Care Home: Brookfield Elderly Persons Home

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What the care home does well There was good information about the home, which is given out to people who are thinking about moving in and procedures are followed for assessing and admitting them so they can be sure it is the right place for them to live. Each of the residents had a detailed care plan, which they helped put together. Care plans, which are regularly reviewed and updated provide staff with all the information they need so that they can support residents in the right way. Residents health and personal care needs were being well recorded, supported and monitored to ensure they stay well. There were lots of opportunities for residents to take part in the things they like to do both at home and in the local community and their independence is encouraged and promoted. Procedures available at the home make sure that residents are protected from abuse or neglect. The home was clean and tidy and free from hazards making it a pleasant and safe place for residents to live. Staff had been properly recruited and were receiving a really good level of training to enable them to understand and meet the needs of the residents. The home was being very well run in the best interests of the residents and staff. What has improved since the last inspection? The AQAA and evidence gathered during the site visit showed that the service either meet or exceed all the key National Minimum Standards expected of them. What the care home could do better: It is recommended that the homes policies and procedures are all reviewed to make sure that they are in line with current law and good working practice. Key inspection report Care homes for older people Name: Address: Brookfield Elderly Persons Home Park Road St Helens Merseyside WA9 1HE     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: Janet Marshall     Date: 1 9 0 3 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 25 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: Brookfield Elderly Persons Home Park Road St Helens Merseyside WA9 1HE 01744677735 01744677736 sharronfisher@sthelens.gov.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: St Helens Metropolitan Borough Council care home 39 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: The registered person may provide the following categories of service only. Care home only - code PC, to people 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, (maximum number of places: 31) Dementia over 65 years of age - Code DE (E) (maximum number of places: 8) Physical disability Code PD (maximum number of places: 1) The maximum number of people who can be accommodated is: 39 The service may accommodate one person over the age of 55 years in the category of Physical Disability (PD). The service may accommodate up to a maximum of 2 service users aged 60 years and over. Date of last inspection Care Homes for Older People Page 4 of 25 Over 65 8 31 0 0 0 1 Brief description of the care home Brookfield Support Centre for older people is a purpose built ground floor building with ramped access to all entry and exit doors. It is registered to provide long term, respite and intermediate care for a number of young and older people. The home is owned and managed by St.Helens Local Authority and is situated off a main road located close to the centre of St.Helens town. The home is divided into 6 units, which are individually staffed. Each unit has a number of single bedrooms, communal and kitchen/dining areas. The home also has a laundry, main kitchen and large communal rooms, which are easily accessible to each unit. The office is located close to the main entrance of the home. The current charges start from £611.00 per week. Care Homes for Older People Page 5 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: 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: The Quality rating for this service is 3 star. This means the people living at the home experience excellent outcomes. This was a key inspection. We consider 20 out of the 38 National Minimum Standards for this type of service, Care Homes for Older People as the key standards which have to be inspected during a key inspection. The key standards are highlighted in bold in the different outcome sections of this report. A key inspection is a planned inspection, the report was put together using information gathered in a number of different ways, which helps us decide the overall rating of the service. We keep all information we receive about the home in a file, we looked at all the information we have received since the last inspection. We sent out a form to the home called an Annual Quality Assurance Assessment (AQAA). The AQAA has to be filled in and returned to us by a set date usually before the site visit takes place. The AQAA was filled in by the manager and returned to us on time and provided us with all the information we asked for about the home. We carried out an unannounced visit to the home, this is when we visit the home with out any body knowing. The manager Care Homes for Older People Page 6 of 25 who was on duty at the time of the site visit and other staff that were on duty helped with the inspection. Discussions took place with the staff and a number of residents that live at the home. Also during the site visit a selection of records and safety certificates, which have to be kept in the home by law were looked at and checked to make sure they were up to date and accurate. Some residents were case tracked. This is a process we use to help us decide if residents are receiving good quality care that meets their individual needs. It is done by talking to people, looking at results of surveys and reading the records of a sample of people that live at the home to give us a good idea of what it is like for them. Before the site visit took place we sent out Have Your Say surveys to people asking them about what it is like to live and work there, two staff surveys were returned at the time of writing the report, responses and comments included in them have been used in parts of this report. An