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Inspection on 13/10/08 for Prince Michael Of Kent Court

Also see our care home review for Prince Michael Of Kent Court for more information

This inspection was carried out on 13th October 2008.

CSCI found this care home to be providing an Good 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

All the residents appeared well cared for. They were all well dressed and seemed content and happy. Those residents interviewed made positve remarks about the care they received. They confirmed that they were involved in the daily routine and participate in decision making. Each unit appoints a resident to be their spokesperson at residents` meetings to highlight any concerns they may have. The new manager listens seriously to concerns raised and makes appropriate changes as soon as they are raised to the benefit of all the people living in the home. Such changes include extra dementia training for care workers, improved menu and improved recreational facilities and activities. In general staff have the skills and knowlege to care for the people living in the home. We received the following comments in response to the survey forms we left for residents and their relatives. "It is a well balanced and caring home." "Both management and staff do an excellent job." "The staff are very committed to providing the care needed." "They know each individual well and provide varied social interaction for all residents together." "Communications with staff have always been excellent. Very high standards of care and communication." "I have always been treated well when a complaint has been made." "Residents are well dressed and look happy." "Residents dressed according to their preferences." "Rooms are clean and well maintained." "Food is well presented and nourishing." "They look after my (relative) very well." "All the staff are very good and we are very pleased with the way they look after my (relative) and do everything for my (relative)." "Incredibly fortunate that my (relative) is so well looked after - hope the standards remain high and continue to improve."

What has improved since the last inspection?

The home has had a change of manager since June 2008. The new home manager will have to apply for registration with the Commission. The provider has recently employed a dementia support advisor and the management has sought advice to help improve dementia care in the home. A physiotherapist provides therapeutic group exercise weekly and assists individual residents who may need one-to-one exercise. The recreation facilities have improved and include a bar during lunchtime, computer facilities and computer training for residents, access to satellite television in each bedroom and a choice of television package for each resident. There is a flat screen television in the lounge which has been installed with a loop hearing system to increase accessibility for those with impaired hearing. A group movie night takes place once a week.

What the care home could do better:

It was noted that the radiator in the corridor of the residential unit is excessively hot which increases the risk of accidental scalding to people who live or work in the home. Since the inspection, a servicing engineer has been called to address the problem. The small dining room in the dementia unit seemed overcrowded during lunch time. Since the inspection, there are now two seatings in the dementia unit at mealtimes to avoid overcrowding and also there are more staff to assist the residents. The new manager has addressed some of the issues raised by relatives in recent weeks in regards to the dementia unit. Additional dementia training has been arranged for staff and the manager is currently reviewing the skill mix to ensure that the quality of care continues to improve. However, there is a need for members of staff to provide more one-to-one interaction with individual residents, especially in the dementia unit. In the recent surveys received by the Commission, the following comments were received: "One-to-one social interaction from carer (using large picture books/photos) would raise alertness of residents (when they feel able)." "Ensure only English is spoken in the home even between staff." "Most staff involved in Jersey Unit (dementia unit) do undertake further training. This however can improve."

