Care Home: Courtland Lodge

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What the care home does well The following report from the expert by experience summarises the excellent service and care provided by the management and staff working at Courtland Lodge. "My first impression was of a clean and well maintained environment, and a very peaceful atmosphere. The fact that the staff only wore ordinary clothes with name badges and not uniforms gave a homely feeling rather than that of an institution. I was given a warm welcome and offered refreshments which helped me relax and was then given a tour of the home and introduced to staff and some of those living there. The staff were very attentive to the residents. I didn`t hear a call bell at all, but the staff appeared to anticipate needs. They all seemed to know the residents very well, and they added to the peaceful and relaxed feel. No one appeared to be rushed or stressed about the demands made on him or her. There was a real family atmosphere to the home. There are three activity co-ordinators and there seemed to be plenty of organised activities as well as one-to-one attention. `The Lodge Inn` takes place in the activities room complete with coffee tables and comfortable chairs to relax with a drink and even pool or darts for those that like a game. Coffee mornings are also held in here. Other activities include bingo evenings, sing-alongs and musical evenings. Then there is the annual garden party. While I was there the sweet shop, with jars of old fashioned sweets was doing the round for the people to choose from. A gentleman was enjoying helping with this. Three of the units are for those suffering from dementia. It was noted that the people in these units were very relaxed and peaceful and were free to wander around and sit where they chose. Outside some of the bedrooms were memory boxes, small 3D pictures made up of things relevant to the occupant`s interests or previous occupation. I found these helpful in beginning conversations with these people, and they were then quite responsive to my questions. The fact that a relative of a previous resident takes care of the gardens spoke volumes to me. Already winter bedding plants were in. The rooms that I saw all had lovely views of the grounds with trees and flowers. The gardens are all accessible to the residents and as it was a warm autumn day one gentleman (resident) was having a stroll round." The expert reported the following comments made by some of the residents: "I grumble but I shouldn`t. I`m well cared for here and it`s very nice." "I`m happy here. My family all work and can`t give me the care I need." "The food is good and I enjoy having dinner in the evening." "I don`t have to worry about my washing. If I get the wrong things back they are soon returned to the right owner. None of mine have gone astray." The expert concluded, "I enjoyed my visit and the lunch I had there. This is a home that I would be happy for my loved one to be in. My thanks to the managers and all the staff for making me feel so welcome." What has improved since the last inspection? Since the last inspection, the home offered more stimulating activities that are also beneficial for those residents with dementia. The sun lounge and activity lounge were recently redecorated and refurbished thus providing a comfortable and relaxing space for residents and their guests to use as they wish. Since the last inspection, the old boiler and heating system have been replaced. What the care home could do better: The management continue to find ways of improving the care and the social environment for the benefit of the people living in the home. The management is extending the coffee shop concept to include a monthly coffee shop to which people from the local community are invited. Invitations have been sent out to the people in supportive living in the premises nearby to join in the social event on a regular basis. Key inspection report Care homes for older people Name: Address: Courtland Lodge Courtlands Close Watford Hertfordshire WD24 5GW     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Yoke-Lan Jackson     Date: 2 6 1 0 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 24 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 24 Information about the care home Name of care home: Address: Courtland Lodge Courtlands Close Watford Hertfordshire WD24 5GW 01923681231 01923689867 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: www.quantumcare.co.uk Quantum Care Limited care home 60 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: Date of last inspection Brief description of the care home Courtland Lodge is a residential care home for older people, some of whom may have dementia. The provider is Quantum Care Ltd which is a charitable organisation. It is located in Courtlands Close, Leavesden, in Watford. The home is near to a parade of shops that offers a variety of retail outlets and a Post Office. The local bus service provides easy access to the town centre of Watford. There is parking to the front of the building and on the side road. The building is a purpose built two-storey building providing sixty residential places in four self-contained units. All the bedrooms are for single occupancy and each has an en suite toilet and washbasin. Each of the units has a dining room, kitchenette and lounge. The main kitchen, laundry, reception area, communal sun lounge, activity lounge and the administrative office are located centrally on the ground floor. The surrounding Care Homes for Older People Page 4 of 24 0 0 0 Over 65 60 60 60 Brief description of the care home grounds are attractive with trees and flowering plants and patio with garden furniture and seating. The garden is accessible to residents and visitors. The home charges £550 - £650 per week. Information about the home and the service it offers is contained in the Statement of Purpose and the Service User Guide. A copy of these and the most recent CQC inspection report are available in the home. Care