Inspection on 12/11/08 for Saffron Homes

This inspection was carried out on 12th November 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.

Other inspections for this house

Saffron Homes 06/11/06

Saffron Homes 29/12/05

Saffron Homes 08/06/05

Saffron Homes 02/12/04

Saffron Homes 08/06/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

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Didsbury Court Rest Home

Belma

Hunters Care Centre

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Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Saffron Homes Devon Road Whitehall Bristol BS5 9AD     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: Grace Agu     Date: 1 2 1 1 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 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: Saffron Homes Devon Road Whitehall Bristol BS5 9AD 01179396681 01179396654 lfiest@brunelcare.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Brunelcare care home 51 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is 51 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 categories: Old age, not falling within any other category (Code OP) Dementia (Code DE) Mental Disorder, excluding learning disability or dementia (Code MD) Date of last inspection Brief description of the care home Saffron Homes is registered by us to provide nursing care to 51service users over 50 years of age. This includes 25 service users with dementia. Brunelcare is the registered provider. Saffron Homes has been in existence since 1972 and comprises three separate areas. Irwin House the newest part of the home was built in November 2001 and is a two-storey building with 14 single bedrooms upstairs and 12 downstairs. There is a large lounge-dining room on each floor, having TV, music and a small Care Homes for Older People Page 4 of 29 51 51 0 Over 65 0 0 51 Brief description of the care home kitchen area. The upper floor of Irwin House provides Intermediate Care to 14 people, funded by the Avon and Wiltshire Mental Health Partnership (AWP), admitted from hospital for rehabilitation before going back to their own homes. Saffron Court was originally built in 1993 but refurbished in early 2002. It has been specifically designed to care for people who have dementia and has been decorated following advice from Dementia Voice. The building surrounds a central courtyard that includes a sensory garden. Saffron House is currently empty and Brunelcare are considering options available for its viable use. For this reason only 51 beds are available at the current time. The fee charged for staying at the Home is from £572 - £750 a week. 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: 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: This was an unannounced inspection undertaken as a part of a key inspection over nine hours to review the requirements made at the last inspection and also to review the care practice to ensure that it is in line with the legislation and that best practice is fopllowed at the home. As a part of this inspection we spoke to residents , relatives and staff. We also looked at the Annual Quality Assurrance Assessment(AQAA) sent to us by the home. We used these to determine how the home is meeting the needs of the people living at the home. We met with Linda Fiest the registered manager and the administrator and also reviewed a number of records. Care Homes for Older People Page 6 of 29 Care Homes for Older People Page 7 of 29 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. Care Homes for Older People Page 8 of 29 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. The home provides information to prospective and their representatives and ensures that the admission process provides safe guards to meet the assessed needs of the residents. Evidence: The Home has a Statement of Purpose and Service Users Guide, which contains information required by the regulations. The Service Users Guide is given to prospective residents and/or their relatives when they visit the Home or make enquiries to enable them to make informed decision about moving into the Home. We noted that copies of the Service Users Guide, Terms and Conditions of their stay, complaints procedure were on display in the main reception area of the home this is to ensure that all the residents and their relatives have detailed information about the Home before making a decision. Care Homes for Older People Page 11 of 29 Evidence: Review of the care file of a recently admitted resident showed that the resident was assessed before moving to the home to ensure that their needs will be met. There is a different process for assessing admissions into the Intermediate Care Unit is and this is managed by a team of nurses from the mental health partnership (AWP A copy of the Terms and Conditions was also noted in the file). 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 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 care and support to residents throughout their lives and towards the end. It also protects residents by review of their health needs; good care planning and appropriate medication administration. Evidence: Three care files were reviewed. There was evidence of pre-assessment of residents before admission to the Home to ensure that their needs are adequately met. There were individualised care plans to match the needs, these care plans described in details how the needs were met through the entries noted in the daily report. Residents spoken with stated that they are well cared for and that staff treated us with dignity and respect. The accident book confirmed that all accidents were well documented and were regularly reviewed. The Manager undertakes monthly accident audit to ensure that measures are in place to prevent reoccurrence. All residents have risk assessments including tools for assessing