Inspection on 04/12/08 for Abbotsford Nursing Home

This inspection was carried out on 4th December 2008.

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

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

Other inspections for this house

Abbotsford Nursing Home 06/12/06

Abbotsford Nursing Home 21/12/05

Abbotsford Nursing Home 18/08/05

Abbotsford Nursing Home 12/05/04

Abbotsford Nursing Home 30/12/03

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

Extracts from inspection reports are licensed from CQC, this page was updated on 13/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Abbotsford Nursing Home 21 Gilbert Road Romford Essex RM1 3BX     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Julie Legg     Date: 1 1 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Abbotsford Nursing Home 21 Gilbert Road Romford Essex RM1 3BX 01708740355 01708707005 vjm541@ntlworld.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Indira Sandhu Type of registration: Number of places registered: Mrs Carmel Elizabeth Dempsey care home 18 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Abbotsford is a privately owned nursing home and is registered to provide accommodation and nursing care to eighteen older people. Most of the residents have moderate to high needs due to their physical frailty or dementia. The home is situated in a quiet residential area of Romford and is close to the local shopping centre. The home is well served by public transport; both buses and the main line train station are within walking distance. The home is wheelchair accessible and a passenger lift is installed. There are two single bedrooms and eight double bedrooms; none of these rooms are en-suite. The home has a large back garden and there is off street parking at the front of the house. The statement of purpose and the service user guide are issued to every prospective resident and both of these documents are displayed on the residents? notice board, which is situated in the hallway. A copy of the most recent Care Homes for Older People Page 4 of 28 Over 65 3 15 0 0 Brief description of the care home inspection report is also displayed on this notice board. A relative/ representative could ask for his/her own copy, which the manager would make available. The fees for the home are #535 - #650 a week according to the person?s needs. The administrator made this information available on 6th December 2006. 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: This was an unannounced inspection that took place over two days and took eight hours. The inspection was undertaken by Julie Legg the lead inspector. The manager was available for the duration of the inspection and was available for feedback at the end of the inspection. The inspector was accompanied by an Expert by Experience. This is a person who, because of their shared experience of using services and/or ways of communicating, visits a service with the inspector to help them get a picture of what it is like to live in the home. by prior agreement with the inspector, the role of the expert by Experience was to look at the quality of life in the home from the residents perspective. Care Homes for Older People Page 6 of 28 Discussions took place with the registered proprietor, the manager, members of the care and nursing staff, the cook and the activities co-ordinator. We also spoke to residents where possible. care staff were asked about the care residents receive and were also observed carrying out their duties. The cook was asked about meals she provided to the residents and their dietary needs. the activity co-ordinator was asked about the various activities and was observed carrying out some games and talking to individual residents. staff were also asked about their recruitment, induction programme and their ongoing training. residents were asked about the care they received. relatives and health professionals views were ascertained through surveys. A tour of the home was undertaken and this included all of the communal areas. some of the bedrooms, the kitchen and laundry as well as toilets and bathrooms. residents files were examined and case tracked; including risk assessments and care plans together with the examination of staff files and other home records. These records included; medical records, recruitment procedures, staff training, staff rotas, maintenance records as well as the accident/incident book. Further information relevant to this inspection was gained from the Annual Quality Assurance Assessment (AQAA); this is a self assessment process which all providers are required to complete once a year. The AQAA was comprehensively completed and returned to us prior to the inspection. Additional information was obtained from the Regulation 26 visits and the Regulation 37 which are notifications of events within the home. the manager has previously told us that the people living in the home preferred to be called residents and this is reflected accordingly throughout this report. We would like to thank the residents and staff for their contribution to this inspection. 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 set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 28 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A comprehensive pre-admission assessment is completed on all prospective residents, who are encouraged to visit the home prior to their admission. This allows the home to determine whether they can meet the prospective residents needs and for the resident to decide whether the home is right for them. Evidence: We wanted to know about peoples decisions to choose this care home and what it is like for people if they decide to move into Abbotsford Nursing Home. We spoke to eight residents, the manager, the proprietor and three care workers. We also looked at the information that the home gave to people and how they assess whether they can meet peoples needs. From the evidence seen we were satisfied that the home undertakes a comprehensive assessment that takes into account peoples