Inspection on 18/06/09 for Austen House

This inspection was carried out on 18th June 2009.

CQC found this care home to be providing an Adequate 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

Austen House 23/05/07

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

Extracts from inspection reports are licensed from CQC, this page was updated on 12/10/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Austen House Kilnsea Drive Lower Earley Reading Berkshire RG6 3UJ     The quality rating for this care home is:   one star adequate 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: Amanda Longman     Date: 1 8 0 6 2 0 0 9 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. 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. 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 30 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.cqc.org.uk Internet address Care Homes for Older People Page 3 of 30 Information about the care home Name of care home: Address: Austen House Kilnsea Drive Lower Earley Reading Berkshire RG6 3UJ 01189266100 01189662972 austen@barchester.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Barchester Healthcare Homes Ltd The registered provider is responsible for running the service care home 79 Name of registered manager (if applicable): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 0 79 dementia old age, not falling within any other category Additional conditions: 79 0 The maximum number of service users who can be accommodated is: 79 The registered person may provide the following category/ies of service only: Care home with nursing - N 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 Dementia - DE Date of last inspection Brief description of the care home Austen House is owned by Barchester Healthcare Homes Limited and provides care and accommodation for 79 people. The home is divided in to four units, Kennet, Thames, Bourne and Loddon. Each unit has its own lounge and dining room, and most bedrooms have an en-suite facility, those that dont have a washbasin within the room. Care Homes for Older People Page 4 of 30 Brief description of the care home The home is situated in a residential area of Reading close to local amenities, and public transport is accessible from the home. Kennet Unit provides care for twenty frail and physically disabled people, and Thames, Bourne and Loddon provide care for people who have dementia. Austen House has a Statement of Purpose and Service Users Guide available on application to the home. The fees charged by the home vary, according to the care required, between approximatelt 740 pounds to 1,200 per week with additional charges for Hairdressing, Daily Newspapers, Chiropody, Taxi Fares, Opticians and Physiotherapy. Care Homes for Older People Page 5 of 30 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: one star adequate 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 inspection of Austen House was an unannounced key inspection. It was a thorough look at how well the service is doing. It took account of information received from the manager prior to our site visit. This was in the form of the Annual Quality Assurance Assessment (AQAA), completed by the manager and sent to us when we requested it. The inspection was undertaken by Amanda Longman, regulatory inspector, on 18 June 2009. During the site visit we (the Commission) toured the home, observed care practices, spoke with people living at the home and with members of staff. The manager and deputy manager were absent at the time of our visit and we were assisted by the regional director who was managing the home. We also examined a selection of care records and staff records. The last inspection for this service was completed on 31 May 2007. Care Homes for Older People Page 6 of 30 Care Homes for Older People Page 7 of 30 What the care home does well: What has improved since the last inspection? What they could do better: No requirements have been made as a result of this inspection as the home is already putting in place measures to address concerns raised and any improvements required. Peoples individual plans for their care can be improved to more fully address their social and cultural needs. The home is addressing this. Austen House appears to be undergoing a period of change and has experienced an increase in concerns and complaints being raised which has led to concerns about the safety of the people who live there. From the available evidence we have judged that these concerns are being addressed by the regional manager and the homes management team, who are working with the local authority to address these issues and thereby ensure the safety of the people who live at Austen House. The recent Care Homes for Older People Page 8 of 30 concerns identified a gap in skills regarding diabetes care and at the time of our site visit training was being arranged to put this right. Whilst the number of skilled staff is usually sufficient, it was commented to us during our site visit that more staff would enable one to one care to be delivered. 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.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 30 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 30 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. Austen House provides relevant and appropriate information to assist people to make an informed choice when considering the home as their new home. Their needs are fully assessed before they are offered a place at the home. Evidence: Austen House has a Statement of Purpose and Service User Guide which provide information about the home and are supplied to the people who live there or people who are interested in living there. During our visit we looked at the assessment records for five people. They all had detailed records of their needs including personal and diverse needs. The home is in the processing of producing new assessment information for these people with dementia which is called their Memory Lane. This has not yet been completed for all of the people with dementia living at the home. Care Homes for Older People Page 11 of 30 Care Homes for Older People Page 12 of 30 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 who live at Austen House benefit from having individual plans of care to meet their