Care Home: Avon House

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What the care home does well Avon House is clean, tidy and well maintained. The food is fresh and prepared on the premises. The people who returned surveys and those spoken with on the day were happy with their care. People said the staff listen and understand their needs. In the surveys we sent out we asked people what the home does well. The comments we received include the following from people who live in the home; "Care, attention, security and friendliness." "Individual, cheerful and willing care." "Staff are very attentive and willing. Any help I want is given as and when needed." "The care of the staff." "Provide a pleasant atmosphere with lovely carers." "Very clean, hygienic, tidy and homely. Good home cooked food. Good entertainment." "The whole atmosphere at the home is happy and friendly and I can feel I can approach the owner at any time I wish and the matter will be attended to." A health professional told us that Avon House is "caring and responsive to individual needs." Comments we received from three people who visit the home in a professional capacity include; "The care and the food is exceptionally good. The house is always lovely and warm and I could not fault it at all." "Staff are always friendly, helpful and respectful of all the residents. The care home is kept clean, tidy and well maintained. The food is well planned and prepared from scratch. Activities and entertainment are provided regularly for those residents wishing to take part." "The manager employs good caring staff who are friendly, helpful, polite and committed to caring for the residents. The atmosphere is very positive." There is a small staff team that work well together so that people live in a relaxed and pleasant atmosphere. The communication between staff is good and details of care at night and during the day is passed to people on the next shift at handover sessions. What has improved since the last inspection? The home has met all the requirements made at the last inspection. The guidelines set out by the Royal Pharmaceutical Society for the administration of medication are now being followed and people are now being supported to administer their own medication within a risk assessment framework.The manager has ensured that records are available at all times for inspection in the care home and for the efficient running of the service by the person in charge. Staff have received training in Safeguarding Vulnerable Adults. They were able to demonstrate that they know what to do if they suspect abuse and are aware of the reporting procedures that they need to follow to ensure that people living in the home are protected. Window restrictors have been fitted to first floor windows and substances that are hazardous to health are now being kept in a locked cupboard to protect peoples` safety. A new fridge has been purchased to store medication that needs to be kept in a cool environment and the temperature of the fridge is checked and recorded regularly. Care plans and medication records now include photographs of residents to ensure that people can be identified by new staff. One of the bathrooms in the home is now being used as a bathroom rather than as a storage area, therefore increasing the facilities and choice available for residents. A new care manager has been employed. Care plans are now reviewed monthly and include from the resident. What the care home could do better: Some documents in the home including the Service User Guide, complaints policy and Statement of Purpose need to be updated to show the details of the Care Quality Commission. A record of complaints is kept by the home. This record should include the dates when action is taken and the outcome has been completed to show that complaints are dealt with within the required timescale. Key inspection report Care homes for older people Name: Address: Avon House Stockcroft Road Balcombe West Sussex RH17 6LG     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: Jo Hartley     Date: 1 8 0 6 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 27 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 27 Information about the care home Name of care home: Address: Avon House Stockcroft Road Balcombe West Sussex RH17 6LG 01444811282 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Avon House (Balcombe) Ltd care home 19 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users to be accommodated is 19 The registered person may provide the following category of service only: Care home only (PC) to service users of the following gender: Either whose primary care needs on admisison to the home are within the following category: Old age, not falling within any other category (OP) Date of last inspection Brief description of the care home Avon House is a care home for up to 19 residents over 65 years of age. The Registered Manager responsible for the day-to day running of the home is Mrs Veronica Freeman. Avon House is a large Edwardian property located in a pleasant residential road in the village of Balcombe in West Sussex, with local shops a short distance away. Accommodation for people staying in the home is arranged on two floors with a passenger lift giving access to both floors. There is accommodation for staff on the second floor. Care Homes for Older People Page 4 of 27 Over 65 19 0 Brief description of the care home Accommodation consists of thirteen single and three double rooms all with en-suite facilities. There is a large dining/lounge area on the ground floor. The home is surrounded by a large rear and front garden both of which are accessible to residents. 