Care Home: Fontenay Nursing Home

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What the care home does well The registered manager, personal assistant and provider were receptive to advice given and demonstrated a commitment to put right any matters needing addressing to improve the service further. Staff are enthusiastic about their roles and enjoy working at the home. The provider continues with his commitment of ensuring all staff are appropriately trained for their respective roles. Seventy nine percent of unregistered care staff are now trained to National Vocational Qualifications level 2 or above. There is a welcoming, relaxed and warm atmosphere around the home with communication between staff, residents and management open and engaging. Indeed one visitor remarked "The warmth and friendliness make this home welcoming. Staff are always smiling and I would recommend this home to anyone". Other complimentary comments included "Sometimes the response to any query or request is so prompt it can become a bit embarrassing". "There are cleaners in every day and a deep clean occurs at least once a week. Any spillages or soiling is cleared immediately and if needed the carpet is shampooed within six to 12 hours". "If all care and nursing homes were staffed and run the way this one is you would never read any of the horror stories reported in the media". "After the six week period of respite care I was treated so well I asked to become a resident as the improvement in my general welfare was unbelievable". "As far as I am concerned the staff are dedicated". "I am very pleased with this home". "Family members of residents say how friendly staff are and its a nice atmosphere when they enter". "I have found the staff to be proactive in managing and improving individual patient`s healthcare needs. The staff support has improved my patient`s condition and quality of life enormously". "Accurate, explicit information throughout process of providing care to residents. This is a good home and their reputation is widely known. In my experience, residents` do well at Fontenay. This supports the fact that staff are vigilant with monitoring and providing necessary health care needs. Residents are respected and valued and supported with their wishes where possible. Paperwork and documentation is good. Relaxed environment that is essential for the wellbeing of residents. This behaviour is the norm for senior staff and reflects throughout the staff there. The slower relaxed atmosphere I observed and felt by myself, residents and others is more conducive in maintaining residents` health. Staff are of course busy but act professionally in a better manner, not rushing about as staff sometimes do elsewhere". What has improved since the last inspection? A newsletter has just been introduced and is intended to become a quarterly publication. The document provides existing residents with information on current events, staff achievements plus details of residents` birthdays and new admissions. The home`s programme of refurbishment continues. This has resulted in the communal rooms on the second floor being re-carpeted and redecorated. The home`s central heating system has been upgraded, some bedrooms have been redecorated and some flooring has been replaced with a type which promotes safer movement for residents moving around. What the care home could do better: For residents` protection any gaps in staff employment histories must be investigatedand the findings recorded. The provider must ensure the premises are kept in a safe condition. This is for the safety of all residents living at the home, staff working there and visitors to it. There are no requirements, but a number of good practice recommendations have been made throughout the body of the report. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Fontenay Nursing Home 39 Watts Avenue Rochester Kent ME1 1RX     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Elizabeth Baker     Date: 0 4 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Fontenay Nursing Home 39 Watts Avenue Rochester Kent ME1 1RX 01634843753 01634830173 thomas@galloway6fsnet.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Florence Mary Hussin Type of registration: Number of places registered: Mr Thomas Michael Kelly care home 27 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: To accommodate one person with dementia whose date of birth is 19.09.1919. Date of last inspection Brief description of the care home Fontenay Nursing Home is a detached Victorian property situated in a residential area less than a mile from Rochester town centre. The home is located on a main bus route and within walking distance of shops and a Post Office. Fontenay is a 27 bedded home providing nursing care to older people. There are nine single and nine double bedrooms. One single and one double bedroom have en suite facilities. Bedroom accommodation is arranged over the ground and first floors. The communal rooms are located on the second floor. A passenger lift serves all floors. The home has attractive front and side gardens with seating for residents use. There are no dedicated on site visitors parking spaces. The current range of internal and external activities include film shows, board games, arts and craft, painting, crosswords, one to one Care Homes for Older People Page 4 of 27 Over 65 0 26 1 0 Brief description of the care home conversations and singers. Regular spiritual input is provided by a Roman Catholic special minister and a Church of England minister. Fees range from £507.75 to £850.00 per week depending on the room occupied, assessed needs and funding arrangements. Fees are inclusive of all additional charges and services. Care Homes for Older People Page 5 of 27 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: Link inspector Elizabeth Baker carried out the key unannounced visit to the service on 4 November 2008. The visit lasted just over seven hours. As well as briefly touring the home, the visit consisted of talking with some residents and staff. Five