Inspection on 06/07/09 for Richmond

This is the latest available inspection report for this service, carried out on 6th July 2009.

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

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

Other inspections for this house

Richmond 14/08/07

Richmond 05/06/06

Richmond 15/11/05

Richmond 17/05/05

Richmond 11/01/05

Richmond 17/05/04

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

Key inspection report Care homes for older people Name: Address: Richmond Collington Lane East Bexhill-on-Sea East Sussex TN39 3RJ     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: Sally Gill     Date: 0 6 0 7 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: Richmond Collington Lane East Bexhill-on-Sea East Sussex TN39 3RJ 01424217688 01424210424 home.bex@mha.org.uk www.mha.org.uk Methodist Homes for the Aged Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Emma-Louise Rich-Spice Type of registration: Number of places registered: care home 52 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users to be accommodated is 52. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia (DE) Old age, not falling within any other category (OP). Date of last inspection Brief description of the care home Richmond is registered to provide accommodation for up to fifty-two older people that may or may not have dementia. The owners own other residential homes around the country. Emma Rich-Spice is the registered manager and is in day-to-day control of the home. Richmond is purpose built and has separate unit within (Heatherbank) to accommodate those with dementia. Accommodation in the Richmond unit consists of Care Homes for Older People Page 4 of 26 Over 65 0 52 52 0 Brief description of the care home thirty-one single bedrooms all of which have en-suite toilet and hand washing facilities. Nine also have ensuite showers and four have baths. People also have access to assisted bathrooms, very large dining room, spacious hallway with seating and lounge. Single storey accommodation in Heatherbank consists of twenty-one single bedrooms all of which have en-suite toilet and hand washing facilities. Seven also have ensuite showers. People also have access to assisted bathrooms, lounge and separate dining room both with kitchen areas and conservatory area. The home is non-smoking. Richmond has a passenger lift and a stair lift is available to access a number of bedrooms only accessible by a further small flight of stairs. Both units have access to separate gardens with a level paved area and seating. There is parking available in addition to on street parking. The home is situated on the edge of Bexhill town with all its local amenities such as bus stops, train station and shops a short distance away. The staff compliment consists of a manager, deputy, senior carers, carers and ancillary staff. Care staff work a rota during the day that includes a minimum of four staff on duty in each unit during the day. Two waking staff is on duty in each unit at night. At the time of the visit the fees ranged from £487.00 to £590.00 per week. Additional costs would include toiletries, chiropody, hairdressing, newspapers and magazines. Previous inspection reports are available from the home or can be viewed and downloaded from www.cqc.org.uk 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: The previous key inspection took place on 15th July 2008. An additional random inspection was made on 16th September 2008 to check compliance on requirements made at the key inspection. This inspection was carried out over a period of time and concluded with an unannounced visit to the home between 09.20am and 5pm. The manager and staff assisted during the visit. People that live in the home and staff were spoken with. Observations were made throughout the day. Forty-seven people were living at the home on the day of the visit. Surveys were sent to the home for the manager to distribute to residents, relatives, staff and health and social care professionals. Six were returned from services users, two from relatives and five from staff all of which were generally positive about the care and support received. Care Homes for Older People Page 6 of 26 The care of three people was tracked to help gain evidence as to what its like to live at Richmond. Various records were viewed during the inspection and a part tour of the home undertaken. The home sent their annual quality assurance assessment (AQAA) to the Commission just outside the required timescale. The AQAA is a self-assessment picture of how the manager thinks they are doing against the national minimum standards. 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 Care Homes for Older People Page 8 of 26 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 9 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 10 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service and their representatives have the information needed to choose a home that will meet their assessed needs. Evidence: People have access to information in order to make an informed choice about moving in. The home has a statement of purpose which is displayed in the inner hallway. Previously the manager advised that people making enquiries about the home are sent a brochure and service user guide for information. Most people surveyed that live in the home indicated they received enough information about the home before they moved in, one did not. Peoples needs are assessed. One person spoken with