health and social care needs and their Care Homes for Older People Page 11 of 28 Evidence: likes and dislikes. the assessment were completed with the input of the prospective residents where possible, family members where appropriate and social and health care professionals. All of the residents that were spoken to confirmed that they had been given clear information about what the would be like. We looked at the information, which is called a Service User Guide and found that it was informative an written in a way that people could understand. The guide is also provided in a pictorial format and the manager is going to produce the guide in a talking book format. this means that people are given accessible information in a user friendly format, which will assist them on deciding whether the home is right for them. The manager encourages prospective residents and their families to visit the home and spend time looking at the homes facilities and speaking to staff and residents. Residents that were spoken to said that they or their family had visited the home prior to them moving in. residents comments were I was made to feel so welcome when I visited that it put my fears to rest, I could not visit but my daughter visited this and four other homes. She felt this was the best and that I would be happy here. She was spot on. Care Homes for Older People Page 12 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health, social and personal care needs of each resident are set out in comprehensive and person centred care plans. This ensures that residents receive the appropriate care to meet their needs. There are clear medication policies and procedures for staff to follow, this ensures that residents are not put at risk regarding the administration of their medication. Residents are treated with respect and dignity and the arrangements for their personal care ensures that their right to privacy is upheld. Evidence: There was a noted improvement in the standard, detail and construction of the care plans, since the last inspection. Care plans that were seen were comprehensive and covered health, social and personal care needs as well as religious and cultural needs. There was evidence that care plans are being reviewed on a monthly basis or more frequently. The reviews are meaningful; there was evidence of resident and family participation and any changes in a residents needs are clearly recorded. Care Homes for Older People Page 13 of 28 Evidence: Equality and diversity issues are identified and addressed by staff and this was evidenced in residents care plans. For example specific religious needs and preferences are clearly recorded and residents are enabled to participate in religious activities as desired. Specific cultural dietary needs are clearly recorded and residents confirmed that they are able to have food of their choice. It was evident from the care plans seen and through discussion with residents and staff that their health care needs were being understood and met on a daily basis. it was also evident that the privacy and dignity of residents was being respected. We spoke to several residents and asked about the care in the home, residents told the Expert by Experience: Im well looked after and I am happy to be here, Ive been here for a year and Im very happy, its lovely here, we are all for one another. Like a family, Im happy here, though its not like your own home, the girls (carers) take very good care of us, nothing is too much trouble. Comments from relatives were also complimentary: the care has exceeded our expectations, my Mums physical and mental health have improved dramatically, When my Mum was admitted she had an catheter, this has now been removed my Mum had really swollen legs when she was admitted but they have gone down and she is now able walk a few steps,I am always made to feel welcome, I am very happy with the care she receives, all of the staff are very kind to our Mum and they do their very best to ensure that she is comfortable and well cared for. Comments from health professionals who visit the home were also positive: I have always found the staff to be helpful and cooperative, the documentation is of a good standard and the general atmosphere in the home is relaxed and cheerful, I have always found the residents to be well cared for. the staff are a small team who have all been in post for some time and this is reflected in the continuity and quality of the care. Good care was evidenced when observing staff talking with the residents and carrying out their duties. All staff were observed to treat residents with kindness and respect and there was a positive level of interaction between residents and staff. Staff were seen to be gently when undertaking moving and handling tasks and offered explanation and reassurance throughout. Discussions with the manager and the review of the medication records showed that staff are following policies and procedures so as to ensure that residents are safeguarded with regard to their medication. Where a resident had an allergic reaction to either medication or food this was recorded and highlighted on the Medication Administration Record (MAR) chart and in the care plan. From discussions with staff and from letters/cards received by the home it was evident Care Homes for Older People Page 14 of 28 Evidence: that residents are assured that at the time of their death both they and their families would be treated with care, sensitivity and respect. the home is ab;e to meet the needs of people requiring end of life care. The manager has been trained in the use of end of life care tools such as Preferred Place of Care. 