Inspection on 07/01/10 for St Martins Care Home for the Elderly

This is the latest available inspection report for this service, carried out on 7th 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.

Other inspections for this house

St Martins Care Home for the... 21/08/07

St Martins Care Home for the... 15/02/07

St Martins Care Home for the... 22/05/06

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Extracts from inspection reports are licensed from CQC, this page was updated on 16/05/2010.

Key inspection report Care homes for older people Name: Address: St Martins Care Home for the Elderly 22 Feckenham Road Headless Cross Redditch Worcestershire B97 5AR     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: Andrew Spearing-Brown     Date: 1 1 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) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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: St Martins Care Home for the Elderly 22 Feckenham Road Headless Cross Redditch Worcestershire B97 5AR 01527544592 F/P01527544592 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): St Martins Care Home for the Elderly Ltd Name of registered manager (if applicable) Mrs Deborah Jayne Styles Type of registration: Number of places registered: care home 15 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: The maximum number of service users to be accommodated is 15. The registered person may provide the following category of service only: Care Home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: - old age, not falling within any other category (OP 15) - dementia over 65 years of age (DE(E) 15) physical disability over 65 years of age (PD(E) 15) Date of last inspection 0 0 0 Over 65 15 15 15 Care Homes for Older People Page 4 of 27 Brief description of the care home St Martins is situated in a residential area close to local shops and other amenities. There are some car parking facilities at the front of the premises otherwise people have to park on the street. The home has an enclosed garden at the rear. Following the registration of an extention the home is registered as a care home providing personal care for a maximum of fifteen older people over the age of 65 years. The home is also registered to provide care for older people who may have a physical disability and/or a dementia illness. The people who use the service are accommodated on the ground floor and first floor of the building in eleven single bedrooms and two double bedrooms. Five of the single bedrooms have en suite facilities. The home has a stair lift to assist people gain access to the first floor. The communal space consists of a dining room, a front lounge and a conservatory. For the most up to date information upon fees charged the reader should contact the service directly. Care Homes for Older People Page 5 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 last inspection report following a visit at St Martins is dated 3rd February 2008. This inspection was what we call a key inspection; this is one where we look at what we believe to be the most important outcome areas for people using the service. This inspection was carried out by one inspector, we did not give any notice to the service that we were visiting. As part of this inspection, in addition to the visit to the home, we also took into account other information we had received. Prior to our visit we requested an Annual Quality Assurance Assessment (AQAA) from the registered persons. This is a document within which providers of care services are able to demonstrate to us where they believe they are providing a good service and where they believe they could improve in the future. The AQAA also provides us with certain data which we need to know. The AQAA was completed by the registered manager and returned to us. Care Homes for Older People Page 6 of 27 Prior to the inspection we posted out some surveys to residents, their representatives and staff members. We received a good response to these, some were completed by peoples relatives while others were completed by staff members. During this inspection we had a look at communal areas of the home as well as some bedrooms. We looked at some care records such as care plans and risk assessments regarding some people living in the home. We also viewed other documents such as medication and staffing records. We spoke to a number of people in the home including the registered manager, the proprietor, some members of staff and some residents. Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our 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. Information is available to help people make a choice about whether they would like to live at St Martins. The service seeks information about peoples care needs prior to their admission to help them decide whether they are able to meet the identified care needs. Evidence: Before our inspection we asked people if they had received enough information about the home before moving in. On the surveys returned to us relatives stated that they had received this information. The home provides written information for people who are considering moving into St Martins. This information, known as a Service Users Guide is available for people in every bedroom. The guide gives information about the home and some aspects of what people can expect if they live there. The guide is not available in any other formats, although the manager believed it could be provided in a larger print if Care Homes for Older People Page 10 of 27 Evidence: needed. The manager informed us that people receive a statement of terms and conditions although we did not request to view these on this occasion. We asked a carer about the information they receive prior to a new resident moving into the home. The person concerned told us that they (the staff team) usually know the day of the admission. The same person confirmed that relatives often visit the home before their relative is admitted. The home provides accommodation for people on a step down basis. This is for people who no longer need to be cared for in a hospital setting but may need support before a decision is made as to whether an individual would manage in their own environment with a care package or need to be in permanent care. The most recent admission was somebody on a 6 week step down admission. We saw information from the funding authority giving details of the individuals care needs. We saw some information written by the home prior to admission as well as an initial assessment written at the time of admission. 