Care Home: Ashridge Court Nursing Centre

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What the care home does well Ashridge Court Nursing Centre is a large, well maintained home, which provides residents with a warm, homely and excellently maintained place to live. Throughout the home there is a high standard of cleanliness with attention being paid to infection control procedures. Care plans provide staff with comprehensive information in regard to the residents wishes and choices for personal, health and social care. All residents have a day and night care summary in the bedroom, this provides immediate access for staff regarding the residents choices, preferences and main aspects of their care. The home employs a physiotherapist and activities co-coordinator, and there are a variety of activities on offer chosen by the residents and that residents can choose to participate in as and when they wish. Residents not able to participate in activities for health reasons, also receive one to one interaction from both the physiotherapist and activities co-coordinator. Food in the home according to the majority of residents is excellent, with all residents being offered a varied, balanced and nutritious diet. The home can cater for a variety of specialised diets and well as pureed meals, which are presented in an attractive and appetising manner. Staff at the time of the inspection were employed in sufficient numbers to meet the residents assessed health, personal and social needs. The qualifications and training provided ensure that staff have the knowledge, skills and ability to meet the diverse needs of the residents. Staff recruitment is stringent and ensures that all new staff are appropriately checked prior to being employed in the home, this helps keep residents safe from abuse. The quality assurance system has been developed and this looks at views of residents, relatives, external stakeholders as well as monitoring of systems used in the home, which helps the home to provide a good quality of care for its residents. Health and safety is of high importance in the home to help ensure that residents are not placed at risk. What has improved since the last inspection? At the last key inspection which took place in October 2007 four requirements were made in respect of individual risk assessments, the quality assurance system, and identification of residents in the home. All these requirement were met at this inspection, and were evidenced via inspecting documentation relating to these these requirements. What the care home could do better: While there have been no formal complaints since the last key inspection, more could be done to record minor issues, and what the outcomes of these were, to provide the home with a further aid to providing an excellent quality of care for its residents. Key inspection report Care homes for older people Name: Address: Ashridge Court Nursing Centre 163 Barnhorn Road Bexhill On Sea East Sussex TN39 4QL     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: June Davies     Date: 3 0 0 9 2 0 0 9 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) Copyright © (2009) Care Quality Commission (CQC). 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 CQC 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 26 Information about the care home Name of care home: Address: Ashridge Court Nursing Centre 163 Barnhorn Road Bexhill On Sea East Sussex TN39 4QL 01424-842357 01424848570 info@ashridgecourt.com www.ashridgecourt.com Ashridge Court Limited care home 53 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) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability Additional conditions: The maximum number of service users to be accommodated is 53 The registered person may provide the following category of service: Care home with nursing (N) to service users of the following gender: Either whose primary care needs on admission to the home are within the following category : Old age, not falling within any other category (OP) Physical disability (PD) Date of last inspection Brief description of the care home Ashridge Court is located on the main road between Eastbourne and Bexhill, approximately half a mile from Little Common Village. Local amenities are accessible by public transport. Ample parking is available at the front of the property. The home is situated in well maintained gardens that have extensive views to the rear of the property overlooking a lake and a golf course. The home is accommodated over three floors, which are accessible by two passenger shaft lifts and three staircases. The home comprises of 51 single bedrooms, all of which have en suite facilities and the majority of which benefit from under floor heating. The registration is also for one Care Homes for Older People Page 4 of 26 0 53 Over 65 53 0 Brief description of the care home double room also with en suite facilities, with additional toilet and bathroom and wetroom facilities throughout the premises. The home has specialist equipment including specialist beds, bath and lifting hoists and walking aids. The nursing centre is divided into two wings, East and West, which are staffed separately from each other. The property was extended in 2008 and has recently been the subject of further investment whereby several rooms have been extended and improved, a new resident lounge area has been provided. Provision has also been made for a new main entrance comprising of a lobby and reception lounge area, overlooked by a gallery where computer facilities are made available, which is due for completion November 2009. Further improvements habe been made to the residents dining area and the staff facilities, and a new main office has been provided. The home is registered to provide nursing care to older people as well as those who may have a physical disability. The range of fees charged may be obtained by appliaction to the registered provider/manager, with additional charges for in house private physiotherapy, private telephones, hairdressing, toiletries, chiropody, beautician, holistic therapies, taxi services and daily newspapers. 