Care Home: Grey Ferrers Nursing Home

What the care home does well Residents told us,"It`s fantastic here. I came from a bad home. This is clean, and has very good carers." A relative visiting said "The treatment by the staff is quite good." At lunch time a variety of foods are offered and residents were observed being offered a choice. Two residents told us they enjoyed the food provided. A resident survey confirmed, " Everyone is helped with drinks and eating if needed." There are dedicated activities coordinators working in the home, who offer different things for people to do. They have a range of resources, old newspapers going back to the coronation, books of old Leicester, and DVDs of days gone by. These types of resources are used when residents take part in remembering activities. The outdoor area round the units was well maintained and looked attractive with border plants and garden furniture. Some of the residents rooms benefited from doors opening out to paved and grassed garden areas. Residents benefit from a comfortable living environment. New staff confirmed they to wait until their staff checks had cleared before they could begin working at the home. This will ensure staff are safe to work with residents. Attention is paid to making sure that the quality of service provided is good. Residents are asked in various ways for their views about the running of the home through meetings, and questionnaires. What has improved since the last inspection? The Statement of Purpose and Service User Guide (written information about the home) have been revised, and further changes are still being made. All this information will ensure people can make an informed choice about living at Grey Ferrers. Medication management and training for staff has improved and ensures residents health care is protected. Information on the "after life" wishes of people using the service has been obtained and recorded within the individual care plans. The management and delivery of activities has been better organised and this improves the quality of life for individuals. The arrangements for meals have been reviewed to ensure residents receive adequate quantities, suitable, wholesome and nutritious food which is varied and properly prepared. Better management and recording of all concerns and complaints now ensures a more robust and accessible complaints procedure. Quality assurance monitoring systems ensure the home is run in the best interests of the residents. Staff now regularly receive training around adult protection, challenging behaviour, first aid, moving and handling, infection control and food hygiene. All this learning for staff benefits residents care and raises standards in the home. A new internal redecoration and refurbishment plan is due to start and will ensure the environment is maintained to a higher standard. Laundry service has improved to ensure efficient laundry systems and that residents are always able to wear their own laundered clothes and maintain their dignity. Staff are trained in health and safety procedures and practises and benefit from living in a clean and hygienic home. Staff recruitment and their deployment has improved to ensure residents receive care from consistent carers that know and understand their needs well. Improved staff recruitment procedures ensure residents are cared for by safe staff. What the care home could do better: No requirements or recommendations were made. Key inspection report Care homes for older people Name: Address: Grey Ferrers Nursing Home Priestly Road Blackmore Drive Leicester Leicestershire LE3 1LQ     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: Helen Abel     Date: 2 0 0 4 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) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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: Grey Ferrers Nursing Home Priestly Road Blackmore Drive Leicester Leicestershire LE3 1LQ 01162470999 01162558364 brownpj@bupa.com www.bupa.com BUPA Care Homes (CFHCare) Ltd Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Manager Post Vacant Type of registration: Number of places registered: care home 120 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: The maximum number of service users who can be accommodated is: 120 The registered person may provide the following category of service only: Care home with Nursing - Code N to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Dementia - Code DE Physical disability Code PD Date of last inspection Brief description of the care home Grey Ferrers is a 120-bedded care home providing personal and nursing care for older persons. Accommodation is provided within four separate units, these are known as Care Homes for Older People Page 4 of 27 Over 65 0 120 0 120 0 120 Brief description of the care home Brandon, Bradgate, Stewards Hay and Woodville providing care for older persons with nursing, physical disability and dementia needs. Each unit is comprised of a large dining lounge area, a small quiet lounge, toilet, washing and bathing facilities and single room private accommodation. The home is located on the outskirts of Leicestershire and is easily accessed by public transport from the City of Leicester and from the County. The home is purpose built and is accessible to service users with disabilities. Accommodation is located on the ground floor. Each unit has a spacious lounge and adjacent dining area, which look out over the gardens. All bedrooms are single occupancy and all are ensuite, many open directly onto the garden. The home is currently managed by an acting manager and employs Registered General nurses, Registered Mental Health nurses and care staff. The home has ample parking and is close to a number of social amenities. The weekly fees range from £303 -£840 per week (excluding continuing healthcare). There are additional costs for expenditure such as hairdressing, private chiropody, toiletries, newspapers, etc. The home provides information to residents and prospective residents in the form of a Statement of Purpose and Service User Guide that describes the services it offers. The last Inspection Report is available in the reception area. 