Care Home: Chesham Bois Manor

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What the care home does well Information about the home is available to prospective residents to help them decide if the home is right for them. Their wishes for care and diverse support needs are assessed before they move to the home to ensure they can be met. There is good liaison with local health care services and peoples` individual health and personal care needs are met in a way which protects their autonomy and dignity. People said `we have been very happy with the care offered`, `the manager and care staff are very helpful and kind` and `so far the home has met our expectations in offering care, support and assistance`. There is a programme of activities which residents can choose to join if they wish. The gardens are accessible and secure. There is outside seating in small secure courtyards. Meals are of a good standard and there is an alternative menu if residents do not like the main meal offered. The dining rooms are attractive and provide a sociable atmosphere for residents who like to eat in company. The chef is able to provide individualised menus and can provide diets to meet people`s health needs and cultural and faith wishes. The home is accessible to people with disabilities and is set in landscaped gardens. Residents can walk in the gardens safely. People are encouraged to personalise their rooms and many had chosen to do so. There is an ongoing refurbishment programme. Infection control standards are good. People living at the home told us that they knew who to speak to if they had a concern and how to make a formal complaint. The records showed that people`s concerns were taken seriously and addressed. The home works with the local authority to protect people from harm. People receive care from kind, well trained staff who can meet their diverse health and care needs in a timely way. There is an active training programme and staff have training in caring for people with dementia. Recruitment procedures are thorough and checks are made to protect residents from unsuitable staff. People made positive comments about the staff saying they are `polite and helpful staff`, `the care assistants are very helpful and take time to sit with residents and talk with them` and `staff appear genuinely fond of my family member`. The home is well managed in the interests of residents. There is a quality assurance programme in place and representatives of the company visit the home regularly. Residents and staff said the manager was approachable and one resident said `I feel safe here`. The safety of residents is monitored and staff have had training in safe working practices to reduce the risk of injury to residents or themselves arising from care. The home has a good understanding of the Mental Capacity Act and the newly introduced `Deprivation of Liberty` safeguards and has taken steps to ensure that residents are safe but are not deprived of their liberty unlawfully. What has improved since the last inspection? There has been an ongoing programme of redecoration and refurbishment. The lift has been repaired and a new stair lift has been installed as a back up, should the lift fail. The staffing team has stabilised and there is a full management team in place. The training programme has been better organised and staff have training in safe working practices. Staff have training in dementia care which they said they found helpful and informative. They said that they felt the training helped them understand and support people with dementia better. What the care home could do better: The advice of a dietitian should be sought as to the steps the home can take to support people to maintain their weight, particularly those with dementia. The care planning documentation should be reviewed to ensure that there is space for entries to be signed and dated. Care plans should also hold sufficient detail as to the actions that care staff should take to prevent pressure damage occurring or deteriorating. The home should ensure that the infection control policies and procedures are in line with the latest guidance from the Department of Health and available on their website www.dh.gov.uk The home should have a copy of the latest multi agency safeguarding policies and procedures published by the local authority, which is the lead agency in these matters. Key inspection report Care homes for older people Name: Address: Chesham Bois Manor Amersham Road Chesham Buckinghamshire HP5 1NE     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: Chris Sidwell     Date: 2 5 0 8 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 26 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 26 Information about the care home Name of care home: Address: Chesham Bois Manor Amersham Road Chesham Buckinghamshire HP5 1NE 01494783194 01494794636 chesham@bmcarehomes.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): B & M Investments Ltd t/a B & M Care Name of registered manager (if applicable) Mrs Maureen Leka Type of registration: Number of places registered: care home 48 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users to be accommodated is 48. The registered person may provide the following category/ies of service only: Care home only - (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 (OP) Dementia (DE). Date of last inspection Brief description of the care home Chesham Bois Manor is situated a short distance from the town centre of Chesham, a small town which provides a variety of shops and other local amenities. Chesham is served by local bus routes and has a Metropolitan Line tube station and main line services. The home is one of several run by B&M Care Limited, and provides a home Care Homes for Older People Page 4 of 26 Over 65 0 48 48 0 Brief description of the care home for up to 48 elderly people, thirty-one of whom may require additional support due to dementia type illness. All rooms are single and