Inspection on 26/10/09 for The Firs Nursing Home

This is the latest available inspection report for this service, carried out on 26th October 2009.

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

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

Similar services:

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Bramble Lodge

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Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

Key inspection report Care homes for older people Name: Address: The Firs Nursing Home The Firs Nottingham Notts NG5 3FS     The quality rating for this care home is:   three star excellent 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: Karmon Hawley     Date: 2 6 1 0 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 28 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 28 Information about the care home Name of care home: Address: The Firs Nursing Home The Firs Nottingham Notts NG5 3FS 01159531123 01159535319 c.fairfax@abbeyfield.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): The Abbeyfield Society Name of registered manager (if applicable) Carmel Maria Fairfax Type of registration: Number of places registered: care home 31 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users to be accommodated is 31 The registered person may provide the following categories of service, Care Home with Nursing, Code N to service users of the following gender, either, whose primary care needs on admission are within the following categories, Old age, not falling within any other category, Code OP Date of last inspection Brief description of the care home The Firs is a purpose built care home, with nursing, for 31 older people. The home offers accommodation over three stories, with a lift to access the first and second floor. The lounges and dining area are on the ground floor. The bedrooms are all single with en-suite facilities including showers. The home is light, airy and spacious. The Firs Nursing Home is situated close to many local amenities and has access to Care Homes for Older People Page 4 of 28 Over 65 31 0 Brief description of the care home good public transport. The weekly accommodation charges start at £581.77. A copy of the most recent inspection report is available in the home. Care Homes for Older People Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The focus of inspections undertaken by the Care Quality Commission (CQC) is upon outcomes for people living at the home and their views on the service provided. This process considers the providers capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. One regulatory inspector conducted the unannounced visit over 1 day, including the lunchtime period. A review of all the information we have received about the home from the provider and the general public since the last inspection was considered in planning this visit and this helped decide what areas were looked at. The main method of inspection we use is called case tracking which involves selecting Care Homes for Older People Page 6 of 28 the care plans of 3 people and looking at the quality of the care they receive by speaking to them, observation, reading their records and asking staff about their needs. The manager, members of staff, relatives and people who use the service were spoken with as part of this visit. Documents were read as part of this visit and a tour of the home was undertaken to form an opinion about the health and safety of people using the service. The service sent us an Annual Quality Assurance Assessment which outlines the developments and improvements the care home has made throughout the year. We used some of this information within the report to determine our judgments. We also received 5 completed surveys from people using the service and their relatives and 3 completed surveys from the staff. Care Homes for Older People Page 7 of 28 What the care home does well: What has improved since the last inspection? What they could do better: The service has an excellent rating, however staff continue to strive to improve areas Care Homes for Older People Page 8 of 28 where they feel that development could be made. 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 9 of 28 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who may wish to use the service are assured that their needs will be assessed and that staff can meet these before they make a decision to move into the care home. The service does not offer intermediate care. Evidence: So that people have all the necessary information that they may need to make a decision to move into the care home the Statement of Purpose and Service User Guide contains all that they need to know and this is readily availble. To ensure that staff are able to meet peoples needs before they make a decision to move into the care home, the manager visits them to carry out an assessment. Once this has been completed the manager sends a letter to the person to confirm that the staff are able to meet their needs. Care Homes for Older People Page 11 of 28 Evidence: People if able may also visit the care home to get a feel for what it would be like to live there before they make a decision to move in. The manager also places a welcome card and a bunch of flowers in peoples rooms when they move in to make them feel welcome. Two people using the service tell us that although they did not get the opportunity to visit, their family visited to see what the care home was like before they moved in. Staff tell us that they are given sufficient information about people before they move into the care home so that they are aware of their needs and the support that they require. The service does not offer intermediate care. Care Homes for Older People Page 12 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service are assured that their needs will be met, that they are protected from risks and that staff have all the necessary information needed to support them appropriately. Evidence: Plans of care are in place for peoples identified needs so that staff have the necessary information needed to support them. These