Care Home: Carleton House

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What the care home does well The Home provides a very high standard of care to the residents. Residents speak very highly of the care that they receive and made comments such as: `the staff are lovely, jolly and welcoming` `staff are always helpful, the food is nice and we are always offered choices` `the staff are absolutely marvellous, they couldn`t have been kinder` The personal and health care needs of the residents are met. We spoke to two health care professionals who spoke very highly of the care provided to the residents. They said that staff always contact them appropriately and that any advice is acted upon. Staff are enthusiastic about working at the Home. They spoke positively about the residents and clearly have a good understanding of their needs and how these should be met. We observed staff supporting residents in a kind and respectful manner. There was a lot of conversation between residents and staff and lots of laughter. The residents said that staff always have time to spend with them on an individual basis and that any requests are dealt with quickly. Residents said that there are regular activities available for them to take part. These include visits to the local children`s nursery, gardening, walks in the grounds, exercise class, musical entertainment. The Home has a vegetable garden which residents are responsible for and there are several pets at the Home belonging to residents. The residents said that they enjoy their meals and that they are always offered a choice. Residents who need additional support at mealtimes are offered this in a respectful manner. The cook and other kitchen staff also know the residents well and work as part of the team to provide a good service to the residents. The admission of new residents is managed in a sensitive way with additional support being provided to new residents to help them to settle in. Appropriate pre admission assessments are carried out so that the Manager can be sure that residents needs can be met at the Home. Staff have a clear understanding of their role and that of others within the team. They work well together. Staff receive appropriate training and supervision to enable them to carry out their roles effectively. The Home is well managed by an experienced Manager who provides good leadership and support to the staff team. Residents and staff spoke highly of the Manager and they way in which the Home is run. What has improved since the last inspection? Several areas of the Home have been improved. Ramped pathways are now around the Home so that all residents have easier access to the garden. Raised beds and a greenhouse have been provided to make gardening easier for residents. Two of the residents have had their ensuite bathrooms changed to shower rooms which better meets their needs. A new wet room has been built and a new hoist been fitted to one of the baths. Some areas of the Home have been redecorated and recarpeted and there are plans to finish all areas in the next few weeks. What the care home could do better: The programme of redecoration and refurbishment needs to continue to completion. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Carleton House Rectory Road East Carleton Norwich Norfolk NR14 8HT     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Lella Hudson     Date: 0 2 0 9 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. 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 Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI 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 28 Information about the care home Name of care home: Address: Carleton House Rectory Road East Carleton Norwich Norfolk NR14 8HT 01508570451 01508571358 carleton.house@fshc.co.uk www.fshc.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Four Seasons Health Care (England) Limited (wholly owned subsidiary of Four Seasons Health Care Ltd) care home 27 Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is 27 The registered person may provide the following categories 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 Date of last inspection Brief description of the care home This is a residential home for up to 27 older people. This original rectory is set in its own grounds with a large well-kept garden. It is situated in the small village of East Care Homes for Older People Page 4 of 28 Over 65 27 0 Brief description of the care home Carleton with a once a week bus service. There is room to park a number of cars in the grounds. The accommodation is on the ground and first floor (accessed by a lift) with bedrooms on both floors. Fees per week range between £366 to £636 per week. Please refer to the Manager for further information about fees. Emailcarleton.house@fshc.co.uk Care Homes for Older People Page 5 of 28 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 report contains information gathered about the Home since the last Inspection (September 2007). It includes information provided in the Annual Quality Assurance Assessment which the Manager completed and returned to us and from responses within surveys that were returned to us by staff and residents. It also includes information gathered during an unannounced visit to the Home which we carried out on 2nd September between 9am to 4.30pm. During our visit to the Home we spoke to the Manager, Regional Manager, staff and residents as well as to two health care professionals. We were shown around the Home and looked at a selection of records. Care Homes for Older People Page 6 of 28 What the care home does well: What has improved since the last inspection? Several areas of the Home have been improved. Ramped pathways are now around the Home so that all residents have easier access to the garden. Raised beds and a greenhouse have been provided to make gardening easier for residents. Two of the residents have had their ensuite bathrooms changed to shower rooms which better meets their needs. A new wet room has been built and a new hoist been fitted to one of the baths. Some areas of the Home have been redecorated and recarpeted and there are plans to finish all areas in the next few weeks. Care Homes for Older People Page 7 of 28 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 set out 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 28 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 