Inspection on 23/02/09 for Brookside Court

This inspection was carried out on 23rd February 2009.

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

Brookside Court 04/01/07

Brookside Court 04/01/06

Brookside Court 12/08/05

Brookside Court 25/11/04

Brookside Court 02/09/04

Similar services:

Hillside

Applegarth

Trevayler Residential Care Home

122 Scorer Street

Byars Care Home

St Marys Nursing Home

Jubilee Villa Care Home

Bramble Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Brookside Court Cademan Close Knighton Leicester LE2 3WT     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: Linda Clarke     Date: 2 3 0 2 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 29 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 29 Information about the care home Name of care home: Address: Brookside Court Cademan Close Knighton Leicester LE2 3WT 01162706942 01162706944 brookside-court@leicester.gov.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Leicester City Council care home 24 Number of places (if applicable): Under 65 Over 65 16 2 8 24 3 2 dementia learning disability mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability sensory impairment Additional conditions: 16 2 8 0 3 2 All persons admitted into Brookside Court may only be accommodated for a maximum period of 84 days from the point of admission into the home as stated within Brookside Court`s Statement of Purpose All persons admitted to Brookside Court may only be accommodated on the first floor within the premises registered to Leicester City Council. No one falling within category OP may be admitted into Brookside Court where there are 24 persons of category OP already accommodated within the home. No person to be admitted into Brookside Court under categories DE(E) or DE when there are 16 persons in total of those categories/combined categories already accommodated within the home. Care Homes for Older People Page 4 of 29 No person to be admitted into Brookside Court under categories LD(E) or LD when there are 2 persons in total of those categories/combined categories already accommodated within the home. No person to be admitted into Brookside Court under categories MD(E) or MD when there are 8 persons in total of those categories/combined categories already accommodated within the home. No person to be admitted into Brookside Court under categories PD(E) or PD when there are 3 persons in total of those categories/combined categories already accommodated within the home. No person to be admitted into Brookside Court under categories SI (E) or SI when there are 8 persons in total of those categories/combined categories already accommodated within the home. The maximum number of persons accommodated within Brookside Court is 24 Up to 3 service users between the ages of 18 and 65 can be admitted to Brookside Court Date of last inspection Brief description of the care home Brookside Court is a care home run and owned by the Adult and Housing Department of Leicester City Council and is located in the residential area of Knighton, close to shops, pubs, a Post Office, Churches and other local amenities. Public transport is close to the home and there is car parking to the front of the building. Brookside Court is registered to accommodate up to twenty-four people. Brookside Court provides a rehabilitation and assessment service, and does not provide long term residential care. The premises consist of two floors with level entry access. The upper floor is accessible via the passenger lift and stairs. There is a dining room and choice of lounges. Bath/shower rooms, washing and toilet facilities are accessible and close to bedrooms and communal areas. There is a large therapy room used by service users under the guidance of therapists and health care professionals. There are no fees payable for people receiving a rehabilitation service. There are additional individual expenditures such as personal toiletries, hairdresser, chiropody, Optician and Dental care; newspapers, magazines, television licences, taxis and the fee will depend on the services received. Information about Brookside Court is available upon request, as is a copy of the latest Commission for Social Care Inspection reports (CSCI), by asking a member of the Management Team. Care Homes for Older People Page 5 of 29 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: We as it appears throughout the Inspection Report refers to The Commission for Social Care Inspection. The inspection process consisted of pre-planning the inspection, which included reviewing the Annual Quality Assurance Assessment (AQAA), which is a selfassessment tool completed by a representative of the service, reviewing previous Inspection Reports, and any information we have received. The unannounced site visit commenced on the 23rd January 2009, and took place between 09:30 and 15:30. The focus of the inspection is based upon the outcomes for people who use the service. The method of inspection was case tracking. Care Homes for Older People Page 6 of 29 What the care home does well: What has improved since the last inspection? The Management Team have developed a Quality Assurance process, which includes seeking the views of people who use the service, this is achieved by monthly service user meetings and questionnaires which service users are asked to complete at the end of their stay at Brookside Court. Care Homes for Older People Page 8 of 29 Individuals involvement in activities are now recorded and the views of service users are sought with regards to the accessibility and range of activities. In response to service users comments the lawn to the front of the property now includes a flower bed. Improvements to the environment have included the installation of automatic front doors, whilst internal improvements have also taken place including the decoration of the entrance foyer, corridor and dining room along with new flooring and blinds. 