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Prince Michael Of Kent Court Stratford Road Watford Hertfordshire WD17 4DH     The quality rating for this care home is:   two star good 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: Yoke-Lan Jackson     Date: 1 3 1 0 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 27 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 27 Information about the care home Name of care home: Address: Prince Michael Of Kent Court Stratford Road Watford Hertfordshire WD17 4DH 01923234780 01923235125 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Royal Masonic Benevolent Institution Type of registration: Number of places registered: care home 47 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: This home may accommodate 13 older people with dementia who require personal care. This home may accommodate 47 older people who require personal care. Date of last inspection Brief description of the care home Prince Michael of Kent Court is a residential care home for 47 older people who may also have dementia. It was opened in 1994, and is owned by the Royal Masonic Benevolent Institution (a voluntary organisation). The home is situated in a residential area of Watford, within easy reach of local shops and facilities and is within walking distance of Watford town centre. The home shares a building with the organisations Sheltered Housing Unit. The building is mainly single storey except for Haynes Unit which is above Elgood Unit. These units are for residents who are more independent. Care Homes for Older People Page 4 of 27 Over 65 13 47 0 0 Brief description of the care home Forrester Unit is for residents who have mobility issues and Jersey Unit is for residents with dementia. The units are situated around a large central lounge that is shared with residents from the Sheltered Housing Unit. All the bedrooms are single and all have en suite toilet facilities. The assisted bathroom facilities are nearby. There is a passenger lift to the first floor unit. There are ample communal spaces, including a dining room and a lounge in each unit. The administrative offices and the laundry room are in the residential unit. The home has a courtyard area at the front, gardens at the side and rear and an enclosed sensory garden for Jersey Unit. All the garden areas have seating and are accessible to wheelchair users. The home charges £607 - £848 per week. Information about the home and the service it offers is contained in the Statement of Purpose and the Service Users Guide. A copy of these and the most recent CSCI inspection report are available in the home. Care Homes for Older People Page 5 of 27 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: two star good 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 unannounced inspection was carried out on 13/10/2008. The home manager and the deputy manager were both present. There are 47 people in residence. The inspection included a tour of the premises. Time was spent observing how the care staff interacted with the residents and included lunchtime observation. Staff, residents and some relatives were spoken with. Relevant documents were examined and information received by us since the last inspection was reviewed. This included the Annual Quality Assurance Assessment (AQAA) which providers of registered services are required to complete. The AQAA focuses on how the outcomes are being met for people using the service and also provides us with some statistical data. Care Homes for Older People Page 6 of 27 Additional information was received from the written survey forms distributed to some residents and relatives of people who use the service. Three respondents were subsequently contacted by telephone as they requested a telephone interview with the inspector. What the care home does well: All the residents appeared well cared for. They were all well dressed and seemed content and happy. Those residents interviewed made positve remarks about the care they received. They confirmed that they were involved in the daily routine and participate in decision making. Each unit appoints a resident to be their spokesperson at residents meetings to highlight any concerns they may have. The new manager listens seriously to concerns raised and makes appropriate changes as soon as they are raised to the benefit of all the people living in the home. Such changes include extra dementia training for care workers, improved menu and improved recreational facilities and activities. In general staff have the skills and knowlege to care for the people living in the home. We received the following comments in response to the survey forms we left for residents and their relatives. It is a well balanced and caring home. Both management and staff do an excellent job. The staff are very committed to providing the care needed. They know each individual well and provide varied social interaction for all residents together. Communications with staff have always been excellent. Very high standards of care and communication. I have always been treated well when a complaint has been made. Residents are well dressed and look happy. Residents dressed according to their preferences. Rooms are clean and well maintained. Food is well presented and nourishing. They look after my (relative) very well. All the staff are very good and we are very pleased with the way they look after my (relative) and do everything for my (relative). Incredibly fortunate that my (relative) is so well looked after - hope the standards remain high and continue to improve. Care Homes for Older People Page 8 of 27 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 Care Homes for Older People Page 9 of 27 printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 10 of 27 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 11 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A prospective client can be assured that a comprehensive pre-admission assessment will be carried out before they are admitted to ensure that the home can meet all their care needs. Evidence: The pre-admission documents were seen in the admission folder for a recent admission. They were detailed and the assessment process was carried out by a trained senior member of staff. The deputy manager was seen updating the written care plan which reflected their assessed care needs. The resident seemed settled in their new home. Care Homes for Older People Page 12 of 27 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 use the service can be assured that their rights to privacy will be respected, their healthcare and personal care needs will be positively met and that they are protected by the homes medication policy and procedures. Evidence: Each resident has a written care plan, which is not currently person-centred. However, written care plans are currently being revised to a more user-friendly format. The management has arranged for all staff to attend further training on Person-Centred Planning before changing all written care plans to person-centred format. A person centred care plan ensures that care is identified and delivered in a manner that upholds their