have developed since the previous inspection and are now more person centred to ensure that people receive support in their preferred way. Plans of care in regard to complex needs such as behaviour that may be challenging are in depth and provide staff with a lot of information in regard to supporting people to make sure that their needs are met and that they and others using the service are protected. We can see that reviews are taking place and although limited information is sometimes available to demonstrate the support a person has had, plans of care are Care Homes for Older People Page 13 of 28 Evidence: updated as required to ensure continuity of care. Within peoples case files there is now a personal history which offers in depth information about people using the service, this aids a greater understanding of who people are and what has happened in their lives to shape who they are today. Staff spoken with are able to discuss peoples personalities and events that have occurred in their lives, demonstrating that this information is being utilised by staff. Daily running records contain in depth information about people and their conditions and we saw that any issues are followed up promptly. Appropriate risk assessments and management plans are in place for peoples highlighted needs such as falls and the safe use of bedrails so that these are reduced and managed. Staff spoken with are able to discuss peoples needs to a good level and how they support them in meeting these. Staff also demonstrate a good understanding of supporting people who may have behaviour that is challenging and how they ensure the best outcomes for people. People using the service tell us that staff support them as needed and their needs are met. We can see that people using the service have access to specialist services such as the Doctor, dentist and optician as required. During the tour of the care home we saw that people have access to specialist equipment such as beds, mattresses and cushions. People using the service tell us that they can see the doctor when they need to and others talk about the special equipment that they use to help them to mobilise; I can see the doctor when I need to, they come here, I use the standaid to transfer and I have an electric wheelchair which gives me more freedom. Staff confirm that people can access specialist services as needed and that there is sufficient equipment in regards to assisting people to move comfortably. All staff who administer medication have been trained to do and we can see that improvements in regard to medication management has taken place since the previous inspection. Care Homes for Older People Page 14 of 28 Evidence: The manager carries out monthly audits on medication practices to ensure that all staff carry out good practice recommendations. One person using the service tells us that the staff look after all their medication for them and that they are happy with this arrangement. Staff are able to discuss how they make sure they maintain peoples privacy and dignity by way of ensuring that they knock on doors and covering people when offering personal care. People using the service tell that the staff are very kind and caring and that they treat them with respect at all times. We saw staff treating people using the service with respect and maintaining their privacy and dignity throughout the inspection. Care Homes for Older People Page 15 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service are supported and enabled to experience a lifestyle that satisfies their needs and maintain contacts with people that are important to them. Evidence: Activities such as bingo, chair exercises, hand massage, drafts and quizzes are on offer to people using the service on a daily basis should they wish to join in these. In addition to these activities further are offered by way of outside entertainers and volunteers. Church services of various denominations and Holy Communion are also provided in house should people wish to attend. In the main entrance hall there is a notice board which displays what activities are available and when, each person also has a copy of this in their own room so that they can attend activities of their choosing. People using the service tell us that they enjoy the activities on offer; we had chair exercises this morning which I enjoyed, activities give us something to do, we are having bingo this afternoon, I can do what I want to do, the activities are good as it Care Homes for Older People Page 16 of 28 Evidence: passes the time, I am very happy, it is a marvelous home, there is a very friendly atmosphere which is good. We have good relationships and banter with the staff, which keeps you going, and I see the librarian every other week and choose books as like reading. I am going out to see a friend, I can spend time as I like and do what I want to do. Staff feel that there are sufficient activities for people to join in to keep them occupied. So that people are able to maintain contact with people that are important to them there are no restrictions on visiting and visitors may be received in private. We saw several visitors entering the care home on the day of the visit. Staff spoken with told us that they have good relationships with people that visit the care home. People using the service tell us that their family and friends can visit at any time and they are made welcome. The surveys returned to us also say that family and friends are made welcome and that staff are very kind and supportive to them also. Some staff have received training in the Mental Capacity Act and the Deprivation of Liberty, on discussing this with them they are aware of how they must ensure that peoples rights and choices are maintained and how they attempt to do this. A wholesome and varied menu is on offer to people using the service with choices available at each meal. Specialist diets such as soft and diabetic diets are also catered for and staff spoken with are able to discuss the reasons for these. People using the service told us, the food is very good there are choices and plenty