Expert by Experience assisted with the site visit. An Expert by Experience is a person who because of their shared experience of using services and, or ways of communicating, visits a service with an inspector to help get a picture of what it is like to live in or use a service. Care Homes for Older People Page 7 of 25 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 8 of 25 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using 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. Procedures carried out before people are admitted to the home ensure it is the right place for them to live. Evidence: The AQAA showed that a number of residents have been admitted to the home on a short term basis in the last 12-mths. The manager confirmed that pre-admission assessments have been carried out for all newly admitted residents. Pre-admission assessments carried out for three recently admitted residents were examined in detail. Assessments included those carried out by the manager of the home and others carried out by Social Workers. All assessments were detailed and covered all aspects of the persons live including, sight, hearing social contacts, religion, previous lifestyles, medical history, mobility, personal care skills, sleep, rest, diet, living, working and recreational interests. Care Homes for Older People Page 10 of 25 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. 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. Residents health and personal care needs are well monitored and supported to make sure they stay well. Evidence: Each resident at the home had a care plan which was locked away safely. As part of the case tracking process care plans for one resident on each unit were looked at in detail. The care plans were well organised and easy to read and covered all aspects of the persons health, personal and social care needs. Case tracking showed that Information taken from assessments had been used to put together care plans. The care plans viewed had written evidence to show that that they were put together and are regularly reviewed and updated with the full involvement of the resident and or other people in their lives who are important to them. During the site visit staff spoken with showed a real good understanding about care plans and the importance of them. One member of staff commented, Care plans provide us with important information about residents so that we can support and care for them in the right way. Another member of staff said It is important to read care plans because they are regularly updated with new information about residents. Have your say surveys Care Homes for Older People Page 11 of 25 Evidence: for staff that were completed and returned to us showed that they are always given up to date information about the needs of the residents. Records which were also looked at as part of the case tracking process showed that peoples health is well supported and monitored. There was evidence to show that they see their doctor when they need to or if they ask and they are supported to attend other health care appointments such as dentists, chiropodists and opticians. Residents are also seen by other specialists such as dietitians, speech therapists and mental health professionals. Details of all appointments and treatments were recorded in good detail. District nurses visit the home to attend to such things as dressing wounds and giving injections. The nursing care they provide people with was also recorded in good detail. Were appropriate peoples weight and water low is closely monitored and recorded as a way of making sure they stay well. Information provided in the AQAA, discussion with staff and examination of records showed that staff have received or are planning to attend training which helps them to understand and manage certain healthcare conditions and behaviours which residents have. Training in topics such as diabetes, dementia care and mental health awareness have been attended by staff. Throughout the inspection staff were seen treating resident politely and in a respectful way. They sat closely to them when talking and were gentle and patient in their approach. Staff gave the following examples of the things they do to ensure peoples privacy and dignity, I always make sure I shut doors and windows when helping a resident with personal care. It is important that the room warm. I always knock before entering a residents bedroom. Residents spoken with said, Staff always knock on my door. They help me with personal care they do it in a dignified way. The AQAA told us that the home has a number of policies and procedures and codes of conduct for the safe handling, administration and recording of medication. Copies of the polices, procedures and codes of conduct were available at the home for staff to refer to. Medication was stored in the right way and medication administration records (MAR) were well kept. Staff spoken with said they only give out medication after attending a medication awareness training course. Care Homes for Older People Page 12 of 25 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. 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. Residents are encouraged and supported to live healthy and enjoyable lives. Evidence: The AQAA told us that residents are given opportunities to enjoy active and fulfilling lives. Residents and staff spoken with during the visit talked about the activities which regularly take place at the home. They included bingo, quizzes, coffee mornings, hairdressing and entertainers. Photographs displayed around the home showed residents and staff enjoying celebrations at Christmas and birthdays. A visitors book, which was seen at the home, showed that residents receive regular visits from friends and family members. Staff said visitors come and go as they please and are always welcomed and offered refreshments. They said residents spent time with their visitors in the privacy of their own rooms, the lounge areas and outside in the garden. During the inspection visit residents were seen making choices for themselves, others were seen being encouraged by staff