Care Home: Belma

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What the care home does well Belma provides a "home-from-home". People said the home was lovely and they had no regrets moving in. The home is very well staffed, with at least 3 care staff available during the day for the 11 people living in the home. In additional the home employs domestic staff and the owners are on duty most days. This enables staff to spend time with people in leisure activities as well as conversation. People are encouraged to live their lives as they wish and to be as independent as possible, they are treated with respect and their dignity and self-esteem is promoted. Care plans are well written and provide a good description of people`s care needs and how staff should offer support. Risk assessments highlight any particular areas of concern and the measures necessary to reduce the risk of harm and injury. People are encouraged and supported to retain responsibility for their medicines. Meals are nutritious, varied and plentiful. People confirmed there is plenty of choice and alternatives to the planned meal at lunchtime are always available. People are free to choose whatever they wish for their evening meal including hot or cold meals, and this is prepared as and when people wish to have their meal. Written guidance is available for people with regard to legal matters such as lasting power of attorney and making a will. The owners of the home are very much involved with the people living in the home and people said they have an "excellent" relationship with them and their staff team. What has improved since the last inspection? The bedroom door locks have been replaced to ones that do not require a key from the inside. This ensures staff can gain access to the rooms in an emergency. What the care home could do better: Mr and Mrs Symonds and their staff team strive to provide high-quality service to the people living in the home. One recommendation has been made: the owners were advised to amend the application form for staff to include for information about their previous employment and to identify whether their have been any gaps in the person`s employment history. Key inspection report Care homes for older people Name: Address: Belma 120 Torquay Road Newton Abbot Devon TQ12 4AH     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Jane Gurnell     Date: 1 2 1 2 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 24 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 24 Information about the care home Name of care home: Address: Belma 120 Torquay Road Newton Abbot Devon TQ12 4AH 01626356465 01626333625 j.symonds@tesco.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr Gerald Reginald Symonds,Mrs Jennifer Mary Symonds care home 12 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Belma is registered to provide accommodation and care for up to twelve people who need residential care for reasons of old age, not falling within any other category. It does not provide intermediate care and it is not registered to provide nursing care. The home is situated on a main road about half a mile from the centre of Newton Abbot and is close to a GP surgery, within easy access to public transport routes, and other amenities. It was originally two houses and has been extensively renovated and refurbished over the years by the current Registered Providers, Mr Gerald and Mrs Jennifer Symonds. They both work full-time at the home, including sharing an Emergency On Call night duty as they live on the premises. There is a television lounge, a quiet lounge that can be used by visitors and also houses a small library, a dining room, and mostly single bedrooms, some of which Care Homes for Older People Page 4 of 24 Over 65 12 0 2 4 0 6 2 0 0 9 Brief description of the care home have an en-suite. All the bedrooms are connected to a call bell system and have television points. Disability equipment available includes stair lifts, bath hoists and a portable hoist. There are gardens at the front and rear, and a car parking area at the front. The rear garden includes a sheltered patio area with garden furniture for residents use in good weather. The current weekly fees at Belma range from £350.00 to £400.00 and do not include hairdressing, chiropody, newspapers and magazines, toiletries or other sundries. Care Homes for Older People Page 5 of 24 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This inspection was undertaken on Saturday 12th December 2009 during the morning and lunchtime period. All but one of the 11 people living in the home are spoken with, as were the staff on duty. The owners and the care manager were available for a short period of time during the inspection. A tour of the building was made and documents relating to the assessment and care planning processes, medication practices, staff recruitment and training and health and safety matters were looked at. Care Homes for Older People Page 6 of 24 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 7 of 24 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 8 of 24 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 considering moving to Belma and their families can be confident that their needs will be assessed before moving into the home and that they can have the information they need to make an informed choice about where to live. Evidence: The manager explained that she and Mrs Symonds visit people considering moving to Belma to provide them with information about the home and to undertake an assessment of their needs to ensure Belma is an appropriate home for them. Once the person has been admitted to the home the initial assessment is not kept and further assessments are undertaken to review how the person is able to manage in the home. Mrs Symonds was advised to keep her initial assessment to demonstrate the information used to judge whether the home was able to meet the persons needs. Where a person is supported by social services to move into residential care, the home obtains a copy of the assessment