Care Home: Engleburn

Similar services:

• St Vincents
• The Cotswold Home
• Winton House
• Rush Court
• Hillyfield Rest Home
• The Maypole Nursing Centre
• The Briars

What the care home does well Care plans are developed and give a good account of each persons overall needs and gives carers good information on how these should be met. One person wrote, `The staff are friendly and welcoming and are readily available to meet ones needs when required`. A range of social activities are offered that meet individual needs. The home provides a warm, homely and safe environment for residents. One relative wrote, `My relative thinks they are staying in a four star hotel`. All rooms are personalised and individual. The staff have a good knowledge of each person and are well motivated and receive good training and support. The manager has a lot of experience and is respected by residents, staff and visitors. One relative wrote, `Provides a high standard of care at all times. The individual needs are always considered and this creates a supportive, secure and welcoming environment`. What has improved since the last inspection? Care plans now give staff sufficient guidance to enable staff to give care to people who are unable to express their needs, in away they know they like to receive care. Medication is not taken from the original labelled packaging and put into lidded pots to be given out at a later time. It is given directly from the original packaging to the person it is prescribed for. What the care home could do better: It was clear both staff and management felt there had been teething problems with the home increasing the number of people it can accommodate. However both staff and management felt they had now ironed out all these areas of concerns and all was again running smoothly. The home now needs to demonstrate these improvements and practice are sustained and embedded in the extended service. One professional wrote, ` I have recently worked closely with this home and found staff very supportive with thorough recording`. Key inspection report Care homes for older people Name: Address: Engleburn Milford Road Barton-on-Sea Hampshire BH25 5PN     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Michelle Presdee     Date: 2 9 1 0 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 26 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 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: Engleburn Milford Road Barton-on-Sea Hampshire BH25 5PN 01425610865 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mrs Maureen Thompson care home 76 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: 1. The registered person may provide the following category/ies of service only: Care home only - Code (PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code (OP) and Dementia - Code (DE). 2. The maximum number of service users who can be accommodated is: 76. Date of last inspection Brief description of the care home Engleburn is a large detached property set in its own grounds about a quarter of a mile from the centre of New Milton. It is registered to provide care to older people or people who have dementia. The home has recently undergone a major redevelopment and now comprises two separate units. Engleburn 1 has 32 single rooms and 3 shared rooms. Accommodation is provided on two floors, with a large lounge on the ground floor, separated in different areas, including an activities area. There is a large dining room and two seating areas, providing quieter places to sit. There is a landscaped garden, accessed from ground floor bedrooms and patio doors from the main corridors. Care Homes for Older People Page 4 of 26 0 9 1 2 2 0 0 8 0 0 Over 65 31 31 Brief description of the care home Foxholes has 37 single rooms and provides a more sheltered environment for people with dementia. It has been designed to specifically meet their needs and has its own enclosed garden, reached by ramped exits from the ground floor. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The unannounced inspection took place on 30th October 2009 between 10:00AM and 3:15PM. The Commission (we) were assisted by the manager and management team. All staff on duty were part of the inspection. Seventy five people are currently living in the home, a lot of people were involved with the inspection, some in more depth than others. Surveys prior to the inspection were sent to some people living in the home, health, social care professionals and staff members. At the time of writing this report seventeen surveys had been received from people living in the home, eleven had been completed by the person or their relative and six with help from the homes activities co-ordinator. Eight staff members and five social, health care professionals had returned surveys. In parts of the surveys people are asked to tick boxes with judgements ranging form always, usually, sometimes and never. These are referred to in this report. The home sent us their Annual Quality Assurance Assessment (AQAA) Care Homes for Older People Page 6 of 26 back on time, which, detailed information on the home. The home has sent us notifications appropriately regarding the welfare of people. Paperwork including assessments, care plans, menus, staffing records and safety checks were seen. A tour of the home including all communal areas, the kitchen and some bedrooms chosen at random was undertaken. All this information has helped form judgements in this report. Care Homes for Older People Page 7 of 26 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 8 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 9 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. People can be sure the home will complete an assessment of their needs, which will enable staff to support them. Evidence: In the AQAA we were advised, All new clients have a comprehensive pre- admission assessment either in their home or another care setting. This is carried out by the manager, deputy or specific heads of care and is always undertaken with