Care Home: Ambleside Bank Care Home

Similar services:

• Chirnside House
• Keer Sands Residential Home
• Ruskin Lodge
• Bushell House
• Langrigg House
• Parkside
• Dystlegh Grange
• Thornton Lodge

What the care home does well Ambleside Bank is a well managed and well run home ensuring a high standard of care for the people living there. The premises are clean and safe and the standard of the accommodation is very good. There were effective systems for keeping the home maintained to a good standard. Some of the staff had worked at the home for a numbers of years, so residents were looked after by people they know and can trust. Staff were well trained and show commitment towards giving a good standard of care to the residents. Records were kept to a good standard, the office was organised and everything was to hand. Visitors are made welcome and are encouraged to be involved with what goes on in the home. What has improved since the last inspection? The home has employed two activities coordinators to ensure continuity of activities and day care services. The communal areas have been redecorated and refurbished. Day care clients have a detailed care plan and can access the same trips out planned for permanent residents. The building work is near to completion and will provide eight bedrooms and an orangery to the rear of the home that will provide extra seating space overlooking the garden. What the care home could do better: At the time of this inspection there were requirements or recommendations made. Key inspection report Care homes for older people Name: Address: Ambleside Bank Care Home Older Persons Resource Centre High Street Lower Ince Wigan Greater Manchester WN3 4RL     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Judith Stanley     Date: 1 4 0 4 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 26 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Ambleside Bank Care Home Older Persons Resource Centre High Street Lower Ince Wigan Greater Manchester WN3 4RL 01942321112 01942234331 amblesidebank@centuryhealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Century Healthcare Limited Name of registered manager (if applicable) Mrs Susan Jackson Type of registration: Number of places registered: care home 30 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: One named service user (RC) in the category of DE(E) (Dementia over 65 years of age) may be accommodated within the overall registered numbers The home is registered for a maximum of 30 service users to include:- up to 30 service users in the category of OP (Older People) The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Date of last inspection Brief description of the care home Ambleside Bank is a purpose built care home that provides personal care and support for up to thirty people. The home is approximately 10 minutes drive away from Wigan Care Homes for Older People Page 4 of 26 0 0 Over 65 1 30 Brief description of the care home town centre, however some local amenities are close by. The home provides twenty six single rooms, and two shared rooms, all rooms have en suite facilities. There is a large patio area at the rear of the home with appropriate seating for residents; car parking is available at the front of the home. The external areas of the premises and grounds are well maintained. The current scale of fees ranges from 339 pounds and 86 pence to 423 pounds and 15 pence per week. Additional charges are made for hairdressing, private chiropody, magazines and papers, toiletries, pub lunches and visits to shows. For service users who attend for day care a small charge is made for their lunch. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This inspection included a visit to the home and was unannounced and was conducted over six hour period on one day. Some weeks before our planned visit the manager was asked to fill in a questionnaire called an Annual Quality Assurance Assessment (AQAA), telling us what they thought they did well, what they need to do better and in what areas they had improved up on. This helps us to determine if the management of the home see the service they provide in the same way that we do. We felt this form was filled in honestly and that a lot of time and effort had been given to filling it in. Part of the time was spent in the office looking at information the home holds on residents, these are called care plans, staff files, activity plans and other records the home need to keep to ensure that the home is being properly run. We spoke with the manager, staff, residents and relatives. Their comments are included in the main body Care Homes for Older People Page 6 of 26 of the report. Care Homes for Older People Page 7 of 26 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 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 26 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 26 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 residents and their supporters with up to date information about the home that helps them in making a decision about moving in to the home and the services provided. A pre admission assessment is carried out prior to any new residents moving in to the home to ensure their needs can be met. Evidence: The home has a statement of purpose and a service user guide. This information is available to prospective residents and to residents already living at the home. It tells people about what goes on in the home, the management arrangements, staffing structure, about the mealtimes and activities etc. These documents were currently being updated to include the new managers details and information about the new bedrooms and the orangery which are near to completion. Residents spoken with and from feedback on the returned surveys said