Care Home: Beech Tree Care Home

What the care home does well Peoples needs are known before they move to Beech Tree, so they can be as certain as possible that the service Will be suitable for them. Staff know residents well and communicate with them effectively. The following comment was made "Staff are very observant and can tell when a resident is not happy or unwell." Residents do a lot of different activities that they have chosen. One resident said "there is a variety of activities that i enjoy." Beech Tree is well maintained and provides a clean, comfortable and safe environment to live in. Residents and their relatives are confident concerns or complaints will be taken seriously. The manager ensures that there are enough staff on duty to make sure that people are offered the right amount of support. Staff are well trained and there are good systems to check them before they work in the home. This helps to keep people safe and ensure staff can meet their needs. There are various ways the service obtain the views of residents and people with an interest in how the service is run. What has improved since the last inspection? A recent recruitment drive was successful and new staff have been employed. A new manager is in post. What the care home could do better: The manager needs to submit her application to register with us to show she is the right person to manage the service. Records need to be kept up to date to show a true record of the care and support provided. This will ensure the service is able to show the level of care given. The manager must ensure creams prescribed to individual`s are not used for anyone else. Some carpets need replacing as they are worn and stained and some bathroom/en suite facilities need refurbishing so they can be used. The service must inform us of any changes to the management and of any safeguarding adults referrals or investigations. This is so we can monitor the service. The manager should make sure the improvements are carefully planned. This will help to ensure they happen. Key inspection report Care homes for older people Name: Address: Beech Tree Care Home Sprents Lane Overton Hampshire RG25 3HX     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: Tracey Horne     Date: 2 8 1 0 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: Beech Tree Care Home Sprents Lane Overton Hampshire RG25 3HX 01256771353 01256771336 beechtree@schealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Southern Cross Operations Limited care home 61 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability Additional conditions: The maximum number of service users who can be accommodated is: 61 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 Physical disability - PD Date of last inspection Brief description of the care home Beech Tree is a care home providing personal and nursing care for up to 61 service users in the older persons category. The home is situated near to Basingstoke in the village of Overton. The home consists of a three storey building which was purpose built. There are forty-seven single rooms and seven shared rooms most of the single rooms have en-suite facilities. There is a passenger lift and a small-enclosed garden with easy access for wheelchair users. Care Homes for Older People Page 4 of 27 Over 65 61 0 0 61 2 6 0 9 2 0 0 8 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The purpose of the inspection was to assess how well the service is doing in meeting the key National Minimum Standards (NMS) and Regulations. The findings of this report are based on several different sources of evidence. These included: We considered information received about the service since the last Key Inspection (KI) and Annual Service Review (ASR). We looked at what the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. A visit to the service by a Regulatory Inspector. This took place over two days on the 27 and 28 October 2009 between 09:00 and 15:30. Care Homes for Older People Page 5 of 27 We looked at documentation relating to six residents. We spoke with the person managing the home at that time, six staff members, two social care professionals and two people who was visiting their relative. We also spent time in communal areas observing interactions between staff and residents. We spent time looking at records such as pre admission assessments, care plans, medication records, staff recruitment and training files and records of complaints and compliments. Care Homes for Older People Page 6 of 27 What the care home does well: What has improved since the last inspection? What they could do better: The manager needs to submit her application to register with us to show she is the right person to manage the service. Records need to be kept up to date to show a true record of the care and support provided. This will ensure the service is able to show the level of care given. The manager must ensure creams prescribed to individuals are not used for anyone else. Some carpets need replacing as they are worn and stained and some bathroom/en suite facilities need refurbishing so they can be used. The service must inform us of any changes to the management and of any safeguarding adults referrals or investigations. This is so we can monitor the service. The manager should make sure the improvements are carefully planned. This will help to ensure they happen. Care Homes for Older People Page 7 of 27 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 27 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are given accurate information about the service and their needs are known before they move in. This helps them make a choice about whether the service will be suitable for them. People can be as sure as possible that the service will be able to meet their needs. The service provides intermediate care when it has