Care Home: Fornham House Residential Home

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What the care home does well A range of literature is provided, which gives good information about the facilities and services offered and the costs involved. This information encourages `a visit to Fornham House to meet our staff and residents will give you an opportunity to find out more and ask questions`. One resident told us `After some short stays, I`m now resident and know I`ve made the right decision to reside at this home`. A relative told us `The home is run efficiently, the staff are very friendly and I would recommend to to others`. The home provides a wide range of activities outings and social events, which are planned to meet individual residents needs and to accommodate their interests and requests. These are organised by 2 activities staff employed by the home. The range of activities includes; Art groups, flower arranging, library service, penny top bingo, gentle chair based exercises and quizzes. In December there were several external entertainers come in including a local school group and different Christmas celebrations. A number of religious services are held in the home with communion once a week. There are plenty of social gatherings such as afternoon tea and coffee mornings and pre lunch drinks on a Sunday. The home also has 2 professional hairdressers visiting and we saw several people having their hair styled whilst we were there. Fornham House is a splendid environment with impressive grounds liked very much by the residents. There are a variety of communal rooms (5 lounges) that are beautifully decorated with luxury furnishings. The home still manges to be comfortable and homely whilst meetings the needs of older people. The home is exceptionally clean and well maintained. What has improved since the last inspection? The previous inspection of Fornham House found and excellent service offered to people. We are pleased to say that the hard work and dedication of all staff has enabled this to be maintained. There is evidence of improvement in the environment with a new extension being built and the current environment has been well maintained and improved. Practice of staff has been kept up to date with knowledge of new changes in legislation such as The Mental Capacity Act and the new vetting and barring scheme. What the care home could do better: Detailed feedback was given at the end of the inspection and the manager was able to action matters immediately. We received information promptly that evidenced action taken on staff training, care planning and protection of residents through improvements immediately made with regard medication. Key inspection report Care homes for older people Name: Address: Fornham House Residential Home Fornham House Residential Home Fornham St Martin Bury St Edmunds Suffolk IP31 1SR     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: Claire Hutton     Date: 0 6 0 1 2 0 1 0 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 27 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 27 Information about the care home Name of care home: Address: Fornham House Residential Home Fornham House Residential Home Fornham St Martin Bury St Edmunds Suffolk IP31 1SR 01284768327 01284768040 admin@fornhamhouse.healthcarehomes.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Pri-Med Group Ltd. care home 73 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 73 The registered person may provide the following category of service only: Care home only Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category Code OP Date of last inspection Brief description of the care home Fornham House provides personal care and accommodation to 66 older people. It is owned by Healthcare Homes. Healthcare Homes have anumber of care homes throughout the East of England. The home is situated in the village of Fornham St Martin, which is about five miles from the market town of Bury St Edmunds. There is a public house and church in the Care Homes for Older People Page 4 of 27 Over 65 73 0 Brief description of the care home village but other facilities (such as shops) are located in Bury St Edmunds. All the homes bedrooms are single with en-suite toilet and shower facilities. Shaft and stair lifts provide access to all floors of the home. There are several communal rooms and an accessible and well-maintained garden. The standard of accommodation is excellent, and the home has consistently achieved a high degree of compliance with national standards and regulations relating to care homes. The range of fees is £515.00 - £750.00 per week. More information about what is included in fees can be obtained direct from the home. 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: This unannounced inspection took place over 9 hours during a weekday. This inspection focused on the core standards relating to older people. During this inspection the inspector made a tour of the building, had in depth discussions with the homes manager, met all the residents and spoke individually with many of them, spoke also with the staff on duty and carried out spot checks on a number of the homes records. The comments in this report reflect the findings made by the inspector during that visit and also take account of information gathered over the past months from the homes manager and by way of pre-inspection questionnaires completed by the majority of the residents, their relatives and other professional stake holders in the home. The Annual Quality Assurance Assessment (AQAA), issued by the Care Quality Commission (CQC) was returned completed by the manager. This self-assessment gives providers the opportunity to inform the CQC about their service and how well they are performing. Care Homes for Older People Page 6 of 27 We (CQC) also assessed the outcomes for the people living at the home against the Key Lines of Regulatory Assessment (KLORA). This was a positive inspection. The home had a well-ordered and homely atmosphere where staff and residents were seen to be interacting positively together. The residents looked happy and without exception all said that they were well cared for. Comments such as Fornham House employs staff who show concern, gentleness and compassion for the residents. They make them feel at home and nothing seem too much trouble for them, was made by a relative. Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. Care Homes for Older People Page 8 of 27 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 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 can be assured that admissions to the home are not agreed until a full needs assessment has been carried out and the home is satisfied that it can meet these needs. Sufficient information is provided for prospective residents and their families to enable them to make an informed choice about using the service. Evidence: A range of literature is provided, which gives good information about the facilities and services offered and the costs involved. We were told anyone can request and enquiry pack. We were given an up to date copy for our records and this included a residents guide and sample contracts. This information encourages a visit to Fornham House to meet our staff and residents will give you an opportunity to find out more and ask questions. Care Homes for Older People Page 11 of 27 Evidence: In the entrance hall was more information including family and friend guide and previous reports for all to read. During our visit all staff and residents were open and friendly. All prospective residents receive a home assessment visit from the manager to make a full assessment of the applicants care and social needs. If it is thought that these could be met in Fornham House then the prospective resident is offered a trial visit. The home information says we know that it takes time to settle in, which is why we have designated the first 4 weeks of residence as a trial period without any further obligation on either side. Written and verbal comments made to the inspector evidenced that this process is thoughtfully carried out at a pace, which meets the needs of the prospective residents. We saw evidence of detailed assessments that allowed the home to determine if they were able to meet care and social needs. The seven surveys received from people who live at the home told us they all had sufficient information about the home and had information about terms and conditions (a contact) One resident told us After some short stays, Im now resident and know Ive made the right decision to reside at this home. A relative told us The home is run efficiently, the staff are very friendly and I would recommend to to others. The home does not provide intermediate care so 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are treated with respect, dignity and as individuals. Residents can be assured that they will have prompt access to medical services whenever these are needed. The outcome being people are very satisfied with the care and support given by staff. The homes medication storage and administration system is generally robust and gives good protection to the residents. However, some improvements could be made. Evidence: The health and personal care needs of the residents are met following an assessment of their individual needs and with due reference to them retaining their dignity and respect. A number of care plans were inspected to track how the care was determined and delivered and to see how the level of support required was ascertained. The care plan system in place was currently being changed to a different format. We fed back to the manager the details of some aspects of care plans that were not completed. The manager promptly got back to us following the inspection to say that all care plans had been audited and 10 plans had been transferred into the new format and Care Homes for Older People Page 13 of 27 Evidence: and the remainder would be up dated over the 3 coming months. During our visit we found good evidence that the pattern of care for specific health needs such as pressure area care, falls prevention, continence care and nutritional care could be evidenced via the various recording charts including a nutritional screening (MUST charts), manual handling risk assessments and nutritional and weight recording charts which included the management of diabetes. We found good recordings of GP visits and advice they were giving along with good District Nurse intervention, who was visiting on the day of our inspection. The self assessment also told us of access to specialist medical professional when required e.g physiotherapists, chiropodists, dietitian, Hospice and Macmillan nurses, stoma and diabetic nurses etc. We consulted with staff about care plans and most staff said the plans were up to date and informative, but that the main source of good regular information was from the handover received from the previous shift. We looked at the daily records made by care staff and found these to be coherent, factual records of care given. We spoke with residents and relatives during our visit and without exception all were happy with staff and care support they received. One resident told us staff always listen to residents and are always cheerful. Another resident said attentive staff who give good care. A relative said Fornham House employs staff who show concern, gentleness and compassion for the residents. They make them feel at home and nothing seem too much trouble for them. Personal care was seen during this inspection to be being delivered to the residents in a kind and understanding manner by staff who clearly understood their care needs both physical and emotional. Staff were seen to reassuringly intervene when a resident became somewhat anxious, this being done in a manner which promoted their independence and feeling of well-being. The medication system in use at the home has recently changed due to change of supplying pharmacist. Staff who administer medication have been trained to do so. The home continues to use a Monitored Dosage System (MDS) and