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 unannounced key inspection took place on Wednesday 30th September 2009 over a period of seven hours. During the course of the inspection the inspector spoke with five relatives, eight residents, the registered providers Mr & Mrs Van Eugen, Registered General Nurse, Health Care Assistants, the chef and kitchen assistant. Documentation relevant to the key standards inspected was also looked at, and observations took place of the environment, a lunch time meal, administration of lunch time medication and staff observing the privacy and dignity of the residents. Six surveys were returned to the Care Quality Commission, and information contained within these surveys have also been used in this report. Discussion with residents, relatives and information contained within the surveys, reported that the home provides an excellent service and the food in the home is excellent. Care Homes for Older People Page 6 of 26 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: While there have been no formal complaints since the last key inspection, more could be done to record minor issues, and what the outcomes of these were, to provide the home with a further aid to providing an excellent quality of care for its residents. Care Homes for Older People Page 8 of 26 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 9 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 10 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents and their relatives/representatives are given good information about the home prior to making a decision to take up residence in Ashridge Court Nursing Home. Thorough pre-admission assessments are carried out prior to a prospective resident moving into the home to ensure that all their needs can be met. Evidence: The Statement of Purpose is kept up to date and gives prospective residents detailed information on which they can base their choice of moving into the home. Residents where possible are encouraged to visit the home prior to making a decision to move into the home. The registered provider manager, carries out a pre-admission assessment by visiting a potential resident in hospital or their own home. Three pre-admission assessments Care Homes for Older People Page 11 of 26 Evidence: were viewed on the day of this key inspection and found to contain detailed information on which to base a care plan and for the registered manager to judge if the staff have the skills and knowledge to meet the residents assessed physical, personal and social needs. From fourteen residents who either completed surveys or where spoken to on the day of the key inspection twelve said that they were given good information about the home prior to making a decision to move in. Ashridge Court Nursing Home does not offer intermediate care. Care Homes for Older People Page 12 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. Care plans are well ordered and informative, but do not reflect a person centred plan of care to show that residents are able to voice their likes and dislikes, preferences and choices regarding their health, personal or social care. Medication in this home is well managed helping to ensure that residents are not placed at risk. Staff respect residents rights to privacy and dignity at all times. Evidence: Care plans are based on pre-admission assessments, risks are identified for each individual resident, with clear steps for staff to take to ensure the level of risk is kept to a minimum. There is good evidence in the care plans that the home works well with external health care professionals, to ensure that all the residents health care needs are met. Care Care Homes for Older People Page 13 of 26 Evidence: plans specify each residents choices and preferences in regard to their personal, health and social care needs. Staff also have access to day and night care plan summaries, which again refers to residents preferences, wishes and choices in regard to their care needs. Good evidence found in care plans of recorded specialist interventions required to meet residents health care needs. The home employs their own physiotherapist to ensure that residents remain as mobile and active as their health will allow them. Two of the three care plans viewed were either signed by the resident or relative. Good evidence was found that care plans are reviewed on a monthly basis. The inspector spoke with five relatives on the day of this key inspection all reported that the standard of care in the home was excellent, that the manager was available for any queries and that they were kept well informed of their residents state of health. Surveys returned to Care Quality Commission indicate that Ashridge Court Nursing Centre provides an excellent standard of care for the residents, that staff are knowledgeable and well trained. Observation of a lunch time administration of medicines round took place together with a short audit of medicines. Medicines were seen to be administered appropriately and monthly administration records had been completed accurately in accordance with general practitioners prescription. The medical room for the west wing of the home was seen to be hygienic and tidy. Controlled drugs are administered and recorded into the Controlled Drugs register accurately with the signatures of two nurses who have been trained in the administration of medication. The home has excellent guidelines and policies and procedures in place to ensure medication is administered appropriately and residents are not placed at risk. The inspector witnessed that staff respect the privacy and dignity of the residents, ensuring that doors are kept closed during personal hygiene care and that where residents need assistance with feeding this is carried out