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 site visit for this inspection took place on the 18th June 2009 between 10.30 and 15.30. The Registered Manager was on leave at the time. The Care Manager was running the home in the managers absence and assisted us with the inspection. The manager had completed an Annual Quality Assurance Assessment (AQAA) before the visit and this provided some information that was used in the planning of the site visit. Three staff and two residents were involved in giving information during the visit. The gardens, communal areas and five bedrooms were seen. We looked at records and documentation kept in the home including; the case records of three people living in the home, staff recruitment and training records, the record of complaints, duty rotas, some health and safety records, the medication records and the storage arrangements for medication. Care Homes for Older People Page 6 of 27 Surveys had been sent out to people living in the home, staff and healthcare professionals to find out what people think about the home. Replies were received from eleven residents, six members of staff, three healthcare professionals and three other people involved in the home. The responses to the surveys were positive and the information gathered has been used to help make an assessment of the service. Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? The home has met all the requirements made at the last inspection. The guidelines set out by the Royal Pharmaceutical Society for the administration of medication are now being followed and people are now being supported to administer their own medication within a risk assessment framework. Care Homes for Older People Page 8 of 27 The manager has ensured that records are available at all times for inspection in the care home and for the efficient running of the service by the person in charge. Staff have received training in Safeguarding Vulnerable Adults. They were able to demonstrate that they know what to do if they suspect abuse and are aware of the reporting procedures that they need to follow to ensure that people living in the home are protected. Window restrictors have been fitted to first floor windows and substances that are hazardous to health are now being kept in a locked cupboard to protect peoples safety. A new fridge has been purchased to store medication that needs to be kept in a cool environment and the temperature of the fridge is checked and recorded regularly. Care plans and medication records now include photographs of residents to ensure that people can be identified by new staff. One of the bathrooms in the home is now being used as a bathroom rather than as a storage area, therefore increasing the facilities and choice available for residents. A new care manager has been employed. Care plans are now reviewed monthly and include from the resident. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 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 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have their needs assessed before a decision is made about them moving to the home. Everyone who lives at the home has a written contract. Avon House does not provide Intermediate Care, therefore Standard Six does not apply to this home. Evidence: In the Annual Quality Assurance Assessment that the manager completed prior to the visit to the home we were told that prospective residents are encouraged to visit the home. A comprehensive assessment is then completed that includes information from GPs and other relevant professionals. If the prospective resident is unable to visit the home the Registered Manager or the Care Manager visits the person to complete the assessment with them. Samples of three case records were seen. They all contained assessments that were Care Homes for Older People Page 11 of 27 Evidence: made prior to the person moving into the home. Assessments carried out by social workers and other professionals were on case files to ensure the home had the information needed before the person moved. Where possible residents have signed the assessment to say that they agree with the contents. We received eleven surveys from people who live at Avon House. Ten said that they received enough information to help them decide that the home was the right place for them before they moved in. One person said that they didnt. Eight people said that they had been given written information about the homes terms and conditions, one said they hadnt and two said they didnt know if they had. We saw all the residents contracts during the visit they all contained the required information including terms and conditions, details of the trial period and charges. Care Homes for Older People Page 12 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. Health and personal care needs are set out in a care plan and are met by the home. The medication procedures have been improved and a requirement made at the last inspection regarding this has been met. People are treated with respect and their right to privacy upheld. Evidence: Three peoples care plans were read and all now have photographs of the person attached to the records. A recommendation was made regarding this at the last inspection. Since the last inspection the care plans have been updated and now include more detailed guidance for staff of individual needs and on how people prefer their care and support to be provided. Risk assessments are in place to identify the level of risk in aspects of peoples lives including mobility, moving and handling and pressure areas. The guidance for staff to help prevent risks is now more clearly recorded, for example for one resident with poor sight there is guidance in place that furniture and belongings are always put back in the right place to reduce the risk of falls and to ensure the resident is able to find Care Homes for Older People Page 13 of 27 Evidence: things. Care plans are reviewed monthly and include comments from the resident and the manager, this is an improvement since the last inspection. Health care needs are clearly documented and a record of any appointments are kept including the reason for the call and any medication prescribed. One resident has annual diabetes reviews and another recently had a review of