Care Home: Daneside Court Nursing Home

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What the care home does well Daneside Court reviews its practice and is constantly trying to improve the service offered to the people either living in the home or to prospective service users. The service is flexible and the home`s management team have looked at where they are now and where they want to be in the future. This will help to ensure that the home is able to respond to changing needs, which in turn will enable people to maintain as much independence as possible. Service users are treated with respect and dignity and we found that the staff members were able to demonstrate an awareness of the diverse needs of the people they were supporting. There is a dignity in care notice board in the reception area and there are dignity "champions" within the staff team. Their role is to publicise and promote dignity issues in the home. Positive, relaxed and warm relationships were seen to exist between service users, relatives and staff members, those people that commented all said that the manager and staff members were good. Two service users said; "Staff are very good and helpful". Routines within the home are flexible, this gives people some control over their lives and enables them to maintain their independence. There are plenty of opportunities for people to participate in social and other activities. A wide choice of meals are offered and the standard of catering is good. The laundry standards within the home are very good, this helps to ensure that people`s clothes are looked after properly. What has improved since the last inspection? We carried out a random inspection in February of this year. The purpose of the visit was to check on the requirement made following the key inspection of June 2009 and to assess the management arrangements following the previous managers departure. At that visit we found that the acting manager had started to improve standards and the relative and staff members we spoke to all made positive comments regarding her appointment. Since then she has been confirmed as the permanent manager for the home. We found at this inspection that things have continued to improve and the staff members in particular said that morale had improved and that they all wanted a period of stability so that they could develop and improve the service. Everyone spoke positively about the impact that the new manager has had on the home. One of the staff members has written on a survey form; "I feel with our new manager that stability within the home has improved and so has staff morale. There have been lots of positive improvements and I hope this will continue for the sake of our residents and staff". Changes to the menus that are due to take place on the Monday following the inspection will improve the choices that are available to service users. What the care home could do better: We consider that Daneside Court is a good service so rather than state what they could improve we would expect that the home continues to review its practice in order to ensure that the very good standard of care provided to the service users at the present time is maintained and where possible improved upon. Key inspection report Care homes for older people Name: Address: Daneside Court Nursing Home Chester Way Northwich Cheshire CW9 5JA     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: Paul Ramsden     Date: 1 9 0 5 2 0 1 0 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 26 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) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Daneside Court Nursing Home Chester Way Northwich Cheshire CW9 5JA 0160640700 0160640621 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): www.schealthcare.co.uk Southern Cross Healthcare Services Ltd Name of registered manager (if applicable) Type of registration: Number of places registered: care home 64 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The registered person may provide the following categories of service only. Care home with Nursing - code N, to people of the following gender:- Either. Whose primary care needs on admission to the home are within the following categories: - Old age not falling within any other category - Code OP. The maximum number of people who can be accommodated is: 64 Date of last inspection Brief description of the care home Daneside Court is a purpose built care home, built in the late 1990s, which provides both personal and nursing care for up to 64 older people. It is owned by Southern Cross Healthcare, a company which operates care homes throughout the country. The home provides single room accommodation on the ground and first floors. There are four lounges for residents to use. There is access into the garden, which has seating and tables. The home is situated in the centre of Northwich within walking distance of Care Homes for Older People Page 4 of 26 Over 65 64 0 2 5 0 2 2 0 1 0 Brief description of the care home local shopping facilities, public houses, bus stops and open park areas. It is well established within the local community. Care Homes for Older People Page 5 of 26 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 unannounced visit took place on the 19 May 2010 and lasted for a total of eight and a quarter hours. Paul Ramsden, Inspector, undertook the visit on behalf of the Care Quality Commission. Any references to we or us in the report refer to the Commission. All of the key standards for older people were looked at. Feedback on the findings of the inspection was given to the home manager and the regional operations manager at the end of the inspection. This visit was just one part of the inspection. Prior to the visit the home manager was asked to complete an Annual Quality Assurance Assessment [AQAA] to provide up to date information about the service provided in the home. This is a very detailed questionnaire that provides us with a lot of information about the service before we go to the home. We looked at the last key and random inspection reports that were carried out last Care Homes for Older People Page 6 of 26 year and in February 2010. During the visit various records and the premises were