to eat, I had a jacket potato and butter for dinner, I tell them what I want and they are accommodating, the food is very good, I get plenty to eat. Care Homes for Older People Page 17 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service are assured that their complaints will be listened to and acted upon and that they are protected from abuse. Evidence: So that people know how to make a complaint should they feel the need, the complaints procedure is made readily available and a copy is also stored in each persons room along with the service user guide. To ensure that people with visual impairments can access the complaints procedure with ease it is also available in Braille and can be made available on audio cassette if requested. The manager continues to maintain an open door policy so that people may come and see her at any time if they want to discuss any areas of concern. One person using the service also tells us that the manager comes to see them most days and asks if they are alright. The manager keeps a record of all minor concerns that have been raised, such as choice of food and the staff use of endearments. This is to ensure that matters are dealt with promptly to peoples satisfaction without the need to make a complaint. From these records we can see that the necessary action has been taken to address concerns and staff have been spoken with if necessary to avoid reoccurrence. Staff spoken with are able to discuss what action they would take should they receive a concern or complaint to make sure that this is dealt with promptly. People using the service tell us that they are very happy living at the care home and they offer the following comments; we sometimes have a few differences, however Care Homes for Older People Page 18 of 28 Evidence: these are soon sorted out, you can talk to staff and they deal with them. I have no problems, if I did I could talk to staff, we have good relationships, and I have no complaints, I can do as please within my own limitations. The results of the surveys sent to the care home before the inspection tell us that people using the service and their relatives know how to make a complaint should they feel the need, however all comments in respect of the service are positive. To ensure that people are protected from abuse staff have received training in protecting vulnerable adults and they are able to discuss their roles and responsibilities in regard to ensuring that people are safe and protected. Staff employed have the necessary documentation required by law in place such as a Criminal Record Bureau check (a police check to see if an individual has a police caution or criminal record) so that people using the service are protected from unsuitable people being employed. One member of staff spoken with confirmed this. Care Homes for Older People Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a comfortable, homely and well maintained environment. Evidence: The care home is purpose built and offers people spacious accommodation and there are various seating area throughout the care home that people may access if they wish. There is evidence of ongoing maintenance work and all areas of the care home seen are well maintained. The wall protectors that have been obtained from a dignity grant have now been fitted to minimize the damage done to walls by electric wheelchairs. Each persons room has en suite facilities with a walk in shower, in addition to this there are also bathrooms available with specialist equipment to ensure people that may not be able to get in to a bath unaided can do so with support from staff. People are able to personalise their rooms if they wish and all the rooms that we saw during the tour of the care home are very personalised with peoples belongings. All areas of the care home are clean, tidy and free of clutter. One person using the service tells us that the carpets in their room have recently been cleaned and that they feel that the environment is always clean and tidy. Care Homes for Older People Page 20 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service are supported by a well trained and competent staff team. Evidence: Throughout the inspection we saw that staff are readily available to support people as needed and that people are given assistance as required. Staff tell us that the staff team gets on well and that they work together as a team. It is felt that there are sufficient staff but one member of staff feels that additional staff would be welcome; the staff team get on well together, there are enough staff to meet peoples needs, there are enough staff but peoples needs are greater than previous and they need more equipment, which takes more staff therefore we could do with more staff. People using the service tell us, I have a buzzer around my neck so I can call for help whenever I need to, I had a fall and the staff were soon there to help me, I have a personal buzzer around my neck so I can call for help, they come in a reasonable amount of time, I sometimes have to wait but it is not excessive. So that new members of staff are aware of their roles and responsibilities when they first start working at the care home they undertake an induction and have time to work with senior members of staff so that they have the opportunity to get to know people and the general routine of the care home. One member of staff spoken with told us that they work along side new members of staff when they first start working at the care home so that they are given an opportunity to get to know people, their routines Care Homes for Older People Page 21 of 28 Evidence: and the routines of the care home. 83 of staff have undertaken the National Vocational Qualification in care (a nationally recognised work and theory based qualification designed to enhance knowledge and skills in caring for people - NVQ) level 2 and one has attained level 3. Two members of staff spoken with confirmed that they have undertaken this training and that it has helped them to gain additional skills and knowledge in supporting people using the service. Staff files examined show