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 9 of 29 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 29 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 use the service and their representatives have access to information about the services provided by Brookside Court, and can be confident that the assessment of their needs will ensure that the service is the right one for them. Evidence: We wanted to look at the information provided to people who use the service to find out whether it was detailed and answered all their questions, and to find out how the service passed on the information. We spoke with people who were receiving a service at Brookside Court they told us that they were given the information in some instances before they moved into the service, whilst others were given it upon arrival. People told us that the information was sufficient, and that staff of Brookside Court and health and social care professionals had explained to them the service Brookside Court provides. Care Homes for Older People Page 11 of 29 Evidence: Service user meetings are held monthly to reinforce information provided within the introductory pack given to people when they first move into the home. Meetings include advising service users about how they can make a complaint, what they should do if there is a fire, along with information about their rights, including having access to information held about them. We asked people about their decision to use the services of Brookside Court, some people told us that Social Workers had arranged for them to move into the home, so that their needs could be assessed to determine the best course of action for meeting their future care needs. A team of Social Workers is based at Brookside Court, which means that they can meet and speak with service users and their relatives about future care provision, and can commission services effectively. People also told us that they had moved into the home, so that they could re-gain skills they had lost due to an accident or injury, so that they could return to their own home. We sent surveys to people who have used the service and their relatives, information gathered from surveys told us that they had received information about the service in some instances, all expressed satisfaction with the service and made additional comments which included:Was told in hospital was coming here and no information but when admitted realised was the right place to come. The Manager of Brookside Court in their self assessment tool, which they sent to us before our site visit told us about how individuals were referred to the service, and discussions with the Manager on the day evidenced that the assessment of individuals needs is comprehensive. We looked at the assessments of four people, two people were at Brookside Court to have their needs further assessed in order to identify their future care needs and identify a package of care, whilst two people had had an assessment undertaken that identified how the service could support them in regaining their independence in order to return to their own home. Brookside Court in addition to Managerial and care staff, has Occupational Therapists and Physiotherapists working in the home, enabling everyone to have their needs assessed and agreed goals set, to enable them to identify goals which maximise their independence and enable people to return to their own homes. The service has equipment which enables assessments to be undertaken and which support people in regaining skills, such as walking. We spoke with an Occupational Therapist and staff of the service, who told us how they meet on a weekly basis to review how everyone who stays at Brookside Court is Care Homes for Older People Page 12 of 29 Evidence: progressing, the Occupational Therapist told us this enables them to review service user goals and set new targets. Occupational Therapists were very complementary about the documentation and record keeping of staff, which promotes good communication, and facilitates towards the revieiwng of individual needs and goals. Care Homes for Older People Page 13 of 29 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 support and encouragement received by people who use the service is based on their individually agreed goals, and their choices, privacy and dignity are promoted and respected. Evidence: We wanted to find out how the health and personal care needs of people staying at Brookside Court were met. We spoke with people who were staying at the home, along with a range of staff, including health care professionals. We also looked at the care plans and records of four people. When we asked people about the service they receive and the attitude of staff they told us:Its done me the world of good coming here, Im getting so much better, and Im looking forward to returning home. Care Homes for Older People Page 14 of 29 Evidence: The staff are great, theyve given me back my confidence, I never knew this type of service existed, its great. The staff are very supportive, they encourage me to manage things for myself. I enjoy doing the exercises, as I can feel myself getting better. The care plans we looked at were different dependent upon the reason why the person was staying at Brookside Court, for those people who are there to undergo a further assessment of their needs in order to determine their future care needs, care plans are basic. Daily records record the persons abilities and areas where support is required, and health care professionals undertake assessments to look at how best the future care needs of the person can be met. A Social Work team is based at Brookside Court, which enables Social Workers to meet with people who are staying at the service, and discuss with them and their relatives their future plans and the options available to them. Care plans for people who are receiving a rehabilitation service are comprehensive in that they determine the goals identified by the person, which they need to achieve in order to return to their own home, and live independently. The goals a person chooses are also based on the assessments undertaken by Occupational Therapists and Physiotherapists, and any equipment a person requires is recorded within their care plan, as are exercise regimes which staff implement. We sent surveys to people who have stayed at Brookside Court and their relatives, information we gathered from surveys told us that people are satisfied with the service provided by the home, and feel that they have benefited. Surveys told us that people have confidence in the staff team