Care Home: Clara Court Care Home

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• St Vincents
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What the care home does well The Manager is competent and qualified to run the home for the benefit of the residents. He works hard to improve the quality of services and enhance the life of people living at the home. The Manager encourages feedback from residents and others. He listens to what they have to say and what they think can be improved about the service. He does his best to do as residents ask. The Manager is supported by a team of staff. Residents say that the staff are `kind, helpful` and `caring`. Staff are properly recruited and are well trained. Most of the carers have formal qualifications in care to enhance their knowledge and skills. Residents say, `there is plenty to do` at the home. The home employs two activity organisers who arrange trips out, entertainments and activities in the home. The home positively encourages families, friends and the wider community to join in. The home is well maintained, safe and comfortable. It is attractively decorated and furnished and is warm and homely. Residents say, `its lovely, I have my own room with a bathroom. I have been able to put my own things in my room, it feels like my own`. Routines at the home are planned around the needs and wishes of the residents. The service is flexible and people are encouraged to make their own choices. Residents are encouraged to remain as independent as possible and to help plan their own care. What has improved since the last inspection? Since the last inspection a new Manager has been recruited. There is a full complement of staff and less reliance on agency workers to meet the needs of residents. The home has introduced paper records to work alongside the computer records. More information is now in the care plans to help staff know what care needs each resident has. The computer risk assessments have improved. Staff are provided with more support and supervision. They meet with their Manager regularly so that they can share information and feel involved in the way the service is delivered to residents. The home has improved the way it informs the Commission about events in the home. It completes the appropriate paperwork. What the care home could do better: The paper version of care records need to be updated. Copies of care plans and risk assessments should mirror records kept on the computer. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Clara Court Care Home 21 Courthouse Road Maidenhead Berks SL6 6JE     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: Julie Willis     Date: 2 7 0 7 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: Clara Court Care Home 21 Courthouse Road Maidenhead Berks SL6 6JE 01628776022 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): manager.claracourt@careuk.com Care UK Community Partnerships Ltd Name of registered manager (if applicable) Mr Leigh Reid Type of registration: Number of places registered: 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 who can be accommodated is: 76 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 Care UK Residential Services operate 49 care homes throughout England and Scotland in partnership with the public sector. Clara Court opened for business in 2006. Clara Court has 76 beds and provides care and support for 76 older people. Built over 3 floors, the home provides respite and Care Homes for Older People Page 4 of 28 care home 76 Over 65 0 76 76 0 Brief description of the care home residential care for frail older people and includes accommodation for those with Alzheimers Disease or other forms of dementia. The current scales of charges are between 363.00 for contract beds to 922.00 pounds per week. Service users pay for hairdressing, chiropody, newspapers and toiletries. 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: 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 inspection of the service was an unannounced Key Inspection. The inspection took place on Monday 27th July between 09:00am and 4.00 pm. and covered all the standards for older people. Prior to the visit, survey and comment cards for residents, relatives and visiting professionals such as doctors and nurses were sent to the home. Any replies were used to help form judgments about the service. Consideration has also been given to other information that has been provided to the Commission since the last inspection. The inspector toured the building, examined records and met most of the residents and one relative that was visiting at the time of the inspection. The inspector also spent Care Homes for Older People Page 6 of 28 time talking informally to staff and observing how care was being delivered to the residents. Within the service there is good understanding of equality and diversity issues. Staff are able to translate their understanding of these issues into positive outcomes for residents in the areas of race, ethnicity, age, sexuality, gender, disability and belief. The inspector gave feedback about her findings to the homes Manager at the end of inspection. There were no outstanding requirements from previous inspections and no new requirements were made as result of this inspection. The CQC has received no complaints about the service since 1st January 2009. 