the risk of fractures and falls carried out by a GP. People have their weight checked monthly. Ten residents who returned surveys said they always receive the medical support they need, one said they usually do. We received three surveys from health professionals. Two said peoples social and healthcare needs are usually properly monitored, reviewed and met by the home, one said they always are. Two said the home always seeks advice and acts on it to meet peoples social and healthcare needs and improve their well being, one said they usually do. The daily recording sheets were detailed and it was clear that staff communicate well about peoples changing needs. We received eleven surveys from residents. Nine said that they always receive the care and support they need, two said they usually do. Six staff returned surveys. Four said they are always given up to date information about the needs of the people they care for, two said they usually are. Comments we received from staff include, For me Avon House strives to do everything in order to give the residents the proper and right attention and care they have to receive. Care is given at a good level. Avon House gives the quality of care each service user needs and prefers. A GP told us that the home is Caring and responsive to individuals needs. At the last inspection the deputy manager said that all staff had received training in administering medication although there were no records available to evidence this. At this visit we saw certificates that showed that staff have now received formal training in the administration of medication. At the last inspection it was found that there were no risk assessments for people who administer their own medication and there were no records to show that the temperature of the medication fridge was being monitored. A self-medication risk assessment is now in place for those who need it. There is a new fridge for the use of medication and temperatures are now recorded daily. Care Homes for Older People Page 14 of 27 Evidence: Medication is now dispensed from a medication trolley instead of pots and the member of staff who administers the medication signs the record sheet. The requirement made at the last inspection that the dispensing of medication should meet the guidance set out by the Royal Pharmaceutical Society has now been met. Care Homes for Older People Page 15 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. Residents are offered a variety of activities and enjoy the food provided. Visitors are made welcome. Evidence: Residents are happy with the level of activities provided by the home. Seven residents told us that there are always activities arranged for them to take part in, three said there usually are. One resident told us that activities are arranged but I dont want to take part. Another resident said that the home has arranged for a student from the village to visit and play chess with her. She said, I really enjoy this as there is no-one else here that can play. A list of upcoming activities is displayed so people know what is happening when. Through looking at the daily records, observation during the visit and talking to people who live at Avon House we could see that people are able to exercise choice about their daily lives. For example they get up and go to bed when they choose, wear what they like and only join in the activities they like. During the day staff were seen welcoming guests to the home and offering them drinks. A resident said, Always when visitors come they are welcomed with a tray of Care Homes for Older People Page 16 of 27 Evidence: tea or coffee and biscuits, which is very appreciated. The entries in the visitors book show that visitors are welcome at all reasonable times and this was confirmed by a relative. Residents told us that they enjoy the food provided at the home. In the survey responses five residents said they always enjoy the food and six said they usually do. One resident said the home provides Good home cooked food. Another resident commented, If we dont like what is being cooked we can asked for something else, they will always do that for you. The menu for the lunchtime meal on the day of the visit was broccoli soup, chicken and ham pie with glazed carrots peas and potatoes followed by a choice of puddings. The daily menu is displayed on a chalk board in the dining room. People can eat in the dining room or in their own rooms if they prefer. Care Homes for Older People Page 17 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be confident that their complaints will be listened to. Residents are protected from abuse from the homes policies, procedures and staff training. Evidence: There is a complaints policy that is displayed in the hallway. The policy needs to be updated to show the current contact details for the Care Quality Commission. All eleven people who returned surveys said that they know who they can speak to informally if they are not happy and all but one person said they know how to make a formal complaint. We saw the complaints record at the home. The date when action is taken and the outcome completed should be recorded to show that complaints are dealt with within the required timescale. Staff and training records confirmed that staff receive training in Adult Protection. The West Sussex Guidance for Safeguarding Adults is available in the office. There are also policies and procedures for staff to follow. A requirement was made following the last inspection that measures must be taken to ensure that staff in charge of the home are aware of the reporting procedures regarding safeguarding matters to ensure that people are fully protected. This has now been met. 