Care Home: Greenways Residential Home

What the care home does well Greenways is a small care home that provides a homely service in a family atmosphere. There is a pleasant garden on level ground that is enjoyed by people living in the home in good weather. People`s views about the home are sought and acted upon by Mrs Clark. Everyone has an assessment of their needs before a decision is made about them moving to the home. Each person has a plan of their care and they are involved in decisions about their daily lives. People say that they receive the health and social care that they need. Some activities are provided and people are supported to maintain their independence. People all said that they like the food. Everyone is provided with a copy of the complaints procedure and Mrs Clark takes an open and pro-active approach in responding to concerns or complaints that people make. There is a thorough recruitment procedure to help to protect people in the home. There is an induction and training programme for staff and those who returned surveys or were spoken with said that they feel well trained and supported to do their job. Comments that people made about the service include: `What dealings I have had with Greenways suggest they are a very caring home`, `Staff at Greenways have interacted well with X I have been working with, they are both encouraging and supportive`, `Nothing seems to be too much trouble for managers and staff`, `The carers are usually happy with smiles, ready to have a laugh which cheers me up`, `Generally staff are very helpful` and`Friendly, family type atmosphere. Willing to listen to suggestions in relation to care`. Mrs Clark has good quality assurance systems in place to make sure that the quality of service is monitored and improvements made if necessary. What has improved since the last inspection? A number of new carpets have been fitted in people`s bedrooms. There is a development plan to make sure that the building is well maintained. Mrs Clark has introduced a new system for recording assessments, care plans and reviews, however she said that she is reviewing this to make sure that the system is effective. What the care home could do better: Mrs Clark is intending to establish one system for documenting care planning, risk assessments and reviews so that staff will have all the information that they need in one format. More detailed information about people`s backgrounds and interests would enable staff to take a more person centred approach to planning the programme of activities. Key inspection report Care homes for older people Name: Address: Greenways Residential Home 6-8 Victoria Road Southwick West Sussex BN42 4DH     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Annette Campbell-Currie     Date: 0 5 1 1 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 25 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: Greenways Residential Home 6-8 Victoria Road Southwick West Sussex BN42 4DH 01273591573 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: clarkbrenda80@yahoo.com Mrs Brenda Clark care home 15 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 to be accommodated is 15. The registered person may provide the following category/ies of service only: Care home only - (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 (OP). Date of last inspection Brief description of the care home Greenways is a care home registered to provide personal care and accommodation for up to 15 older people. The property is detached and is situated in a residential area close to the centre of Southwick. Shops and other local community facilities are nearby. The majority of private accommodation is arranged on two floors. The upper floor can be accessed by a passenger lift, however four bedrooms on the middle mezzanine floor can only be accessed by steps. The majority of rooms are for single occupancy and have en suite facilities. Communal space consists of a lounge/dining room, a conservatory and there is a garden and patio to the rear of the house. Care Homes for Older People Page 4 of 25 Over 65 15 0 2 3 0 9 2 0 0 8 Brief description of the care home The current fees for the home are from £345 to £420 per week. Care Homes for Older People Page 5 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means that people who use this service experience good quality outcomes. The previous key unannounced inspection was carried out on 23rd September 2008 and an Annual Service Review was carried out on 28th August 2009. Our inspection plan was changed following the Annual Service Review in order to make sure that people are still receiving a good service. We (the Commission) carried out the site visit over three and a quarter hours. Mrs Clark, the registered provider, assisted with the inspection. Mrs Clark withdrew her registration as manager of the service last year because she was planning to appoint a new manager. She explained that she has continued to hold the day to day responsibility for running the home as no suitable candidate has come forward. She said that she will be putting this in writing so that the registration certificate can Care Homes for Older People Page 6 of 25 accurately reflect the management arrangements in the home. The information and documents that we needed to make an assessment of the service were available. There were fourteen people staying in the home at the time of the visit and thirteen staff were employed to provide care. The owner completed an annual quality assurance assessment form (AQAA) before the inspection. The AQAA was detailed and provided us with a lot of information about the way the home is being managed and the improvements to the service that are planned. We sent out surveys to find out what people think about the home before we carried out the annual service review. Eleven people living in the home returned surveys; some people had been assisted by relatives or staff to complete the survey. Seven