looked at. When looking at the documents relating to the type of care each person needs [assessments and care plans]we use a system called case tracking. This is a method that allows us to follow or track a particular situation in order to ensure it was dealt with appropriately. A number of service users and staff members were spoken with; they gave their views about the home and the service provided. Some of these comments have been quoted in the report. Since the previous key inspection the home manager has been replaced by the manager of Daneside Mews, another care home on the same site. This was initially only a temporary position but it has now been made a permanent appointment. Care Homes for Older People Page 7 of 26 What the care home does well: What has improved since the last inspection? What they could do better: Care Homes for Older People Page 8 of 26 We consider that Daneside Court is a good service so rather than state what they could improve we would expect that the home continues to review its practice in order to ensure that the very good standard of care provided to the service users at the present time is maintained and where possible improved upon. 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 26 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 26 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 and opportunities to visit before moving in are available and service users are assessed before moving in to ensure their needs can be met at the home. Evidence: The home provides a range of information to service users; these include the service user guide and the statement of purpose. These documents contain all of the information required and they should provide sufficient information for anybody who is thinking of moving into the home. The manager confirmed that these are available in different formats and the service user guide states on the front cover, Also available in audio. People are free to visit and look around Daneside Court prior to choosing to live there if they want to; they can also stay for a meal and have a trial visit before deciding. A visiting family members confirmed this, they told us; I rang about visiting and the manager said to come at anytime. If they have any queries they can contact the manager, deputy or senior staff members. Care Homes for Older People Page 11 of 26 Evidence: On the day we visited Daneside Court, 60 people were living at the home, 27 on the ground floor and 33 on the first floor. The people living on the ground floor are those who do not need nursing care and so senior care assistants are responsible for all of the care, including medicines and care planning. People who need nursing care live on the first floor of the home and there is at least one nurse on duty at all times. Pre-admission assessments demonstrating that the service users individual needs had been assessed in an accurate and consistent way had been carried out for the people whose files were looked at. The nursing staff, manager or deputy manager will usually carry out the assessments and they will visit people in their own home, another care home or hospital to gather the necessary information before admitting someone. This provides an opportunity to make sure the home can accommodate the person and their individual needs. Where applicable copies of information provided by the Local Authority is also obtained prior to admission. This provides background information as to the reasons why a move to the home is needed and is very useful when combined with the homes own assessment. Intermediate care is not provided at Daneside Court Care Homes for Older People Page 12 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service users care plans we looked at were well maintained and provided all of the information needed for staff members to be able to take appropriate action to meet an individuals needs. Evidence: Each of the people living at the home has a care plan that details their needs and how these should be met. The care plan folders include risk assessments covering pressure ulcers, continence, dependency, moving and handling, falls, nutrition and any other identified risks. Service users and their families are included in the care planning process and the care is reviewed with them every three months or six months, depending upon the persons needs. We saw records of these review meetings in the care plans. We looked at a selection of care plans of people living on the ground floor and the first floor. All of the care plans we looked at were concise and well written in plain English so they were easy for service users and staff to understand. Daily records were detailed and give a good picture of how people have been each day. Equipment Care Homes for Older People Page 13 of 26 Evidence: needed to meet peoples needs is provided and this is recorded in their care plans; for example, the type of bed and mattress and pressure area care is recorded. We looked at the records of a person who had a pressure sore and found a detailed care plan in place with records of the wound being measured and photographed regularly to monitor the healing process. The care plans also showed us that people are weighed monthly and have visits from GPs, district nurses and other healthcare professionals as needed. Service users can be registered with a local dentist and have regular six month check ups. A community chiropodist [he was visiting about 25 service users on the day of our visit, we heard him tell the staff members before he left that there were no issues and that foot hygiene was very good] and an optician visit regularly. All of the people we spoke to said that the standards of care provided were good and that staff treated them with respect and were always polite and kind. Staff members spoken with had a good understanding of the people they were supporting; they were able to meet their diverse needs, for example if someone had a mobility problem and service users were being encouraged and supported to live as independently as possible. We looked at the storage and recording of medicines. Storage, including controlled drugs, was good and secure. Most medicines are supplied in blister packs, but items supplied