Care Home: Fabee Nursing Home

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What the care home does well The atmosphere at the home was relaxed with communication between staff residents and visitors being positive open and friendly. The activities meet the residents expectations at this time and residents are involved in making choices in respect of their preferred lifestyle. All residents, relatives visitors and visiting professionals contacted as part of the inspection process confirmed a satisfaction with the home and its services. One resident saying `I am very well cared for, the staff are nice, its a lovely home and has good food` `Really like it here` ` Not bad, foods good, I think it as good as any other`. The quality and choice of meals remain good and all residents spoken with were complimentary about the food. ` Excellent` `We have all put weight on`` Pretty tasty food`. The training for staff is now good and plans to cover a wide variety of resident related conditions, which give the staff an understanding of the residents needs. There is a robust recruitment process that protects the residents. What has improved since the last inspection? The home have now commenced a programme of redecorating and refurbishment. When completed will provide the residents and visitors with a well maintained, attractive and homely environment that meets their expectations and wishes. A programme of training has been devised that will ensure that staff are competent and fulfil the aims of the home and meet the changing needs of residents. The AQAA identified that the home have reintroduced resident meetings so as to get their views on a regular basis and involve them in decision making regarding their home. The home have identified a trained nurse to take the lead in infection control `Champion Nurse` working alongside the NHS directorate. The home are aware that their residents would like a more stimulating environment and have enrolled a care assistant to attend a course that will bring fresh ideas in to the home. As part of the redecoration the home will enhance their facilities and introduce a more stimulating place to live. What the care home could do better: The home needs to confirm in writing that after completing the pre admission assessment that they can meet the prospective residents identified health and welfare needs. This will reassure prospective residents that the home have the knowledge and experiance to care for them. There are areas still to improve within the home that will benefit the outcomes for the people who use the service. The appointment of an a manager, who is supported by the deputy manager and Mr Nahoor, registered provider will address these areas as identified in their improvement and strategy plans. All areas for improvement were fully discussed and acknowledged. Key inspection report Care homes for older people Name: Address: Fabee Nursing Home 35 Fearon Road Hastings East Sussex TN34 2DL     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: Deborah Calveley     Date: 1 0 0 7 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 25 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 25 Information about the care home Name of care home: Address: Fabee Nursing Home 35 Fearon Road Hastings East Sussex TN34 2DL 01424436485 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Reshad Nahoor care home 17 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: One service user under the age of 65 years on admission may be accommodated in the home. The maximum number of service users to be accommodated is 17 The registered person may provide the following category of service: Care home with nursing (N) 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 nay other category (OP) Date of last inspection Brief description of the care home Fabee Nursing Home is situated in a quiet residential area of Hastings and offers nursing care to 17 older people. The home has a shaft lift to the first floor. Bathrooms are situated on both ground floor and first floor, and both bathrooms have bath hoists. There are 11 single bedrooms with washbasins, and 3 double bedrooms, two of which have en-suite facilities. To the rear of the property there is a large garden area, but this is not accessible to frail older people. Care Homes for Older People Page 4 of 25 Over 65 17 0 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 reader should be aware that the Care Standards Act 2000 and Care Homes Regulation Act 2001 often use the term service user to describe those living in care home settings. For the purpose of this report those living at Fabee Nursing Home will be referred to as residents. This was a key inspection that included an unannounced visit to the home and follow up contact with residents representatives and visiting health and social care professionals. This unannounced inspection was carried out over 6.5 hours on the 10 July 2009. There were ten residents living in the home on the day of which five were case tracked and spoken with. During the site visit, three other residents both male and female were also spoken with. The purpose of the inspection was to check that the requirements of previous inspections had been met and inspect all other key Care Homes for Older People Page 5 of 25 standards. The inspection process included meeting residents and their visitors in various areas of the home and viewing a range of documentation. These included: the Service Users Guide, Statement of Purpose, care plans, medication records and recruitment files. Six members of the care team were spoken with in addition to discussion with the appointed Manager. Telephone contact was made with visiting professionals following the visit. The information received verbally from residents and visitors has been incorporated into this report. An Annual Quality Assurance Assessment was received from the deputy manager completed in full prior to this key inspection. Care Homes for Older People Page 6 of 25 What the care home does well: What has improved since the last inspection? What they could do better: The home needs to confirm in writing that after completing the pre admission assessment that they can meet the prospective residents identified health and welfare needs. This will reassure prospective residents that the home have the knowledge and experiance to care for them. There are areas still to improve within the home that will benefit the outcomes for the people who use the service. The appointment of an a manager, who is supported by Care Homes for Older People Page 7 of 25 the deputy manager and Mr Nahoor, registered provider will address these areas as identified in their improvement and strategy plans. All areas for improvement were fully discussed and acknowledged. 