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Inspection on 24/07/09 for Oak Tree Court

Also see our care home review for Oak Tree Court for more information

This inspection was carried out on 24th July 2009.

CQC 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.

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

We received positive comments about the care provided in the home from people who returned surveys or who we met during the inspection. When asked what the home does well in the surveys people wrote "I cannot ask for more." "Provide kind staff and good food." "I am a very satisfied resident." We asked all people we met during the inspection if they were well cared for. Again there were very positive answers. One person said " They look after me well." Another said "People are kind...really caring." The home is run very efficiently. There are systems in place that manage all aspects of care, staff recruitment and training and maintenance. Record keeping is of a consistently high standard. Computer records are used to store information securely and to ensure prompt access when needed. The manager keeps us informed regularly of all events in the home and responds promptly to any concerns or issues that are raised about the home. The home environment is spacious, pleasant, clean and well maintained. There are very attractive and accessible grounds and people are encouraged to use them whenever they are able. People are able to make choices about how they spend their days. There are opportunities to access the programme of activities and social events or to spend time quietly in the rooms. There is a choice of food available and a range of special diets can be catered for. There is evidence that staff are recruited safely and trained well to meet the needs of people who live in the home. The manager and staff are committed to keeping people in the home safe. There are robust policies and procedures in place and a programme of training and up-dates. The manager is pro-active in seeking advice when needed and understands the importance of working with other agencies according to local safeguarding procedures. The service is well maintained and there is a commitment to improving and maintaining the standards of accommodation in the home. Care planning in the home reflects best practise and medication records are accurate and comprehensive. The company supports the home with regular visits, policies and procedures and financial investment. There are a series of quality assurance measures in place and the service is committed to continuous improvements.

What has improved since the last inspection?

The last inspection took place on 05/07/07. Formal supervision of staff is now undertaken regularly and clearly recorded. There is now a system in place to monitor the amount of time people spend in their room alone and to try and ensure that they have 1:1 time with care and activities staff. Staff have received training in caring for people with dementia. At the last inspection there were concerns that someone had gone to hospital against their wishes. There have been training initiatives and improvements in policies to try and ensure that this does not happen in future.

What the care home could do better:

There are no requirements made at this inspection which was very positive. People who returned comment cards said that there was scope for further stimulation for people who stay in their room and some people would like more Reminiscence therapy. (A member of staff was due to undertake this training in the near future.)

