Inspection on 23/03/09 for Reinbek

This inspection was carried out on 23rd March 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

Reinbek 18/02/07

Reinbek 14/12/05

Reinbek 13/06/05

Reinbek 12/01/05

Reinbek 08/07/04

Reinbek 22/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton 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: Reinbek 287 Bramhall Lane Davenport Stockport Cheshire SK3 8TB     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: Christopher Bond     Date: 2 3 0 3 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: Reinbek 287 Bramhall Lane Davenport Stockport Cheshire SK3 8TB 01614835252 01614560199 reinbek@boroughcare.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Borough Care Limited Name of registered manager (if applicable) Mrs Janet Gregory Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability Additional conditions: The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Physical disability - Code PD The maximum number of service users who can be accommodated is: 44 Date of last inspection Brief description of the care home Reinbek is a residential care home that is registered to provide care for up to forty-four residents, specialising in providing care for older people with physical disabilities and sensory impairment. The home is one of twelve homes owned by Borough Care Limited. Mrs Ines Kirby is the registered manager of the home. 0 44 Over 65 44 0 care home 44 Care Homes for Older People Page 4 of 29 Brief description of the care home Reinbek provides permanent residential care and short-stay accommodation. Day care facilities are available for up to four service users per day, Monday to Sunday. Reinbek is a two-story building; it is fully adapted for wheelchair users and has a lift to assist service users to the first floor of the home. The home is comfortably furnished and decorated throughout, the main entrance and two of the downstairs lounges were part of the original building. Accommodation is provided in forty-four single rooms, twenty-two of which have en-suite facilities. The home is structured into four units; each unit has its own kitchen, dining room and lounge facilities. The home had extensive gardens, with a large garden pond and water feature. Many of the bedrooms and lounge areas over look the garden area, providing pleasant views. The garden is easily accessible via four exits from the home, each of which has ramp access for wheelchair users. The home is located in a residential area, on the main Stockport to Bramhall Road. A regular bus service is available and the nearest railway station is Davenport station. Information about services and fees is available in the Service User Guide and Statement of Purpose provided by Borough Care Ltd. The previous CSCI inspection report is made available on request and the home charges Standard GBP 355.00 weekly; High dependency GBP 430.00 weekly and there is an additional #10 weekly for en-suite facilities. 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: As part of the inspection process an unannounced visit took place over a total of 5 hours on the 23rd March 2009. The service users personal files and care plans were examined. Care staff records and recruitment records were also looked at. Safety certificates and medication procedures were also examined. We spoke at length to the assistant manager and care supervisors of the service during the inspection. We spoke to three of the care staff about their role and responsibilities. Six residents were also spoken to as part of the inspection process. Care Homes for Older People Page 6 of 29 The Commission for Social Care Inspection also sent out surveys to service users and care staff: the views of those who returned them have been included in this report. The service provided the Commission with an Annual Quality Assurance Assessment that informed us of the services that are on offer and provided information about changes. We were also told about how the service intends to develop in the forthcoming months. What the care home does well: What has improved since the last inspection? The care planning systems at this home have improved and more information is included in each persons plan. There was some good information written in the plans about the residents social history, their interests and hobbies. Each plan is reviewed on a regular basis to help ensure that the information is current and consistent. There have been several training events for the staff since our last visit. This helps to ensure that the carers have the skills to do their jobs properly. The arrangements for those people wishing to keep and administer their own medication have improved. This means that those wishing to do so have more control and can do this more safely. Some of the bedrooms have been decorated and the overall appearance of the home Care Homes for Older People Page 8 of 29 was very pleasant. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs are properly assessed to help ensure that the service can provide a good level of care. Good information is available about the home to help people make a decision about whether the service is right for them. Evidence: All of the people who live in this home had a pre-admission assessment carried out prior to moving in. As much information as possible is gathered about the health and social needs of the prospective resident and a decision is made as to whether or not the service can provide the level of care needed. We looked at the information that the service provided for each prospective resident. This was comprehensive and details were provided about the home itself and the organisation that the service was part of (Borough Care). This information helped people to make an informed choice about the service, and whether or not they would Care Homes for Older People Page 11 of 29 Evidence: like to live at the home. We also spoke to three people who said that they had a good look around the home, and were given plenty of information about the service, before