Care Home: Greystoke Manor

What the care home does well Greystoke Manor is a well known in Ferring Village and most people living in the home are from the local area. The home is decorated and furnished to a high standard with attractive gardens that are well maintained and provide a peaceful space for people to enjoy in good weather. There is plenty of communal space and people spoken with said they are very happy with their rooms. The new owners are committed to providing a high quality service and have begun a programme of refurbishment The manager and deputy have both worked in the home for at least ten years and work well together to ensure management cover is provided at all times. One of them is available on call if they are not on duty. Most of the staff have worked in the home for a number of years and know the people living there well. The staff are dedicated to providing a good experience for people living in the home. The recruitment procedure is thorough and there is an emphasis on staff training. All but one of the twenty-two carers have a National Vocational Qualification (NVQ) in care at level two or above, this exceeds the required standard for staff qualifications. What has improved since the last inspection? This is the first inspection since the new owners were registered with the Commission in May 2009. What the care home could do better: Care plans should be person centred to show people`s involvement in the preassessment and care planning process. Care plans should include all aspects of each person`s needs and details of their preferred lifestyle. Risk assessments must be carried out and clear guidance provided to staff in areas where a risk is identified. Mrs Yarnold agreed to ensure that care plans and risk assessments are kept under review and changes documented so that updated guidance is clear to staff. Mr Bradley said that there is a programme for fitting radiator covers that should be completed in the next month in order to protect people from the risk of burns. Key inspection report Care homes for older people Name: Address: Greystoke Manor Greystoke Manor Church Lane Ferring West Sussex BN12 5HW     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 7 1 0 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 26 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 26 Information about the care home Name of care home: Address: Greystoke Manor Greystoke Manor Church Lane Ferring West Sussex BN12 5HW Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Elizabeth Yarnold Type of registration: Number of places registered: care home 28 Mr Ian George Bradley Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: (1) 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) (2) The maximum number of service users to be accommodated is: 28 Date of last inspection Brief description of the care home Greystoke Manor is a care home which is registered to accommodate up to twentyeight older people. Greystoke Manor is situated in the village of Ferring, near Worthing and is close to local shops and facilities. There are twenty-five rooms all with en-suite facilities that include a toilet and bath or shower. The dining room and two lounge areas are on the ground floor and a conservatory provides additional communal space. There is a lift to provide access to the first floor. Care Homes for Older People Page 4 of 26 Over 65 28 0 Brief description of the care home Mr Ian Bradley is the registered provider and Mrs Elizabeth Yarnold is the registered manager responsible for the day to day running of the home. The current fees are from £510 to £950 per week. Care Homes for Older People Page 5 of 26 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 the service experience good quality outcomes. This was the first key unannounced inspection since the registration of new owners in May 2009. We (the Commission) carried out the site visit over six and a half hours. Mrs Yarnold, the registered manager and the deputy assisted with the inspection. Mr Bradley, the registered provider was also available for consultation and discussion. The information and documents we needed were available. There were nineteen people living in the home at the time and twenty-two care staff were employed. The manager completed an annual quality assurance assessment form (AQAA) before the inspection. The information she provided has been used to help make an Care Homes for Older People Page 6 of 26 assessment of the service. We sent out surveys to find out what people think about the home. One person living in the home returned a survey and ten staff. The comments people made have been used to help make an assessment of the service. We spoke with four people who live in the home and three staff including the chef. We saw the communal areas of the home including the three lounges and the dining room; we also saw the bathroom, laundry room and a number of bedrooms. The following documents were read: the case records for four people living in the home, the recruitment records for one newly appointed member of staff, training records, the complaints policy and recording system, a sample of medication records, staffing rotas, quality assurance documents and a sample of Regulation 26 reports. We observed the lunchtime medication round. The outcomes for people have been assessed in relation to twenty-two 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 26 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. 