Inspection on 15/12/08 for Castle Donington Nursing & Residential Home

This inspection was carried out on 15th 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

Castle Donington Nursing &... 01/12/09

Castle Donington Nursing &... 06/04/06

Castle Donington Nursing &... 19/12/05

Castle Donington Nursing &... 19/10/05

Castle Donington Nursing &... 15/02/05

Castle Donington Nursing &... 28/06/04

Castle Donington Nursing &... 05/12/03

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 27/02/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Castle Donington Nursing & Residential Home Delven Lane Castle Donington Derbyshire DE74 2LJ     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: Carole Burgess     Date: 1 5 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 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) 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 26 Information about the care home Name of care home: Address: Castle Donington Nursing & Residential Home Delven Lane Castle Donington Derbyshire DE74 2LJ 01332853588 01332853465 surjit@rushcliffecare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Rushcliffe Care Limited care home 60 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: First Floor No one may be accommodated on the first floor under 55 years of age. First Floor No one may be admitted to the first floor who falls within category PD (physical disability) unless they also fall within category DE (dementia). First Floor The first floor may accommodate no more than 30 service users who fall within the category/combined categories PD,DE. Ground Floor The ground floor may accommodate no more than 30 service users who fall within category OP (older persons) and PD(E) (older persons with a physical disability) of which 15 service users are accommodated in the Eaton Unit also located within the ground floor. Ground Floor The service provided to persons admitted to the home who fall within category PD must be in accordance with the Home Statement of Purpose as submitted to the CSCI on 12 August 2004. Ground Floor Within the Eaton Unit the home may accommodate up to 15 service users of which up to 8 service users in total who fall within category PD (physical disability) may also be accommodated. Care Homes for Older People Page 4 of 26 Over 65 30 30 60 0 0 0 Ground Floor Within the Eaton Unit the home may accommodate up to 2 persons between the ages of 35 and 45 years who have a diagnosed degenerative neurological disorder and fall within category PD. Ground Floor Within the Eaton Unit the home may accommodate up to 8 persons between the ages of 45 and 65 years who have a diagnosed degenerative neurological disorder and fall within category PD. No one in categories OP, PD(E) & DE(E) may be admitted to Castle Donnington Nursing & Residential Home where there are 60 persons in total of these categories/combined categories already accommodated in the home. To be able to admit the named service user, aged 44 years named in variation application number V21817 Date of last inspection Brief description of the care home Castle Donington Nursing & Residential Care Home is purpose built on two floors, and can accommodate residents over 55 years with dementia, a physical disability or terminal illness, within a safe environment. There is a separate unit, within the home, for eight residents with a diagnosed neurological condition (35 years and above). Trained nurses and care assistants staff the home, with a trained nurse on duty at all times. All residents rooms have en-suite facilities and there are additional toilets and assisted bathing facilities. There are a number of pleasant, separate sitting rooms and dining areas throughout the building and a safe enclosed garden. All areas of the home and garden, accessible to the residents, are wheelchair friendly, and there is a passenger lift to the first floor. The home is situated in the pleasant village of Castle Donington, on the boarders of Leicestershire, Nottinghamshire and Derbyshire. Village amenities are close by with local buses to nearby towns of Coalville, Ashby-de-laZouch and Loughborough. There are car-parking facilities next to the home. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 3 Stars. This means the people who use the service experience excellent quality outcomes. We as it appears throughout the Inspection Report refers to The Commission for Social Care Inspection. The focus of the inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for people who use the service and their views of the service provided. The previous key inspection was undertaken on 6th April 2006. Care Homes for Older People Page 6 of 26 The site visit was unannounced and took place over six and a half hours. We selected three residents and tracked the care they received through a review of their records, discussions with them (where possible), their relatives, other people who use the service, visitors, the care staff, and observation of care practices. We spoke with staff members regarding the training and support they received. Planning for the inspection included assessing notifications of significant events, a review of concerns raised following a safeguarding referral to Derby County Council, which is ongoing, and a review of the Annual Quality Assurance Assessment (AQAA) sent to the CSCI by the service. Before the inspection surveys were sent to residents, staff and health professionals to provide feedback to the CSCI. Nine residents, three staff and a healthcare professional returned the surveys. All were very positive about the care provided at Castle Donington. Nursing and Residential Home. Comments received from people who use the service, and their relatives were that the service provided: excellent care, and I would recommend the home to others; Castle Donington is exemplary; Friendly, helpful, kept well informed; Good food, good selection and that GP and other medical support called promptly. Staff said that there was good communication, training and support. A health