they made the decision as to whether the home was right for them. All of the people that we spoke to said that they were pleased about the help and the welcome they received from the manager and staff at the home. This service does not supply intermediate care and this standard has not been assessed. Care Homes for Older People Page 12 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. Health care needs are dealt with properly and professionally within a planned framework. People receive a good standard of care from well- trained carers. Evidence: All of the people who used this service had a care plan that detailed their health and social needs. The plans were used by the staff to direct their care, and to ensure that the residents received consistent support. We looked at five care plans and found that the information held within them was good, doccumenting current need. The plans were reviewed on a regular basis to help ensure that the information held on each resident was current and accurate. The service had an excellent relationship with the district nurses and there were records in some of the plans documenting their visits to the home. The service used triggers, where the care staff informed the district nurses by fax when health issues were first realised. The nurses then responded promptly. This is important because health issues were caught at an early stage, ensuring prompt treatment. Care Homes for Older People Page 13 of 29 Evidence: None of the residents had any pressure sores: timely treatment and good preventative measures help to ensure that peoples skin condition remained good. We noticed that many people were using pressure relieving pads on their chairs. The assistant manager also told us that the home had special equipment available, such as pressure relieving mattresses, to help maintain good skin condition. A nationally recognised tool was used to monitor skin condition. Some of the people who used the service were in the early stages of dementia. Good regular training was available for the carers to help ensure that they had the knowledge and skills to care for people with this condition. People were weighed regularly and the results recorded to monitor any changes, which could signal health problems. Many of the residents had been prescribed medication by their doctor. The service had systems in place to demonstrate that this was being administered properly and safely. It showed that people were receiving prescribed medication at the right time, assisted by trained senior carers. We observed people being assisted with their medication over the lunchtime period; this was being done properly and within safe guidelines. One person was able to look after their own medication. There were lockable spaces in some of the bedrooms where medication could be stored safely and a careful eye was kept on how this medication was being taken. Risk assessments were available to monitor this. Everyone that we saw who lived at this home was well dressed and looked well cared for. A hairdresser visited the home regularly. We asked some of the residents about their care and all of the people that we spoke to were very pleased with the level of support that they received. One gentleman told us that the carers were magnificent, first class. We also spoke to friends and relatives of the people who used the service, who were visiting the home whilst we were there. Three people told us that the level of care was excellent: one person commented, I have complete peace of mind, my mother is being looked after extremely well and Im very happy. We observed the carers going about their duties whilst we were at the home. They were respectful and polite, and their seemed to be a very good relationship between residents and staff. The senior carers were experienced in delivering care and were good role models for the younger staff in how to provide good quality care. There was also a training programme for all care staff in relevant areas of good care practice. We looked at training records and forthcoming events, we also asked the care staff about this training. This helped to ensure that the carers had the knowledge, skills and ability to provide a good standard of care. Care Homes for Older People Page 14 of 29 Evidence: Care Homes for Older People Page 15 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who use this service are stimulated by a good programme of activities and events that are planned well. Catering arrangements are good, and people enjoy a good choice of food. Evidence: There were plenty of activities available at this home for people to take part in. One of the senior care co-ordinators arranged the activities programme. Activities and events were available both within the home and in the community; these ranged from board games and group events to shopping trips with care support. A programme of events was available and there were activities taking place whilst we were there. Each care plan held information about the interests and hobbies of the residents and people were encouraged to take part wherever possible. Professional entertainers visited the home on a fortnightly basis and special events were planned for the forthcoming easter period. A good programme of activities means that people are physically and mentally stimulated, which adds to their well-being. There were also specialist activities available for those in the early stages of dementia. Several of the residents told us Care Homes for Older People Page 16 of 29 Evidence: that they enjoyed the activities that were on offer. There was lots of information about the social needs of the residents on each of the care plans that we looked at; information about the social history of each person was also available. This type of information is useful for the carers to use when conversing with the residents and developing relationships. There were visits to the home by religious representatives to enable the residents to practice their chosen faith. We also sampled the lunch time meal