Care Home: Austen House

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What the care home does well Prospective service users and their relatives have access to appropriate information to help them make an informed decision about living at Austen House. Only service users with a full needs assessment in place will be admitted to the home. This is to ensure that the home can meet individual needs. Relatives confirmed that they had been involved in the admission process. The home is well manage in the best interests of the service users. The health care needs of service users are met with evidence of good care practices being undertaken. There is regular input form other health care professionals and a relative confirmed frequent visits from the GP. The home provides care for people with dementia on three units and accommodation has been adapted with memory boxes and signs to promote orientation. Service users benefit from a staff team that were observed to be competent and skilled to meet assessed needs. There is an excellent staff training and development programme in place overseen by a permanent trainer. This reflects in the standard of care being provided. Staff recruitment procedures protect the people living in the home. The home is clean and well maintained. Activity arrangements are varied and meaningful and are coordinated by 3 activity staff with a good knowledge of the needs of people with dementia. The systems for monitoring quality assurance are good with service users and relatives views listened to and acted upon. The health and safety arrangements in place promote the safety of service users, visitors and staff. What has improved since the last inspection? There were no outstanding requirements from the last inspection. The home has been the subject of an ongoing safeguarding investigation that has now been resolved. They have now reviewed their medication policy regarding how insulin injections are administered. Two staff now check injections. Considerable work has been undertaken on the care plans which are now detailed and maintained to a good standard. What the care home could do better: No requirements were made as an outcome of this inspection. There was an issue of mal odour on one unit that the manager had identified and new carpets were ordered. Key inspection report Care homes for older people Name: Address: Austen House Kilnsea Drive Lower Earley Reading Berkshire RG6 3UJ     The quality rating for this care home is:   two star good 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: Mary Williamson     Date: 2 1 0 6 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: Austen House Kilnsea Drive Lower Earley Reading Berkshire RG6 3UJ 01189266100 01189662972 austen@barchester.com www.barchester.com Barchester Healthcare Homes Ltd The registered provider is responsible for running the service care home 79 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 79 The registered person may provide the following category/ies of service only: 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 categories: Old age, not falling within any other category - OP Dementia - DE Date of last inspection Brief description of the care home Austen House is owned by Barchester Healthcare Homes Limited and provides care and accommodation for 79 people. The home is divided in to four units, Kennet, Thames, Bourne and Loddon. Each unit has its own lounge and dining room, and most Care Homes for Older People Page 4 of 26 Over 65 0 79 79 0 1 8 0 6 2 0 0 9 Brief description of the care home bedrooms have an en-suite facility, those that dont have a washbasin within the room. The home is situated in a residential area of Reading close to local amenities, and public transport is accessible from the home. Kennet Unit provides care for twenty frail and physically disabled people, and Thames, Bourne and Loddon provide care for people who have dementia. Austen House has a Statement of Purpose and Service Users Guide available on application to the home. The fees charged by the home vary, according to the care required, and range between £722 to £1,100 per week with additional charges for Hairdressing, Daily Newspapers, Chiropody, Taxi Fares, Opticians and Physiotherapy. 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: 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 quality rating for this service is TWO star. This means that people who use the service experience GOOD quality outcomes. This was a key inspection and was unannounced. The inspection was facilitated by the recently appointed home manager, and carried out by Mary Williamson Regulation Inspector and Lisa Johnson Regulation Inspector over a period of six hours. Prior to the inspection the home was asked to complete an Annual Quality Assurance Assessment (AQAA). This was detailed and contained all the information we asked for. The focus of the inspection was to look at the experiences of life in the home for people living there. No feedback surveys were used with this report. The inspectors were shown around the home and were introduces to service users and staff. It was possible to talk with several service users and relatives to hear their views Care Homes for Older People Page 6 of 26 of the home. Several staff were spoken to including carers, qualified nurses, the housekeeper, two activity coordinators, the maintenance team, the staff trainer, and the administrator. We also met with the Operational Director who was visiting the home in support of the manager. He was also taking photographs for Barchester in Bloom competition. Records relating to the care of the service users and the management of the home were seen and included, care plans, medication records, activity arrangements, menus, staff training and employment files and health and safety documentation. 