Homes for Older People Page 5 of 24 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This unannounced key inspection was carried out on 26/10/2009. The last key inspection was completed in October 2007. An annual service review was carried out in December 2008 which is a review of the service without a site visit. The deputy manager was present. The registered manager was not on duty. There are 59 people in residence. The inspection included a tour of the premises and general observation of activities and staff interaction with residents. It also included lunchtime observation. Staff, residents and some visitors were spoken to and key documents were examined. The inspection ended with a thorough discussion with the management team. The inspection included a visit by an expert by experience. The expert from the organisation, Help the Aged, spent three hours in the home speaking to residents. An expert by experience is a person who, because of their shared experience of older Care Homes for Older People Page 6 of 24 people, contributes to providing a better picture of what it is like to live in or use a service such as Courtland Lodge. The use of an expert by experience was arranged by us. The information and feedback received from the expert by experience are incorporated into this inspection report. Survey questionnaires were sent to the residents and relatives and their responses and other information received by us were reviewed. This included the Annual Quality and Assurance Assessment (AQAA) which providers of registered services are required to complete annually. The AQAA focuses on how the outcomes are being met for the people using the service and also provides us with statistical data. Care Homes for Older People Page 7 of 24 What the care home does well: The following report from the expert by experience summarises the excellent service and care provided by the management and staff working at Courtland Lodge. My first impression was of a clean and well maintained environment, and a very peaceful atmosphere. The fact that the staff only wore ordinary clothes with name badges and not uniforms gave a homely feeling rather than that of an institution. I was given a warm welcome and offered refreshments which helped me relax and was then given a tour of the home and introduced to staff and some of those living there. The staff were very attentive to the residents. I didnt hear a call bell at all, but the staff appeared to anticipate needs. They all seemed to know the residents very well, and they added to the peaceful and relaxed feel. No one appeared to be rushed or stressed about the demands made on him or her. There was a real family atmosphere to the home. There are three activity co-ordinators and there seemed to be plenty of organised activities as well as one-to-one attention. The Lodge Inn takes place in the activities room complete with coffee tables and comfortable chairs to relax with a drink and even pool or darts for those that like a game. Coffee mornings are also held in here. Other activities include bingo evenings, sing-alongs and musical evenings. Then there is the annual garden party. While I was there the sweet shop, with jars of old fashioned sweets was doing the round for the people to choose from. A gentleman was enjoying helping with this. Three of the units are for those suffering from dementia. It was noted that the people in these units were very relaxed and peaceful and were free to wander around and sit where they chose. Outside some of the bedrooms were memory boxes, small 3D pictures made up of things relevant to the occupants interests or previous occupation. I found these helpful in beginning conversations with these people, and they were then quite responsive to my questions. The fact that a relative of a previous resident takes care of the gardens spoke volumes to me. Already winter bedding plants were in. The rooms that I saw all had lovely views of the grounds with trees and flowers. The gardens are all accessible to the residents and as it was a warm autumn day one gentleman (resident) was having a stroll round. The expert reported the following comments made by some of the residents: I grumble but I shouldnt. Im well cared for here and its very nice. Im happy here. My family all work and cant give me the care I need. The food is good and I enjoy having dinner in the evening. I dont have to worry about my washing. If I get the wrong things back they are soon returned to the right owner. None of mine have gone astray. Care Homes for Older People Page 8 of 24 The expert concluded, I enjoyed my visit and the lunch I had there. This is a home that I would be happy for my loved one to be in. My thanks to the managers and all the staff for making me feel so welcome. 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 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 24 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 24 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. Prospective residents have the information they need to make an informed choice. A full pre-admission assessment will be carried out before a prospective client is admitted to ensure that the home is able to meet all their care needs. Evidence: The pre-admission documents for two new residents were examined and they were found to be detailed and informative. The deputy manager said that the home will only admit prospective residents whose care needs can be met appropriately. The two new residents seemed settled in their new home. There is a trial period of six weeks before the contract is finalised. Care Homes for Older People Page 11 of 24 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 who use the service can expect to be treated with respect and they will receive personal and healthcare support in the way they prefer and require and they will be protected by the homes medication policy and procedure. Evidence: The residents spoken to seemed happy and satisfied with the care given. Each resident has a written care plan which is