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. Peoples health and social care needs are being met, but further improvements in day to day recording would help ensure that nothing is overlooked. Evidence: Each person residing at the home has a written care plan as well as other records such as risk assessments and daily records. The records seen were in good order to make the information accessible. Care plans are reviewed on a monthly basis. Care plans have improved since our previous visits and generally gave sufficient information to enable carers to provide the level of care needed to meet identified care needs. The manager is aware of person centred care and should develop care plans further to reflect this. Care plans contained details of peoples medication and why they were receiving each item. Some people had fluid charts in place to record the amount of fluid taken. One of these was either not always completed or the person was not receiving fluids Care Homes for Older People Page 12 of 27 Evidence: Risk assessments were in place and generally in order. We noted one where staff had not added the score up correctly which could have resulted in a change in the overall care needed. We read some information on daily records whereby staff had not recorded any follow up to that initial comment. However when we spoke to staff they seemed to be aware of peoples current health care needs. We saw records showing that community nurses visit the home daily. From discussion and reading documents it was evident that the service calls upon medical professionals as needed. We were unable to fully establish whether a referral to a specialist was followed up. The registered manager was sure this had happened and checked with the GPs surgery for clarification. As part of this inspection we assessed the management of medication within the home. Medication is stored within a lockable trolley. We viewed a sample of the current months MAR (Medication Administration Record) sheets. In most cases these were signed satisfactorily. We noted a small number of gaps on MAR sheets where staff had not signed to show medication was given or enter a code to explain the omission. In some cases we were able to check the blister pack and found that the medication was not there, therefore it would appear that it was given. We audited some medication and found that in most cases the items balanced correctly. We did discover one course of antibiotics with too many signatures in place. There was some confusion over some eye drops as they were found within the medication trolley when the instructions stated that they should be kept in a fridge. The carer on duty assured us that she had made a mistake that morning and that usually there were kept in the fridge. The manager requested a repeat prescription from the GP just in case they were no longer any good. We have previously recommended that the service has suitable facilities for the storage of controlled medication. We found the arrangements in place to be unsuitable. After we brought the matter to the attention of the provider a suitable cabinet was ordered. We advised that once delivered the cabinet needs to be secured to a wall using the appropriate bolts. We also discussed the storage of items requiring refrigeration. At the time of our visit staff were using the fridge in the kitchen for this purpose. This arrangement was unsuitable for the items held therefore a dedicated piece of equipment was needed. Similar to above the provider ordered a suitable piece of equipment during the time this inspection was taking place. Care Homes for Older People Page 13 of 27 Evidence: During our inspection we saw that staff respect the privacy and dignity of residents. Staff were seen to be kind and considerate throughout our time at the service. Residents were suitably attired taking into account gender, culture and weather conditions. 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. People are able to engage in some in house activities. Meal times are relaxed and people like the food available to them. Evidence: The atmosphere in the home was very welcoming. Within the AQAA the manager wrote All visitors to our home are made welcome, no restrictions on times. Visitors are able to see their relative or friend in the individuals own bedroom or in the communal areas such as the lounge or conservatory. Information was on display within the home regarding activities available to people living in the home. We spoke to a number of members of staff and residents who confirmed that events such as playing skittles, bingo and nail care take place. Occasionally people visit the home to lead activities such as gentle exercises or some singers from a local church. During our visit we saw staff interacting with residents in the lounge generating general discussion. A television was on throughout our visit. Subtitles were showing to assist people with hearing loss. We were told of cinema afternoons when people watch a film while eating some pop corn. Care Homes for Older People Page 15 of 27 Evidence: Religious care needs are currently addressed by an in house church service once a month. One relative wrote on a survey returned to us Good quality home cooked meals. We were told that a choice of mid day meal is available each