undertaken by the social worker and this is retained. Care Homes for Older People Page 9 of 24 Evidence: Due to the small size of the home vacancies rarely become available however one person had been admitted to the home in October 2009 and the assessments for this person were examined. The assessment process included information about what the person is able to do for themselves and risks associated with activities of daily living, such as mobility and the risk of falls, personal care and nutritional needs as well as an assessment with regards to the persons mental capacity to make decisions about how they wish to live their lives. The manager confirmed that people and their families could visit the home prior to choosing to move in. Care Homes for Older People Page 10 of 24 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can feel confident that a staff team that is respectful and reliable will ensure that all their health, personal and social care needs are met. Evidence: All but one person living in the home was spoken with: without exception all said that Belma was a lovely home and they all felt very well cared for. One person said I consider this to be my home, another said I would recommend this home to anyone, its a real home for me. The staff were described as lovely and friendly and very caring. People said they were treated with respect and allowed to live their lives as they choose. People were seen to come and go as they pleased and said they were able to ask for meals to be saved for them if they were out of the home over the lunch or tea time periods. The care plans for four people were examined and included one for the newly admitted person. Each care plan contained a description of what the person could do themselves and if they needed any assistance to meet their personal care needs, as well as a list of the medications they were currently taking. Specific care needs Care Homes for Older People Page 11 of 24 Evidence: identified through the assessment and care planning processes were identified clearly to ensure staff had full information about these. Information was also included about each persons preferences on how they wish to spend their day. It was evidence that these care plans had been reviewed regularly and where necessary updated to ensure they provided a current description of each persons needs. Records also included contact with the GP, the district nurse and the chiropodist. Daily records were found to be informative and enabled staff to monitor peoples well-being. People living in the home confirmed that either the owners or a member of staff would accompany them to any medical appointments should they wish. Staff confirmed that whenever possible people are encouraged and supported to retain responsibility for their own medication. Some people retain responsibility for all of their medicines, whilst some have agreed to manage some and to let the staff manager others. For example one person is prescribed a medication with a variable dose dependent upon a blood test and he has chosen to allow the staff to manage this whilst he manages the remainder of his medicines. Medication was stored safely in a fixed lockable metal cupboard with a separate fixed metal cupboard inside it for controlled medication. The medication administration records were examined, including those for controlled drugs, and these were seen to be neatly recorded and accurate. A member of staff explained that a medication administration record was still completed for people who self-medicate as each person always told staff that they had taken their medicines and this was a way to monitor for any difficulties. All the staff at Belma have been trained in safe administration and handling of medications from Boots pharmacist as well as in-house with a more experienced member of staff. A photograph of each person was included with the medication records for the safety and protection. Belma is promoted as a home for life, and the staff and manager confirmed that should someone develop a terminal illness they could remain at the home as long as the staff, with the support of the District Nursing Service, could continue to meet their needs. Care Homes for Older People Page 12 of 24 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are very satisfied with their lifestyle at Belma and are encouraged to exercise choice and control over their lives. Evidence: People expressed their contentment with their lifestyle in the home. People said they had the freedom to come and go as they pleased and very much treated Belma as their own home. People were seen sitting in their own rooms watching television, reading or listening to the radio whilst others enjoyed the companionship of the lounge. A wide range of activities has provided in the home and people said they very much look forward to these. Activities included quizzes and board games, pamper days where the ladies enjoyed manicures and facemasks, hairdressing, reflexology, walks around the local parks and to the shops, religious services and anything else requested. High staffing levels ensure that staff have time to support people in their leisure interests and hobbies and also to spend time with people in conversation. A local mobile book club comes to the home regularly to offer a library service. A large selection of large print books were seen housed in the quiet lounge and people are Care Homes for Older People Page 13 of 24 Evidence: at liberty to take them and read as they wish. Families and friends are encouraged to visit freely in order to maintain an element of surprise and pleasure rather than expectation and chore. People who were asked said that they saw their families regularly and they could either sit in their bedrooms or the quiet lounge was available for them to use. Before lunch people were offered a glass of sherry as an aperitif and lunchtime became a social occasion as people began to arrive in the dining room to take their places. Staff confirmed that people could take their meals in their rooms