residents, two visitors and two members of staff were interviewed in private. Verbal feedback of the visit was provided to the registered manager and personal assistant during and at the end of the visit. The provider was also on site for part of the inspection. At the time of compiling the report, in support of the visit, we, the Commission, received survey forms about the service from eight residents, ten members of staff and two healthcare professionals. At our request the home completed and returned the Annual Quality Assurance Assessment (AQAA). Some of the information gathered from Care Homes for Older People Page 6 of 27 these sources has been incorporated into the report. Since the last visit there have been no safeguarding investigations. There have been no referrals to the Protection of Vulnerable Adults list either. And we have not received any complaints about the service. The last inspection to the home was carried out on 11 December 2006. What the care home does well: What has improved since the last inspection? What they could do better: For residents protection any gaps in staff employment histories must be investigated Care Homes for Older People Page 8 of 27 and the findings recorded. The provider must ensure the premises are kept in a safe condition. This is for the safety of all residents living at the home, staff working there and visitors to it. There are no requirements, but a number of good practice recommendations have been made throughout the body of the report. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 27 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 27 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. Residents move into the home knowing their needs can be met. Evidence: For equality and diversity purposes, all residents no matter how funded are provided with a contract setting out the terms and conditions of staying at the home. The home has a statement of purpose and service user guide. These documents inform prospective residents and or their advocates of the services and facilities provided by the home. The documents are available in large print on request. In addition to this an information pack is provided in residents bedroom which also includes these documents. All the returned surveys from residents indicated they had received a contract and had received enough information about the home. Care Homes for Older People Page 11 of 27 Evidence: Where practicably possible the registered manager or a registered nurse visits prospective residents in their current place of occupation to determine whether the home is suitable to meet their individual needs. Information is also sought from other agencies such as local authorities and or primary care trusts, where a sponsor is involved in the placement or if the admission is made under the rapid response procedure. The information gathered is used to inform the resultant care plan. Not all prospective residents are able to visit the home prior to admission. Where this is the case, their relatives or advocates usually do so on their behalf. To help minimise any anxieties new residents may have on admission, a pot plant or fresh flowers are put in the residents bedroom as a welcoming gesture. Relatives and or advocates are also encouraged to individualise the room to be occupied with some personal items. This is good practice. The home is not registered for intermediate care. Standard 6 is not applicable. Care Homes for Older People Page 12 of 27 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. Residents can be sure their personal goals are reflected in their invidiual plans and that potential risks are managed. The health needs of residents are well met with evidence of good multi disciplinary working taking place on an assessed needs basis. Evidence: For case tracking purposes the care records of four residents were inspected. Records included pre admission assessments, care plans and a range of supporting clinical and safety risk assessments. The assessments included skin integrity, wound and body maps, falls, nutrition, pain, continence, cot sides and mental state. Where action is taken for residents safety but which could be construed as constraint, consent is obtained. Where the provision is declined by the resident, this is respected. Monthly observations are taken, including weights. Some excellent information was seen in care plan components including sleeping. Residents and or their advocates are encouraged to be involved in the compilation and review of care plans. This is good practice. Care Homes for Older People Page 13 of 27 Evidence: Specialist input is also sought and provided from other clinicians including GPs and specialist nurses. Residents also receive input from allied healthcare professionals such as dentists, opticians and chiropodists. Daily records are maintained and gave a good mix of each residents daily experiences with regard to their quality of life experiences and medical condition. Entries had been signed, dated and initialled as required. In two cases where there had been a change in the residents skin integrity condition, this had not generated an update of the residents corresponding care plans. However there was evidence action had been taken to obtain the appropriate pressure relief equipment the residents needed. Medication administration record (MAR) charts were inspected. Generally these had been completed as is required by current good practice. The home has a clinical room in which medicines and nursing aids and sundries are safely and hygienically stored. The room is appropriately equipped. Medicines have to be kept at temperatures stipulated by their manufacturers to maximise the efficacy of treatment plans. To accomplish this, the home keeps daily records of the drug fridges and room temperatures as required. Residents were suitably dressed for the time of day and season, with attention to detail where this is important to them. A hairdresser visits the home fortnightly. As there are no additional costs for this service, this ensures