Care Home: Coxwell Hall and Mews Nursing Home

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What the care home does well The home is comfortable and homely and we saw that people were well groomed and appear comfortable in the home. They are able to walk around the home as they want and are supported by a staff team who understands their needs and respond to them in a caring way. We saw staff members address individuals respectfully and professionally, in a warm and friendly way to help put individuals at their ease. People living in the home told us that `Its nice here. Its better than where I used to be`. Other comments we heard were `I think this is a good place to be safe`, and `They`re wonderful people here` and `You couldn`t help but like it here`. What has improved since the last inspection? The home has met the 15 requirements made at our last inspection in March 2009. The home has improved the way it cares for people so that their health and welfare needs are met, their medication is better managed and they are treated with dignity. Activities are better managed so people can spend their time in more meaningful ways and food and mealtimes are better arranged so that people get suitable food in adequate quantities when they need it. Any complaints made to the home are better recorded and individuals are not unnecessarily restrained. Relatives and supporters of people living in the home have more opportunities to discuss the running of the home and their relatives` care at meetings organised by the home. The home has improved its procedures for keeping people safe by providing more equipment to help people remain independent and training the staff team. New furniture, furnishings and bedding have been provided, and there is a better system in place to make sure that the home is regularly refurbished. Better facilities are in place to clean and sterilise sanitary equipment so that the people at the home are protected from infection. The home`s recruitment process is more robust so that only people who are safe to work at the home are employed and staff are provided with more training for the jobs they do. The home has also improved the way it checks the quality of the service, and now an experienced senior manager carries out a robust check every month to make sure that the quality of care people receive at the home is improving. What the care home could do better: The home`s senior management understands that the improvements made in the recent months need to be maintained and further developed, so that people living at the home can rely on them for a good quality service. Some improvements planned for the next year have been outlined in the home`s self assessment document and in other documents provided by the home`s management and these need to be carried out. Key inspection report Care homes for older people Name: Address: Coxwell Hall and Mews Nursing Home Fernham Road Faringdon Oxfordshire SN7 7LB     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Kate Harrison     Date: 2 8 0 8 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 25 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 25 Information about the care home Name of care home: Address: Coxwell Hall and Mews Nursing Home Fernham Road Faringdon Oxfordshire SN7 7LB 01367242985 01367241594 coxwellcare@yahoo.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Sovereign (Coxwell Hall) Limited Name of registered manager (if applicable) Mrs Karen Ruth Wright Type of registration: Number of places registered: care home 68 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia Additional conditions: The maximum number of service users to be accommodated is 68 The registered person may provide the following categories of service : Care home with Nursing(N) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following category : Dementia (DE) Mental Disorder( MD) Date of last inspection Brief description of the care home Coxwell Hall and Mews is registered to provide a service for up to 68 people with a primary need of nursing and care for dementia or a mental disorder. It is set in its own grounds on the outskirts of the market town of Faringdon in Oxfordshire. The homes environment is divided into two separate units linked by a covered ground-floor walkway, though the home is divided into three units for easier management. The Hall Care Homes for Older People Page 4 of 25 Over 65 0 0 68 68 0 3 0 3 2 0 0 9 Brief description of the care home is a 19th century, grade two listed building, that the company limits occupancy to 27 residents, and has flexible accomodation to offer shared rooms, should it be required. The Mews is a purpose built 32 bedroom unit, over two floors, and can offer one shared room. All rooms in both parts of the home, except one, provide the basic en suite facilities of a toilet and wash basin. Three rooms in the Mews have full en suites with a bath. There are a variety of communal lounges and dining rooms in each unit. Fees range from £624 to £900 per person per week. Extras include hairdressing, chiropody, newspapers and toiletries. Care Homes for Older People Page 5 of 25 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 home was an unannounced Key Inspection, and was carried out by one inspector between 10.15am and 4.15pm on one day. Our expert by experience spent three hours in the home on another day during the same week, gathering the views of the people living in the home. It was a thorough look at how well the service is doing. It took into account detailed information provided by the home through the homes self assessment document, the Annual Quality Assurance Assessment (the AQAA) and any other information we received about the home since the last inspection. The AQAA was completed and received by the expected date and contained much of the information we needed to plan our visit. We looked at records and documents relating to the care of the people living there. We saw recruitment records and information about staff training and looked at how peoples medication was managed. We saw