Care Home: Darna House

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What the care home does well People are assessed by the manager before the offer of a place is made to make sure Darna house is a suitable place for them. People are provided with information about the home to help them make an informed choice. People are treated as individuals and with different preferences and needs. Staff showed a good awareness and knowledge of people`s needs and the home provides a warm, friendly and welcoming atmosphere for relatives and visitors. People and visitors were positive about the care provided at Darna House and have access to local health care services. Staff were seen to be kind and caring and people who could express a view said they were treated with repsect and their neeed for privacy was respected. The home provides a homely environment for the people living at Darna House with pleasant gardens. People had comfortable bedrooms and these were personalised with photographs and personal items. One person said, "I like my room, it satisfies my needs and the fact I have some things from home makes it more pleasant for me." The home has a stable staff team, many of whom have worked at Darna House for a number of years. Staff spoken to were positive about the training and supervison they were given. People liked the food provided and a choice was available for people at each meal. One visitor said, "The lunch time meals are especially appetising and provide good home cooking." Each staff member has a training and development plan and the records showed that staff have undertaken some training. Staff felt well supported in their roles and one staff member said, "I think the service is getting better and we provide excellent care for people." People knew who to speak to if they wanted to raise any concerns or complaints about the service. What has improved since the last inspection? Since the last key inspection improvements have been made to the recording in the care plans and risk assessments in place to show people`s current health and personal care needs. There was an increase in the person centered approach to care and risk assessments recorded the action the staff need to take to minimise risks to people. Care plans were reviewed on a monthly basis and showed changes in a person`s needs. Improvements were seen in the systems in place for the recording in relation to medication practices in the home. photographs of each person were held on their care file and medication chart. Some improvements were seen to the recruitment procedures in place, particulalry in the recording of people`s pre employment history. A programme of redecoration has continued to make the environment more homely for the people living there and a new kitchen area has been fitted on the first floor. What the care home could do better: It was evident that the manager was making improvements to the quality of the service provided. She needs to continue to audit the care plans, risk assessments, medication and recruitment files to make sure they meet the required standards and when shortfalls are identified they can be improved in a timely way. People must be provided with suitable equipment to meet their needs in a timely manner so they can have an improved quality of life. Photographs of staff members need to be held on their staff file. Consideration should be given to staff receiving training in dementia care so they have the skills and knowledge to meet the needs fully of the people they are caring for. People living at Darna House should be given more opportunities to take part in activities on a regular daily basis as a means to keep them occupied and stimulated. Key inspection report Care homes for older people Name: Address: Darna House Groby Road Altrincham Cheshire WA14 2BQ     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: Elizabeth Holt     Date: 1 9 0 4 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 27 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 27 Information about the care home Name of care home: Address: Darna House Groby Road Altrincham Cheshire WA14 2BQ 01619284342 01619291914 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr Simon Porritt Name of registered manager (if applicable) Tracy Lynn Lidster Type of registration: Number of places registered: care home 20 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 category/ies of service only: Care home with nursing - Code N to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 20 Date of last inspection Brief description of the care home Darna House is a care home providing nursing care and accommodation for 20 residents. The home is a detached Victorian house situated on a tree-lined road in Altrincham. Bedrooms are on three floors with access to these by stair-lifts. Accommodation is provided in both double and single bedrooms. The home is in close proximity to Altrincham town centre. The grounds include a large garden area. There is ease of access to public transport, the motorway, local shops and parks. Care Homes for Older People Page 4 of 27 Over 65 20 0 Brief description of the care home The current fees can be obtained by contacting the manager at the home. Fees include all care, food and laundry. The only normal extra is hairdressing, toiletries and newspapers. If other extras arose, they would be agreed in advance. The home has a statement of purpose and service user guide, which were given to people living at the home or their families. Care Homes for Older People Page 5 of 27 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 site visit was undertaken as part of a key inspection, which includes an analysis of any information received by the Care Quality Commission in relation to this service prior to the site visit. Prior to the visit the provider completed an Annual Quality Assurance assessment (AQAA). The AQAA is a self assessment and a dataset that gives us information about the service. Comment cards were sent prior to this visit for distribution to people staying at Darna House and to staff, four were returned from people living at the home and seven from members of the staff team. Comments from these surveys have been included in this report where possible. During the visit we observed care practices, we looked at a number of records including care plans, medication records, staff files, health and safety and training records. We spoke to people who live at Darna House, three relatives, the manager Care Homes for Older People Page 6 of 27 and three staff members. Following the last visit one requirement made has been fully addressed and improvements were seen in a number of areas following the ten good practice recommendations made. The Care Quality Commission has received no complaints about the service since the last inspection. Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? Since the last key inspection improvements have been made to the recording in the care plans and risk assessments in place to show peoples current health and personal care needs. There was an increase in the person centered approach to care and risk assessments recorded the action the staff need to take to minimise risks to people. Care plans were reviewed on a monthly basis and showed changes in a persons needs. Improvements were seen in the systems in place for the recording in relation to medication practices in the home. photographs of each person were held on their care file and medication chart. Some improvements were seen to the recruitment procedures in place, particulalry in the recording of peoples pre employment history. A programme of redecoration has continued to make the environment more homely for the people living there and a new kitchen area has been fitted on the first floor. Care Homes for Older People Page 8 of 27 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 27 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 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People moving into the home are given information about the home and have their needs assessed so they will know if their needs can be met at Darna House. Evidence: People who use the service receive information about the service before admission. We were told by the manager that the statement of purpose and the service user guide were in the process of being updated currently. Information received from four surveys from people who live at Darna House stated they received enough information to help them decide if the home was the right place for them, before they moved in. Two pre admission assessments were looked at for people who had beeen admitted since the last inspection. The information was sufficient to start the care plan and basic information was made available for staff to ensure they could meet the needs of Care Homes for Older People Page 11 of 27 Evidence: new people. Copies of care management assessments of need were available. The care plan contained little written evidence to show that the person or their representative had been consulted about their preferences for how their care and support was to be provided, although two visiting relatives stated they were clealry aware of how their relatives were supported. People living at Darna House expressed views that the staff knew them well and knew their individual routines and preferences. We listened to part of a handover report and it was clear staff were knowledgeable about the needs of the people they were looking after. Darna House does not offer an intermediate care service. Care Homes for Older People Page 12 of 27 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 were met by staff that respected their need for privacy and dignity. Evidence: Each person living at Darna House had their own care file that contained personal information about them. During this visit we looked at care plans for three people and the person to whom the care plan belonged was spoken to. Staff spoken to were knowledgeable about the peolpe they were caring for and of their needs. A recommendation made at the last inspection was for care plans and risk assessments to be reviewed monthly and to make sure changes to a persons care needs are recorded. From the sample of care plans looked improvements had been made and these were reviewed monthly and showed the individual likes and dislikes of the person. Care plans included oral health care plans. For one person the staff had observed they had possible pain whilst cleaning their teeth and action had been taken to address this by involving the dentist. Risk assessments were in place including risk assessments for bed rails, pressure sore prevention, moving and handling. We Care Homes for Older People Page 13 of 27 Evidence: discussed the care plans should specify the hoist and size of sling to be used during a transfer. Care plans included a progress record and a health professionals visitors sheet which recorded evidence of visits by health professionals. Each person was registered with a General Practitioner from the local area. People spoken to and responses in the surveys showed that people received the medical support they needed. One relative said, The staff are good at letting me know if mother sees a doctor or any professional for that matter and they always tell me what ever is happening. A nutritional risk assessment tool was in place for each person and regular recordings and evaluations of peoples weight and any action taken was made. Two people were awaiting appropriate chairs to support them to sit out during the day, a discussion was held with the manager for these chairs to be sought as a matter of urgency to improve the quality of life for these people on a daily basis. The manager stated she was in the process of making sure she purchases the correct equipment to meet their needs fully. At the time of this visit we were told there were no people with wounds or pressure sores currently living at the home. The manager stated she would seek advice from the Tissue Viability Nurse as necessary. Medication was managed appropriately and the staff recorded clealry on a medication administration record (MAR) what medicines they had administered. A medication policy was in place and staff spoken to said they had read this. Medication records had photographs of people who live at the home to assist staff to make sure people receive the the correct medicines. At the time of this visit none of the people living at the home were prescribed controlled drugs. Appropriate systems were in place if any person was prescribed controlled drugs. During this visit we saw staff talking to people in a dignified way, a