they had received sufficient information Care Homes for Older People Page 10 of 26 Evidence: about the home prior to making a decision to move in and that they were welcomed and encouraged to look around the home and spend time there to ensure that Ambleside Bank was the right choice. The manager confirmed that all residents have a written contract/statement of terms and conditions regardless of how their care was funded. Three residents files were chosen for inspection. On examination all contained a pre admission assessment. The assessment is completed to ensure that the staff can meet the individual care and social needs of the prospective resident. The assessment covers personal care, physical well being, diet and preferences, sight and hearing, communication, oral health, foot care, mobility, history of falls, continence, mental state, cognition, medication, social interest and hobbies. Some residents living at the home have varying levels of confusion. It was observed throughout the day that staff managed residents appropriately and could meet their needs. Staff had undertaken some training in caring for people with a dementia related illness. Care Homes for Older People Page 11 of 26 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. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put in to practice so that people living at the home can be confident they are well cared for. Evidence: Three care plans were chosen for inspection. The information contained in the care plans gave staff detailed information about the care needs each resident required. The care plan was split in to sections that covered: mental state, medication, diet and fluids, personal hygiene, getting up and going to bed, sleep pattern, communication and known medical conditions etc. A social profile was available that informed staff about the life experiences of the residents, about work life experiences, friends and family, hobbies and interests. Other information in the care plans includes: risk assessments, for example risk of falls, mobility, nutrition, pressure care and moving and handling. There was evidence to show that outside agencies such as doctors, district nurses, the Care Homes for Older People Page 12 of 26 Evidence: chiropodist, advanced nurse practitioner, speech and language team and the tissue viability nurse are contacted as and when required. We observed the lunch time medication round. The member of staff administering and recording the medication was training and being supervised by a senior carer. Tablets was given efficiently and in an appropriate manner and residents were offered water to help them swallow them. All medicines given were immediately recorded on the individuals medication records. The home had a small amount of controlled drugs. These were suitably stored in a controlled drugs cupboard and recorded in the controlled drugs register which had been signed and countersigned as required. Observation throughout the inspection showed that the personal care needs of the residents were being attend to. Attention had been given to personal grooming, residents were wearing coordinated clothes which had been nicely washed and ironed. The hairdresser was due at the home on the day of our visit so residents could have their hair done if they wished. Staff were heard speaking with residents in a kind, respectful and considerate manner. There was lots of laughter and it was evident that good relationships had been formed. One relative spoken with said that staff were , Very kind and caring, I am very pleased with the care my mother receives. Within the last few weeks one of the residents was nearing the end of her life. It was the wishes of the resident, her family and with agreement of the doctor and the home, that the resident remained at the home where she was assured that she would be well cared for and at the time of death. She would be treated with respect and dignity and the family offered support and comfort. A relative of this resident was visiting the home during our visit and could not give enough praise for the manager and staff for their commitment, dedication and care during a very difficult and sad time. Within the next year the manager hopes to be part of the Gold Standards Framework phase for residential homes giving residents that preferred choice of end life care. Care Homes for Older People Page 13 of 26 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 received the support they needed to live their chosen lifestyles. Social activities and meals were well managed and provide daily variation and interest for people living in the home. Evidence: The home employs two activities coordinators. A wide and varied range of activities are planned and these were displayed around the home. Activities include: pub lunches, shopping trips, karaoke, ball games, gardening, bingo, gentle exercises, carpet bowls, 1-1 chats and visits from entertainers. Theme days are arranged such as Valentines Day when special invitations were sent to spouses and family to come and dine at the home with extra special waitress service. Fund raising plays a big part in the home not just for residents comfort funds but other recognized charities and residents are encouraged to put ideas forward and partake in the event. One resident spoken with said, The home has a warm atmosphere and there is always something going on. The home also provides a care day service. Transport is provided by the home to collect people and bring them to the home. Although day care is not registered by the CQC this is a good service. People come from outside and talk to the residents at the Care Homes for Older People Page 14 of 26 Evidence: home about what is going on in the local community. Day care clients are provided