Care Home: Chippendayle Lodge.

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What the care home does well There is a clean, comfortable and spacious environment that provides the residents with a pleasant and homely place in which to live. The home is well managed and there are clear organisational structures that clearly define the roles and responsibilities of staff. The home is well supported by the surrounding community and some residents are able to get out to use local facilities. Friends and visitors are welcomes to the home and events such as garden parties are held so that residents can socialise. What has improved since the last inspection? There have been some significant environmental improvements. A large conservatory, a quiet dining room and six new bedrooms have been built to the rear of the property. The garden has been landscaped and is accessible to the residents. Additional staff have been rostered on the afternoon shift and several new staff, including a laundry assistant, have been recently recruited. An activities co-ordinator has been appointed. What the care home could do better: There should be systems in place so that activities in the home are continued by staff in the absence of the activities co-ordinator. Staff training and supervision should include refreshing their understanding of respect and dignity. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Chippendayle Lodge. 10 Chippendayle Drive Harrietsham Maidstone Kent ME17 1AD     The quality rating for this care home is:   two star good 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: Wendy Mills     Date: 0 6 0 6 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 27 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 27 Information about the care home Name of care home: Address: Chippendayle Lodge. 10 Chippendayle Drive Harrietsham Maidstone Kent ME17 1AD 01622859230 01622859230 sandra@charinghealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Charing Dale Ltd care home 27 Number of places (if applicable): Under 65 Over 65 0 27 dementia old age, not falling within any other category Additional conditions: 27 0 The maximum number of service users who can be accommodated is: 27 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 Chippendayle Lodge is a registered care home providing accommodation and care for up to twenty seven older people. The registered provider is Charing Dale Ltd. The home is situated just off the A 20 in a rural location in the village centre of Harrietsham, between the country town of Maidstone and the market town of Ashford in Kent. The home has good off street parking facilities and is easily accessible by car. The M20 motorway is within five minutes driving time away. Regular bus services run on the nearby A20. Care Homes for Older People Page 4 of 27 Brief description of the care home The communual space in the home consists of a large open plan lounge area, a new consevatory area with dining and sitting space , a private dining area and a separate room for use of residents and staff as a meeting room. All bedrooms are for single occupancy but consideration is given to the needs of couples and the home will make every effort to accommodate their needs. The weekly fees for this home range between £535 and £600. This excludes the contract prices agreed with Social Services. Additional charges are made for chiropody, hairdressing, private telephones and newspapers. Further information about the home can be obtained from the registered manager for the home. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This visit formed part of the annual inspection process of the Care Quality Commission (CQC) under the Care Standards Act. This report takes into account information we have gathered during the visit and information that we have received throughout the year. This includes information that the home is required to send us under the Act such as the Annual Quality Assurance Assessment (AQAA) and notifications of significant events as well as things that relatives, supporters of the residents and visiting health and social care professionals have told us. During this visit we spoke to ten of the residents, two in private, two supporters of the residents, seven members of staff, six in private, and had discussions with the registered manager and deputy manager. We examined important documentation such Care Homes for Older People Page 6 of 27 as care plans and staff files. A tour of the home was made and direct and indirect information was used throughout the time spent in the home. The evidence we have gathered is used to make a judgement about the star rating for this home. During this visit we asked the people who use this service how they would like us to refer to them in this report. They said that they prefer to be referred to as, Residents. Therefore this term is used throughout this report to refer to the people who use this service. Residents said that the home is a lovely place to live and that they really enjoy their surroundings. They commented very positively about the food and the kindness of most of the staff. The residents, their supporters, staff and registered manager are all thanked for the welcome they gave and their help throughout this inspection. The star quality rating for this home is 2 Stars. This means that the residents experience good quality care whilst living in the home. 