Care Home: Cotteridge House

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What the care home does well The home has information about the service it provides and this available in large print and there is also a brochure. The home collects enough information about people to decide whether they can meet the person`s needs safely. People receive medical attention when it is needed and there are regular visits from chiropodists, opticians and dentists and this assists in keeping people well Medication is given as prescribed and recorded as necessary. There are good checks in place to ensure that medication is given properly and if there are any mistakes they can be found quickly. This helps to keep people healthy. There are good relationships between staff, management, relatives and people that live in the home and this helps to reassure people that care is given as it should be. People said: - `All aspects of care done well, they refer to the GP when needed (acting promptly).` `My (relative) is well cared for by a very good and friendly staff. She has never complained so I`m very pleased with everything.` `The staff are very friendly and caring.` `When I am visiting the service what I see and hear couldn`t be any better.` `..Staff treat (my relative) and all the family with respect. `This is a friendly home where complete care and attention is given by all the staff.` Although the home is not purpose built people living in the home have the benefit of a warm, comfortable, fresh and safe environment. The staff are well trained with all care staff achieving the National Vocational Qualification level 2 in care and a number gaining a level 3. The home is well managed and run and all health and safety checks are completed to make the home a safe place for people to receive care. What has improved since the last inspection? The home has acted on all the previous requirements: - The home has a controlled drugs cabinet ensuring safe storage of medication. The garden is safer for people with fencing in place and the pathways more even. The floor area between the lounge and dining area has had work to make it more even. The home has assured us that they have taken appropriate action with water temperatures to ensure people remain safe. Staff have received first aid training. In addition to this the home has extended the stair lift to ensure that the first floor is fully accessible by all people that need to access that floor. The dining room and shower room have been decorated. The front hall has been redecorated and a new door has been put in place. The home stated in its AQAA that they have ensured that training in optical and hearing awareness, first aid, food and hygiene, nutrition and health, dementia awareness, safe handling of medication and health and safety being completed by allor some of the staff in the last 12 months. The management and staff at the home had received awards for the training that has been undertaken. What the care home could do better: The home provides a service with traditionally English meals and a standard range of activities. The majority of people living in the home have been living there for a number of years and are used to this. People said of these areas `there is not enough stimulation they are left on their own for long periods.` `Repetitive menu.` Daily records and menus would support this. The home did not show in its AQAA that they identify how the home can continually improve and needs to look at the changing experience of people in the community so it can keep pace. There are care plans in place some of these need to further individualised to show how the home sustains peoples lifestyle and to ensure that it covers all health needs identified. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Cotteridge House 31 Middleton Hall Road Kings Norton Birmingham West Midlands B30 1AB     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: Jill Brown     Date: 1 1 0 5 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: Cotteridge House 31 Middleton Hall Road Kings Norton Birmingham West Midlands B30 1AB 01216240506 F/P01216240506 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) : Mr Graham Walker,Mrs Lyn Walker care home 11 Number of places (if applicable): Under 65 Over 65 11 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home 0 Cotteridge House is registered to provide care for up to eleven older people. Nursing care is not provided by the home. The home is situated within a pleasant residential area of Kings Norton. Local amenities are within a short walking distance. The large attractive Victorian premises have been sympathetically adapted for its current use. The property is set back from the main road, which permits off road parking for up to seven vehicles. Bedrooms are located on both floors offering either single or shared accommodation. There is a lounge and separate dining room. Accommodation is comfortable, personalised and well maintained. All meal preparation and laundry services are provided on-site. There is a rear garden which can be used by people living in the home in good weather. The most that the home charges currently is £445.00 per week. People placed by social services will have a top up fee this will be to a maximum of £35.00 per week. Care Homes for Older People Page 4 of 28 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: We visited the home without notice on a day in May 2009 and undertook a key inspection where we looked at the majority of the National Minimum Standards. We last visited this home to undertake a key inspection in June 2007 and last year we completed an Annual Service Review. The home gave us information in an Annual Quality Assurance Assessment (AQAA) before the key inspection. The AQAA shows how the home rates their performance in the areas set out in this report and how they intend to make improvements. During the inspection 3 peoples care was case tracked, this involves looking at all the records about this person and how the home manages their care. We spoke to all of Care Homes for Older People Page 6 of 28 these people and 5 others. We looked at the homes medication records. We looked around parts of the building and viewed the health and safety checks that had been undertaken. We spoke to 1 staff member and the owners of the home. We have received no complaints about the home in the