Care Home: Downham Lodge

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What the care home does well This small family owned and run care home offers good outcomes and a good quality of care and support to the people who live there. The annual quality assurance assessment sent to us by Downham Lodge tells us - We believe we are providing a high quality service for the service users in our care. We monitor their care through direct observations and assessments involving appropriate professionals. We have a developing team of staff who are keen to learn new skills and knowledge. We have introduced in-house training, team building and have an opendoor approach to problem solving through meetings. There is an increase in social activities for the service users. We would like to have more outdoor activities. We intend to re-iterate this to our team and to encourage them to dedicate some time for each service user to go out once a month, taking account of their choice and preferences. The providers, Mr and Mrs Lingaloo, are both nurse trained and qualified, while Downham Lodge is not registered to provide nursing care both Mr and Mrs Lingaloo have worked in the caring profession for many years, with significant experience of working with older persons. Mrs Lingaloo is the registered manager, and has recently completed a masters degree relevant to the service provided. Peoples needs and wishes are known and there are clear person centred systems for planning care and support with the people who live at Downham Lodge. People told us they were very happy with the care and support they received at the home. People are consulted about the running and the development of their home. People receive regular activities and have a good choice of food, and are free to make their own choices on a daily basis. Both Mr and Mrs Lingaloo work in the home most days, and the staff team also includes other family members, who are degree qualified. Other staff team members have worked at the home for many years and people spoke highly of the staff and the management of their home. The environment is warm and homely, and we experienced a good humoured and friendly atmosphere while we were there. The home is well managed and there was evidence that the home is run in the best interest of the people accommodated. What has improved since the last inspection? The home tells us they have increased activities following consultation with people living at Downham Lodge, and the home plans to increase outdoor activities in the future. The home has introduced in-house training, team building and have an open-door approach to problem solving through meetings. What the care home could do better: The main challenge for the service is the high number of beds in shared bedrooms. This potentially may restrict choice for people who wish to have a single bedroom. The providers are aware of the challenges this brings, and are actively looking at ways to address these issues longer term. The providers should look into ways of enabling more care staff to achieve their National Vocational Qualifications to at least level two. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Downham Lodge 29 St Edward`s Road Southsea Hampshire PO5 3DH     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: Richard Slimm     Date: 0 9 1 2 2 0 0 8 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. the things that people have said are important to them: They reflect 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 29 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.csci.org.uk Internet address Care Homes for Older People Page 3 of 29 Information about the care home Name of care home: Address: Downham Lodge 29 St Edward`s Road Southsea Hampshire PO5 3DH 02392839816 02392839816 malalingaloo@hotmail.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Balamanee Lingaloo Type of registration: Number of places registered: Mr Narain Lingaloo,Mrs Balamanee Lingaloo care home 12 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Additional conditions: Service users in the MD category must be over 55 years of age Date of last inspection Brief description of the care home Downham Lodge is a detached building, situated in a residential area of Southsea, close to Southsea Common, the promenade and a shopping centre. This small family run home provides accommodation to service users aged over 65 years who have dementia or a mental disorder. There are 4 double bedrooms and 4 single bedrooms, all of which have an en-suite toilet. Staffing is provided on a 24 hour basis. The two registered persons work in the home on a full time basis. Please contact the home for up to date information about fees per week. Fees do not include such services as Care Homes for Older People Page 4 of 29 Over 65 5 5 12 0 5 0 Brief description of the care home hairdressing, chiropody, personal toiletries, newspapers, entrance costs to outside entertainment such as cinemas. Care Homes for Older People Page 5 of 29 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 stars. This means the people who use this service experience good quality outcomes. This inspection was an unannounced Key Inspection of the home, a Key Inspection being part of the CSCI inspection Programme, which measures the service against the key National Minimum Standards, and outcomes for people using the service as part of a process known as Inspecting for Better Lives (IBL). This report incorporates information gained from people using the service and/or their advocates / relatives, staff, including managers and comments from external stakeholders who completed professional comment cards. Care Homes for Older People Page 6 of 29 We were also provided with the services annual quality assurance assessment (AQAA) completed by the manager and other relevant information gained by the inspector via such processes as observations, interviews, inspection of documents and records and case tracking, during a site visit to the home. The visit to the home was undertaken by one inspector and lasted 5 hours. What the care home does well: What has improved since the last inspection? The home tells us they have increased activities following consultation with people living at Downham Lodge, and the home plans to increase outdoor activities in the future. The home has introduced in-house training, team building and have an open-door approach to problem solving through meetings. Care Homes for Older People Page 8 of 29 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.