Care Home: Belvedere

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What the care home does well Belvedere presents as a very warm, caring and friendly care home and residents appeared relaxed and comfortable with the staff. It was evident through interviews, general observations and discussions that staff had a good knowledge of the residents` individual care needs and the level of support required. During our visit staff were observed spending a great deal of time with residents, either on an individual basis or within a group. Care was seen to be given in a discrete, sensitive manner and staff were patient and gentle in their approach. Feedback from residents was very good; comments regarding the service included;" the staff are very good indeed. Always there when needed. All staff are very pleasant supportive and helpful". A visiting relative told us "the staff give excellent care to my sister in the most thoughtful manner" "The owner is so thoughtful and kind" Prior to admission the owner or manager assesses residents health and social needs. Information collected is then used to form the basis for the plan of care. Assessment documentation seen had been completed to a good standard and included key areas regarding the residents` health and general well being. Care files were organised, the information easy to read and care plans identified the relevant care and support required. Attention is paid to recording basic needs such as dental, optical, hearing and foot care. Lots of different types of activities were arranged, both in the home and out in the community. We spoke with the resident who chairs the Residents` Forum who informed us that the monthly meeting are a time when residents can put forward their ideas and these are later taken to the owner and manager for agreement. The physical accommodation is of a very good standard having a very high standard of decoration and furnishings. There are appropriate aids and adaptations available for the residents. The home has an experienced and enthusiastic team of staff who work well together and enjoy taking part in training and development sessions. The staff are motivated and keen to ensure that residents receive high standards of care. Seven staff were spoken with and comments included were "the training is excellent here". "The manager and care staff looks after the residents really well" and "We feel we provide excellent individual care for each resident". The manager makes sure she checks out staff before they start working at the home and gives them training and support to make sure they do the job to the best of their ability. The manager communicates a clear sense of direction, is able to evidence a sound understanding and application of `good practice`, particularly in relation to continuous improvement, staff training, resident satisfaction and quality assurance. What has improved since the last inspection? All of the requirements and recommendations from our last inspection have been met. All of the care plans had been rewritten and now give a fuller picture of what each person needed in order to have their needs met. They are more person centred and include information about people`s preferred routines and likes and dislikes in relation to their daily lives. Improvements in the way medication was given out were noted. An assessment is in place to support residents who may wish to administer their own medicines. New staff do not start work at the home until two satisfactory references have been obtained and the necessary CRB checks are in place. This helps to ensure that the right people are being employed to care for the people living at the home. All new staff have an induction training programme, that meets Skills for Care Common Induction Standards. This ensures that new staff get all the training needed to help them care safely for the people they were looking after. Up to date information in respect of personal finances held by the home for residents was seen. An effective system for checking out the quality of care and the services provided for the residents is now in place. What the care home could do better: When an assessment has been made the staff member completing the assessment should ensure that they sign and date the document. This should also occur when a review of the assessment is made. Daily notes should record the time as well as the date when they are made. Key inspection report Care homes for older people Name: Address: Belvedere Wellington Street Accrington Lancashire BB5 2NN     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: Bernard Tracey     Date: 2 7 0 4 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 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) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Belvedere Wellington Street Accrington Lancashire BB5 2NN 01254238248 01254872161 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Unlimitedcare Limited Name of registered manager (if applicable) Manager post vacant Type of registration: Number of places registered: care home 38 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The registered person may provide the following category of service only: Care home only: Code PC 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 - Code OP Dementia - Code DE The maximum number of service users who can be accommodated is: 38 Date of last inspection Brief description of the care home Belvedere is registered to provide accommodation and personal care for up to 38 older people. The home is situated close to Accrington town centre and all amenities and transport links are nearby. Belvedere is a purpose built home for older people. There is a small car park to the front of the home and enclosed private garden to the rear. The home offers 38 single bedrooms, all of which have en-suite toilets. Accommodation is Care Homes for Older People Page 4 of 27 Over 65 0 38 38 0 Brief description of the care home provided over three floors, a passenger lift is available. On the ground floor there is a large lounge, smaller lounge and a dining room. There are further lounges and a dining room on other floors. There are accessible toilets and bathing facilities. At the time of the inspection visit the range of fees was between GBP386.50 and GBP480.00 per week. Hairdressing, newspapers and private chiropody were not included in the fees. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The last key inspection on this service was completed on the 25th November 2009. We (the Care Quality Commission) undertook this key inspection, which included an unannounced visit to the home. The staff at the home did not know the visit was going to take place. This visit was just one part of the inspection. We also looked at other information we had about the home. Prior to our planned visit the owner was asked to fill in a questionnaire, called an Annual Quality Assurance Assessment (AQAA), telling us what they thought they did well, what they need to do better and what they have improved upon. Where appropriate, these comments have been included in the report. Other information we had received since our last major inspection at the home was also reviewed. Two Inspectors spent five hours at the home over one day. During this time, we looked Care Homes for Older People Page 6 of 27 at care and medicine records to ensure that health and care needs were met and also studied how information was given to people before they decided to move into the home. A tour of the building was undertaken and time was spent looking at records regarding safety in the home. We spoke to eight people living there, including the chairman and deputy chair of the residents committee as well as the owner, manager and four staff members. We were also able to speak with two relatives of residents during our visit. We received completed survey forms from 10 residents and five members of staff who worked at the home. Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? All of the requirements and recommendations from our last inspection have been met. All of the care plans had been rewritten and now give a fuller picture of what each Care Homes for Older People Page 8 of 27 person needed in order to have their needs met. They are more person centred and include information about peoples preferred routines and likes and dislikes in relation to their daily lives. Improvements in the way medication was given out were noted. An assessment is in place to support residents who may wish to administer their own medicines. New staff do not start work at the home until two satisfactory references have been obtained and the necessary CRB checks are in place. This helps to ensure that the right people are being employed to care for the people living at the home. All new staff have an induction training programme, that meets Skills for Care Common Induction Standards. This ensures that new staff get all the training needed to help them care safely for the people they were looking after. Up to date information in respect of personal finances held by the home for residents was seen. An effective system for checking out the quality of care and the services provided for the residents is now in place. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 of 27 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Detailed assessments are undertaken before people come into to the home so they can feel confident that their needs can be met. Evidence: The admission arrangements for new residents were very thorough. This ensured that the home would be a suitable placement for that person and the care staff would be able to meet their assessed needs. Initial inquiries were recorded and followed up by a visit to the individual, either in their own home or, more commonly, in hospital, to complete a detailed assessment of their needs. The manager or owner liaises closely with family members and any health care professionals involved with the prospective resident. This helped the manager to build up a full picture of the persons needs. The assessment included personal and healthcare needs, as well as social care and behavioural needs. The manager also obtained any assessments made by the Social Worker, prior to admission. Care Homes for Older People Page 11 of 27 Evidence: All residents had a contract in their personal file, either signed by the individual or their representative. Care Homes for Older People Page 12 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans and care practices ensure that the residents needs are met in a safe, caring and dignified way. Evidence: Each resident had a detailed up to date and individual plan of care, covering all aspects of personal, health and social care needs. These are based on the preadmission assessment and other specialist assessments in place, including social work assessments. The care files of three residents were looked at. Each of these files contained a detailed and comprehensive care needs assessment that describes the help that the resident needs with everyday living, including health, personal and social care needs. All of these documents had been reviewed at monthly intervals using a separate document that described any changes in the way that the resident needed to be looked after. Any areas of risk for the resident were highlighted along with the planned action to Care Homes for Older People Page 13 of 27 Evidence: reduce that risk. These included an up to date manual handling assessment and a nutritional assessment tool that is used at the time of the residents admission to the home and then afterwards as required. Nutritional well being is also assessed by direct observation and by regular and up to date weight checks. Skin condition is also checked by direct observation with a pressure area care plan being implemented if required. Care plans demonstrated that residents personal choices and preferences had been taken into account by staff around care delivery, such as who liked a bath and who would prefer a shower. Personal care was provided privately in bedrooms or bathrooms, and door locks or engaged signs were used. One resident told us that the staff were Very good indeed. Always there when needed. All staff very pleasant supportive and helpful. Residents