Care Home: Beaumont Court

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What the care home does well People said they were well cared for and the home was described as "excellent" by many people, including the relatives involved in assisting people to complete the surveys. One person said, "I cannot praise them too highly" and another said "the home is well run with very pleasant and friendly staff". Care is provided by a happy and trained staff team, whose main priority is meeting the needs of the people living at the home. Pre-admission assessments gather information to enable the staff to prepare for each person`s admission. The care planning arrangements, including the risk assessments are very good, ensuring all staff are made aware of people`s needs and how they wish to be supported. Subsequent record keeping is also clear and informative. People are admitted into a spacious, well-appointed home with all rooms being of a satisfactory size and having the benefit of an en-suite bathroom. The home has good levels of up-to-date equipment that make caring for the people who live in the home a safer exercise. Leisure activities are well planned and provide stimulation and interest to people. The meals are nutritious, plentiful and varied and people are free to request alternatives if they do not wish to have what is on the planned menu. What has improved since the last inspection? The care plan format has been revised from the pre-printed format to one that allows a more personalised description of people`s needs. Care staff have received up to date training in the protection of vulnerable adults and their responsibilities should they suspect someone is at risk. What the care home could do better: Mrs Julian and her staff team provide a good quality of care to people living in the home. Personal, health and social care are all given consideration in care planning to ensure people feel safe, well looked after and have an opportunity to socialise with others. Two recommendations for improvement has been made at this inspection. The first relating to the care plans and ensuring they are updated as each person`s needs change. The second relates to checking the temperature of the hot water where control valves have been fitted to ensure the temperature is maintained at close to 43 degrees centigrade to prevent the risk of scalding. Key inspection report Care homes for older people Name: Address: Beaumont Court Beaumont Court North Petherwin Launceston Cornwall PL15 8LR 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: Jane Gurnell Date: 1 9 0 8 2 0 0 9 This report is a review of the 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 stars – excellent • 2 stars – good • 1 star – adequate • 0 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. things that people have said are important to them: 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 They reflect the Care Homes for Older People Page 2 of 25 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 25 Information about the care home Name of care home: Address: Beaumont Court Beaumont Court North Petherwin Launceston Cornwall PL15 8LR 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): dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Physical Disability over 65 years of age Additional conditions: 1. The registered person may provide the following category of service only: Care home only – Code PC to service users of either gender whose primary needs on admission to the home are within the following categories: Old age, not falling within any other category (Code OP) – maximum of 29 places Dementia, excluding learning disabilities or mental disorder (Code DE) – maximum of 6 places Physical Disability – (Code PD) - maximum of 6 places Mental Disorder, excluding learning disability or dementia (Code MD) – maximum 4 places. 2. The maximum number of service users who can be accommodated is 29. Number of places (if applicable): Under 65 6 4 29 6 Over 65 Wentworth Healthcare Limited Sally Christina Julian Care Home 29 01566 785350 01566 785558 Care Homes for Older People Page 4 of 25 Date of last inspection: Brief description of the care home: 2 9 0 8 2 0 0 7 Beaumont Court is owned by Wentworth Healthcare Ltd. The home provides accommodation and personal care for elderly people in need of care by reason of old age. It offers accommodation on the ground and first floor, the latter being accessed by a stair lift. Rooms are all en suite and for single occupation unless two people elect to share. There is good communal space with a choice of sitting areas. The home has a garden with level walks and seating for people to enjoy. Day care and respite care are also offered, the home providing transport to collect and return people availing themselves of these services. Ample communal space is provided for both the resident population and day care service users. Journeys into the local town are arranged to enable residents to visit the shops, bank, hairdresser etc. Hairdressing and chiropody are arranged on a domiciliary basis. Medical cover and certain nursing treatments are available via the local Health Centre and the services of the Community Nurses. Residents are encouraged to take their main meal in the dining room where the table settings and meal presentation is of a good standard. A persons wish to eat in his/her room is however respected. Regular contact with families and friends is encouraged; help is given to maintain hobbies and interests. The home has a programme of activity to which all are invited. Information about services at Beaumont Court can be obtained directly from the home. The current weekly fees range from £440 to £535 dependent upon individual needs and excluding items such as personal toiletries, chiropody treatment, newspapers and magazines. Care Homes for Older People Page 5 of 25 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 activity Complaints and Protection Environment Staffing Management and administration Poor Adequate Good Excellent How we did our inspection: The previous inspection of Beaumont Court was undertaken on 29th August 2007 when the home was judged as providing good outcomes to the people living there. This unannounced inspection took place on the 19th August 2009. The homes registered manager, Mrs Julian, was present and she and her staff team assisted with the inspection. Prior to the inspection the registered manager had completed an Annual Quality Assurance Assessment form, which is a document provided by the Commission to enable the home to provide us with information about what the home does well, what plans there are for further development and improvement and information relating to health and safety practices. We also sent 14 surveys to people living in the home, 15 to staff and 3 to health care professionals involved in providing Care Homes for Older People Page 6 of 25 