Care Home: Flower Park Nursing Home

Similar services:

• Abbey The
• Snydale Care Home
• Whiteley House
• Larchfield Manor
• Hawkhills
• Beeches The - North Yorkshire County Council
• Carentan House

What the care home does well Good assessments were carried out on all perspective residents and people are only admitted if the home is able to meet their needs. Peoples plans of care clearly identified their needs and give details of how to meet their needs. Peoples choice and capacity are also taken into consideration to ensure they have choices and make decisions regarding their care. The six surveys returned all contained very positive comments, some were, `They do everything very well`. `The staff look after you very well`. `There is nothing they could do better`. `We are listened to`. A varied, balanced and wholesome diet was provided for the people with good choices available. One person told us, `The meals are lovely, I always enjoy them`. The environment was maintained to an good standard. It was homely and well decorated. The standard of cleanliness observed during the visit was also to a good standard. Staffing structures were good and ensured peoples needs were met, staff were appropriately trained to understand peoples changing needs and to be able to meet them. The home had a comprehensive health and safety policy. We were able to evidence that regular maintenance of equipment and systems was carried out. Risk assessments were carried out on all safe working practices, regular audits were carried out on the building and all accidents were properly recorded and reported ensuring people in the home were safeguarded. What has improved since the last inspection? The manager and staff team have continued to work hard to improve the standards. A new activity coordinator had been employed and had improved the activities and leisure opportunities for people. People told us the activities were much improved and they enjoyed the activities provided and more outings were being provided, which they really enjoyed. The meals had improved with the appointment of a new chef who had changed the menus in consultation with residents, to ensure the food was fresh, of a good quality and varied. Providing a wholesome diet for people living in flower Park. What the care home could do better: Continue the improvements to the environment redecorating the bathrooms and the changes arranged for the upstairs lounge to ensure the environment it always maintained to a high standard. Key inspection report Care homes for older people Name: Address: Flower Park Nursing Home Rossington Street Denaby Doncaster South Yorkshire DN12 4TA     The quality rating for this care home is:   three star excellent 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: Sarah Powell     Date: 0 8 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 29 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 29 Information about the care home Name of care home: Address: Flower Park Nursing Home Rossington Street Denaby Doncaster South Yorkshire DN12 4TA 01709863327 01709860303 flower.park@fshc.co.uk www.fshc.co.uk Four Seasons Health Care (England) Limited (wholly owned subsidiary of Four Seasons Health Care Ltd) care home 40 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) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 40 The registered person may provide the following category of service only: Care Home with Nursing, Code N. 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, maximum number of places 16 Dementia, Code DE, maximum number of places 24 Mental Disorder, excluding Learning Disability or Dementia, Code MD, maximum number of places 24 Date of last inspection 24 24 0 Over 65 0 0 16 Care Homes for Older People Page 4 of 29 Brief description of the care home Flower Park is a purpose built home situated in Denaby near Doncaster it is set in a residential area with shops, a market and other amenities nearby. The home is on two floors the upper floor is for people with dementia and mental disorder over 65 years and has lift access, the ground floor accommodates people with nursing needs, Flower Park can accommodate up to forty people. All rooms are single and the majority are en-suite with toilet and wash hand basin. The home has a suitable number of lounges, dining rooms, toilet and bathing facilities. The gardens are well maintained and easily accessible to the people on the ground floor, access is limited for the people on the first floor. The fees at Flower Park Care Home at the time of the inspection ranged from £398.72 - £650. For further clarification please contact the home. Care Homes for Older People Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: 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: We went to the home without telling them that we were going to visit. This report follows the visit that took place on Thursday 8th October 2009. The visit lasted from 9:45 until 15:45. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. The purpose of the visit was to make sure that the home was operating and being managed in the best interests of people living there. Information has been used from different sources for this report. These sources include- Care Homes for Older People Page 6 of 29 Reviewing information that has been received about the home since the last inspection. The annual quality assurance assessment. The manager had completed an annual quality assurance assessment (AQAA), which was completed with detailed comprehensive information. The AQAA focuses on how well outcomes are being met for the people using the service. It also gives us some numerical information about the service. Notifications (Regulation 37) relating to incidents in the home affecting people using the service. Details of complaints and allegations raised by people connected to the service. 