capacity but should ensure everything is in place to ensure the persons health, welfare and safety is maintained. Evidence: We looked at the assessment records of four residents who had been admitted recently. They all showed that the comprehensive assessments had been completed prior to admission by the manager and trained nurse. The individuals relatives or representatives were involved in the process to gather as much information about the person as possible. Such as individuals preferred routines, religion/spirituality, interests and dietary requirements. The assessments also identified any potential risks, such as a history of falls, and what steps would need to be taken to minimise Care Homes for Older People Page 10 of 27 Evidence: them on admission, such as specialist equipment or the need for two staff to provide support when transferring. Five staff agreed to being given information about peoples needs, which enables them to provide the care the person needs. One relative recalled receiving a contract and information about the home before their relative moved in which enabled them to decide if it was the right place for them. We spoke with one relative who confirmed that they felt that the home meets the needs of the residents, not just their relative, as they have observed during their visits, which are almost every day. The manager confirmed the service would only provide intermediate care if there was accommodation, equipment and staff available to meet the short term needs of an individual. However we received information prior to this visit from Hampshire Social Services which has resulted in a Safeguarding investigation under Adult Protection procedures. Care Homes for Older People Page 11 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents who are able are involved in the development and review of their care plans. Records need to show that residents personal and health care needs are being met. The homes processes for storing and handling medication protect residents. Residents privacy and dignity is respected Evidence: We looked at the care plan records of six residents, they included information about their personal hygiene, mobility, medication, body mapping record which is used to monitor the condition of the skin, weight and nutritional needs. Staff said each care plan has a checklist which is supposed to be completed after providing personal care such as bath, wash, nail care etc. We could see from the care plans we looked at that these had not been completed fully and it showed that some residents had not had a bath or shower for two weeks. Records showed they had been given washes. Nail care records were similar, and we observed one resident with long, dirty finger nails. This was brought to the attention of the manager who said the resident has a specific nail condition which makes the nails appear dirty and that the resident doesnt like having their nails cut. Each plan included risk assessments and that had been regularly Care Homes for Older People Page 12 of 27 Evidence: reviewed. Staff said this ensures any risks are identified and measures are put into place to minimise, such as using special equipment to aid lifting. The manager confirmed that residents families are invited to attend review meetings, subject to the residents agreement. We spoke with six members of staff who confirmed they got the information they needed from the care plan and from the daily handover and daily records. They agreed that the way in which they are informed about the people they support works well, and were very confident they have the support, experience and knowledge to meet the different needs of people who live at the service. One care plan clearly stated encourage fluids. Records showed the resident had a cup of tea at 19.00 and an entry stated encouraged fluids at 23.00, but did not specify what or how much. We looked at the fluid input and output for the few residents who were in bed, they showed that regular drinks were offered but output was not being monitored effectively. We discussed this with the manager as it would appear that some record keeping is not being maintained correctly to show a true picture of the care and support being given. The information we received from social services prior to this inspection was concerning inconsistency in record keeping. One resident had a fall during the night, daily notes, risk assessment and care plan had been reviewed and updated where necessary and the family had been informed. Body mapping records seen had been reviewed and updated accordingly. Staff noticed that one resident wasnt well and their condition had deteriorated rapidly. The staff were prompt to contact the doctor for advice. Daily records showed that residents had access to health care services such as Doctor, District nurse, chiropodists and dentists. G.Ps visit the home regularly to see anyone with minor health issues. One relative confirmed residents can see the doctor whenever they wished. Two residents agreed that they received care, support and medical support as they need. All staff we talked to agreed they receive training that gives them enough knowledge about health care and medication. All medication is administered by trained nurses who have all received additional training in medication administration. Medication records are regularly reviewed by the head nurse and the manager to ensure they are completed correctly. Two residents we spoke with said they were happy with how they received their medication. We looked at some medication administration records (MAR) sheets, which had been completed correctly. At the time of this inspection no resident manages their own medication. During a tour of the home we found some creams and ointments in the bathrooms of residents that did not match with the name they were prescribed