twenty-three have en-suite facilities. There are a number of lounges, dining and quiet areas. The home is an older building with a modern extension. There are extensive, and well-maintained grounds, including a secure garden area where people with dementia can walk safely. A team of carers, a deputy manager, housekeeping and catering staff, support the homes manager, and access to healthcare professionals, including community nurses, is by direct contact or through the General Practitioner. Care Homes for Older People Page 5 of 26 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 home last had an unannounced key inspection on the 6th September 2007. This inspection was conducted over three days ,which includes the preparation, an unannounced visit to the home on the 25th August 2009 of seven and a half hours and time taken to prepare the report. The key standards for older peoples services were assessed. Information received about the home since the last inspection was taken into account in the planning of the visit. The manager completed an annual quality assurance assessment (AQAA) in which she described the way in which the home ensures that the views of people who use the service are included in what they do, the way they ensure equality and diversity is respected, what they do well, the evidence to show it and their plans for improvement. This was completed in full and returned on time. Questionnaires were sent to the home for distribution to residents, staff and visiting professionals. Six residents or their families, six members of staff and four health care professionals returned these. Residents and families were spoken to on the Care Homes for Older People Page 6 of 26 day of the unannounced visit. Discussions took place with the interim manager, deputy manager, the administrator, care and ancillary staff. Initial feedback was given at the end of the visit. Care practice was observed and the care of three residents was followed through in detail. The environment and accessibility of the home for people with disabilities was checked. The homes approach to equality and diversity was considered throughout. Care Homes for Older People Page 7 of 26 What the care home does well: What has improved since the last inspection? Care Homes for Older People Page 8 of 26 There has been an ongoing programme of redecoration and refurbishment. The lift has been repaired and a new stair lift has been installed as a back up, should the lift fail. The staffing team has stabilised and there is a full management team in place. The training programme has been better organised and staff have training in safe working practices. Staff have training in dementia care which they said they found helpful and informative. They said that they felt the training helped them understand and support people with dementia better. 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 26 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 26 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. There is information available and the opportunity to visit the home to help people decide whether they wish to move to the home. Peoples diverse health and social care needs are assessed before they move to the home, to ensure they can be met. Evidence: There is information available to prospective residents in the form of a statement of purpose, which describes the services provided by the home and a home brochure. Prospective residents and their families are welcome to visit the home and stay for a trial period before deciding whether the home is for them. The care files of three people who have moved to the home since the last inspection were checked. Their needs had been assessed before they moved to the home to identify with them their needs and wishes for care. One resident had moved to the home as an emergency as she was not coping at home. Her needs were assessed when she arrived and kept under close review initially. The assessment documentation prompts staff to take note of peoples faith and cultural wishes as well as their health and social care needs. Care Homes for Older People Page 11 of 26 Evidence: The manager said that privately funded residents had contracts and those who were supported by their local authority had a copy of the terms and conditions of their stay at the home. The home does not offer intermediate care for people needing specialist rehabilitation. Care Homes for Older People Page 12 of 26 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. Peoples diverse personal, health and medication needs are met in a manner which protects their dignity, promoting their wellbeing. Evidence: The care of three people living at the home was followed through. All had care plans which had been updated regularly. Some entries were not signed and dated which should be addressed. The care plans did not show whether families and residents had been involved in drawing them up and one family member who returned the surveys said that they had never seen their family members care plan. The home should consider how they might involve people and their families in drawing up the care plans. Residents diverse healthcare needs were recognised and recorded. Peoples risk of developing pressure damage had been identified. Two people had pressure damage which had occurred when they became unwell. They had the appropriate mattresses and chair cushions to prevent deterioration and were being seen by the district nurse. Two people had lost weight since moving to the home. They had been referred promptly to a general practitioner and had been prescribed a food Care Homes for Older People Page 13 of 26 Evidence: supplement. The home should seek the advice of a dietitian as to how they can increase the calories in the meals to help prevent people losing weight, particularly those with dementia. The care files showed that residents see a general practitioner and other members of the local primary health care team regularly and