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. Residents live in a safe, well maintained environment that is clean and hygienic. Evidence: The home is comfortably furnished and well presented throughout. The lounge has comfortable sofas and chairs and has a homely, non-institutional feel. People are able to personalise their rooms with their own belongings. There is adequate communal space and people have access to the gardens by using a ramp. There is a patio area in the garden with seating. Someone is employed to provide day-to-day maintenance of the home. We saw invoices that show all equipment including fire equipment is serviced as required. Automatic door closures have been fitted to internal fire doors. Windows on the first floor now have restrictors fitted for the safety of the residents. At the last inspection it was found that only one bathroom was in use. At this visit it was found that the second bathroom that was being used as a storage area is now in use and available for residents. The laundry facilities are suitable for the needs of the home and care staff are responsible for laundry duties. At the last visit it was found that there were no lockable facilities for chemicals that may be hazardous to health and a number of Care Homes for Older People Page 19 of 27 Evidence: these items were being stored on open shelves in the laundry room which is accessible to people living in the home. These are now stored in a locked cupboard so the requirement made regarding this has been met. A member of the care staff was responsible for cleaning duties during the visit and the home was clean with no unpleasant odours. A resident commented that Avon House is a very clean, hygienic, tidy home. 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 are supported by trained, experienced staff who are competent to do their jobs. Evidence: On the day of the visit there were two care staff on duty plus the Care Manager and a cook and cleaner. At night there is one waking night staff and another member of staff on call in the flat above the home. In the surveys we received from staff and residents, five staff said that there are always enough staff to meet individual needs, and one said there sometimes is. Eight residents said there is always staff available when needed, and three said there usually is. The home has an induction and staff training programme in place. Three staff who replied to our surveys said that the induction they received when they started their jobs covered everything they needed to know very well, three said it covered most things. Mandatory training includes Adult Protection, Infection Control, Medication Administration and Food Hygiene. Staff confirmed that they receive training that is relevant to their role, keeps them up to date with new ways of working and helps them understand and meet the needs of individual residents. The home has over fifty per cent of staff with a National Vocational Qualification in Care at Level Two or above. We looked at the recruitment records for three members of staff and found them to Care Homes for Older People Page 21 of 27 Evidence: include all the required documentation including Criminal Records Bureau Checks and two written references. We could not find the application form for one member of staff. The Care Manager explained that the member of staff had been employed through an agency. Comments from residents include; Staff are very attentive and willing. Any help I want is given as and when needed. The home provides a pleasant atmosphere with lovely carers. 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 home provides a safe environment for residents. Improvements can be made in the quality assurance system. Some staff feel that communication between the Registered Manager and staff could be better. Evidence: Mrs Freeman is an experienced manager and we were told at the last inspection that she has registered to study for the Registered Managers Award. As Mrs freeman was not at Avon House on the day of the visit we were unable to ascertain whether she has completed this. Four staff who returned surveys said that they meet regularly with the manager for support and discussion on the way they work; one said they sometimes do and one said they never do. At the visit we saw evidence that staff receive supervision every two months. Comments we received from staff in surveys include; Carers have a good working relationship with the Care Manager. The Registered Manager should be more relaxed and approachable. The home should improve communication between staff and the Care Homes for Older People Page 23 of 27 Evidence: Registered Manager. At the last inspection a requirement was made that the manager should ensure that the person left in day-to-day charge of the home in her absence has access to the records required for inspection and for the efficient running of the home. The Care Manger who was in charge of the home on the day of this visit had access to all the records we need to view. This requirement has now been met. The manager said in the AQAA that quality satisfaction surveys are sent out to residents and relatives. This should be expanded to include other stakeholders such as G.Ps, District Nurses and Social Workers. Results from the surveys should be made available for any interested parties to view. Resident and staff meeting are held quarterly. The home holds small amounts of money for things like hairdressing and newspapers for some residents. We saw that records and receipts of all transactions are kept. We checked the record keeping for three residents and found the totals to be accurate. At the last inspection it was found that there were two environmental matters that could present a risk to people living in the home; there were no window restrictors in some bedrooms and chemicals hazardous to health were not being safely stored. These have now been addressed satisfactorily, therefore the requirement that was made has been met. We saw documentation that health and safety and regular maintenance checks have been carried out on equipment in the home. 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 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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