specialist support to the home. Ten surveys were returned from people living in the home, 12 from staff and 2 from health care professionals: all commented favourably upon the quality of the care and services provided at the home. On the day of the inspection a tour of the building was made and 15 people living in the home and a visitor were spoken with. Staff were spoken with and observed going about their duties and interacting with people. The records relating to the care of 3 people were looked at, as were the medication records, staff recruitment and training records and documentation relating to the servicing of equipment. Care Homes for Older People Page 7 of 25 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Care Homes for Older People Page 8 of 25 Details of our findings Contents Choice of home (standards 1-6) Health and personal care (standards 7-11) Daily life and social activities (standards 12-15) Complaints and protection (standards 16-18) Environment (standards 19-26) Staffing (standards 27-30) Management and administration (standards 31-38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 25 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 the 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 considering moving to Beaumont Court can be confident that their needs will be assessed to enable staff to make a decision about whether the home can meet their care needs and, if so, to prepare for their admission. Evidence: From the examination of care planning documentation it was evident that pre-admission assessments are undertaken for people considering moving to the home. The registered manager confirmed that either she or the deputy manager visits each person providing them with information about the home and undertaking an assessment of their care needs. The registered manager confirmed that she consults with other health care professionals such as the GP or Dementia Liaison Practitioner prior to making a decision about the homes abilities to meet the persons needs. The pre-admission assessment, along with an additional assessment completed on the day the person moves into the care home, forms the basis of the persons care plan. Each assessment included a dependency profile which was used to establish the level of care the person needed and provided a baseline for future care to be measured against. There were also copies of social worker assessment and care plans and hospital discharge referrals where the person had come from Care Homes for Older People Page 10 of 25 hospital straight to the home. People spoken with said they were invited to spend time in the home meeting the staff and other residents before making a decision to move in. Care Homes for Older People Page 11 of 25 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. This is what people staying in this care home experience: Judgement: People using the 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 care plans are comprehensive and well constructed from a wide range of information. The people living at the home are treated with dignity and respect, and are well cared for by the staff who also access the skills of health care professionals external to the home. Evidence: A large number of people living in the home with spoken with and all of those who were able to pass comment directly about the quality of the care and support they received said they were very satisfied: the home was described as excellent, marvellous and lovely. People said the staff were kind and caring and assisted them promptly when needed. Those people who werent able to directly comment due to their poor health or confusion was seen to be comfortable, well groomed and appeared content. All 10 surveys were returned from people living in the home, some of which had completed by relatives where the person was unable to do this themselves. Nine people said they always and one person said they usually receive the care and support they require. Comments included, always vigilant about our well-being, the staff are marvellous, for me they are the most important part of my care at Beaumont Court, and good care and friendly. Three care plans were looked at in detail. These were for someone who had recently been admitted to the home, someone with dementia who had lived at the home for some time and someone whose needs had changed due to ill health. As noted in the previous outcome group an assessment of care needs is undertaken on the day a person moves into the home and this forms the basis for their care plan. Two of the three care plans examined provided sufficient detail to ensure peoples needs were well known and met in a consistent and safe manner. One persons care plan had not been updated following a deterioration in their health, although the information regarding their change in care needs was detailed in the daily care notes. Peoples preferences with regard to their personal Care Homes for Older People Page 12 of 25 care was also recorded and it was evidence that where more specialist advice was needed, such as from the District Nursing Service and the Dementia Liaison Practitioner, this was sought promptly. The care planning process was very good with regular reassessment and care plan reviews taking place. Each plan provided photographic identification of the person it was about. There was a risk assessment for issues such as pressure area care, nutrition, mobility and the risk of falls. This ensured that risks to the persons well-being associated with their poor mobility or health were clearly identified and actions identified to reduce the risk. The care plans and risk assessments had been reviewed each month to ensure that these provided a current reflection of each persons needs. The registered manager said the care plans were written in consultation with the person themselves and their relatives, however this was not always documented. The registered manager was advised to record this involvement particularly where risks had been identified, such as the risk of falling, and where decisions had to be made about keeping the person safe but allowing them their independence and freedom to move around the home rather than have their movements restricted, which may cause distress to the person. The people living at the home have a choice of General Practitioner that they register with. Through the General Practitioners the registered manager can obtain referrals to other health care professions who do visit the home to provide care or advice in their field of expertise. This may include District Nurses, Community Psychiatric Nurses, Continence Nurse, and Occupational Therapists. Other services such as Dentistry, Audiology and Chiropody are provided to the people living at the home as required. Two health care professionals returned surveys and both commented favourably about the care provided at Beaumont Court. Those people moving