6 surveys returned to us completed by the people who live at Flower Park. At the site visit one inspector spent 6.0 hours at the home. This inspection visit included talking with people living at the home, their relatives, a number of professionals, the manager, deputy manager, unit manager and six staff. During the visit we also walked round the building to gain an overview of the facilities. We also checked a number of records. Feedback was given to the manager at the end of the inspection. Care Homes for Older People Page 7 of 29 What the care home does well: What has improved since the last inspection? What they could do better: Continue the improvements to the environment redecorating the bathrooms and the Care Homes for Older People Page 8 of 29 changes arranged for the upstairs lounge to ensure the environment it always maintained to a high standard. 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 9 of 29 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Most people had their needs assessed prior to moving into the home. Evidence: We looked at four peoples assessments of need, suitably qualified staff carried out the pre admission assessments on people who wanted to move into the home. The assessments we looked at were very detailed with all peoples needs identified, ensuring that the home could meet their needs before a place was offered to them. However one persons care plan we looked at who had moved into the home in August 2009 did not have a completed assessment, it had only been part completed. This did not clearly detail their needs or whether the home was appropriate to meet those needs. The manager told us this had been an oversight and was the only one not completed Care Homes for Older People Page 11 of 29 Evidence: and she would ensure it would not happen again. Care Homes for Older People Page 12 of 29 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Each person in the home had a plan of care with clearly identified needs, these were met, and people were treated with respect. Medication procedures protected people. Evidence: We looked at four plans of care in detail. The plans had identified the needs of the people with good recordings of the measures to take to meet their needs. The plans included peoples capacity and choices this ensured peoples needs were identified and met allowing them to make choices and decisions regarding their care. The plans were regularly reviewed; people and their relatives were involved in this process. This ensured their views were listened to and their needs met. People and their relatives we spoke to told us they were aware of the plans, knew about the records staff kept and could look at them if they wanted. This ensured peoples needs were being met. Care Homes for Older People Page 13 of 29 Evidence: All health care needs were met and we saw evidence in the plans of care that people were referred to health care professionals including dietitians, specialist nurses, speech and language therapist and tissue viability nurses if this was required. Their advice was followed and well documented in the plans, ensuring the wellbeing of the people who lived in the home. One example we looked at regarding peoples health care needs was peoples nutritional risk assessments, these were completed for the four we looked at . If assessed as at risk a care plan was drawn up and regular weights recorded. The manager also audited peoples weight monthly and followed up on all weight loss. If someone has lost weight staff must complete a weight loss form, update the care plan and risk assessment. We saw evidence this was being completed when required. This ensured peoples changing needs were identified early to ensure appropriate action was taken. We spoke to two visiting professions during our visit and they told us, the care provided in the home by the staff is excellent, and staff communicate any problems and ask for advice, the working partnership is excellent. People were treated with respect and privacy and dignity upheld. During the visit we observed staff interacting very well with people and their relatives. One relative told us, The staff are lovely they look after people very well, I am very happy with the care my relative receives. A resident told us, I am looked after very well, when I ask for something staff are very quick to help and most staff are lovely. Medication policies and procedures safeguarded the people. These had been improved further since out last visit to further protect people. Medication was well documented on receipt, administration and return. All staff who administer medication regularly receive medication training and undergo competency assessments to ensue people are protected. There had recently been a problem with the supply of some medication and it had not been available to the home. There was clear documentation and evidence of actions taken by the home. Health care professional and GPs had been contacted and advice obtained. The deputy manager had exhausted all possibilities to obtain the medication, or Care Homes for Older People Page 14 of 29 Evidence: alternative medication to ensure the persons needs were met. The deputys continued persistence ensured the medication was obtained as quickly as possible and was not detrimental to the resident. The manager and deputy regularly carried out medication audits to ensure all medication was accounted for, administered correctly and people were protected. The medication store room was very small and it was possible it could become very warm this was mentioned to the manager who during the visit obtained a thermometer to monitor the room temperature. This will ensure all medication is kept at the manufacturers recommended temperatures. Care