whilst we were there. This was well cooked, tasty and nutritious. The dining area was nicely furnished and decorated and the tables were set properly; there were flowers on the table. All of the people that we spoke to were happy with the catering arrangements at this home and there were some nice comments made about the quality and choice of food. We looked a the menus, and a good choice of food was available. One resident commented, Theres usually something on the menu that I like. If not, they will cook me something especially. The food is good, its like a restaurant. We spoke to the cook who confirmed that there were regular deliveries of fresh vegetables, meat and fish. The kitchen area was clean and well kept. There were historical photographs all around the home of the local area and places of interest. These formed a discussion point, as most of the people who lived at the home were from the local area. Some of the residents had given their permission for old photographs of themselves to be placed on a board near the main office. There were also old photographs of the care staff. Some of the residents told us how interesting they found these. There were many visitors to the home whilst we were there. The assistant manager told us that families and friends were encouraged to visit to help maintain family contact and promote well-being. We spoke to three people who were visiting the service: all three were very pleased with the services that the home offered and said that they were made welcome and offered privacy and refreshments. There was a nice library area where many people were able to talk in privacy to their relatives and friends. Care Homes for Older People Page 17 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 are safeguarded by thorough procedures and a properly trained staff team. Evidence: There were policies and procedures available for the managers and care staff to look at to guide them, should they be unsure about what action to take regarding ensuring that people are properly safeguarded. The organisation provided training in this area and several of the care staff told us that they had attended this training. There were training records available to confirm this. There had been no complaints made to the Commission since out last key inspection. Most of the care staff had also been instructed in Safeguarding matters as part of a nationally recognised qualification in care (NVQ level 2 or 3). All of the staff that we spoke to said that they were familiar with the actions to take should they be uncomfortable about anything that they had seen. The service also had a whistle blowing policy that informed the staff that all areas of concern would be dealt with properly and taken seriously. It was clear that the organisation and the management team took these matters seriously to help ensure that people lived in a safe home. The service had a complaints procedure. This was displayed in the hallway of the home Care Homes for Older People Page 18 of 29 Evidence: and informed the residents and their families about the action to take should they be unhappy about the service they received. All of the care staff that we spoke to were aware of what to do if concerns were passed to them from the residents or their families. There were records available for residents meetings where people were encouraged to voice their concerns about the service, should they wish to do so. Care Homes for Older People Page 19 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents live in a positive, relaxing environment with plenty of nice things around them. Evidence: The home was set back from the main road and had its own driveway. There was ample parking around the building. The grounds around the home had been landscaped and the building itself was original in design with a large extension build to the rear. There were many original features inside the home and the bedrooms that we saw were quite large. The windows in each room were quite big, which let in plenty of natural light. Most of the bedrooms overlooked a central landscaped garden area with a small pond as a feature. The assistant manager told us that there were lots of events in the garden area during the summer months when the weather was warmer. There were benches available where people could sit and enjoy the gardens. Many of the bedrooms that we saw had things that people had brought from their previous home, such as photographs, pictures, ornaments etc. The assistant manager told us that the residents were encouraged to bring personal possessions with them to help them feel more comfortable and at home. Each room was pleasantly decorated Care Homes for Older People Page 20 of 29 Evidence: with matching furniture of good quality. We spoke to some of the people who used this service about their bedrooms. One person described their room as lovely. Another resident said, I get a wonderful view of the garden, which is excellent in the summer. The home itself was clean and fresh smelling. The accommodation had been divided into four separately staffed areas, each with a separate lounge and a small kitchen area with dining facilities. There were several themed bathrooms around the home that were pleasantly decorated and had aids and equipment available for those who required extra assistance. There was a library area to the front of the home where people could enjoy a quiet environment or speak in privacy to their relatives. On the whole, the environment was very positive an the people that we spoke to were clearly pleased with the facilities on offer. We spoke to three visitors to the home, one person said of the home, Its absolutely smashing, and a very relaxing place to be. Care Homes for Older People Page 21 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. The people who use the service are well cared for by well -trained and supported staff team. Evidence: All of the care staff had an individual training file that helped to set out their training needs and documented the courses, training