last 2 years. Information about all of the above is contained in this report. What the care home does well: What has improved since the last inspection? The home has acted on all the previous requirements: - The home has a controlled drugs cabinet ensuring safe storage of medication. The garden is safer for people with fencing in place and the pathways more even. The floor area between the lounge and dining area has had work to make it more even. The home has assured us that they have taken appropriate action with water temperatures to ensure people remain safe. Staff have received first aid training. In addition to this the home has extended the stair lift to ensure that the first floor is fully accessible by all people that need to access that floor. The dining room and shower room have been decorated. The front hall has been redecorated and a new door has been put in place. The home stated in its AQAA that they have ensured that training in optical and hearing awareness, first aid, food and hygiene, nutrition and health, dementia awareness, safe handling of medication and health and safety being completed by all Care Homes for Older People Page 8 of 28 or some of the staff in the last 12 months. The management and staff at the home had received awards for the training that has been undertaken. 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 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. Information is available to people before they are admitted to the home and this helps people to decide if the home will suit them. Enough information is collected about peoples health and social care for the home to decide whether they can meet the persons needs. Evidence: There is information available to people in the form of a Statement of Purpose part of which includes the Service User Guide. This information tells people about the services the home provides. This is available in large print. The home also has a brochure, which outlines the service and contains some pictures of the home. We looked at the admission details of one person. We found that information was collected included details of the persons health conditions and their life history such as Care Homes for Older People Page 11 of 28 Evidence: family, next of kin, work and interests. It contained information about contacts with health and social care professionals and the persons weight. This information is then updated after a month to advise how the person is managing in the home. The person advised us that they had the opportunity to visit to the home before admission and this was confirmed by a diary entry. Information should be collected about that visit as this can help plan an individualised admission to the home. Details of the person were put in the persons daily records for easy access for staff. The care staff group is all female except for one male member of staff and predominantly from white UK background and this reflects the population of people living in the home. This means that the people living in the home have access to staff of the same gender and cultural background. 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. People have care plans further detail in these would assist the home to ensure that people have the care in the way they wish. Peoples health care and medication needs were met. Evidence: Each person case tracked had a care plan. Care plans showed what the persons daily routine was for getting up and going to bed, the times of meals and drinks and the type of drink the person preferred. They had information about peoples personal care including assistance needed to maintain personal hygiene, continence, skin care, communication, rest and sleep and dietary needs. There was some good information on one care plan about the areas of dressing and undressing the person found difficulty with and what they could do on their own and this helps to maintain independence. Improvements could be made to make care plans more person centred for example including special considerations for people with specific health conditions. Care Homes for Older People Page 13 of 28 Evidence: Risk assessments for moving and handling, to ensure that skin remains healthy, nutrition, and falls were in place and this planning helps to ensure that risks to people are minimised. One persons care plan for moving and handling had been updated to show what extra help they now needed. Plans to maintain skin also included information about how to maintain pressure relieving equipment and this is good practice. Peoples weights were monitored on a monthly basis, however the date in the month and the time the weight was taken was not recorded and this would enable the home to have a more accurate assessment of whether a persons weight was increasing or decreasing. Peoples care records detail separately visits from health professionals and the outcomes of these visits. This made it easy to track peoples health care. People received visits from opticians, chiropodist and dentists, as these were needed. People appeared to have their personal hygiene needs met and had access to hairdressing and nail care. The women in the home were wearing co-ordinated outfits and some were wearing jewellery and had their nails painted. On the day of the inspection we spoke to a nursing auxiliary visiting a person living in the home. She said that the home was excellent and that over the years people could not have had better care. One comment card said, All aspects of care done well, they refer to the GP when needed (acting promptly). We looked at the process of storage and administration of medication. People had care plans for medication these could be improved if they contained information about what the medication was for and any dietary considerations there may be with medication. The homes training record showed that all care staff have either completed medication training or were on medication training. The home has a medication risk assessment, which had been reviewed. Medication is checked once a week to ensure it all balances with Medication Administration Record (MAR). Prescriptions are photocopied and serves as another check that the medicaiton is correct. There is information about the medications available. The supplying pharmacy comes in occasionally to check the administration of the medication. All medication not used in the month