are supported to visit hospital outpatient departments when necessary. People are supported to maintain their personal hygiene and to wear clothing of their choice. The atmosphere was relaxed and staff were speaking to residents politely and gently. They were not seen to hurry and residents were given time to express themselves. No one was restrained and everyone was able to move about the home and to go into the garden if they wished. Care staff said all care is given in residents rooms. Residents and their families commented in the surveys that we have been very happy with the care offered, the manager and care staff are very helpful and kind and so far the home has met our expectations in offering care, support and assistance. There are medication policies and procedures in place and the staff spoken to were aware of these. The storage facilities were satisfactory. Controlled medication was stored and recorded correctly. Records are kept of medication delivered and disposed of by the home. Residents individual medication administration records were completed in full and appropriate steps were taken to ensure that supplies were received regularly. None of the residents managed their own medication at the moment although there are policies and procedures in place to support this if residents wish. The staff spoken to said that medication was never given covertly. If a resident did not want to take their medication, this would be recorded. If the medication was essential and the resident lacked capacity, the doctor and family would be told and a way forward agreed. Care Homes for Older People Page 14 of 26 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. People can choose how they spend their day and are supported to take part in activities if they wish. The standard of food is good meeting peoples social, cultural and nutritional needs. Evidence: The activities coordinator organises a range of activities, including musical entertainments, quizzes, crosswords and walks in the garden on a regular basis. There is easy access to the garden which is secure for people with disabilities and one gentleman was observed to be walking in the garden with his friend. The deputy manager said that they were trying to introduce more everyday activities in the home. Residents are supported to help with washing up if they wish in the kitchenettes adjoining the lounge dining rooms. There is a washing line which residents can use. A garden party was held at the weekend for families and residents. There is comfortable garden furniture in the easily accessible courtyards. The chef was on holiday at the time of the unannounced visit and a carer had prepared the main meal. There is a varied menu and all food is home cooked. There is an alternative choice of menu at lunch time although this appeared to be offered when Care Homes for Older People Page 15 of 26 Evidence: care staff were aware that someone did not like the main meal. A choice of meal is not offered routinely. The home should consider how best to offer people a choice of menus at each meal. There are attractive dining rooms. Dining tables were decorated with flowers and well laid with tablecloths, cutlery and drinks and glasses. Residents have a choice as to whether they eat alone or with others. The deputy manager said that the chef would be able to prepare special menus to meet peoples cultural and faith needs if necessary as well as special diets which may be needed to meet peoples health needs. Everyone who returned the questionnaires said that they always or usually enjoyed the food. Care Homes for Older People Page 16 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at the home are protected from harm and their concerns are listened to and addressed. Evidence: There is a copy of the complaints procedure displayed in the home and it is described in the Service Users Guide. Everyone who returned the surveys said that they knew who to speak to informally if they had a concern and that they knew how to make a formal complaint. People also said that staff listen and act on what they say. Records are kept of complaints which showed that they are responded to promptly in a conciliatory manner and that action is taken to address the concerns. The home has a copy of the local multi agency policies and procedures to safeguard people living at the home. This was dated 2001. The home should seek an updated copy. Most staff have had training in safeguarding vulnerable people either during their initial induction programme or during the last year. There is a clear plan in place to ensure that all staff members have updated safeguarding training this year. There are whistle blowing policies and procedures in place and the staff spoken to say that would have no hesitation in reporting any concerns. The home has made one appropriate safeguarding referral to the local authority which is the lead agency in these matters since the last inspection. Care Homes for Older People Page 17 of 26 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 a clean, safe and homely environment for residents. Evidence: The home is an attractive older building set in landscaped gardens. The gardens are safe and people can walk in them safely. There is a programme of ongoing refurbishment. New carpets have been laid and a new stair lift has been installed on the main staircas, to act as a back up if the main lift is not working. Residents are supported to personalise their rooms with small items of furniture and personal mementos. Many had chosen to do so. There are a number of different places for people to sit so they can choose whether they would like company or would prefer some quiet time. The home is subject to inspection by the fire safety authority and environmental health department. Action is taken promptly if requirements are made. The home achieved Gold Star status at the last Environmental Health inspection. The home was clean and tidy on the day of the unannounced