discreetly by the staff ensuring the dignity of the residents is upheld. Care Homes for Older People Page 14 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. Resident are able to choose from a variety of activities on offer in the home. Staff encourage residents to maintain their independence for as long as they are able. Meals in the home are excellent, and ensure that residents are given a nutritious and varied diet. Evidence: Residents are able to suggest a range of activities that they would like to participate in. An activities co-ordinator employed by the home organises a range of activities on a weekly basis, this activities rota is published and made available to residents. The activities co-ordinator is supported by a physiotherapist also employed by the home. Residents not wishing or able to join in activities also have one to one time with the activities co-ordinator and physiotherapist. A three monthly newsletter is published which highlights special events taking place in the home. Residents have access to the large grounds situated behind the home. The grounds have a tarmac footpath that is suitable for wheelchair use, and several patio areas. Visitors and staff take residents out into the garden when the weather is nice, so they can enjoy the views and pleasant landscaped surroundings. Care Homes for Older People Page 15 of 26 Evidence: The home also brings external entertainers into the home to provide entertainment for the residents. Several residents spoken to said how much they enjoyed the entertainers who come into the home. Local churches visit the home and the registered provider/manager ensures that residents are able to follow their religious beliefs. A multi denomination Communion is held in the home each month. Visitors are welcome into the home at any time to visit their resident. Visitors on the day of the inspection told the inspector that they are always made welcome in the home by the registered provider/manager and her staff. Residents are encouraged by the staff to retain their autonomy and independence as far as they are able. There is evidence in bedrooms that residents are able to bring their own small personal items into the home with them. All residents can choose to have their own private telephone in their bedroom if they wish to. Each residents is offered three meals a day, and there are choices offered at each meal. Other meals can also be cooked if they resident does not want the choices on the menu. The chef confirmed that most meals are cooked from a locally produced supply and there is always one fresh vegetable served. The home can cater for a variety of specialised diets, including pureed meals which are presented to residents in an attractive and appetising manner. Staff are available at each mealtime to help residents who need help with feeding. This was observed on the day of the inspection and was being carried out discreetly in an unhurried manner. The registered provider/manager has produced a dietary needs statement which gives staff clear guidelines on serving, assisting and helping residents to enjoy their food as well as guidelines when there is difficulty in swallowing and for residents who may choke. From six surveys returned to the Care Quality Commission four residents said that the food in the home is excellent, two residents said that they usually liked the food in the home. On the day of the inspection from eight residents spoken to, two residents said the food was alright sometimes, six other residents said that food is always of a high standard and excellent. 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 know that their complaints will be listened to and acted on. Staff training, recruitment, policies and procedures are in place to help protect residents from abuse. Evidence: The complaints policy and procedures is detailed and gives residents details of how they can complain if they are not happy and what steps a formal complaints procedures takes. Residents said that they would know how to complain and who they would make the complaint to. There have been no formal complaints received by Ashridge Court Nursing Centre since the last key inspection. There has been one recent Safeguarding Vulnerable Adults referral to the local authority recently, which was found to be unsubstaniated in regard to Ashridge Court Nursing Centre. Staff have received Safeguarding Vulneralbe Adults training with exception of the four newest members of staff. The home has policies and procedures in place to inform staff what steps they must take should they suspect any form of abuse. All new staff are appropriately vetted prior to being deployed to work in the home. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a pleasant, well furnished and decorated home that has been maintained to a high standard. Infection control procedures are adhered to throughout the home this helps to prevent the risk of cross infection to residents. Evidence: Ashridge Court Nursing Centre provides residents with a homely, warm and bright place to live. All furnishings throughout the building in communal lounges, dining rooms and bedrooms are of a very high quality. Access to all floors is by a passenger shaft lift. There are communal lounge areas on all floors, which again are furnished and decorated to a very high standard. The home has been subject to high quality refurbishment over the years with provision of new extensions. At the present time some refurbishment work is taking place in the centre of the building but this is appropriately sealed off from residents to ensure their health and safety and to cause them the least amount of disruption. Communal toilets and bathrooms provide residents with specialised bathing facilities and other equipment to assist with mobility. Bedrooms are very well furnished and decorated and personalised with residents own possessions. Outside space to the side and rear of the home has been landscaped with tarmac paths, patio areas and a pond. There is access to all areas of the garden for those residents who need to use a wheelchair. Care Homes for Older People Page 18 of 26 Evidence: Infection control procedures are stringent throughout the home with provision of alcohol hand gel, liquid soap and paper hand towels in all communal bathrooms and toilets. Clinical waste is disposed of in appropriate bags and bins. Staff are provided with disposable aprons and gloves for carrying out personal hygiene tasks. Sluice rooms are hygienically clean. The laundry room has industrial washing machines providing the appropriate infection control programmes. The home is kept immaculately clean throughout and there are no offensive odours. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staffing levels at the present time are sufficient to meet with residents assessed needs. Staff have the qualifications, skills and knowledge in personal, health and social care to meet residents assessed needs. Staff recruitment procedures are strictly adherred to, this helps to ensure that residents are not placed at risk of abuse. Evidence: On the day of this key inspection there were sufficient Registered General Nurses, Health Care Assistants and ancillary staff on duty to meet with resident needs. The registered provider/manager is aware of the need to keep staff rotas monitored so that there are sufficient staff on duty at all times to meet residents changing needs and to take into consideration the number of residents residing at Ashridge Court Nursing Centre. The staff in the home have the qualifications, skills and knowledge to meet a diverse range of resident needs. Over 65 of health care assistants have achieved their NVQ level 2 or above in Social Care. Registered General Nurses also keep their training up to date on a regular basis. Care Homes for Older People Page 20 of 26 Evidence: Staff recuitment practices in the home are stringent and ensure that all staff have the appropriate protection of vulnerable adults register and criminal records bureau checks prior to taking up employment in the home. Two written references are also sought, and there was evidence from three files viewed by the inspector that one of the references is always from the prospective employees last employer. All files viewed had at least two proofs of identity. From the training records and speaking to staff it is evident that all staff receive mandatory training and evidence provided showed that four new staff recently recruited will be attending mandatory training. All staff receive initial induction into the home and all health care assistants are required to complete a Skills for Care related induction within the first six weeks of their employment. 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 registered provider/manager is supported well by a staff team to ensure that residents receive a good standard of care. The quality assurance system used in the home is excellent helping to provide an excellent quality of care for its residents. Health and safety is of paramount importance in the home to ensure that residents live and staff work in a safe environment. Evidence: On the day of this key inspection the inspector met with Mr and Mrs Van Eugen the owners of Ashridge Court Nursing Centre. Elizabeth Van Eugen is the registered manager of Ashridge Court Nursing Centre. Residents and staff spoke highly of Elizabeths committment to the home. Residents and visitors said that she is always available for them to provide assistance, guidance and support. Four visitors to the home spoke about how well they are kept informed of their mothers state of health. Care Homes for Older People Page 22 of 26 Evidence: Two surveys returned to the Care Quality Commission and completed by a family member states that standard of care in the home is excellent. Another two surveys completed by residents state that care is excellent, and staff are well trained and qualified. The quality assurance system developed by the home is of an excellent standard, with residents, relatives and stakeholders views being sought. Evidence was also available to show that regular monitoring takes place by Elizabeth, registered provider/manager of Ashridge Court Nursing Centre with a Dignity in Care Scored Audit of environment, privacy, respect, personal care and bathing, personal care toileting, personal care, communications and mealtimes as well as monthly care plan review, monthly medication audit record, monthly enviroment audit record, daily room cleaning audit record. Residents, visitor and staff alll spoke highly of the standards expected in the home and the attention to detail. Risk assessments are carried out for fire and health and safety both internally and externally. An evaluation report is then published on the findings of questionnaires, auditing and risk assessments. The home does not take any responsibility for residents personal allowances any extras paid for by the home are included on the monthly bills. Health and safety is of paramount importance in the home, as well as the home owners paying detailed attention to health and safety issues, the handyman and a company employed by the owners carry out regular health and safety risk assessments. The maintenance man also carries out regular recorded checks on the fire call points, emergency lighting and hot water delivery. All windows are fitted with window opening restrictors. The external gardens are kept well tended and safe for residents and visitors to use. Accidents are recorded into an appropriate book with all falls being monitored and reported if necessary to the residents general practitioner. It was noted by the inspector that falls are kept to a minimum in the home 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. Copyright © (2009) Care Quality Commission (CQC). 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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