a senior staff member was observed administering medication during this inspection. Administration around the home is carried out using a locked medication trolley, which is otherwise stored in the clinical room. This room is kept secure. Medication was seen to be administered appropriately with good records kept. We fed back to the manager the need to ensure antibiotics are spread out though the 24 hour period and our concern that the drugs round was large and took too long. The manager got back to us following the inspection and confirmed she had consulted with the supplying Care Homes for Older People Page 14 of 27 Evidence: pharmacist. Medication administration sheets have been altered for antibiotics and therefore this has immediately been remedied. In relation to the drug round steps have been taken to develop self administration with assistive technology devices. This has been supported with a new self administration risk assessment to be completed for all residents. This development will potentially shorten the drug round whilst allowing residents to maintain control and self determination of their own medication. In addition we requested that the manager check that the controlled drugs storage did conform to regulation. This she has duly done and confirmed. Care Homes for Older People Page 15 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The diverse social and activity needs of the residents are well supported and enjoyed by all. The residents receive a healthy diet of freshly prepared good quality food, which is provided with good variety according to individual needs. Evidence: The home provides a wide range of activities outings and social events, which are planned to meet individual residents needs and to accommodate their interests and requests. Information about these activity programmes is advertised in the home on various notice boards and individual activity planning was recorded on the residents care plans. The home employs 2 activities organisers who work 36 hours each week and in addition a number of activities are led by outside providers. The range of activities includes; Art groups, flower arranging, library service, penny top bingo, gentle chair based exercises and quizzes. In December there were several external entertainers come in including a local school group and different Christmas celebrations. A number of religious services are held in the home with communion once a week. There are plenty of social gatherings such as afternoon tea and coffee mornings and pre lunch drinks on a Sunday. The home also has 2 professional Care Homes for Older People Page 16 of 27 Evidence: hairdressers visiting and we saw several people having their hair styled whilst we were there. There was a lot of praise for the social entertainment at Fornham House. One resident said it keeps me interested and busy. A relative said The activities program is excellent. The residents receive a healthy diet of freshly prepared home cooked food. Most feedback was that people were satisfied. One resident told us that the food was good and they preferred to eat in their room though they had tried the dining room. Another resident said the food was so good they had put on weight since they had been at the home. However we did have a small proportion of people who thought that the choice of food could improve and the consistency of quality was not guaranteed because of staff changes. We spoke with the manager about this and she was aware of these matters as the homes own quality assurance had also highlighted matters to develop. The manager was confident that measures she was taking in getting more staff and improving their abilities would address these matters and that she would be monitoring this through the resident and relative groups held at the home. Care Homes for Older People Page 17 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. The home has an open culture that allows the residents to express their views and concerns in a safe and understanding environment. The homes complaints policy is clear and freely available. The home has a good understanding of the policies and procedures concerning Adult Protection and how these give protection to the residents. Evidence: Information concerning the homes complaints policy and procedures was seen to be freely available in the home. Information gathered from residents and relatives evidenced that most people had a good awareness of these. Relatives and residents commented that if they had any reason to complain they would first discuss the problem with a member of staff or the manager because they had confidence that things would be sorted out simply without the need to resort to formal procedures. We looked at the log of complaints held by the home and tracked some information in detail. The responses we saw showed that matters are taken seriously and dealt with openly and fairly. In addition there are no repeat matters being expressed by people who use the service, therefore we believe the service learns from concerns raised. The self-assessment told us all complaints are taken seriously with the view to improving the service to residents and are documented together with outcomes and are audited by the Regional Manager. In the last 12 months there has been 3 complaints made Care Homes for Older People Page 18 of 27 Evidence: about this service therefore there are not an undue number of concerns raised. There has been 1 incident concerning Safeguarding Adults (Adult Protection) since the last inspection. This has been investigated and resolved. We found the home had the relevant up to date information on adult protection. Staff consulted had a good awareness of safeguarding and were clear that they would refer matters. All staff had received training in Safeguarding Adults and senior staff had received additional training in The Mental Capacity Act. Care Homes for Older People Page 19 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is very well appointed and subject to regular maintenance and so offers an excellent