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: No requirements were made as an outcome of this inspection. There was an issue of mal odour on one unit that the manager had identified and new carpets were ordered. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective and existing service users and their relatives have information available to them about what services are available and what to expect when living in the home to help them make a choice about living there. The standard of the pre admission needs assessments is good enabling prospective service users to be suitably placed and their needs met. Contracts of occupancy are well maintained. Evidence: The home has a statement of purpose and service user guide in pace. This is available to all prospective service users and their relatives to enable them to make a choice about living at Austen House. A copy sampled in a service users bedroom was noted to be out of date. This was brought to the attention of the manager who arranged for this to be updated to include the current managers details and the CQC details. All prospective service users have a needs assessment undertaken prior to being Care Homes for Older People Page 11 of 26 Evidence: admitted to the home in order to establish the suitability of the placement and if the home can meet the specific individual needs. Four needs assessments were seen. These were undertaken by a qualified member of staff and were detailed and informative. A relative explained how he had been involved in the assessment process and in the selection of the home. Individual contracts of occupancy are in place. Three of these were seen and are well maintained. They outline the type of accommodation offered, the care provided, the fees payable and the method and frequency of the payments. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Since the last inspection considerable improvements have been made to the care planning process and now service users benefit from well maintained plans that outline their health, personal and social care needs. Service users health care needs are being met. Medication policies and procedures have been updated to promote the safety of service users. Evidence: Seven service users care plans were sampled during the inspection. These are written with input from service users and their families, information gathered from the needs assessment, and relevant medical reports and records. Any risk associated with each aspect of care are identified and assessed, these include manual handling risk assessment, risk of falls, pressure sores, choking, and the use of bed rails. Staff spoken to were very aware of service users needs and associated risks. Since the last inspection considerable work has been undertaken on the care planning systems in the home which has resulted in well maintained and good care plans, that are reviewed at least monthly or more frequently when needs change. Care Homes for Older People Page 13 of 26 Evidence: Sound arrangements are in place to meet individual health care needs. All service users are registered with a local GP who visits the home twice weekly or more frequently if required. Arrangements are also in place for chiropody, dental care, physiotherapy, and intervention from other health care professionals as necessary. Skin care assessments promote good practice and currently no service user in the home has a pressure sore. All service users looked well cared for and well groomed. Three of the four units at Austen House provide care for people with dementia. The new manager has a good understanding of this need and cascades this throughout the staff team through training and leadership. Austen House has a medication policy and procedure in place. Medication administration practices were observed in Bourne unit in accordance with this policy and the (NMC) Nursing and Midwifery Councils Code of Professional Conduct. Systems were in place for the receipt and checking of medication when it arrives at the home, and the appropriate disposal systems in place. Medication recording charts were sampled and these were well maintained, they also include photographic identification of people. There were concerns relating to the administration of insulin notified to us since the last inspection that were investigated using the safeguarding vulnerable adults procedures. This has now been resolved and we were informed that injections are now checked and signed by two members of staff. The storage of medication is satisfactory including the arrangements for controlled drugs. West Berkshire NHS Primary Care Trust carried out a Pharmaceutical needs of Care Homes Inspection on 4/4/2010. The inspection record evidenced that all was satisfactory. Privacy and dignity of people was promoted. Staff were observed to knock on service users bedroom doors prior to entering. There was very good interaction between service users and staff and people were addressed in a polite and sensitive manner. Individual bedrooms promote privacy and locks can be provided for bedroom doors if required. 