Homes for Older People Page 15 of 29 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People exercised choice and control over their daily lives and activities ensuring their needs were met. Evidence: The people and their relatives we spoke to all said that contact with family, friends and the local community were encouraged by the staff. All said relatives were always made welcome. A new activities coordinator had been employed and worked 40 hours a week, group activities and 1 to 1 sessions were organised depending on the peoples needs and choices. We spoke to the coordinator who was enthusiastic, understood peoples needs and adapted activities to suit individuals. This ensured peoples needs were met. The coordinator told us he was getting to know people, what they liked doing and participating in and was adapting the activities to peoples abilities and choices. Activities were varied and changed depending on the choices of the people, records Care Homes for Older People Page 16 of 29 Evidence: were kept of activities delivered and the records showed varied and appropriate activities to meet peoples needs. Activities were taking place on the day of the visit, the morning was spent on the downstairs unit people were playing bingo, which people were thoroughly enjoying. The afternoon was planned for the upstairs unit ensuring all people were able to participate in activities, the coordinator was painting a picture, while people watched. We observed this activity for a while and people were engaged and alert and some people asked questions. There was a lot of interaction between people, the activity was thoroughly enjoyed. People sat and watched the activity who would usually be continually on the move due to their medical condition. They told us they enjoyed this activity it was very interesting. Relatives told us the painting was fairly new, introduced by the new activity coordinator, but was very well liked and there was always a large number of residents involved and sometimes the residents actually joined in with the painting. The activities provided ensured people were given opportunities for stimulation through activities and there needs were met. The coordinator told us they had organised various outings, including trip to the coast, golf, trips to the local pub, visits to the local country park and walks to the local market. They have also had entertainers come into the home which were well liked by people. He was also introducing craft workshops for people to make cards, paint flower pots and other various items, which were enjoyed by the residents. This helped people to feel positive and enjoy a good state of wellbeing. The provision of food had greatly improved since the last key inspection, A new chef had been employed, he had introduced a new menu, which included much more home cooking and very little convenience food. There were plentiful supplies of food available in the store rooms, food was provided that was suitable for the client group, advice from a dietitian had been followed this ensured peoples needs were met. The chef was knowledgeable on the needs of people who lived at Flower Park he was aware of how to provide an enriched diet for people who were at risk of a poor nutritional intake, ensuring peoples need were met. A varied, balanced and wholesome diet was provided for the people with good choices available. We observed a meal, which was well presented, there was good communication to the people from staff when it was served, seconds were offered, people were asked if they were finished before plates were taken and a choice of drinks were also offered. This ensured peoples needs and choices were met. People who required assistance were given it discretely and sensitively to ensure there needs were met. Care Homes for Older People Page 17 of 29 Evidence: One person told us, The meals have really improved they are now very good and we are given plenty of choice. Another person told us, I am always given a choice and sometimes it is at the meal table if I dont fancy what I am given. The breakfasts are also only chosen at the time we sit down, I usually always have a cooked breakfast, which is lovely. Another person told us, the cakes are lovely we always have afternoon tea with home made cakes. Care Homes for Older People Page 18 of 29 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who lived in the home were listed to and protected. Evidence: There was a comprehensive complaints procedure, which was clearly displayed, in the entrance hall. All people we spoke to were aware of the procedure and told us they would either speak directly with the manager or staff. The manager had received no complaints or concerns, she told us she gives her mobile number to all relatives and tells them if they have any problems to give her a call anytime. The managers photo and number is also displayed in the entrance hall and every week a list is displayed showing days she is working and if she is in the home, this enables residents and relatives to be aware of when she is available to raise any problems and ensures they are listened to. Relatives told us the manager is always contactable if required, which is very reassuring, however most had not needed to raise any concerns and told us their relatives were looked after very well. All staff had received training in adult safeguarding, all staff we spoke to had a good knowledge of the procedures and what to do should an incident occur. Staff we spoke Care Homes for Older People Page 19 of 29 Evidence: to were also aware of the whistle blowing policy, which safeguards people in the home. Care Homes for Older People Page 20 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home was well maintained clean, pleasant and comfortable ensuring people lived