Inspection on 10/03/09 for Sherwood House

This inspection was carried out on 10th 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

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Sherwood House Main Street Linby Nottingham NG15 8AE     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: Lynda Dyer     Date: 1 0 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.cqc.org.uk Internet address Care Homes for Older People Page 3 of 29 Information about the care home Name of care home: Address: Sherwood House Main Street Linby Nottingham NG15 8AE 01159642721 01159641261 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Friends of the Elderly care home 19 Number of places (if applicable): Under 65 Over 65 19 old age, not falling within any other category Additional conditions: 0 The maximum number of service users who can be accommodated is 19 The registered person may provide the following categories 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 Date of last inspection Brief description of the care home Sherwood House is a large adapted and extended Victorian house, situated in the village of Linby on the north western outskirts of Nottingham. It sits in its own large landscaped garden that is easily accessible to people living in the home. The home can accommodate up to 19 people in single rooms, all with en suite. There are 2 lounge areas and a large dining room, plus other smaller areas around the home for people to spend time. There is limited public transport to the village of Linby. Copies of previous inspection reports are available in the foyer of the home, or in the managers office. At the time of this inspection fees charged by the home range between 456 and 608 pounds per week. Care Homes for Older People Page 4 of 29 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: The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. This was a key inspection of this service and it took place over 7 hours and 20 minutes as an unannounced visit to the premises. It was spent talking to the manager and staff working in the home, talking to people who live there and observing the interaction between them and the staff, and examining records and documents. The last key inspection for this service took place on 27 June 2007. There were no requirements from the last inspection. There have been no requirements, but 3 recommendations have been made as a result of this inspection. Care Homes for Older People Page 6 of 29 Information obtained from the Annual Quality Assurance Assessment (AQAA) and from returned surveys was used in this report. We received 4 surveys from staff members and 9 surveys from people living at the home. Information from an expert by experience, who visited the home with us, was also used in this report. What the care home does well: The home is a large adapted and extended Victorian building situated in its own grounds. There are 2 lounge areas, plus other quiet areas for people to use if they wish. Staff members are polite and talk to people with respect. We talked to people during this inspection and they said the staff are nice, respect their privacy and one person said, I am happily settled and comfortable living here and with the staff. Another person said, friends visiting say it is the best of any home they have visited. Several mentioned lack of bad smells sometimes encountered in other homes and how clean everything is. Assessments are completed before people move into the home, they have contracts with the home and they say they have enough information before they move in. One persons relative told the expert by experience they, had looked at 8 or 9 places in Nottinghamshire, and thought this was the best, and the person went on to say, I am glad I came here, it is really lovely. Care plans are written for everyone living at the home and give staff member enough information to be able to care for people. Staff know people very well and know their preferences, likes and dislikes, and how they want to be cared for. This should be written in care plans and is talked about in the section on what the home can do better. People are referred to health care professionals, like dentists, opticians and dieticians. These visits are recorded in their care records. Medication is given by staff who are trained to do this properly. People can have visitors when they want and there are places where they can meet in private. People can choose when they get up and go to bed and where they spend their day. There is a choice of main meals each day and staff members stay with people who need help to eat. Most people we spoke to said they like the meals and the food is good. There is an ongoing problem with meat served, but the manager is trying to improve this. There have been no complaints made to the home in the last year. Any concerns people have are recorded and something is done about them. People said they know who to talk to and how to make complaints, and that the managers door is always open. Staff members have training in how to keep people safe and what to do if they think abuse has happened. There have been no safeguarding referrals in the last year. Staff members are given induction training when they first start working at the home. There are updates of mandatory training when this is needed, and staff have other training to help them care for people properly. One staff member said, the training within friends of the elderly is excellent and of a high standard. More than 50 of staff have a National Vocational Qualification at level 2 or above. A quality assurance survey is carried out every year at the home, where people are Care Homes for Older People Page 8 of 29 asked what they think of the care and the environment in which they live. Action is taken about issues that are found, and a report is written to tell everyone what has happened. There are regular meetings and people said they hear about anything that has happened to change something theyre not happpy with. Money that is kept and transactions that are made on behalf of people at the home is documented. Records are also kept of the health and safety checks that are carried out, which means the home can show if things are in good working order and what they have done to repair problems. What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.