was sent back to the pharmacy. Medication was stored appropriately and safely. Controlled drugs were recorded appropriately. The medication had arrived into the home the day before the inspection and there were not enough administrations to audit. Medication administration was good at the last inspection and there was nothing to suggest that this had changed. Good medication administration protects peoples health and wellbeing. Care Homes for Older People Page 14 of 28 Evidence: We were told that people living in the home choose not to lock their bedroom doors, evidence of people making this decision must be maintained for every new person admitted. The staff member spoken to was aware of practices that they could do ensure that peoples privacy and dignity was maintained. Issues remain about the toilet and shower facility on the ground floor that do not easily lend themselves to maintaining the privacy of people. Care Homes for Older People Page 15 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in this home have traditional activities and meals and whilst this may suit more long standing people this needs reviewing. Relatives were welcomed into the home and felt informed about their persons health and wellbeing and this helps to maintain peoples relationships. Evidence: A person had in their care plan that they liked to join activities, liked to go out for a walk and liked to read the paper and in the daily records that they liked to watch football. We saw that they had reading material and a TV in their room and had on 2 recorded occasions gone out of the home for a walk. Two other care plans looked at had very little information about activities. Daily records showed for the month of April 2009 that people were offered activities of skittles, bingo, a birthday party, Easter party, keep fit, and a sing along. Not all people were recorded as being involved in all of these activities. People were seen having conversations with one another as many of the people in the home have lived in the home for some time. One comment card said there is not enough stimulation they are Care Homes for Older People Page 16 of 28 Evidence: left on their own for long periods. Another from a person living in the home said they do everything well. One person said to us I do not like the TV on. but was sat next to it. Although people do not need and want activities all the time the range of activities should be reviewed to see if they are meeting individual needs. We received 7 comment cards from relatives and they told us about their experience of the home: - My (relative) is well cared for by a very good and friendly staff. She has never complained so Im very pleased with everything. The staff are very friendly and caring. When I am visiting the service what I see and hear couldnt be any better. ..Staff treat (my relative) and all the family with respect. This is a friendly home where complete care and attention is given by all the staff. People said the food was good. One said not like a restaurant but tasty. There is a cook available everyday and one of the owners fills in if there is a shortfall. The home provided two weeks of menus of food they had provided. The food was of traditional English type although the long-standing people may prefer this the management need to consider that this may not suit newer admissions. One comment card received said .. Repetitive menu. The breakfasts appeared to be cereals and toast. Hot food options were available at most teatimes as well as sandwiches. Records suggested that food was not available after the teatime meal and this means that people could go a long time without food. The manager stated that there was tea and biscuits available at 7pm and one person tended to have a sandwich however records of this were not found. Care Homes for Older People Page 17 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents and their relatives were happy with the care provided and had no complaints. Residents are protected from abuse well trained staff that know them. Evidence: The home and we have received no complaints since the last inspection in June 2007. We looked at surveys the home had undertaken with people living in the home and their relatives and found that there had been no concerns raised. The manager deals with any grumbles as and when they occur but a collection of these may show areas where the home can improve. The homes AQAA stated that they intend to review their complaints and safeguarding procedures in the next 12 months. How to make a complaint was on one of the residents meetings agenda and this is good practice. There have been no incidents of a safeguarding nature reported to us since the last inspection. Staff received training in adult protection and abuse awareness. The majority some time ago and this will need to be refreshed to take into the new legislation in the Mental Capacity act and Deprivation of Liberty requirements. Residents spoken to raised no areas of concern. A staff member spoken to was clear about their need to report the situation to the management. Staff are recruited appropriately and this helps to safeguard people. Care Homes for Older People Page 18 of 28 Care Homes for Older People Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home have the benefit of a warm, comfortable, fresh and safe environment. Evidence: The home has been converted from a Victorian building and this means that the accommodation it provides is not standard sized but it provides a homely environment. There is good communal area space consisting of a large lounge with enough seating for the number of people living in the home. There is an attached dining area that over looks a pleasant garden. The flooring between the lounge and dining room had been improved since the last inspection ensuring that there was less potential for people to fall. The lounge has a large television. The garden had been improved since last inspection in June 2007 with the garden having fencing up to the area where a gate was in place. The gate restricted access to the more risky areas of the garden. Access to the garden was either by steps from the back of the house or at the side where it was more ramped and these were clearer of weeds. Stair lifts now covered all the stairs to the first floor making this more accessible to Care Homes for Older People Page 20 of 28 Evidence: people living in the home. The majority of the homes bedrooms are on the first floor. There was an assisted bathing facility on the first floor containing an in bath lift and an assisted shower facility on the ground floor. The numbe of these facilities were appropriate for the number of residents. The home has been redecorated in areas such as the dining area, the shower area and some bedrooms. The front hall has been redecorated and the front door has been replaced. Peoples bedrooms were well furnished, clean and well ordered however a number of rooms are unusual in shape. These irregular shapes give character to the rooms however can make it difficult to get all the furniture required by the standard into them comfortably and safely. Peoples rooms were personalised with their belongings. Where people share rooms there is mobile screening available to maintain peoples dignity. The home was clean and fresh in all areas. The kitchen area had not had a visit from the Food Safety Department recently but had been previously given a rating of very good. The laundry was sited in a separate building and was adequate in meeting peoples laundry needs. People s relatives commented about the home: Homely atmosphere. Clean and germ free environment. The room and premises are spotless and fresh. Hygiene standards are good. 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 level of staff provided met the needs of people living in the home. Staff were recruited well and there was an emphasis placed on training and this protects and supports people. Evidence: The homes rotas showed that the home plans to have two care staff on duty including the manager from 07.20 until 9pm. There are handover periods of ten minutes between each of the shifts. On a weekday the manager works 2 to 3 hours extra to fulfil her management responsibilities. There is one member of staff awake in the home over the night and another person lives on the 2nd floor of the home that can be called upon in an emergency. The home has a cook available everyday from 09.00 to 1.30 pm and when they are not available one of the owners fills in. This level of staffing was sufficient to provide good care for people. All care staff have completed the National Vocational Qualification (NVQ) level 2 in care or above which exceeds the required standard. In addition to this most of the staff have achieved or are enrolled on NVQ3. This means that have the knowledge to deliver good care. The home has staff that have worked at the home for a long time. Only 2 staff had Care Homes for Older People Page 22 of 28 Evidence: been recruited since the last key inspection in June 2007. The recruitment process for staff was robust and this protects people. Staff files looked at showed that staff completed application forms and references and Criminal Records Bureau (CRB) checks were undertaken before staff were employed. One staff member was recruited following placement from a college and their CRB should be renewed to ensure that it is for their current job. Staff have job descriptions and the home ensures that new staff have read the policies and procedures that are kept in the home. There is a good attitude towards training. Records show that staff receive regular training although some may need refreshers. We were shown evidence of the manager being a nominee for the best employer with under 250 staff by Skills for Care organisation and Train to Gain held the manager was an excellent support in the workforce. One staff member also received an outstanding achievement award. It is suggested that some training in Parkinsons disease may be useful. 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 management of the home ensures that people are safe and well cared for. The management needs to consider the future development of the home and ways to ensure that people live as full a life as possible. Evidence: The manager of this home is also one of the owners. She has extensive experience in the care of older people. She has a National Vocational Qualification (NVQ) 4 in care and holds the Registered Managers Award, which is a recognised certificate for the management of care homes. She includes herself in all the training that staff undertake which means her training is being updated recent courses include, health and nutrition, hearing awareness and optical awareness. Previous requirements made in April 2007 for this home have been met. The home completed the Annual Quality Assurance Assessment (AQAA) although the Care Homes for Older People Page 24 of 28 Evidence: home has completed areas of how they have performed well they have not identified where they need to or wish to improve. This may mean the service will not develop quickly enough as peoples expectations about what care services provide change. People living in the home are given questionnaires to find out what they think about the service but there expectations are limited as they have lived in a service for a long time. The service needs to consider how they use the AQAA to develop practice in the future. People that needed help managing their personal money received this help. Records were kept of the balance of peoples money held and receipts for any money taken out or spent on behalf of people. Balances of peoples money was correct it was suggested that where the home checks peoples money they record this so auditing is easier. The records showed that all required maintenance and inspection of services such as gas, electric and lifting equipment safety had been undertaken as required. Fire safety had been maintained by appropriate fire checks by the staff including fire drills and training and by outside contractors servicing fire equipment. 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 Care plans need to reflect more peoples health conditions and choices to ensure that these needs can consistently be met. A review of the range of activities available should be undertaken to see if people can be encouraged to be involved in more activities or entertainments. The home needs to consider widening the menu choices for people. The management needs to have systems where it can identify how the home can be improved upon to keep up with ever changing needs and practice. 2 12 3 4 15 33 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. 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