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Effective pre admission assessments are carried out prior to residents moving into the Home. The Manager only admits residents whose needs can be met at the Home. Great care is given to considering how to make the move into residential care easier for individual residents. Evidence: The Manager said that there have not been any changes to the Statement of Purpose. We did not see this during this visit but it had previously been assessed as providing satisfactory information for prospective residents. The Manager and the staff team are very aware of the possible upset and worry that residents may experience when they first move to the Home and work hard to reassure both residents and their relatives. Effective pre admission assessments are carried out and these include information Care Homes for Older People Page 10 of 28 Evidence: gathered from the resident, their relatives and health professionals if appropriate. Residents and their relatives are encouraged to visit the Home prior to moving in if they wish to. On the day of our visit there was an additional member of staff on duty to provide individual support to a resident who had moved into the Home the previous evening. The additional member of staff spent a lot of time showing the resident around and introducing her to others. She also went through the process of starting to put together the residents care plan. We spoke to the resident and she said that she was overwhelmed with the kindness that she had been shown by the staff since she had arrived at the Home. She said that the staff had managed to allay a lot of her worries about moving in. The Manager is aware of the need to liaise with the Commission with regard to issues relating to the Homes conditions of registration. The Manager is clear about only admitting residents whose needs can be met at the Home. Care Homes for Older People Page 11 of 28 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. A very good standard of care is provided to the residents. Residents like living at the Home and feel that their needs are met by a kind and caring staff team. Care plans contain detailed guidance for staff about how residents needs should be met. Medication is managed safely. Evidence: We spoke to six of the residents during our visit to the Home and they spoke very highly of the care that they receive from the staff team. They gave us lots of examples of the way in which the staff meet their needs and also how they go the extra mile. For example, one of the residents told us the staff had continually encouraged and motivated her and spent time with her when she was unable to walk due to health problems and that this had helped her to get back on her feet, literally. Another resident said that staff are absolutely marvellous, they could not be kinder. She described the support that she, and her relatives, had received since she had moved into the Home as wonderful. She said that staff respect the fact that she likes to spend time on her own but that they are always available if she needs them. Care Homes for Older People Page 12 of 28 Evidence: Another resident said that the staff are lovely, jolly and welcoming and that she had not expected to feel so settled so quickly. Other residents gave examples of how staff have assisted them with doing exercises so that they improve and maintain their mobility and of the way in which any requests are responded to very quickly. We observed staff spending time with residents and speaking to them respectfully and kindly but with lots of laughter as well. All of the staff whom we observed, including the domestic and kitchen staff, clearly know the residents well and took time to speak to them. Residents told us that the staff respect their privacy and their dignity. We observed staff supporting residents in a respectful way, they offered residents choices and always explained what was going to take place. We looked at three of the care plans and could see that these contain detailed guidance about how to meet residents needs. Risks are assessed and there is guidance about how to safely manage these. The care plans are initially completed when the resident first moves into the Home and are based on the pre admission assessment and additional information gathered from the resident. Further information is added as the staff get to know the residents. The care plans are person centred and focus on the residents needs and preferences about how this care should be provided. There are nice examples of how seemingly small issues are respected if they are important to the resident, for example, one of the residents care plans directs staff to remember to offer the resident her glasses and her perfume before going to the lounge. The care plans contain information about whether residents have a preference about which gender of care staff assist them with personal care. There are male and female care staff at the Home. Staffing is flexible and staff are clear that if a resident prefers another carer to assist them then that is what happens if at all possible. The Manager said that the rotas are flexible and that additional staff are on duty if needed, for example if a resident is unwell or at the end of their life. Staff confirmed that this does take place. In addition to this, during the summer some staff start work earlier in the morning as the Manager said that several of the residents like to get up when it starts getting light. The responses within the residents surveys that we received all contained positive responses about the care that the residents receive. Care Homes for Older People Page 13 of 28 Evidence: The care plans contain evidence of residents being supported to appointments with health care professionals such as GP, hospital, dentist, optician and chiropodists. The care plans contain advice provided by health care professionals. We spoke to the District Nurse and to the GP whilst we were at the Home. They were both very positive about the Home and said that staff contact them appropriately and that any advice given is acted upon. They said that the care is excellent and that they have no concerns at all. They both said that there is good communication between the staff team and themselves. We looked at the medication system. Appropriate records are kept of medication that is received at the Home, administered