confirmed that the manager came to visit them in hospital to talk through their needs before moving in. Copies of all pre-admission assessments are held on files and used to develop the care plan. Care Homes for Older People Page 11 of 26 Evidence: One person felt that the initial period after moving into the home had not gone as well as they expected. They felt the assistance they needed from staff to settle in their room had taken longer than anticipated. There were problems with the initial room and a change was accommodated. Intermediate care is not provided at the home. Care Homes for Older People Page 12 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. The health and personal care that people receive is based on their individual needs. Further improvements in care planning and medication systems would benefit people. The principles of respect, dignity and privacy are put into practice. Evidence: Peoples health, personal and social care needs are set out in an individual care plan. Four were viewed. They they contained sufficient information to inform staff about peoples basic needs. One staff member commented care plans are much improved and communication is good. Although one person said they were not aware of their care plan they had signed one section of it. Care plans evidenced reviews are undertaken monthly. The manager advised staff are now involving people in the monthly reviews. Otherwise people or their representative are involved in a six monthly review. Relatives surveyed indicated the service usually meets the care needs of their relative and responds to the different care needs of individuals. They also felt the home kept them up to date with important issues. Further work on care plans could enhance the consistency of care provided. For Care Homes for Older People Page 13 of 26 Evidence: example the care plan may show that a toileting plan is in place although records could better reflect what is in place is meeting the persons needs. Care plans could also better detail peoples wishes in relation to their personal care routines. One person said a staff member had arrived to get them up and asked them what to do. One persons care plan stated they needed one staff member to assist them with their mobility but daily notes showed for some time this had required two. Where equipment is used which could be conceived as restraint such as reclining chairs this should be recorded in the care plan together with multi agency agreement for its use. The manager advised the day after the visit this had been addressed. Peoples health care needs are met. People spoken with confirmed a doctor is called when required. Evidence in care plans and notes showed people have access to district nurse, doctors and chiropodist. An exercise group was run on the day of the visit and people are weighed regularly. A discussion highlighted a recent visit from the district nurse and treatment for pressure area care had not been recorded in the care plan. Some improvements in the medication systems would ensure a safer system is in place. Medication is supplied in a monitored dosage system and stored securely Temperature checks for the medication fridge and room are in place. However these highlighted that medication is not stored at the correct temperature. Records indicated that the medication room on Heatherbank has not been at the correct temperature since 6th May 2009 when temperature outside began to rise. This was highlighted at the previous inspection and some action has been taken such as installing a air conditioning unit and vents in the doors. Action must be taken directly to store medication correctly. Medication Administration Records (MAR) charts were examined and were in good order. Although handwritten entries should be witnessed for good practice as well as signed and dated. Medication stocks are in some cases excessive and this should be managed for good practice. A requirement has not been made at this time as the manager advised the day after the visit that action has been taken to address these shortfalls. Excessive stocks have been returned and a new storage cupboard has found which meets the temperature requirements. People feel they are treated with respect and their right to privacy is upheld. People spoken to confirmed staff are kind and caring. Surveys indicated people feel staff and managers always treat them well. Observations throughout the day showed staff to interact well with people using a kind and sensitive approach. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are able to make choices about their life and are satisfied with the social activities and meals provided. Evidence: People have opportunities for social and recreational activities. A programme of activities is displayed. Two activity coordinators are employed and activities take place six days a week with Sundays only having a church service held. In addition a Chaplin is employed and holds services and Bible reading. On the day of the visit an exercise group was held, a quiz and people had hand massages. A PAT dog visited and a singalong was observed both of which were thoroughly enjoyed. Records and discussions confirmed activities include worship and music, cookery, garden activities, walks in the garden, reading, hymns, skittles, reminiscence and sensory, art and communion. People said how much they enjoyed the activities. A recent outing had taken place to Ashburnham. One staff survey said Richmond has an extensive activity programme which works