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: 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 focus of the inspections undertaken by the Care Quality Commission is upon outcomes for residents and their views of the service provided. The primary method of inspection used was case tracking which involved selecting eight people and tracking the care they received through looking at their care records, discussion where possible with the people who use the service, the care staff and observation of care practises. The visit was unannounced on a Tuesday Monday morning at 8.00am until 3.20pm with two Regulatory Inspectors Helen Abel and Fiona Stephenson. Planning for the visit included assessment of the notifications of significant events, service history, surveys, complaints and concerns which had been received by the Care Quality Commission. We looked at the last Inspection Report and information on Care Homes for Older People Page 6 of 27 safeguarding matters. People who lives at the home are referred to in this report as residents. The quality rating for this service is 2 Star. This means the people who use this service experience Good Quality outcomes. Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? The Statement of Purpose and Service User Guide (written information about the home) have been revised, and further changes are still being made. All this information will ensure people can make an informed choice about living at Grey Ferrers. Medication management and training for staff has improved and ensures residents health care is protected. Information on the after life wishes of people using the service has been obtained and recorded within the individual care plans. The management and delivery of activities has been better organised and this improves the quality of life for individuals. The arrangements for meals have been reviewed to ensure residents receive adequate quantities, suitable, wholesome and nutritious food which is varied and properly prepared. Better management and recording of all concerns and complaints now ensures a more robust and accessible complaints procedure. Quality assurance monitoring systems ensure the home is run in the best interests of the residents. Staff now regularly receive training around adult protection, challenging behaviour, Care Homes for Older People Page 8 of 27 first aid, moving and handling, infection control and food hygiene. All this learning for staff benefits residents care and raises standards in the home. A new internal redecoration and refurbishment plan is due to start and will ensure the environment is maintained to a higher standard. Laundry service has improved to ensure efficient laundry systems and that residents are always able to wear their own laundered clothes and maintain their dignity. Staff are trained in health and safety procedures and practises and benefit from living in a clean and hygienic home. Staff recruitment and their deployment has improved to ensure residents receive care from consistent carers that know and understand their needs well. Improved staff recruitment procedures ensure residents are cared for by safe staff. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from good admissions procedures. Evidence: The acting manager is in the process of updating the Service User Guide- written information about the home. A Stament of Purpose is available and gives information about the type of service available. In addition there is a wide range of written information with colour photographs in bound versions. All this information can help people decide if they would like to live in the home. Information is available in residents bedrooms and throughout the home. Care records confirmed residents received a visit from a manager to undertake a pre admission assessment before entering the home. This may include all risk areas such as moving and handling, positioning at night, personal and support plan, lifestyle profile, life map, waterlow score, bed side rails assessment, breathing, eating and drinking assessment, continence assessment and personal hygiene. Relatives and Care Homes for Older People Page 11 of 27 Evidence: suporters are involved in the process. A survey from a relative of a resident told us, Compared to where my mum was living before the treatment was terrible. They family couldnt sleep worrying for months about her. Grey Ferrrers is a wonderful home, we have only but praise for their hard work and concern they show to all that live there. Staff have training to enable them to meet the needs of residents living in the home, such as moving and handling, to help them to be able to move and lift people safely. 