personal and healthcare needs. However, there is room for improvement and the home recognises this and is addressing it. The home has taken the initiative to improve the outcomes experienced by people who have dementia. Evidence: We looked at the care plans for five people. They were detailed and contained a plan of care for each aspect of each persons assessed needs. For example how someone liked to be supported to manage their incontinence. For each aspect of care a long term objective was also identified. The care plans also have a section covering hopes and concerns and social interests, hobbies, spiritual and cultural needs. These areas were less well completed. We discussed this with the area manager who will ensure these areas of the care plans are more personalised in the future. Any risks associated with each aspect of care are also identified, for example choking or falls, and how to manage these risks. Files also contained general risk assessments for example relating to pressure sores and manual handling, and person specific risk assessment, for Care Homes for Older People Page 13 of 30 Evidence: example for smoking. The home also has a file of generic risk assessments which include, for example, bed rails, hoists, hot water and wheelchairs. Staff we spoke with were knowledgeable about peoples individual needs and were aware of associated risks. One of the five files did not contain care plans and risk assessments for personal care, for example bathing. We discussed this with the area manager who confirmed this would be done and explained that staff are aware of the relevant generic risk assessments which cover, for example risks from hot water. We saw that plans for care are reviewed monthly. As a care home with nursing, nursing needs are also catered for and we saw that healthcare needs are documented. However, at the time of our site visit there had been an incident relating to the support of someone with diabetes and the area manager informed us that more training in this particular area was currently being sourced. Visits with healthcare professionals such as GPs are documented. The homes Statement of Purpose includes a statement of residents rights. Staff we spoke with were aware of treating people with dignity and respect and we observed staff engaging with people in a positive way. The care plans we looked at indicated who, is appropriate held enduring power of attorney for an individual. The area manager is aware of the implications of the mental capacity act and training for staff is being planned in this area. Three of the four units at Austen House provide care for people with dementia. In February this year, a Dementia Care Audit was undertaken which was conducted by an external agency and involved 22 hours of observation of care practices over a two day period. This audit concluded that the care experienced by people with dementia was not positive because it was not person centred and not individually focused on peoples capacity for doing meaningful activity. The area manager explained that as a result of this the approach to supporting people with dementia is changing, particularly with regard to activities. More details on this are provided in the next section of this report which covers daily life and activities. Austen House has a medication policy and procedure in place. We observed the procedure for administering medication at lunch time on one unit . The procedure was followed. Medication records have photographs of the individual, medication administration records were appropriately completed. Medications which were not able to be in dossette boxes were in individually marked bottles or containers. Medication was administered by trained nurse. We also saw that a weekly check of medication is usually undertaken by the manager, although this was not happening at the time of our site visit because the manager was away from work. Care Homes for Older People Page 14 of 30 Care Homes for Older People Page 15 of 30 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 people who live at Austen House enjoy the lifestyle provided by the home. However, the home has recognised that it can improve the quality of life for the people who live there by providing more person centred care and activites which will be more meaningful for individuals, and it is striving to do this. Evidence: The home has a weekly activities schedule. For the week of our visit this included an outing to Boultons Lock, a walk in the park, planting hanging baskets, a visit from Elvis, a piano recital and a movie afternoon. Some one to one activites were also scheduled for paper reading and discussion. However, since the audit of care undertaken in February (see previous section) the home has been rethinking its activites to plan more one to one and meaningful activites with which people could actively and positively engage. On the day of our visit there were lots of activites going on and these were a mixture of old style and new style activites. For example there was a group craft session where people were making cards. We observed this for a while. The organiser appeared to know the people well and was able to engage well with them but people were engaged with the activity to varying degrees. However, there was a good atmosphere and people appeared to be happy. In one of the smaller Care Homes for Older People Page 16 of 30 Evidence: lounges another activities person was playing the organ and signing to a small group of people, some of whom were joining in with singing or dancing. An example of the new approach to person centred activites was found in another lounge where a care worker was sitting with one person with a basket of housework equipment which they were discussing. The area manager explained that the aim is to focus more on needs than tasks to produce a positive interaction for the person. This is still in its development stage and they are working with staff to change the focus of the way they interact with the people who live there. A life skills kitchen is also being planned. The home states that it will meet the diverse needs of the individuals who live there, for example with regard to their religious needs. Currently a communion service is held on a Sunday and on the day of our site visit we saw a church service being held. As