Care Home: Alexander House (Palewell Park)

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What the care home does well People are happy living at the home. They like the staff and feel well cared for. The staff feel supported and are happy in their work. The owners are very involved, working at the home each day and they show a real commitment and dedication to caring for people there. The owners have plans for developing the service and making continuous improvements. People are involved in the local community. The home offers people value for money with quality care at a competitive price. The owners ask people who live at the home, their relatives and staff to give their views on the service and what they would like to improve. What has improved since the last inspection? The owners are committed to continuous improvement and to working with everyone to make sure they get the right care and support they need. They have made improvements to the environment, meals and activities by listening to what people want. They have plans for further improvements. They have also improved the way people`s needs are assessed and recorded so that information is clearer and people have a greater say about the care they receive. The manager continues to keep herself up to date with changes in legislation and good practice and she shares this with the staff. The owners and staff have undergone different training to make sure they do their jobs even better. What the care home could do better: We have not made any requirements or recommendations from this inspection because we feel the home meets or exceeds all the National Minimum Standards we assessed. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Alexander House (Palewell Park) 1-3 Palewell Park East Sheen London SW14 8JQ     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: Sandy Patrick     Date: 2 3 0 6 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 27 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 27 Information about the care home Name of care home: Address: Alexander House (Palewell Park) 1-3 Palewell Park East Sheen London SW14 8JQ 02088766927 02082559160 alexhouse8@blueyonder.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr Rechade Goolam Mohidin care home 16 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 16 The registered person may provide the following category of service only: Care Home Only (CRH - 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 Dementia - Code DE Date of last inspection Brief description of the care home Alexander House is a care home for up to sixteen older people. The home is owned and managed by a husband and wife team. The home caters for both people paying for their own care and those people whose placements are supported by the Local Authority. 16 0 Over 65 0 16 Care Homes for Older People Page 4 of 27 Brief description of the care home The home is in East Sheen, close to local amenities. Accommodation is provided on two floors, accessed by a stair lift and stairways. Twelve bedrooms are for one person and two are shared. There is a large well maintained garden to the rear. There is a small parking area to the front of the home and roadside parking is available. The Registered Persons have produced a Service User Guide, which includes information on the aims and objectives of the service. The fees range from £580 to £680 per week. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: 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 stars. This means the people who use this service experience excellent quality outcomes. The inspection included an unannounced visit to the home on 23rd June 2009. We met people who live there, staff on duty and the Manager, who is also one of the owners, and the other owner. We looked at records, the environment and how people are supported. We wrote to the manager and asked her to complete a quality self assessment. We wrote to people who live at the home, their representatives and staff and asked them to complete surveys about their experiences. Care Homes for Older People Page 6 of 27 We looked at all the information we had received since our last inspection, this included an annual service review which we carried out last year. People who live and work at the home told us that they were happy there. Some of the things people said were: We are all happy here. We are well fed and well cared for. I am well looked after. It is really a beautifully run home. They could not do anything better. It provides a warm, friendly atmosphere. I have lived here for many years and I have never regretted it, I am very happy here. We feel very lucky hat this is such a friendly and efficient and caring home. I am perfectly happy here. This is a place where I feel comfortable. 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. 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 27 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have enough information to help them make a decision about whether they want to move to the home. They have their needs assessed to make sure the home is the right place for them and they are able to contribute to this assessment. Evidence: People who are interested in moving to the home are given a range of information including a brochure, photographs, the aims and objectives and a guide to the facilities and services. The guide includes comments from people who live at the home. People thinking about moving there are invited to talk to others about their experiences of living there. People told us that they had enough information to help them make a decision about moving to the home. One person told us, before coming here I visited many homes and found this far and away the most welcoming, I like the fact it is small and the care you get is personal. Another person said, this is a real home from home for the Care Homes for Older People Page 10 of 27 Evidence: residents. When a new person is interested in moving to the home the manager meets them and makes an assessment of their needs. She talks to them and other people who are important in their lives to gather as much information as possible. The person is invited to visit the home and spend time there. We saw records of needs assessments and how these are used to make sure everyone is getting the right care and support when they first move to the home. People are supported to express their