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 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. People have enough information before moving into the home, which means they are able to decide if they would like to live there. Evidence: Almost all (8 out of 9) of the people who we received surveys from said they had received a contract and that they had enough information before moving to the home. Assessments are completed before people move into the home and assessments by health and social care teams are also obtained to provide more information. We looked at the care records of 1 person who had moved into the home since the last inspection. There was a written assessment completed by the home that included information about the persons needs, and likes and dislikes. We spoke to people living in the home who said either they or their relatives had visited before they moved in, or they had asked friends what they thought. Some of Care Homes for Older People Page 11 of 29 Evidence: the things people said are, my niece made a thorough investigation of homes in the Nottingham area, visiting seven and being most impressed by this, and checked people who have visited here or who have had relatives here, all say house is best of any they have seen. One persons relative told the expert by experience they, had looked at 8 or 9 places in Nottinghamshire, and thought this was the best, and the person went on to say, I am glad I came here, it is really lovely. The home does not provide accommodation specifically for intermediate care or for rehabilitation purposes. 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. Care records are completed in enough detail and staff care for people in a positive way, which ensures the health and welfare of people living at the home. Evidence: All of the people who commented in surveys said they get the care and support they need from staff members. During the inspection people told us care staff are nice, are polite and treat them with dignity and respect. We saw this during the inspection; staff members are courteous, polite and they knock on doors before entering rooms. People we spoke to said staff are nice and one person commented, I am happily settled and comfortable living here and with the staff. Care plans for 3 people were looked at as part of this inspection. They show that each person has a plan that gives staff members information about what they need to do to meet most of the identified needs. Risk assessments, for things like falls and moving and handling, are completed and reviewed regularly. Care Homes for Older People Page 13 of 29 Evidence: Care plans are pre-printed in a standard format and tell staff what they need to do to meet that need. We found the care plans give staff members enough advice about how to meet most of peoples needs. For example, one persons care plan tells staff that she has problems remembering things and gets cross and frustrated. Another persons plan tells staff about their need for supplement drinks and more frequent weight recording because of weight loss. Plans are reviewed every month and information about needs are written in the reviews. However, plans are not always rewritten when needs change and although there information is written, there is nothing to show alternatives have been looked at to improve a situation. For example, there is nothing for the person mentioned above who has lost weight, to show whether they have any particular food likes or dislikes, or whether the supplement drink flavour has been changed. We found little personal information in care plans about how people like to be cared for, or what their preferences might be. We talked to care staff who work permanently at the home about this person and other people who live there. They showed they have a good understanding of peoples needs. They also know them well enough to know how they like to be cared for, what time each person likes to get up and go to bed, and the sort of help people need. This might be making sure someone has everything they need before having a wash and helping them have a wash, or that someone might only need help putting clothes on their lower half, but is able to do everything else. We did not find it easy to find the information in the care plans and for an agency staff member this may also be the case. People living at the home spoke with the Expert by Experience and told her that they have a lot of agency staff, but they prefer to have the usual staff. We saw information in plans that shows people or their relatives are able to look at the plans and say if they agree with them or not. All of the people who returned surveys said they receive medical attention when they need it. There is information in care records to show health care professionals, such as specialist nurses, opticians and chiropodists, are contacted for advice and treatment. Information and guidance that is given to staff is not always written in the care plans. One person had been prescribed a medication to be given when required. Advice was obtained from the specialist nurse about the most appropriate time to give the medication, but this had not been written into the care plan. We spoke with staff who give medication and they told us the advice they had been given by the nurse. However, because there was no plan, there is no record to show whether the as required medication is effective when it is given, or if it needs to be given less often because other methods are more effective. One staff member we spoke to said they thought the medication was being given more often than when it was first prescribed. Care Homes for Older People Page 14 of 29 Evidence: Medication administration records (MAR) were looked at for 8 of the people at the home, including 1 person whose plan we looked at. The MAR sheets are completed and there are no records with entries missing. Entries for medications that have not been given show the reason for this and there is an explanation on the reverse of the sheet. Amounts of medication remaining in blister packs of medication tally with the amount the MAR indicates are remaining. We watched 2 medication rounds while they were in progress. On one occasion the staff member left the medication trolley unattended and turned their back leaving the trolley with medication on top. This is not safe practice, but as we didnt see this as a regular occurrence, we expect staff to be able to improve the safe medication handling without the need for a requirement. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Although activities are available and people can choose what they do, there isnt enough variety to keep people stimulated. Evidence: 4 of the 9 people who returned surveys to us said there are activities that they can take part in, but another 4 (almost half) said that activities are only sometimes available to them. There is no activities co-ordinator currently employed and staff are responsible for arranging trips and events. We were told about trips over Christmas to see the lights and to local garden centres. One comment from a survey was, there are daily activities for the residents which staff join in with and regular trips with appropriate weather. The expert by experience talked to people who told her about the activities that are available and that they can go for a walk in the grounds when they want to. Many people told us they like to follow their own interests and were still able to do this. However, people also told us there is not much to do and they rely on the same activities all the time. People said they would like more activities. There is little information written into care plans about what people like to do, which means that Care Homes for Older People Page 16 of 29 Evidence: staff members are not able to plan care around social needs. Although staff do try to help people do what they want, as one person said, some activities not suitable for what I want to do. They do inquire if actiities are suitable to me or are there other activities I would like installed if possible. People are able to make everyday choices about when to get up and go to bed, how to spend their days, whether that is in their own room, in the main lounge/dining area. We visited one person in her room who told us she likes spending time there, watching the birds from her window. We saw and listened to how staff members interact with people and found they ask what people would like and how they would like it rather than telling people or giving limited options. Staff members we spoke to know the people they care for and were able to tell us their preferences and how they like to be cared for. One person said, activities are on the timetable but as I have my own interests I do not take part. I am allowed to please myself. The home has an open visiting policy and people can have visitors at any time of the day. We were told by one person that her son visits every week and takes her out. People are able to go out of the home when they want and we saw people walking around the grounds when we arrived at the home for the inspection. There are landscaped grounds that are pleasant to spend time in. The main meal is served at lunchtime and there is a choice of two hot meals every day. People we had lunch with said there are also alternatives if they would prefer something else. One person said in a survey, if one does not wish to take either of the choices offered it is possible to have scrambled egg or baked potato, yoghurt or fruit. The chef comes round 2 days before the meal in question and talks to everyone about the menu. We saw lunch being served in the main dining room. Food was served appropriately in a relaxed and unhurried way and drinks were offered throughout the meal. Staff help people if they need this and we saw them being attentive and concentrating on what they were doing without being distracted. Meals are served to each person individually, with vegetables served in dishes that are left on the table for people to help themselves to what they would like. There was large variety of vegetables on offer on the day of the inspection and the meal was nicely presented. Everyone we spoke to said they like the meals and the food is good. 6 out of 9 people who returned surveys said they like the meals that are served, although 3 people (1/3) said they only like them sometimes. There is an ongoing issue about the quality of meat served at the home. The manager said the supplier has been changed twice and staff are looking at other ways to prevent meat being tough. Care Homes for Older People Page 17 of 29 Care Homes for Older People Page 18 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 know how to make complaints and concerns known and can be confident that these will be listened to. Evidence: All of the people returning surveys said they know who to speak to and they know how to make a complaint if they have to. 7 of the 9 people (78 ) said that staff listen to what they say and act on it. Everyone we spoke to during the inspection also said they know what to do if theyre not happy about something. Most people said they would speak with the manager, that her door is always open and there is no problem discussing things with her. Everyone we spoke to during this inspection said they are happy with the service given to them. The home has a complaints procedure and keeps a complaint log to show how they have looked at and the outcome of complaints that have been made. We were told before the inspection there have been no complaints made to the home in the last 12 months. The manager also keeps a record of issues and concerns told to her by people at the home. There have been 3 of these verbal concerns recorded, all have been investigated and something done about them. The staff training matrix shows that nearly all permanent staff members have received training in safeguarding (adults protection) within the last year. We talked to care staff Care Homes for Older People Page 19 of 29 Evidence: during their handover period between one shift and another, they all said they had received training in safeguarding people. They were able to tell us what should be done if abuse was suspected and showed us where safeguarding policies, procedures and contact numbers are kept. Information provided to CSCI before the inspection shows there have been no safeguarding referrals and investigations in the last 12 months. Care Homes for Older People Page 20 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 is clean and provides a safe environment, giving people a safe and pleasant place to live. Evidence: The home is a large adapted Victorian house with an extension situated in the village of Linby on the outskirts of north western Nottingham. People living at the home have access to a number of communal areas, including landscaped garden areas around the property. The