to the home and who wish to retain responsibility for their own medicines are supported to do so after the registered manager has assessed that it is safe for them to do so. Otherwise staff are responsible for all medication related activities and although only senior care staff administer medication it was evident that all staff receive training in safe medication practices from the local pharmacist. Records of all medicines received into the home and disposed of were maintained, and medication records were neat and accurate. There is a spacious medication storage room and additional safe storage for controlled drugs. Those people spoken with said the staff treat them with dignity and respect. Personal care was provided in the privacy of the bedroom or another appropriate area such as the bathroom. Staff were seen knocking on bedroom doors before entering and when in discussion with people they addressed them in a respectful and friendly manner at all times. Care Homes for Older People Page 13 of 25 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. This is what people staying in this care home experience: Judgement: People using the service good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Meals are of good quality, nutritionally balanced and very well presented. Activities are well planned and provide interest and stimulation for people. The level of choice given to the people who live in the home, over a wide range of issues, is good and allows them to maintain a degree of independence. Evidence: Of the 10 surveys returned by people living in the home, six people said always and four people said usually to the question does the home arrange activities that you can take part in if you wish? People said they particularly look forward to the weekly trip to local places of interest. A calendar of events is displayed on the notice board in the home and includes activities such as quizzes, bingo, musical entertainment, visits from the Donkey Sanctuary, arts and craft sessions and religious services. Visiting can take place at any reasonable time and people said their relatives were made welcome. One person said the home gives a homely and warm welcome to family and visitors with cups of tea etc. Those people spoken with on the day of the inspection said the meals were excellent and really nice, with a good variety and plenty of choice. Breakfast was served in peoples bedrooms and the lunch time and tea time meals are service in the dining room or peoples rooms as preferred. People said they are able to request meals that arent on the menu and the cook is always happy to oblige. Seven people returning a survey said they always or usually enjoy the meals, and two Care Homes for Older People Page 14 of 25 people said sometimes: one person said never as they prefer the vegetables either raw or lightly cooked and this information was passed on to the staff. The cook is involved in how the food is prepared for the people in the home based on the results of the nutritional assessments and specialist meals are catered for such as those for people who have diabetes and those who require a soft or pureed diet. The registered manager said ministers of religion can visit at any time and a regular Christian service is held twice a month. She also said that all religions and beliefs would receive the same respect and opportunity to be practiced. Care Homes for Older People Page 15 of 25 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. This is what people staying in this care home experience: Judgement: People using the 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 living in the home and their relatives can be confident that any concerns or complaints they may have will be taken seriously and will be resolved promptly. The home has taken satisfactory steps to reduce the risk of any form of abuse through training and robust recruitment practices. Evidence: People said they felt they could raise any concerns with the staff or the registered manager and had confidence that any concerns they have would be dealt with appropriately. This was further supported by the surveys received, with all 10 people confirming they know how to make a complaint. Neither the home nor the commission has received any complaints about the service since the previous inspection, although the registered manager has recorded her involvement with a family on the complaints documentation to enable her to demonstrate how a matter was looked into and resolved. Staff from the home have attended Adult Protection training providing them with information about the signs and symptoms of abuse and the actions they should take should they suspect someone is at risk. The Annual Quality Assurance Assessment reported that this training is also ongoing. The staff records provided evidence that all staff are vetted during their application process and a Criminal Records Bureau check is carried out, ensuring as far as possible only suitable staff are employed. The home has robust policies and procedures for Adult Protect, disciplinary issues and whistle blowing. Care Homes for Older People Page 16 of 25 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. This is what people staying in this care home experience: Judgement: People using the 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 spacious and comfortable home with sufficient facilities to meet the needs of those currently living there. Evidence: Beaumont Court provides a comfortable and spacious home for people. Many of the buildings period features have been retained and people said they appreciate the attractiveness of the home and the extensive gardens. The home provides two lounge rooms, a dining room and a conservatory on the ground floor, all with pleasant views over the gardens. An extension, due to be finished in the autumn will provide a further 10 bedrooms and a lounge room. Bedrooms are provided on the ground and first floors and all have en suite facilities. Many of the room have direct access to the garden. A stair lift provides access to the first floor. Every person living in the home has the option to bring in items from their home to personalise their room and all rooms were comfortably furnished to the liking of the people who lived in them. The home has a variety of equipment such as grab rails and raised toilet seats and bath hoists to ensure people living at the home are able to maintain their independence as much as possible. The home has a dedicated housekeeping team and the home was found to be very clean and tidy: people said the home was always clean and there were no unpleasant odours. The home has a good standard of decor, furnishings and fittings, which provide a comfortable pleasing environment for the people who live there. The home employs a staff member to oversee the day-to-day repairs and redecoration of the homes ensuring it is maintaining