Key inspection report Care homes for older people Name: Address: Robins Close Nursing Home Middle Green Road Wellington Somerset TA21 9NS     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Shelagh Laver     Date: 2 4 0 7 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. Care Homes for Older People Page 2 of 25 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: Robins Close Nursing Home Middle Green Road Wellington Somerset TA21 9NS 01823662032 01823665010 robinsclose@majesticare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Majestic Number One Ltd care home 61 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 maximum number of service users who can be accommodated is 61 The registered person may provide the following category of service only: Care home with nursing (Code N) to service users of either gender whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category (Code OP) Date of last inspection Brief description of the care home Robins Close has been part of Majestic Number One since September 2001. The home offers nursing and residential care. Matilda Ngomane is an established and well qualified nurse manager who after being promoted from her post as deputy continually improves the home. The Home is situated in the countryside on the outskirts of Wellington, surrounded by lawn and gardens, which now includes a new level access sensory garden. The home is well presented and has ample parking. The home accommodates up to 61 people in total. Care Homes for Older People Page 4 of 25 0 0 Over 65 61 61 Brief description of the care home The home is now registered to provide up to 61 nursing places however staffing and accommodation remains in place for 30 with the remainder of people having personal care needs. Where nursing is provided the corridors are spacious and wheelchair users can be accommodated. There is a large passenger lift between floors. Other parts of the home have comfortable attractive rooms more suited to personal care. The home has been suitably adapted to meet the needs of people in the home. The home is adequately equipped and adjustable beds are provided in the nursing wing. There is a registered nurse on duty at all times. The communal areas are comfortable and well appointed and include a conservatory with views of the garden. There is an ongoing refurbishment programme that includes redecoration and carpets in bedrooms. The fees vary according to peoples dependency and needs and the room occupied. In September 2009 the fees ranged from £370 to £750. Care Homes for Older People Page 5 of 25 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: This was an unannounced Key inspection that concluded with a visit to the home that took place over two days. Before the visit to the home we requested and received an Annual Quality Assurance Questionnaire that gave us information about the achievements that the home has made during the previous year and the plans that the home has for the coming year. We also received factual information about the people who live in the home and the staff. The AQAA was completed fully and arrived on time. We sent surveys to people who live in the home and reviewed documents relating to staff recruitment, training and care. We looked at a range of documents recording the running of the home. We made a tour of the home and over two days we met with people who live in the home, the manager and staff. Care Homes for Older People Page 6 of 25 What the care home does well: What has improved since the last inspection? The last inspection took place on 05/07/07. Formal supervision of staff is now undertaken regularly and clearly recorded. Care Homes for Older People Page 7 of 25 There is now a system in place to monitor the amount of time people spend in their room alone and to try and ensure that they have 1:1 time with care and activities staff. Staff have received training in caring for people with dementia. At the last inspection there were concerns that someone had gone to hospital against their wishes. There have been training initiatives and improvements in policies to try and ensure that this does not happen in future. 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 8 of 25 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 25 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. The home offers information to assist people to make choices before coming to the home. People receive a comprehensive assessment before coming to live in the home. In the event of an emergency admission to the home there are sytems in place to ensure the needs of people can be met. Evidence: People who returned surveys to us before the inspection said that received enough information before deciding to come to the home and had been given written information about the homes terms and conditions. One relative wrote that although there had been an emergency admission there had been a real effort by the staff to ensure that they had been helped to settle in. Care Homes for Older People Page 10 of 25 Evidence: The Statement of Purpose had been recently up-dated. A comprehensive admission pack is available to people that includes this Statement of purpose and the Service User Guide. There is a clear contract for people funding their own care and the opportunity to complete a life history with the support of family and friends. The home endeavours to make a full assessment by a trained member of staff before people are admitted to the home. Occasionally they have emergency admissions as part of their commitment to their block contract with Somerset County Council. Service assessment documents were seen in peoples files with documents from Social Services and hospital discharges. Care Homes for Older People Page 11 of 25 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 who use the service receive effective personal and health care support. Peoples care plans clearly record their personal and health care needs and detail how they will be delivered. The home has an effective and safe system of medication storage and administration that is monitored and audited on a regular basis. Evidence: People who returned surveys to us said that they always received the care and support that they needed. The majority of people returning surveys said that staff always listened to them and acted on what they said. The home undertook a survey of care delivery in March 2009. The results of the surveys are analysed and used to formulate action plans to improve the delivery of care. The surveys indicated that people were very satisfied with the care they received. People we spoke to during the inspection said that staff were very caring and that they were well looked after. The home uses the SHARP care planning system and four care plans were reviewed in detail. The plans seen demonstrated very good standard of planning and recording. Care Homes for Older People Page 12 of 25 Evidence: Staff had been trained to use the system effectively. Staff access training and support in using the system and are committed to continuous improvement. Plans