person-centred. The care plans examined were detailed and reflected the person-centred care provided. A detailed care plan ensures that those who are looking after the residents have the required information to deliver the personal, social and healthcare needs of the people living in the home. Relevant risk assessments were seen in the care plans examined. The care managers are responsible for updating the care plans monthly following a review of care needs. There is also a yearly review of care needs that involves the resident, their next of kin and the relevant social and healthcare professionals. Appropriate records are kept. Care Homes for Older People Page 12 of 24 Evidence: Each resident is registered with a local general practitioner of their own choice. Residents have access to appropriate specialist professionals for advice and assistance, including medical, nursing, dental and chiropody services according to their healthcare needs. The service has the support of the providers newly appointed Nurse Practitioner who assists with specialist health care planning and falls preventive strategy and who works closely with the district nurses to ensure residents healthcare needs are appropriately met. A trained member of staff administered the medication. Medicines that are in use are stored in medication trolleys, one for each of the units. The medication trolleys are securely kept in the medication storage room when not in use. The temperature in the room is closely monitored. The medication administrative record (MAR) charts were examined and they were found to be correctly filled in. No gaps were found. A duty care manager audits medication regularly to ensure that good practice in the administration of medication is well maintained and that medication errors are avoided. Care Homes for Older People Page 13 of 24 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. People who use the service can be assured that they will be given the opportunity to make everyday choices and that their wishes and preferences will be respected. They will be encouraged to participate in social and therapeutic activities and to maintain links with their friends and families. A healthy diet will be promoted. Evidence: The home has three activity co-ordinators who ensure that residents are offered a full activity program daily with support from the care staff on each of the four units. The daily routine in the home and the activities provided are flexible and varied to suit individual expectations and preferences. There is a weekly pub night called The Lodge Inn where residents can have a sing-along as well as join in a selection of pub games. There is a regular coffee shop which is open to residents, families and friends. It runs twice a week on Tuesday and Saturday mornings for two hours. The chefs make cakes for the shop and music is played. The coffee shop creates a social environment for the residents to get together with one another and with their friends and families and is therapeutic for those with dementia who are not able to go out with their families socially. The coffee shop often makes visiting time more enjoyable and the residents feel they have been on a social visit. Care Homes for Older People Page 14 of 24 Evidence: Group activities offered include outside entertainers, play your cards right, summer fete, bingo and musical evening, art and craft. There is a yearly garden party during which residents are encouraged to choose a theme. One-to-one attention such as a chat, hand massage or nail care is given by care staff to those residents who are not keen on group activities and who prefer to remain in the privacy of their own room. There are therapeutic sensory activities for those residents who remain in bed. Outside some of the bedrooms are memory boxes which are small 3D pictures made up of things relevant to the occupants interests and, or previous occupation. This is beneficial for residents with dementia. Situated on the first floor is an additional feature known as the 40s lounge. This room is filled with memorabilia and furnished in the typical style of that era. This is used as a quiet room for one-to-one attention or when the resident is agitated. The deputy manager said that individual residents often use this room to meet with their visitors. An expert by experience assisted with the inspection of the service and the following is an account of their observation of the daily routine, the activities offered and the meals provided. The residents are able to get up and have breakfast when they choose, which makes for a leisurely morning. As some dont have breakfast till later, a light meal is served at lunchtime, and dinner is served at 5pm. Snacks are available in the evening for those that want them. All the people that I spoke to said that they preferred this. Televisions and music that were on in the communal areas were not intrusive and it was nice to see that televisions were only on where people were actually interested in the programmes shown. Other activities include bingo evenings, sing-a-longs and musical evenings. Then there is the annual garden party. While I was there a member of staff did the sweet trolley shop round with a scale and jars of old fashioned sweets for the people to choose from and purchase. A gentleman (resident) was enjoying helping with this. One lady (resident) wanted her dinner at lunchtime but the carer was very patient and eventually the lady was offered food that she was happy with. Care Homes for Older People Page 15 of 24 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service can be assured that the home has a robust Complaints Policy and Procedure and can be assured that they will be listened to and any concerns raised will be investigated and appropriate action taken. Evidence: There are regular Residents and Relatives Meetings and minutes are taken. The management handles any concerns or issues raised promptly before they escalate into a complaint. Residents and relatives are aware of the homes Complaints Policy and