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. Staff pay attention to meeting the health and care needs of residents, which help residents to feel well looked after. Evidence: Care plans give information about residents about their needs and how staff in the home will meet them. The information was very detailed and included examples of mental capacity assessment, falls risk assessment, moving and handling assessment, peoples weight, bed rails assessment and pressure relieving mattress, behaviour management assessment, breathing assessment and continence assessment as well as personal plans, and daily notes. Residents told us: Its alright here quite friendly. Its fantastic here. I came from a bad home. This is clean, and has very good carers A relative visiting said The treatment by the staff is quite good. Staff keep records about accidents or anything that happens in the home which could assessments are carried out to make sure residents are looked after properly and are Care Homes for Older People Page 13 of 27 Evidence: able to be safe in the home. Staff make sure residents are seen by a GP or other health professionals if they are unwell. Staff also make sure residents have other health care support for example dental and eye care. Trained nurses give out medication.The record keeping in relation to medication is good in the home. Managers reported good relations with the community pharmacist and were able to seek prompt advice and guidance around residents medicines. Staff treat residents with respect and dignity. Residents were dressed well, and supported to look their best. In a residents care plan it stated, Se liked to wear jewellery and makeup. Inspectors saw her wearing a bangle and a necklace and her make up on. Inspectors observed a female resident being hoisted. Staff made sure of her dignity by making sure that her skirt and top were properly sorted after she had been lowered into the chair. Staff checked whether she wanted a blanket, which she did, and promptly fetched her one. Residents told us in their surveys, The home looks after us with food and medication.They help us to move about and play some games. The home is helping us to get better. They look after you well. I am happy. Care Homes for Older People Page 14 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are enable to have a good lifestyle in the home. Evidence: Residents are able to make choices in their lives. There are dedicated activities coordinators working in the home, who offer different things for people to do. They have a range of resources, old newspapers going back to the coronation, books of old Leicester, and DVSs of days gone by. These types of resources are used when residents take part in remembering activities. Some people like to get involved in bingo, sing alongs, light gardening and growing crops. These activities have become clubs, for example there is a chair exercise club. On the day of our visit Inspectors observed residents taking part in a quiz and saw that residents were having a good time, and there was a good atmosphere with other care staff joining in. One relative visiting the home told us her mum has staff coming to talk to her as part of the activities, as she is unable or unwilling to do anything else, and this pleases their mum. Another relative visiting told us how the service had laid on for him and his wife (resident) a party for their diamond wedding, and this included a singer. Care Homes for Older People Page 15 of 27 Evidence: Survey told us, Could do with more trips. Activities are done and I enjoy the singing very much. Staff confirmed some residents may sit outside in the garden areas. There is garden furniture available. The homes cat was seen at Bradgate Unit and his company enjoyed by the residents. Managers and staff have tried to involve people from the local community in the home, such as children visiting from local schools and religious services. Both breakfast and lunch time was observed by Inspectors. In the morning people gradually woke up and came in the room for breakfast. Some sat at the tables to eat their breakfast and some choose to sit in their armchairs with a tray table. They were give good choices of food. The staff prepare cereal and toast in the kitchens on the unit, and cooked food is brought across from the main kitchen. One resident was very specific and requested a bacon sandwich with lots of bacon fat on and half a cup of tea. At lunch time a variety of foods are offered and residents were observed being offered a choice. Both mealtimes were observed as unhurried and informal with table cloths on the tables and fruit juices made available.Two residents told us they enjoyed the food provided. Another resident said although she enjoyed the food, shed like a different variety, such as salads, and sweet and sour chicken. A resident survey confirmed, Everyone is helped with drinks and eating if needed. Care Homes for Older People Page 16 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are protected by procedures and good staff awareness Evidence: Managers make sure that any serious events are reported to other organisations like the Care Quality Commission (CQC), which they must do by law. Staff were able to tell the Inspector about the procedures that should be followed if there are any concerns about harm to residents. Staff training records confirmed safeguarding training and challenging behaviour training. Staff were observed supporting residents with care and consideration. There is a complaints procedure in the home and the manager investigates complaints within three weeks. Full details are available on how to raise a suggestion or complaint in the written information Statement of Purpose and Service User Guide. Other complaints information is held and displayed around the home. Many residents told us they knew who to speak to, to raise a complaint. One resident told us. When asked if she has ever complained about anything, said if I have complained they would have tried very hard to remedy it. A visitor told us they have had some concerns, But that the management had sorted these out when they had been identified. Care Homes for Older People Page 17 of 27 Evidence: They have been ongoing safeguarding issues at the home, but these matters are nearly completed. The home has made many improvements around health and personal care, staffing and training, and management and administration. 