Care Home: Greenways

What the care home does well At Greenways people using the service are provided with a comfortable homely environment to live in. A well trained and competent staff team meet the residents assessed needs by working closely with other health professionals like district nurses, physiotherapists, occupational therapists and GP`s for the best possible advice. People using the short term and intermediate service have a written care plan and a care manager is allocated to them to help with arrangements and future planning. Residents individual care plans addressed religious cultural and relationship needs so that care staff could be sure they the care provided was right for that person. All care plans are person centred and are regularly reviewed by a multidisciplinary team of professionals. Written information about the service is comprehensive and easy to understand so that prospective residents know the service can meet their needs. A full time activities coordinator is employed at Greenways to ensure residents social, cultural, religious and recreational interests are met. People using the service made positive comments on the lifestyle experienced at Greenways and confirmed it matched their interests and social needs. When asked what the home does well resident`s made the following comments. "Everything. If they can think of anything the home could do better they are not here". "Warm and comfortable. Friendly and helpful staff. Plenty to do". "Good Physio and the social life is good". "I get looked after well". "The staff keep an eye on people who are really unwell". People who use the service could move freely around the home. Daily routines were structured and person centred so that the needs and preferences of individual residents could be fully met. A number of areas of good practice was noted including the promotion of equality and diversity through person centred care plans. Staffing levels reflected the complex support needs of people using the service. What has improved since the last inspection? A weekly duty rota for all staff is now in place and shows an accurate record of who has worked in the home during the week. Medicine policies and procedures ensure that residents who self administer their medication are supported to do so by trained staff in a risk managed framework and these details are recorded in the residents plan of care. What the care home could do better: We found that people using the service at Greenways currently benefit from the ethos, leadership and management approach of the home. We will do an annual review of the service before 12th January 2011. However we can inspect the service at anytime if we have concerns about the quality of the service or safety of the people using the service. Key inspection report Care homes for older people Name: Address: Greenways Salisbury Road Darwen Lancashire BB3 1HZ     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: Christine Mulcahy     Date: 1 3 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: Greenways Salisbury Road Darwen Lancashire BB3 1HZ 01254701954 01254777574 greenways@blackburn.gov.uk www.blackburn.gov.uk Blackburn with Darwen Social Services Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Barbara Magee Type of registration: Number of places registered: care home 28 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: 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 The maximum number of service users who can be accommodated is: 28 Date of last inspection Brief description of the care home Greenways Home for Older People is registered with the Care Quality Commission to provide personal care and accommodation to 25 people over the age of 65. The building is two-storey, a passenger lift connects both floors and bedrooms, bathrooms and toilets are situated on the ground and first floor. The large dining room on the first floor is used for social events and there is a well ventilated room that caters for smokers. There is easy access for wheelchair users and the building is surrounded by Care Homes for Older People Page 4 of 27 Over 65 28 0 Brief description of the care home lawns and patio. Parking is on the road. The home is close to a bus route into Darwen Town Centre, and is approximately one mile from the main shopping centre. A 12 bed intermediate care unit had been established in Greenways for people whose ability to remain in their own home is in doubt. People living at Greenways have their own bedroom which has its own hand basin, cupboards and lockable drawers. There is a kitchen area where residents can prepare their own breakfast and opportunities to prepare other meals with support from fully trained staff. In addition there is a dedicated space for physiotherapy and access to specialist equipment to promote and maintain residents independence in the kitchen and areas of personal care. There are 5 communal lounge areas that are furnished to a good standard and have a warm and friendly atmosphere where people can relax. Prospective residents are always given a needs assessment by a care manager before they move into the unit and written information about the service is provided by the Greenways manager. The cost of intermediate care is free for six weeks and longer stays can be discussed with the care manager and registered manager of the unit. 