Care Home: Denecroft Care Home

What the care home does well People considering moving into Denecroft have their needs thoroughly assessed to make sure they can be met at the home. People living at the home receive properly planned and personalised care that respects their privacy and dignity. Good support is provided to meet health care needs and take medication safely. People and their relatives are satisfied with the service. They said, "The staff are lovely and I am well looked after", "General care standards within the home are good. Staff seem interested in meeting the residents` needs", and, "Provides a loving, caring atmosphere". Daily social activities are offered that people are consulted about, and contact with family and friends is encouraged. Each person is treated as an individual and supported to make decisions to keep control of their lifestyle. A good choice of wholesome meals is provided and people said they enjoy the food. There is a clear process to make complaints that people are confident to use if they are not happy. Staff are trained to protect vulnerable people from abuse and keep them safe from harm. The accommodation is homely, clean and comfortable and suitably equipped. Staffing levels are appropriate and workers are trained in many aspects of caring for older people. They told us, "All staff get on well together and service users are always well cared for. The manager is very approachable, if you have a problem you know you can talk to her", and, "I feel that working here gives me lots of opportunities to better myself". The home has an experienced manager who is committed to improving the quality of the service by listening to the views of others. Health and safety is promoted through safe working practices and training staff. What has improved since the last inspection? Care staff are allocated key worker responsibilities to people living at the home and are more involved in assessing and planning their care. Training is being better organised and staff have received training to understand people`s diverse needs, and current legislation that affects their rights.Almost all staff have now achieved nationally recognised care qualifications and the manager has completed a management qualification. The communal lounge and dining areas have been redecorated and had new carpets fitted. The home`s owner has plans to extend the building to care for older people who are mentally frail. What the care home could do better: Further efforts are to be made to give people regular opportunities to go on outings into the community. The records that show checks of fire fighting equipment in the home need to be located and brought up to date. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Denecroft Care Home 200 Newburn Road Throckley Newcastle Upon Tyne Tyne & Wear NE15 9AH     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Elaine Malloy     Date: 2 0 0 5 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Denecroft Care Home 200 Newburn Road Throckley Newcastle Upon Tyne Tyne & Wear NE15 9AH 01912676422 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : yourcarefirstltd@btconnect.com Mr Sunny Okukpolor Humphreys care home 15 Number of places (if applicable): Under 65 Over 65 15 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home 0 Denecroft is a care home that provides personal care for up to 15 older people. The home is located within a residential area of Throckley in Newcastle upon Tyne. It was built in 1911 and the property was converted to a care home and has been extended. The home is over two floors with a passenger lift. There are 11 single and 2 double bedrooms. Both double rooms are currently used for single occupancy. No bedrooms have en-suite facilities. Two bathrooms and four separate toilets are provided. There is easy access by public transport. Local amenities and shops are available in Throckley and Newburn. A guide to the homes services and inspection reports are readily available at the home. The current weekly fee is £393.00 for people funded by the Local Authority or who are privately funded. Care Homes for Older People Page 4 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: The quality rating for this service is 2 star. This means that people who use this service experience good quality outcomes. The inspection was carried out by: Looking at information received since the last key inspection on 25th July 2007. Getting the providers view of the service and how well they care for people. An inspector visiting the home on 20th May 2009. Care Homes for Older People Page 5 of 27 Talking to the home manager and other staff about the service. Looking at records about the people who live at the home and how well their needs are met. Looking at a range of other records that must be kept. Checking that staff have the knowledge, skills and training to meet the needs of the people they care for. Looking at the resources that the home has to operate the service. Getting the views of people living at the home and staff by talking to them, and from surveys they completed. Checking if improvements recommended at the last inspection have been made. The inspection was carried out over seven and a half hours. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use the service are not put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. What the care home does well: What has improved since the last inspection? Care staff are allocated key worker responsibilities to people living at the home and are more involved in assessing and planning their care. Training is being better organised and staff have received training to understand peoples diverse needs, and current legislation that affects their rights. Care Homes for Older People Page 7 of 27 Almost all staff have now achieved nationally recognised care qualifications and the manager has completed a management qualification. The communal lounge and dining areas have been redecorated and had new carpets fitted. The homes owner has plans to extend the building to care for older people who are mentally frail. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 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 9 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 receive good information about the service and have a comprehensive assessment of their needs so they can be assured these will be met when they move into the home. Evidence: People told us that they received enough information about the home before they moved in, so they could decide if it was the right place for them. The manager said people considering moving in are provided with a guide to the homes services. They can have a gradual introduction to the home through trial visits, and short respite stays when there is a vacant room. A record is kept of the background to the persons admission, whether they have visited prior to admission, dates of visits and any comments from the prospective resident. Care records showed that people have their needs assessed prior to admission. An Care Homes for Older People Page 10 of 27 Evidence: assessment is obtained from the persons care manager where their care is funded by the Local Authority. Information is also sought from other professionals, where applicable. The assessment information is used to record initial care plans that are in place from the day the person is admitted. The manager makes referrals to health and social work professionals to request reassessment when a persons care needs are changing. Care Homes for Older People Page 11 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. People receive well planned support that meets their health and personal care needs and respects privacy and dignity. Evidence: The home uses a range of assessment tools to identify each persons health and personal care needs. These are updated at least six monthly, usually before individual care reviews, to demonstrate the persons current needs. Staff told us they are always given up to date information about the needs of the people they care for, and that the ways they share information about people always works well. The manager said each person is allocated a key worker and they are taking more responsibility for updating assessments, care plans and attending reviews. Care records showed people have well recorded and specific care plans that address their identified needs. The plans are very personalised and show the persons independent skills and preferences and the support that staff give. Staff evaluate the plans every month in detail to record whether the plan is working to meet the persons Care Homes for Older People Page 12 of 27 Evidence: needs. Daily reports are now better linked to care plans, as previously recommended. Risks according to individual vulnerability are assessed and measures are put in place to manage or minimise these to make sure people are not harmed. People living at the home told us they always or usually receive the care and support they need. One person said, The carers do well. A relative said, Mother has been very happy and contented with the care given by staff at Denecroft during the last 12 months. Another relative, who lives out of the area said, I do not visit as often as I would like, however from when I do visit and telephone I feel confident that she is very well looked after. A relative told the inspector, It is a very homely and small home. Staff know people well and treat everyone equally. There is lots of love here. My mother is 100 happy here. People have a choice of doctor and three local GP practices are used. District nurses were currently visiting twice weekly. There are arrangements for regular visits from a chiropodist, dentist and optician. Referrals are made via the persons doctor for other health care services when needed, such as physiotherapy and psychiatric services for people with mental frailty. People living at the home told us they always or usually get the medical care they need. Details are kept of peoples medical history and separate records are made of all contact with medical professionals. Health care needs are assessed and care plans are drawn up for long and short term conditions. Plans were in place for nutrition, promoting continence, moving and handling, risk of falls and pressure area care, and include the use of aids and equipment to encourage independence. The plans are supplemented by monitoring charts such as weights, toileting regimes, and food and fluid intake. There is a medication policy and procedures to guide staff and all care staff undertake medication training. The home uses a monitored dosage system supplied by a pharmacist, and keeps variable dose medication separate. Medication records have photographs to identify each person. They have clear pre-printed and hand written directions for medication and are suitably recorded with staff signatures to verify medication given, and codes to state any reason why medication is not given. The register for controlled drugs was satisfactorily completed. Medication records are audited weekly. The home has a procedure to guide staff on maintaining privacy and dignity, and issues are clearly built into individual care plans. People spoken with confirmed staff are respectful. Each person is asked about their preferences, such as the name they wish to be addressed by, and this is recorded. The manager is looking into signing up Care Homes for Older People Page 13 of 27 Evidence: to the Dignity in Care Challenge and intends to provide staff with associated in-house training. The challenge is based on national expectations of what constitutes a service that respects peoples dignity. People are informed that the home employs an all female care staff team. All bedrooms are currently being used as single occupancy. Personal care, and treatment by professionals is carried out in the privacy of the persons own room. A telephone is provided in the hallway, however people can make and receive telephone calls from the office telephone if they want more privacy. Post is given directly to people, and staff or relatives provide support with dealing with correspondence where needed. The home provides services to people of different age, gender, and disability. The majority of staff have had training on equality and diversity and the mental capacity act to give them an understanding of peoples diverse needs, beliefs