respect & sensitivity. Clients are always involved during this process. The assessments of four people, two in each of the different parts of the home were seen. These were discussed with staff, who all reported the admission process worked very well. We were advised on rare occasions in an emergency situation the home would admit some one for a short stay without completing their own assessment, but would insist on an up to date assessment from the care manager. From the assessments seen it was clear the home had consulted other professionals and family Care Homes for Older People Page 10 of 26 Evidence: members to establish a clear picture of the persons needs at that time. One professional wrote, They are efficient at responding to requests for new residents to be assessed. New residents/or emergency respites are admitted well in my experience. The home does not provide intermediate care. Care Homes for Older People Page 11 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have a plan of care to meet their health, personal and social care needs. Medication is managed in a safe way. Peoples right to privacy is respected and support is given in a way that maintains dignity. Evidence: In the AQAA we were advised, Every client in this home has an individualised and person centred plan of care which has been developed from their pre-admission needs assessment. Plans are developed and agreed with each client and with a representative or family member where appropriate. Plans are intended to be holistic and include the clients full range of care and support needs. The care plans following on from the four assessments viewed, were looked at. It was noted these all followed the same format and had very clear information recorded. The care plans included information on physical care, socialising and recreation, including likes dislikes, hobbies, important dates, a nutritional assessment, a manual handling assessment, any accidents and a night care plan. Evidence was seen regular reviews took place, with information being updated as necessary. Where possible the person Care Homes for Older People Page 12 of 26 Evidence: had signed their own care plan. Associated risk assessments were in place and gave very clear information on how the risk should be minimised. Details were recorded on how best to react to the person in certain situations. One professional in a survey wrote, Excellent recording and well thought out care plans, easy to read and follow. Have a good knowledge of deprivation of liberty safeguards. Care plans had very clear information on all a persons health needs. It could be established very quickly all health professionals visiting a person and the reason for their visit and what the outcome was. One doctor wrote They contact they surgery whenever there are concerns. In surveys people were asked, Does the home make sure you get the medical care you need? Thirteen reported always and four reported usually. One person spoken to was happy they had managed to keep their own dentist and optician, but reported they knew the home also provided these services. Records were maintained on a regular basis of peoples weight and action was taken if someone was loosing weight. It was noted in care plans seen; a report was ready of the persons medical diagnosis and current medication in case they had to go into hospital in an emergency situation. In the AQAA we were advised, Medication is dealt with efficiently and staff are all trained in dealing with all aspects of medication and administering. The home has a highly effective system of administering medication and of supporting clients in their medication needs, where they are unable to manage their medication alone. Each of the two parts of the home has their own medication trolley and drug procedure. This was discussed with staff in both parts of the home. All staff have medication training but only when staff are deemed competent do they take part with the administration of medication. The medication of two people was checked in one part of the home. Records matched the medication held and staff had a good knowledge of the drugs procedure. In the other part of the home we observed as medication was dispensed and administered. It was clear staff had a very sound knowledge of the drugs procedure, which was followed. Staff confirmed they no longer dispense medication until it is the time to be administered. Observations on the day supported staffs claims that people are treated with dignity and are always respected. It was noted staff had a good relationship with people and clearly new them as individuals. Staff always knocked on doors before entering a residents room and would wait for a response before going in. All health and social care professionals stated the service always respected peoples privacy and dignity. Care Homes for Older People Page 13 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can join in a range of group and individual activities that suit them. Choices are promoted and people have nutritious meals at a time and place to suit them. Evidence: In the AQAA we were advised, All clients have a detailed social and recreational activities care plan and have discussions with significant others. The home provides a wide range of daily activities which are designed to suit the expectations, needs and wishes of our clients. People spoken to reported they are offered choices in their activities of daily living. People were pleased they could have breakfast in their room, being offered a choice at breakfast on a daily basis. Walking around the home it was clear people could spend their time how they wished. One person had taken themself to bed, they reported they were very happy but wanted a nap. Another resident stated they were happy to spend most of their time in their room, but stated they did join in with some of the activities. They stated they enjoyed reading and the library called into the home every three weeks. Another person stated they went out of the home on a regular