if they wished but at lunchtime most people chose to sit together. People confirmed that they were involved in menu planning and that there was always plenty of choice of meals. People were given a free choice for their evening meal and staff prepared whatever was requested: an extensive list of suggestions was provided for people to assist them in their choice. It was also observed that a carafe of water and juice bottles and glasses were provided in the lounge room to enable people to help themselves to a cold drink throughout the day. Observation throughout this visit showed that people were treated in a manner that was respectful and friendly. They were not patronised and their daily life was one that encouraged people to feel comfortable with making choices and decisions for themselves. Care Homes for Older People Page 14 of 24 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 living at Belma and their families can feel confident that any issues of concern or complaints raised by them will be dealt with promptly and appropriately. Evidence: Since the last inspection neither the Commission nor the owners has received any complaints about care provided at Belma or other matters relating to the home. The owners promote peoples well being and the staff team is expected to treat people accordingly. The staff team has been consistent for an extended period of time and any indication of potential abuse of any would be picked either by the owners or amongst the staff team. One staff member confirmed that she would without hesitation speak to the owners about any concerns she might have. Another said that she had received Safeguarding Vulnerable Adults training whilst undertaking her National Vocational Qualification. Mrs Symonds and her manager are attending Safeguarding training in January and will cascade this information throughout the staff team. A copy of the local authoritys Alerters Guide and the homes policy were available for staff. Care Homes for Older People Page 15 of 24 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. Belma provides a comfortable and safe home to the people living there. Evidence: A tour of the premises found that the home was well maintained and suitable for the needs of the people living here. Bedrooms are on both the ground and first floor and a stair lift provides access for those with restricted mobility. Each bedroom was personalised to suit the needs of the occupant. People said that had been able to bring many of their own things around with them when they moved in. Many of the rooms had pleasant across the back garden or the park at the front of the house. All the rooms are currently being used as single rooms, although one room is suitable to be shared should a husband and wife or two people wish to do so. Three bedrooms have en suite toilets and there are toilets and bathrooms within easy access on both floors. Baths are fitted with hoist chairs and toilets are fitted with raised toilet seats for ease of use by people with restricted mobility. The home provides two lounge rooms and a dining room on the ground floor. One lounge room is used as a quite room which houses the library and can be used by people to meet with their family and friends. All the radiators have been attractively covered to reduce the risk of burns should somebody come into contact with them when they are on. Bedroom doors are fitted Care Homes for Older People Page 16 of 24 Evidence: with locks to provide privacy and security for people. These locks are of a type with a turn knob on the inside and a key from the outside: staff confirmed that they have access to a spare key should they need to enter the room in an emergency. Standards of cleanliness and hygiene were found to be high throughout the home. Each persons room has a liquid soap dispenser and a paper towel dispenser fitted to the wall for use by care staff to reduce risk of any cross-infection. The kitchen is domestic in size with additional storage for frozen foods in the garage. The garage also houses the washing machines and tumble drier. The back garden provides a pleasant area for people to use in warmer weather. It was evident that certain areas would be sheltered and attractive for people to sit out and enjoy watching the birds coming to feed from the bird table. There was also access to stroll around the garden for those who were more mobile. Care Homes for Older People Page 17 of 24 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are cared for by motivated and caring staff in more than sufficient numbers to meet peoples personal, health and social care needs. Evidence: Mr and Mrs Symonds have owned and lived at Belma for over 20 years. At the time of this visit the home the staff said they worked well together and a minimal turnover helped to maintain good morale and promote peoples confidence. The owners are assisted by a care manager who takes responsibility for a proportion of the administration such as the training programme and peoples care plans and daily records. At the time of the visit there were 11 living in the home and there were three care staff on duty as well as a housekeeper. Staff confirmed that it was usual to have three members of staff on during the day in addition to the owners who worked most days: they said at times there were four care staff available dependent upon any planned activities or appointments. Two staff are available during the evening and, as there is no one in the home with night-time care needs, the owners provide sleep-in cover: the call bells sound in the owners accommodation. Care staff prepare the meals during the week and on Saturdays and Mrs Symonds prepares the meals on Sundays. Mr and Mrs Symonds explained that due to the very low turnover of staff vacancies Care Homes for Older People Page 18 of 24 Evidence: rarely become available and staff are usually known to them though the existing staff team or family and friends. A random selection of staff files was inspected. All the relevant and necessary pre-employment checks had