beliefs and individuality and their needs are recorded in care plans and assessments. The manager has created a questionnaire for people to complete after they have moved to the home. This is designed to help the staff find out more about the person and also to gain their views on how they are settling in and whether they need any more support. Care Homes for Older People Page 11 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People get the support and care they need. The staff help them stay healthy and support them to make choices about how they live their lives. Evidence: Some of the things people told us were, I am well looked after, they take a pride in helping us with personal appearance, hairdressing, manicures, clothing is attractively kept and clean, I am so well looked after and I enjoy living here very much, every one is treated as an individual with their own special needs and every one is treated equally and well respected regardless of their differences. Everyone has their needs recorded in a care plan. These are well designed and information is clear. The staff use these to help them know what people want and need. Everyone has signed an agreement to their care plan, or their representative has. Since the last inspection the manager has improved the way information is recorded by adding a quick checklist for staff, which summarises peoples main needs and wishes. All care plan are reviewed monthly to make sure information is correct and up to date. Care plans focus on peoples individual wishes and encourage the staff Care Homes for Older People Page 12 of 27 Evidence: to offer people choices each time they care for them. The staff have assessed the risks people face, such as moving around the home and going out independently. They have recorded these assessments and the person has signed their agreement to them. These assessments are regularly reviewed. People are supported to make informed choices and take risks where appropriate. Everyone is registered with local GPs and see other health care professionals as needed. People told us that they were happy with the medical support they received. We saw that all health care appointments were recorded and health needs were monitored. We saw that information from health professionals was recorded in care plans. Health professionals who contacted us said that the staff listened to them and worked hard to keep people healthy. Some of the things they said were, the home provides a good standard of care, they offer wonderful care, I wish there was more beds to take more people there is always a waiting list for the home, I wish there were more homes like this, this is the sort of care the elderly should receive and the manager knows each persons health needs so well she makes it easier for us and picks up when anyone is feeling ill or has a change in need. The manager keeps a record of all falls and accidents and monitors these to make sure people get the right support and to minimise the chances of accidents happening again. Health care professionals such as Occupational Therapists and Physiotherapists help to train the staff so that they know how to work with each person to keep them safe and well supported. There is an appropriate medication procedure which is regularly reviewed. All the staff have had special training so that they can understand and look after peoples medication. We saw that all medication is appropriately stored and labelled and records of administration are clear, accurate and up to date. People who are able to and wish to are supported to manage their own medication. The manager has had training in supporting people with end of life care. People are asked to provide details of their personal wishes and preferences for care at the end of their lives. There is a record of these wishes to make sure people get the support that is right for them. The staff work closely with other health professionals to support people to stay at the home for as long as possible if they become ill. Care Homes for Older People Page 13 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to pursue their own interests and to have active and varied lives. Families and visitors are welcomed and valued. People can chose from a good range of nutritious and tasty food. Evidence: Some of the things people told us were, the atmosphere is relaxed and friendly and a great deal of effort is given to a variety of activities, the best summer and Christmas parties, a lot of work to give people mental and physical stimulation, tea parties are arranged for everyones birthday, there are often outings and entertainments at the home and everyone has their birthday as a special day and relatives and friends are welcome. During our visit we saw people relaxing, entertaining visitors and using the garden. There is a board advertising planned events and activities. The local church organise regular outings which people who live at the home attend. Some people like to use the local shops and they are supported to do this. Some people attend the church and there is also a regular church service at the home. The majority of people living at the home have lived locally and heard about Alexander House through community groups and reputation. They are supported to continue to be involved with the local Care Homes for Older People Page 14 of 27 Evidence: community. The staff support people to take part in activities at the home such as baking, craft work, quizzes and musical events. There is a wide range of jigsaws, games, craft equipment, DVDs, music and books and people are able to use these whenever they wish. The staff have helped people celebrate their work by displaying craft work and completed jigsaws. Many people enjoy using the garden and watching birds and other wildlife that visit. On the day of our inspection some of the people who live at the home had been invited to a tea party at a local school. The staff keep a record of what each person has done every day and whether they have taken part in any special events or activities. The manager has recorded each persons preferences and hobbies. She has started to create records of personal histories and important life events. She told us that she believes, if it is important to the person it is important to us and we must do what we can to support them. People who live at the home hold their own meetings to discuss activities, the