general decor in the home is good, and it was clean and tidy, with no offensive smells. Everyone returning surveys said the home is clean and tidy and people at the home said the home is clean. One person said, friends visiting say it is the best of any home they have visited. Several mentioned lack of bad smells sometimes encountered in other homes and how clean everything is. There is an ongoing programme of maintenance and at the time of this inspection the boilers were being replaced. This was done with minimal disruption to people at the home. One person showed us around her room and said she was able to bring in some of her own furniture, including her bed and bedspread. The room is light and airy, with a large window overlooking the garden and parts of the village. The person told the Care Homes for Older People Page 21 of 29 Evidence: expert by experience that she likes to spend time in her room watching birds from the window and that she, couldnt get any better. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff members have the training and skills to be able to care for people properly, although staffing levels make this difficult sometimes. Evidence: The training matrix shows new staff members are given induction training, which includes mandatory health and safety training. Staff members who returned surveys said induction training covered everything they needed to know before starting work. Additional training is given to staff so that they are able to properly meet peoples needs. One staff member said they have training and lots of it and a comment from one of the surveys is, the training within friends of the elderly is excellent and of a high standard. Information in the AQAA tells us more than 50 of care staff have a National Vocational Qualification in care at level 2 or above. All of the people who returned surveys said staff members are available when they are needed and that they get the care and support they need. However, they also said there are a lot of agency staff and they often have to wait for help if they need it. Comments from the surveys were, the house seems to suffer from a shortage of staff, available but sometimes a delay of up to half hour due to emergency with another resident - or possibly temporarily short staffed and staff dont attend when requested despite assurances that I only need to call when I need help. Staff Care Homes for Older People Page 23 of 29 Evidence: members also told us there are few permanent staff at the home but numbers are increased by agency staff. They said this is because the home is situated in a rural area with poor public transport. We looked at recruitment records for three staff members employed since the last inspection. They contained most of the required recruitment documents and checks including references, application forms, and PoVA/CRB checks. Gaps in employment history must be looked at and explanations must be recorded. We talked to the manager about this and why it is important. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is a safe place to live and people are asked their opinion so that things they are not happy with are changed. Evidence: The manager has been managing the home for several years. She has gained a Registered Managers Award and is working towards a National Vocational management qualification equivalent to a NVQ level 4. Comments from staff members and people living at the home shows she is highly thought of. They said her door is always open and they can always talk to her about things. One person who returned a survey said, we have a good manager, her door is always open to us. When we arrived at the home, everyone we met was friendly and polite. Staff members were very helpful throughout the inspection and went out of their way to explain things and to make sure we had everything we needed. They were honest and open when talking to us. Some of the comments we received in staff surveys clearly Care Homes for Older People Page 25 of 29 Evidence: show that staff working at the home understand the ethos and work with those priorities in mind. 2 comments are, the care side of the home is excellent; the service user; is always put first; as a priority and to continue to strive and give best possible care and meet all the resident needs. To attend all training and to improve my knowledge at all times. An annual quality assurance survey is carried out by the regional manager, a report is written and this is available for people at the home. People we talked to said they have a monthly meeting that they usually go to. They get feedback from the manager about issues that have arisen during the meeting, and about what has or has not been done about the issue. There is a book in the main dining room for people to use if they have any comments to make and people said they do sometimes use this if they dont want to forget something, but dont feel its important enough to talk to manager immediately. Minutes of residents meetings are available in the foyer for visitors to read. We asked the home to complete and return an Annual Quality Assurance Assessment (AQAA) before the inspection. They did this within the time we asked for it and they gave us the information we asked for. The home keeps some money on behalf of people who live there. Accounts are kept of transactions of money put in and taken out. We looked at some of these records, which are clearly written and show how money has been spent. Information provided before this inspection shows equipment, like hoists, lifts and firefighting equipment has been serviced or tested as recommended by the manufacturer. We looked at fire equipment around the home; this has been tested within the last 12 months. 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 1 7 Care plans should include peoples preferences, and their likes and dislikes, so that all staff working at the home have access to this information and people are cared for by everyone in the same way. People should be offered more activities of their choice. Consideration should be given to improving levels of permanent staff and the ways this may be achieved. 2 3 12 27 Care Homes for Older People Page 28 of 29 Helpline: Telephone: 03000 616161 or Textphone: or 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) 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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