showed that people were assessed for potential pressure damage and that appropriate equipment and care was being provided. There was clear guidance to staff regarding the actions to be taken. There is a monthly audit of Waterlow scores and any pressure damage is carefully monitored. We saw that people who had been admitted with pressure damage had improved and there skin had improved or healed. We saw the records of position change and the hourly checks and care records kept during the night. People have their nutritional status monitored and reviewed every three months and are weighed monthly. We saw records of food charts kept for people who were causing concern and evidence that supplements were given when prescribed. People had been offered specialist swallow assessments and there was clear guidance when people needed particular help with eating. We discussed with the manager the importance of recording the type of food eaten and not just the amount of food and texture to maintain dignity and also to evaluate whether some foods ere enjoyed more than others if people were unable to express a choice. There are records of professional visits that show regular GP visits to address on-going health issues and short term infections. Some people receive regular support from community nurses and community psychiatric nurses. Records also show that opticians, chiropodists and dentists visit the home. People are supported to keep hospital appointments either with family or staff. Records were seen that showed wound care was recorded. Community nurses were seen providing nursing care for people with residential needs. There was evidence that care plans were reviewed wth people who live in the home and their families where appropriate. Care plans had been up-dated to reflect peoples changing needs. We saw that the storage and administration of medication complied with best practise. There are audits by the supplying pharmacy, spot checks by the regional manager and an in house audit system to ensure a good standard of compliance is maintained. The last internal audit showed the home achieved a score of 96.45 . We checked the storage and records for two controlled drugs and these were satisfactory. Care Homes for Older People Page 13 of 25 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 are able to make choices about how they spend their days. People are able to chose from a menu of well prepared and nourishing food. People are offered a programme of activities and social events. Evidence: During the inspection we saw lunch served in the dining rooms. There is a menu displayed that offers a choice at lunch and supper. Menu choices were appetising comprising of a mixture of traditional dishes such as roast beef or ham and parsley sauce with vegetarian options such as nut roast and vegetarian cannelloni. There is a choice of desserts with fresh fruit and yogurt always available as an alternative to the sweet of the day. Breakfast can be served in peoples rooms and includes plenty of choice including poached or scrambled eggs. People who returned surveys to us told us that they always or usually liked the meals in th home. One survey said that the provision of their coeliac diet was one of the things the home did well. People we spoke to during the inspection said that by and large the food is very good. Other people said that the meals were very nice and that we never turn food away. Care Homes for Older People Page 14 of 25 Evidence: In the June newsletter it is stated that the home is happy to provide meals for peoples families at the very reasonable charges are stated. People are informed of the monthly activities programme in writing. Information is distributed to all people in the home and includes the times of events. The programme for August included weekly outings , library service and one to one time. The home hosts church services for different denominations. People who returned surveys to us said that there were always or usually activities that they could take part in. The home has tried to increase the support and social interaction available to people who stay in their room. We saw records in peoples rooms of when they had received support and care. There were also notes about peoples mood and interaction with staff. There is a family and friends committee who contribute to the organisation of events and can raise general issues. A gardening club is established and is producing lovely flower displays. A bowling club is commencing. People are encouraged to go out with family and friends whenever possible. One person said I go out in a taxi with my wheelchair. We spoke to families who were visiting during the inspection. They confirmed that they were welcome in the home and were kept informed of the progress of their relatives. People who wish to live a quiet life are also accommodated. One person said I am quite happy on my own. This is a lovely room. I have my lunch served here too. I dont really want to leave. Care Homes for Older People Page 15 of 25 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The ethos of the home is that it welcomes complaints and suggestions and deals with them openly and rigorously. Individuals and others associated with the home say they are satisfied with the service and feel safe and well supported. There are procedures in place to promote the safety of people who live in the home. There is a clear and well displayed complaints procedure that people can understand. Evidence: The home has a corporate Complaints procedure that invites both constructive suggestions and formal complaints. The procedure aims to keep people informed of the progress of the complaint and to respond in writing within fourteen days. Staff receive Protection of Vulnerable Adults training at induction and receive annual up-dates. An external trainer will visit the home and some staff have attended external courses. Safeguarding issues are discussed at staff meetings and handover. Staff said that they were aware of the Whistle blowing policy and were encouraged to raise any issues of concern with senior staff or the manager. There was evidence that the home acts promptly and according to national and local guidance when there are concerns about people in the home. We were able to see that the manager is knowledgeable and proactive in seeking support when she has any concerns about staff or people who live in the home. Care Homes for Older People Page 16 of 25 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. People live in a home that is designed to meet their needs. The living environment is appropriate for the needs of people who live there. It is homely, clean, safe and comfortable and well maintained. The home has a wide range of specialist equipment. The service spends money on the environment and there are plans to make further improvements in the future. Evidence: This is a large home organised over three floors with plenty of communal space. The smaller sitting rooms and dining rooms prevent the home seeming impersonal. People can enjoy sitting in a quiet area or get a different view from the windows. A tour of the building showed the home to be overall very clean and comfortable. The grounds of the home are spacious and well maintained including areas of lawn and trees. The grounds are accessible and enable people to take exercise if they are able to. There have been recent developments to the sensory garden People who lived in the home were very satisfied with the standard of accommodation. One person said I have a lovely room. It could not be better. Many of the bedrooms have been up-graded and refurbished. Those in the residential wing were particularly attractive and welcoming. There is a comprehensive policy on infection control that includes guidance on many areas including hand washing, clinical waste and the use of protective clothing. 