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 25 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 25 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 provides prospective residents and relatives with a good level of information about the home, its facilities, services and the costs involved. The admission procedures allow for the needs of prospective residents to be assessed by a competent person before admission. Evidence: There is a comprehensive Statement of Purpose and Service Users Guide which contains clear information about the home the facilities and the services it provides. These documents give prospective residents and their families the information they need to make an informed choice about where to live. These documents are currently being updated (17/06/09) by the newly appointed manager and therefore were seen in draft. It was confirmed whilst talking to residents that the contract arrangements were clear and understood. There is a copy of the terms and conditions of residency included in Care Homes for Older People Page 10 of 25 Evidence: the Service Users information. The home uses a care planning system which includes a pre-admission document. A review of the care documentation confirmed that pre-admission assessments are completed by the deputy manager who is the clinical lead in the home. The format of the pre-admission document was seen to be relevant however more information could be recorded which will inform the inspection process and ensure that the home can meet the identified needs. It was however noted that the home does not confirm having regard to the assessment that the home can meet the assessed needs of the prospective resident. This was discussed with the deputy manager who was advised that this should be completed in writing in accordance with the required documentation. The prospective residents are seen either in their home or hospital before admission and it was confirmed that wherever possible the family or representatives are involved. The appointed manager was able to verbally demonstrate his knowledge and awareness of the different specialties required in the home and ensures that carers and trained nurses employed have attended or are going to attend relevant courses to deal with the needs of the elderly and also specialised courses for certain diseases. Trial visits to the home can be arranged. The appointed manager confirmed that residents are invited to a trial period to ensure suitability of the home, this is clearly stated in the Statement of Purpose and in the statement of terms and conditions. Intermediate or rehabilitative care is not provided at Fabee Nursing Home Care Homes for Older People Page 11 of 25 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. Care plans provide a good framework for the delivery of care which give clear guidance to care staff on all the care needs of all the residents. The home was found to be meeting residents health and general needs with accessed additional specialist support when needed. Medication practices in the home promote and protect the health needs of residents and the privacy and dignity of residents are promoted. Evidence: The care documentation pertaining to four residents were reviewed as part of the inspection process these residents were also visited and spoken with. The care plans were person centred and clearly identified the individual residents health, social and welfare needs with the expected outcome and steps for care staff to follow to ensure these needs are met in a consistent manner. On the whole the care documentation demonstrated that the health, social and welfare needs were reviewed and evaluated on a regular basis. The care plans do not evidence any involvement of resident and whilst the care plans evidenced regular review there Care Homes for Older People Page 12 of 25 Evidence: was no evidence of the involvement with the resident or their representative at these reviews. Risk assessments for health needs are included in the care planning format used by the home and all risk assessments were found to be completed and followed through with an appropriate plan of action when identified as required. The care plans evidenced that the residents health needs are monitored and residents are seen regularly by other health professionals, such as G.P, chiropodist, dietitian and dentist. Staff spoken with confirmed that they received a full report on each resident daily and read the care documentation that is kept in the main nurses station. They felt that their views were taken into account when planning residents care. Relatives and residents spoken with were satisfied with the care provided at the home one saying that the home Great staff, very kind and friendly They look after us very well, I have no complaints. There are policies and procedures in place for staff to refer to regarding the safe administration, storage, disposal and recording of medication. The systems for recording and checking controlled drugs were found to be thorough and there are robust systems in place for the disposal of controlled medications. Medication Administration Charts were found to be in the main competently completed, gaps were identified, and these were discussed in full and will be audited regularly to ensure the residents are receiving their medications prescribed. Staff will be reminded of safe administration policies. The comparison signatures of staff able to administer medication were available, which allows the management to identify poor practice. Some recommendations of good practice were discussed with the senior nurse on duty during the inspection. Staff were seen to be respectful and considerate to all residents and visitors, whilst attending to their needs. The residents comments in respect of their dignity included, The staff are very considerate, always ensure that I am