with lunch and can use the homes facilities such as bathing and having their hair done. Activities are planned and anyone can join in if they wish. There are extra staff to manage the day care service so that other care staff can be with the homes permanent residents. Throughout the day it was observed that several visitors came to the home. One visitor spoken with was very satisfied about the care her mother received, she said she had no complaints or concerns and if she had she would speak to the manager. On a returned survey one relative said, I could not have chosen a better care home for my mother. The staff have always been brilliant with my mum and all her needs are met. They keep me informed of any problems. I think the thing the home does well at overall is they treat my mum with respect. There are no restrictions as to when people can visit and residents can meet with their visitors in any of the communal areas or in the privacy of their own room. We spoke with residents about choices and decisions. One confirmed she got up when she wanted and went to bed when she was ready and made her own decision about what clothes she wanted to wear that day. One gentleman goes out to the pub every day. Residents have the choice to participate in activities or not as is there wish. The menus were available for inspection. At the residents meetings, choices of meals had been discussed and some residents wanted to add extra dishes such as chicken korma and pasta dishes. Resident spoken with indicated they were happy with the quality of the food and the ranges of choices. A flexible breakfast is served to allow people to get up when they are ready. Residents are offered a range of a cooked breakfast or cereals, toast, preserves etc and a choice of tea or coffee. Lunch is the main meal of the day and on the day of the visit a there was a choice of lamb hotpot with creamed leeks and sprouts, followed by a rice pudding dessert. Alternatives were available such as salads, jacket potato with a choice of filling or mushrooms on toast etc. A choice of desserts is also available. A lighter but substantial tea is served. There was a good range of hot and cold dishes to choose from followed by a dessert. It was noted that most residents dined in the main dining room. The dining room is comfortable and the tables were laid nicely with matching table cloths and napkins Care Homes for Older People Page 15 of 26 Evidence: and with suitably crockery and cutlery. Tea pots, milk and sugar and condiments were on the tables so that residents could help themselves. We observed that some residents required assistance with their meals and staff were seen sitting down and offering help in a discreet manner. The cook was spoken with and has a good understanding of residents likes and dislikes. Any special diets such as diabetic and soft diets can be catered for. A choice of supper and drinks were available before residents retire. This is served at a time suited to the residents Care Homes for Older People Page 16 of 26 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 and their relatives, can be confident that people will be protected from abuse and have their rights, including the right to complain, protected be effective staff training and procedures. Evidence: A complaints system is in place should any one feel the need to complain. There had been no complaints made within the last year and no concerns or complaints made to the CQC. There were compliments and cards thanking the manager and staff for the care and kindness shown to their relatives during their stay. One relative on a returned survey wrote, Because of Ambleside Bank not only has mum got a better quality of life but I am very grateful for all the help and support from all the staff. I am happy knowing that mum is being well looked after. There had been no adult safeguarding referrals or investigations reported by the home within the last year at least. All staff have had training in the protection of vulnerable adults and staff have access to the Local Authorities Vulnerable Adults Procedures. Care Homes for Older People Page 17 of 26 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 maintained to a high standard making it a comfortable, clean and pleasant home for residents to live in. Evidence: From a tour of the premises, it was evident the home was maintained to a good standard both internally and externally. At the time of the visit building work was near to completion. On the ground floor empty offices and therapy rooms have been converted in to eight, en suite bedrooms. Bathrooms and toilets are available in this area. The building has not impinged on the other residents living at the home. An orangery has been add to the rear of the home and this is near completion. This will provide residents with extra seating space overlooking the garden area. Several of the bedrooms had been decorated as had the lounges and dining area. We looked at a number of bedrooms and these were clean, warm and comfortable. Residents had personalised their rooms with their own possessions brought with them from home. There were a sufficient number of bathrooms and toilets in close proximity to residents accommodation. Bathrooms and toilets were equipped with paper towels and liquid soap. There were adaptations as required for example bath hoists and grab rails. Although the bathrooms were clean and functional it is the managers intention to Care Homes for Older People Page 18 of 26 Evidence: make them more domestic in character. The outside of the home was well maintained and the grounds were neat and tidy. Systems were in place to control the risk of cross infection. Staff seen wearing different protective clothing and gloves when carrying out different