23 Care Homes for Older People Page 17 of 25 Evidence: staff members had received infection control training. Staff were observed practising good infection control and were seen washing hands and wearing gloves and aprons appropriately. Care Homes for Older People Page 18 of 25 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service have confidence in the staff that care for them. Staff members receive relevant training that is focused on delivering improved outcomes to people who live in the home. Staff attend meetings and are regularly supervised. Evidence: Surveys received prior to this inspection said that people were always (9) or usually (4) available when needed. People we spoke to during the inspection were very positive about the staff. One person said I have absolutely no complaints. They do all they can. If they are busy they come as quickly as they can. The home has a robust recruitment and training policy and evidence was seen that this was implemented.The Nursing and Midwifery Council records for nurses in the home were seen confirming that all nurses had a current registration. We saw the recruitment files for three staff members recently recruited. There was evidence that all pre-employment checks had been completed including references and Criminal bureau checks. There were records of interviews and evidence of induction for new employees. Any gaps in employment in the application forms had been explored at interview and additional notes had been made. There is a monthly audit of files and a compliance check three times a year. There are very detailed and Care Homes for Older People Page 19 of 25 Evidence: clear records of staff training. The computer system can be used to record and track the individual training records of staff or to review the status of for example Manual Handling training up-dates in the home or to see when the next Control of Substances Hazardous to Health should be arranged. We reviewed the training records for two nurses and saw a comprehensive training record that included Protection of Vulnerable Adults, Manual handling and Dementia Awareness. Clinical skills had been up-dated including care planning, wound care management and nutrition management. Each training has an expiry date recorded to ensure up-dates are given when required. There was evidence that people had annual appraisals and that training and performance issues are addressed. We spoke to staff on duty who said that there was plenty of training and that whenever possible the full number of staff were on duty. The manager has informed us on occasions when this has not been possible due to illness. Regularly held staff meetings are minuted. Care Homes for Older People Page 20 of 25 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 is highly competent to run the home. Th manager has sound knowledge of the organisations systems and is able to influence their operation. Evidence: Mathilda Ngomane is a very experienced manager who has been at the home for six years and has overseen a steady improvements in the service. She communicates a clear sense of direction and has a sound understanding of best practise. She maintains clinical and managerial competence through on-going training. There is evidence that the home is well run and that efficient administration systems support the care, staffing and maintenance functions of the home. All record keeping seen during the inspection was of a consistently high standard. There is a schedule of meetings for heads of department, trained nurses and carers. We saw that the policies and procedures produced by the corporate provider were Care Homes for Older People Page 21 of 25 Evidence: understood and there implementation in the home were monitored on a regular basis. For example there are monthly audits of staff files, care plans and medication administration. There are quality assurance systems in the home that include questionnaires that request peoples views on the care they receive and the life they live in the home. The questionnaires are comprehensive. The results of questionnaires are analysed and action is taken when required on the results. To obtain a wider picture of peoples view the manager should consider ways in which the response rate to the questionnaires can be increased and whether an alternative method of seeking views is required for some people. for example the care delivery questionnaire was distributed to 55 people in March 2009. 11 people returned surveys. The Living in the Home survey was distributed to 54 people in June and 12 surveys were returned. The service has a block contract with Somerset Social Services and there is an annual block contract review. The review held on 14/05/09 found that the contract was working well. Communications were said to be good and the manager was praised for her good work. There are monthly visits from the regional manager of the service home and evidence that there is guidance and support from the company. There is a safe system for managing peoples individual finances in the home. We checked the records for two people living in the home and found records to be clear and accurate. The system is audited regularly by the operations manager of the company. We saw records relating to health and safety and maintenance of the home. There is a contracts plan and monthly maintenance checks and audit. We saw records relating to prevention of fire maintenance, manual handling including the maintenance of hoists and the disposal of clinical waste. The fixed wiring certificate was dated 05/01/2009. There is a record of accidents and work has been done to include more detailed auditing and prevention of falls. The manager talked about the challenge of balancing independence and safety. On 29th June the kitchens had an unannounced food hygiene inspection and receive an excellent 5 star rating. The company is currently undertaking an audit and reviewing the window restrictors throughout the home. Care Homes for Older People Page 22 of 25 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 23 of 25 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 24 of 25 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 25 of 25 - 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!