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. The people who live at Austen House have their lives enriched by the various opportunities and occupation provided by the activity staff. Links with family and friends are valued and supported by the home. Privacy, dignity, individuality and choice are promoted and observed. Nutritional needs are being met Evidence: The home employs three activity coordinators and it was possible to talk with two of them during our vist who were knowledgeable about the range of activities they undertake to suit the needs and interests of service users. There was a programme of activities on display formulated in pictures ensuring accessibility and understanding for people with dementia. A group of service users were having coffee in the garden, some were reading a newspaper, and others were engaged in one to one activity or discussion. Otehr activities include music therapy, art and craft, reminescence, quiz afternoons, card and board games, sherry afternoons, flower arranging and trips out. The environment has been adapted to stimulate peoples memory and a number of objeacts were seen throughout the home for example an old fashioned sewing machine, old telephone and typewriter, clothing, kitchen items, and nursery items. A display of old newspaper cuttings and advertising was also in place. A display of tennis Care Homes for Older People Page 15 of 26 Evidence: items were used to promote Wimbledon this week and also old football pictures to promote the world cup football event. Sinage has been introduces to assist peoples orientation such as pictures indicating the bathroom and toilets. Peoples care plans contained information about hobbise and interests and and also included activity reviews. Family links are maintained and relatives may visit the home at any reasonable time. One relative confirmed how he had been fully involved in the admission process and is invited to care reviews. A relative stated the staff always try their best and most staff are good. A few could communicate better explaining to service users where they are going. A relative discussed the changing managers and felt that the home had improved. Spiritual needs are supported and a Holy Communion service is organised monthly in the home. Gospal singing is also facilitated weekly. Visits from various clergy will be arranged on request. The daily menue was displayed at the main reception area of the home and copies of this placed on individual dining tables. Menus are planned by the catering manager/chef with input from the service users and feedback from staff. Lunch was observed being served on Thames unit, Lodden unit, and Bourne unit. Tables were nicely presented, although we did not see condiments provided on the table. Service users are encouraged to choose their food and sensitive support is provided for service users who require help with feeding, which is unhurried and unrushed. A member of staff was observed eating their meal with a person who required support to eat. There were very positive comments about the food. One relative expressed concerns that occasionally some meals have bones in meat. It was good to see ample drink dispensers throughout the home and people have access to drinks and snacks throughout the day. The second chef was making a birthday cake to celebrate a service users birthday with afternoon tea. The kitchen was clean and orderly and all staff have a current food hygiene certificate. 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. There is an effective complaints procedure in place that is accessible enabling service users and their relatives to voice their concerns. The safeguarding procedures protect the people who live in the home. Evidence: The home has a complaints procedure in place. A copy of this is displayed in the main reception area and is also accessible to service users, and their relatives, in the service user guide, should they be unhappy with any aspect of the service provided. The complaints log was seen and 3 complaints were noted this year. Two of these complaints were resolved using the homes complaints procedure. One complaint was investigated under Berkshires safeguarding vulnerable adults procedures. Relatives spoken to were aware of the complaints procedure and felt confident that any issues would be resolved now that the management of the home had settled down. The home also has a safeguarding vulnerable adults procedure in place. The training coordinator confirmed that all staff had attended safeguarding training and that this is updated regularly. The home was subject to a detailed investigation under Berkshires safeguarding vulnerable adult procedures regarding the health and welfare of a service users including medication errors. This has now been fully resolved and the local authority have resumed the placement of service user at the home. Staff consulted with had a good understanding of their roles and responsibilities regarding safeguarding. 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. People who live at Austen House benefit from living in a home which is clean, pleasant, and well maintained. Evidence: The home is arranged over four units. Three units provide care for people with dementia and one unit for people who are older and frail. The inspectors were shown around the home by the manager and introduced to the service users, staff and relatives. Each unit has a lounge, dining room and recreational area providing ample communal space. The standard of decoration is good providing people with a comfortable, well maintained, and safe place to live. The standard of cleanliness is good. Mal odour was evident in the hallway on Lodden unit. On discussion with the manage this had been identified and new carpets had been ordered. Individual bedrooms have en suite facilities and are comfortably furnished. People can bring their own furniture and personal possessions with them into the home to reflect individuality. Memory boxes are used on service users doors to help them recognise their rooms. The home has been adapted to meet mobility needs. Bathrooms are equipped with assisted baths or showers, toilets have safety rails, and hoists are provided for lifting. These rooms are easily identified by picture signage. There is a call bell system Care Homes for Older People Page 18 of 26 Evidence: throughout the home and two lifts to provide access to the first floor. People living in the home benefit from well maintained gardens that are easily accessible. The laundry is located on the first floor and is well equipped. There is an infection control policy in place and all staff have training in this policy. Hand gel is provided at various locations and protective clothing for staff. The home employs a maintenance person who also takes responsibility for for making sure safety certificates are up to date for equipment and oversees fire safety regulations. Evidence of this is provided in the AQAA. The operational director for Barchester Health Care confirmed that there was a refurbishment budget for the home. 