for. One label had been ripped of the tub of cream, which meant it was impossible to identify who it had been prescribed for, and for what purpose. The manager was made aware of this and the creams were disposed of. Care Homes for Older People Page 13 of 27 Evidence: Residents we spoke with said that they were treated with respect and that their dignity was maintained. We could See privacy screens were being used in shared rooms. Residents said the staff show respect when they speak by using their preferred name, which may be Mr or Mrs instead of their Christian name. The manager explained the role of the Dignity Champion staff. They are responsible for raising awareness of how to ensure dignity is maintained in working practice. We saw many interactions between staff and residents. All of which were appropriate and valuing of the resident. Care was given in a discreet way and the assistance we saw at lunch time was given in an unobtrusive manner. Staff had an awareness of individuality and ensured that residents were treated individually and given time to make their own choices such as what drink they wanted to what they wanted to wear to where they wanted to go after lunch. Care Homes for Older People Page 14 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are supported to live their lives in the way they wish. Residents are offered choice in many aspects of their daily living. Relatives involvement is encouraged and there is a wide range of activities provided. Dietary choices and preferences are catered for and residents benefit from nutritionally balanced meals being provided. Evidence: Residents said there is a range of activities available, such as dominoes, quizzes, art classes, coffee mornings, fetes and shopping trips. During our visit residents were seen playing board games with staff and a resident was playing the piano which other residents seemed to enjoy. The residents we spoke with told us they always had activities taking place which they enjoy. Cultural and religious needs of residents are respected and clergy from various denominations visit to provide worship services. Residents are also assisted to attend local worship in the local community of their choice. Residents told us they were able to chose how they spend their days and were given choice regarding when they got up and when they went to bed, what they did during the day and what meals they ate. Residents told us that they could chose when they Care Homes for Older People Page 15 of 27 Evidence: received visitors. There were areas around the home for residents to meet with visitors if they didnt want to use their rooms. We spoke to two relatives who said they can visit whenever they like and are made to feel welcome. The visitors book had several enteries where relatives had visited. We saw the menu on display and residents told us they were always able to choose the food they had at meals times and they could also change their mind when the meal was served. Environmental Health have recently visited to inspect the kitchen and awarded 4 stars excellent for the hygiene standards of the kitchen. The chef was aware of specialised diets and provided sugar free and low potassium and soft diets. Birthdays and holidays are celebrated with buffets and celebration cakes. We observed lunch times on both days of our visits, including seeing residents in their bedrooms being assisted to eat their meals by staff. The meal time was not rushed and there appeared to be enough staff on duty to assist and encourage where necessary and to answer call bells. Care Homes for Older People Page 16 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A robust complaints procedure ensures that people can be confident their complaints will be taken seriously and that appropriate action will be taken. Policy and procedures, together with the training provided for staff, ensures that residents are protected against the risk of abuse. Evidence: The home has a policy and procedure for recording and dealing with complaints. Copies are given to residents and their families on admission. The complaints record showed that the last complaint received was in August 2009 and was dealt with satisfactorily. The complaints record was easy to follow and included all appropriate details from what the complaint was about, the investigation, to the outcome. The manager said they audit the complaints record each month to ensure they are being monitored effectively. All of the staff we spoke to agreed to knowing what to do if someone has concerns about the home. One relative said they were aware of the complaints procedure and who to speak to if they were not happy, and was confident staff would take action to resolve any concerns they may have. The home had a policy and procedure in relation to the protection of vulnerable adults. The staff training records showed that staff receive training in recognising and responding to suspected abuse. This was confirmed by staff spoken with, who demonstrated knowledge of the correct procedures to follow. As mentioned earlier in this report, Social Services informed us of a safeguarding Care Homes for Older People Page 17 of 27 Evidence: adults investigation that was currently underway. The service should have informed us of this, the manager acknowledged this and said she would ensure we are informed in the future. All of the staff we spoke to agree the service ensured their CRB and references were carried out before they started work, which protects vulnerable people. 