environment, which meets the space standards and the residents needs. Evidence: Fornham House is a splendid environment with impressive grounds liked very much by the residents. There are a variety of communal rooms (5 lounges) that are beautifully decorated with luxury furnishings. The home still manges to be comfortable and homely whilst meetings the needs of older people. The home is a variety of period and new build with a new extension nearly finished at the time of writing this report. Therefore there is a wide variety of individual rooms for those who like modern or classic features such as a fire place to their room. The new extension will bring 7 further bedrooms, reception, offices a new 2nd passenger lift and additional bathroom facilities. The home is exceptionally clean and well maintained, even at a time of building work, the home has benefited from redecoration, new carpets, curtains, upgrades of en suites and ongoing upgrades such as fire doors. 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. Experienced and trained staff are employed in sufficient numbers to support the people who use the service and thereby ensure the smooth running of the service. Evidence: The staff were observed to be working very well together as a team in a proactive rather than a reactive manner. They were enthusiastic about their work and clearly had very good relationships with the residents several of whom had also been living in the home for many years. The staff demonstrated a thorough understanding of the particular needs of the residents and thereby could deliver effective person centred care. The comments made by the residents both written and verbal evidenced that they felt that there was always sufficient staff to meet their care needs although some times of the day were always busier than others. Residents and relatives told us that they value the staff as they are always courteous, cheerful and helpful. One staff member told us we make sure all the residents have good personal care and are of good appearance. We always use mobility aids if needed. Communication skills are good - talking - listening and looking at body language. We do try to maintain independence, encouraging the residents to do as much as they can for themselves. Staff spoken with were keen to undertake further training and personal development. The home has a good training record with over sixty five percent of staff having obtained a National Vocational Qualification (NVQ) at either level 2 or 3. All senior Care Homes for Older People Page 21 of 27 Evidence: staff holds this qualification at level 3. Since the last inspection staff have attended core training in a range of subjects. We fed back to the manager a need to ensure all staff have regular updates in manual handling and following the inspection she confirmed that 16 staff received manual handling training immediately as the home borrowed a training instructor from another home in the Heath Care Homes group. The recruitment records of recently appointed members of staff evidenced that the correct procedures and checks had been carried out and that the new staff had not commenced duties until CRB checks had been made. New staff then work alongside experienced staff whilst undertaking their induction-training programme. New staff told the inspector that they felt well supported by the existing staff team and that they had had time to get to know the residents thoroughly. 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 and their relatives can be assured a competent, experienced and qualified manager and management team leads the home. The management and administration of the home is based on openness and respect. An effective quality assurance system is in place to ensure peoples views are obtained and incorporated into the running of the home. Evidence: The manager has the required qualifications and experience and is competent to run the home. She has a clear understanding of the key principles and focus of the service and her aim is to continually improve an increased quality of life for the residents, with a good awareness of the need for equality and an understanding of the diversity needs of the residents. Staff and residents spoken with confirmed that the manager is supportive and approachable. Written comments from relatives also confirmed this and evidenced Care Homes for Older People Page 23 of 27 Evidence: that the home is run in the best interests of its residents. Staff confirmed that there is a good system in place for supervision and an annual appraisal. Staff spoken with feel they are offered good support and always able to ask advice. The home has clear health and safety policies of which staff had a good awareness. Weekly and monthly audits/checks are made to ensure that standards are maintained. Spot checks made of these records during this inspection including fire testing, water temperatures, regulation 26 visits by the organisation and risk assessments evidenced that the records are well maintained and that routine checking is carried out. Proper safeguards and recording arrangements are in place to ensure the safety of residents monies kept by the home. Each resident has a lockable cupboard in their rooms where they can keep their money or valuables if they wish. The home has a current Liability Insurance Certificate and the Registration Certificate was on display. The quality monitoring system includes written questionnaires and the information gathered from these is collated into an annual report. The introduced of the Annual Quality Assurance (AQAA) a self assessment form, issued to the home for this inspection, was returned in good time with clear and detailed information. When we gave detailed feedback to the manager she was keen and quick to put matters right and evidenced to us in writing the actions she had taken to ensure the ongoing quality of service. 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: 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). 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