number of bedroom doors were kept open with appropriate devices and staff knocked before entering. People who filled in and returned comment cards said the staff listened and acted on what they say. One person said, The staff are so kind and helpful here we could not ask for better care from them. We asked people if they received the the medical support they needed and from the four people who returned surveys they said, always. One person added, They are good at getting the doctor out for me if I have any concerns. It is good because it makes me feel better too. In the AQAA the manager stated that, All service users needs are recognised and Care Homes for Older People Page 14 of 27 Evidence: needs met. Service users are treated with respect, privacy upheld, choice and dignity are paramount. Staff were heard being patient and kind with people. Care Homes for Older People Page 15 of 27 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 daily routines are relaxed and flexible, a lack of social activities and stimulation may lead to some people becoming bored. People enjoyed varied home cooked meals. Evidence: During this visit there was only one person who chose to spend the day in the communal lounge. All other people were cared for in their bedroom or chose to stay in their bedroom. People were seen listening to music, watching television or chatting with staff An activities organiser is employed for two hours a week and a varied monthly programme of activities is provided which includes outside entertainers. The manager stated that they have over recent months increased the religious support provided to people as more people chose to receive communion. A recommendation was made at the last inspection for people to be provided with the opportunity to take part in activities during the day on a regular basis as a means of stimulation and occupation. This has been reiterated at this visit. The manager stated that they do try and occcupy people on a one to one level. One person was clearly becoming restless and commented there was Little for me to do. Two people responded to the survey saying that the home always or usually arranged activities that they can take part in if they wanted. A social care plan was looked at for two people, one stated likes her family around her and to keep stimulated so they do not become bored. Staff spoken Care Homes for Older People Page 16 of 27 Evidence: to said, We are kept busy but there is always enough time to sit and chat or have a sing with people who want to join in. One persons daughter added, The staff are great at keeping Mum occupied because they are always chatting to her. I dont think she would want to join in formal activities. Copies of peoples life histories were looked at for some people where staff had encouraged families to tell them more about the person so this would assist them in talking together about their past life and events. Meals were served from the kitchen on the first floor. On the day of the visit the main meal looked appetising and people who could express a view said they enjoyed the food. One visitor said, The lunch time meals are especially appetising and provide good home cooking. Another visitor said, My wife eats most of the food every day. She appears to enjoy it and it is always good food. The menus showed there is a choice offered at each meal and the cook said Something else would be found if someone really wanted an alternative. Staff were seen to support people who needed some assistance at mealtimes in a sensitive and patient manner. Staff were heard chatting and encouraging people to eat, they had a pleasant manner and clealry knew them well as individuals. Care Homes for Older People Page 17 of 27 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 know how to complain and are confident their concerns will be listened to. Evidence: A copy of the complaints procedure was displayed in the hallway of Darna house and a copy was made available to people when they came into the home. We were told there have beeen no formal complaints made since the last key inspection. The manager has a system to record any concerns or complaints. People spoken to during this visit were clearly aware of the action they would take in the event of any concerns and felt they could sort any isssues out with the manager. The four survey returned from people who live at the home showed they were aware of how to make a formal complaint. During the visit the manager showed her awareness of Traffords safeguarding procedures. Two staff spoken to were aware of the procedure to follow in the event of an allegation of abuse. One staff member added that she felt she could follow the whistle blowing policy if she saw or heard practice she was not satisfied with. One staff member confirmed she had looked at the policies and procedures during her induction. The manager stated that staff had attended training in adult safeguarding and she had attended a course on understanding the Deprivation of Liberty safeguards and the Mental Capacity Act. Care Homes for Older People Page 18 of 27 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. Darna house provides a clean, pleasant and comfortable environment for the people who live there, in pleasant surroundings. Evidence: The home provides a chair lift at the rear of the property so people with limited mobility can leave the premises and visit the gardens. The gardens are well maintained with lawns and flower beds and some seating for people to enjoy. A partial tour of the home was conducted. The home was clean and tidy and free from offensive odours. We discussed the current bathing arrangements and the practicalities of escorting a person from the first floor to the ground floor for a shower and whether consideration should be given to converting the first floor non assisted bath into a shower room which may provide more effective use of bathing equipment to meet the needs of the people accommodated. A number of people were visited in their bedrooms, these were personalised with photographs, and personal items. Since the last site visit some of the rooms have been painted and new carpets, curtains and soft furnishings have beeen provided. Three people spoken to said they thought the home was Homely and well kept. One person enjoyed telling us about