well within the home. People surveyed confirmed they are able to make decisions about what to do each day and can do what they want. Peoples choices are respected and they are able to spend time joining activities or time alone. One person said the days fly by. Visitors confirmed they are made welcome. Several visitors were seen either taking out their relatives or spending time in the home. One relative Care Homes for Older People Page 15 of 26 Evidence: commented when entering Richmond there seems to be an air of calm even if there is something going on. People have a choice of meals, which are enjoyed. A four-week menu is in place. Breakfast is cereals, toast and fruit. The main meal is at lunchtime with a choice of main meal followed by a desert. Supper is a choice of light meal or sandwiches etc followed by something sweet. On the day of the visit lunch was cheese and mushroom quiche or chilli con carne with mashed potato and vegetables followed by pineapple sponge or plum pie and custard. The chef advised that meat and vegetables are delivered regularly to ensure they are fresh. People felt they had enough food and it was good or very good. One person surveyed felt there could be more variety in the menu. One person said lunch was very nice but didnt know what it was. Special diets are catered for such as vegetarian and soft diets. Care Homes for Older People Page 16 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are able to express their concerns, and have access to a robust, effective complaints procedure, and are protected from abuse. Evidence: People confirmed who they would speak to should they have a concern. One person said they had discussed concerns previously and things had got better. People and relatives surveyed felt they know how to make a complaint and any concerns have been responded to appropriately. Surveys were mixed with people indicating staff always, usually or sometimes listen and act on what they say. A complaints procedure is displayed. Regular residents meetings are held where people are able to voice their concerns. Ten complaints were recorded as received since the last inspection. These all had details recorded of the complaint, investigation and responses. The manager advised they were all upheld or partially upheld. The Commission received one complaint which was passed to the home to investigate. This was in relation to staffing issues and levels. People are protected from abuse. The home has policies and procedures in place in relation to safeguarding people and a whistle-blowing policy. The manager advised she has obtained a copy of the local safeguarding adult protocols. The manager is a trained trainer in safeguarding adults. Further staff have received safeguarding training resulting in most staff now trained. 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. People are living in a home which is homely and comfortable and which will benefit from the building works and refurbishment. Evidence: People live in a comfortable and homely environment although it remains a bit tired in places. A part tour of the home was undertaken. Some furniture shows evidence of wear and tear as do some areas of the home which in places also dated. Work discussed at the previous inspections has still not yet taken place such as decor and carpets in corridors. The manager is very aware of this. There are major plans to extend and refurbish the building which started at the beginning of July. Relatives and staff surveyed indicated the building works has taken a long time in coming. One said I am sure all concerned will be relieved when the necessary work is carried out to the property it has been many months coming and the delays Im sure are too long. Another said Richmond looks slightly run down and its quite embarrassing showing prospective clients round. It is due to have extensive building works done that were due in January then March then May and now June. The manager advised that the recent delays were due to extra surveys that had to be completed. The delay in building works have had an impact on the home and people living there. When the refurbishment is finished people should benefit from a very pleasant and spacious home. The manager advised one corridor would be having a new carpet the following week and the building work should be completed in December 2009. Care Homes for Older People Page 18 of 26 Evidence: Both units have areas where people are able to sit and spend time. Several people on Richmond use the inner hallway which is the hub of the home to sit and chat to others or watch the comings and goings. People are able to wander into the gardens. Richmond has a very large level secure garden with lawn, path and flower borders. Heatherbank has a sloping lawn but there is a small level patio area. Lawns are maintained but some areas of the garden do not look as well kept as previously. Some areas of the gardens will be affected by the building works. People spoken to were generally happy with their rooms. One said its a lovely room I am very fortunate. Bedrooms vary in size and some have been very personalised with knick knacks and personal furniture. Heatherbank corridors have been enhanced with displays of art work, bygone newspapers and past photographs. Some bedrooms doors on this unit also display art work done by the person and a personal photograph to enable better identification of peoples own rooms. Generally the home was clean. One person spoken to felt the cleanliness of home has improved but there is still room for further improvement. During the tour of the home there were three apparent odours one of which will be addressed by the new carpet to be fitted the week following the visit. Another was the result of a used medical device left in an ensuite since the previous day. Staff must follow good practice for diposal of hazardous waste. People surveyed indicated the home is always fresh and clean. One survey commented some aspects of housekeeping could be improved upon. Two surveys indicated there are concerns with the laundry service. One said laundry is an issue at times and needs to be improved. This was discussed with the manager who is already taking management action to resolve this. 