dressed well and that my hair is clean, they also help me with my nails. The gentleman living in the home were well shaven and their care plan identified their wishes in this. All the residents spoken with were clean and well dressed and their footwear was appropriate for the weather and their mobility needs. The care plans all had reference to the residents preferred form of address and their identified needs regarding their sexuality and religious needs. Care Homes for Older People Page 13 of 25 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The lifestyle and meals experienced by residents at this time meets their expectations choices and preferences. Evidence: The lifestyle within the home is flexible and residents choose when they get up, have breakfast and how they spend their day. Care plans evidence residents past histories and social preferences but as yet they are not linked constructively to a formal activity programme. This was confirmed as a work in progress and is being devised in line with the residents wishes. The activity programme is usually displayed in the entrance area of the home, but was not on view due to the decoration work being undertaken at this time. The management team have applied for one of the carers to attend an activity course which will enhance the activities in the home. It was confirmed by staff that the residents are encouraged to attend facilities away from the home. These include shopping trips, church services and visits to local attractions. Some residents had recently visited a fish farm in Hawkhurst and some were due to visit the Tenterden Steam railway this week. The residents clearly enjoy these outing and were already discussing Christmas shopping trips. Care Homes for Older People Page 14 of 25 Evidence: Residents are facilitated and encouraged to maintain their independence for as long as they are able. There are no restrictions on visiting times as long as consideration is shown to all the residents. Many of the residents have individualised their bedroom with items from home and residents and relatives spoken with confirmed that they are encouraged to make it homely. The home has an advocacy policy in place and the information regarding this is available to all residents. The dining room was being decorated and was therefore not seen in use at this time and the majority of residents were having their main meal in their bedroom. Two residents had choosen to eat in the lounge area with their visitors. The menu is regularly reviewed in line with residents feedback taking in to consideration their preferences. The meals provided for residents were seen to be nutritious and attractively presented including the pureed meal, fresh fruit and vegetables are readily available. The kitchen has recently been inspected by the Environmental Health Team and the home has acted on their recommendations. There are plans to upgrade the kitchen in the future. The residents comments included: The food is very good, we get a good variety, Its really very good. Records are kept in respect of the food eaten by residents and whether they have had an alternative. As discussed these need to be consistently recorded to provide an accurate reflection of the food provided in the home. Care Homes for Older People Page 15 of 25 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 a formal complaints system with evidence that residents feel that their views are listened to and acted upon. Staff receive training to protect residents from abuse. Evidence: The complaint policy and procedure is clear and uncomplicated and a copy of this is readily available in the home and in the Service Users Guide. The system of recording complaints evidenced that complaints are taken seriously, that an investigation is undertaken within the timescales set and the outcome and action taken are clearly recorded. The home operate an open door policy and have regular meetings with residents, relatives and staff that encourage people to voice their concerns. These meetings are documented and the concerns then answered. Residents spoken with confirmed that they were confident that any complaints or concerns that they had would be listened to and responded to effectively. The home has relevant guidelines on the safeguarding of vulnerable adults and most staff have received appropriate training. The management team has a clear understanding of adult protection guidelines and are aware of how to initiate an investigation if required. There have been no safeguarding referrals since the last key inspection. Care Homes for Older People Page 16 of 25 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 provides a comfortable, clean and safe environment for those living in the home and visiting. Residents are enabled and encouraged to personalise their room and rooms are homely and reflect the residents personalities and interests. Evidence: The location and layout of the home is suitable for its stated purpose and meets the homes aims and objectives. The home is at the present time being extensively redecorated and the property upgraded. It was not possible to visit all areas because of the work being undertaken, however the appointed manager shared his vision and the improvement plan, which was comprehensive and highlighted the areas to be improved. To protect the residents whilst this work is on-going, environmental risk assessments have been updated to reflect the presence of builders, areas that are unsuitable for staff and residents and the fire hazards from paint pots and stored equipment. The garden area is secure, but use of the garden area is restricted at present due to the refurbishment. On the day of the visit the home was in the main clean and tidy and free from any offensive odours, the domestic team are working hard to ensure the impact of the Care Homes for Older People Page 17 of 25 Evidence: redecoration does not impact on the residents and visitors during the planned works. In relation to fire safety, all records are current and in place to protect the safety of those living and visiting the home. All of the staff team attend regular fire safety training. It was confirmed that all staff receive training in infection control and that the policies and procedures are updated regularly. They are easily accessible to staff thus protecting