in a safe environment. Evidence: The location and layout of the home was suitable for its stated purpose the environment was maintained to a good standard. It was homely and well decorated. The standard of cleanliness observed during the visit was good. The outside gardens were maintained by a gardener this ensured they were maintained, kept tidy, safe and attractive ensuring they were accessible to people. There was a maintenance and renewal programme, many rooms had been redecorated since the last visit and new furniture purchased. The manager told us all new residents have their bedroom decorated before they move in to a colour of their choice. The corridors on the upstairs unit were brightly painted, bedroom doors were painted different colours, door furniture applied to look like a front door and bathroom doors all painted same bright colour to enable people to identify different rooms and be able to locate their bedroom. Care Homes for Older People Page 21 of 29 Evidence: The bathrooms required some work new floor coverings and re-decoration, the manager told us she had arranged for these to be decorated and upgraded to ensure they were maintained to a high standard for people. The manager also told us she had arranged for some works to be carried out in the upstairs lounge providing a service area for meals. Care Homes for Older People Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff were appropriately trained, the recruitment procedures were robust ensuring people were in safe hands at all times, had their needs met and were protected. Evidence: There was a good staff structure and staff told us they supported each other to meet the needs of the people. There was always a nurse in charge of each shift. The care staff numbers were determined by the number and needs of the people on each unit and appropriate levels were maintained on the day we visited ensuring peoples needs were met. Staff told us there was always enough staff on each shift, occasionally if someone was sick and could not get cover they would work one short but were still able to manage. The rota showed eight care staff during the day split between the two units and a nurse on each unit. At night there was one nurse and four care staff between the two units to ensure peoples needs were met. There were 30 care staff employed at Flower Park 17 have achieved NVQ level 2 and the other 13 were registered and working through the qualification. This would ensure 100 of care staff have achieved the qualification, this showed commitment in the workforce by the manager and providers and ensured people are in safe hands at all times. Care Homes for Older People Page 23 of 29 Evidence: All staff went through an induction on commencement of employment one new member of staff we spoke to told us she had completed her induction. All mandatory training was up to date and there was clear evidence that this was maintained and refresher courses completed within timescales. this ensured staff were appropriately trained to meet peoples needs. Staff also attended specific training on conditions associated with old age and other medical conditions that affected residents to ensure staff understood all peoples needs. One staff member told us, I started in March and I have never had so much training, it is excellent. A thorough recruitment procedure was in place, two staff files were seen on the day of the visit and contained all the required information. Protecting people who lived there. We also had a report from Doncaster Contracts, who as part of their visit had looked in detail at recruitment and the report showed the home had all checks and safeguards in place to protect people. Care Homes for Older People Page 24 of 29 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Management and administration safeguards people, good health and safety policies and procedures were in place ensuring the safety of people in the home. Evidence: The manager was qualified and experienced to run the home. She had achieved the registered managers award and continually kept herself updated to ensure the homes stated purpose, aims and objectives were met. One member of staff told us, It is a fantastic place to work, well managed and we work well as a team. Another member of staff told us, It is a much better place to work since the manager has been in post, we all work as a team. Quality monitoring was carried out; the manager did regular audits and we saw the Care Homes for Older People Page 25 of 29 Evidence: returned quality monitoring questionnaires that had regularly been sent to people in the home and their relatives. This ensured the home was run in the best interests of the people who lived there. The manager and administrator managed some peoples finances and personal money, we were given a print out of the personal allowance account balance, which showed all accounts were in credit and had mostly small amounts of money deposited. The manager told us the policies and procedures in place ensured peoples financial interests were safeguarded. The home had a comprehensive health and safety policy. We were able to evidence that regular maintenance of equipment and systems was carried out. Risk assessments were carried out on all safe-working practices, regular audits were carried out on the building and all accidents were properly recorded and reported ensuring people in the home were safeguarded. Care Homes for Older People Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 2 3 19 Needs assessments should be carried out to ensure peoples needs are identified and can be met. Ensure the bathrooms are redecorated as planned. Care Homes for Older People Page 28 of 29 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 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!