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 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 27 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home gives prospective residents and their supporters good information about the home so that they can make an informed decision about moving into the home. Good pre-admission assessments are made before a place is offered at the home. This means that only those people whose needs can be met and who are suited to the home are offered a place there. Evidence: The home has a comprehensive Statement of Purpose and Service User Guide. Residents spoken with were aware of their rights whilst living in the home. The pre-admission documentation of the most recently admitted residents was examined. there were comprehensive, written pre-admission assessments in place. Care Homes for Older People Page 10 of 27 Evidence: Residents said that they had been able to visit the home prior to making a decision about moving into the home and could have stayed for a trial period if they had wanted to. The home does not offer intermediate care but does occasionally offer respite care. Care Homes for Older People Page 11 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home promotes the health and welfare of the residents to ensure they can enjoy as healthy a life as possible. Evidence: Every resident has a care plan. Care plans are important documents because they are one of the means by which the residents and their supporters can tell that their care and support needs the ways in which those needs will be met have been identified. In addition they are an important source of reference for care staff who need to ensure that these care needs are met in the way the resident would wish. Four care plans were examined and tracked to residents views, daily and medication records and activities. The care plans contain good information about the care and support, cultural and religious and social needs of the residents. Where wished, residents have contributed information about previous life experiences and interests. This is very useful as it can help staff talk about relevant subjects with the residents. It can also form the basis on which decisions might be made should there be failing Care Homes for Older People Page 12 of 27 Evidence: mental capacity. For For the not the most part the care plans were in good order but some lacked sufficient detail. example, two entries clearly identified care and social needs but did not describe way these needs were to be met. This means that a new member of staff who did know the resident would not have understood how to meet their needs. There was good evidence in the care plans to show that the advice of health and social care professionals is sought and followed. All residents are registered with local General practitioners (GPs) and specialist appointments, where needed, are made and kept. We received excellent feedback about the home from visiting health and social care professionals. The praised the way in which the registered manager had coped with a recent very difficult situation. They said, The manager was totally professional, she dealt with a situation that arose entirely due to circumstances beyond her control. She managed the situation really well. They said that the manager always communicates well with them and puts the needs of the residents first. Direct and indirect observation showed that, for the most part, the care staff worked well with the residents and treated them with respect and kindness. Residents said that they are happy with their care and praised some of the staff for their hard work and patience. During the visit friendly banter between some of the staff and residents was noted. This created a relaxed and cheerful atmosphere in the home. However, a negative attitude was displayed by one member of the care staff whose interactions with residents was noted to be uncommunicative and unfriendly. The home has sound policies and procedures for the management and administration of medicines. the storage of medicines is safe and secure. There is a locked trolley that is kept in a locked room. However, this room is used as a staff base and the staff toilet is accessed vis this room. Safety and security and the management of medicines could be greatly improved by reviewing the way this room is used and re-designating it as a clinical room. The Medicines Administration Records (MARs) for the past month were examined. They were in good order with no errors or omissions. However, a stick-on note with telephone instructions from a GP was found attached to one record. There was no date, no residents name and no indication as to which member of staff had taken the message. There is potential for this to cause confusion should the note become detached from the record. The home should refrain from the use of stick-on notes in the MAR. Care Homes for Older People Page 13 of 27 Care Homes for Older People Page 14 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has an activities programme but more diligence is needed to ensure that there is consistency and continuity so that residents can be confident that their cultural and social needs will be met. Food services at the home are very good and residents have a good choice of nourishing and appetising meals that they enjoy. Evidence: The home has an activities co-ordinator but she had been away from the home for the five weeks prior to this visit. The homes Annual Quality Assurance Assessment (AQAA) told us that the home offers a full activity programme but was no evidence that other staff had found the time to encourage residents to participate in activities in her absence. However, some staff were observed to spend time chatting to individual residents in a friendly and supportive way. Some residents said that they would like more activities whilst others said that they are very happy to spend time in their rooms, watching television or reading. Some residents are happy to occupy themselves with handicrafts such as knitting and others Care Homes for Older People Page 15 of 27 Evidence: said that they enjoy feeding the birds and watching them in the garden. The home has a safe, enclosed and flat garden with level pathways. Residents said that they enjoy the garden but would like to get out there more frequently. One resident said, Id like to do a bit of gardening, grow some tomatoes and maybe some beans. Written records are kept of the particular interests and religious and cultural needs of the residents. The way that these needs are to be met was not made not clear in two of the care plans that we examined. For example, one care plan noted that the religious needs for this resident were for support to practice their faith. However, there was no indication of what those support needs were, neither could staff tell us which denomination the resident belonged to. Since this visit we have been told that the home has changed the way it communicates and records information about activities so that all staff know what they should be doing in the absence of the activities coordinator. Visitors are made welcome. Two