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. A safe, well maintained, clean, suitably furnished home is provided for residents, which meets their needs. Evidence: We looked around the premises and found them to be clean and tidy, no adverse odors were present. The manager said that as part of the business plan, carpets on the stairs are going to be replaced and most bathroom suits (communal and en suite) are going to be refurbished. The manager confirmed there are enough bathing facilities. We could see the service have domestic and laundry staff. Residents said they were satisfied with the cleanliness of their rooms and communal areas. A maintenance person is employed and any repairs are reported to the manager or administrator and are addressed promptly. We saw the gardens are well maintained and are located to the rear of the home. There is a large car park to the front of the home with sufficient parking for staff and visitors. The service have a reception area where anyone entering is met by an administrator or receptionist. This means that residents can be confident that only authorized people are entering their home. Staff told us they had received training in moving and handling and equipment such as hoists had been serviced. Corridors were clear from possible hazards. The manager confirmed that fire safety tests and training takes place regularly, and the fire system Care Homes for Older People Page 19 of 27 Evidence: is serviced regularly. We could see staff working to good infection control guidelines as they were using gloves and aprons when delivering personal care and serving food. The laundry has industrial washing and drying machines and dedicated laundry staff. There is an electronic clothes labeling machine available, which ensures that the residents have their own clothes to wear. In May 2009 the kitchen received an excellent rating from the Environmental Health Department Care Homes for Older People Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents feel that a sufficient number and skill mix of staff are on duty to meet their individual and group needs. Recruitment practices ensure residents safety Evidence: The manager confirmed that there were twelve staff on duty at the time of our visits. Two of which are trained nurses. During the visit, staff were observed spending time with residents. The manager said that staffing levels are adjusted to reflect changes in the number of residents and/or individual needs. Staff agreed there are enough staff on duty to enable them to carry out their job effectively. All of the staff we spoke to agreed they have been given training that is relevant to their role and helps them to understand individuals needs and keeps them up to date with new ways of working. The following comments were made we have lots of training which is good as it keeps us up to date with working practices. We talked to residents about the staff team and all of the comments were very positive and included the staff are very helpful, kind and caring. They spend time with me to talk whilst they give me the support I need. We looked at three files of the most recently recruited staff. We could see the necessary checks had been completed such as two references, identification and Criminal Records Bureau (CRB). Two staff said the recruitment process and induction was thorough and they received training and support throughout. The manager confirmed the induction program meets with Skills Care Homes for Older People Page 21 of 27 Evidence: For Care common induction standards. We looked at their training records and could see that staff had received training in areas such as basic food hygiene, nutrition, infection control, moving and handling, safeguarding adults, fire safety and understanding dementia. The manager said two staff are qualified to provide moving and handling training to other staff. Staff said they are supported to gain their National Vocational Qualification (NVQ) in Care, this means that they have an increased skill and knowledge base which may mean they are able to deliver an increased quality of care. Trained nursing staff said they are supported to attend study days to keep their practice up to date and these include sessions such as taking blood and using syringe drivers for pain management. 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 manager has experience of running the service, but is yet to register with us. The health, safety and welfare of residents and staff are promoted and protected. Systems are in place to monitor the quality of the service and to ensure residents needs and wishes are taken into consideration. Evidence: There has been a change in manager since the last Key Inspection (KI) and Annual Service Review (ASR). The current manager was appointed in June 2009 but has not yet applied to register with us. We have written to the provider about this. Staff and a relative said the home is managed well by the manager who is very approachable. The manager confirmed that residents expenses are paid for by the home and an invoice is sent to the residents relative or representative. Records of all transactions are kept. A maintenance coordinator ensures all equipment and utilities are regularly serviced. Weekly tests were completed for fire alarms and fire doors. Fire drills are carried out at least monthly. This means that residents are living in a safe environment. Care Homes for Older People Page 23 of 27 Evidence: The manager carries out monthly audits of care plans, staff records, catering and Maintenance records. Each month a representative of the organization visits the home under Regulation 26. The purpose of this visit is to talk to the manager, staff and residents, look at records and produce a report which shows how well care is being provided, or if any improvements are needed. Staff said they had spoken with the representative in previous visits. The manager said the organization recently sent out surveys to residents, relatives and staff bit the findings have not been published. 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). 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