that effective routine maintenance is taking place to promote the residents safety. 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 24 The registered provider should install radiator guards and window restrictors as a matter of priority to promote the safety of 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). 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