stated in the previous section of this report, individual plans for care are not always fully documented with regard to social and cultural needs. This is an area the home is working to improve in conjunction with its improvements to meaningful and person centred activites. When we looked round the home we saw that corridors and communal areas have been made interesting for the people who live there. There are lots of objects and artifacts from the past on walls and in themed areas such as a wedding display and a jewelery area. People who live at the home are welcome to have visitors when they like and we saw several people coming and going. The regional director explained that the homes new approach it is developing to person centred care will improve the autonomy of the people who live at Austen House. We saw that care plans do already have personal choices noted, for example times people like to get up or go to bed and staff we spoke with new people well and were aware of their preferences. The home does not hold any money on behalf of individuals who live there. During our visit we saw that the dining rooms in each unit are comfortably furnished with domestic style furniture, table clothes and flowers. The menu for the day is displayed on each table and lists all the choices including two hot options, salads, jacket potatoes with various fillings, sandwiches and omelets. People are not asked to make a choice in advance. A visual choice is offered to people at the table. We joined the people in one of the dining rooms for lunch. The atmosphere was friendly, staff were patient, kind and caring and appropriately assisted people. The most recent food safety inspection by Wokingham Borough Council environmental health office was undertaken in June of this year. Four requirements were made which the home is Care Homes for Older People Page 17 of 30 Evidence: addressing. The home employs hostess staff in addition to care staff to assist with meals and who serve drinks and snacks throughout the day. Care Homes for Older People Page 18 of 30 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Austen House appears to be undergoing a period of change and has experienced an increase in concerns and complaints being raised which has led to concerns about the safety of the people who live there. From the available evidence we have judged that these concerns are being addressed by the area manager who is working with the local authority to address these issues and thereby ensure the safety of the people who live at Austen House. Evidence: Austen House has a policy and procedure in place for safeguarding vulnerable adults which is in line with The Berkshire Safeguarding Adults policy and procedures. Staff have received training in the safeguarding of vulnerable adults and the staff we spoke with were familiar with the correct procedures and knew who to alert with any concerns they had. Prior to our site visit we were aware of one safeguarding incident which had been appropriately dealt with. Subsequent to our site visit we were made aware of further safeguarding issues by the local authority. We have seen evidence, for example minutes of meetings, that Austen House is working with the local authority to resolve these issues. However, at the time of writing this report these issues were still ongoing and the local authority is monitoring the situation. The home has a complaints procedure in place which is available to the people who live there or their representatives. At the time of our site visit we were unable to Care Homes for Older People Page 19 of 30 Evidence: review the complaints log because staff were unable to locate it. However, from evidence submitted to us prior to our site visit we could see that there had been eight complaints made in the previous year, six of which had been upheld. One person visiting the home on the day of the site visit stated that the quality of care at the home had decreased and we were aware of a level of disquiet amongst some staff because of different responses to the changes in practices introduced as a result of the care audit referred to in section two of this report. The regional director is aware of potential concerns. Care Homes for Older People Page 20 of 30 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 people who live at Austen House benefit from living in an a home which is clean, pleasant and well maintained. Evidence: The home is divided in to four units. One unit provides care for people who are older and frail. The other three units provide care for people who have dementia. We had a look round the home on the day of our site visit. It was very pleasant and clean. Individual rooms were personalised with their occupants own possessions. Adapted bathrooms and toilet doors were colour coded to help the people who live there recognise these rooms. These bathrooms were pleasantly furnished and the appropriate equipment was available for assisting people to use the bathing facilities. The home has policies and procedures for infection control. During our site visit we saw house keeping staff shampooing carpets in some rooms to eliminate infection and any unpleasant odours and the regional director confirmed this was done on a daily basis as necessary. Evidence we received from the manager prior to our site visit confirmed that all gas, electrical and other equipment is maintained in line with manufacturers recommendations. The home employs a maintenance person who has a programme of work. We saw that staff can leave jobs for him to do in his daily book which he will then address. Care Homes for Older People Page 21 of 30 Care Homes for Older People Page 22 of 30 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. The people who live at Austen House are generally supported by staff who have been appropriately recruited and trained. There is a high proportion of qualified staff available to meet peoples needs and staff are usually available in sufficient numbers to support peoples individual needs. However, on occasion more staff would enable more one to one care. A skill gap has been identified around diabetis training which the home is seeking to address. Evidence: We looked at the staff rota in place for the week of our site visit. It showed that a qualified nurse was in charge for each