in boxes and bottles are counted daily to ensure accuracy. When medicines are delivered to the home they are checked and signed in. The medicine administration sheets were completed well and indicated that people receive their prescribed medicines at the right time. The senior care staff, who are responsible for medication for people not requiring nursing care, have all completed accredited training so they know how to give out medicines safely. The arrangements for the administration of medication during the inspection were considered to be good and service users were receiving their medication as prescribed. Care Homes for Older People Page 14 of 26 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. Service users spoken with were very positive about the home and the support they were receiving. Evidence: Service users were able to move freely around the home and a choice of sitting areas was available. They confirmed that routines within the home were flexible and that they were able to make choices in many areas of daily living; for example, times of rising and retiring, whether or not to join in with planned activities and where to spend time and with whom. The home employs an activities co-ordinator. This role are to work with service users both on an individual basis or in groups. At the time of our visit the homes own coordinator was on sickness absence so the role was being covered by the co-ordinator from Daneside Mews, another care home on the same site. We saw that a comprehensive range of activities was displayed in the entrance area and throughout the home. Activities included; reminiscence sessions, a weekly Christian discussion group plus other activities such as dominoes and bingo. We saw many photographs of social events that have taken place displayed. On the day of our visit an unusual activity, a natural history presentation was seen to be taking place. Approximately 22 Care Homes for Older People Page 15 of 26 Evidence: service users, plus some relatives and staff members were given the opportunity to handle a variety of live creatures; this included, snakes, wild cats and a tarantula. Everyone seemed to really enjoy this and the activity lasted longer than was originally planned. We received generally positive comments from service users about the social and other events organised. Various religious denominations conduct services in the home and people are free to attend if they wish to do so. This includes the weekly Christan discussion group mentioned above. A hairdresser visits the home [there is a salon in the entrance area] twice a week and people are able to use this service if they wish to do so. Links with the local community are maintained and the mobile library visits every two weeks. Meals can be eaten in the main dining room or in the privacy of a service users own room. There is a menu that has the flexibility to meet individual needs and choices and the people spoken with confirmed that the food they were eating was good and that choices were available. The manager and catering staff told us that new menus were to be implemented on the Monday following the inspection; these reflected the personal choices expressed by people actually living in the home rather than adhering to the companys corporate menu. We think this is a positive improvement and demonstrates that the home is listening to the views of the people living there. Special diets can be provided if needed. Hot and cold drinks are made in the kitchenette areas whenever people want them and snacks are readily available. The kitchen was seen to be clean, tidy and well organised. Care Homes for Older People Page 16 of 26 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. Service users and relatives are able to complain/make suggestions and action would be taken to respond to their concerns. Adult protection training is provided for staff in order to ensure the continued safety of people staying in the home. Evidence: There is a clear written complaints procedure for the home. Information about complaints and the procedure to be followed are available in the entrance area. This is also included in the service user guide and statement of purpose. The AQAA indicates that three complaints have been received in the previous 12 months, these have all been dealt with. The home has a safeguarding procedure in place that complies with all of the relevant legislation and good practice guidelines. This is designed to ensure that any possible problems that arise are dealt with openly and people are protected from possible harm. The training records showed that staff receive training about this so they know how to protect the people who live at Daneside Court from harm and poor practice. Care Homes for Older People Page 17 of 26 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. Daneside Court is well maintained so that it provides comfortable, homely, clean and safe surroundings for the people who live there. Evidence: The home was purpose built in 1998 and provides spacious accommodation on two floors. It is close to the centre of Northwich so people can visit shops and other local amenities. There is a garden at the back of the home that is fully accessible for service users. All of the bedrooms are single and have en-suite facilities. There are four large lounges and two dining rooms. Bathrooms and shower rooms on both floors are spacious and well equipped. A tour of the building was carried out; this included communal [lounge/dining room]areas and a number of bedrooms. All bedrooms seen during the visit were personalised, comfortable, well furnished and contained items of furniture belonging to the individual. A newly admitted service user confirmed that he had been told that he, and his family could personalise the room if they wanted to. We think that Daneside Court provides an environment that can fully meet the needs of the service users that live there. It is being maintained to a good standard and we did not see any hygiene or cleanliness issues. There is a very large laundry [this also provides a service for Daneside Mews]. It was Care Homes for Older People Page 18 of 26 Evidence: clean, tidy and very well organised and we think it is a credit