staff and two health or social care professionals also returned surveys. People were very positive about the care provided at Greenways and the information and comments have been used to help make an assessment of the service. During the site visit we spoke with five people living in the home, a visiting relative and two members of staff. We saw the communal areas of the home, bath and shower facilities, the kitchen, laundry and five bedrooms. The following documents were read: the case records of three people living in the home, the recruitment records for one member of staff recruited in the past twelve months, the complaints policy, samples of policies and procedures, menus, staffing rotas, training and development plans and records, samples of medication records, medication storage facilities, quality assurance documents and development plans for the service. The outcomes for people living in the home have been assessed in relation to twentytwo of the thirty-eight National Minimum Standards for Care Homes for Older People; including those considered to be key standards to ensure the welfare of people living in the home. Care Homes for Older People Page 7 of 25 What the care home does well: What has improved since the last inspection? What they could do better: Mrs Clark is intending to establish one system for documenting care planning, risk assessments and reviews so that staff will have all the information that they need in one format. More detailed information about peoples backgrounds and interests would enable staff Care Homes for Older People Page 8 of 25 to take a more person centred approach to planning the programme of activities. 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 25 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have their care needs assessed before a decision is made about them moving to the home. Evidence: There is a pre-assessment process that is carried out before a decision is made about someone moving to the home. Mrs Clark carries out the pre-admission assessment and she said that information from other professionals who know the person is taken into account when making a decision about whether or not the home could provide for the persons needs. Information about the home is given to people interested in moving there to help them to make a decision about whether or not Greenways would be a suitable place for them to live. People are welcome to visit the home before they make a decision. The case records for three people were read. The assessment form that is used by the home provides information about peoples immediate health and personal care needs. Care Homes for Older People Page 11 of 25 Evidence: There was some information about each persons background, interests and wishes after their death as well as information about their personal and healthcare needs. The form includes a section to show the decision made by the person carrying out the assessment about whether or not the home could provide for their needs. If people are supported by social workers or care managers the home receives assessments and care plans already carried out by them. Mrs Clark said that the home is able to take people in an emergency, however she makes sure that she has basic information about the persons needs before she agrees to this and then carries out a more detailed assessment as soon as possible. Intermediate care is not provided in the home however respite care could be provided. Care Homes for Older People Page 12 of 25 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have their health and personal care needs set out in a plan of care that is kept under review to make sure people are receiving the care that they need. Evidence: A care plan is drawn up from the assessment when people move to the home. The forms are completed with the person and if they are able to, they sign to say that they agree with what has been written about them. Mrs Clark is introducing a new system for documenting care plans and risk assessments. She said that she is reviewing this as information about peoples care needs is currently in various formats. The system will be streamlined to make sure that staff have all the information they need and that it is in one place. People spoken with and those who returned surveys said that they receive the care that they need. The staff spoken with and those who returned surveys said that they understand the needs of those who live in the home. We looked at the care plan documents for three people who have recently moved to the home. Peoples personal and healthcare needs were noted with guidance provided to staff. There was some information about peoples backgrounds and interests. Care Homes for Older People Page 13 of 25 Evidence: Peoples spiritual needs were noted in the care plans that were seen. Relatives are involved in the persons care if appropriate and are kept informed of changes. There was a note on one persons file: daughter to be involved with care decisions. A visiting relative said that she is being kept informed of her family members progress. Risk assessments had been carried out for mobility needs, skin integrity and nutrition. When a cause for concern is noted then guidance is provided in the care plan; for example it had been identified that one person is at risk of falls and it was clear that their mobility is being monitored and changes noted. Some staff have attended training about how to care for people who are at risk of pressure wounds so that the home can prevent this happening. A record is kept of each persons contact with health or social care professionals. People said that they see their general practitioner (GP) in private when they visit. Notes had been made of each visit so that staff would know what instructions to follow. People who returned surveys said that they receive the healthcare that they need. A GP who returned a questionnaire to the home said: Helpful staff, calm and clean