to meet their needs. Surveys included additional comments which included:Feel staff communicate well and work well for me. The staff are helpful and so marvellous. Satisfied to be here, as it feels like a hotel. Everybody has been very kind and helpful. Records we looked at were comprehensive and reflected the progress of service users in their rehabilitation, and recorded specific areas of concern. In addition to comprehensive records, weekly meetings are held involving staff from the home and Occupational and Physiotherapists, this enables all service users progress to be Care Homes for Older People Page 15 of 29 Evidence: discussed and the reviewing of care plans and goals. Records also include the wellbeing of people, such as whether theyve been tearful or full of energy, this helps staff team to find out what other issues are affecting a persons recovery, and make necessary changes, which may include a referral to a health care professional to consider other factors which may contribute to a persons recovery. Medication is administered by staff who have received training, a majority of service users manage their own medication or do so in part, this may in some instances be a goal towards achieving independence. Risk assessments are in place where service users have responsibility for their medication, enabling people to maximise independence whilst reducing risk to themselves and others. We sent surveys to health care professionals, people who have used the service and their relatives. Surveys told us that the service meets the needs of service users whilst promoting their dignity and privacy. Surveys said that staff have the right skills and experience to support people with their health and social care needs. Care Homes for Older People Page 16 of 29 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Opportunities are available for people to engage in activities, but these are not far ranging and do not reflect all aspect of daily living. Brookside Court provides a wholesome and varied diet. Evidence: We wanted to find out about how people spend their day, and how staff working at the home support people to make decisions, we did this by observing people throughout the day, talking with people staying at Brookside Court and by looking at the care plans and records of four people. Brookside Court has a relaxed atmosphere, with people getting up and spending time where they choose too, for some this meant staying in their bedroom, whilst others sat in one of the lounges in the home. We noted that some sat and read a newspaper, whilst others were reading magazines. Two ladies sat and played dominoes, whilst others sat watching television or having a snooze in one of the lounges. Information provided within the self assessment tool completed by the Manager prior to our site visit, identified areas for improvement with regards to daily life and social Care Homes for Older People Page 17 of 29 Evidence: activities which includes looking at day trips and developing the rehabilitation of daily living tasks such as laundry, bed making and preparing and cooking of meals. The Manager told us when we visited that they hope to make changes to the range of services offered at Brookside Court, which will include units that will specialise in specific areas and will include daily living tasks. Everyone went downstairs to the dining room at lunchtime, tables were set and were laid with condiments. Vegetables were placed in serving dishes for people to serve themselves, and we noted where people required assistance this was done so discreetly and with sensitivity. We observed a member of staff in the afternoon asking everyone who was staying at Brookside Court, there choice for tea time, and there choice for the lunchtime meal the following day. We sent surveys to people who had stayed at Brookside Court, which asked them whether they liked the meals, all said that they had and included additional comments:The food was very good. I think they are excellent Ive never had a meal I dont like and I appreciate how good they make diabetic meals taste good too. Care Homes for Older People Page 18 of 29 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People staying at Brookside Court are able to express their concerns, and have access to a complaints procedure and systems in the service ensure that people are aware of their rights. Evidence: We wanted to find out how the staff of Brookside Court promote the safety and welfare of people who use the service, written information supplied by the Manager before our visit told us about the policies and procedures staff have to follow, to safeguard vulnerable people. Newly appointed staff undertake a period of induction which takes place over three months, and includes training as to their roles and responsibilities in ensuring people in their care live a life free of abuse. The Manager told us when we visited that the staff group who work at the home have done so for sometime, and that they home experiences a low turnover of staff. We viewed concerns the Manager had received, these are referred to as an Informal Complaint and are recorded within a book. We looked at the concerns and found that the concern, along with the outcome and feedback to the person had been documented. To ensure confidentiality of information, any complaints or concerns would be best recorded on the documentation provided by Leicester City Council, as this records each concern or complaint separately. Care Homes for Older People Page 19 of 29 Evidence: We asked people staying at Brookside Court if they knew how to complain, they told us that they did, they also said that they had been to a meeting with other service users, and at the meeting they had discussed how they could make a complaint. The surveys which we sent to people who had used the service and their relatives confirmed that they knew who to speak with if they had a concern, and that they were confident that the service would resolve any issues raised. Care Homes for Older People Page 20 of 29 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. Brookside Court provides a comfortable environment, which is well maintained. Evidence: Brookside Court has limited parking to the front of the home, and when you approach the front