to the staff who work there. Care Homes for Older People Page 19 of 26 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. Staff members work positively with service users and families to improve the quality of life of people staying in the home and a robust staff recruitment process is in place to protect them from possible harm. Evidence: Nursing and care staff on duty demonstrated that staffing levels and the skill mix of staff was able to meet the needs of the service users within the home. The staff members were seen to be cheerful and friendly. We spoke to a number of them during the visit; they all had a very good understanding of their roles and were knowledgeable about the needs of the people they were supporting. They spoke positively about the home and the quality of care being provided. The service users and visitors we spoke with were also very complimentary about the staff members attitude and competencies. The nursing staff members employed undertake continuous training as part of the professional requirement for them to do so. According to the AQAA at the time of its completion 19 of the 39 care staff members are qualified or are working towards a National Vocational Qualification [NVQ] level 2 or 3 in care, a recognised qualification for people working in the care profession. Care Homes for Older People Page 20 of 26 Evidence: The staff files seen contained all of the required information and a thorough recruitment procedure was in place for the protection of service users. The homes manager confirmed that all new staff are checked against the SOVA list and that a satisfactory CRB disclosure must be obtained before employment commences. Any gaps in the employment history are checked. New staff members undertake a thorough induction training programme, including adult protection. This meets the Skills for Care Induction Standards. We were able to see an induction record for one of the most recently appointed staff members. Daneside Court provides a range of training courses for staff members; this includes mandatory training such as safer handling, fire safety and adult protection as well as other courses such as equality and diversity. The staff members spoken with confirmed that training courses were readily available and that they considered that they were well trained. The home manager has a comprehensive training matrix and knows exactly what training is due and who needs to undertake it. Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is being well run and managed on a day to day basis, this helps to ensure that the needs of the service users are met and that there are appropriate procedures in place to maintain their safety. Evidence: The home manager is actually registered with us as the manager of Daneside Mews. Following the previous managers departure she took over temporary management at the Court. This has recently been made a permanent position and she will therefore need to re-register with us. She is very experienced and knowledgeable and communicates a strong sense of direction and is able to demonstrate a sound understanding and application of best practice. She was aware of the needs of the service users living in the home and how to manage the staff team. The home manager has an NVQ level 4 and has completed the Registered Managers Award. She attends courses/training in order develop the skills to fulfill her management responsibilities. A number of positive comments about the managers capabilities were made by both service users and staff members who all said that morale and standards Care Homes for Older People Page 22 of 26 Evidence: in the home had improved since she had been there. Staff members we spoke to said; Things are much better since Kate has been the manager, staff morale has improved. She is very supportive and will address things, we look forward to coming to work. A deputy, team leaders and administrative staff members support the manager in the running of the home. This is a strong and committed team who are working hard to ensure that the quality of care provided is at as high a level as possible. Souther Cross has a quality assurance system in place and the views and opinions of the people using the service are sought regularly. This includes regular audits and the return of information to head office. The administrator sends out annual satisfaction surveys to find out peoples views and these are also returned to head office. We saw evidence of heads of department meetings, health and safety meetings, staff meetings and resident/relatives meetings. In addition to this process there is a comments book in the reception area; when a comment is received the home manager puts her responses in and provides details of any action taken. Arrangements are in place for people living at the home to be able to keep small amounts of personal spending money in safe keeping. Individual records are kept and residents can have an update of their account on request. All staff members are supervised on a continuous basis; in addition they all receive formal supervision approximately six times a year. This helps to ensure that the high quality of care provided to residents is maintained. Any accidents are recorded and the home manager regularly audits these in order to ensure that any trends, for example, a service user having a number of falls are identified and addressed. Southern Cross has a comprehensive range of policies and procedures to promote and protect both service users and staff members health and safety. The manager provided us with details of when plant and equipment in the home had been tested and serviced to make sure they are in safe condition and these were all up to date. The fire safety log book showed that the tests on the system and emergency lighting were being carried out at the recommended intervals and that drills and training were also up to date. Care Homes for Older People Page 23 of 26 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 24 of 26 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 25 of 26 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 26 of 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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