the communal areas of the home and some private rooms used by people living there. We observed relationships between the staff team and people living in the home and we saw how food and lunchtime is managed. We checked to see that Care Homes for Older People Page 6 of 25 the requirements made at our last inspection visit were met. We asked the views of the people who live in the home and their supporters, through questionnaires we had sent out, but we received no replies. We spoke to several other people living in the home during our visit, to the manager, some staff members, and a senior manager from the company, and discussed the running of the home with them. This inspection was a thorough look at how well the home is meeting the standards set by the government and in this report we make judgements about the outcomes for the people living in the home. Care Homes for Older People Page 7 of 25 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 8 of 25 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 25 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. Pre-admission assessments are carried out to make sure that the home has all the information needed to give a personal service to people admitted. Evidence: No new person had been admitted to the home since our last inspection in March 2009, so it was not possible to check how the assessment process was conducted. The registered manager said that the homes documentation had been improved and this meant that better information was recorded to help the home deliver a more personal service to individuals following admission. The manager said that pre-admission assessments are always carried out and at our last assessment the outcomes for people in this area was good. People are offered a months trial at the home to make sure the home meets their needs and that they want to stay. The home does not provide intermediate care. Care Homes for Older People Page 10 of 25 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples health and personal care needs are met in a respectful and caring way. Evidence: At our inspection in March 2009 we found that the care provided did not meet the needs of the individuals and we made a requirement that the home take action to improve care planning and delivery, and the management of medication. At this visit we understood that the care plans for everyone living at the home have been reviewed recently by health and social care professionals. We saw the details of care plans for two people with complex needs who had been in the home for several years. The plans were developed following risk assessments to recognise and minimise any hazards, including asessment about falling, nutrition and eating, and skin damage. We noted that professional advice was requested about issues arising, such as the best way to offer food and drink to individuals with swallowing problems. The care plans were personalised and detailed, for example check X likes her food and Xs medication is in liquid form, giving staff members enough information to look after the individual properly. We saw that medical advice is sought when necessary and that professional advice is included in the care plans. We checked that the staff team follow Care Homes for Older People Page 11 of 25 Evidence: instructions given by healthcare professionals, and saw records and practice during our visit confirming that instructions were followed. We looked at how the home manages medication. At our last inspection we found that there was no reliable system in place to make sure that creams, lotions and dietary supplements were given as prescribed to people living in the home. At this inspection we checked medication for three people. We noted that medication is properly recorded and we saw that systems were now in place to make sure all medication was given as prescribed, including a better way of recording when creams and lotions are administered by carers. At our last inspection we found that individuals privacy was not always respected, as screens were not always used when providing personal care in shared rooms. At this inspection we saw and heard care staff address and communicate with individuals in a respectful way, saw that people are treated as individuals and noted that screens are provided in shared rooms during the provision of personal care. Care staff now work permanently in one of the three units in the home, and this means that individuals can have familiar people around them and develop meaningful relationships with staff. Staff members can become familiar with individuals needs, preferences and ways of behaving and this means that people have a better quality of life in the home. We saw that carers had an understanding of people they looked after, and were able to anticipate their needs and reassure them in meaningful ways. Care Homes for Older People Page 12 of 25 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is improving the way it supports people to live the way they want to, including providing activities and food to meet their needs. Evidence: At our inspection of March 2009 we made a requirement that people living in the home have activities and occupations that suit their needs. At this inspection we saw that the home has an activity schedule showing planned activities for the month, and that two activity organisers usually work with individuals and groups to provide activities. We saw care plans showing that information was available about the individuals past interests and hobbies, to help the home plan activities while in the home. In one instance it was not possible to get historical information about the individual, and we saw that care staff noted what activities the individual showed interest in, and added those to the persons care plan. People who cannot attend small group activities are provided with some individual activity, such as nail painting, reminiscence, hand massage and using the light and bubble tube. On the day of our inspection we saw that people had individual activities and a group session of music and exercise. We