Care Home: Eden House III

What the care home does well The home provides a comfortable, clean and homely environment. As most of the staff are family members and live in the vicinity, the people who live here enjoy continuity of care and are treated as one of the family. The health care worker`s survey told us that - `Everyone at Eden House delivers a very high standard of care to all its patients. There is a real `family` atmosphere in the home which I believe makes the patients feel at home. the patients are cared for as i would care for my own family which makes the patients and their relatives have faith and trust in the carers`. All areas of the home are cleaned to a high standard. There is excellent joint working with the GP surgery and community nurses to the benefit of the residents. Record keeping is of a high standard so that peoples individual care and support needs are clearly set out in their care plans with information about the actions that staff need to take to provide the appropriate care and support for residents. The care and support of people is person-centred with an emphasis on treating each person with dignity, respect and valuing their individual abilities and preferences about how they spend their days. What has improved since the last inspection? Two new senior care staff have been appointed since our last inspection. This has meant that the managers and other family members who work at the home have been able to have more time to spend on the necessary administrative, training and supervisory aspects of their roles. The registered manager has reviewed and updated most of the policies and procedures for the home so that these promote and protect residents and employees health, safety and wellbeing. The required AQAA information was completed and returned to us when requested and contains clear, relevant information that is supported by a good range of evidence. The home has accessed more external training courses for staff to go on so that all staff have the opportunities to develop their knowledge and skills in their work which in turn will benefit the people living here. The manager has introduced a key worker system that will mean each resident and their family and representative has a named staff member who has extra responsibility for, and knowledge about, the individual resident and their care. The home holds a weekly staff meeting at which all staff are able to share information and good practice ideas about the care and support of the people living here. This means that managers and staff continue to develop the service in a way that increases the quality of life for residents and that is based on promoting their dignity, individuality and independence. The home has shown that it has used the suggestions and stated preferences of residents from their Satisfaction Surveys to make changes and improvements to the menus and range of activities available. What the care home could do better: The homes managers and staff work continuously to improve their service. In their AQAA they have identified things they plan to improve, such as providing further opportunities for residents to be involved in community arts projects and to revisit their local communities and workplaces if they wish. We have made no requirements or recommendations following this inspection visit and commend the home for the standard of care it provides and its commitment to ongoing development to the benefit of the people who live here. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Eden House III 38 Horspath Road Cowley Oxfordshire OX4 2QT     The quality rating for this care home is:   three star excellent 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: Delia Styles     Date: 1 3 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 26 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 26 Information about the care home Name of care home: Address: Eden House III 38 Horspath Road Cowley Oxfordshire OX4 2QT 01865439723 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) : eden.house@ntlworld.com Mrs Marjorie Chungtuyco care home 3 Number of places (if applicable): Under 65 Over 65 3 old age, not falling within any other category Additional conditions: 0 The maximum number of service users to be accommodated is 3 The registered person may provide the following category of service only: Care home only (PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following category ; Old age, not falling within any other category (OP) Date of last inspection Brief description of the care home Eden House III is a small residential home registered to take three older residents. The home is privately owned and managed. It is a family run home with all family members having a role to play. The family own a second larger home a few doors away. The home is situated in a residential area on the outskirts of Oxford. Local amenities are available as is transport to Oxford and beyond. Accommodation is provided in single rooms. A stair lift is available to enable access to the first floor. Assistance with bathing can be provided using a lifting bath seat. One bedroom is available on the ground floor. There is also a sitting room, conservatory and kitchen at ground floor level. The kitchen is used for snacks and drinks with main meals being cooked and sent over from the main house. The home also uses the main house for its Care Homes for Older People Page 4 of 26 Brief description of the care home laundry requirements. The fee range for this service is 424 to 600 pounds per week. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent 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 last inspection of this service was completed on 19.05.2008. The inspection process included an unannounced visit to the home that took place in the afternoon. Information received about the home since the last inspection was taken into account in the planning of the visit. Before the visit, the manager completed an annual quality assurance self-assessment (AQAA). The AQAA tells us how well the home feels they are meeting the standards of care for people living at the home. We sent some of our questionnaires (surveys) to the home to give out to residents, visiting health and social care professionals and staff and received one completed survey from a health care professional who regularly visits Care Homes for Older People Page 6 of 26 the home. We also looked at the homes own quality assurance Satisfaction Surveys and have reflected some of peoples comments in this report. The inspection visit also included a tour of the home, looking at a sample of residents care plans and records, medication records and staff recruitment and training files. Feedback from residents and their relatives that had been gathered from the homes own most recent Satisfaction Surveys was read. The inspector spoke to some of the residents and a visitor during the visit. Discussions took place with the manager and staff on duty. We would like to thank all the residents, the registered manager and registered person (proprietor) Mrs Chungtuyco,and Mrs Rosario, who is the registered manager for the familys other care home Eden House and other family members and staff for their time and help during the inspection process. What the care home does well: What has improved since the last inspection? Two new senior care staff have been appointed since our last inspection. This has meant that the managers and other family members who work at the home have been able to have more time to spend on the necessary administrative, training and supervisory aspects of their roles. The registered manager has reviewed and updated most of the policies and procedures for the home so that these promote and protect residents and employees health, safety and wellbeing. The required AQAA information was completed and returned to us when requested and contains clear, relevant information that is supported by a good range of evidence. The home has accessed more external training courses for staff to go on so that all staff have the opportunities to develop their knowledge and skills in their work which in turn will benefit the people living here. The manager has introduced a key worker system that will mean each resident and their family and representative has a named staff member who has extra responsibility for, and knowledge about, the individual resident and their care. The home holds a weekly staff meeting at which all staff are able to share information and good practice ideas about the care and support of the people living here. This means that managers and staff continue to develop the service in a way that increases the quality of life for residents and that is based on promoting their dignity, individuality and independence. The home has shown that it has used the suggestions and stated preferences of residents from their Satisfaction Surveys to make changes and improvements to the menus and range of activities available. Care Homes for Older People Page 8 of 26 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 9 of 26 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home undertakes personalised needs assessment for prospective residents so that peoples diverse needs are identified and planned for before they move to the home. Evidence: There have been no new admissions to the home since our last inspection visit. At our last inspection, the care records of the 3 people who live here were examined and found to have clear and detailed pre-admission assessments of the individuals care and support needs. The registered manager for Eden House described a careful process of assessment and admission to the home that includes information from the prospective resident, their family or representative, care managers, and other health care professionals. The homes AQAA tells us that they plan to develop a welcome pack for prospective residents that will include a letter from the manager, sample menus, advocacy Care Homes for Older People Page 11 of 26 Evidence: information, the most recent inspection report from the Care Quality Commission and the homes own newsletter. Discussion with the manager and the written records showed that peoples assessed care needs are regularly reviewed and updated after their initial pre-admission assessment to make sure that the home continues to suit them and that that the home can meet their care needs. Conversation with a visitor to the home at the time of this inspection confirmed that this continues to be the case. Care Homes for Older People Page 12 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The support, health and personal care needs of the people who live here are well met. The planning and delivery of care is person-centred, ensuring each individuals care needs are consistently are met in a way that promotes their privacy,dignity and independence. Evidence: The care plans are computer generated and drawn up by the home manager. These are of a very good standard and set out in detail each persons care and support needs. The staff meet together weekly for an in-depth handover to review the care plans to make sure that they are up to date and reflect any changes in care and support that is needed. A section is included for residents and their relatives comments at formal review meetings that are held with residents, care managers and family members. There are excellent working relationships with the local GP surgery and the community nursing service. A health care professional who completed one of our surveys wrote Care Homes for Older People Page 13 of 26 Evidence: that Everyone at Eden House delivers a very high standard of care to all its patients. The patients are cared for as I would care for my own family which makes the patients and their relatives have faith and trust in the carers. The residents care records show that people living here have regular checks with their GP and dental, hearing, optician and podiatry appointments are arranged as needed. A stair lift is fitted to assist a resident living on the ground floor to access the first floor bathroom. The medication system - the storage arrangements and a sample of residents Medication Administration Records (MAR) - within the home was examined and found to be in good order. The pharmacist dispenses each residents tablets in a monitored dosage system (MDS) - a convenient form of packaging that lasts a week. The dispensing pharmacist makes regular visits to the home to ensure the systems are working well. The manager said that all staff who have responsibility for giving residents their medicines have had training from the pharmacist in the safe administration and that this meets the required standard. Staff are due to take an exam in July 2009 to formally assess their knowledge about