individuality whilst meeting the persons care needs. A key worker is assigned to each resident on admission so that continuity of care is provided. The deputy manager confirmed that each resident is registered with a family doctor of their choice and that the local district nurse gives assistance when needed so that residents healthcare needs are appropriately managed. Care Homes for Older People Page 13 of 27 Evidence: Two residents were recently admitted to the local hospital having felt unwell. They have since returned to the home. There have been no incidents of pressure sores since the last inspection which means that the care for the prevention of pressure sores is good. It was noted that daily written records, including food and fluid intake charts and weight charts, are being kept for those residents with a poor appetite. This means that the service is closely monitoring these residents nutritional health needs. The provider has its own physiotherapist who attends two hours per week to give residents individual support and group exercises. Each unit has medication storage facilities and a controlled drug cupboard. There are no controlled drugs in use at the present time. Temazepam tablets are stored in two of the units. Records examined in the Controlled Drug Register were found to be accurate. All prescribed medicines are kept in a drug trolley which is securely attached to the wall in the storage room when not in use. Stock medicines are kept in a wooden cupboard which is within a locked storage room. Following discussions, the home manager has agreed to purchase a proper metal drug cupboard for the stock medicines for the safe storage of stock medicines. The Medication Administration Record (MAR) charts examined were correctly filled in and had no gaps. The deputy manager confirmed that there have been no medication errors since the last inspection. This means that trained staff are administering medication safely to residents. Care Homes for Older People Page 14 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service can be assured that they will be supported to pursue personal interests, engage in communal activities and have close links with their friends and family as part of their chosen lifestyle. They can be assured that a healthy diet is promoted which meets their nutritional needs and expectations. Evidence: In the residential communal areas residents were seen moving about and chatting to each other. The atmosphere was lively and the residents interviewed seemed happy and content. Members of staff were around to lend a hand. However, in the dementia unit it was noted that some residents were sitting around in the lounge with limited one-to-one interaction with staff. However, there was a group activity in the morning where three members of staff were encouraging residents to exercise and dance to music. It was noted that there was a resident sitting by himself in the smaller lounge with little attention from members of staff,who were busy elsewhere. There was a new resident who was seen wandering around the corridor now and again. During teatime the new resident seemed unsettled so a member of staff accompanied the resident to the communal area in the residential unit. Care Homes for Older People Page 15 of 27 Evidence: There was an activity co-ordinator on site for half the day. The home is currently recruiting for an additional activity co-ordinator to assist and improve the recreational activities. Residents are encouraged to practice their religion, and there is a monthly church service held within the home. Arrangements are made for those who so wish to attend a church service in the local community. Residents are encouraged to celebrate festive events and anniversaries that are important to them. Residents are encouraged to maintain contact with their friends and family, who are welcome at any time. Family members are invited to have meals with the resident in the home. Contact with the outside community is encouraged through relatives and through links made by the activity co-ordinator. As part of the organisations social calendar, arrangements are made every Christmas for residents to attend the school Christmas carol concert held at the Royal Masonic Girls School, and a Christmas lunch is held at Halsey Hall (Lodge) which is situated in the same building as the care home. Recreational and educational activities include a computer course for residents. Four residents had completed this and there is a computer room for residents to access the internet. There are facilities for satellite television in each bedroom and each resident can have their own choice of entertainment package. There is a library, and lessons of interest are held weekly. The main lounge has been installed with a loop hearing system for the hard of hearing, and the lounge has a large flat screen television and residents can enjoy a movie night once a week. There is also a bar where drinks are served before mealtimes. Residents seemed to enjoy their pre-lunch drink from the bar manned by a member of staff. Shortly after lunch some residents from Haynes unit were seen using the lift and making their way to the main communal lounge to watch the big screen television. One of them commented that they enjoy the choice of using the large lounge, although Haynes unit has its own lounge. On the day of the site visit, in both Elgood and Haynes units, a member of staff was seen serving lunch to 9-10 residents. The home manager said that usually there would be an extra member of staff on duty to assist in both units but the care worker had gone off sick on the day. Some residents had to wait around for their lunch to be served. The chef appeared now and then to ensure everyone was happy with their meals. A team leader gave some assistance in Haynes unit where there was a new admission on the day to ensure that the new resident was served lunch appropriately. During lunchtime, one of the residents felt that one of the slices of lamb on their plate was too fatty and tough. However, the majority of the residents gave positive feedback about the dishes offered and they confirmed that they were given a choice of menu daily. Two residents said that they are representatives from their respective Care Homes for Older People Page 16 of 27 Evidence: units who attend monthly meetings with the chef. They said that the chef always listens and he will amend the menu and dishes accordingly. Lunchtime appeared unhurried in the dementia unit. However, the small dining room seemed crowded with thirteen residents, a visitor and four members of staff. There were three members of staff assisting four residents who needed help with their meals. A fourth member of staff was serving the other residents and assisting one of them now and again. It was noted that on another table there were two residents and a relative having lunch. Following discussion, the home manager has decided to organise two seatings to avoid overcrowding. This change also means that residents have their meals in more relaxed surroundings with more individual attention. Care Homes for Older People Page 17 of 27 