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 8 of 26 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 9 of 26 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 needs assessed before a decision is made about them moving to the home. Intermediate care is not provided although respite care is available. Evidence: The manager or deputy carry out an assessment with people interested in moving to the home. They either visit the person in their own home or talk to them when they come to visit Greystoke Manor. The manager said that she will be supporting the staff who have NVQ level four in care with management to carry out the pre-admission assessments with people. The form that is used covers all aspects of each persons care needs however there is no space for the person to sign to say that they agree with the assessment of their needs. There is space on the form for the person carrying out the assessment to write their decision about whether or not the home would be a suitable place for the person to stay so that their needs could be met. We saw the pre-admission assessments for four people who had moved to the home. Care Homes for Older People Page 10 of 26 Evidence: One of these had not been signed and dated by the person carrying out the assessment. There was some information about peoples health and personal care needs. There was also information about their emotional and spiritual needs. The manager said that it often takes some time to get to know people well and this information would be included in case records over a period of time. The manager said that people are given information about the home and that they are welcome to visit so that they can find out what it is like. The person who returned a survey and people spoken with during the day said that their care needs are met at the home; this indicates that the pre-admission assessment process is working well. The home does not provide intermediate care however people can stay for short periods of respite care. The manager said that this sometimes helps people to make a decision about whether or not to move in. Care Homes for Older People Page 11 of 26 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 some of their needs set out in a plan of care. Peoples health care needs are provided for. The medication policies and procedures usually protect people. Evidence: The manager said that a care plan is drawn up from the assessment when people move to the home. At the moment a standard format is being used to record the care plan. Mr Bradley explained that a computerised system is due to be introduced within the next week that will provide a clear system to staff regarding care plans and case recording. Staff are due to have training next week and the manager has begun to input some information onto the new system. We read the case records for four people living in the home, this showed that some areas of need had been identified, however there was very little detail and where some needs were evident through the course of discussion this had not been clearly identified on case records. For example due to one persons medical condition there has been concern about her fluid and nutritional in take. There were some records to show that this is being monitored. The manager said that she would make sure that Care Homes for Older People Page 12 of 26 Evidence: staff have clear guidance about how to monitor and record this persons care. There was some evidence to show that care plans have been reviewed once a year however it was not clear that changes in need had been identified with updated guidance provided to staff. The manager said that she would make sure that care plans include detailed guidance and that they are kept under review each month with any changes in need documented. There were some risk assessments in place however there were a number of areas where a risk had been identified and no assessment or guidance provided to staff; for example it was identified on one persons pre-admission assessment and care plan that they are prone to falls, however there was no evidence that an assessment of the risk for this person had been carried out with guidance about ways to prevent a fall. There was a generic assessment for risks, trips and falls to make sure that staff are aware of the strategies they need to put in place to keep people safe. Mr Bradley said that each person would have a thorough re-assessment as part of the introduction of the computerised system. He said that the home would ensure that this is based on how people prefer their care to be provided and the aspects of each persons life that is most important to them. This process has not yet begun. The manager said the computerised system would provide all the information that staff need to provide a good standard of care and keep people safe. The staff spoken with said that they understand the needs of the people living in the home and people spoken with said that they are happy with the way that staff provide their care. The manager and deputy said that the home has a good relationship with the local primary care team and the doctors and district nurses respond quickly if necessary. Peoples health needs were noted on their case records and visits from the general practitioner (GP) or other healthcare professional were documented. People have access to a chiropodist who visits the home. Hospital appointments were noted in the daily records. It was evident that people have access to specialist healthcare professionals if they need this and one person had been referred to the community psychiatric nurse for a diagnosis and support. There are policies and procedures in place regarding medication practices in the home. A number of care staff have attended training in the administration of medication so that they have the competencies to administer medication. The manager and deputy are both registered nurses and support staff during medication rounds. The storage facilities for medication meets requirements and the sample of records we saw were up to date. Care Homes for Older People Page 13 of 26 Evidence: One person in the home holds her own medication. The manager completed a risk assessment during the site visit to ensure that this person is safe to do so. This must be kept under review to ensure that the person is protected from harm. The manager said that there is a lockable facility for storing medication in the persons room however this is not being used. Mrs Yarnold said that she would make sure that the person and the staff are aware of the importance of keeping medicines locked away when they are not in use. Staff are given guidance about providing personal care as part of their induction and those spoken with were clear about