care professional said the home, Provide a high standard of care for a very difficult client group. I appreciate the work they do. The Registered Manager and other staff spoken with were positive, friendly and helpful during the 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 26 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 26 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 are provided with detailed information about the service, and have their health, welfare and social care needs fully assessed so that they are assured that they can be met once they move into the home. Evidence: The Certificate of Registration reflected the people who were using the service and there was a valid Public Liability Insurance certificate on display. The home provides people who may wish to use the service, and their relatives, with a Statement of Purpose and Service Users Guide (both give information about the home) to help them decide if the home is the right one for them. The Statement of Purpose, Service Users Guide and the homes last inspection report were available in the entrance hall of the home. People confirmed that they had received information about the home and those who were privately funded had been provided with a copy of the Care Homes for Older People Page 10 of 26 Evidence: contract (terms & conditions) when they moved into the home. Three peoples care plans were viewed. These had detailed pre-admission assessments, completed by the Registered Manager, to show that the home could meet the persons care needs. Three relatives spoken with said that they were fully involved with the pre-assessment process and had been asked detailed questions about their relatives health, welfare, background and social needs. One person commended the manager for the time he had spent providing a detailed assessment and care plan the day before the resident moved to the home at short notice. During the inspection a gentleman who was looking for a care home for his wife, visited without an appointment. He was shown round by one of the nursing staff and made comfortable in the office with tea and biscuits and given the Statement of Purpose, Service Users Guide and homes last inspection report to look at. He was introduced to the Inspector and had a chance to have a brief discussion about his impression of the home, which he said was positive but that he had other homes to visit before making a decision The home does not provide intermediate care. Care Homes for Older People Page 11 of 26 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. People are well supported in respect of their health, welfare and social care needs. Evidence: Three care plans were viewed. All three care plans were detailed and provided nurses and carers with detailed information to enable them to meet all of the persons healthcare needs. People who lived in the home, and relatives spoken with, said that they had been fully involved in planning the care they or their relative received and that they had signed to say so. Contact with healthcare professionals such as GPs District Nurses, hospitals etc were documented and acted upon to ensure that peoples healthcare needs were addressed. In the pre-inspection survey a health professional commented that people who use the service could benefit from more community physiotherapy. It was noted that in the pre -inspection questionnaire a respondent commented that her relative had had a number of falls but went on to say that in response the manager had arranged for a medication review, a review by the psychiatric nurse and some physiotherapy to try to address Care Homes for Older People Page 12 of 26 Evidence: and reduce number of falls. All of the care plans had detailed risk assessments for such things as Moving & Handling, Nutrition, and diabetic management. The care plans had been regularly reviewed, at least once a a month, or more frequently where necessary, to ensure that peoples healthcare needs continued to be met. The nurses and care staff were proactive and responsive in meeting peoples healthcare needs. For example: A visitor said that their relative had a slight cough and staff had called the GP that day. Fortunately, the person did not require any treatment. But the relative was impressed that staff were quick to act on the persons behalf. Four relatives spoken with also confirmed that were always they were always kept fully informed by the nursing staff and had every confidence that their relatives were well cared for. A resident commented that she could not speak highly enough of the care and attention she received. Another commented My mother is very happy and well looked after. She is always treated kindly with respect. I cannot thank the home enough for what they do for her. In the pre - inspection survey a relative also said, I cannot find one complaint. My husbands needs are catered for in every way, and Staff not only listen and act on what I say but are proactive. Medication policies and procedures were sound. Either the Registered Manager, or the nurses, who have had medication training administered the medicines to ensure that people receive their medication safely and as prescribed. A nurse spoken with confirmed that staff receive annual medication training updates. Observation of care practices during the inspection showed that people were treated with respect and their privacy and dignity were maintained at all times. Those people spoken with all said that they were well cared for by caring staff who worked hard to support them with their daily care needs. In the pre-inspection questionnaires a carer stated that the home provided positive support, privacy, dignity and peoples rights were respected. Care Homes for Older People Page 13 of 26 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. Staff work hard to ensure that residents experience a safe and homely life style appropriate to their needs and abilities. Evidence: The home felt warm and welcoming, with calming, classical music playing in the entrance area. Many visitors