environment, changes and other things they wish to. One person keeps a record of these meetings so people can see what they have discussed. We saw that the manager had listened to the things people had asked for at these meetings and given them what they wanted. Family and friends are welcomed at the home at any time and are able to continue to be involved in the care for their loved ones if they wish. The manager told us that the staff have a good relationship with all the family members. Some of the things people told us were, there is a family atmosphere and families are always welcome, visitors are always welcome and that is a good sign and the carers are very pleasant and always welcome visitors. We saw that the staff were kind and treated people with respect throughout our visit. People were offered choices and their privacy was respected. There is information on local advocacy services which people are supported to access if they wish. The philosophy of the home is to support people to stay as independent as they wish. Jugs of cold drinks are available in bedrooms and communal rooms and the staff refresh these regularly. Fresh fruit is available for people to help themselves. Care Homes for Older People Page 15 of 27 Evidence: People told us that they liked the food. Some of the things that they said were, the food is tasty, the food is nice and tasty and there is always plenty of it, the food is home made and a good variety is freshly prepared, we get very good food, the food is varied and excellent in quality, the food is excellent, there is always plenty of excellent food and the menu is varied and has been changed to reflect the choices of residents, all the food is freshly prepared and food is available at any time, the food is really very good. There is a chef and the owners help cook on special occasions. The menu is varied and offers people a choice of nutritious and freshly prepared food. People are able to chose something different if they do not like what is on the menu. The staff know peoples preferences and special dietary requirements. Some people who live at the home requested Italian food and curries and the owners have added these to the menu for people who want this. The owners have also created a wider selection at breakfast times because people told them this is what they wanted. Care Homes for Older People Page 16 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are able to make complaints and feel that they are listened to. People feel confident that the staff will keep them safe. Evidence: People told us that they knew what to do if they wanted to make a complaint. Everyone has a copy of the complaints procedure and these are on display in communal areas. The manager has an open door policy and we saw that people who live at the home, staff and visitors feel able to talk to her about anything that concerns them. There is a procedure to be followed in event of suspected abuse and whistle blowing. The staff have all had training in these areas and the manager talks to them about these issues at supervision. The home follows the local authority procedure for safeguarding people and the manager meets with other providers to keep herself updated on this. The staff access local authority training in safeguarding. People told us that they felt safe at the home. Care Homes for Older People Page 17 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in an attractive and well maintained environment which is being improved all the time. Evidence: The building is well maintained and pleasantly decorated throughout. People have personalised their bedrooms and communal areas feel homely and comfortable. Corridors and bathrooms are suitably equipped to help people who have mobility difficulties. Since the last inspection there have been a number of improvements to the environment. In particular the owners have landscaped the garden and built a gazebo. There are raised flower beds to enable people who live at the home to be involved with gardening. The garden is very attractive and has areas of seating and different plants, smells, colours and a water feature. There are bird tables and the people who live at the home have become keen nature enthusiasts. One person is in charge of keeping the bird tables well supplied. There have also been improvements in the building, creating more en suite facilities for bedrooms and new carpets and decoration. People who live at the home have helped chose the colours for decoration. A shelter has been built for people who smoke. Care Homes for Older People Page 18 of 27 Evidence: Everyone has their own bedroom and all but four of the bedrooms have en suite facilities. One of the bedrooms can be used as a double room if people wish to share. The home was fresh and clean throughout on the day of our visit. People told us that the home was always clean and that their laundry was cared for and well managed. Care Homes for Older People Page 19 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are cared for by well supported, trained and appropriately recruited staff. Evidence: People told us that they liked the staff and felt that they were kind and caring. There is a very low staff turn over and this helps provide consistency of care. Some of the things people told us about the staff were, the staff are wonderful, nothing is too much trouble, they are highly skilled and professional and really care about the residents and their families, pleasant staff everyone is helpful, the staff are always kind and caring and take an interest in your hobbies, the staff are always chosen with care and even when they change the standard is kept up, they have permanent staff who have been here for years, thank you to the carers who make each day so lovely for my mother, all the staff are friendly and it feels like being at home and the home has had the same staff all the years I have been here and that shows it is a good a home and a happy place. The staff told us that they were well supported and had the information and training they needed to do their jobs. Some of the things they told us were, we are happy and well supported, we work in a harmonious and safe environment and our work is relaxing and enjoyable, every one works hard as a team and the manager gives us up to date training. Care Homes for Older People Page 20 of 27 Evidence: The manager interviews all potential staff and