the need to protect peoples privacy and dignity. People said that staff are patient and people were being supported by staff in a calm and sensitive manner during the day. People spoken with said that the care staff are excellent, kind and helpful. Care Homes for Older People Page 14 of 26 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 encouraged to experience the lifestyle that they choose. People are supported to maintain contact with their families and friends. The meals that are provided are of a high standard. Evidence: There is a weekly programme of activities that is posted on the notice board and also provided to people in a newsletter. The activities include quizzes and discussions about current news items. The local library provides a selection of books that is changed every month. There are games available and two people were enjoying a game of scrabble together during the afternoon. There is a new television in the lounge next to the dining room and DVD afternoons are held every week so that people can enjoy a film of their choice. Some people are able to go out independently and others go out with relatives or friends. There was very little information on case records about peoples interests and hobbies. The manager said that staff had begun gathering more detailed information about peoples backgrounds and interests so that a more person centred approach can be taken to activity planning. None of the care plans included one to one time with staff although Mr Bradley said that there should be more staff time spent with people in the Care Homes for Older People Page 15 of 26 Evidence: future. A hairdresser comes to the home once a week and people can request complimentary therapies at an additional charge. People are encouraged to maintain contact with their relatives and friends and visitors are welcome in the home. Social events are arranged from time to time and relatives and people from the community are invited. The home has contact with local churches so that people can have their spiritual needs met. People have some choices in their daily lives including when to get up in the morning and when they retire at night. People can choose to take their meals in their room if they wish to. The home provides a balanced and nutritious diet. The menu is displayed and shows a good selection of meals. People have a choice of meal and a choice of three desserts were offered on the day of the site visit. The food is of a high standard with fresh fruit and vegetables used as often as possible. Special dietary needs are catered for. People have their weight checked every month so that their welfare can be monitored. The dining room is well set out and people are offered a glass of sherry before their meal. Lunch time was a relaxed and sociable occasion. Care Homes for Older People Page 16 of 26 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 can feel that their complaints would be listened to and acted upon. There are policies and procedures 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 have been no complaints recorded since the new owners took over the home. The manager said in the AQAA that she talks to people on a regular basis so that any concerns are dealt with quickly. Residents meetings are held from time to time and this also gives people an opportunity to raise any concerns they may have. The manager said she would be introducing a better system for recording complaints so that actions taken, outcomes and timescales for a response can be recorded in a way that protects peoples confidentiality. 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 the need to immediately report any concerns that abuse may have occurred. The staff spoken with understood the need to report any concerns as a matter of urgency. Where people have a confusion that may lead them to make allegations that items are missing then this must be recorded in their care plan with appropriate guidance provided to staff. All allegations of possible abuse must be reported to West Sussex Adult Services department without delay. Care Homes for Older People Page 17 of 26 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 home this maintained to a high standard and is clean and hygienic. Evidence: Greystoke Manor is a spacious building with plenty of communal space and well kept gardens for people to enjoy. The bedrooms vary in size; several are sufficiently large to provide accommodation for two people. Mr Bradley said that all rooms would be used for single occupancy although couples could be accommodated in a room if the need should arise. All bedrooms have ensuite facilities that include a bath, toilet and wash basin. Mr Bradley said that over time these would all be refurbished as most people prefer showers and this is usually easier for people to manage safely. There is a bathroom with a parker bath on the ground floor for people who prefer a bath. The new owners have begun a programme of redecoration and refurbishment. The hallway has been redecorated to a high standard and the lounge areas are due to be redecorated soon. The manager said that the work would be planned so that as little disruption as possible would be caused. One of the bedrooms has also been redecorated and refurbished to a very high standard. People spoken with said that they are very happy with their rooms. Mr Bradley said that safety valves have been fitted to all hot water outlets so that hot water is kept to a safe temperature. Some radiators have been replaced and some Care Homes for Older People Page 18 of 26 Evidence: have been covered to avoid the risk of people being burnt. There are a number of radiators in communal areas and bathrooms that could present a risk. Mr Bradley said that these would all be covered by the end of the month. There is a programme of maintenance and the manager told us in the AQAA that all the equipment is serviced as required. Mr Bradley said that there has been a health and safety audit of the building and issues arising from this would be addressed. Three domestic staff are employed to keep the home clean and a member of