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 who live at Austen House are well supported by a very competent and skilled team of staff in sufficient numbers to meet individual and collective needs. The recruitment procedures in place protect the service users living there. Evidence: The staff duty rota was seen and indicated that sufficient staff were on duty to meet the assessed needs of the service users. This was also confirmed by the Hours Rota Master Report provided by the administrator. Each unit has a qualified nurse in charge who is supported by three or four care staff. There was good interaction between service users and staff. The staff spoken to had a good understanding of individuals needs and were confident in their approach to care. One qualified nurse stated that an extra carer would benefit the unit. This was discussed with the management who confirmed that additional staff are provided according to occupancy levels. A relative stated that the staff are lovely, another said they do all I ask. The home also employs housekeeping staff, catering staff, three activity coordinators, laundry staff, a maintenance team, a receptionist, and an administrator. The home has an excellent training and development programme in place for all staff. New staff undertake induction training based on Skills for Care. The trainer stated that most training is done in the home although some of Barchesters other homes can be used. Over 50 of staff have an NVQ qualification. We were informed that staff who Care Homes for Older People Page 20 of 26 Evidence: do not speak English as their first language are supported to receive this training. An example of the training provided included dementia awareness, tissue viability, health and safety, safeguarding, moving and handling, fire safety, food hygiene, infection control, and challenging behaviour. Qualified nurses are given training for career development. Staff recruitment procedures were discussed. Four staff employment files were seen. These are well maintained and contained all the required documentation including an application form, an employment history, two written references, and a CRB (Criminal Records Bureau) disclosure. Systems are in place for checking qualified nurses PIN numbers. 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 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 being managed effectively in the best interests of service users. Systems for service users and relatives consultation are good ensuring their views are being acted upon. The health and safety of service users and staff are promoted and protected. Evidence: The manager is in post since March 2010 and is currently compiling his documentation to apply to The Care Quality Commission to become registered. He has experience in managing care homes having worked for several big organsations and has previously been registered with NCSC and CSCI. He demonstrated a good understanding of dementia awareness which he cascades throughout the staff team. Two staff felt things had settled down since his appointment. The home was the subject of an ongoing safeguarding investigation on the managers appointment, which he managed very well. He has the full support of the operational director who visits the home approximately twice a week. Care Homes for Older People Page 22 of 26 Evidence: Systems are in place to monitor quality assurance. Regulation 26 visits are undertaken and the reports were available at the inspection for information. Annual service user and relative surveys are distributed and feedback acted upon. Service user/relative meetings take place and comments used as part of the quality assurance process. Staff meetings also take place. Audits of care plans, housekeeping audits, catering audits, health and safety audits, and monitoring of activities are also used to measure quality. The home does not handle money on behalf of the service users. Expenses incurred by people who live there, for example hairdressing and newspapers will be paid by the home and invoiced to the person who pays the service users fees. All staff receive formal supervision. The trainer undertakes clinical supervision for all qualified staff. Care staff receive formal supervision from the qualified nurses. This is recorded on staff files. Health and safety policies and procedures were seen throughout the day. All staff have training in health and safety policies and procedures that is updated regularly. Risk assessments are in place for all identified risks to promote the health, safety, and welfare of service users and staff and for safe working practice. Fire safety awareness training is also undertaken, and safety checks for fire alarms and fire fighting equipment undertaken by the maintenance team and recorded. The home has a good record of notifying us of any incidents that occur in the home which they are legally required to do so. 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. 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