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 29 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 29 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 who may use the service and their representatives have the information needed to choose a home that will meet their needs. People are assessed by suitably trained staff before admission to the home. Downahm lodge does not provide intermediate care services. Evidence: The annual quality assurance assessment for Downham Lodge tells us - All prospective residents are assessed prior to admission by the manager, in addition to the health summary by a social worker. All prospective residents are invited to visit the home and offered to move in on a trial basis. The residents are encouraged to make informed choices about their care; we update and display the statement of purpose; each service user has a contract; each service user has a care management care plan; Care Homes for Older People Page 11 of 29 Evidence: reviews take place in the presence of a social worker, relatives and other professionals. Records showed peoples needs were assessed prior to admission by a suitably trained and competant staff member. Assessments are usually carried out by one of the registered persons. Assessments identified needs as well as wishes and aspirations. We interviewed eleven of the people living at the home, as well as the three people we case tracked. People told us that staff knew what their needs were and were very helpful and supportive toward them. People said they had chosen to move into Downham Lodge and were happy living there. We received 8 surveys back from people living at the home and all confirmed they had received contracts, and had been given enough information about the home before they chose to move in. We found people were placed appropriately and there was evidence needs and wishes were being met. Care Homes for Older People Page 12 of 29 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, personal and social care needs are set out in an individual plan of care and support. People make decisions about their lives with support when needed. People where appropriate and able are responsible for their own medication, are supported where ever needed, and are protected by the homes practices and procedures for dealing with medications. People feel they are treated with dignity and respect and their rights to privacy upheld and promoted. Evidence: The annual quality assurance assessment for Downham Lodge tells us - All residents have care plans reflecting their individual needs and these are reviewed monthly. We liaise with doctors and relevant professionals for advice and help, involvement of Care Homes for Older People Page 13 of 29 Evidence: relatives and the multi-disciplinary team. We maintain privacy,dignity, choice and applying a person-centred approach to care. The assessments identified above were being used to inform plans of care and support that were shared with the residents concerned wherever possible. Plans were developing a person centred style and approach that included how aspirations and wishes as well as needs were to be met on a daily basis. Plans also included information about peoples health and psychological needs, and there was guidance for staff in regard to their interventions with people. People told us they were aware of their care plans, and records showed evidence that people had been involved in the drawing up of plans. People confirmed they had access to their doctors on request. Records showed that wherever people needed health care support this was accessed in a timely manner. Staff were observed using the planning system at the home to the benefit of the service users. People told us their needs and wishes were being met. The current resident group all need support in respect of the management of their medications. The home uses a monitored dosage system for the safe delivery, storage, administration and disposal of medications. We observed medication being administered and practices were found to be safe and staff were observed to follow the policy and procedures relevant to the home. Staff confirmed they had been trained in the administration of medicines. Medicines are only administered by trained staff members. People spoken to said they were happy with the arrangements made for the management of their medications. Plans of care and support promoted and protected peoples rights to privacy and dignity. Comments from the eleven people we spoke to at the time of our site visit included, - The staff are very good. Theres always something going on here. Im quite happy. Feedback from surveys included comments such as, - Excellent. And Everything is very good. People said they felt safe and secure and verbally confirmed that staff respect their privacy and dignity. We observed staff knocking on private bedroom doors. Locks that promoted privacy and met the needs of people living in the home were provided to all bedroom doors. Staff interviewed were able to demonstrate an awareness of the core values for residents in the areas of privacy, dignity, respect, independence and rights. Care Homes for Older People Page 14 of 29 Care Homes for Older People Page 15 of 29 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 lead the lifestyle they wish, that matched their skills and their expectations. Social, cultural, religious and recreational needs and interests are met. People are encouraged and support to maintain contact with family and friends in the wider community as they wish. People are encouraged and supported to exercise choice and control over their lives. People receive a wholesome, appealing, balanced diet in pleasing surroundings at times convenient to them. Evidence: The annual quality assurance assessment for Downham Lodge tells us - All the residents social, cultural, religious, recreational and occupational needs are taken into account. We adopt a person-centered approach. Contact with family, friends, local community are maintained and encouraged. We also help the residents to exercise choice and control over their lives. A personal history profile for each resident are compiled and attached