in good and safe order. Equipment such as hoists and the stair lift are regularly serviced to ensure they continue to be safe to use. Some radiators were guarded where a risk of burns was identified should someone come into contact with them then they are on. There were thermostatic mixer valves on water outlets on baths and sinks in the bathrooms to reduce the risk of scalding from hot water. Care Homes for Older People Page 17 of 25 Laundry services were described as excellent. Only personal clothing is laundered by the home, bedding and towels are sent to an external contractor which reduces the burden on the staff. Care Homes for Older People Page 18 of 25 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. This is what people staying in this care home experience: Judgement: People using the 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 employs staff in sufficient numbers, and with satisfactory qualifications, skills, and experience, to meet the needs of the people who live in the home. The recruitment procedures protect people from the employment of potentially unsuitable staff. Evidence: The staff were described as kind and caring. All 10 people returning a survey said they received the care and support they required and staff were available when they needed them. One person said the staff work hard at keeping a cheerful atmosphere and another person said the staff provided good care and are friendly. At the time of the inspection there were 26 people living in the home. From discussion with staff and the registered manager and from examination of the duty rota it was evident the home provides six care staff on duty during the day until 1pm , four care staff until 5pm, three from 5pm until 6pm and two care staff from 6pm and overnight. These numbers do not include the deputy manager or registered manager when on duty. In addition the care staff are supported by housekeeping, catering and maintenance staff. Staff confirmed these numbers were sufficient to care for the people living in the home as well as those who attended for the day. The registered manager said these numbers would increase when the 10 new bedrooms became available for use. Staff spoken with and those returning a survey said they were well supported in their work and received the necessary training to ensure they have the skills and knowledge to care for people with complex care needs. Comments included the staff and management maintain a high standard and work well together, I enjoy working at Beaumont Court, it has a happy, homely atmosphere and the managers are always approachable and the home provides a high standard of care. Care Homes for Older People Page 19 of 25 A training programme ensures staff receive regular updates in training and the registered manager confirmed that all care staff have either achieved a National Vocational Qualification at level 2 or above, or are in training. New care staff are provided with an induction program and this was evident in the staff file of one newly employed care staff. New staff work alongside a more experienced member of staff until they and the registered manager feel they are competent and confident to work alone. Three staff recruitment and training files were looked at, one for a newly appointed member of staff, one for a carer who only works night duty and one for a carer who has worked at the home for many years. These provided evidence that the home has followed its recruitment procedure and obtained the required information about staff prior to the commencement of their employment, ensuring as far as possible only suitable staff are employed. Care Homes for Older People Page 20 of 25 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. This is what people staying in this care home experience: Judgement: People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Beaumont Court is a well managed home. The registered manager and her staff team strive to provide a safe, happy and caring home for the people who live there. Evidence: Mrs Julian, the homes registered manager, has many years experience working in care homes and has managed Beaumont Court for nearly three years. People said they felt the home was well run and confirmed there is an open door policy enabling them or their relatives to speak freely to the manager or senior carer on duty. The home does not manage the affairs of any of the people living in the home and with the exception of cashing cheques for people who are unable to go the bank, have no involvement with peoples money. From discussion with staff and the registered manager and from the examination of staff files it was evident care staff receive regular one-to-one supervision with a senior member of staff to review their work practice and to identify any training and development needs. The registered manager is provided with regular supervision sessions with the companys Operational Manager who visits the home frequently. Regular staff meetings enable the staff team to come together to discuss the running of the home and make suggestions for improvement. The home has a formal quality assurance process which consults with people living in the home, their relatives and health care professionals such as the General Practitioners and District Nurses, about the quality of the services provided at the home. The results for the most recent consultation in April 2008 were made available and these demonstrated a very high level of satisfaction. The Care Homes for Older People Page 21 of 25 registered manager confirmed that the surveys would be sent again this year. Advice was given to summarise the results and share the information with residents, relatives and staff. The home holds regular Resident meetings to allow people to become involved in the running of the home and to share information with them. The home is managed with the needs, and safety of the people living in it, as the priority. Staff have received adequate training in issues relating to the care of older people and the home has been maintained to a good standard. The fire safety system has been regularly tested and serviced to ensure it is maintained in a safe working order, and staff have received regular training and drills to ensure they know what action to take in the event of a fire. Care Homes for Older People Page 22 of 25 Are there any outstanding requirements from the last inspection? Yes No 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 23 of 25 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 1 OP7 Care plans should be updated as soon as possible after a change in someones needs have been identified. This is to ensure all staff are aware of the changes and the person is cared for in a safe and consistent manner. Care Homes for Older People Page 24 of 25 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). 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