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: Greenways Home for Older people received a key (main) visit 13th January 2010. The visit was done over 2 days by one inspector and took 10 hours. Prior to the visit taking place the manager was asked to complete a document called an Annual Quality Assurance Assessment (AQAA). This document provides information on the services strengths and weaknesses and any future plans to develop the home. During the visit we walked around the home and we checked various records to see what care people living at Greenways receive. We spoke to people who live at Greenways and sent them comment cards to fill in and they told us what they thought about the home. We also spoke to staff and the manager who gave us their views about Greenways. We have included all of the views throughout the report. References to we or us represent the Care Quality Commission. Care Homes for Older People Page 6 of 27 Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? A weekly duty rota for all staff is now in place and shows an accurate record of who has worked in the home during the week. Care Homes for Older People Page 8 of 27 Medicine policies and procedures ensure that residents who self administer their medication are supported to do so by trained staff in a risk managed framework and these details are recorded in the residents plan of care. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People assessed and referred for intermediate and short term care are given clear information about the service before they move in and are helped to maximise their independence and return home. Evidence: It was apparent that the management team at Greenways Home for Older People have spent a significant amount of time and effort planning new admissions to the service. New residents and their families are given a comprehensive information brochure that is specific to the people using the service. Written information explained that the service was for people over 65 who might still be living in the community but experiencing a reduction in their ability to manage and care for themselves. We examined a copy of the brochure given to new residents and it clearly explained Care Homes for Older People Page 11 of 27 Evidence: the different styles of support, treatment, and specialist services provided to meet their needs. Written in plain English and using pictures, photographs and leaflets the written information gave reassurance about the life changing decisions they might need to make. People moving to the home for intermediate care were assessed and referred solely for that purpose. Prospective residents must receive a comprehensive needs assessment done by skilled staff before admission. Prospective residents and their families are encouraged to be involved in the assessment process and information is gathered from a range of sources like care managers, relatives, and medical professionals. The assessment focuses on achieving positive outcomes and covers all aspects of the persons life like personal and physical care, diet and weight, sight, hearing and communication, mobility and dexterity, history of falls, continence, medication use, social interests and hobbies. Care plans and health files of people using the service were examined and included a clear written contract and conditions of the home which had been signed and agreed by the resident or their representative. Where people are admitted for intermediate care only, specialised equipment facilities and staff are provided to deliver short term intensive rehabilitation so that residents can return home. The facilities are sited in dedicated spaces around the home and included equipment for therapies and treatment as well as equipment to promote activities of daily living and mobility. Specialist rehabilitation services from Occupational Therapists (OT) Physiotherapists (PT) and specialist nurses are provided to meet the assessed needs of people admitted for intermediate care 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. The health care needs of the people using the service were set out in a plan of care. Residents were protected by the homes medicine policies and procedure. Care practices showed that residents privacy and dignity was respected. Evidence: We looked at 2 residents personal health records in the form of a care plan which showed that information about the residents health care needs was up to date. Each resident had received a comprehensive needs assessment before moving into the home as described in the pre admission information and care plans had been written based on the needs assessment. There was sufficient health care information for staff to meet the residents assessed needs and the care plans seen used a person centred approach based upon the rights and dignity of people using the service. Detailed and up to date information provided by specialist nurse, OT , Physio, GP, and other health professionals were clearly recorded and kept in the residents care plan. Care plans also addressed the residents emotional needs, diet, medication, aids and adaptations specific to the person, activities, privacy and religion. Care Homes for Older People Page 13 of 27 Evidence: Discussion with the manager confirmed that the health care and support delivered to people using the service was consistent, sensitive, and met the residents identified needs. We asked two people about the standard of care received at Greenways and they made the following comments, I get looked after well. Good physio and the social life is good. The manager told us that it was important for all involved staff to be aware of the residents care needs to ensure a consistent level of care and support to the resident. She explained that care plans for people receiving intermediate care were reviewed weekly by a multidisciplinary team of health professionals. This was because there was an emphasis on intensive assistance so the resident could move back home within a fixed period of time. Care plans for longer stay residents were reviewed monthly or sooner if necessary. Equipment, aids and adaptations like parallel bars, wheelchairs, hand rails and steps are provide for residents to be supported by OTs and Physios to exercise and to promote their rehabilitation and independence. People using the service can also receive help and information and advice from staff at the unit about entitlements and other services. An effective medicines policy supported by written procedures and practices was available for staff to follow. Examination of the medicines cabinet and medication administration records (MAR) sheets showed that medication in the home, including Controlled Drugs, was stored and managed appropriately. Medicine records were fully completed and signed by designated staff. There is a good record of compliance with the receipt, administration, and safekeeping of medicines in the home and 15 out of 39 care staff have received accredited training in safe handling of medication. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Leisure and recreational activities available met the social and cultural needs and interests of people using the service. Visiting from relatives and friends is encouraged and supported. A regularly reviewed menu ensure meals and snacks provide variety and nutrition. Evidence: At Greenways the philosophy and ethos strongly promote the residents right to live an ordinary, independent and meaningful life in the home and in the community. Religious and cultural needs had been assessed and identified at the initial assessment process before moving into the home. The manager said that wherever possible residents were able to make choices, with support, about aspects of their lives like waking, going to bed and handling their own money. There is a strong commitment to enable residents through a person centred approach to integrate into community life and use facilities that develop their abilities and social skills in preparation for discharge like, visiting supermarkets and shops to familiarise people with their future. Observations of the care provided and a variety of activities available in the home confirmed that as far as possible opportunities for residents to experience independence in and around the unit was widely available. Care Homes for Older People Page 15 of 27 Evidence: A full time activity coordinator is employed to ensure people using the service are encouraged to get involved in social, cultural, religious and recreational interests that meet their assessed needs promoting confidence and independence. The activity coordinator plays a vital role in the rehabilitation of all people using the service. Their interests are recorded and opportunities to re learn lost skills, rebuild daily living routines and develop personal and social relationships, are in place to meet their expectations, capacities and preferences. Residents told us they were able to have visitors at any reasonable time and could use one of the 5 lounges to meet them in private if they wanted. We observed lunch being served to the residents and the choice of beef burger or ham salad looked wholesome and appealing. The manager said that menus were changed regularly following suggestions from residents. She said there was always an alternative meal and residents could have what they preferred to suit their individual dietary requirements and preferences. The evening meal shown on the menu was beef casserole or fish pie with seasonal vegetables and mashed potato with stewed apples and custard or ice cream for dessert. 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. Complaints made by residents and relatives were acted on and recorded. Staff training and the homes safeguarding policies and procedures ensure residents are protected from abuse. Evidence: The person on charge said that at Greenways the culture is for residents to express their views and concerns in a safe and understanding environment. There is an effective, easy to understand organisational complaints procedure and a copy is given to all residents with the service information on admission to the home. The document explains the complaints process, timescales and deadlines in detail. The manager said that residents know and trust the staff well enough to feel confident that where possible concerns will be addressed before becoming a bigger problem. The Commission have not received any complaints about the service since the last main inspection. There is a robust organisational policy and procedure for safeguarding adults and it gives clear guidance to those using them. 27 out of 39 care staff are trained in safeguarding adults. This means that many of the staff team would know what to do if they suspected abusive practices. Two members of staff when asked about the organisational safeguarding policy and procedure were fully aware of where to find the policy and how it should be used. Care Homes for Older People Page 17 of 27 Evidence: The manager told us that 12 other care staff were awaiting safeguarding training and would attend the training once places became available. 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. People using the service had the specialist equipment required to maximise their independence. The home was clean, pleasant and hygienic Evidence: At Greenways the layout of the home is designed to provide small group or cluster living where residents can enjoy maximum independence in a non-institutional environment. There is a selection of communal areas including 2 small and 3 larger lounges inside the home. This means that people using the service have a choice of place to sit quietly, meet with family and friends or be actively involved in activities with other residents. The home has single rooms available for each resident and 2 of these are en suite. All bedrooms promote the residents privacy and have locks and lockable spaces. People have a key to their room if they want one unless otherwise identified through a risk assessment. There are enough bathrooms and toilets that include aids and adaptations to meet the residents needs and promote their independence. A range of equipment to support people who were receiving intermediate care was available throughout the home and included parallel support bars, practice steps, bed guards, wheelchairs and walking frames. Care Homes for Older People Page 19 of 27 Evidence: A 24 hour Telecare system along with a nurse call system is installed in the home to alert care staff to residents urgent needs and there are enough evacuation chairs in the home to ensure the safety and wellbeing of people using the service in an emergency. A fully fitted kitchen with microwave oven, toaster and kettle was set up for people to be supported by fully trained staff to practice their domestic and kitchen skills so they could successfully manage their lives at home after they leave Greenways. The manager showed us a small kitchen area where residents could make their visitors and relatives a snack and hot drink. She told us that this was a new area introduced recently and was very popular with the residents. She said they found it very useful and it helped people develop or maintain their independence. 