to their care plan. Activities are planned as per individual Care Homes for Older People Page 16 of 29 Evidence: needs. Some of the residents handle their own financial affairs. The residents have a well-balanced diet. Some residents have communion on site, visits by priests and members of their religious group. One resident attends his congregation meeting every Sunday. Plans of care and support were person centred and identifed peoples social histories and the kinds of interests they had. This information was informing a range of different activities that were available on a regular basis at Downham Lodge. People told us they could join organised activities if they wished. Other people chose to make their own entertainments. All 11 people spoken to said there was enough going on at the home and that they were rarely bored. There were people of differing faith pursuasions, and arrangments were in place to accommodate peoples religious needs. This was confirmed by 3 seperate residents, and such matters were addressed in the plans of care and support. People were looking forward to the musical activities planned for the day of our visit. People told us they could receive visitors at any reasonable time. Records confirmed when people had had visitors. Some people said they were able to come and go as they wished from the home, but this is less frequent during the winter months, through choice. The 8 surveys returned told us people felt they were listened to at Downham Lodge, and there was evidence in feedback and records that they were supported to remain in control of their lives as far as possible. We observed the lunch time meal. Everyone we spoke to said they enjoyed the meal. People spoken to said the food at the home is very good and they are always offered choices, but usually the main meal is to most peoples liking. Survey feedback told us people were happy with the quality, quantity and choice of food provided at Downham Lodge. There are regualr resident meetings and food menus are one of the areas of discussion at these meetings. Care Homes for Older People Page 17 of 29 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at the home, and their relatives / advocates are confident that any concerns of complaints will be listened to, taken seriously and acted upon. People are protected from abuse. Evidence: The annual quality assurance assessment for Downham Lodge tells us - A complaint procedure is displayed in the main hall, clarifying steps to follow. We take each complaint seriously. We understand our duty of care incorporates the protection of our residents from abuse. The complaints procedure is included in the residents contract. The residents are also on the electoral register. There is a robust procedure for recording of money for personal use. No complaints have been received at Downham Lodge in last 12 months. All staff are aware of the complaint policy and procedures. All staff have attended training in protection of vulnerable adults. All staff have CRB checked. We saw the complaints procedure displayed prominantly in the entrance hall of Downham Lodge. We checked the complaints log and confirmed there had been no complaints in the past 12 months. People spoken to told us they knew who to speak to if they had any concerns. Serveral Care Homes for Older People Page 18 of 29 Evidence: people told us they felt confident that the managers would deal with any concern before it became a problem. Surveys feedback told us people knew how to make a complaint if they needed to. Information about complaints is also in the homes contract given to all residents and/or their advocates. People told us the managers and the staff are very approachable. The home has clear safeguarding adult policies and procedures and these link to the local authority protocols. The home are aware of what to do in the event of identifying any safeguarding issues and would know to refer accordingly to the relevant agencies. Staff interviewed had received safeguarding training and were able to demonstrate an awareness of what constituted abuse or vulnerable persons. People told us they felt safe living at the home. We confirmed that staff recruitment and selection took account of safeguarding, and all relevant checks were being undertaken at the home on any new staff, and updated for existing staff as needed. We checked records for peoples personal allowances that the home were supporting residents with, and found the system to be fully transparent, accuratley maintained and any monies held balanced with the records. Copies of receipts of any money spent on behalf of people by the home were being kept. Care Homes for Older People Page 19 of 29 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 live in a safe well maintained environment. The home is clean, pleasant and hygienic. Evidence: The annual quality assurance assessment for Downham Lodge tells us - The residents live in a safe and well-maintained environment. Commununal space is available which includes rooms in which a variety of social, cultural and religious activities can and do take place, and residents can meet visitors in private. There is outdoor space for the residents with seating to meet the needs of all residents. All bedrooms have toilet facilities and washing facilities. Screening is provided in double rooms to ensure privacy for personal care. All pipeworks, hot surfaces and radiators are guarded. The water is tested for Legionella every year. We maintain the property to a high standard in ensuring that all repairs are attended to promptly, discretely and in a non-intrusive manner. We toured the building. The home was cleaned and maintained to a good standard. Staff were observed undertaking domestic style duties. Eleven people interviewed all said their home always smelt fresh and clean. Survey feedback told us the home was clean and fresh. Care Homes for Older People Page 20 of 29 Evidence: The home has eight of its twelve registered beds in shared bedrooms. This is a high percentage, but the home remains full. Only one person during our visit mentioned to us that a single bedroom would be preferred. Care Homes for Older People Page 21 of 29 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 know their needs will be met by the number and skill mix of the staff team. People feel they are in safe hands at all