door, which has automatic doors and level access, you can see the lawn, which includes a flower bed. We had a tour of Brookside Court, a majority of the accommodation is located on the first floor, with the exception of the dining room. The entrance foyer and stairwell have recently been decorated, as has the dining room. Flooring in the entrance foyer, corridor and dining room has been replaced and new blinds were being installed to these areas when we visited. The first floor has several lounges, bedrooms, bathing and shower facilities and toilets, access to the first floor is via a stairwell or passenger lift. We looked at some bedrooms, all of which are single, and found that in some instances bedrooms needed decorating, as wallpaper or borders were ripped in places. Brookside Court was clean and tidy, and the Manager told us that the home employs staff who are responsible for the cleaning, laundry and making of beds. Care Homes for Older People Page 21 of 29 Care Homes for Older People Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who stay at Brookside Court are supported by staff who have undergone a robust recruitment process and by staff who are both enthusiastic and committed to providing a good quality rehabilitation service. Evidence: We spoke with staff who worked at the home and asked them about their role, they told us that they had specific responsibilities, dependent upon their experience and level within the organisation. There are five members of staff on duty in the morning, four in the afternoon and evening and two during the night. Our observations were that the staff were able to meet the needs of people, and that service users were supported with their rehabilitation programmes from staff, along with Occupational Therapists and Physiotherapists. We wanted to find out how staff were recruited and whether the recruitment of staff promotes the health and well being of people who use the service. The recruitment of staff at Brookside court is managed by the Human Resources Department of Leicester City Council, where records are kept, we therefore could not view these. Information supplied by the Manager within the AQAA stated that staff are recruited following a robust procedure, which includes seeking two written references and the obtaining of a Criminal Record Bureau (CRB) disclosure. Care Homes for Older People Page 23 of 29 Evidence: Information in the AQAA also told us that over 80 of staff have attained a National Vocational Qualification in Care (NVQ). We looked at the training records of staff, and found that staff receive training related to their role in ensuring the health, safety and welfare of people staying at Brookside Court, which includes training in moving and handling, first aid, intermediate care and rehabilitation. Occupational Therapists and Physiotherapists assess the competence of staff to support service users with their rehabilitation programmes through observation. Care Homes for Older People Page 24 of 29 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. Brookside Court is managed well and is run in the best interests of the people who use it, systems have been developed that give people who use the service the opportunity to share their views and influence its development. Evidence: The Manager of Brookside Court has worked in their current capacity since July 2008, prior to this they were an Assistant Manager. The Manager told us of their intention to submit an application to the Commission for Social Care Inspection (CSCI) to become the Registered Manager. The Manager is working towards the Leadership and Management Qualification and already has qualifications in the field of care. The Manager is supported by two Assistant Managers, all members of the Management Team have specific roles and responsibilities, which ensure the effective and smooth running of the home. We spoke with the Manager and staff who work at the home, and found everyone to be knowledgeable about the people staying at the home. Records Care Homes for Older People Page 25 of 29 Evidence: that we read were well written, and the good communication systems the home operates ensure that the support service users receive is consistent and needs are regularly reviewed to enable changes to care plans to be facilitated. People staying at the home are encouraged to share their views about the service, one of the reasons for this is so that the Manager of the home can continually evaluate the service and make changes to improve the service. Service users are asked to complete a questionnaire about the service they receive and also have the opportunity to attend monthly meetings. Information gathered is viewed by the Manager and a Quality Assurance report produced, identifying the key points. Service user meetings are also used to advise service users of their rights and provide information which they may find useful, such as the complaints and fire procedure along with information as to how they can access information the service has about them. Service user meetings are also used to ascertain the views of people with regards to the therapy they have received, staff, meals and activities. Staff meetings are regularly held, this enables staff to discuss any concerns they may have, meetings are also held weekly with Occupational and Physiotherapists to review the progress of service users with regards to their rehabilitation, so that goals can be reviewed and new challenges set. Information the Manager supplied prior to the site visit details the regular maintenance of equipment and systems in the home, including heating and electrical systems along with fire fighting equipment and systems. Care Homes for Older People Page 26 of 29 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 27 of 29 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 16 Complaints and concerns to be recorded within documentation developed by Leicester City Council, to promote the confidentiality of information. An audit is undertaken with regards to the decor of bedrooms, and a programme of redecoration is agreed and implemented. 2 21 Care Homes for Older People Page 28 of 29 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 29 of 29 - 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!