Care Home: Ashcombe

What the care home does well Residents we spoke to and who returned our surveys were generally very happy. Comments received from residents and relatives stated that the home provides high quality care, very homely environment and caring staff. Activities are very good and varied. Staff receive good training. What has improved since the last inspection? All care plans are reviewed with the resident or their representative where necessary. Re-refurbishment and decoration is ongoing. Four bedrooms and the kitchen store have been refurbished and the staff have a functional staff room. Magnetic door release have been fitted. What the care home could do better: The manager is aware of the few areas for improvement, as stated in this report. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Ashcombe Ashcombe Worting Road Basingstoke Hampshire RG21 8YU     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Tracey Horne     Date: 1 9 0 5 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: Ashcombe Ashcombe Worting Road Basingstoke Hampshire RG21 8YU 01256468252 01256330988 elizabeth.werrett@barchester.com 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) : Barchester Healthcare Homes Ltd care home 33 Number of places (if applicable): Under 65 Over 65 33 0 old age, not falling within any other category physical disability Additional conditions: 0 33 The maximum number of service users to be accommodated is 33. The registered person may provide the following category/ies of service only: Care home with nursing only - (N) 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 (OP) Physical disability (PD). Date of last inspection Brief description of the care home Ashcombe House is a care home providing nursing care that is owned and run by Barchester Healthcare Homes Ltd, an organisation that has another home in the locality. The home is situated in Basingstoke, close to shops and other amenities. Ashcombe House provides accommodation for up to thirty-three residents, in thirtyone single rooms and one shared room. Residents also have access to two lounges, a dining room and the small garden. The manager stated during the visit to the home that fees ranged from £700.00 to £1050.00 per week depending on the level of care required. Care Homes for Older People Page 4 of 27 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: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The purpose of this key inspection is to assess how well the home is doing in meeting the key National Minimum Standards (NMS) and Care Home Regulations. The findings of this report are based on several different sources of evidence. Tracey Horne, Regulatory Inspector , visited the home on 19 May 2009 . We spoke with four residents, one visitor and two staff. We looked around all of the communal areas and in some bedrooms. We looked at some records that the service keeps and talked with the manager. We looked at The Annual Quality Assurance Assessment (AQAA) that was sent to us by the service. The AQAA is a self assessment that focuses on how well outcomes are being met for people using the service. Care Homes for Older People Page 6 of 27 A range of Surveys were returned to us. These comprised or three residents, three staff, three relatives and one healthcare professional. We also looked at information we have about how the service has managed any complaints. We also considered what the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. And the previous key inspection. 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. There is good information available about the home to help people make a choice about whether the service will be suitable for them. Peoples needs are known before they move in. The home does not provide intermediate care. Evidence: The AQAA states that comprehensive pre admission assessments are carried out by the manager, deputy or trained nursing staff. Information obtained at this stage forms the care plan and any specialist equipment is obtained for the resident. Three residents responded to our survey, one stated they had not received a contract and two did not answer. The manager said each resident has a contract and that she Care Homes for Older People Page 10 of 27 Evidence: has just been given new contracts for all residents that she was proof reading. Two residents agreed they received enough information about the home before moving in which enabled them to decide if it was the right place for them, and one ticked no. Three staff responded to our survey, two agreed they are always given information about peoples needs. One ticked usually and stated Because i work part time it sometimes takes longer to catch up with things. Three advocates responded to our survey, all agreed they received enough information about the home which enabled them to decide if it was the right place for their relative or friend to live. Records of two residents who had been recently moved into the home were seen. These contained assessments of needs, from which an initial care plan had been devised and had been completed before care had started. One resident said they looked around the home and had all the information needed to make the decision to live at Ashcombe. The AQAA states, and the manager confirmed that the home do not provide intermediate care. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has a well-developed system of planning and reviewing care, which reflects residents wishes and aspirations. This ensures that residents needs are met. Residents or their representatives are involved in making decisions that affect them. Evidence: The AQAA states that residents care plans are comprehensive and individualised to reflect personal requirements. They are updated when the individuals needs change and are reviewed with residents or their representative input. Each resident has a plan of care that has been drawn up from the initial assessment of their needs. Staff surveyed were asked Are you given up to date information about the needs of the people you support or care for?. They generally felt that they were. One said care plans are always up dated plus we have handover at the beginning of each shift. We looked at four Care plans, one with the resident it concerned who agreed to what was written in their care plan and confirmed it had recently been updated. Care plans seen gave information to staff about specific physical needs such as washing and dressing, Care Homes for Older People Page 12 of 27 Evidence: mobility, pain relief, pressure ulcer prevention/treatment record (Waterlow risk) and Malnutrition Universal Screening Tool (MUST). Moving and handling assessments identified areas of risk and provide clear guidance for staff on how to support the resident safely, for example where residents needed to be hoisted. Risk assessment seen included nutrition, pressure areas and use of bed rails. Those seen were up to date and had been signed by the resident where appropriate. One resident agreed to being fully involved in the decision to use bed rails to ensure safety. Staff said care plans were easy to follow. One care plan stated that one particular resident needs to be weighed at least twice a month but records showed that this had not occurred for five weeks. This was brought to the attention of the manager who said would investigate. Following the last inspection a requirement was made to ensure residents were involved in reviewing their care plans. Records showed and the manager confirmed that this happens, therefore the requirement has been complied with. Residents health needs are met by a range of visiting health care professionals including General Practitioners, Opticians, Chiropodist, Physiotherapist, Dentist, Dietitian and Specialist Nurses. The AQAA confirmed this. Records showed that the home have have developed a strong link with the hospice and their palliative care staff who advise in care of dying. Links with the Tissue Viability Nurse provide assistance in the care of any wound problems and staff receive training for the nurses at a weekly ulcer management clinic. Three residents responded to our survey, two agreed that they received care, support and medical support as they need i feel my needs are minimal compared with those of most residents. One ticked usually. All three staff who responded to our survey felt they had been given enough training to help them meet individuals needs. One healthcare professionals responded to our survey and strongly agreed that the home seek advice and act upon it to manage and improve individuals health care needs. The home telephone as soon as any concerns arise regarding residents nutritional status. Advise given is followed closely. As far as i know individuals health care needs are met and from what i have seen staff have the right shills and experience to support this. The home are excellent at monitoring weights but using hoist scales would be better than sit on scales. Monthly malnutrition screening is very good. Three advocates responded to our survey, Two felt that the home meets the needs of their relative/friend and one stated it is hard to get through on the phone around meal times and between 6pm and 7 pm but when it is answered the staff are always helpful. Records showed residents were able to see or consult with any health and social care professional of their choice when they needed to. One resident said they have regular visits from McMillan nurse and said they are very happy with all aspects of the care and carers. Records seen showed regular visits by a chiropodist and physiotherapist. One resident spoken with confirmed that staff call a Care Homes for Older People Page 13 of 27 Evidence: doctor for them if they feel unwell. The manager said that a GP visits regularly, the visitor book confirmed this. Policies and procedures are in place for the safe handling and administration of residents medication. An MDS (monitored dosage system) is used for the administration of medicines. Staff said that only nurses administer medication and the AQAA comfirmed this, also nurses have an annual medication competency assessment. We saw records of weekly medication checks being carried out, the manager confirmed they complete this as part of the auditing process. We found medicines to be securely and appropriately stored. Two residents confirmed they received regular medication by staff as their preference. Care plans detailed medication needs and the Medication Administration Record (MAR) sheets had been completed accurately. We saw one member of trained staff administer lunch time medication appropriately. Residents confirmed that their individual privacy was respected. Staff were seen to knock on residents bedroom door and wait before entering. Staff were observed to talk with residents in a friendly and respectful way. Each resident has a key worker and named nurse who take a special interest in the individuals needs and will act as informal advocate for them if required. Care Homes for Older People Page 14 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Relatives involvement is encouraged and there is a wide range of activities provided. Residents enjoy a choice of meals served in a relaxed atmosphere. Evidence: The AQAA stated that activities are based on the desires, expectations and needs of residents. A varied activities programme is arranged by an activities Co-ordinator and includes fitness, sensory and one to one sessions. Some residents attend a day center. Records and photographs are taken to show this. Three residents responded to our survey all agreed that the home always arrange activities, one stated the activities are varied and i enjoy them, we have people come here and i go out. We spoke with one member of staff who said the activities are tailored to meet group and individual needs, from family bar-b-q to individual shopping and pampering sessions and residents enjoy the sensory sessions, as recently this involved identifying different