that all residents can have regular hairdressing without worrying whether they can afford the cost or not. This is good practice. And residents said their dignity is protected when staff assist them with their personal hygiene needs. Most of the residents living at the home will do so for the rest of their lives. So that residents spiritual and cultural wishes are carried out in the event of death and dying, information is sought and recorded. Some excellent details were seen. Staff should be congratulated on this. And where there is an assessed need, palliative care support is provided by specialist nurses from the local hospice. All registered nurses and care staff are currently half way through a three month palliative care course facilitated by a local college. Care Homes for Older People Page 14 of 27 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. Residents are able to spend their time as they wish to. The meals in the home are good offering both choice and variety and catering for special diets. Evidence: Arrangements are made for residents to take part in structured activities, socialise with others and or to be as independent as possible. At the time of the visit arrangements were in hand for Christmas with some residents making cards. Tea parties are provided to celebrate special occasions such as birthdays. Residents are also given a card and a cake. Relatives and friends are encouraged to join in the celebrations. Current in house activities include film shows, board games, bingo, art and craft, painting, puzzles, crosswords and one to one conversations. Outside entertainers visit the home and the homes autumn newsletter recorded that a choir visited the home in October to do Songs of Praise. Residents can choose how and where to spend their time and some residents like to stay in their bedrooms. One to one support is provided as some residents prefer to have a chat as opposed to joining in with group activities. Indeed one resident said the activities lady is very nice, she comes and sees the resident often and they have a Care Homes for Older People Page 15 of 27 Evidence: chat. The resident said they really like this. Some residents were seen in their bedrooms reading newspapers or watching their TVs. Residents spoken with said TVs are not put on unless they ask staff to do so. This is appreciated by some residents, as not everybody enjoys watching TV. A Roman Catholic special minister visits the home weekly to give Holy Communion. She also provides spiritual support to other residents if they want this. A Church of England minister visits the home every other Wednesday to give Holy Communion and prayers to anybody requiring this support. If other religious or cultural needs are identified the home arranges for contact to be made on an individual basis. Although meals were not sampled on this visit, an appetising and well presented lunchtime meal was seen. Special diets are catered for and care records evidenced residents are regularly weighed. Indeed the home has two chair scales to do this, both of which are regularly calibrated, as good practice requires. Residents comments about their meals included There is always a choice of menu and if neither offer is wanted further meals are offered; Well cooked lovely food; There is a good variety; Food very good and Food is quite good. Of the eight survey responses received from residents, five indicated they always like their meals and the three others indicated they usually like their meals. Care Homes for Older People Page 16 of 27 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. Residents know their complaints will be listened to and acted upon. Staff have a good understanding of safeguarding issues which protect residents from abuse. Evidence: Information is conspicuously displayed in the reception hall informing members of the public of the homes complaints procedures. The procedure is also included in the homes statement of purpose. The procedure includes our contact details as is required by regulation. However it has not been the homes practice to include contact details of the local social services department. For ease of reference this should be added. Residents spoken with knew what to do if they had a concern or were unhappy about any aspect of their care. Staff interviewed described appropriately the action they would take if they suspected abuse had taken place. We have not received any complaints about the service. The returned AQAA indicates that in the last 12 months the home has not received any complaints. There have been no safeguarding referrals made against the home. The home has a central system for recording formal complaints if they are received. Where verbal comments and niggles are made these are recorded in residents individual care records. However this practice may prevent easy access for quality Care Homes for Older People Page 17 of 27 Evidence: assurance purposes when monitoring trends. Six of the eight returned comment cards from residents indicated the respondents knew how to make a complaint. Care Homes for Older People Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is warm and homely creating a comfortable place for residents to live. Evidence: Areas visited and used by residents were fresh, clean, warm and odour free. Indeed residents and visitors spoken with indicated the home is always kept in a clean, fresh and warm condition. The home has a rolling programme of replacement and redecoration. Since the last inspection the communal rooms on the second floor have been or in the process of being redecorated and re-carpeted. The AQAA records that the homes central heating system has been upgraded and some bedrooms have been redecorated. The type of flooring in some areas has been changed to enable residents to move around more safely. An environmental health inspection of the homes kitchen was carried out at the beginning of this year. The visit found standards were good. The home has a range of moving and transferring equipment so staff can assist residents in a