been completed. The owners were advised to amend the application form to request more information about previous employment. This would enable them to follow up on any apparent gaps should there be an incomplete chronological history of employment. The number of staff with a National Vocational Qualification (NVQ) in Health and Social Care had improved since the previous inspection with 60 of the staff team having achieved a qualification. It was also evident from the training programme that training is taken seriously and is on-going from an in-house induction programme for new staff to annual updates on mandatory subjects. The manager explained that she was currently seeking training in first aid for all the staff and this had been problematic as they preferred to have the training undertaken in the home to enable staff to relate the training to their work environment and the people that they cared for rather than send staff out one at a time to a training establishment. Staff confirmed they had recently attended a Basic Food Hygiene course. The internet is used for information relating the the health care needs of the people living in the home as well as training through Boots and advise from the District Nursing Service. Staff said that the owners are committed to providing training and support for them. They said they thoroughly enjoyed working at Belma and gained a great deal of personal satisfaction from being able to support people well. They confirmed that they spend time with the owners each day to discuss peoples care needs and the running of the home; they said the owners are very approachable and they feel they can talk to them about anything at any time. Care Homes for Older People Page 19 of 24 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The owners and their staff team ensure that Belma is run for the benefit of the people living there. Health, safety and welfare is promoted and protected by competent and capable owners who achieve positive outcomes for people, their families, and staff. Evidence: The owners are experienced in management of a care home and have done so for many years. They are hands on in their style of management and administration of Belma. Conversations with people living in the home and the staff, and observation during the visit, showed that the owners are respected and approachable. They have worked hard to improve the environment of the home as well ensure that the home meets the National Minimum Standards. The home was seen being run in an open and transparent way with responsibilities delegated appropriately amongst staff. Staff training is taken seriously and a rolling programme ensures mandatory training is kept up to date for all staff as well as offering individual staff members opportunities to go on courses that may be more relevant to their post. Care Homes for Older People Page 20 of 24 Evidence: Periodically people living in the home are given questionnaires about the care that they receive and about the home in general, as well as to the staff team for their ideas about any improvements that would benefit the people living in the home. An example of the last review, about six months ago, was seen during this visit. Mrs Symonds said she would include peoples families and health and social care professionals who visit the home in future questionnaires to gain a more broad perspective about the quality of the services provided. It became apparent during this visit that due to small size of this care home that it is more intimate and for example, peoples likes and dislikes would be expressed in a variety of ways. This could be directly to a staff member or the owners, or around the dining table in general conversation after lunch. Likewise staff tended to pass information more informally such as sitting over a cup of coffee or whilst working together. There was, therefore, little evidence of formally written records, for example, residents meetings, or staff supervision. Nonetheless observing the staff interactions with people it was evident that the staff know them well, and the clearly written care files underpin the care that staff provide to each person on a daily basis. People living at Belma are encouraged to either handle their own financial affairs or to make alternative arrangements. Staff explained that on occasion they are asked to undertake a small amount of shopping for people who either are unable to shop themselves or do not wish to go shopping with a member of staff, and should this be the case they always ensure there is a witness to the money given to them. People are provided with written information regarding advocacy and legal matters including lasting power of attorney and making a will. The fire log book indicated that the fire alarm system is readily checked and serviced to ensure it is maintained in good working order. Mr Symonds carries out general maintenance of the premises and outside contractors are called in as necessary to, for example, service and/or repair lifting equipment, the stair lifts, boilers and central heating. The Accident Book was seen and accidents had been recorded correctly: there did not appear to be one person more at risk from accidental falls than another. The Commission had been notified of any incidents affecting peoples health, safety or well being. Care plans inspected had risk assessments included in them that were relevant to the peoples needs and abilities and information was included for staff to reduce the risk of harm. Care Homes for Older People Page 21 of 24 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 22 of 24 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 29 The owners were advised to amend the application form to request more information about previous employment. This would enable them to follow up on any apparent gaps should there be an incomplete chronological history of employment. Care Homes for Older People Page 23 of 24 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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