basis with friends. One person stated, I love being here, I do not have a care in the world. It was clear in one part of the home people did not have the same freedom, with a key Care Homes for Older People Page 14 of 26 Evidence: pad system on the door of this unit due to their mental abilities. However it was clear this had been recorded in care plans and staff were very good at distracting people and engaging them in another activitiy. Both parts of the home have an activites coordinator. A monthly activities plan was displayed detailing all activities and pictures were included to give visual clues as to what was taking place. In one lounge people were talking about the daily news with a range of newspapers, others were in small groups chatting and having a hot drink, whilst others were enjoying looking through a range of magazines. In the other part of the home a similar range of activities was taking place. Some people were making use of the sensory room, with activites also going on in this room. In surveys received eleven people had stated, the home always provides activites they can join in with, five had stated usually and one person stated sometimes. The home has an open door policy for visitors. Whilst no visitors were spoken to on the day it was clear from comments in surveys they are always made welcome. Comments included, The staff are friendly and welcoming and are readily available to meet ones needs when required. Another wrote, They aways have time to have a chat. The home also arranges for entertainers to come into the home, including a dog club, opera singer, choirs, violinist, carol singers at Christmas. The home arranges a monthly religious service. On the day activities included decorating the home for the Halloween party. The cook advised us a choice is offered at every meal time. People are asked what they want before each meal, from a choice, which is recorded. The cook did state people often forget and so another chocie could always be found. The cook was aware of special diets catered for and peoples likes and dislikes. One person spoken to reported the food was very good, but they enjoyed having their own small fridge in their room where they kept things they especially enjoyed. In surveys received eleven people stated, they always liked the meals in the home, three had ticked usually and three had ticked sometimes. Lunch time was observed in both parts of the home. In the large lounge there were seven care staff to assist people. People spoken to felt there was adequate staff, one person stated they looked forward to lunchtime as it was such a social time. In the other part of the home, the dining room is opened up at meal times. It was noted three staff assisted people in this room, whilst two staff members assissted those who did not want to go into the dining room. It was noted in one small lounge people were given a tray with their dinner and pudding at the same time. We were advised this is not the usual practice and usually people are only given one course at a time. Care Homes for Older People Page 15 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. People are confident and aware they can complain and feel issues will be dealt with appropriately. The home safeguards people from abuse and neglect. Evidence: The home has a complaints procedure, which includes all the necessary timescales, names, address and telephone numbers. In the entrance to the home details are left so anyone can also leave an anonymous complaint. The home has been involved with four complaints in the last year, which were made to Hampshire County Council. In the AQAA the home accepted there had been a few teething issues with the extending of the home, but now felt these had been sorted and the home was running smoothly. In surveys received thirteen people stated there was someone they could speak to informally if they were not happy and they knew how to make a formal complaint. We were advised in the AQAA, the home has had two meetings with Hampshire County Council and were able to provide evidence against all of the allegations and none were found to be substantiated. We were advised in the AQAA, The home has an adult protection policy in place in line with Hampshire County Council policy. Many staff have attended couses on safeguarding. For all new staff adult protection is included in our induction training. Staff spoken to felt they received adequate training in this area and were aware of what steps to take if abuse was suspected. Staff explained how the home had worked closely with social services in connection to a deprivation of liberty safeguard. Care Homes for Older People Page 16 of 26 Evidence: Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are provided with a clean, spacious, homely and safe environment. Evidence: All communal areas of the home were seen, with some bedrooms chosen at random to view. All areas of the home were clean and no unpleasant odours were detected. The home is well furnished and people spoken to in their rooms confirmed they had brought some of their own possessions into their room. One person stated they had their own bed linen which a friend laundered for them. The older part of the home has been recently decorated and has a large lounge and dining room. People spoken to in these rooms stated they were very comfortable and always kept clean. The large lounge has a small kitchen area where visitors can help themselves to drinks. A piano was in this room and we were told some residents play the piano. Residents can access the garden from here and a new decking area has just been built. A green house has just been purchased as one resident had a previous occupation in horticulture and is keen to carry on with this as a hobby. The home also has a purpose built hairdressing salon, which we were informed residents really enjoy. The new part of the home has a keypad access to go in and out of, we were advised this is for the safety of people. However people can go from one part of the home to the other if staff think this will suit them better. This has a lounge, sensory/activity room and dining room. Patio doors open to a sensory garden, which staff have made safe for people to wander out on their own. Care Homes for Older People Page 18 of 26 Evidence: Fifteen people stated they felt the home was always fresh and clean and two had stated usually. The home employs domestic and laundry staff. Gloves and aprons were availalbe around the home and staff demonstarated a good awareness of infection control policies. The home had locked cupboards where it kept substances regarded as harmful to people. The home has recognised the laundry is not big enough to cope with all the laundry and in currently building a bigger laundry room. 