to residents and any that is returned to the pharmacy. Only senior staff who have received training are responsible for administering medication and the Manager also carries out observed assessments on their competency. The organisation requires that a regular audit of medication is carried out. We saw these and could see that there have not been any problems identified. Care Homes for Older People Page 14 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are supported to take part in a range of activities, both in groups and on a one to one basis. Residents enjoy their meals and are offered choices. Individual dietary needs are met and residents receive appropriate support to eat their meals if needed. Evidence: We spoke to residents about the provision of activities within the Home. They all said that there are lots of things that they can take part in if they wish to. One of the residents told us that she does not like to join in with activities and that the staff respect this but do also spend time with her on an individual basis. Residents told us that about a range of activities that are available. For example, some of the residents go to the local childrens nursery to talk to the children and when they went at Easter they took Easter Eggs with them. Some of the residents grow vegetables and flowers in the new raised beds in the garden. There is also a greenhouse and residents told us that they have been providing the kitchen with salad vegetables over the summer. The Home has won an award in the Four Seasons Health care national gardening competition. Care Homes for Older People Page 15 of 28 Evidence: One of the residents has guinea pigs which live in the garden and another resident has budgies in his bedroom. The residents said that they are encouraged to have pets and that staff give them the assistance they need to help look after them. One of the residents brought her cat with her when she moved into the Home. Residents said that the staff always have time to assist them to walk around the large gardens if they want to do so. One of the residents told us that he likes to have a walk every day, whatever the weather. Other residents told us that there had been a fete in the gardens the previous week and that this had been a joint venture with the local church. Regular activities take place in the Home provided by external people, such as weekly Extend (exercise) sessions and regular musical events. A quiz was taking place in the Home during the afternoon that we were there. The activities co-ordinator has recently left the Home and a new part time coordinator has been appointed. She is in the process of talking to residents about what they are interested in so that she can plan appropriate activities. The care plans that we saw contained information about the residents hobbies and interests. The Life History sections of the care plans that we saw are detailed. The care plans also contain information about residents dietary needs and preferences. Residents told us that they enjoy their meals and that there is always a choice. They said that they are always offered fresh fruit on a daily basis and that there are homemade cakes on offer as well. We spoke to the cook and to the kitchen assistant. There is always at least one member of staff on duty in the kitchen to prepare meals and to clear up afterwards. The kitchen staff have a good understanding of the residents individual preferences and also of any particular dietary needs. On the day of our visit the cook was making birthday cakes for the two residents whose birthdays were on that day. We also observed the cook talking to the resident who had just moved into the Home about her views on the lunch and about her food choices. The Environmental Health department have recently awarded the Home Excellent following their most recent Food Hygiene inspection. Residents who need assistance with their meals are given this in a respectful and appropriate manner. Residents are given as much time as they need to finish their Care Homes for Older People Page 16 of 28 Evidence: meals and are not rushed to do so. As part of the ongoing refurbishment in the Home there are plans to increase the size of the dining area. Currently this room is not large enough for all of the residents to have their meals there but the Manager said that some residents prefer to have their meals in their rooms or in the lounge. Care Homes for Older People Page 17 of 28 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. Residents are confident that any concerns they raise will be dealt with appropriately. Procedures and staff training are in place to provide protection to the residents from abuse. Evidence: We spoke to residents about making complaints and they all said that they had not needed to do so. However, they did say that they would feel comfortable in talking to the Manager if they needed to make a complaint. Residents/relatives meetings take place approximately three times a year. Staff spend time with individual residents on a regular basis which gives the residents opportunities to raise any concerns. The Manager has attended training about the Mental Capacity Act and training is arranged to take place shortly about the Deprivation of Liberties Act. The Manager is aware of the procedure for making referrals to the Independent Mental Capacity Advocates if she had any concerns about decisions being made for residents who lack mental capacity. The training records show that all staff, including domestic and catering staff, attend Safeguarding training. Staff confirmed that this does take place. Records show that the Whistle Blowing policy was discussed at a recent staff meeting. The responses Care Homes for Older People Page 18 of 28 Evidence: within the staff surveys that we received show that staff are aware of what to do if a resident wants to make a complaint. Care Homes for Older People Page 19 of 28 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. The Home provides comfortable and homely accommodation that meets the needs of the residents. Evidence: We were shown around the Home and saw all of the communal areas and some of the bedrooms. There has been an ongoing refurbishment and redecoration programme in place for some months now. There has been a delay in completing this work as some unexpected remedial work had to be carried out first. Some of the improvements