those living and visiting the home from risk of cross infection. Good practice in respect of infection control by staff was observed during the inspection visit and there were gloves and aprons freely available in the home. Sluice areas were found to be clean and safe, with appropriate systems in place for soiled linen and waste. Care Homes for Older People Page 18 of 25 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 is sufficient trained and competent staff on duty at all times to meet the assessed needs of the residents. Robust recruitment procedures and appropriate staff training ensure the safety and protection of residents. Evidence: There were ten residents living in the home at this time. The staffing rota was viewed and the staffing levels were seen to be sufficient to meet the health, social and welfare needs of the residents. The appointed manager confirmed that the staffing arrangements are flexible and respond to residents dependency. Staff spoken with said that there was enough staff to look after the residents to a good standard. Residents feedback was complimentary in respect of the staff. Its a wonderful place, really look after us well, There is always someone near by if you need them I enjoy living here. A selection of staff recruitment files were viewed and demonstrated that there is a thorough and robust recruitment process in place to protect their residents. The documentation in the files supported the information supplied in the AQAA that all staff receive a thorough induction to the home, which includes shadowing senior staff on their first shifts in the home. All new staff complete a trial period to ensure that the job is suitable for them. Staff spoken with said that training opportunities are now being offered. The appointed manager has introduced a training matrix which enables Care Homes for Older People Page 19 of 25 Evidence: the management team to track the training needs and ensures that all staff receive the training required to perform their job competently and therefore promoting the health and well being of the residents living in the home. The staff all said they were well supported by the senior staff and the management team. Trained nurses are supported and enabled to attend courses that will update their skills and knowledge. This enables them to supervise the staff team in meeting the residents identified needs ensuring that residents physical and mental well being are promoted and protected. Staff are all encouraged to undertake a National Vocational Qualification (NVQ) training, at present 9 of the 21 permanent care staff have a NVQ or are working toward a qualification Care Homes for Older People Page 20 of 25 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 overall management of this home is good with effective systems in place to protect residents. Evidence: The registered manager at the last key inspection has resigned and there is now an appointed manager in post that has recently commenced his role. He has submitted his application to be registered by Care Quality Commission. He has been a registered manager before and has the necessary qualifications and experience to run the home efficiently with help from the deputy manager and staff team. He is very enthusiastic about the home having worked there for some years, he has a good knowledge of the residents and a good working relationship with the staff Staff spoken with spoke highly of the manager, saying that he is approachable and supportive. The managers interaction with the staff was friendly and professional. The Quality assurance systems in the home have been developed. Residents questionnaires are sent out and when received are collated and then acted on as Care Homes for Older People Page 21 of 25 Evidence: appropriate. The home have improved the communication with families and residents and regular resident meetings are held and form part of the quality assurance systems in the home. The home have extended the surveys to stakeholders and families. Residents financial interests are safeguarded by the homes policies and procedures. The residents spoken with said they had no worries regarding their financial status, and felt they were supported in managing their affairs efficiently. Most of the residents relatives deal with personal finances: there is a personal allowance system in place that pay for chiropody and hairdressing. Each residents has their own personal allowance account book, all monies handed in to the office or monies spent on behalf of the residents is recorded in the individual accounts book. Receipts are kept of all monies spent. Evidence was seen of regular supervision sessions and all staff spoken with confirmed that they receive regular supervision. The appointed manager confirmed and the staff training records show that all staff are kept updated on the Health and Safety policies. The manual is available to all and clearly defined with regularly updated policies and procedures and best practice guidelines that ensure the health, safety and welfare of the people using the service. Staff were able to discuss the training they received and said that they were kept up to date with changes to policies in connection with fire safety and health and safety. The accident book was completed in full and the organisation conduct an audit monthly and strategies are put in to place for prevention of a recurrence. First aid boxes are located in the home and easily assessable when required. All staff receive initial health and safety induction as part of the introduction to working in the home, this is also covered in Skills for Care induction. Care Homes for Older People Page 22 of 25 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 23 of 25 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 1 3 14 That the registered person 19/09/2009 ensures that they have confirmed in writing to the service user that having regard to the assessment the care home is suitable for the purpose of meeting the service uses needs in respect of his health and welfare. To ensure that prospective service users are reassured that the home can meet their needs. 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 24 of 25 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. 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