shift on each unit and we confirmed this was the case on the day of our visit. Each qualified nurse was supported by three or four care staff. From our observations on the day of the site visit people appeared to be well supported. We observed that staff knew individual service users and responded to them sensitively and appropriately. However, we did hear comments that it was easier to provide more one to one time when there were four care staff on duty. The home has a programme of NVQ training for its care staff. At the time of our site visit 50 of care staff had either completed, or were in the process of completing their NVQ qualification to level two or above (with eight out of 52 care staff qualified to NVQ level three). In addition, nearly 20 of care staff were already qualified above NVQ Care Homes for Older People Page 23 of 30 Evidence: level two. Austen House has an appropriate recruitment procedure in place which was reviewed in 2007. We looked at the records for the two most recently recruited staff members. Both had appropriate recruitment checks in place including references and a clearance from the criminal records bureau. The home has a training plan in place for staff. We saw evidence that staff received induction training, which was confirmed by the staff we spoke with, who also confirmed they had received all mandatory training. They had attended induction training which consisted of practical sessions, for example using hoists to assist people to transfer and two weeks of theory classes. They had also received some specialist training, for example an introduction to dementia training session. One of the staff members we spoke with was already qualified in dementia care to NVQ level two. The home has a programme of dementia training. At the time of our site visit, the area manager informed us that the home was sourcing more diabetes training in response to an incident (referred to in section four of this report) where the staff had not been able to be satisfactorily stabilise someones diabetic situation. Care Homes for Older People Page 24 of 30 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live at Austen House have benefited from the home being well managed. Current management issues are being addressed by Barchester Healthcare to ensure the safety and well being of the people who live there. Evidence: Prior to our site visit the home was managed by a qualified and experienced person who is registered with us. Both staff and residents spoke highly of the manager. However, at the time of our site visit both the manager and the deputy manager were on sick leave and the management of the home was being overseen by the regional director who was present. In addition to the manager and deputy, the home has a team of senior staff including two senior nurses, who are in charge of the memory lane unit and of training, and heads of maintenance, activities, house keeping, catering and administration. In the absence of the manager and her deputy, staff were unable to locate some documents requested during our visit and this has been reflected in this report where relevant. Care Homes for Older People Page 25 of 30 Evidence: Following the previous inspection in May 2007, the home was rated as providing good outcomes for service users. One requirement was made relating to the environment of the home, which was met. Following this current inspection we became aware of issues potentially relating the protection and safety of the people who live there. At the time of writing this report the regional manager was working with the local authority and the relevant residents representatives to resolve these issues. Since our site visit, Barchester Healthcare have also put in place a temporary manager who will be supported by senior staff from Barchester Healthcare to ensure all issues are resolved and the safety and well being of the people who live at Austen House are protected. The home has previously has a good record of managing the safety and protection of the people who live there but the recent concerns mean that the area of this inspection relating to protection has been rated as providing adequate outcomes. This has the effect of reducing the overall quality rating for the home to adequate. The home has a quality assurance procedure in place which includes quality audits and monthly visits by the representative of Barchester homes. During our site visit we saw evidence that both of these take place regularly and that issues identified are actioned. We also saw evidence of relatives meetings. The minutes of the relatives meeting that we viewed stated the meeting was for information only but encouraged people to raise any issues they had with the relevant head of department after the meeting. The home also undertakes an annual customer satisfaction survey from which it produces a development plan to improve the service. On the day of our site visit staff could not locate the last survey results or the development plan so we were unable to view them. The home has a good record of notifying us of any incidents that occur in the home which is it legally required to so do. The home does not handle any money on behalf of the people who live there. Expenses incurred by the people who live there, for example hair dressing, will be paid by the home and invoiced to the person who pays the residents fees. The home has in place appropriate policies and procedures relating to health and safety and staff receive relevant training including, for example, manual handling, infection control and fire safety. Appropriate generic risk assessments are in place, including for outings and for fire safety. The home has a flu contingency plan in place. Equipment is maintained in line with manufacturers recommendations and an audit undertaken by the Royal Berkshire fire officer in May 2009 recorded a satisfactory outcome. Care Homes for Older People Page 26 of 30 Care Homes for Older People Page 27 of 30 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 28 of 30 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 29 of 30 Helpline: Telephone: 03000 616161 or Textphone: or 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) 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 30 of 30 - 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!