made have been the provision of ramped pathways around the building so that residents have access to the gardens. There have also been raised beds made to make it easier for residents to do the gardening. Inside the Home there has been several carpets replaced and bedrooms decorated. A new wet room has been built and two of the residents ensuite bathrooms have now got level access showers rather than baths. Door guards have been fitted to the bedroom doors so that residents are able to have their doors open more easily. On the day of our visit keypad locks were being fitted to the doors leading onto the stairs. These have been fitted following a risk assessment of the stairways and residents will have access to the number for the keypads. Care Homes for Older People Page 20 of 28 Evidence: Further improvements are planned which include the extension of the dining room area into the lounge area, further redecoration and recarpeting of the bedrooms and communal areas. There are also some bedroom windows that are marked due to condensation getting into the double glazing. The organisation are aware of the problems with the windows and there are plans to replace these. At the time of our visit there were no unpleasant odours in the Home. The Home employs domestic and laundry staff on a daily basis. Care Homes for Older People Page 21 of 28 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 receive appropriate training and support to carry out their roles effectively. The staff are positive about working at the Home and are clear about the need to provide a good standard of care. Appropriate recruitment practices are followed. Evidence: The usual staffing arrangements are for there to be one senior Carer and three care staff in the mornings and for there to be one senior carer and two care staff in the afternoon/evening. There are two waking night staff on duty each night. A look at the rotas confirmed these staffing levels. Staff told us that additional staff are on duty when needed, such as when a resident is ill or at the end of their life. An extra member of staff was on duty during our visit to provide support to a resident who had only just moved into the Home. Staff who spoke to us are clear about their roles and all said that they enjoy working at the Home and that it is like being part of a family. The staff all have a good understanding of the needs of the residents and also a clear philosophy about person centred care. We observed staff supporting residents and this was done in a respectful and kind Care Homes for Older People Page 22 of 28 Evidence: manner. There was lots of laughing and joking taking place and there is a nice atmosphere within the Home. Residents told us very positive things about the staff and how they go out of their way to make the residents life comfortable and happy. Training records show that staff receive mandatory training, including the provision of formal induction. The Manager is aware of the need to consider additional training that staff may need such as sessions about specific health needs eg diabetes, end of life care, nutritional needs. This is currently provided on an ad hoc basis which means that not all staff have received it. One of the senior carers has recently completed Training the Trainers training so that she is able to provide moving and handling training to the staff team. Records show that six staff have already achieved NVQ at either Level 2 or 3 and that four staff are in the process of completing this. Other staff will be commencing NVQ 2 shortly. We looked at a selection of recruitment files and can see that appropriate checks are carried out prior to staff starting work at the Home. Staff confirmed that this does take place and that they received a good induction prior to providing care to the residents. Care Homes for Older People Page 23 of 28 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 by a Manager who provides good leadership and ensures a good standard of care is provided. The views of the residents underpin the service that is provided. Health and safety issues are given a high priority. Evidence: The Home is very well managed by Rosina Wells. Ms Wells has appropriate experience and qualifications to manage the Home. She provides clear leadership and support to the staff team. Staff who spoke to us all spoke highly of the Manager and said that she is approachable and fair. They said that she has high standards and expects staff to maintain these but that she provides good support to enable them to do so. Residents spoke very highly of the Manager also. They said that she spends time getting to know them when they first moved in to the Home and that she always comes to speak to them whenever she is on duty. A deputy manager was appointed last year and also works full time. The deputy Care Homes for Older People Page 24 of 28 Evidence: manager mainly works as part of the staff team but does have some time to undertake management tasks. The Home has an administrator who works part time. There is always a senior member of care staff on duty and the Manager and deputy manager provide an on call system for out of hours support. The staff who spoke to us confirmed that they have regular formal supervision but that they can always speak to any of the senior staff if they need support/advice about issues. The organisation has a formal quality assurance system in place which includes the regular auditing of a range of areas of the service provided. The quality assurance system involves the whole staff team in assessing some of the areas. The Manager said that questionnaires have recently been sent out to relatives to obtain their views about the care provided. We looked at a selection of health and safety records and these show that regular maintenance and servicing of equipment takes place. Risk assessments are carried out and action taken to address any issues arising. The Manager said that the hot water temperature is regulated and that window restrictors are fitted to all windows. Care Homes for Older People Page 25 of 28 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 26 of 28 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 27 of 28 Helpline: Telephone: 03000 616161 or Textphone: or 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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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