times. The safety of people using the service is promoted by the homes recruitment policies and practices. The staff team are trained and are competent to do their jobs. Evidence: The annual quality assurance assessment for Downham Lodge tells us - The staff duty rota is displayed on a two-monthly basis. Staff left in charge of the home are experienced and at least 21 years old. We have a rigorous recruitment policy in place including at least two written references and CRB checks. We provide in-house training for staff; monitor staff input through direct supervision and work products. Both Mr and Mrs Lingaloo are trained, registered nurses. Both have NVQ level 4 with the Registered Managers Award. They employ a family member who has a degree and one other staff member has a degree. One care staff member had NVQ level 3. The home employs eight permanent care staff. Three staff have NVQ qualifications. Two of Care Homes for Older People Page 22 of 29 Evidence: these are the registered persons. There was a mix of male and female staff. There was also a mix of skills training and experience. People living at Downham Lodge spoke highly of the staff team. People said they could access support from staff whenever they needed. Staff were surveyed and their feedback included comments such as Downham Lodge treat each resident as an individual, taking into account their needs and preferences. The induction the home gave me helped me to understand everything that was to be done, and as Im not fluent in English this was very useful to me. They always help us to understand what to do and to provide us with improved methods of working. I had to go through CRB checks and provide references before starting the job. The home looks after people very well and is supportive to the staff team. Downham Lodge provides excellent care to service users. It is well managed and the manager has a wide knowledge of the needs of service users. We looked at three sets of staff records and there was documentary evidence that all necessary checks had been carried out in line with best practice. Staff interviewed told us they had to go through checks before starting. Survey feedback from staff told us they were checked prior to starting to work at Downham Lodge. Records also told us staff are receiving regular in-house training and development as well as ongoing core training with updates in such areas as manual handling and moving, first aid, fire, food hygiene and infection control. There were induction checklists in place and staff feedback told us new staff receive induction when they begin working at Downham Lodge. Care Homes for Older People Page 23 of 29 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 live in a home that is run and managed by a person who is fit to be in charge, of good character and able to discharge his/her responsibilities fully. The home is run in the best interests of the people who live there. Peoples financial interests are safeguarded. The health, safety and welfare of people and staff are promoted and protected. Evidence: The annual quality assurance assessment for Downham Lodge tells us - The manager and co-manager are both registered nurses and have the level 4 NVQ and registered managers award. The manager has completed an MSc in gerontological practice this year. The registered person complies with the Code of Practice and Nursing and Midwifery Council requirement. A full fire risk assessment took place early this year by Care Homes for Older People Page 24 of 29 Evidence: an approved fire consultant. We ensure that the residents control their own money except where they do not wish to or lack capacity and that safeguards are in place to protect the interests of the resident. The registered manager ensures that all new staff members have induction training and all care staff receive formal supervision at least six times a year. The health, safety and welfare of residents and staff are promoted and protected. People living at the home said they were very happy with the way their home was run, people confirmed that they felt they were consulted, and spoke highly of the manager Mrs Lingaloo and Mr Lingaloo. Survey feedback included comments such as - good management. We found a home that was well organised and we had access to any information quickly and efficiently. The home is a small 12 bedded service and much of the consultation and involvement of residents happen informally on a daily basis. But this was also backed up by more formal forums such as resident meetings, and care and support reviews. People also have regular questionnaires so that the providers can verify how they are doing from a customer and stakeholder perspective. As identified above we checked arrangements for the support of less able people with their personal monies, and we found complete transparency and good practices in place to protect people. People told us they were happy with the support they received in this area of their lives, and confirmed that they could access their money on request if they needed. During our tour of the premises we found no obvious hazards. The home was well presented and cleaned to a good standard. Staff members told us they received training in such areas as manual handling and moving, first aid, basic food hygiene and infection control. Records of staff training and development also confirmed that staff have appropriate health and safety training, and that this is periodically updated. Staff feedback from surveys also told us that new staff receive good induction into their roles and that managers are supportive and knowledgeable. The home has systems in place to ensure all equipment in the home is serviced and safety maintained. The home has a comprehensive set of operational policies and procedures to promote effective management and to provider clear guidance to staff. People told us they felt safe living at Downham Lodge, and were confident in the skills of the providers and the staff. Care Homes for Older People Page 25 of 29 Care Homes for Older People Page 26 of 29 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 27 of 29 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 28 of 29 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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 29 of 29 - 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!