safe manner. As expected of care homes providing nursing care, the home has a range of pressure relief and preventative equipment, which is used on an assessed needs basis. All residents are provided with a special adjustable bed. Residents spoken with indicated their beds are comfortable. And to assist residents Care Homes for Older People Page 19 of 27 Evidence: who have hearing impediments, the home has a mobile loop system. Residents linen and personal clothes are laundered on site. The laundry is appropriately equipped. A resident said they take your clothes away in the morning and they are normally returned by lunch or tea time. And a visitor remarked that their relatives laundry is always returned and put away. The home has a sluice room on the ground and first floors, which are used for the disposal of bodily waste. However because of space limitations some clean items such as residents washing bowls are stored on the floor. It was noted on this visit that the rooms are not lockable to prevent unauthorised access. This situation potentially places residents who may wander or young visitors at risk. Care Homes for Older People Page 20 of 27 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 morale is high resulting in an enthusiastic workforce that works positively with residents to improve their whole quality of life. Evidence: As well as care staff, staff are employed for cooking, activities, cleaning, laundry, administration and maintenance. Staff were seen carrying out their duties in an unhurried manner and being attentive to residents. Four of the eight returned surveys from residents indicated staff are always available when needed and the remaining four indicated staff are usually available when needed. Eight of the ten returned staff surveys indicated there are always enough staff to meet the individual needs of the residents. The other two indicated usually there are enough staff. Seventy nine percent of unregistered care staff are now trained to NVQ level 2 or above in care. This is good practice and should provide healthcare assistants with the skills and knowledge required to perform their roles. And ancillary staff are also encouraged to undertake NVQ training relevant to their roles. New staff are required to complete an induction programme, which follows the Skills for Care model. This helps to equip them to better understand and meet the health and personal care needs of residents. Care Homes for Older People Page 21 of 27 Evidence: The training matrix indicates that staff have received training in fire, manual handling, infection control and basic food hygiene. And eight members of staff have attended the appointed person first aid course. In addition to this mandatory training, care staff have received training in dementia, MRSA, palliative care, managing and safe handling of medicines. Training booked for 2009 includes Mental Health Capacity Act, Arts and Crafts, Moving and Handling (Train the Trainer). During staff interviews staff said they had received training including dementia, MRSA, palliative care, first aid and moving and handling The staff files of two members of staff were inspected. As part of the homes vetting practice, references are sought and obtained, POVAFirst is accessed and Criminal Record Bureau (CRB) checks undertaken. In one case the applicant had provided an accompanying CV. Although there was an unexplained gap there was no recorded evidence that this had been clarified. In 2004 our Regulations changed. Regulation 19 now requires a full employment history, together with a satisfactory written explanation of any gaps in employment. Care Homes for Older People Page 22 of 27 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from a well run home. Evidence: The registered manager is a registered nurse, is experienced in working with elderly residents and has run for the home for about 20 years. Residents, visitors and staff spoke openly during the visit about their experiences of visiting, living and working at the home and how approachable the registered manager is. Management promote an open door policy for residents, visitors and staff. This is much appreciated. The home has developed its own quality assurance systems. Questionnaires are sent annually to residents, families and visiting professionals. Resident and staff meetings take place regularly. The home is a member of a care home association. The association keeps the home up to date on policies and documentation. The provider visits the home every week. And a report is made and kept at the home from one of these visits as is required by regulation. Care Homes for Older People Page 23 of 27 Evidence: Staff interviewed talked about the staff meetings and the supervision sessions which the home facilitates. The home has many policies and procedures and these are reviewed on an annual basis. The policies and procedures are kept in the managers office and staff room for ease of access. The home does not currently maintain personal allowances on behalf of any resident. The home does have a facility for the safe keeping of items of importance or value for residents to use. This is currently being used by one resident. However it has not been the homes practice to keep records and receipts of this arrangement as good practice requires. The returned AQAA in support of this visit indicated that the homes equipment has been serviced and tested since the last visit as required by the manufacturer or other regulatory body. However during the inspection it was identified that the premises electrical circuits had not been tested as required by November 2007. Arrangements are in hand for the work to be done this month. It is the providers responsibility to ensure that the premises are safely maintained at all times. Care Homes for Older People Page 24 of 27 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 25 of 27 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 26 of 27 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. 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