staff has recently been appointed for laundry duties so that care staff will have more time to spend with people living in the home. The home was bright, welcoming and clean during the site visit. Care Homes for Older People Page 19 of 26 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 receive their care from staff who are well qualified and competent. The recruitment policy and procedure protects people in the home. Evidence: The staffing rotas have been changed recently to reflect the dependency levels of people in the home. The manager said that most people are fairly independent with their mobility and that three people require a higher level of care. Mr Bradley said that he has introduced a member of staff for laundry duties to give staff more time to spend providing care. He is also hoping that the new computerised system for care records will give the manager and deputy more time for contact with staff and people in the home. There are currently three staff on duty during the day. One member of staff on each floor providing care for people and one member of staff to help people to have a bath. The manager said that this does not give staff sufficient time to spend with people and would be increasing the numbers so that there are four staff on duty in the morning and three in the afternoon. There are two staff on waking night duty. Twenty-one of the twenty-two care staff have achieved the National Vocational Qualification (NVQ) in care at level two or above. This exceeds the minimum requirements for staff qualifications. Seven staff have an NVQ at level three and one Care Homes for Older People Page 20 of 26 Evidence: member of staff is studying for the award at level four which includes management training. The manager said that this person will be given more responsibility as a senior member of staff. The manager said in the AQAA that the recruitment procedure is thorough. One new member of the care staff has been appointed since May. The records showed that an application had been completed and an interview held. There were notes from the interview to show that an equal opportunities approach is taken to recruitment. Two written references had been obtained and an Enhanced Criminal Record Bureau (CRB) check had been received before the person began work. There is an induction and training programme in place. Mr Bradley said that he has put an emphasis on developing the training programme. All staff have recently undertaken the induction programme as a refresher. All staff have attended the required mandatory training and the manager said that she would be introducing a system to monitor the staff training to make sure that staff receive updates as required. The manager and staff spoken with and six of those who returned surveys said that the changes to the running of the home in the past six months have been difficult at times. A number of staff have taken the decision to leave and the manager said that she is committed to supporting those who remain through the ongoing period of change to ensure the quality of service is not affected and to provide continuity for people living in the home. Care Homes for Older People Page 21 of 26 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 in the development of the service. There are measures in place to protect the health, safety and well being of people living in the home and of staff. Evidence: Mrs Yarnold has been the registered manager for the home since it first opened seventeen years ago and the deputy manager has been in post for ten years. They are both registered nurses and said that people living in the home find this reassuring. They work well together and provide management cover at all times. There is an on call system when neither of them is on duty. They are both committed to supporting staff through the ongoing period of change to ensure that people do not experience too much disruption to their care. The owners have taken a hands on approach and are at the home almost daily. Some staff have found this difficult at times as the lines of authority have been a little confused. Mr Bradley said that he is now standing back from daily management so Care Homes for Older People Page 22 of 26 Evidence: that it is clear to staff and people living in the home that Mrs Yarnold is responsible for the day to day running of the home, although he and his wife maintain a presence in the home. Mr Bradley has been carrying out Regulation 26 visits to the home and provides a written report highlighting areas that need to be addressed. He said that people have been consulted about the decoration and carpeting for the home so that they have been involved with the refurbishment. Residents meeting are held from time to time and people will be provided with a questionnaire once a year so that they can express their feelings about the care they receive and the way the home is run. Mrs Yarnold said that she has daily contact with people and encourages them to discuss any concerns or issues with her so that they can be addressed. People living in the home have relatives or solicitors who help them the manage their finances. There is a system for supporting some people with their day-to-day money. Records are kept of each transaction and it is only the manager and deputy who hold the key to the safe storage. There are policies and procedures in place regarding health and safety matters in the home. A health and safety audit has been carried out although a copy was not available in the home for inspection. All staff have attended mandatory training in health and safety topics and the manager said that there are fire safety procedures in place. Incidents and accidents are recorded and monitored to identify any trends. Care Homes for Older People Page 23 of 26 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 24 of 26 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 25 of 26 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. 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. Care Homes for Older People Page 26 of 26 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!