and rights. Staff told us they feel they have the right support, experience and knowledge to meet the different needs of the people who live at the home. Care Homes for Older People Page 14 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. People are provided with good choices to meet their social and dietary needs and are properly supported to live their preferred lifestyle. Evidence: Social needs are assessed and care plans are in place that show the persons interests, how they prefer to spend their time, and contact with family and friends. Most people told us there are activities arranged by the home they can take part in. There is a weekly activities programme that is used as a guide, so if people do not want the activity planned for the day they are asked what they want to do. A record is kept of activities that have taken place. This included armchair exercises, film afternoons, quiz, bingo, arts and crafts, games, baking, dominoes, reminiscence and seasonal events. Hand massage has been introduced as a new activity. Individuals spiritual needs are assessed. The manager is adding an additional section to the assessment that addresses the persons wishes in planning their future care. The home has an open visiting policy and contact with family and friends is maintained. A relative and a staff member commented that the home could improve Care Homes for Older People Page 15 of 27 Evidence: outings and activities for residents. Outings and events, and funding activities were discussed with the manager. She is meeting with the provider to look towards provision of a social budget. People have been asked their preferences and trips are being planned to South Shields, a museum and out for a pub lunch. A pie and pea supper with bingo is also planned for June. People are accompanied to go out locally for walks, feed local horses and to the shops. People living at the home told the inspector they are offered choices and live the lifestyle they choose. Family and friends advocate on individuals behalf where the person has mental frailty. Information on independent advocacy services can be provided. Residents and relatives are invited to attend six monthly care review meetings to discuss the individuals current care needs. They can access personal care records and the manager said she is trying to involve people more in the assessment and care planning process. The homes staff work closely with social work and health professionals so decisions can be made in peoples best interests. The manager is planning to introduce assessments of peoples mental capacity. Resident meetings are held to consult with people and get their views. The minutes of the last meeting showed people were asked if they want any changes, discussion on the new decor in the lounge and dining room, activities, trips, any concerns, food, and the key worker system. The meeting ended with people talking about times gone by and a sing-a-long. People are encouraged to bring in possessions from their own homes to personalise their bedroom. They can continue to manage their financial affairs and cash for personal spending can be held at the home for safe keeping. The manager does not act as appointee for any persons finances. Family and solicitors assist people to manage personal finances where this is needed. Nutritional needs are assessed and care plans are devised where specific needs are identified, such as weight loss. Special diets can be catered for. One person has a high calorific diet. People can choose to take meals in the main dining room or in their bedroom. Independent eating is encouraged, with aids if needed and staff provide flexible support such as cutting up food. People told us they always or usually like the meals at the home. The home has a four week menu. This is being revised to include more choice and variety of meals and specify snack suppers. People are asked their choices of meals each day and this is recorded. Breakfast is cereals, porridge, toast and cooked breakfast daily, lunch is choice of main meal followed by dessert, and tea is a lighter meal with dessert or cake. Care Homes for Older People Page 16 of 27 Evidence: The inspector dined with people at lunch. Tables were nicely set and the meal was of good portion size and well presented. People said they enjoy the food and there is always plenty to eat. Staff offered discreet assistance and were attentive to peoples needs. 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. There are effective procedures for making complaints and safeguarding vulnerable adults to protect people from being harmed. Evidence: The home has a clear complaints procedure that is displayed and included in the guide to the homes services. People living at the home told us they know how to make a complaint and staff said they know what to do if anyone has concerns about the service. One person said, Id just tell Yvonne (the manager) if I was unhappy and shed put it right, and another said, I havent got any concerns, its lovely here. No complaints had been received in the past year. The manager is aware of her responsibilities regarding investigation of complaints and raising safeguarding alerts. The home has policies and procedures on recognising and preventing abuse, safeguarding vulnerable adults and whistle blowing (informing on bad practice). No safeguarding alerts have been raised in the period since the last inspection. All staff receive training on protecting vulnerable people. 