tasks. We spoke to members of the domestic team, who obviously took pride in their work in keeping the home clean and free from any offensive odours. The staff said they worked well as a team. Comments on a returned survey stated, the home is very clean and tidy. Care Homes for Older People Page 19 of 26 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. The people living at Ambleside Bank were supported by a well trained, experienced and effective staff team. Evidence: The staff rotas showed that there were sufficient numbers of staff on duty each day and through the night. The ratios of care staff to residents takes into account the needs of the residents. Neither staff, residents or relatives spoken with expressed any concerns about staffing levels within the home. The home does not use agency staff. Any staff cover required is covered by the existing staff. One resident spoken with said, All the staff are lovely, they are very kind and they look after us well. Several of the staff had worked at Ambleside Bank for a number of years. This helps provide continuity of care for residents by people they know and can trust. From discussions, staff showed they knew their residents well and they demonstrated a strong commitment to providing a good standard of care. Staff were clear about the work they were employed to do and confirmed that they worked well as a team. From our observations, staff morale appeared good and staff seemed genuinely happy to be working at the home. The staff at the home attend training as required. Mandatory training is kept up to Care Homes for Older People Page 20 of 26 Evidence: date and most of the staff are qualified to NVQ level 2 in care. All staff go through an in depth induction programme on commencing work at the home with regular updates and continuous training. Staff were trained to respect dignity and privacy and to promote independence. Copies of staff training certificates were available for inspection. A full copy of each members of staffs employment file was kept at the home in a secure location. Three staff files were examined and were found to be up to date. Files contained a written application form, three references, a job description, other forms of identification and a Criminal Records Bureau check etc. Domestic staff and kitchen staff were employed in sufficient numbers to cater for the needs of the residents and to support the care staff. Care Homes for Older People Page 21 of 26 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 management and administration of Ambleside Bank is based on openness and respect. This ensures that the home is run in the best interests of the people who live there. Evidence: This is the first inspection since the new manager was appointed to the post. The manager is currently in the process of applying to the Care Quality Commission to become the registered manager of Ambleside Bank. Mrs Cook has the necessary skills, experience and qualifications to manage the home. Comments on returned staff surveys regarding the management of home were positive and included, The home was without a manager for several months. We now have one who is very good and she gives positive direction to the staff. Another wrote, Even though the manager has only been in post for a few months, I feel she is very professional and doing an excellent job. She is well liked by relatives and service users. The manager is committed to her own training and development and is accredited with Care Homes for Older People Page 22 of 26 Evidence: the Registered Managers Award, accredited for Death, Dying and Bereavement, Health and Social Care, NVQs in social care and Health and Safety and has an NVQ in Mentor ship and Management. Mrs Cook has also completed the necessary mandatory training as required. Mrs Cook ensures that her staff are provided with the appropriate training to do there jobs efficiently and sees training as an essential element to delivering good quality care for the residents living at the home. The manager has moved her office so that she is more easily accessible to residents, staff and visitors. The manager also works either a Saturday or Sunday once a month and this is advertised in advance in case people wish to speak with her who can only visit at weekend. The way the home is run was open and transparent. The manager operates an open door policy so that she may be approached at any time. The office was well organised and the manager works well with the homes administrator to ensure that all the paperwork required by regulation was completed and was up to date. There was a good system of continuous self monitoring in the home, which includes: satisfaction questionnaires, monthly audits, staff, residents and relatives meetings and monthly visits from the companies senior management team. Some of the residents have handed over small amounts of money to the manager for safekeeping. Some of this money was checked against the individuals balance sheet and no discrepancies were noted. Equipment and systems used in the home were serviced and maintained and records were well kept and easily accessible. Information on the AQAA told us that all health and safety checks had been carried out for example gas, electrics, lift, hoist, fire detection and emergency lighting. We checked some of the certificates and these were seen to be valid and up to date. Any accidents, injuries were recorded on the accident report forms and reported to the CQC as required. Care Homes for Older People Page 23 of 26 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 24 of 26 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 25 of 26 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 26 of 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!