home. Nice atmosphere. The manager said that the home has a good relationship with the local primary care team and it was clear from the records seen and from discussion with people living in the home that they receive the healthcare that they need. There are policies and procedures regarding medication practices. The storage facilities for medication meet current requirements. Staff who administer medication have all attended training about medication issues. The training is kept updated so that staff have the knowledge and skills that they need. The records that were seen were up to date and in good order. The manager carries out an annual audit of medication practices as part of the quality assurance monitoring. Care staff are provided with guidance about the way that personal care should be provided as part of their induction and those spoken with said that they understand how to protect peoples privacy and dignity. Staff were observed during the day to be treating people with respect and supporting them in a calm and sensitive manner. Those spoken with said that they are happy with the way that staff provide their care. Care Homes for Older People Page 14 of 25 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to have the lifestyle they choose and to make choices in their daily lives. People are provided with meals that they enjoy. Evidence: Activities are arranged in the home and large print books and games are also available. People are encouraged to maintain their independence and go out with relatives or alone if it is safe for them to do so. Activities include: music and movement, bingo, watching videos and reminiscence sessions. Two people were looking through a folder of old newspaper cuttings and photographs during the morning and this stimulated a discussion about their own experiences. Some people prefer to spend time in their rooms and one person said that staff pop in to see her from time to time to make sure that she is alright. People are supported to maintain contact with their relatives and friends. Mrs Clark said that everyone in the home at the moment has family involved in their care; some provide more support than others. Celebrations and special events are held from time to time and friends and relatives are invited. A strawberry tea was arranged in the summer and one of the people staying in the home made strawberry tarts that were a great success. Mrs Clark said that this had been a very positive experience. Care Homes for Older People Page 15 of 25 Evidence: People are given some choices in their daily lives. Independence is encouraged within a risk assessment framework and individual wishes are accommodated. People can choose when they get up in the morning and when they retire to bed. The menu for the day and for the week is available in the dining room. A balanced and varied diet is provided and special dietary needs are catered for. Residents meetings are held from time to time and there is always a discussion about the food to make sure people are happy with the meals and also to give people an opportunity to make suggestions. Mrs Clark said that she uses local producers and fresh food as often as possible. She said that she does not employ a cook and she usually does the cooking herself. People have some choice if they do not like the main meal. Those spoken with and most people who returned surveys said they are happy with the meals provided by the home. Staff in the home encourage people to take their meals in the dining room although some people choose to eat in their room. Lunch time was a relaxed occasion and staff were supporting people in a sensitive manner. Mrs Clark said that people can choose to have their main meal in the evening if they wish to and some people sometimes choose to do this. Care Homes for Older People Page 16 of 25 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People feel their concerns and complaints would be listened to and acted upon. There are measures in place to help protect people from harm or abuse. Evidence: There is a complaints policy that is given to everyone who moves to the home. There is a system for recording complaints to show that they are investigated appropriately. Three complaints have been received by the home in the past twelve months and all have been resolved. Mrs Clark said that she is in daily contact with everyone and would deal with any concerns or worries that people may have at an early stage and address any issues that are raised. The home follows the West Sussex multi agency policy and procedure for safeguarding vulnerable adults. All staff have attended training in how to recognise adult abuse and this is updated every year. The staff spoken with and those who returned surveys indicated that this is the case and that they are aware of safeguarding procedures. The Commission has received two anonymous complaints in the last six months involving similar issues; one was investigated by staff from West Sussex Adult Services department under the safeguarding procedures and was found to be unsubstantiated. A second safeguarding investigation was carried out regarding a health matter and this was also found to be unsubstantiated. Care Homes for Older People Page 17 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a comfortable, safe and clean home. Evidence: Greenways care home provides comfortable and homely accommodation. The owner said in the AQAA that all the equipment is serviced as required and Mrs Clark said there is an ongoing programme of maintenance that is monitored to make sure repairs are carried out in a timely manner. A number of bedroom carpets have been replaced in the past twelve months and the worktops in the kitchen have been replaced. We saw the communal areas, laundry, kitchen, bathroom and five bedrooms. The communal areas are comfortable and there is a garden at the back of the building that people said they enjoy using in good weather. Everyone has