came during the during the day. Staff were heard chatting to families about recent family events and people confirmed that staff were always very pleasant. The home has many residents with high levels of nursing care for very complex needs. Many of the people had severely limited cognitive functions, affected by such conditions as Huntingdons disease or were forgetful and confused. People were sitting in small groups in a number of lounges on both floors. More able people were seen watching television (in the afternoon some people watched an old film), listening to music, reading newspapers and writing Christmas cards. Staff were seen to interact well with the residents, chatting, looking at newspapers, and speaking to residents even where they would receive no response. This was supported by a number of people spoken with who said that staff always spoke to people even when the person was unable to give a meaningful response. They said that they had observed this even when staff were not aware of their presence. In the pre-inspection Care Homes for Older People Page 14 of 26 Evidence: survey a relative commented that. My mother is now 96 and has no real interest in activities - but has the opportunity if she wishes to join. However, in the preinspection surveys two relatives comments were for, Staff to provide more attention socially, but staff receptive to suggestions, and Activities - not aware of any (daily) but there is a limit on what the severely demented can do. In the pre-inspection survey two people commented that staff could interact more but also commented that, There is a limit on what the severely demented can do. However, the Registered Manager and staff could use research and their dementia care training to consider different approaches to provide stimulation for persons with diminished cognitive awareness. The service had an activities co-coordinator who worked twenty hours a week and arranged a monthly entertainments programme, a copy of which was available on the notice board in the entrance hall. There were events arranged throughout December which included festive celebrations such as carols and a Christmas party. The Registered Manager had asked for feedback from people who had attended the party and it was obvious from the written responses that this had been thoroughly enjoyed by all who attended. Birthdays and festive days were celebrated and peoples religious need were well supported. he religious and cultural need of people were well supported. There was a Church of England Holy Communion service every two weeks; Roman Catholics were visited by the priest and other faiths would be supported where required. The meals were prepared in the homes kitchen by the cook. A cooked breakfast was available and residents could take their meals in their room should they so choose. Lunch looked appetising, well presented and nutritious, including the soft and pureed diets. Peoples care plans had a nutritional assessment and they were weighed monthly and had nutritional supplements, where necessary, to ensure that their nutritional health was monitored and their dietary needs fully met. Staff were seen to discreetly assist people with their meals. All of the people spoken with, including visitors, said that the food was very good and that there was always a choice. A visitor commented that the food was better than what he had at home. Two residents said that the syrup pudding they were eating was absolutely delicious. Care Homes for Older People Page 15 of 26 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. Arrangements for receiving and responding to complants are sound and staff training ensures that residents are kept safe and their rights protected. Evidence: The homes complaints policies and procedures reflect local Safeguarding Adults policies and people had information and access to advocacy services should they need independent help or advice. All staff had received appropriate training and were able to demonstrate that they knew about whistleblowing and how to protect residents from harm. However, some care staff were a little unclear about the roles and responsibilities of the agencies involved in safeguarding but said that they would tell the manager or CSCI if they had concerns. This was discussed with the Registered Manager who said that he would discuss it with staff at the next team meeting. The CSCI has been involved in one safeguarding alert which is ongoing. The CSCI has not received any other complaints about the home and the home manages minor concerns in a professional and sympathetic manner. Relatives, when questioned, were very positive about the caring nature of the staff. They said that staff were kind, caring and helpful and always involved them in the Care Homes for Older People Page 16 of 26 Evidence: residents care and in the home and that they had no concerns. One person said that staff were very kind to residents, even when they were not aware that a relative was present. Another person said that her would not be leaving his wife for two weeks whilst he went abroad to a family wedding if he was not perfectly sure that she would be safe and well cared for. Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A comfortable, clean and high standard of accommodation is provided for the people who live at Castle Donington. Evidence: The home was warm, clean, safe, well maintained and decorated, and furnished to a high standard that created a comfortable, light, spacious but homely environment. All residents room had en suite facilities and nurse call. Those seen (chosen at random) were very well personalised. People had books and personal possessions, pictures, family photographs, paintings and furnishing brought from their own homes. Most people had their own television and some had a personal phone. There were additional bathing and assisted bathing facilities on both floors with sufficient hoist and aides to ensure that people could be moved safely. The homes health and safety arrangements such as regular maintenance and servicing of equipment, regular fire drills and monitoring heat control valves on hot water taps, throughout the home, show that the Registered Manager was mindful of his responsibilities in maintaining a safe environment for the residents and staff. Care Homes for Older People Page 18 of 26 Evidence: In the pre-inspection questionnaire a relative comment that the home was exceptionally clean and always smelled fresh. Care Homes for Older People Page 19 of 26 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 are sufficient in number and have the training required to meet the needs of the people who use live at Castle Donington Nursing and Residential Home. Evidence: There were 53 people living at Castle Donington Nursing and Residential Home at the time of inspection - most of whom had complex nursing needs. The staff rota was seen and confirmed that during the mornings there was a Registered Nurse and five carers on duty and a Registered Nurse and four carers four carers in the afternoon. At night there was a Registered Nurse and two carers. Night staffing levels were discussed with the Registered Manager as they seemed a little low considering the numbers and dependency of the people living there. The Registered Manger felt that there were sufficient staff to meet peoples night time needs. He is advised to monitor this closely to ensure that adequate staffing is maintained at night to cover staff breaks, and emergencies that may may occur, that could compromise peoples night care needs. The Registered Manager was supernumerary. In addition, during the day, there are cooks, cleaners, kitchen and laundry staff and maintenance staff. This ensures that nursing and care staff were able to concentrate on caring for the people who live Care Homes for Older People Page 20 of 26 Evidence: there. Residents and relatives said that there always seemed sufficient staff on duty. Rushcliffe Care Limited, Epinal Way Care Center, Loughborough undertakes the recruitment process centrally and this inspected when visiting the three homes at Epinal Way. The Registered manager said that he was involved in the recruitment of staff and always saw the staff Criminal Record Bureau (CRB) checks before they commenced working in the home. New care staff carry out an induction programme and had annual training updates. Staff undertake training in specific areas such as moving and handling, safeguarding processes, dementia. The Registered Manager had a training matrix to enable him to identify and track what training had been undertaken and where training was required. Three staff spoken with confirmed that they had received induction training and that the company was proactive in providing staff training. In the pre-inspection survey staff commented that there was Good communication, training and support. The Registered Manager said that almost 24 of the care staff had completed an National Vocational Qualification (NVQ) in Care at Level 2 and /or 3. A further 8 staff were to start NVQs soon. This and the homes training programme ensures that staff have the necessary skills to give safe care to the people who live there. Care Homes for Older People Page 21 of 26 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 Registered Manager, who is a trained nurse, is experienced, knowledgeable and professional. He manages the service well for the benefit of the people who live in the home, their relatives and the staff. Evidence: A company senior manager is in daily contact with the home and visited on the morning of the inspection. The Registered Manager is an experienced Registered Nurse, who has completed the Registered Managers Award (RMA) and works in a supervisory and management role. He said that he was well supported by the senior management team. The Registered Manager is highly regarded by people who live in the home, their relatives and the staff. Relatives spoken with spoke highly of his dedication and the care their relatives received. In the pre-inspection survey a health professional Care Homes for Older People Page 22 of 26 Evidence: commented that the home provides a high standard of care for a very difficult client group and said I appreciate the work they do. Two relatives spoke of the dedication of the manager. One person described how he had worked until midnight to ensure that care plans were in place when their relative moved to the home at short notice. The Registered Manager regularly audits specific areas such as risk assessment, care plans and medication and provides an annual quality audit (satisfaction survey) for residents or their relatives to complete. The results of the survey are collated, actioned and published with the Statement of Purpose so that people can see how their comments help to improve the service. Staff receive regular, recorded supervisions and annual appraisals to ensure that they continue to provide a high standard of care for the people who live in the home. The home manages peoples personal allowance appropriately. Only small sums of cash were kept in the home. Written record were kept and signed by two members of staff to ensure that peoples money was kept managed safely. There is an ongoing programme of maintenance and re-decoration. Health & Safety policies and procedures, such as fire drills and hot water checks were completed, and records maintained, to ensure a pleasant and safe environment for the residents and staff. Care Homes for Older People Page 23 of 26 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 24 of 26 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 12 The Registered Manager should consider encouraging staff to use their dementia awareness training to provide daily activities/stimulation, especially for people with diminished cognitive awareness, to support and maximise their personal potential. Care Homes for Older People Page 25 of 26 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 © (2008) 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 26 of 26 - 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!