medications. From the inspectors own observations, conversation with residents and a visitor, and the comments written by relatives and health care professionals who visit the home regularly, it is evident that the home provides a high standard of personalised care and support to the people living here. Discussion with the manager and residents showed that the care and support of the people who live here is very much person-centred and residents feel that they are genuinely valued as part of the family. The residents spoken to were limited in their conversation but gave clear indications of being well looked after, and happy to be living at Eden House III. The inspector observed a staff member assisting residents in a kindly and respectful manner. Residents have single room accommodation. The homes Annual Quality Assurance Assessment (AQAA) tells us the ways in which staff respect and protect peoples privacy and dignity - for example, people receive their mail unopened and are assisted if needed with their prior permission. Staff make it a habit always to knock on residents room doors before entering. Care Homes for Older People Page 14 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The range of activities within the home and community meet the needs of the people living here. The manager has a good understanding of the various needs and abilities of residents and since out last inspection the home has further developed the ways in which people can be supported to participate in stimulating and motivating activities. Meals and mealtimes are an enjoyable social occasion for residents. Residents choose from a nourishing and well-balanced menu. Evidence: Each persons care plans clearly states what each their lifestyle has been in the past and what their wishes are now in relation to their lifestyle and interests. Activities appropriate to the needs of the residents are provided, and residents are encouraged to join in any local community activity, such as Bingo at the local community centre if they are able. One of the current residents likes to go out for walks and visit local shops and has a member of staff to accompany them. Since our last inspection the home has improved the care plans by adding more detail about peoples preferences about how they spend their day. There is particular emphasis on how people living here can be supported to keep their independence and Care Homes for Older People Page 15 of 26 Evidence: exercise choice about all aspects of their lives. The home has also developed a Book of Memories for each resident. These contain photos of their families and friends and information about peoples former work and leisure activities. Family members are encouraged to be part of the creation of these books. More recent photos of social events, parties and home entertainments help to provide a talking point and a reminder of enjoyable times that residents have been part of. The atmosphere at the home is relaxed and welcoming. The staff are predominantly family members who live in the home or in the sister home, Eden House, a few doors away. This gives the opportunity for the residents to be involved as the extended family. Visitors are welcome at any time and the home encourages residents and their families and friends to keep in contact. A visitor spoken with on the day of the inspection said that the home is very good and that they have got to know the two other residents living here. Everyone looked comfortable and relaxed, watching the TV and chatting. Those residents wishing to follow their religious practices are enabled to do so. One person attends a local church. A priest regularly visits the home to chat with residents, which they appreciate. From the evidence seen by the inspector and discussion with the staff, we consider that this service would be able to provide a service to meet the needs of individuals of various religious, racial or cultural needs. The main meal of the day is at lunchtime and is cooked in Eden House. The meal is transported in hot or cool boxes to keep food at the right temperature during transfer. Breakfast and evening meals are prepared on the premises in Eden House III and snacks and drinks are readily available. Residents choose from a nourishing and wellbalanced menu. Care Homes for Older People Page 16 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has an open culture and residents feel safe and listened to. The homes policies and practices of staff ensure that people living here are safe from abuse and exploitation. Evidence: The homes complaints procedure is posted in the entrance hall and is easily accessible to all residents and visitors. The homes AQAA tells us that the overall home satisfaction feedback and the complaints procedure is given out to residents and their family and representatives, district nurse team and others involved with the service. Details of the complaints procedure is in the home brochure and terms and conditions of residence. No complainant has contacted the Commission with information concerning a complaint made to the service since the last inspection. Staff records seen earlier on the day of inspection at Eden House showed that staff are aware of the issues of the safeguarding of vulnerable adults through training and discussion. The and and and manager and all the family and employed staff are always available to residents their relatives and friends to listen to any concerns or grumbles that may arise deal with them promptly. The manager says in the AQAA that working together openness has helped to avoid complaints. Page 17 of 26 Care Homes for Older People Evidence: Regular review meetings with care managers, residents and their family or representatives, and visits from health care professionals all provide additional opportunities to raise any concerns. Care Homes for Older People Page 18 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is comfortable, clean and well maintained so that people have a very pleasant family environment to live in. Evidence: From looking around the house, including, with residents permission, looking at their bedrooms, it was found that all areas of the home are cleaned to a high standard, and the condition of the decor and furnishings is good. The communal rooms are comfortable and homely. Redecoration of the small conservatory dining area started last year is still not complete, but will soon