to make choices. Residents spoken with confirmed that they choose what clothes they were each day and decide what time they get up and go to bed. Meals are prepared in the main kitchen and transported in hot trolleys to each unit. Each unit has a dining area and small kitchen equipped with a microwave and facilities Care Homes for Older People Page 13 of 25 Evidence: to make snacks and hot and cold drinks. Discussion with the cook and examination of menus showed that residents are offered a good variety of food which is nutritious and healthy. The cook who is qualified was very knowledgeable about the dietary needs of the residents. Serving of the lunchtime meal was observed and the food was sampled. Meals were served to the residents individually by staff. Staff talked to residents to explain what they were eating and to ask if they need any assistance. Staff were seen encouraging residents to eat. Staff did not rush anyone and took their time assisting those who needed help. There were a number of residents who were offered alternative meals because they chose not to eat the lunch of the day. Residents appeared to be satisfied with the options they were given. Residents were served with hot and cold drinks both during and after their meal. Drinks and snacks were also offered at intervals throughout the day, some residents were seen making their own drinks. Residents and staff spoken with spoken with all said that the quality, quantity and choice of food is always very good. Comments made by residents included, The food is lovely. We always get a lot to eat and drink. The food is the best. The food stores were checked and there was plenty of food including tinned, dried, fresh and frozen. There was plenty of milk, eggs, yogurts, butter and cheese. Freezers were well stocked with such things as meat, bread and fish. Care Homes for Older People Page 14 of 25 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. 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. Procedures followed at the home ensure that residents are protected from harm, abuse and neglect. Evidence: Information provided in the AQAA and discussion with the manager and staff showed that there have been no complaints made to the home in the last 12 months. There was a complaints procedure on display at the home. It is also available in the homes Statement of Purpose and Service User Guide. Residents and staff spoken with during the inspection all said that have the information that they need to make a complaint if they wish to and they would feel confident about making a complaint. The following results of surveys and comments made by residents and staff during the inspection visit supported this, People know who to speak to if are not happy, People do know how to make a complaint, Carers always act on what people say, The Manager is always helpful and responds to any problem we raise. I would complain if I needed to. Am very confident about making a complaint. Yes, I would definitely complain if I needed to. The manager confirmed that all staff are provided with copies of the homes policies and procedures for complaints, whistle blowing and protection of vulnerable adults. Since the last key inspection all staff that work at the home have completed protection of vulnerable adults training. Staff said the training helped them to recognise the signs of potential abuse and how to report them appropriately. Staff spoken with described appropriately what they would do if they saw or thought a resident was being abused. A copy of Local Authority protection of vulnerable adults Care Homes for Older People Page 15 of 25 Evidence: policy was available at the home along with other documents which provide staff with information and guidance about what they need to do if they ever witnessed abuse taking place. Care Homes for Older People Page 16 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. 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. The home is clean safe and comfortable for the residents that live there. Evidence: The home is situated in a popular residential area of St Helens, Merseyside. There is a large car park at the back of the home well kept gardens at the front and an enclosed garden with seating in the centre. The home had a warm and friendly atmosphere and staff and residents were very welcoming. Since the last inspection the home has undergone a number of improvements which have enhanced the comfort and dignity of the residents. The lighting has been improved in the recreation and receptions area and the reception area has been redecorated. The AQAA told us that there are plans in place to make further improvements to the home over the next 12 months including the replacement of carpets in lounge and dining areas. All parts of the home were clean, peasant and hygienic and there were no hazards identified at the time of the inspection. Residents spoken with said that their rooms and other parts of the home are always clean and tidy. They made the following comments. My room is always kept clean and tidy. The home is never dirty. It is always clean. Laundry assistants are employed at the home. The laundry, which is located near to all units, was equipped with sufficient washing and drying machines and ironing facilities. The laundry was clean and well organised. Detailed in AQAA and available at the home were a number of policies and procedures, which aim to ensure a clean and safe environment, they include infection control and disposal of soiled waste. Staff were Care Homes for Older People Page 17 of 25 Evidence: seen appropriately using protective gloves and aprons. Care Homes for Older People Page 18 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. 