day other than a Sunday when a traditional roast is cooked. We saw a weekly menu. The actual lunch served differed from what was written on that document. A chalk board was located near to the dining room, the information on this board was correct. The weekly menu listed a wide range of items available to people for breakfast such as cereals, toast, marmalade, jam, eggs, bacon, sausages, fried bread, mushrooms, tomatoes, kippers with butter, fresh fruit, tea, coffee, fresh juice, croissants, bagels and muffins. We asked the cook if everything listed was available and were told yes with the exception of the bagels and muffins. We saw the mid day meal being served from a hatch. The lunch consisted of Game pie, potatoes, peas and green beans or chicken steaks, chips and salad. This was followed by proffita rolls and chocolate sauce or jelly and angel delight. We witnessed staff offering residents a choice between the above selection. The meal was well presented and looked appetizing. People appeared to be enjoying their meal. This was later confirmed during a general discussion with residents in the lounge. Although the cook prepares some parts of the afternoon tea the final part such as cooking beans on toast is undertaken by the care staff. This removes a carer from other duties for a period of time each afternoon. We were told that this is only done by staff who have undertaken basic food hygiene training. The local District Council rated the food safety at St Martins to be good following their visit to the home during August 2009. 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. People can be confident that staff will take notice if they have concerns and do what they can to put things right. Staff are aware that they have a duty to protect people from the risk of abuse or neglect. Evidence: The homes complaints procedure is included within the Service Users Guide. A copy of the guide is available in each bedroom. We also saw the name and address of the commission displayed near to the front door although it was not clear what our role is upon the notice. In our survey, everyone told us that they know how to make a complaint and who to talk to if they have any concerns about the service provided. During the inspection people told us that they would speak to either the registered manager or the proprietor if they had any complaints. While we were talking to people in the lounge a number of people told us that they have nothing to complain about. One person wrote on a survey that a concern was recently raised which was immediately dealt with in a satisfactory manner. Details of a local advocacy service are included within the homes Statement of Purpose. Having such information available to people helps to ensure that they have means to somebody to speak on their behalf if they are unable to do so themselves or Care Homes for Older People Page 17 of 27 Evidence: have no relatives to do this for them. On the AQAA the registered manager wrote Staff to have PoVA (Protection of Vulnerable People) from WCC (Worcestershire County Council) this month. The training records within the home showed training was done in October 2009 which was attended by most members of staff. There have been no referrals to the local multi - agency safeguarding process regarding St Martins since our last inspection visit to the service. Staff we spoke to were clear that if they believed someone was being treated badly they would report this to the manager or if they felt it was not being dealt with to either the provider or external agencies. One member of staff told us that she had seen leaflets about reporting abuse. The registered manager makes sure that only suitable staff are employed in the home therefore safeguarding people from the risk of harm or abuse. The recruitment procedures include obtaining checks such as a Criminal Record Bureau (CRB) disclosure and written references. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is, in many parts, homely however the standard could be improved to make the home more comfortable. Evidence: St Martins care home is located in a mainly residential area near to a small number of shops and a public house. The home is accessible to people in a wheelchair or limited mobility as a ramp is provided to the entrance. Corridors within the home itself are however narrow which could be difficult for some people. Bedroom accommodation is provided on both the ground and the first floor. Accommodation consists of eleven single and two double bedrooms. A stair lift is provided to enable people access to all areas of the home. St Martins is homely and appears lived in. Some picture were leaning against the wall and the back of chairs although we were later told that they were awaiting replacement hooks. The glass case displaying certificates and other information was untidy. There is one communal lounge. The chairs in this area are pushed up against the wall. A television set is provided, this was on during our visit and we noted that the subtitles were on to assist people with a hearing loss. The furniture within the dining Care Homes for Older People Page 19 of 27 Evidence: room is not sufficient in numbers to cater for everybody at the same time. Prior to the opening of the extension the home had another smaller dining room however this area now forms a corridor to the new bedrooms. This area is used for hairdressing with a wash basin provided. The seal around the fridge in the kitchen was split. This could result in it not maintaining the correct temperature as well as it becoming an area where grime could build up. We have previously highlighted that the upstairs bathroom was carpeted, this was replaced with carpet tiles. We have previously commented that having such floor covering can be a concern regarding the ability to keep it hygienically clean. All the radiators seen during our inspection were covered to prevent accidental scalding. The stair carpet is worn. We were told that this is due to be replaced. We noted that some light bulbs along corridors and in some toilets were without any shade. The decor along corridors is generally tired in appearance. The back garden is untidy. Due to a covering of snow it was difficult to establish what the items were but they appeared to be rubbish and or rubble. The home is equipped with a suitable laundry which leads off from the office. We saw disposable gloves and aprons within the home. Staff wore blue aprons while serving the mid day meal. These measures help with infection control procedures within the home. 