falls and falls prevention. Care Homes for Older People Page 13 of 29 Evidence: There was evidence of manual handling assessment to ensure safety of residents and staff. There was evidence of risk assessment around falls pressure sores challenging or aggressive behaviour and appropriate intervention undertaken when necessary. The manager undertakes pressure audits on a monthly basis to ensure that measures are put in place to prevent occurrence. Wound care plans were in place along with treatment required for managing wounds. Care plan viewed had a care plan agreement, which was signed by the resident or the representative. Evidence from the care files and discussions with residents and staff showed that residents have visits from their GPs, physiotherapists, dentist, opticians and speech and language therapist. Medication administration was checked on the Court section of the home and was found to be satisfactory. There was medicine policy in place. Evidence of receipt and disposal of medication was seen. The controlled drugs were properly recorded and signed by two registered nurses and balances were tallied. However the temperature of the drug fridge checked had irregular daily recordings and this has the potential to affect the potency of the medication in the fridge. The senior support worker stated that the maintenance person would check the fridge to find out the problem and repair it as the fridge is only six months old. Evidence of residents wishes in the event of death was noted in the care files viewed. The home also had a death and dying policy. Staff interviewed were aware of the importance of ensuring that all information about residents are kept confidential. Staff are also aware of the policies and procedures and where to access them if needed. Care Homes for Older People Page 14 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 home provides meaningful activities to service users, enables them to maintain contact with families and friends end ensure that choice is provided in respect of meals and meal times. Evidence: Evidence of discussion with resident staff and entries in the visitors book showed that the Home actively supports the residents to maintain contact with families, friends and advocates. One resident spoken with stated that her family visits very regularly and that the Home would contact her family anytime she wanted them to. One relative spoken with on the day stated that there are no restrictions to time of visiting and that they visit their relative sometimes twice a day. They are satisfied with the Home and the services provided, staff are very welcoming. The home continues to provide meaningful activities for the residents. Residents are assessed on an individual basis to enable the home to plan activities tailored to individual residents. The Activities Facilitator consults with the resident/relatives on admission to obtain information on the activities preferences and Care Homes for Older People Page 15 of 29 Evidence: regularly undertakes reviews to ensure it is still appropriate. Whilst walking round the building it was noted that the activities programme was displayed in the lounges and the hallway areas accessible to the residents. The Activities Facilitator met and was doing activities with four residents in one of the lounges in the dementia wing of the home. The individual stated that each stated that the activities are tailored to meet individual needs. The Activities Facilitator also stated at a discussion that resident who join in the activities are monitored and are supported based on their concentration span. A typical example of this was observed when one of the residents who were participating in the activities decided to go and have a rest before the activities finished. There is a list of monthly activities for special events, weekly planned activities, which include knitting sowing, gardening and cookery. There is also provision for regular external entertainers, minibus outings when the weather is good and visits fron local gospel singers and ministers. The activities book contained lists of all the residents and activities they had participated in. This is to enable the home to monitor participation and to plan other ways to encourage those who are reluctant to participate in any activity. The home has also purchased mobile sensory sensory unit which can be used in small or large area to provide stimulation with lights music and aromatherapy for the residents. There is also a provision for a one to one activity to engage those who are reluctant to join the group or prefer to stay in their rooms. On the day of inspection there were two choices of meals in the menu. Residents seen in the dining room at lunchtime seem to be enjoying their lunch. Staff were noted sitting with residents and those unable to feed themselves were seen being supported in a sensitive and dignified manner. This created a more homely environment and offered the residents a sense of belonging. The manager also stated in the Annual Quality Assurance Assessment that relatives and friends are made welcome and are able to join residents for lunch and also have access to the kitchens on the suits and can help themselves to tea and coffee. The kitchen was found to be clean; there was a cleaning schedule in place. The kitchen was found clean and tidy. The chef stated that staff working in the kitchen have attended basic food hygiene training and Control of Substances Hazardous to Health Care Homes for Older People Page 16 of 29 Evidence: (COSHH) Training. Some certificates were displayed in the kitchen area. There was a regular record of the fridge and freezer temperatures. The food in the fridge was noted to be labelled. The home was inspected by the Bristol Council Environmental Services two months ago and was The chef also stated that the home was inspected by the South Gloucestershire Council Environmental Services on two months ago and was awarded four star rating on food safety. It was agreed that the chef contact the Environmental Services to clarify action the home has to take in relation to the concern raised at the last visit. There was a kitchen risk assessment in place. Laundry staff spoken with confirmed that they have attended COSHH Training and that two industrial machines and two industrial tumble dryers available at the home provide better laundry services for the residents at the home. The individual showed an indepth knowledge of the role and responsibility and was passionate about ensuring that the home is free from any form of infection. 