visit and there were no offensive odours. There are infection control policies and procedures in place. The laundry is well organised and the washing machines have programmes to deal with soiled linen and clothing. There is liquid soap and paper towels in residents ensuites for the use of staff and visiting professionals. The home did not have a copy of the Care Homes for Older People Page 18 of 26 Evidence: latest guidance from the Department of Health (DH) on infection control and is advised to get a copy and review their policies to ensure that they are in line with the guidance. Further information about infection control is available on the DH website www.dh.gov.uk Care Homes for Older People Page 19 of 26 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 have the knowledge and skills and are available in sufficient numbers to meet peoples needs in a timely, caring way. Evidence: There has been an ongoing recruitment programme since the last inspection. The manager said that the home now had more permanent carers and had been able to reduce the number of agency carers used. A new twilight shift has been introduced to support residents at a busy time in the evenings. People were positive about care staff and commented polite and helpful staff, care assistants very helpful and take time to sit with residents and talk with them and staff appear genuinely fond of my family member. They said that carers and managers listened and acted on what they say. Staff said that communication had improved and one new member of staff said I was made to feel very welcome. There is an active training programme in place and training records showed that care staff are supported and encouraged to undertake National Vocational Qualifications in Care at level 2 and above. Staff have had training in safe working practices, including moving and handling, food hygiene and first aid. The deputy manager is accredited by the Alzheimers Society to offer their Yesterday, today, tomorrow training programme which is being rolled out across the home. The manager said that families were welcome to join staff if they wished to know more about dementia and to understand Care Homes for Older People Page 20 of 26 Evidence: their family member better. Care staff who returned the surveys said that they felt supported and had the training they needed to support vulnerable people. The recruitment files of three members of staff who had started at the home since the last inspection were checked. The required checks had been undertaken to protect residents from potentially unsuitable staff. There was evidence that the staff members identity had been checked. Criminal Records Bureau disclosures and two references had been sought before the staff member started work. The application form showed the staff members work history and interview records were kept. Care Homes for Older People Page 21 of 26 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 in the interest of the residents. Evidence: There is an experienced manager in post. She holds the National Vocational Qualifications in Management and Care at level 4 and has registered with us. She is supported by a deputy manager and assistant manager. Staff told us that she was supportive and had an open door policy. One family member who returned the questionnaires commented that they felt confident that they could approach her and that issues would be addressed. There is a quality assurance programme in place. There are six monthly residents and family meetings and regular staff meetings. Senior representatives of the company visit on a monthly basis to monitor the quality of care offered and records of their visits are kept. The home does not manage residents financial affairs. Residents may keep small Care Homes for Older People Page 22 of 26 Evidence: amounts of personal allowance in the home, at their own risk, in a locked drawer in their rooms. All other expenditure, for instance hairdressing or chiropody is paid by the home and invoiced to the resident or family. There are health and safety policies and procedures in place and regular meetings are held. Maintenance records were up to date and there was evidence that essential safety checks of services and equipment are undertaken. Water temperatures are tested regularly to reduce the risk to residents of scalding. The fire risk assessment had been updated and fire safety checks were made. The last Fire Safety Officers visit was on 18th December 2007 when the matters of concern arising from the previous fire inspection had been addressed. The last Environmental Health Officers visit was in 2008 when the home achieved Gold star status. The training records showed and staff confirmed that they had had training in safe working practices, including moving and handling, fire safety and infection control. The homes management team have had training in the implications of the Mental Capacity Act for people living at the home and the recently introduced Deprivation of Liberty safeguards, designed to ensure that people were not being unlawfully deprived of their liberty. They had made two appropriate referrals, in conjunction with families, to the Local Authority, which is the lead agency, for two residents who have dementia but wished to leave the home on a regular basis and may come to harm. The care plans were amended to enable carers to accompany them out on a walk if they wished. The local authority concluded that they were not being deprived of their liberty but that the restrictions were appropriate to maintain their safety. The manager said that this would be reviewed on a regular basis. Care Homes for Older People Page 23 of 26 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 24 of 26 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 25 of 26 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 26 of 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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