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. People have appropriate support form the staff on duty. Training is provided to ensure staff have the skills needed to carry out their role. Recruitment procedures within the home help to protect people. Evidence: During our inspection the registered manager and staff we spoke to confirmed that staffing levels within the home remain similar to those we have previously reported upon. Throughout the waking day two carers are on duty. The registered manager works up to six days a week and at times, such as at the weekend, forms part of the care rota. The home has one senior carer who would deputies for the manager in her absence such as during leave. During the night the home has one carer awake and another carer sleeping in. As some residents need more than one carer to meet their personal care needs it would be necessary to wake the sleeping in person should these people need assistance. Other staff are employed within the home such as a domestic and cook. Since previous inspections St Martins has increased their registration by 3 people. The number of staff on duty at any one time has not changed. Staffing levels needs to be kept under review in relation to the dependency levels of people living within the home. Care Homes for Older People Page 21 of 27 Evidence: A cook is employed each morning although carers have to undertake the final preparation of tea. This continues to be of concern due to the reduction in staffing levels available to provide care for people living within the home as well as the risk of cross infection. No agency staff are used within the home and the home does not have any relief carers. During our visit we were told that just under 50 of carers have completed their NVQ (National Vocational Qualification) award. A training matrix was on display within the managers office. The matrix showed that the majority of staff have received training over the last year. Some gaps in training were evident however the registered manager was aware of these and in many cases had already taken action to provide this training in the foreseeable future. Somebody who works for the local authority was due to return to the service to provide further training in dignity in care. We viewed the records of some recently appointed members of staff and found that recruitment procedures were followed. Some people had received some unfavorable references however there was evidence that the manager had followed these comments up to satisfy herself that people were suitable to work within the home. The home had received a CRB (Criminal Records Bureau) disclosure prior to employment commencing. The carrying out of these checks helps to protect people from the risk of neglect or abuse by making sure only suitable people are employed. 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. Management systems have improved in order to provide a safer service for people living in the home. Evidence: The registered manager has completed the Registered Managers Award (RMA) which is a level 4 NVQ (National Vocational Qualification) in management as well a level 4 NVQ in care. The AQAA (Annual Quality Assurance Assessment) was returned to us prior to the inspection. It contained some useful information regarding the home and where it is believed it is providing a good service. We saw evidence of residents meetings having taken place. The last meeting took place on the 28th November 2009. Nine residents attended that meeting. The minutes recorded a desire to have a real Christmas tree and recorded discussions around having curry for lunch. These requests were implemented. Care Homes for Older People Page 23 of 27 Evidence: The home had on display the certificate of registration. Also on display were some former certificates. The case in which these were displayed was untidy and in need of sorting. A current certificate of employers liability insurance was also displayed. A maintenance plan for the home contained limited information regarding improvement scheduled for the bathing facilities. People living at the home are able to have small amounts of money held on their behalf in safe keeping. We checked the balance of a small representative sample of people and found them to be correct. We were told that staff received regular supervision. This was confirmed by a member of staff on duty at the time of our visit. The fire log showed that the fire alarm is tested regularly the senior carer confirmed that the alarm is tested weekly. However this was not in schedule order and it was not immediately possible to establish whether all the call points form part of the testing. A label on the fire blanket within kitchen showed that it was last serviced during January 2008 therefore it had missed more recent visits from the contractor. We sought information about the servicing of hoisting equipment. We saw documents to demonstrated that equipment is serviced frequently. The service record regarding the bath chair lift stated All results safe and satisfactory while the records regarding the stair lift stated left in working order. 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 Care Homes for Older People Page 26 of 27 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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