flavors and smells of crisps and hand bell ringing. On the day of our visit some residents took part in a game of indoor darts and one resident was presented with a cake as it was their birthday. One advocate stated in our survey My relative is not made to do anything and is allowed considerable freedom. Another stated friendly and approachable people who are considerate towards residents and visitors. Care Homes for Older People Page 15 of 27 Evidence: The manager conformed residents are encouraged to maintain contact with family and friends and the local community as much as possible. Relatives were seen on the day of this visit and the visitors book confirmed this. Staff said the home have developed close links with Age Concern and some community groups including a primary school, who come and provide pastoral care or just visit and chat with the residents. One resident said they have lots of visitors who are made to feel very welcome. Residents exercise as much choice and control over their lives as possible, by giving their views on the services the provide. One resident agreed with this and said they are quite independent and the staff do all they can to support and maintain this. The presentation of food and arrangements for dining are of a high standard. Residents can dine together or alone as they prefer. Some residents haver formed a food commitee in order to contribute ideas and suggestions regarding the food. Two residents agreed in our survey that they always liked the meals, one usually. One resident said the food is very good, their care plan stated that they prefer a hot tea, the resident confirmed that this is always the case. One staff survey stated great food One advocate stated in our survey that during the week the kitchen staff are excellent and produce a vast array of different dishes. Another stated the food is good. We saw residents being asked their choice of starter, main and dessert and were given appropriate assistance by staff. Meals were pureed where required and that the mealtime was not rushed. All food was nicely presented. The dining room tables were pleasantly decorated with matching table clothes, napkins and flowers. Two residents agreed they like eating in the dining room because of this detail and the relaxed atmosphere. They also agreed the food is always very good and there is plenty of it. 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. Procedures are in place to ensure that people can make a complaint should they need to do so. Policies and procedures are in place for protecting residents from abuse. Evidence: The AQAA states that the complaints policy is available to all residents and their representatives, it is clearly displayed in the reception area and in the service users guide. Complaints are responded to promptly and resolved to the complainants satisfaction. Five complaints have been received in the last twelve months, all were resolved within twenty eight days and all were upheld. Three residents responded to our survey all agreed that staff listen to and act on what they say and know how to make a complaint. Three staff responded to our survey, all agreed they know what to do if anyone makes a complaint. Two advocates who completed our survey agreed that they were aware of how to make a complaint, and that the home had responded appropriately to any concerns being raised by their relative or friend living in the home. Always in the case of my relative. One stated Staff are accessible to speak to and any queries have been dealt with. I cannot remember the formal complaints procedure but i am sure i can ask and will be told. An up to date copy of the Hampshire County Council Adult Protection Policy and Procedures For Vulnerable Adults is available, so too are the NMC guidelines on Practitioner Client Relationships and the Prevention of Abuse and The Deprivation of Care Homes for Older People Page 17 of 27 Evidence: Liberty Safeguards. The staff Handbook has a clearly explained Whistle Blowing policy. Copies of Codes of Practice for Social Care Workers given to all staff during induction. Induction training for at least five days using the Skills for Care Guidelines. All staff who responded to our survey agreed to CRB and references being carried out before they started work. One comment made was They would not let me start work before my CRB check came through some four weeks later. We looked at four staff recruitment records, all contained evidence that a satisfactory Criminal Record Bureau (CRB) disclosure had been obtained. The home had completed a Protection of Vulnerable Adults (POVA) first check on each new staff member. This is an initial basic check, which the home undertakes whilst it awaits the results of the full CRB disclosure. This confirmed information provided to us in the AQAA. Care Homes for Older People Page 18 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 safe and well maintained environment which meets their needs. Evidence: The AQAA states that the home is well maintained inside and out. The home employ a maintenance person, gardener and housekeeper. There is a rolling programme for re decoration and re carpet. We toured communal areas and saw some of the thirty two bedrooms. All areas were clean, warm and there were no adverse odors. Residents surveyed and talked with said that the home is always fresh and clean and has a homely atmosphere. One advocate stated that their relatives room is always clean. One member of staff stated the home provides a warm, friendly environment for residents, relatives and staff. Another agreed that the home provides a homely atmosphere. One member of staff reported in our survey that sometimes it takes too long to get new equipment or takes too long for equipment to be repaired. The manager said this may have referred to a problem with one of the hoists which took time for the manufacturer to fix. Maintenance records showed faults being reported and fixed within a reasonable time. Care Homes for Older