and qualifications that they had undertaken and achieved. Six files were looked at during our visit. Several courses and training events had taken place since the last key inspection. These included training in care practice and mandatory safety training. There was a pamphlet available which showed which events were due to take place in the forthcoming months. Most of the carers held a nationally recognised qualification in care (National Vocational Qualification level 2 or 3). A well-trained staff team helps to ensure that they have the knowledge, skills and ability to provide a better standard of care. We spoke to three of the care staff during our visit and all were pleased about the amount of training they were given to help them to do their jobs properly. All of the surveys that we received from the care staff held positive comments about the level of training that was available. Care Homes for Older People Page 22 of 29 Evidence: Staff files were well laid out and information was easy to find. Each file held a photograph and the correct information on each person. This helped to ensure that the people who used this service remained safe and secure. Evidence was available that Criminal Records Bureau disclosures had been obtained, and checks had been requested from the Protection of Vulnerable Adult Scheme prior to employment. There were enough care staff on duty to help ensure that the assessed needs of the residents were addressed properly. We looked at the staffing rota for the service and each duty was covered well. The assistant manager told us about the amount of care staff that were employed on each shift, and what action would be taken should a carer ring in sick. Two residents were able to tell us that they were pleased with the amount of care staff that were available and that they felt well cared for. Staff surveys told us that there were always or usually enough carers on duty to meet the individual needs of all the people who use the service. Care Homes for Older People Page 23 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. The home is being run in the best interests of the residents and their welfare is promoted and protected. Evidence: There had been a change in the management structure of the service since our last visit. The home had a new registered manager. The manager wasnt available during our visit and we spoke at length to the assistant manager and senior care supervisors. The current registered manager of the service has a nationally recognised qualification in care (National Vocational Qualification level 4) and a recognised managerial qualification. These qualifications mean that the manager is trained, prepared and qualified to manage the home properly, which helps to ensure that the people who live there receive a good service. She has twenty years experience in the care sector. We also observed how the management team interacted with the people who used the service; they were very respectful and had clear values regarding how good care Care Homes for Older People Page 24 of 29 Evidence: should be delivered, and set a good example for the care staff who worked within this service. The assistant manager told us that there were regular staff meetings for both day and night care staff and there were minutes available to confirm this. There were also minutes held for residents meetings where people were encouraged to talk about the service that they received and what changes could be made to improve their lives. There had been changes made to the service as a result of this consultation. There were records to show that major appliances within the home had been serviced properly and that safety equipment had been examined by suitably qualified persons to ensure that the health, safety and welfare of the residents was being properly addressed. The gas system, electrical installation and lift had been serviced on a regular basis and there were certificates to show that this had taken place. The home was also properly insured to help protect the residents. Risk assessments had been completed for areas where the residents might need extra protection. Training had taken place in areas such as moving and handling, food hygiene, first aid and fire safety to help ensure that the staff had the necessary skills to help keep the residents safe and secure. There had also been training in the protection of vulnerable adults, and further instruction in this was due to take place for the care staff at Reinbek. We also looked at financial records to confirm that the interests of the residents were being properly protected and safeguarded. The residents and their relatives were regularly asked for their opinion on the service via surveys sent out by the organisation and changes are made as a result of these. The care staff told us that individual supervision had taken place and there were records available to show this. Supervision is important because it provides support for the care staff to review their performance and training needs. All of the surveys that were returned to us said that regular support was available. We also looked at supervision records and spoke to the management team about their supervision practice. Staff were supervised regularly by the manager to enable them to discuss important aspects of their roles and what training would be beneficial. Overall we found Reinbek to be a well managed home where the safety and welfare of the residents of the service were looked after and respected. As part of the inspection process the manager provided the commission with an Annual Quality Assurance Assessment that told us about the home and how it was progressing. This was Care Homes for Older People Page 25 of 29 Evidence: completed well and outlined in detail how the service was improving outcomes for the people who use the service and meeting their specific needs. 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 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. 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