wore their own clothes and were dressed appropriately for the weather and their activity. Hair care, nail and teeth care and shaving had been attended to. Healthcare arrangements were also good. Residents had good access to their local doctor and the district nursing service visited the home regularly. The management of medicines in the home was safe and served to protect residents from harm and ensure they benefited from the medicines prescribed for them. Staff were knowledgeable about residents medicines and understood about monitoring for side effects and adverse reactions. The home works to an efficient Medication Policy supported by procedures and practice guidelines that include guidance for the selfadministration of medicines. Staff follow robust systems to make sure that medication records are fully completed, contain required entries and are signed by appropriate staff. Staff who have responsibility for giving out medicines have been given the necessary training for this task, which was updated in 2009. Residents spoken with were all complimentary about how staff assisted them with personal care tasks and felt their privacy and dignity were respected at all times. This was also observed during our visit. The care assistants interviewed were able to give good examples of how they promoted privacy and dignity in their daily care routines, for example, knocking on bedroom doors before entering. The residents said that the staff had a kind and considerate manner and that the staff spoke to them in a civil and courteous way. 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 able to enjoy a full and stimulating lifestyle with a variety of opportunities to choose from. Evidence: The range of leisure activities available in the home was varied, reflecting the diversity of residents and their social, intellectual and physical capacities. The home has a dedicated activity co-ordinator who organises events and activities within the home, as well as trips out to various places of interest. The programme of activities was displayed in the reception area home, so that residents were aware of what was going on. The activity co-ordinator has sought the views of residents and considered their varied interests and abilities when planning the routines of daily living and arranging activities. The routines, activities and plans are resident focused, regularly reviewed and can be quickly changed to meet individual residents needs. Each resident has their own activities and interest assessment completed and their interests are recorded and a programme agreed to reflect their personal preferences. Links with the community were good and valued the role which relatives and friends Care Homes for Older People Page 15 of 27 Evidence: continued to play in the lives of residents. On the day of our visit we able to meet with 2 relatives who were visiting and about to take their relation out for the day. The manager and staff are aware of promoting equality and diversity and encourage the residents to develop a lifestyle and interests that are individual to them. Residents benefited from being able to exercise choice and control over their lives. Residents are actively supported in pursuing their spiritual beliefs and practices. Some residents choose to take part in group activities, such as going for bar meals, walks, the garden centre, while others have chosen to pursue their own interests within the home. Residents we spoke to said they enjoyed the food and that they receive enough to eat and drink. Comments made in respect of the meals in the home were the food is excellent and varied; We are always offered an alternative if we do not fancy whats on the menu. We observed staff being attentive during the lunchtime period, asking if people had finished their meal before they removed their plate, asking if they wished for some more and offering a choice of starter, main meal and dessert. The dining tables were set appropriately - tablecloths, cutlery, serviettes and jugs of water. 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. There is a clear complaints procedure and residents and their families know action will be taken to resolve their concerns. Staff have a good knowledge and understanding of Adult Protection issues which safeguard residents from abuse. Evidence: There is a clear complaints procedure, which tells people how and who to make any complaint to. The procedure was well advertised to relatives and visitors to the home. Records showed that any complaints made had been fully investigated and responded to appropriately. A staff member said, If a resident wanted to make a complaint, I would go to the manager and give her the information. A visiting relative said, if necessary, I would talk with the Manager or any of the staff as I feel they would act on what I was concerned about but said that matters were usually dealt with straight away, so there was no need to complain Two complaints have been made in relation to residents safety. The details were discussed with the owner and the manager on our visit and concluded that the complaints were not substantiated. All staff have undertaken training in relation to the Protection of Vulnerable Adults. The home also has an abuse policy and whistle blowing procedure. The staff training record evidenced abuse awareness training for a number of staff and staff interviewed had an understanding of how to report an alleged incident. The home has a copy of Care Homes for Older People Page 17 of 27 Evidence: the local authority Guide for the Protection of Vulnerable Adults. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. It is a well maintained, comfortable and attractive home in which to live and meets all the assessed needs of the residents. Evidence: The home is well maintained, decorated to a high standard and was clean and tidy during the site visit. A partial tour of the building was undertaken, two bathrooms, a shower room and six bedrooms were viewed. The bathrooms were clean and tidy and hot water temperatures are recorded each month to ensure the hot water is delivered to a safe temperature. Bedrooms viewed had individual personal items, were homely and comfortable. A resident said, I have everything I need, including some of my own furniture Bedrooms have door locks and a call system with a hand held buzzer to call for assistance. The home is equipped with comfortable furniture, fittings and electrical equipment, including televisions and CD players. . There is a well equipped laundry and there was evidence of gloves and aprons for staff use. Infection control training is given to staff and infection control policies are available. Care Homes for Older People Page 19 of 27 Evidence: There are appropriate aids and equipment, such as assisted bathing facilities, handrails and a passenger lift in place. There are sufficient housekeeping staff and on the day of this visit the home was clean, fresh and hygienic. Policies and procedures are in place to promote a high standard of cleanliness and hygiene. 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. The staff team had collective skills training and expertise to undertake their roles effectively and good recruitment and selection procedures were in place to ensure that the residents were protected. Evidence: Staffing levels within the home were seen to meet the needs of residents. Care staff undertook their duties in a friendly and caring manner, promptly supporting residents when needed. Residents confirmed that staff were always respectful and met their needs competently. In the main, residents were satisfied with the support they were given and described staff as nice people, lovely, find time to listen and good fun and very efficient A relative we spoke with said the staff give excellent care for sister and me in the most thoughtful manner The owner is so thoughtful and kind Three staff files were viewed with regard to recruitment practices and these contained all of the necessary checks to protect the residents. Staff had completed a job application form and two references had been obtained. Staff files contained a POVA Protection of Vulnerable Adult check and Criminal Record Bureau disclosure at enhanced level. The necessary checks are in place prior to staff commencing work and Care Homes for Older People Page 21 of 27 Evidence: the interviewer completes an interview checklist. Individual staff training records provided a clear summary of both induction and ongoing training. This was extensive and wide ranging, with mandatory courses, i.e., moving and handling, medication, fire safety and first aid. Specialist training included care planning, risk assessment, mental health and Dementia. This training package was confirmed by the owner and was identified in the written AQAA she had provided us with. Similarly, staff who were interviewed confirmed that training was available, that they were encouraged to attend and that it gave them appropriate competencies to meet the needs of the residents. A staff member commented,the training is excellent here. Several staff were studying for their NVQ 4. Care Homes for Older People Page 22 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and practices within the home ensure the safety and wellbeing of the residents and staff. Evidence: The manager has the required qualifications and experience, and is competent to run the home and has applied to the Commission to become registered. There is a strong emphasis of being open and transparent in all areas of running of the home. The owner, manager and staff work hard to make sure that everyone feels they are included in decision making and feel valued as an individual. There is a good system in place to gather staff, residents and relatives views through regular meetings and satisfaction questionnaires as part of the monitoring of quality. The manager achieves this by sending out surveys to residents and relatives asking for their views on the friendliness of the staff, the care provided, the laundry service, the meals provided, social activities and the cleanliness of the home. They have Care Homes for Older People Page 23 of 27 Evidence: recently been awarded the Investors In people Award. Staff spoken to had a clear understanding of their role and what was expected of them. Documentation was examined that confirmed that staff received regular supervision and annual appraisal. Residents and visitors spoke well of the management team and the care and support that they give. During our visit we were able to witness their approach to the residents and staff and confirm the comments made. Comments made included; Excellent management. There is an open door policy. All of the staff have a good team spirit. Relevant training sessions are provided. Good induction and support for newcomers. Up -to -date policies and procedures are available. I have worked in other care homes but the manager here is excellent and the best I have seen. Information provided by the manager in the AQAA and examination of the records, confirmed that all safety equipment is regularly serviced. We confirmed this through examining a random sample. The policies and procedures in the home ensure that the health, safety and welfare of the residents and staff are promoted and protected. The system for the safekeeping of residents finances was good. Individual records are made of all transactions and balances. Receipts are held for any purchases made and receipts are given to relatives when they deposit any spending money for their relative. The Annual Quality Assurance Assessment (AQAA) requested by the Commission was returned in time and was completed with a high degree of detail. Within this document the owner and manager had made us aware of how the were operating the home and also identified how they felt they could improve. 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 1 2 3 8 All assessments should be signed and dated to ensure that a completed audit trail can be carried out. All daily entries should be timed as well as dated to ensure the accuracy of the records. Care Homes for Older People Page 26 of 27 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. 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