be done the manager confirmed. Two residents bedrooms are personalised with their own possessions and ornaments. One persons room was noted to be without any ornaments or pictures and the bed has no pillow. The manager explained that this is the individuals own preference. The first floor bathroom has a bath hoist to assist less able residents get in and out of the bath. There is a stair lift to the first floor. Care Homes for Older People Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There enough competent and experienced staff to meet the health and welfare needs of the people living here. Evidence: The majority of the staff are family members who live in the vicinity of the home. This ensures good continuity of care for the residents and adds to the overall feeling of family and home. There is always at least one carer available in the home throughout the day and night. At our last inspection we were concerned that the family worked long hours to meet the residents care needs and their own domestic and childcare commitments. Since our last inspection the home has recruited two senior care staff. This has meant that the staffing and management responsibilities are more evenly spread and the home has been able to access more training and development opportunities for staff outside the home. The training sessions booked for 2009 show that the home meets the need for regular training and updating of staff in mandatory health and safety topics such as safe moving and handling, fire safety, first aid, food hygiene and infection control. Care Homes for Older People Page 20 of 26 Evidence: With the appointment of the new staff who have a nationally accredited equivalent of National Vocational Qualification (NVQ) in Care at Level 2, there has been some improvement in the proportion of permanent care staff working at both the homes who are qualified. Of the total of 6 permanent staff, 2 have NVQ 2 and are working towards Level 3. The registered manager and deputy manager are continuing to study for the Registered Manager Award and NVQ Level 4. All four staff hope to have completed their courses by early 2010. The care staff who regularly work at Eden House III are very experienced but do not yet have a formal qualification relevant to their work. One person had commenced the NVQ Level 2 but has not yet completed it. It is recommended that progress is made towards achieving the target of 50 of all care staff having a nationally accredited training qualification to National Vocational Qualification Level 2 in Care. The staff files for the most recently employed staff were checked and showed that the recruitment process was thorough and that all the necessary references and police checks were completed and satisfactory before the individuals started work at the home. There was evidence that staff also have regular formal supervision meetings with the manager as required, so that they can discuss their progress and any training needs they may have. The home has introduced a key worker system so that each resident has a named member of staff who has additional responsibilities to make sure the residents care needs are met and their care records are kept up to date. The homes AQAA states that they intend to let each resident and their family or representative know who their key worker is. In practice, because both Eden House and Eden House III are small homes, all the managers and staff have a good knowledge of every residents care and support needs and preferences. Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is managed in a way that promotes and supports person centred care for the people living here, so that they have a good quality of life. Evidence: The registered manager and deputy manager are continuing the Registered Managers Award and NVQ 4 courses and hope to complete these in early 2010. Residents comments, discussion with the manager and observations made during the inspection show that the home is well run and that the family members and staff work well together to provide a very good standard of support and care for residents and their families. This was also reflected in the homes own satisfaction survey comments seen (completed in the period from December 2008 to January 2009). When we last inspected the home, we found that some of the administrative work was Care Homes for Older People Page 22 of 26 Evidence: not up to date or had not been completed - for example, some of the homes policies and procedures had not been reviewed and updated, and the home did not complete the AQAA that all homes are required to submit to us every year. This year the home submitted the completed AQAA and it contains clear, relevant information about the changes they have made and where they still intend to make improvements. The manager has completed the review of most of the homes policies and procedures and said she will continue this process to make sure they are in line with current thinking and practice. By introducing a key worker system and regular in-depth review meetings with all the staff to discuss the care and share feedback about their work, the home has developed good systems to check that the staff team are putting theory into practice. The ethos of the home is consistently followed and each of the people living here are treated as valued and respected individuals, whose preferences and choices are understood and acted upon as far as possible by the staff team. The home has demonstrated that it actively seeks the opinions of residents about all aspects of life here - for example, changes have been made to the menus and activities on offer to reflect peoples individual suggestions and preferences. The residents personal allowances and financial affairs are safeguarded in that the staff do not deal with residents personal finances - these are dealt with by their family or Social Services Money Management if they are unable, or do not want to manage their own finances. The home works to a clear health and safety policy. All staff receive mandatory training in moving and handling, first aid, fire safety and food hygiene. The homes staff training plan shows that there are sessions booked for the year ahead. Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 25 of 26 Helpline: Telephone: 03000 616161 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). 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