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. Residents are supported by the right staff. Evidence: The staffing rota, which was examined as part of the inspection showed that there are a sufficient staff on duty to meet the needs of the residents. There is always a senior member of staff on duty throughout the day and night. Discussion with the manager and information provided in the AQAA showed that no staff have left since the last inspection. A number of staff were interviewed on a one to one basis during the inspection. General discussion also took place with other staff at intervals throughout the visit. All staff agreed that there is always enough staff on duty to meet the needs of the residents. Staff interviewed showed a good understanding of their roles and responsibilities, were very knowledgeable about the needs of the residents and showed a real commitment to ensuring that they are well cared for and have a good quality of life. Residents spoken with during the inspection visit made many positive comments about the staff, comments included, The staff are brilliant. All the staff are very caring and polite. They are so good at their job. I love all the staff, nothing is too much trouble to them. They are gentle and always know what they are doing. I dont know what I would do without them, each and every one of them. An equal opportunities policy and procedure was available at the home. The AQAA showed that the home employs people of various ages, gender and of different backgrounds. The AQAA told us that there are strict procedures are in place for Care Homes for Older People Page 19 of 25 Evidence: recruitment and selection of staff which ensure the full protection of residents. This was also evidenced upon examination of personnel records for a number of staff. The records showed the required checks were carried out before the people were allowed to start work at the home. Records which were viewed for new staff showed that all staff received induction training during the first part of their employment at the home. The AQAA showed since the last inspection staff have received a good amount of training relevant to the jobs that they do. It also showed that training is high on the agenda and there is further training planned for the future in both mandatory and specialist subjects. Records which were looked at during the inspection visit showed staff have completed training to update their knowledge and skills and the training is linked to the aims and objectives of the home and the needs of the residents. Each member of staff had a training and development plan which is used to assess and identify their individual training needs. A training calendar showing future training planned was available at the home. The calendar included the following topics moving and handling, dementia awareness, diabetes, medication and first aid. Staff spoken with said that they have completed a lot of training since the last inspection and gave the following examples, fire safety health and safety, POVA, medication awareness and first aid. The AQAA and staff training records held at the home showed that 80 per cent of the staff team have achieved a National Vocational Qualification (NVQ) in care level 2 or above. NVQ training was also included in training planned for the future. Care Homes for Older People Page 20 of 25 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. 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 home is very well managed to the benefit of the residents and staff. Evidence: Sharron Fisher is the registered manager of the home. Sharron been the registered manager at the home for a number of years, she has the relevant qualifications and many years experience of working in the field of health and social care. There was evidence from this inspection that processes and records for care planning and reviewing, staff development and supervision, recruitment and selection of staff and systems for monitoring the quality of the service are all in place and being managed efficiently in the best interests of the residents. Staff spoken with said there is an open door policy operated at the home which means people are encouraged to talk to the manager in private about any issues which they may have. Staff and residents said the manager is approachable, easy to talk to and they feel confident about talking to her about both work and personal related issues. Residents and staff spoken with during the inspection were very complimentary of the manager and the way she runs the home, the following comments made during the inspection supported this, The Care Homes for Older People Page 21 of 25 Evidence: manager is very good. She is hands on and will help with anything. The manager is positive and easy to talk to. Discussion with the manager and records, which were examined, showed that the home has in place a number of quality monitoring systems which aim to ensure that the home is run in the right way. Satisfaction questionnaires are given out to residents and their representatives as a way of finding out what people think about the home and the results of them are used to make the necessary improvements and to plan for the future. The service manages small amounts of personal money for some residents. Money and financial records which were examined were in good order and well kept. The health safety and welfare of residents are well protected this was supported by a set of policies and procedures, which were detailed in the AQAA and available at the home. Some of the homes policies and procedures have not been reviewed since 2002 it is recommended that this be done to make sure that they are in line with current law and good practice. Information provided in the AQAA and examination of a selection of health and safety records showed that the required health and safety checks have been carried out on the environment at the required intervals, for example fire system checks, gas and electricity checks and environmental risk assessments. Staff and residents spoken with confirmed that they hear the fire alarm system regularly being tested. Care Homes for Older People Page 22 of 25 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 23 of 25 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 24 of 25 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). 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. Care Homes for Older People Page 25 of 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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