their family members and clealry enjoyed having personal items around them. Care Homes for Older People Page 19 of 27 Evidence: The lounge was pleasantly furnished with comfortable seating and one person had a small table with their personal possessions around them. Chair lifts are available for people to support them to get upstairs and downstairs. Maintenance records showed these were reviewed regualrly. All four surveys returned stated that the home was always fresh and clean. One person added, Its good because there is never an offensive smell. Care Homes for Older People Page 20 of 27 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 receive care and support from staff who have the skills to support them correctly. Evidence: On the day of the visit there were fourteen people living at the home. The staff numbers and the skill mix of the staff were sufficient to meet the needs of the people accommodated. From the observations made people were responded to in a timely way, one relative said, The staff often pop their heads round even if they dont need to see to my wife. Since the last visit an on going programme of staff training had been followed. Care staff had access to National Vocational Qualification (NVQ) awards and additional training was provided where the need was highlighted. Of the 10 care workers employed, all have an NVQ level 2 or 3 qualification in Health and Social Care. Two staff spoken to said they found training a positive experience and said the manager did encourage them. Following a recommendation made at the last inspection in relation to prospective staff detailing a full employment history on their application form, we looked at the recruitment system in place for three staff members who had been employed in the last twelve months. Records showed that pre employment records including a full Care Homes for Older People Page 21 of 27 Evidence: employment history had been obtained for two of these three people and an appropriate induction programme had been followed. We discussed the need to hold an up to date photograph of the person employed on the staff file which the manager said she would address following this visit. Responses from seven staff surveys showed that all seven staff felt well supported by the manager and were aware of what to do if someone had concerns about the home. One staff member added, Darna House is a very homely place, all the staff are well trained and make sure the residents are happy and comfortable. Another staff member wrote, The home gives fantastic care, residents are discussed every day and changes are made to give the best care possible. The staff are very supportive to residents and relatives needs. One of the visitors said, What makes this home is the warmth and friendliness of the staff here, they are always welcoming. The manager carries out personal identification number checks for the registered nurses with the Nursing and Midwifery Councils monthly Fitness to practice register to check that the nursing staff remain on the current register. The manager told us that as a number of people living at the home have some confusion, she had plans to provide some training in this specialist area to increase their knowledge and skills and inform them of best practice. A record of individual staff members training was held on each persons file, the manager stated she was making a training plan to show at a glance the staff training carried out and to assist her to see when a persons training update was due. Care Homes for Older People Page 22 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management is based on openness and respect which ensures the home is run in the best interests of the people who live there. Evidence: The manager has been in post for eight years, she is a registered general nurse and holds the registered managers award. The manager was clealry aware of the needs of each person and had a detailed knowledge of their care needs. She is aware of areas she want to improve in the service including developing more person centered care plans, activities, staff training and quality assurance. Comments made during this visit about the service provided at Darna House were positive, for example one staff member wrote in the survey that, The manager makes changes if and when needed. The home runs very smoothly. A person living at the home said, oh they are all lovely here and are kind to us. Both formal and informal systems were in place to monitor the views of people who use the service and their representatives. The manager said a survey in the form of Care Homes for Older People Page 23 of 27 Evidence: questionnaires was due to be sent out within the next month and she has plans to develop quality control measures. The manager told us this survey had been extended to include visiting professionals. We looked at some health and safety records including fire safety, gas safety certificates and boiler checks. These were found to be up to date and accurate. The procedure to follow in the event of a fire was in the bathroom on the first floor, this was in need of updating. The manager told us during this visit that she would address this. The manager stated that policies and procedures had been updated since the last visit and staff spoken to confirmed they had read these. Staff confirmed there were no shortages of protective equipment including gloves, wipes and aprons to reduce the risk of cross infection. The home does not handle or manage the finances for any people living at Darna House, this is left to family members or advocates. Care Homes for Older People Page 24 of 27 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 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 7 Care plans should specify the hoist and size of sling to be used during a transfer so that staff are clear of the equipment they should use for each individual. People should be provided with the opportunity to take part in activities during the day on a regular basis as a means of stimulation and occupation. Appropriate and suitable chairs should be provided to assure comfort and meets the assessed needs of the service user. 2 12 3 24 Care Homes for Older People Page 26 of 27 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. 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