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. People using the service were confident they were in safe hands at all times and staff were trained and competent to meet their needs. Evidence: The staff rota showed there were sufficient staff on duty to meet the needs of the people using the service. Particular attention was given to busy times of the day and specific needs of the residents like medical appointments, educational or day center activity. An activity coordinator is employed to ensure the residents social, cultural and recreational needs are fully met. A copy of the training matrix was examined and showed staff training was ongoing. Out of 39 staff 33 are trained in health emergencies, 23 have up to date fire awareness training, 33 are trained in food hygiene, 28 have received moving and handling training and 27 staff have been trained in safeguarding. The manager said that the organisation expect all employees to undertake external qualifications and attend essential training including refresher training. The training is always focused on delivering improved outcomes for the people using the service the results of which are demonstrated in the homes successful record of staff attendance at training courses. There is a good recruitment procedure that clearly shows the recruitment process to be followed and ensures the protection of people using the service. Staff files Care Homes for Older People Page 21 of 27 Evidence: examined showed that staff were only recruited after essential pre employment checks were carried out and this was confirmed by two staff when we spoke to them. They told us, We had to have a Criminal Records Bureau (CRB) check before we could work here so that they knew the residents would be safe. We looked at the personnel file of one of the care staff at Greenways. The file showed us that all pre employment checks were done before she started work at Greenways to ensure the protection of the residents. We looked at the notes and records made at staff meetings, supervision and appraisal sessions and it showed us that these take place regularly so that all staff are aware of their roles and responsibilities and know what to do to meet the needs of people using the service. Staff were observed working effectively with residents demonstrating a variety of skills required to meet the residents needs. A person using the service told us, The staff look after us well. 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. The management and administration of the home is based on openness and clear systems of working. Policies and procedures in the home ensure safe working practices that safeguard the people who live there. Evidence: The registered manager has over 25 years experience of working with older people and she is qualified and competent to manage the service. Through discussion she was able to demonstrate a clear understanding of the key principles and focus of the service, she was person centred in her approach, and was aware of the current developments within the service. We wanted to know how Greenways make a difference to someones life with the service they provide, so the manager now completes a monthly log to gather evidence of good outcomes for people. The manager looks at case studies of people using the Care Homes for Older People Page 23 of 27 Evidence: service and briefly describes how things were before and after Greenways intervention. She also looks at the involvement of people using the service and how their comments or opinions influenced changes. Complaints, comments and compliments looks at where a formal complaint has led to changes being made. Finally the manager looks at trends like how many people have accessed a specific service and had an improvement in their life because of this. Information gathered is looked at by a reference group and submitted in the local authority annual inspection. This means there is continuous self monitoring involving people using the service to measure the aims and objectives of the home. People using the service control their own money and safeguards are in place to protect their interests. Secure facilities are provided for the safe-keeping of money and valuables on behalf of residents. A record of a residents finances was examined and staff and residents signatures verified the transactions. Good practices, risk assessments, and good keeping of records required by regulation ensure there is a very low number of preventable accidents. This means that people using the service are safeguarded and there are effective, efficient systems in place to run the service. The manager and the staff team have a good understanding of the risk assessment process and this is taken into account in all aspects of running the home. All staff are trained in health and safety matters including moving and handling, fire safety, health emergencies, food hygiene and infection control. Training records reflect this and regular updates are planned to ensure the health, safety and welfare of people using the service and staff are promoted and protected. 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). 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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