visitors were spoken to. They confirmed that they are always made welcome and can visit in private. They said that they always find the staff to be kind and polite. Food services at the home are very good. There is a varied menu and residents said that they enjoy their meals and always have plenty to eat. The registered manager and the cook confirmed that they is a generous food budget. The cook said that there is always plenty of fresh, good quality produce so that appetising and nourishing can be prepared. The residents praised the cooks that work in the home and the quality of the meals. One said, They always bake us a special cake if its our birthday or a special occasion. The cakes and pastries are really lovely - all home made and taste so much better than shop bought cakes - you can tell the difference. Residents can choose where to eat their meals. Most chose to come to the dining room for lunch as they like the opportunity to socialise. The dining room is light and airy and tables are arranged so that residents can sit in groups with their particular friends. In addition to the main dining area there is a smaller dining room that residents, who prefer a quieter and more private atmosphere, can eat. Meals can also be taken in residents own rooms. Care Homes for Older People Page 16 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home acts appropriately to deal with concerns, complaints and safeguarding. Evidence: The home has sound policies and procedures for managing concerns, complaints and safeguarding. the complaints procedure is contained in the Statement of Purpose and the Service User Guide. It is also displayed on the notice board. The homes Annual Quality Assurance Assessment (AQAA) told us that there have been no complaints since the last inspection. Monthly audits of complaints and concerns are carried out. Staff receive safeguarding training during their induction period and have regular updates after this. All the staff spoken to confirmed that they are aware of the whistleblowing policy and procedure which requires that they report any suspicion of abuse in any form, to the registered manager. They said that they would feel able to report serious concerns to the registered manager. The registered provider takes a close interest in the running of the home and visits on a regular basis to monitor quality. In addition an area manager also visits the home on a regular basis to speak to the manager, staff and residents. Care Homes for Older People Page 17 of 27 Care Homes for Older People Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The environment is very clean, odour free, spacious and well maintained. This gives the people who live her a pleasant and homely place in which to live. Evidence: Since the last inspection there have been a number of improvements to the home. Six new bedrooms with en suite facilities, a large conservatory and a small additional dining room have been built to the rear of the home. Whilst this extension has taken some garden area, and residents expressed regret that part of the garden where they used to sit has gone, a good-sized, flat, easily accessible and well-maintained garden, with seating in both sun and shade, remains. Residents said that they very much enjoy the garden and watching the large variety of birds who visit the well stocked bird table. There is plenty of communal space in the home. The new conservatory provides both spacious dining accommodation and sitting space. A smaller dining room leading from the conservatory provides space for those who wish to have a quieter area to eat in or for families who may wish to visit with a resident for a special occasion. In addition there is a large, open-plan lounge. The conservatory is access from the lounge by French doors. There is a sill, with a raised lip, between these areas that could present a trip hazard. It is the providers responsibility to ensure that appropriate action is take Care Homes for Older People Page 19 of 27 Evidence: to eliminate the risks of trips and falls. All areas of the home are well furnished. The dining areas all have new furniture and new armchairs had been delivered on the day prior to this visit. The accommodation is arranged on two floors. A shaft lift and a flight of stairs connects these floors. A stair lift has been removed since the last inspection. This makes the staircase safer for residents who are able and prefer to use the stairs. The carpet on this staircase has been repaired following this and we were told that a new stair carpet is due to be fitted in the near future. Now that the home has more bedrooms, the room usage of these has been changed to provide a staff office and medicines storage and a small meeting room. This provides further assurance of confidentially both for record keeping and storage and for residents, who do not wish to use their own rooms, to meet with advisers, such as solicitors and accountants, in private. All bedrooms in the home are for single occupancy. All areas of the home were clean and clutter free on the day of this visit. There are sound systems for the management of laundry and these will be improved still further very soon as the home has appointed a laundry assistant. We were told that she was due to take up her post on the week following this visit. Some of the older areas of the home now require refurbishment. Two upstairs bathrooms are now in need of updating. We were told that the need for this work has already been identified and is scheduled to be carried out in the near future. It is recommended that the home ensure the work is complete by the end of the financial year. Care Homes for Older People Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has taken action to improve staffing levels and staff training in line with the increasing and changing needs of the residents but these measures have yet to take effect. The home has sound recruitment policies and procedures that ensure only carefully vetted staff are offered work in the service. Evidence: On the day of this visit three care staff were rostered on the early shift. At the last inspection there were only two staff members in the afternoon. The home now has three staff members in the afternoon shift as well as in the morning. Staffing levels