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 who use the service can be assured that they will be listened to and that any concern raised will be investigated and appropriate action will be taken. Evidence: Residents have influence in the home and their input is actively sought. Two of the residents who represent their respective units said that they have regular meetings and that minutes are taken. It was noted that the management has handled concerns raised by relatives immediately and appropriate changes have been made. Staff have received training on issues concerning abuse and the Whistle-Blowing Policy. They have training on the correct procedure to follow in the event of a complaint or a safeguarding issue. This ensures that staff know the correct procedure to follow in the event of a complaint or a safeguarding issue. The police and the home manager are investigating a recent incident of missing items. Since the inspection, there has been a safeguarding incident pending investigation under the Hertfordshire County Council Safeguarding Procedure. Care Homes for Older People Page 18 of 27 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. People who use the service can be assured that the management is working towards making the environment safe, comfortable and more homely to live in. Evidence: The home manager conducted a tour of the premises. The maintenance programme is ongoing. On the day of the site visit, the cleaner was observed cleaning the communal areas and bedrooms. The bedrooms have personal items on display which help to reflect peoples individuality. All doors were held open with automatic hold open door devices which meet fire safety regulations and keep the residents safe and ensure that they can safely move from room to room. Most of the flooring has been changed to the non-slip laminated type. Work is in progress to rebuild the entrance porch and door. The home manager ensures that the residents daily routine is not unduly disrupted and that there are no tripping hazards. It was noted that the radiator in the main corridor (by the administrative office) was overheating intermittently. A member of staff was seen adjusting the control now and then to control the temperature. The home manager said that he will contact the servicing engineer as soon as possible. Since the last inspection the home has purchased some adjustable beds to improve Care Homes for Older People Page 19 of 27 Evidence: residents comfort and to enable them to get in and out of bed easily. There are pressure relieving mattresses to help prevent pressure sores. Care Homes for Older People Page 20 of 27 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 use the service can be assured that the service has a thorough recruitment process to keep them safe and that the home has an effective staff team who will support them. They can be assured that the management will continue to improve the skill mix of staff to ensure that the quality of care for all residents will continue to improve. Evidence: The home manager said that the recruitment process is thorough to ensure the safety of residents. All the staff records were found to be kept up to date. There was evidence of the Criminal Record Bureau checks and the Protection of Vulnerable Adult checks having been carried out. Members of staff spoken to confirmed that they only commenced work after these checks had been completed. The home follows the Skills for Care training programme and all staff have the opportunity to train to NVQ level 2 and level 3. All members of staff have had further training on Dementia Care and the Prevention of Pressure Sores. Further training on Person-Centred Care Planning has been arranged for the coming weeks. On the day of the site visit one of the care workers reported in sick but the care provided was not unduly affected as the management team were also working to Care Homes for Older People Page 21 of 27 Evidence: provide hands-on care. The new manager said that he will review the skill mix of staff in the dementia unit to ensure that residents care needs are appropriately met each day and to encourage staff to have more one-to-one interaction with individuals as part of therapeutic care for people with dementia. He said that he will consult the dementia advisor, recently employed by the company, for more positive input to improve dementia care in the unit. Care Homes for Older People Page 22 of 27 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. People who use the service can be assured that the care and service provided will continue to improve under the new management and that their welfare and health and safety will be promoted and protected. Evidence: The service has had no registered manager since 01/05/2008. The deputy manager was appointed as the new home manager in June 2008. He has yet to apply for registration with the Commission. The home also has a newly appointed deputy manager, who was previously one of the team leaders. The standards of management and administration of the service have been well maintained under the new management team. Since his appointment, the new home manager has made some positive changes to the service following concerns raised in recent weeks by some relatives in regard to the dementia unit. He has kept the Commission informed of these changes. A number of shortfalls have been addressed, Care Homes for Older People Page 23 of 27 Evidence: including improved communication, a more efficient labelling of clothing, an improved menu, and more training for staff on dementia care. The provider has recently employed a dementia support advisor and the new manager has already sought advice to improve the dementia unit and the general care of the residents. The home has readvertised for more activity co-ordinators and domestic cleaners. Work is in progress to improve the environment. All records for the protection of the residents are kept secure and handled in accordance with the Data Protection Act 1998. The servicing records have been well maintained. The home has a quality assurance system, which responds to the views of residents, relatives and other key stakeholders. Feedback from respondents forms part of the annual quality assurance report which is readily available for inspection. The Annual Quality and Assurance Assessment (AQAA) forms issued by the Commission were returned on time for this inspection. The information provided was very detailed and reflected the changes made since the last inspection. Relevant information is summarised in this report. Care Homes for Older People Page 24 of 27 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 25 of 27 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 25 For the safety of all residents, it is recommended that the excessively hot radiator in the corridor in the residential unit be sorted out as soon as possible. It is recommended that the daily routine includes more one-to-one staff interaction with individual residents especially in the dementia unit. 2 27 Care Homes for Older People Page 26 of 27 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. 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