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. Residents are enabled to complain and are confident that their complaint will be listened to. Practices at the Home ensure protection of residents from harm and abuse. Evidence: Appropriate procedures are in place for the management of any complaints. It was evident that the home manager and other senior staff are always readily available to talk to residents and their relatives and to respond to any concerns that are raised promptly. There were two recorded complaints since the last inspection. Records indicated that appropriate procedure was followed and that the complaints were satisfactorily investigated and action taken to prevent them from occurring again. Records also indicate that the complainants were satisfied with the outcome of the complaints. Staff are aware of the Whistle Blowing policy and would report any bad practices to the Manager without fear of reprisal. There is evidence of staff training in relation to Protection of Vulnerable Adults from Abuse and copy of the Bristol Council policy guidance on the Protection of Vulnerable Adults from Abuse is available at the Home to ensure that the home is aware of the protocol to be followed if incidents of abuse occur. Care Homes for Older People Page 18 of 29 Evidence: Records of recently employed staff members were viewed and contained personal information and record of identity. Other statutory information to include two satisfactory references, record of previous employment, and satisfactory Criminal Record Bureau disclosures were seen in the care file reviewed. The home manager stated in the AQAA that the home plans to enhance keyworkers understanding of being an advocate for people they support and be a spokes person. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home generally provides a safe, clean and well-maintained environment with comfortable bedrooms, it also provides specialist equipment suitable for residents needs. However one identified bedroom must be odour free. Evidence: Saffron Homes is registered by us to provide placement for up to 51 people. This includes 25 people with dementia who have personal care needs only. Brunelcare is the registered provider. Saffron Homes has been in existence since 1972 and comprises three separate areas. Irwin House the newest part of the home was built in November 2001 and is a two-storey building with 14 single bedrooms upstairs and 12 downstairs. There is a large lounge-dining room on each floor, having TV, music and a small kitchen area. The upper floor of Irwin House provides Intermediate Care to 14 people, funded by the Avon and Wiltshire Mental Health Partnership (AWP), admitted from hospital for rehabilitation before going back to their own homes. Saffron Court was originally built in 1993 but refurbished in early 2002. It has been specifically designed to care for people who have dementia and has been decorated following advice from Dementia Voice. The building surrounds a central courtyard that Care Homes for Older People Page 20 of 29 Evidence: includes a sensory garden. Saffron House is currently empty and Brunelcare are considering options available for its viable use. This part of the building is not registered for use as a care home.We noted while touring the building the home was generally clean, warm, well lit and suitable for its stated purpose.Residents sitting in the lounges, looked relaxed, well cared for and enjoying each others company. The general atmosphere of the home was very calm. Residents spoken with stated that they felt safe at the home. During the tour around the home, it was evident that maintenance is ongoing and that several parts of the Home have been refurbished. The home recently altered the environment in the dementia unit to provide an additional kitchen area/dining area in order to provide more spacious area for the residents. The corridor areas were decorated and painted in bright colours providing a stimulating environment with doors clearly numbered to enable the residents to find their rooms and other areas of interest within the home. Whilst we noted that one room on the dementia unit was empty, it had an unpleasant odour. The manager stated that the organisation has plans to redecorate the room before a new resident is admitted and new carpet had been ordered to change the flooring. The manager told us before the inspection was concluded that the room was being measured for new flooring. Residents had been supported to personalise their bedrooms with pictures, photographs and ornaments. Residents are able to bring items of furniture should they wish to do so. The homes maintenance book was up to date, the maintenance person works five mornings a week to ensure that the home is generally well maintained. Brunelcare maintenance team in relation to jobs that may require specialist or more people to complete also supports the individual. The laundry area was found clean and there were adequate laundry facilities. There were adequate housekeeping staff on duty, the laundry person in charge of the laundry on the day and had been working at the Home for a number of years. The