meet the basic care needs of the residents but at the time of this visit it did not appear that staff had the time to spend encouraging residents in social activities. We were told that more staff have been recruited and will start work in the home once the vetting process is complete. It is then anticipated that there will be four staff members on each day shift. In addition to care staff there are catering and housekeeping staff. At the time of the inspection care staff were carrying out laundry duties but a laundry assistant was due to begin work in the home the following week. This will release care staff time so that Care Homes for Older People Page 21 of 27 Evidence: they can spend more time with the residents. Residents and visitors said that most of the staff are kind and caring and have a positive attitude. However, some residents told us that one staff member is particularly abrupt and does not appear to have a caring attitude. We observed one member of staff return a walking aid to a resident. This staff member placed the walking aid in an awkward position for the resident to reach and turned her back on the resident without saying a word. This left the resident without reassurance and having to struggle to get up from her chair. Concerns in respect of this incident were take up with the registered manager who said she would ensure more stringent staff supervision and training. Four staff files were examined. Two of these belonged to the most recently recruited staff members and two were selected at random. There is good evidence to show that staff receive regular training and supervision. Staff have attended statutory training such as moving and handling and specialist training such as diabetes and dementia. Staff receive regular one to one supervision. The homes Annual Quality Assurance Assessment (AQAA) told us that there is one member of staff who has achieved the National Vocational Qualification (NVQ) in care at level three, two staff members who have achieved level two and six staff members currently undertaking the level two course. In addition the deputy manager has recently enrolled on the NVQ at level four. The number of staff currently holding NVQs at level two or above equates to only fifteen percent of the workforce and falls far short of the fifty percent target. Once the additional six staff members have achieved the qualification this percentage will increase to approximately forty percent. The home is aware that further work needs to be done to ensure that more staff achieve the NVQ at level two or above. There are clear and sound recruitment policies and procedures in place. All prospective staff are required to complete a comprehensive application form, provide a full work history and proof of identity before being offered an interview for a post at the home. Once a successful interview is complete, two written references are taken up and telephone checks made if indicated and Criminal Records Bureau (CRB) and safeguarding (POVA First) checks are made. No new member of staff is permitted to work at the home until all these checks are satisfactory. Examination of the staff files confirmed that all appropriate checks had been made. Care Homes for Older People Page 22 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and the views of the people who use this service and their supporters are listened to and acted upon. This means that the home is run in their best interests. Evidence: The home is part of a group of homes in Kent that are run by the same registered provider. There is a good organisation structure that makes roles and responsibilities clear. Since the last inspection there have been some changes in the management team. A new area manager has been appointed and the registered provider has taken a much more hands on approach to overseeing the running of the homes in the group. The new area manager has fostered better communications between the homes in the group and this has meant that the registered managers for each home have been able to give each other more support and to learn from each other. Care Homes for Older People Page 23 of 27 Evidence: The registered manager for the home is vary experienced and has been running the home for several years. Residents, there supporters, staff and visiting health and social care professionals spoke highly of her ability and responsiveness. She was praised for her professionalism and caring approach. There are sound quality assurance measures in place. These include an annual residents questionnaire, regular meetings and monthly visits from the provider to carry out quality monitoring in line with regulation 26 of the Care Standards Act. There was good evidence to show that these visits had identified work that is required and that action has been taken to address and concerns identified. It was good to note that the registered provider took the trouble to seek early feedback following this inspection and gave reassurances that he would work together with the manager to make the necessary improvements. Residents are encouraged to continues to manage their own finances where possible and if they wish. The home does not act as appointee for any resident but does hold some small amounts of money on behalf of some residents. These monies are stored securely and properly accounted for with receipts and regular audits. The Annual Quality Assurance Assessment (AQAA) was comprehensive and confirmed that all records required for the protection of the residents are maintained and up-todate. The AQAA is a legal document that is required by the Care Quality Commission (CQC). All service completing this document know that a failure to complete this correctly is an offence under the Care Standards Act. During a tour of the home one health and safety hazard was noted and this is dealt with under the outcome area for the Environment in this report. During a conversation with the registered provider following this inspection, he agreed to address this point as a matter of urgency. Care Homes for Older People Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 26 of 27 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 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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