makes checks on their suitability, including reference and criminal record checks. We saw evidence of these and saw that staff records were complete. Staff go to the home for interviews and meet the people who live there. The manager asks people for their views on potential staff. New staff complete induction training and a workbook. They shadow existing staff until they feel confident in their role. We saw that new staff had been supported to undertake inductions and complete training. The staff attend training from the local authority and other providers. The manager is part of a local group of care home providers who work together to make sure their staff have the training they need to do their jobs. The staff are also supported to undertake NVQs. We saw that there was a record of all staff training and that they were given refresher training where necessary. The manager has regular meetings with the team and with individual staff. We saw evidence of these. She uses these meetings to keep people informed of changes in the home and of good practice and regulation. The staff have their work appraised and are able to contribute their ideas about their personal development. We saw that the manager uses a number of publications and journals to help keep staff informed. The manager told us that equality and diversity issues are discussed at all staff supervisions. There is a handover of information between each shift to make sure all the staff are up to date on everything that is happening at the home and the wellbeing of the people who live there. Care Homes for Older People Page 21 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience 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 well managed home where they are able to contribute their ideas and opinions and they feel listened to and valued. The quality of the service is monitored and measured by what people who live and work there say. Evidence: The owners are a couple who are very experienced and qualified to run a care home. They work at the home every day and provide hands on care and support as well as running the home. One of the owners is the registered manager. People who live at the home and staff like and respect the owners. The told us that they were committed and really cared about everyone. They have consistently demonstrated an excellent knowledge of each individual and the needs of the service. They show real dedication and care through their work and approach. Some of the things people told us were, there is a relaxing family atmosphere and the owners have an excellent knowledge of the residents needs, the owners are superb and absolutely excellent in their pursuit of happiness for the residents, the owners are excellent and run the home very smoothly and create and warm and relaxed atmosphere, the owners are very Care Homes for Older People Page 22 of 27 Evidence: committed and always here, they are very friendly and there is a happy atmosphere, they are the best asset to the home, the manager is always here and supports the staff and residents, the manager is very approachable and helpful all the time, the owners are excellent and have a good knowledge, they are very caring and have a good team and the owner knows everyone so well and all their history and medical needs - this makes such a difference to the care they receive. One professional told us, the manager always seems to pick up on the signs that someone may not be well. she knows the residents so well and knows when anything is out of the ordinary. The owners have created a business plan which includes areas for development and continuous improvement. They keep this under review and update it regularly. Each year, the owners ask people who live at the home and their relatives to complete satisfaction surveys. They use the information from these to compile a report. The report includes recommendations for improvement. We looked at the report from the latest surveys. People were very happy with the care they received at the home. Some of the comments people made were, the care and professionalism here is superb, the staff are well trained, patient, kind and the atmosphere is always welcoming, I am so grateful for the excellent care mother receives, the staff are always friendly and helpful without being patronising, the house is clean and cheerful, it feels like a real home, the food is excellent - my relatives health has improved and a very happy home everyone is treated with great care and attention. The report showed that people were happy with the environment, staff, opportunities to contribute and have their say, information for families, meals, choice and feeling listened to. People are expected to manage their own finances or have a representative to do this as the home do not support people to manage their money. All additional expenditure, such as hairdressing, papers and toiletries are invoiced by the owner if people are unable to or do not want to pay cash at the time. There is a range of policies and procedures and these are regularly updated. Policies include a charter of rights and equal opportunities procedure. Records at the home are accurate, up to date and well organised. The fire officer and environmental health officer have visited the home since the last inspection. They were happy with the things they looked at and the home was awarded 4 stars (very good) from the environmental health officer. Care Homes for Older People Page 23 of 27 Evidence: We saw that the owners make regular checks on the environment and health and safety and that these were up to date. We saw that action was taken to address any health and safety concerns. We saw that checks had been made on fire equipment, electrical appliances and gas safety. The owners have developed a health and safety risk assessment for the home and this is regularly reviewed and updated. One of the owners has been on special fire safety training so that he is an expert in creating fire risk assessments and ensuring fire safety at the home. The fire officer told him that his fire risk assessment was very comprehensive. We saw that regular checks were made on fire safety and that all the staff have had training in this area. Care Homes for Older People Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 26 of 27 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. 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