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. Staff in the home are trained, qualified and skilled to support people and the smooth running of the home. Evidence: Most people feel there are sufficient staff on duty. One member of staff surveyed felt staffing numbers should increase or at least be discussed with head office (this relates to Heatherbank unit). The manager confirmed that four staff are on duty in both units each day and two members of staff are on waking night duty in each unit. In addition to this there is a deputy manager. Activity coordinators work part time six days a week and a Chaplin is employed for two days. Ancillary staff include a chef, kitchen assistants, laundry, domestics and a maintenance person. The manager advised that recruitment has improved and there is very little agency use. People spoken to felt staff were very kind and we get on well, pretty good and caring. One relative commented the staff always have time for a few words. Staff attention is always very good. Staff surveyed felt there is sufficient staff on duty to meet the needs of people. On the day of the visit better shift planning on Heatherbank may have increased activity time and also given better options for carer gender for people receiving personal care. People receive care from staff that is qualified. The manager advised that 17 staff have obtained a National Vocational Qualification (NVQ) level 2 or above and nine are Care Homes for Older People Page 20 of 26 Evidence: currently undertaking this. Once completed this will more than meet the recommended 50 for good practice. People are protected by the recruitment procedures. Three newly recruited staff files were examined. These evidenced that all appropriate checks are in place to ensure people are protected. People receive support from a trained staff team. The manager advised of training data. All staff undertake an induction which is to Skills for Care specification. In addition most staff are trained or booked to attend training in safeguarding adults, food hygiene, infection control and moving and handling. All staff are trained in fire. Some staff are trained in first aid with another course booked. Staff that administer medication have received training. Additional training has taken place for care planning, dementia and end of life. People surveyed felt staff have the right skills and experience to look after people properly. Staff surveyed felt they are given training appropriate to their role and their induction very well or mostly covered what they needed to know. 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 management and administration of the home is based on openness and respect and has effective quality assurance systems. Evidence: People live in a home, which is managed by a person who continues to be enthusiastic, committed and encourages an open and relaxed atmosphere. She has considerable experience of managing care homes and dementia care. She is qualified in NVQ level 4 in management and is currently undertaking an Open University degree in care management and science and her Registered Manager Award (RMA). Emma is also a trained trainer for safeguarding adults. Only one person felt they did not see enough of the manager. Staff confirmed she is approachable. One said you can go to her (Emma) with anything. One staff survey said management have and still do endeavor to improve standards to a high level. The organisation undertakes an annual quality assurance survey which is sent to people who live in the home and their relatives. The last one was completed in Care Homes for Older People Page 22 of 26 Evidence: September 2008 and 15 completed surveys were received back. Results are scored out of 100 . Areas covered include food, interests, cleaning, relationships and care. The results were positive with overall scores ranging from 74.91 (interests) to 83 (relationships). The home returned their AQAA just outside the required timescale. It gave a good clear picture of the home. Peoples financial interests are protected. The home holds savings for some people. Records were checked and appropriate records are maintained. Records may benefit from receipts being numbered. Staff feel supported. Staff spoken with felt well supported. Records examined indicated those staff had received supervision within the last three months. Staff surveyed felt supported and confirmed they received supervision. Peoples health, safety and welfare is promoted. Information in the AQAA indicates that the home has serviced equipment appropriately. Some certificates were examined and were in order. Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 25 of 26 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). 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!