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. Peoples needs are met by a well trained staff group who have been through a rigorous recruitment procedure to ensure peoples safety. Evidence: The home employs care staff who work in both parts of the home. The home does use a key worker system but wants to ensure all staff know all the residents well. Observations on the day demonstrated there was adequate staff to meet peoples needs. It was clear staff did know residents very well, and would react differently to different people. Staff spoken to felt there was adequate staff on duty to be able to meet peoples needs. In surveys six members of staff stated there is usually enough staff to meet individual needs of people and two had stated always. Comments from professionals included, Friendly, approachable and knowledgable staf. Comments from relatives included, The staff are always very helpful and friendly and The staff are very caring, which I find gives me peace of mind. In the AQAA we were advised The home currently has all care staff with a minimum of Level 2 NVQ (National Vocational Qualification), or signed on and working towards this qualification. All staff who complete NVQ level 2 also go on to complete level 3 and many already have a level 3 Qualification. All new staff are aware that they will be expected to undertake NVQ level 2 training and this is accessed for them through the homes training providers. Staff spoken to felt the training in the home was very good. Care Homes for Older People Page 20 of 26 Evidence: Staff confirmed there is regular training and if they ask for specific training this is found. Records were seen evidencing all staff complete induction training. One new member of staff who had not started working in the home had come in for an induction period on the day of the inspection. They stated they were very impressed with the home as they had already been in for a day just to meet the residents and the members of staff. They confirmed they had completed an application form and all the necessary checks and references had been undertaken. The staffing records of three members of staff who has started working in the last six months were viewed. It was clear from these all had completed an application form, two written references had been obtained and checks with the criminal reference bureau had been obtained. It was possible to establish staff had worked through a induction booklet and had undertaken regular training. 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. People have confidence in the care home because it is well managed. The environment is safe for people and appropriate health and safety practices are carried out ensuring safety for people. Evidence: The manager of the home has an NVQ Level 4 in care and management and is part of a management team. The home has a deputy manager and three heads of units. All feedback from residents, relatives, professionals and staff were full of praise for the manager. All stated she and the management team have an open door policy and could be contacted at any time. One professional wrote, The management are accesible and pro-active. A member of staff wrote, I know the managers door is always open and I can discuss anthing with them. It was clear the home is run in the best interests of the people who live there. The home has a friendly open atmosphere. One relative wrote, Theres an overall feeling of comfort in a secure environment. Quality audits are carried out every six months Care Homes for Older People Page 22 of 26 Evidence: and areas identified will be acted on. All surveys received from residents, staff and relatives praised the home and the management of the home. Relatives confirmed they were always kept in touch with developments regarding their relative and the home. The service has a system in place for looking after money which people who use the service use to pay for sundry items such as hairdressing or personal toiletries. Families leave money which is put into a charitable account. Individual records are kept of income and expenditure for each person using the service, and a copy of the record sent each month to the person responsible for managing the residents finances. The amount the person who uses the service requires each month is worked out during the first few weeks of residency. This is a service offered by the home and people are free to pay directly for items or to get their families to. Staff spoken to confirmed they receive regular supervision and support. Records were seen demonstrating people receive regular supervision sessions, with notes being signed by all parties. In surveys received, three staff members had stated they are always supported to meet the needs of people and five had stated usually. The AQAA advised us the home has clear policies on health and safety. Regular checks are made on the equipment in the home and professionals service these. Staff reported they all have the equipment and training they need and there is always a supply of appropriate gloves and aprons. Alcohol dispensers have been placed around the home. Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 25 of 26 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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!