noted that there were different objects throughout the home, for example hanging mobiles, pictures on the walls, sensory boards and rummage boxes for people to see and use if they wanted to. Several individuals had soft toys and Care Homes for Older People Page 13 of 25 Evidence: dolls, and we noted that these objects were meaningful to the individuals. One individual had a scrapbook and took pleasure from talking about the pictures. We saw that people were generally at ease and comfortable with each other and with the staff members. People have use of the homes secure garden and both the activity organisers said that they take people into the garden regularly. We understood that training is being provided for the activity organisers about appropriate activities for people with dementia, that activities are provided over the seven days and that the home is now part of a national organisation to improve activities provision. These initiatives should lead to continuing improvements in the daily life for people living in the home. The home produces a regular newsletter to keep relatives and people living in the home up to date with happenings at the home. Visitors are welcome and on occasions can eat with their relatives at the home. Regular meetings are arranged with relatives so that they have an opportunity to discuss any issues arising and have regular information about developments at the home. A religious service is held monthly in the home for people who want to attend, and the homes information shows that visits to other services can be arranged and arrangements can be made if people want to see a representatives of their faith. There have been improvements to the way meals are managed since our last inspection, when we made a requirement that the home provide adequate suitable and nutritious food and drink to the people living in the home. Peoples food preferences are now better recorded, fruit smoothies are offered and menus are reviewed more regularly. The home has provided a fridge in the dining room, so that sandwiches and cold drinks are easily available when needed. Mealtimes are now arranged for two sittings. People who need more support are helped to eat at the first sitting while those who can eat independently use the second setting. We saw that information from professional assessments about swallowing ability is included in individual care plans about eating and that individual records are kept about fluids consumed when necessary. More fruit and smoothies are offered as an alternative to cake at teatime and more finger foods are available. Staff members help individuals to eat at their own pace, and we noted that lunchtime was a peaceful relaxing time. Care Homes for Older People Page 14 of 25 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 at the home can be confident that their complaints and concerns will be heard and responded to, and that they will be safe, because of the homes improved practice. Evidence: At our last inspection in March 2009 we made a requirement that the home keep a record of any complaints made by the people who use their service, their representatives or others about the operation of the care home. We also made a requirement that the home make sure that people using the service are not subject to physical restraint and that staff understand their responsibilities about keeping people safe. At this inspection we saw that the homes complaints procedure is available in the home, shows a 28 day timescale for responding and includes our current contact details. We saw the complaints record showing all complaints made since our last visit. A new form is in use to make sure that verbal concerns and complaints are recorded, including those emailed to the home. We noted from the records that complaints were responded to quickly, but the complaints procedure within the homes statement of purpose needs to be updated to show the timescale of 28 days for responding to complaints and our updated name and current address details. The home has procedures for staff to follow to protect people living in the home and to report problems in the service, inluding a whistle blowing policy and a safeguarding procedure. We saw the safeguarding procedure is displayed in an area where staff members have easy access to it. All members of staff receive information about how Care Homes for Older People Page 15 of 25 Evidence: to keep people living in the home safe at induction and attend regular training about safeguarding after induction. The manager discussed how she makes sure that people are safe to go where they want to within the home, and are not subject to physical restraint. We saw no door gates in use and the manager confirmed that none were in use in the home. Since our last inspection we received information that the local safeguarding team looked into practice at the home and is currently in the process of concluding its investigation. Care Homes for Older People Page 16 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The homes environment has improved and as a result people living in the home have a comfortable, homely environment. Evidence: At our inspection in March 2009 we made a requirement that the home be fit for its purpose particularly that a programme of routine maintenance, refurbishment and renewal be in place. At this inspection we noted that there is a planned programme of refurbishment and renewal of soft furnishings and a system in place to manage day to day repairs and upkeep. Several improvements have taken place since March, including redecoration of several areas, improved signage so that people can understand where they are, installation of three sluices and improvements to the garden. At our last inspection we made a requirement that necessary aids and equipment be provided for people. We saw that the home had provided and fitted aids to help people be more independent in the communal bathrooms, and the manger confirmed that equipment had also been provided in private bathrooms to help people remain independent as far as possible. We