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. Residents benefit from a comfortable living environment. Evidence: During our visit the Inspectors looked at accommodation in all four units. These units are known as Brandon, Bradgate, Steward Hayes, and Woodville. A sample of bedrooms, bathrooms and toilets were checked. We found all areas to be clean and well maintained. One unit had a stale odour in one particular area, but managers were aware and acting upon this. The outdoor area round the units was well maintained and looked attractive with border plants and garden furniture. Some of the residents rooms benefited from doors opening out to paved and grassed garden areas. The Inspectors suggested for one unit to ensure peoples names are clearly displayed on bedroom doors, to help residents identify their rooms. Photographs in black and white, and colour of residents, are carefully displayed next to their bedroom doors and would also be an aid to residents. In the Woodville unit, toilets were marked clearly for those with dementia, the shape of a toilet, and on a yellow background. This will help to wards residents maintaining their independence and locating toilets quickly. Care Homes for Older People Page 19 of 27 Evidence: The home will refurbished and redecorated this year and improve the environment for residents. Residents told us about the environment during our visit and in their surveys, In need of good decoration. Not the standard I would expect. Its cramped and depressing colours, not homely. Need light colours to smarten it up. Staff were observed working to good hygiene standards when supporting residents personal care, and serving meals. This will ensure residents live in a clean and hygienic environment. 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. Residents benefit from well trained staff and robust recruitment policies and procedures. Evidence: Residents told us they were happy with staff.The Inspector observed the face of a resident light up when one of the care staff made her laugh by doing a silly hand movement, and she then indicated she wanted a hug, and this was given. The resident looked really happy. On another occasion a care worker was supporting a resident eating porridge, although communication was challenging, the worker used all opportunities given to make conversation, the resident was engaged throughout the process. Surveys confirmed,Care is good, most of the staff are caring and professional. The Nurse in charge (one the units) is excellent. The care staff are always cheerful and conscenious achieving a cheerful and relaxed atmosphere The home could provide residents with jigsaws and painting. More chances to better ourselves with for example National Vocational Qualifications (NVQ3). Managers confirmed training staff in NVQs and ensuring staff move onto take up NVQ 3. A staff member told us, The unit manager is lovely, we are all comfortable in talking Care Homes for Older People Page 21 of 27 Evidence: to her. She is flexible with us so we dont want to let her down New staff told us they had received an induction that lasted five days and other essential training. All said they felt they had been given the training necessary to do the job. They felt they worked well as a team. Some told on one unit told of frustration of staff going off sick. Managers confirmed this is is being managed. Residents need consistent staff to support them. Managers confirmed the need for agency staff has reduced and they use their own bank of care staff for the continuity of care of residents. More trained nurses are soon to made available on the units as extra support. This will ensure residents needs are further met by the numbers and skill mix of staff. During the day Inspectors saw a number of visitors coming and going, and made welcome by staff. A survey from a relative confirmed Relatives involvement is encouraged. A sample of recruitment records was made and confirmed all the required checks have been done. New staff confirmed they to wait until their staff checks had cleared before they could begin working at the home. This will ensure staff are safe to work with residents. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from a well managed home. Evidence: The acting manager oversees the running of the home. The acting manager has applied to the Care Quality Commissions (CQC) to be the Registered Manager. She is supported by the four unit managers, Nurses and care staff. administrators, receptionists and domestic staff are also part of the team. In addition there are maintenance and gardeners who help run the home. Attention is paid to making sure that the quality of service provided is good. Residents are asked in various ways for their views about the running of the home. Through questionnaires, and attending regular Relatives Forums. From a recent satisfaction questionnaire done in 2009, most responses were positive about the home. Managers carry out quality assurance checks of different aspects of the service, including spot checks.These checks ensure the service is run in the best interests of residents. Care Homes for Older People Page 23 of 27 Evidence: One of the staff has responsibilities for ensuring the safe keeping of residents personal allowances. Inspectors noted that the records showed a good audit of money in and money out. A further internal audit (quality check) of the finances by the home confirmed residents money is kept appropriately and safe. The acting manager make sure that the home is run properly, keeping residents safe. Staff have training in safety aspects, such as food hygiene and infection control. There are procedures which tell staff how to work safely. 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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