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. The lifestyle within the home meets the needs and choices of the residents. residents are enabled to exercise choice and control over their lives, which enables them to retain as much autonomy as possible. Evidence: The home employs an activity co-ordinator. She has liaised with residents and families and completed a life history of each resident. This information is then used to plan specific activities for that resident. Some activities take place on a one to one basis and others are in small groups. Every day the activity co-ordinator spends individual time with each resident and also carries out group activities such as arts & crafts, cake decorating, knitting,skittles, darts, puzzles, pamper days, gentle exercises, reminiscence talking group, and pot planting. Special events such as St Patricks day (Irish dancers performed at the home), Wimbledon (strawberries and cream) and residents birthdays are celebrated. Staff that were spoken to were very aware of residents individual needs and to allow them time to express their wishes. They were observed supporting residents to make choices in their everyday lives e.g. activities, choice of meals, where they wanted to Care Homes for Older People Page 16 of 28 Evidence: spend their time and what clothes they wore. The Expert by Experience noted an excellent rapport between residents and the activity co-ordinator and the residents and one of the care staff. The staff spoke of Abbotsford as being the residents home and they were committed to making the experience as pleasant as possible. One resident told us I enjoy spending time in my room, as I like listening to the radio, another resident commented At the present time I am confined to my bed and I am also partially sighted but I have received wonderful care and attention. I have my talking books and the staff are always coming to have a chat with me. Visiting times are flexible within the home and this was confirmed by visitors at the time of the inspection. The visitors book showed that there is a steady stream of visitors to the home. Relatives comments were: I visit most days and they have made me feel as part of the family, I have been visiting for 18 months and they have always made me feel very welcome. One of the care staff is currently the designated cook. She had a good knowledge and understanding of the importance of well balanced and well presented meals. All of the pies, pastries and cakes are homemade, the majority of the vegetables are fresh and full cream milk, butter and cream are incorporated into recipes. There is a good choice of meal and options are available at each meal. The Expert by Experience dined with the residents and he commented: an excellent well balanced meal was spoilt by some of the residents not having a paper napkin. residents comments were also complimentary: I am eating well, the food is good. Staff were seen to offer assistance and encouragement where necessary and this was done discreetly and individually. Care Homes for Older People Page 17 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager and staff make every effort to sort out any complaints or concerns. Residents and relatives can be confident that their complaints and concerns will be listened to and acted upon. There are robust policies and procedures in place and all of the staff have received training in safeguarding vulnerable adults, this will ensure that there is an appropriate response to any suspicion or allegation of abuse. Evidence: The home has a written policy and procedure for dealing with complaints. Copies of the complaints procedure and details of Care Aware an advocacy service are readily available. Staff that were spoken to were aware of the complaint procedure and how to deal with complaints or concerns made to them. Those residents that were spoken to were aware of how to complain if they needed to. Residents told the Expert by Experience: I am very happy here. Believe me I would complain if there was something to complain about, I have no complaints. There are all of the appropriate policies and procedures for dealing with safeguarding vulnerable people; these include whisleblowing, challenging bad practice at work and the local authorities protocols and procedures. All staff have undertaken training in safeguarding vulnerable adults, this is included in induction training for all newly Care Homes for Older People Page 18 of 28 Evidence: recruited staff and as part of staffs ongoing training. Those staff that were spoken to were able to demonstrate a good understanding of the homes policy and procedures in this area and knew what to do if they had any concerns about the safety and welfare of the residents. The Commission has not received any concerns regarding safeguarding vulnerable adults in the last twelve months. Care Homes for Older People Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is welcoming and homely and provides the residents with an environment that is appropriate to their individual needs and lifestyles. Evidence: The home is decorated and furnished in a homely fashion and to a good standard. there is a continuous programme of redecoration and refurbishment. the home is clean and the odour control is good. Improvements noted to the environment since the last inspection including the refurbishment and redecoration of the kitchen, redecoration of the lounge, replacement of the lounge armchairs and the purchase of two high dependency armchairs. The Expert by Experience noted: The lounge/dining room was very comfortable, however there were two televisions on (no sound), which nobody was watching and a CD playing carols. This was bought to the managers attention, who subsequently turned the televisions off and will be discussing this at the next staff meeting. Bedrooms have been individually decorated and furnished and residents are encouraged to personalise their rooms so that they reflect their interests, culture and religion. There are sufficient toilets and suitable bathrooms and the kitchen and laundry are both well equipped and maintained. Care Homes for Older People Page 20 of 28 Evidence: The home has the necessary equipment and adaptations to meet the needs of the residents and has an infection control policy that is robustly adhered to by all of the staff; staff were frequently seen using the Alcohol Gel that is placed around the home. Care Homes for Older People Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff levels are satisfactory and there are sufficient staff on duty to meet the needs of the residents. Residents benefit from a committed staff team who have the skills and knowledge to meet their needs. The recruitment and selection procedure of the home is robust and this provides safeguards for the people living at the home. Evidence: The staffing levels and skill mix of the staff team are in line with meeting the diverse and changing needs of the residents. Staff were being effectively deployed to ensure that residents choosing or needing to remain in their bedrooms are cared for appropriately. There is a small but stable staff team;with very little staff turnover and no use of agency staff. This means that residents receive consistent care from staff who know them well. All of the staff were seen to interact and communicate well with all of the residents. residents we spoke to were very positive about the care they received. Some of the residents spoke as being part of a family. Other comments were the staff are really good, nothing is too much trouble, Ive been her for quite a while and its really lovely, the girls (carers and nurses) are lovely, they are very kind and always find time to have a chat. Care Homes for Older People Page 22 of 28 Evidence: The home was able to demonstrate that they operate a robust recruitment and selection process in accordance with the requirements of legislation, equal opportunities and anti discriminatory practice. Staff files that were seen showed all candidates that were interviewed were asked the same questions and their answers were recorded. All appropriate references and checks had been received before the member of staff had commenced work. Staff training is seen as a high priority and the manager ensures that the training will enhance the knowledge and skills of the staff. This will ensure that residents receive the appropriate support from competent and skilled staff. Some of the staff are from diverse cultures and backgrounds, some of which are different from the people living in the home. staff have undertaken training in equality & diversity; this will ensure that the needs of the residents are understood and appropriately met. All staff receive training in essential areas during their induction training, which is in line with Skills for Care. Ongoing training also takes place through external providers as well as in house. The manager and all staff have received training in the Mental Capacity Act 2005 and in end of life care. Care Homes for Older People Page 23 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is managed by a qualified and experienced manager who runs the home in the best interests of the residents. Residents can be confident that their views underpin the self monitoring, review and development of the service. Evidence: the registered manager is very experienced and well qualified. She has over thirty years experience in caring for older people and has many years experience of managing care services in the UK and Canada. She undertakes regular training and understands the importance of updating her knowledge and skills; she has recently undertaken training in the Mental Capacity Act 2005 and end of life care. All of the staff spoke highly of the manager staff told us:she is very supportive I could go to her with any problems and she is very much part of the team but we know she Care Homes for Older People Page 24 of 28 Evidence: is our manager. Residents and relatives also spoke highly of her; that she is very approachable and that she is always talking to the residents and staff. One resident said, we have a manager who lives for her job and every resident in it, she listens to any moan or groan from residents and relatives and sees to it immediately. The home is privately owned and the proprietor visits every day and both her, the administrator and the manager are very resident focused. There is a strong and supportive team and they all work in partnership with the families of residents and professionals involved in their care. Comments from health professionals who visit the home were very complimentary of the care residents receive.There is strong evidence that the ethos of the home is open and transparent and the views of the both the residents and staff are listened to and valued. The AQAA contained very comprehensive information that was fully supported by evidence. there is a clear understanding about the importance of equality & diversity and a wide range of evidence showing how they have listened to residents. there is also a clear understanding of what further improvements are needed and areas which need to be developed. The home has a comprehensive range of policies and procedures which have all been reviewed and updated this year. There are clear written records of all safety checks and accidents/incidents, all of these records were found to be in good order. The Proprietor monitors the quality of the service being provided in the home through monthly Regulation 26 monitoring visits and the manager also undertakes out of hours spot checks. Quality assurance is also undertaken by annual quality questionnaires to residents and relatives and other stakeholders. One relative stated I do thank you the owner and staff of Abbotsford nursing Home for all they do and as a retired nurse, having worked in some awful homes in the past I believe that this is one of the best. health professionals were also very complimentary of the care provided at the home. The manager is looking to produce a short questionnaire for people who visit the home to see if their visit was positive and areas the home could improve on. The manager does not act as an appointed agent fro any of the residents, nor does she have any responsibility for any residents financial affairs or the management of their personal allowances. Care Homes for Older People Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 27 of 28 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!