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. People benefit from living in a safe, clean and comfortable home that is maintained to a good standard to meet their needs. Evidence: All areas of the home were suitably decorated, furnished and equipped. Improvements in the past year include redecoration and new carpets to the lounge and dining room, and two new bay windows, blinds and curtains. Audits of the environment are carried out. Maintenance and repairs are currently done by contractors from the providers company, as the handy person post is vacant. The homes owner has plans to extend the building in the future to provide accommodation for older people with dementia. There are infection control policies and procedures and all staff have completed relevant training. Two staff have done advanced training with the local Health Protection Agency. The manager is completing the Department of Health Essential Steps to Safe, Clean Care document. This will make sure that all necessary infection control measures are identified and put in place. The home has suitable hand washing facilities, and disposable gloves and aprons are provided. There are arrangements to dispose of clinical waste. Care Homes for Older People Page 19 of 27 Evidence: A part time domestic staff member is employed, and the standard of cleanliness in the home was good and free from odours. People told us the home is always kept fresh and clean. 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. Peoples diverse needs are met by staff who are trained to be skilled and competent in caring for older people. Evidence: At the time of the inspection there was 11 people living at the home. Staffing levels of two care workers across the waking day and at night are maintained. Existing staff and a bank carer cover absences. The manager works mainly extra to the rota. The home also has two cooks and a domestic. People living at the home told us staff are always or usually available when they need them, and that they listen and act on what they say. Staff told us there are enough staff to meet peoples needs and that the manager gives them enough support and meets with them regularly to discuss how they are working. They gave comments about what the home does well. These included, We give individuals all the care and support that we feel they deserve, as every elderly person deserves to be treated with respect and dignity in their final years. Denecroft is a home from home which I think is very important, and I hope our residents feel the same way, I know by being a care assistant at Denecroft that the residents always receive the highest standard of care, and, We look after residents to the best of our ability. They always come first. Care Homes for Older People Page 21 of 27 Evidence: Staff told us employment checks were carried out before they started work. All staff are employed subject to Criminal Records Bureau Checks. The files of two staff members employed in the past year were examined. There was appropriate recruitment details including photograph, proof of identification, employment history in the application form, interview records and two references, including from the last employer. The manager agreed to make sure that references are sought from business or employment addresses, as opposed to home addresses. The majority of care workers have achieved National Vocational Qualifications (NVQ) in care, and the bank carer is being enrolled to study for this qualification. Staff said they received good induction training and are given training that is relevant to their role, helps them understand and meet individuals needs and keeps them up to date with new ways of working. Induction training records were evident in staff files. Training certificates and individual training records are kept. There is also a training matrix that gives an overview of the courses completed and planned for the staff team. This showed training has been undertaken on moving and handling, fire safety, first aid, food hygiene, health and safety, safeguarding, nutrition, and the Mental Capacity Act. Some staff are taking part in care home training events, with topics that include osteoporosis and falls, end of life care, and infection control. In-house training has been provided to staff on care planning and assessing risks. 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. People receive a good quality service that is well managed and promotes their welfare and safety. Evidence: The homes Registered Manager is Mrs Yvonne Routledge. She has 19 years care experience, has managed the home for three and a half years and has completed the Registered Manager Award qualification. She is well supported by the provider who visits the home most days, and her senior staff team. Mrs Routledge working hours are mainly supernumerary to care staffing levels. People living at the home and staff spoke positively about the manager and how the home is run. They said, Our manager is always there if and when you need her, and is very understanding and caring, and, Yvonne is the best manager weve ever had. The home has an annual development plan that sets out measurable methods of monitoring and improving the quality of the service. This includes carrying out audits, Care Homes for Older People Page 23 of 27 Evidence: reviews of policies and procedures, holding meetings and doing surveys with residents, relatives and staff. People living at the home told the inspector they are happy with the service. They said, They are very good to me, we are like one big family, and, I wouldnt want to be anywhere else. Appropriate records of personal finance transactions and receipts are kept. There was plenty evidence of personal spending. Regular checks of cash and balances are carried out and recorded. The home has a health and safety policy and procedures. Staff receive health and safety and safe working practices training, and updates. Risks are assessed to make sure there are safe systems of work and to minimise risks in supporting individuals. Fire safety records showed that checks and tests of emergency lighting and fire alarms are conducted at the correct frequency, and staff are provided with regular fire instructions. Recent records of checks of fire fighting equipment could not be located. There is a system for reporting and recording accidents and the manager analyses accidents each month to identify any patterns or follow up action that is needed. 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 13 Efforts should continue to provide people living at the home with regular opportunities to go on outings into the community. Records of fire fighting equipment should be located and ensure checks are carried out monthly. 2 38 Care Homes for Older People Page 26 of 27 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 27 of 27 - 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!