Procedure. All complaints have been appropriately dealt with and resolved. The deputy manager confirmed that all members of staff received training on safeguarding issues and the Whistle-Blowing Policy. The service follows the Hertfordshire County Council Joint Safeguarding Procedure. Care Homes for Older People Page 16 of 24 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 who use the service can be assured that the environment they live in is well maintained, safe and clean and that they will have access to all the communal facilities. Evidence: The premises appeared clean and tidy. There is sanitising gel at the front door and on each unit for all visitors and staff to use. The home has a rolling maintenance programme. The old boiler and heating system have been replaced. The sun lounge has had new chairs and blinds and pelmets fitted. The activity lounge was recently redecorated and refurbished with modern lighting, comfortable armchairs and small tables thus providing a comfortable and relaxing atmosphere for residents and their guests to use as they wish. The lounge has its own kitchenette and in the corner of the spacious lounge there is a snooker table and a dart board. The residents interviewed said that they are quite satisfied with their bedrooms which have personal items on display to reflect their lifestyle. Outside some of the bedrooms were memory boxes which are small 3D pictures made up of things relevant to the occupants interests and, or previous occupation. Situated on the first floor is an additional feature known as the 40s lounge. This room is filled with memorabilia and furnished in the typical style of that era. There are plans to erect a 60s room in another unit in the coming months. Care Homes for Older People Page 17 of 24 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. People who use the service can be assured that the new management will follow the homes recruitment policy and procedures when employing new staff to ensure people who use the service are safely cared for. They can be assured that staff will have the appropriate training to enable them to meet the care needs of people living in the home. Evidence: The home has an effective team of care managers, care workers, care co-ordinators and domestic staff. Staff are deployed using a bank of casual staff to cover sickness, annual leave and training. Agency staff are used occasionally. Staff rotas are maintained and worked on daily by a nominated care manager. The management ensures that there is continuity of care for the residents. There is an ongoing recruitment programme. The retention of staff has improved since the last inspection. Members of staff interviewed confirmed that they have been vetted and that they commenced working only when the Criminal Record Bureau checks and the Protection of Vulnerable Adults (POVA) checks were cleared. All staff records have been updated. The service offers training and career development. Each staff member has an individual training plan and appropriate training is arranged once the training needs Care Homes for Older People Page 18 of 24 Evidence: are identified. There are regular workshops including an activity workshop held regularly to ensure staff are well trained to provide quality care for the people living in the home. All new staff receive mandatory training within 6 weeks of commencement of employment. Training continues throughout their employment and development. The home has 4 members of staff who are trainers and 4 NVQ assessors. Care Homes for Older People Page 19 of 24 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service can be assured that the standards of administration and management of the service are well maintained and that their health, welfare and safety are promoted and protected. Evidence: The service is very well managed. Although the registered home manager was not on duty during the site visit, the deputy manager responded positively to questions and all the members of staff carried on their work smoothly. Team working was evident. The annual quality assurance and monitoring of the service included regular audits by the provider. These involve sending out survey questionnaires to all stakeholders. Their feedback is taken seriously and appropriate changes are made. Relatives and stakeholders are also invited to an annual meeting on Dementia Care. There is an annual home forum for all staff, residents and their families. A senior manager and a board member attend the forum. The forum gives an update on the service and future plans and also gives people the opportunity to put forward their ideas. Any issues Care Homes for Older People Page 20 of 24 Evidence: raised at the forum are taken seriously by senior management and they are acted upon to improve the service. The provider, Quantum Care, is accredited by Investors in People and was awarded Excellent this year. In a recent visit by the Environmental Officer from the Local Authority, the service was awarded Excellent 5 stars for food and kitchen hygiene. There is an effective system in place for managing monies for those people who are unable to do so themselves. The provider employs an auditor who carries out a yearly audit of monies within the home. All records required by regulation are well maintained and kept up to date and all records, including staff records and servicing records are kept secure and are used in accordance with the Data Protection Act 1998. Good recording systems are in place for the auditing of accidents and incidents that affect the well being of the residents. The Annual Quality Assurance and Assessment (AQAA) forms issues by us were received on time for this inspection. The information provided was detailed and has been included in this report. Care Homes for Older People Page 21 of 24 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 22 of 24 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 23 of 24 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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