single rooms with ensuite facilities except a couple who share a room. People said that they are happy with their accommodation and the bedrooms that were seen were clean with personal items brought from home. The care staff are responsible for keeping the building clean. There is a list of cleaning duties for night staff to carry out without disturbing people in the home. Care staff are also responsible for laundry duties. Staff have attended training in infection control so that they understand how to prevent the risk of cross infection. Care Homes for Older People Page 18 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported by sufficient numbers of staff who are well trained. The recruitment procedure protects people in the home. Evidence: The staffing rotas showed that there are two care staff on duty during the day and the manager is available for additional support. At night there is a member of staff on sleeping in duties and a waking night carer. People who returned surveys and those spoken with during the day said that they receive the care that they need and do not have to wait long for attention. An additional member of staff was called in during the day of the site visit so that the manager had time for the inspection. There is an induction programme that meets the Skills for Care standards and all staff are then encouraged to study for the National Vocational Qualification (NVQ) in care at level two. Five of the thirteen care staff have achieved the NVQ at level two or above. One member of staff said that she is now studying for the NVQ at level three and that she is finding the course very helpful even though she has a great deal of experience. The recruitment procedure is thorough and the owner said in the AQAA that all the required checks are carried out before someone begins work to make sure that people are protected. Prospective staff complete an application form with a full employment history; Mrs Clark said that any gaps in employment would be discussed with them Care Homes for Older People Page 19 of 25 Evidence: during the interview. Two written references are obtained including one from the persons most recent employer. A POVA First check is carried out before people begin work and an Enhanced Criminal Record Bureau (CRB) check is also obtained. We looked at the records for someone recently appointed as a carer. An application form had been completed and the required checks had been carried out before the person began work. Staff who returned surveys also indicated that the recruitment process is thorough. There is an ongoing programme of training and certificates of attendance were included in the staff files that we saw. All staff have attended mandatory training and attendance is monitored so that the manager knows when updates are due. The staff spoken with and those who returned surveys said that they are provided with the training and support they need to do their job. Care Homes for Older People Page 20 of 25 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from living in a home that is well run. Peoples views are sought and taken into account in the development of the service. There are measures in place to protect peoples finances. There are policies and procedures in place to protect the health, safety and welfare of people living in the home and of staff. Evidence: Mrs Clark is the registered provider and also runs the home on a daily basis. Mrs Clark was the registered manager but asked for her name to be removed from the certificate because she was intending to appoint a manager and take a step back. Mrs Clark said that she had not been able to appoint a suitable person for the post so has maintained responsibility for the day to day running of the home. She said that she would be confirming this in writing so that an up to date certificate can be issued. Mrs Clark said that she likes to work alongside staff to make sure that people are receiving good care. Peoples views about the service are sought informally on a regular basis. There is also Care Homes for Older People Page 21 of 25 Evidence: an annual quality assurance process and people living in the home, relatives, staff and professionals involved with the home are given a questionnaire to complete. Samples of completed forms were on file and Mrs Clark said that any comments are followed up, she gave examples of this. Resident and staff meetings are held from time to time and detailed minutes are recorded. It was clear that every effort is made to seek the views of each person in the home even if they choose not to attend meetings. There is a comprehensive system of audit in the home which Mrs Clark said she would be filling out in more detail. Family members or solicitors support people with their finances. It was noted in case records when relatives have lasting power of attorney for the person. The home supports people to manage small amounts of money. There is a procedure for this that protects people. The money is stored securely; receipts and a total of money spent is also kept. We saw a sample of the records that were in order. Policies and procedures are kept under review to make sure that people are fully protected and staff are aware of health and safety procedures to be followed. The owner said in the AQAA that equipment in the home is serviced as required and that health and safety measures are in place to protect people. There is a fire risk assessment and evacuation procedure. All staff have attended mandatory training in health and safety topics and we saw the records to show this is the case. Incidents are recorded and monitored in order to minimise any risks to people in the home. Care Homes for Older People Page 22 of 25 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 23 of 25 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 24 of 25 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). 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