Annual Quality Assurance Assessment (AQAA) told us that residents who are capable are supported to put clothes away tn the bedrooms in order to maximise their independence. The laundry person would usually deal with any concerns from residents and relatives in relation to their clothing. Care Homes for Older People Page 21 of 29 Evidence: The individual stated that staff have attended courses on Control of Substances Hazardous to Health (COSHH). Soiled clothing is washed separately and staff inform the laundry of any infection at the home. Staff were noted wearing aprons and gloves and washing their hands after attending to the residents. The clinical waste is correctly disposed of to prevent the spread of infections. There is an infection control policy in place. This demonstrated that infection Control and principles of hygiene is well maintained at the home. Care Homes for Older People Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents enjoy a good warm relationship with competent staff. There are adequate numbers of staff to meet the needs of the residents. The homes recruitment procedureprovide adequate protection to the residents. Evidence: The recruitment process was examined and all staff records examined showed that the home follows the correct recruitment procedure and policies. Records contained application forms, references, and a CRB (Criminal Records Bureau) disclosure. On the day of the inspection there were forty seven residents at the Home. Evidence from the staff rota and discussion with home manager showed that the home has a sufficient staffing level to meet the needs of the residents. The rota evidenced that there were 1 registered nurse and 9 health care assistants in the morning, 1 registered nurse and 7 health care assistants in the afternoon and 1 registered nurse and 3 to 4 health care assistants at night. Avon and Wiltshire Health Authority provide 3 Registered Mental Nurses (RMNs) and one support worker five days a week to give advice and support to Saffron Homes staff. Care Homes for Older People Page 23 of 29 Evidence: The home employs a full time administrator five days a week and an activities facilitator. In addition there are laundry and domestic staff and a maintenance man. Residents spoken with stated that staff attended to them promptly when they rang the bell and provided time for them to talk. The Home operates a key working system to enhance the resident/staff relationship. Staff training records showed that the home invests in the training of its staff to ensure that staff are aware of their roles and responsibilities and that a high standard of care is maintained. Records showed that staff have attended training on manual handling, fire updates, basic health and safety and Protection of Vulnerable Adult from Abuse and other relevant courses. Staff have also achieved National Vocational Qualifications at different levels.Records also indicate that five senior staff members have successfully completed leadership training with the Chartered Institute of Management. Records also showed that new staff have received comprehensive induction training prior to attending to residents personal care independently. Care Homes for Older People Page 24 of 29 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home benefits from good leadership and management. Its practices offer protection to the health and safety of the residents living in the home. Evidence: An experienced and well-qualified manager manages Saffron homes. Lin Fiest has attended various training courses to enable her to lead her team competently and provide quality care for the resident. Lin is well established and has achieved a part diploma in Person Centred Care and also has a National Vocational Qualification at level 4 in management. The management skills of the manager were highly regarded by the organisation and this had led us to believe and there is much evidence to show that the management style is successful. The manager stated that she is well has supported the line manager in achieving a Care Homes for Older People Page 25 of 29 Evidence: great deal of work to enable her to meet the needs of the people who live at the home. It was also very pleasing to hear how supported Lin is by her staff team, people who use the service and relatives. Evidence from two staff records viewed showed that the staff have received regular supervision. The manager stated that all staff have received three supervision sessions and an appraisal to enable staff to discuss any areas/issues that may be a barrier to their professional development and improving their skills to meet the needs of the people that they look after. The manager described the different ways of monitoring the quality of the services at Saffron Homes. These include review of care plans, pharmacy drug audits, and monthly visits by the provider that is followed up with action on issues identified. Residents and staff meetings are also a part of the quality reviewing process. The manager stated that the home has an open door policy that enable residents relatives, staff and visitors to approach the manager at anytime to discuss any matters of concern. There is also a suggestion box for residents, relatives and visitors for improvements to care and other services provided at the home. The accident book showed that accidents were regularly recorded. All accident reports are kept in residents file until care plans are reviewed and it was noted that all accidents are followed up. Policies and procedures at the home include, Confidentiality, Manual Handling, Health and Safety, Protection of Vulnerable Adults from Abuse and complaints. 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. Care Homes for Older People Page 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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