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. Care Homes for Older People Page 8 of 28 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 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 10 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are provided with sufficient information about the home before admission, to decide if it is the right one for them. Residents are fully assessed prior to admission to ensure their needs can be met effectively by the home. Evidence: The home has developed a Statement of Purpose and Service User Guide which are concise and easy to read. Both documents provide sufficient information to enable a potential user to decide if the service is right for them. The Service User Guide details what prospective residents can expect from the service and gives clear information about services provided by the home. The documents set out the type of accommodation provided, qualifications and experience of staff, how to make a complaint and the admission and discharge procedure. Care Homes for Older People Page 11 of 28 Evidence: From examination of documentation it is evident that admissions to the home only take place if the service is confident that staff have the skills, ability and qualifications to meet the assessed needs of the prospective resident. All prospective residents are fully assessed by management of the home prior to their admission. The tool used for the purposes of assessment is holistic and comprehensive and gathers sufficient information to ensure that the home will be able to effectively meet the need of the prospective resident. A number of the current staff have undertaken customer care training to ensure that they are aware of the cultural expectations of each person admitted. The documentation for six people that use the service was examined in different areas of the home. The records evidenced that all necessary information about the residents health and personal care needs were sought prior to admission. The home undertakes an assessment of the residents nutrition, communication, mobility, risk of falls, continence and mental state. From this information a preliminary care plan is formulated. All residents are admitted for a trial period of six weeks, during which they are further assessed. At the end of the trial period a review is held to decide if the resident will stay permanently. This is a multi-professional meeting and includes the resident, their relatives, staff of the home and Social Services. The CQC received responses to its surveys from relatives, residents and visiting health and social care professionals. Some of their comments were Clara Court provides my mother with a safe, caring environment, The home has supported me throughout the process, Its a lovely place, I just wish they had more staff. Care Homes for Older People Page 12 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans were satisfactorily documented with sufficient information in place to enable staff to meet the health & personal care needs of residents effectively. Residents are provided with care in a manner, which maintains their right to dignity, privacy and choice. Medication is administered safely. Evidence: Six care plans were examined in various areas of the home and several residents were case tracked from pre admission assessment to date. The home uses the Saturn computer system for maintaining its care records. The recording varied in quality and content in different units of the home, but in the main, was sufficient in detail to enable staff to know how each resident wanted to be cared for. As well as the computer records the home maintains paper records. These were not as detailed and many were significantly out of date. There is an urgent need to update the information Care Homes for Older People Page 13 of 28 Evidence: held in them. Observation of care practice concluded that the staff were polite and courteous to residents at all times. Personal care was provided sensitively and discreetly to maintain the residents dignity. Staff were provided with sufficient time to support residents effectively and to over-see self care. The support was provided in a manner, which helped to maintain the residents autonomy, independence and dignity. The home reviews care plans monthly and any changes in the residents care needs were satisfactorily documented. The care plans are working tools and senior carers and Team Leaders are responsible for writing the daily report and keeping the care plan up to date. Risk assessments had been routinely undertaken on a range of risks including manual handling, risk of falls and bathing. Clinical tools were being used to assess and monitor tissue viability, nutrition, dependency levels and mental state. Where a risk had been identified there were risk reduction measures in place to reduce the likelihood of occurrence. The care plans gave instruction on how staff should reduce the risks identified. Residents and their relatives confirmed that access is provided to health and social care professionals when required. Most residents were receiving regular visits by their GP. Residents confirmed that screening and preventative treatments are offered routinely. There was evidence on file that residents have regular chiropody treatments and attention to their hearing and vision. All staff who administer medication have received mandatory refresher training in the safe administration of medicines. Records of their training were seen in staff files and on the training wall charts in the training room and office. The homes Manager has been assessed as competent to cascade training to other staff. He is responsible for assessing staff competence to administer medication safely. Comments in CQC surveys said, There has been a big change in management recently and we look forward to great improvements. The service has looked after my mother well and the staff in general have been caring. Another survey said, It provides a very high a standard of care. Staff obviously enjoy their work which in turn keeps the residents happy. Staff are always very helpful and smiling. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are provided with the opportunity to participate in a range of leisure activities suited to their needs and are encouraged to maintain contact with the local community, their friends and relatives. The home provides a varied and nutritious menu, which has been designed to meet the needs of residents. Special dietary needs can be catered for effectively Evidence: The home employs two full time Activity Organisers who provide residents with a range of interesting, age appropriate and stimulating activities in each unit of the home. There is also a spacious activity room on the ground floor which is equipped with games, craft work and other activity equipment and residents are encouraged to use it for group activities. The activity schedule was displayed on notice boards throughout the home and included arts and crafts, cake decoration, gardening, reminiscence sessions and film shows. In addition, staff provide residents with one to one activities in each unit of the home. The home has recently acquired the use of a free minibus which can transport Care Homes for Older People Page 15 of 28 Evidence: up to nine residents. There are plans to carry out regular trips out to local places of interest during the summer months. The home regularly has outside entertainers and the Elvis impersonator and visiting community farm are particular favourites. The home has regular themed and fund raising events. The recent summer fair raised £1800 which will be used to provide additional activity equipment and entertainments for the residents. Other outside entertainers are the Troubadours and once monthly visits by Music for Health. Residents confirm that they like the activities on offer and made comments such as theres enough to do, the music is good and I suppose, its there if you want it but Im not a joiner personally, I like my own space, I read the paper and watch a bit of telly, Im easy really. At the time of inspection the Assistant Organiser was observed assisting the care staff with lunch on one of the units. Afterward he was engaged with residents on the top floor providing one to one conversation and activity. In other areas of the home staff were engaged in games and puzzles with residents in small groups or on a one to one basis. Visitors confirmed that they are always made to feel welcome at the home and are offered appropriate hospitality. There is a relatives room by the main entrance which is used for meetings and there are several other quiet sitting areas in each area of the home for residents to meet their relatives in privacy. The routines of the home are planned around the residents needs and wishes but the service is flexible and routines can be changed to accommodate the specific needs and wishes of individual residents. People may rise and retire at a time of their choosing and may spend their time alone in their rooms, or in the company of others as they so wish. There is a residents shop in the main lobby which sells toiletries, sweets and other items. This opens for an hour in the afternoons. Money raised is returned to the residents amenity fund. Most of the residents sit in the unit dining rooms to eat their meals. The tables are pleasantly set with tablecloths, napkins, mats, vases of flowers and condiments. The staff team are on hand to support residents that require assistance at mealtimes and they were observed to be patient and encouraging. Lunch on the day of inspection was gammon with creamed potatoes and peas. There were a number of alternatives prepared by the kitchens, including diabetic meals, Care Homes for Older People Page 16 of 28 Evidence: vegetarian meals and pureed foodstuffs. The cook told the inspector that the night staff offer residents hot drinks, sandwiches and biscuits before bedtime and cakes are provided with afternoon tea. Residents and relatives made a number of comments about the quality of the food including provide better alternatives when eating difficulties are experienced, food is a good standard, the menu is varied, Ive no complaints really, yes its good but they should provide more choice. 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. The home has a satisfactory complaints system. Residents feel their views are listened to and acted upon. Residents are protected from abuse and exploitation by staff that can demonstrate knowledge of the homes abuse of vulnerable adults and whistle blowing policies. Evidence: The complaint policy in the home meets the requirement of Regulation and Standard. Residents are provided with information on how to make a complaint and the stages and time scales for action. Examination of the complaint records indicated that there have been five complaints made to the home since the 1st January 2009. The details of the complaints were well documented. There was evidence of investigation by the management and the outcome provided to the complainant was well recorded. Residents and their relatives confirmed that that they felt confident that any concerns or complaints would be taken seriously by the home and efforts would be made to remedy any problems in a timely fashion. Care Homes for Older People Page 18 of 28 Evidence: There was evidence in staff files, on the training chart for the home and from discussion with management that staff receive training in safeguarding adults as part of their formal induction to the home. Their learning is later consolidated when undertaking NVQ training in which it forms a core module. The majority of staff have received refresher training in Safeguarding Adults in the past twelve months Staff spoken with informally understood the importance of protecting residents from abuse and exploitation at all times and were conversant with the homes whistle blowing policy. One of the visitors to the home said, I know how to make a complaint but I have never needed to. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The standards of decor and furnishings in this home offer residents a comfortable and homely place to live. Standards of hygiene and cleanliness are exceptional throughout. Evidence: The home has been purpose built to meet the needs of older people, some of whom may have disabilities or dementia. All residents are assessed for their need to have aids and equipment before they move into the home and these are provided on admission. The home has a good range of aids and equipment available for residents including hoists and adapted bathrooms and toilets on each floor. The bedrooms are well planned spacious and comfortable. All bedrooms are large airy and en suite. The fixtures and fittings are good quality and well maintained. A tour of the home evidenced that it was very clean and hygienic throughout. There were no residual odours noted. Residents and relatives were highly complimentary about the standards of cleanliness and quality of the decor and furnishings in the home. They said that staff worked tirelessly to keep the home smelling clean and fresh. Care Homes for Older People Page 20 of 28 Evidence: The communal lounges and dining areas are pleasantly decorated and are furnished in a homely manner. There is a programme of redecoration in situ. The inspector was informed that four corporate colours may be chosen. Lighting is domestic in character and bright enough to meet the needs of residents with visual impairment. All rooms are centrally heated and the occupant may adjust the thermostats in their bedrooms. All rooms, corridors and communal areas are sufficiently lit to provide light for reading and a safe environment for residents. Residents made comments such as said, Its a lovely place so bright and cheery another said, I like the balcony, the flowers are pretty. 