saw that people were able to walk about as they wished and they appeared comfortable and calm in the home. The home has gardens with patio areas looked after by the maintainance team. The fitting of the three sluices will improve the control of infection in the home, as equipment can be properly cleaned. The Care Homes for Older People Page 17 of 25 Evidence: housekeeping team are responsible for the cleanliness of the communal and private rooms, and the home manager oversees the quality assurance on a weekly basis. On the day we visited we saw that the home was clean. Staff receive training about infection control, and we saw that there was a training session booked in the near future. Care Homes for Older People Page 18 of 25 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 living in the home have their needs met by enough carers who are trained for the job and safe to work in the home. Evidence: At our last inspection in March 2009 we made a requirement that the home only employ suitable people and provide them with appropriate training to work in the home. At this inspection we saw the recruitment information for three people the who started working at the home recently. All the individuals had completed the homes application form and all had received clearance from the Criminal Records Bureau (CRB) that they were not on a list of people banned from working with vulnerable people. One persons full certificate from the CRB had not arrived, and the manager explained the ways the home made sure that the individual was supervised while awaiting the full CRB. The second reference for another individual was not appropriate and the home took action to make sure that another was requested and received. The homes staff rota shows that there is a mix of nurses and carers on duty over the 24 hours and that other housekeeping and maintenance staff are on duty in the home. The operations manager said that the home was able to recruit more local people and had introduced improvements so that it was now easier to retain staff. We observed during the inspection that enough staff membes with the skills to meet the needs of the people in the home were available. The manager said that staff numbers had not decreased although there were at present only 49 people in the home when at Care Homes for Older People Page 19 of 25 Evidence: capacity the home can accommodate 69. The manager understands the need to make sure that as the numbers of people admitted to the home increase, the home needs to continue to make sure everyones needs are met and this has an implication for the numbers of staff employed. Since our last inspection improvements have been made to the way the home is staffed, including allocating individual members of staff to a particular unit, appointing unit leaders, increasing the number of senior carers and appointing a deputy manager. Of the 26 carers employed, 17 have gained the National Vocational Qualification (NVQ) Level 2 in Care and this means that the home is meeting the national minimum standard of having 50 of carers qualified to the standard. The home provides induction training to the Common Induction Standard, and one new carer explained how she completes the workbook with a mentor. The home has a staff training programme beginning in April each year, covering fire safety, moving and handling people, first aid, health and safety, and safeguarding vulnerable people. Other training is provided and we saw the training programme for the coming weeks included an introduction to dementia care, infection control fire safety and safeguarding vulnerable people. We discussed with the manager the need to provide extra training for staff about caring for people with dementia, as all the people living in the home have the illness and the operations manager confirmed that she was in the process of sourcing the training. Care Homes for Older People Page 20 of 25 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. People living in the home benefit from the improvements made since our last inspection, and now the home is run increasingly in their best interests. Evidence: The registered manager is a registered nurse, has long experience of working in a care setting and is in the process of studying for her NVQ Level 4 in Management. She has worked to meet the 15 requirements made at our last inspection and at this inspection we have evidence to see that the requirements have been met. The home conducts quality audits of the home regularly and since the last inspection has introduced a more specific audit tool for the home so that issues can be picked up quickly and addressed. A senior manager visits monthly unannounced and carries out a robust audit of the homes service, so that any issues not addressed by the homes audit process are identified. Surveys are sent to people living in the home and their representatives annually and we saw the results of the 2009 audit which is presented in a form easily understood. The home helps people to manage their moneys by having an aggregated account at a Care Homes for Older People Page 21 of 25 Evidence: high street bank. Individuals can see their statements when they want and the companys finance department audits the account regularly. At our last inspection we made two requirements to improve the management of health and safety issues at the home, about identifying environmental risks and about the safe handling and storage of cleaning solutions and similar products. The home carried out an environmental audit and set up a health and safety committee in the home and confirmed in writing that the requirements have been met. We saw no chemicals stored inappropriately during our visit and we understood that the remaining issue to be addressed is the rescreeding of one floor. Care Homes for Older People Page 22 of 25 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 23 of 25 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 24 of 25 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 25 of 25 - 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!