us that a thorough recruitment and selection process is in place. Staff files examined contain all the necessary documentation required by law such as references and proof of identity to ensure that people using the service are protected from unsuitable people being employed. Staff spoken with confirm that they underwent the necessary checks before they commenced working at the service. To ensure that staff are trained and knowledgeable to meet peoples needs they undertake mandatory training, such as fire, manual handling and food hygiene and specialist training, such as end of life care, equality and diversity and the Mental Capacity Act. Three members of staff have also attended training in specialist observation techniques so that they can ensure that people using the service are experiencing good quality outcomes. Staff spoken with said, I have done all the mandatory training, it is good to gain more abilities and know more about supporting people, I feel supported in my training and development, I feel I have developed over the last few months, I am now more able to delegate and stand back so that others can take responsibility for their work. I am a people person; my strengths are in caring for people. There is ongoing training, I love it and I do everything I can. People using the service offer the following comments, I am very happy here, I am amazed at how staff handle their jobs they are very good at it; I am impressed how hard they work and cope really well, the staff cant do enough for you, (a named member of staff) is marvelous, all the staff are kind and considerate and help as needed. Care Homes for Older People Page 22 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a care home that is well run and managed where their views and opinions are fully considered. Evidence: The manager is registered with the Care Quality Commission as a person who is fit to run and manage a care home. She ensures that she remains up to date with all necessary training and she has completed the Registered Managers Award (a nationally recognised work and theory based qualification designed to enhance and develop management skills). The manager how has an office assistant three days a week to assist in regards to record keeping and budgets, the manager tells us that this has improved things and she now has more time to spend with people using the service. Staff spoken with tell us that they feel supported in their job role by the manager and offer the following comments; the manager is quite nice and pleasant, if she is not there we can always go to the nurse in charge or a senior carer, matron is really supportive and fantastic. Care Homes for Older People Page 23 of 28 Evidence: All staff are 100 behind the her. One person using the service tells us, the manager is very nice; she comes to see me quite often to see how I am. The surveys received before the inspection tell us that people using the service and their relatives are very satisfied with the service on offer and the way in which the care home is run and managed. People using the service and their relatives are enabled to have a say about how the service is run and managed by way of questionnaires, reviews and meetings. We saw that issues such as fire protection, complaints, activities and the menu had been discussed at the last meeting. The last residents survey, which took place in 2008, covered issues such as the cleanliness of the home, management, activities and staff. The results demonstrated that people feel that they receive good outcomes in all of these areas. Also to monitor and ensure that a quality service is being offered to people the manager carries out several monthly audits in areas such as care planning, medication and health and safety. Once completed an action plan is devised to address any issues if necessary. To ensure that peoples money and personal belongings are safe, people using the service may have a key to lock their bedroom door if they wish. There is also the facility to have money held in the care homes safe if required. People using the service may access this money at any time. On examining accounts we can see that all accounts correspond with the accounting sheet and reasons are recorded for transactions and receipts are available. We can see within plans of care that arrangements for the safekeeping of peoples personal finances are documented as well as information in respect of who is responsible for peoples money. Staff undertake supervisions on a regular basis to assist in their development. These cover areas such as aspects of practice, philosophy of care and development of individuals. Staff spoken with tell us that supervisions are helpful and they tell them how they are getting on. The Annual Quality Assurance information outlines that all the necessary servicing and maintenance of equipment is taking place as required to ensure that people are safe Care Homes for Older People Page 24 of 28 Evidence: and protected. Whilst we were at the care home we examined the lift and hoist certificates, which confirm that this is taking place. Accident records show that staff are taking the correct action and seeking further advice if needed following an accident. To assist in ensuring that any reoccurring issues are addressed the manager also carries out monthly audits on accidents. So that people are protected from fire, all have a risk assessment in place within their plan of care so that staff know what help and assistance people would need in the event of a fire. Regular health and safety meetings are held so that any individual concerns are addressed and health and safety issues can be discuss and action taken if necessary to ensure that people remain safe. Care Homes for Older People Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 7 Reviews undertaken are further developed to become more person centred so that they fully reflect the care and support people have received since the last review. Care Homes for Older People Page 27 of 28 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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