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 are able to demonstrate that they have the necessary skills and experience to effectively meet the needs of residents in their care. Staff recruitment procedures are robust and transparent and protect residents from harm. Evidence: It is clear from discussion with residents and relatives that they generally have confidence in the staff who work at the home. However, some dissatisfaction has been expressed about the excessive use of agency workers in the past. Comments made were they dont seem to know as much as others, you never know who they are, and they do their best but its not the same as having someone you know. Management have tried to address the issue by employing more permanent workers and a recent advertisement have resulted in the recruitment of a full complement of permanent staff. Examination of the recruitment files for four staff indicated that all necessary checks are undertaken on prospective staff to ensure the safety and protection of residents. Records were well kept and met the required standard. Care Homes for Older People Page 22 of 28 Evidence: Staff spoken with during inspection appeared knowledgeable about the needs of the residents and had a good understanding of how their individual role benefits the work of the team. The staff seemed cheerful, motivated and caring and clearly knew the needs of individual residents well. All permanent staff have been inducted to Skills for Care Standard and there are plans to enhance the induction training provided to agency workers to a similar standard. All permanent and agency staff receive regular refresher training in core skills such as fire safety, first aid, manual handling, food hygiene, health & safety, safeguarding adults, customer care, Saturn training, dementia training, diversity training, COSHH and infection control. There is a need to ensure that all staff receive training in the Mental Capacity Act and Deprivation of Liberty legislation to improve awareness. All permanent care staff have the opportunity to attain National Vocational Qualifications at level 2 & 3. Over 50 of the current staff have achieved or are studying for the award. All care staff receive on going support and one to one supervision at least six times a year and have additional opportunities to air their views and to have a say in the way the home is run in regular team meetings. Comments from relatives and residents about the quality of staff said, the staff are really kind, the carers are lovely and I think there should be more staff especially at mealtimes. 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 registered manager is qualified, competent and experienced to run the home for the benefit of residents. The policies and procedures regarding residents finances safeguard their interests. Effective systems are in place to maintain residents health & safety. Evidence: The newly appointed Manager of the home Leigh Reid is widely experienced and well qualified and is currently applying for registration with the CQC. Leigh Reid has an HNC in Social Care and holds a Diploma in Management and post graduate Diploma in Management Studies as well as an NVQ level 4 in generic management. Leigh is also an NVQ assessor and verifier and is keen to support other staff in their studies. He is highly qualified and competent to run the home in the best interests of residents, Care Homes for Older People Page 24 of 28 Evidence: relatives and staff. The staff and residents are complimentary about the Homes Manager. They say that he is an effective leader and demonstrates a caring manner and kindness. Residents and relatives confirm that they are kept well informed of what is going on in the home and have opportunities to express their views and voice their concerns in the Family & Friends meetings. The minutes of the most recent meeting on the 29th March 2009 were resident focused and demonstrated management commitment to listen to the views of both residents and their relatives. Relatives say that the office is always open and accessible and the manager always makes time to speak with them. The home has a satisfactory quality assurance system in place which takes into account the views of residents and other stakeholders. A customer satisfaction survey is circulated on an annual basis by the home and is used to identify shortfalls in service. The most recent survey has identified a number of deficits which are currently being addressed by the Manager. All Team Leaders are supervised formerly by the Manager on a six weekly basis. They are a visible presence on the floor along with the Manager who visits each unit several times daily. The recent introduction of structured and recorded hand overs has seen a beneficial effect on the overall management of the home. The maintenance man has responsibility for monitoring the homes compliance with health and safety legislation. He carries out regular checks and servicing of essential equipment and systems. Examination of a sample of health & safety records pertaining to fire and hot water indicated that they are up to date and in good order. 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 1 7 Paper records should contain accurate information, should be kept up to date and should reflect the information stored on computer. 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. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!