People Page 19 of 27 Evidence: Records show that an Environmental Health officer had inspected the home in August 2008 for standards in food hygiene and had given a good rating. Laundry facilities are sited away from areas where food is prepared or stored and are appropriately maintained. Spray soap and paper towels were supplied in communal hand wash areas. Staff were using protective clothing to prevent the spread of infection. The manager said that all relevant certificates such as Food Hygiene, Water Temperatures, Legionella, Fire Safety Audit, External Health and Safety Audit and Food Hygiene Audits are in place. Care Homes for Older People Page 20 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents feel that a sufficient number of staff are on duty to meet their individual and group needs. There is sufficient skill mix within the team to meet residents needs. The homes recruitment practices ensure residents safety. Evidence: The AQAA states that the staffing levels and skill mix of the staff at the home is sufficient to meet the needs of the residents. Three staff responded to our survey. There was difference of opinion regarding whether there are enough staff to meet individuals needs. One ticked always, one usually and one sometimes and stated residents are mostly heavily dependant and very demanding and i feel we need to provide more staff. The manager said this may have been before the recent successful recruitment drive. The home has sixty hours a week nurse vacancy which is currently being advertised. The home use the same agency staff to cover the shifts where necessary to provide continuity of care. We looked at the staff rota which showed suitable number of trained and care staff. When we visited there was one trained nurse and six care staff on duty as well as domestic, catering and maintenance staff. The manager confirmed three waking staff are on duty at night one of whom is always a nurse. Comments from advocates included staff are always on hand and very caring. Care Homes for Older People Page 21 of 27 Evidence: We checked the records of four staff who had been employed in the past twelve months. They all contained completed CRB and POVA first checks , two references, working permits, NMC pin numbers and completed application form with employment history and a statement of terms and conditions of employment. Staff were asked in our surveys if the new staff induction covered everything they needed to know. One ticked very well and two mostly. Residents said they are supported and cared for by trained and qualified staff who are very good at their jobs. Some staff are qualified to deliver Manual Handling training, POVA training and Fire Safety and Fire Marshall training. Three staff responded to our survey, one ticked always and two usually to feeling they have the right support, experience and knowledge to meeting the different needs of people. All agreed they have been given enough training that is relevant to their role, helps them to understand individuals needs and keeps them up to date with new ways of working. Comments included I get all the compulsory and other training that i have asked for. And that their manager meets with them regularly to giver support and discuss how they are working. The manager oversees the wide range of training offered to staff and said the majority of training needs is identified at supervisions but staff can request training at any time. We spoke to one member of staff who agreed the training is very good, regularly updated and specific to residents needs. Care Homes for Older People Page 22 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management of the home ensures the health, safety and welfare of residents and staff are promoted and the home is run in the best interests of the residents, whose views about living in the home are formally sought. Evidence: The AQAA states that the manager attained her Registered Managers Award in March 2004. In talking with the manager and staff it was evident that clearly defined management structure was in place. All of the staff spoken with staff was aware all of their responsibilities and the limits of their authority. Staff informed us the homes management were supportive, approachable and accessible and willing to listen to any ideas they may have for the improvement of the service. Three staff responded to our survey. One ticked always to communication between staff is very good and two ticked usually One staff stated the manager provides good, strong management. Residents and relatives who responded to our survey were full of praise for the Care Homes for Older People Page 23 of 27 Evidence: manager and the way in which the home is run. The manager seeks resident, relatives and staff views regularly, and sends surveys on an annual basis. Residents and staff have regular meetings which gives the opportunity for people to give their views on how the service is being run. There is a comments book in the entrance hall for people to raise any issues. The manager said they carry out various monthly checks such as infection control, resident care, medication, nutrition, documentation, health and safety and activities as part of their auditing and a Regulation 26 visit occurs each month. The manager confirmed the home do not have any dealings with residents money. Residents or their representative receive invoices for expenses such as having their hair done or seeing the chiropodist. The health and safety of residents and staff is promoted and protected by training and regular safety checks. The manager confirmed that the maintenance person keeps records of these checks and risk assessments for the environment and fire are in place. We looked at records for fire safety equipment checks and of the training staff had received in fire evacuation procedures. 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. 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. 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