Care Home: Highfield Care Home

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What the care home does well The home is well managed with very organised records and systems in place to safeguard people. The manager has a good understanding and empathy of peoples needs. The manager listens to what people have to say about the service and makes improvements and changes when necessary. She works alongside staff and is committed to improving outcomes for people. There is good information about the home so people know what the home offers. Trial stays are supported and one persons spouse was able to stay with them for company. This helps people make a decision about moving in. The assessment and care planning systems are comprehensive and detailed. This means that staff have the information they need to give the right support. Regular detailed review of care plans means that any changes are picked up early and acted on quickly. People are happy with the activities on offer and speak highly of the activity coordinator. The activity coordinator is committed to her role and to providing a good service to people. The food is of a good standard with lots of choices. Peoples preferences about food and drink are recorded in detail so people consistently get what they like. Feedback is sought daily about the food. There are spacious communal areas for people to relax in. The home is very clean and smells fresh. The garden is very well kept and is a pleasant place to spend time. Staff are happy in their roles as morale is increased by getting them involved in the running of the home. The manager has developed staff and involved them in improving the service. We heard a domestic staff talking to a service user with kindness and patience.Service users say staff are kind, attentive and wonderful. One staff member has had training in promoting peoples dignity and is the named dignity champion for the home. What has improved since the last inspection? The requirements made at the last inspection have been met. The kitchen and catering have been awarded a four star rating, previously rated two stars, by the local environmental health officer. There is a new cooker. There are new pieces of equipment including weighing scales and a new washing machine. There are some new blinds in the bathrooms. Bathrooms have been updated and improved.The frequency and detail of checks by the manager has increased of things like care plans and medication. The manager makes checks daily and weekly to make sure records are in order and people are safe. Every staff member now has a National vocational Qualification. The manager is now registered with us. This means that she has passed the fit person process. What the care home could do better: The manager should continue with plans for a wet room as service users think this is a good idea. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Highfield Care Home Bekesbourne Lane Bekesbourne Canterbury Kent CT4 5DX     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Kim Rogers     Date: 2 4 0 4 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. 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 Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI 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 28 Information about the care home Name of care home: Address: Highfield Care Home Bekesbourne Lane Bekesbourne Canterbury Kent CT4 5DX 01227831941 01227832645 highfield@ashbourne.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Ashbourne (Eton) Limited Name of registered manager (if applicable) Mrs Sarah Lejarde Type of registration: Number of places registered: 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 34. The registered person may provide the following category/ies of service only: Care home only - (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 (OP) Date of last inspection Brief description of the care home Highfield Care Home is owned by Ashbourne (Eton) Ltd, which is now part of Southern Cross Healthcare Ltd. This is a large company with experience in running care homes. Highfield is situated in the rural village of Bekesbourne near to the city of Canterbury. The home is easily accessible via the M2 motorway. Public transport is limited to a mainline railway station, which is approximately 15 minutes walking distance. Care Homes for Older People Page 4 of 28 care home 34 Over 65 34 0 Brief description of the care home The home offers nursing care for up to 34 service users. Most rooms are for single use, and most have en-suite toilet facilities. The majority of the rooms are on the ground floor. Rooms on the first floor can be easily accessed via a passenger lift. There are several communal rooms and seating areas inside the home; and extensive, pleasant gardens which are suitable for wheelchair users. Fee levels are set following an assessment and depend on the amount of support provided by the home. As a rough guide, fees can range from anywhere between 450 pounds per week and 800 pounds per week. There are some additional charges made for personal treatments and details of these can be found in the service user guide. Care Homes for Older People Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This was a key inspection of the service, which included an unannounced site visit to the home by one inspector. The site visit took about five hours. We spoke to the manager, staff including an administrator, chef and activity coordinator, service users and a visitor. We spoke to some service users in private. We assessed the key Minimum Standards.We sampled records, looked at information about the home and had a look around. We looked at other information including any notifications and incidents and accidents and the Annual Quality Assurance Assessment or AQAA. The AQAA is completed by the manager and tells us what the service does well and what they think could be better. It gives evidence about what they do well and how they intend to improve the service. Care Homes for Older People Page 6 of 28 The AQAA is well completed and gives good evidence of their intentions to improve. It shows an understanding of issues relating to equality and diversity and how they promote equality and diversity. What the care home does well: What has improved since the last inspection? The requirements made at the last inspection have been met. The kitchen and catering have been awarded a four star rating, previously rated two stars, by the local environmental health officer. There is a new cooker. There are new pieces of equipment including weighing scales and a new washing machine. There are some new blinds in the bathrooms. Bathrooms have been updated and improved. Care Homes for Older People Page 8 of 28 The frequency and detail of checks by the manager has increased of things like care plans and medication. The manager makes checks daily and weekly to make sure records are in order and people are safe. Every staff member now has a National vocational Qualification. The manager is now registered with us. This means that she has passed the fit person process. 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 set out 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 28 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 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be sure that a thorough assessment of their needs will be carried out with them. There is good information about the home to help people decide about moving in. Evidence: We found that there is good information about the home. This includes a Statement of Purpose and Service User Guide. Both have been reviewed and updated recently. The information is also produced in different formats like tape cassette and Braille. This means that people have the information they need to help them decide about moving in. We found that each person is issued with a contract that outlines the terms and conditions of their stay. This includes information about the fee they pay and what it includes. We found that after people have been at the home for about a month, the Care Homes for Older People Page 11 of 28 Evidence: manager meets with them to ask if they like it and want to stay. We found that people are welcome to have a trial stay to help them decide about moving in. One persons spouse was able to stay with them for a trial stay to keep them company and give a second opinion. We sampled service user plans, care plans. We found that the manager carries out detailed holistic assessments of people needs. This means that staff have a good idea of a persons needs before they move in and the manager can decide if the home can meet the persons needs. We found that service users and their representatives are involved in the assessment process so they have a say about the support they want and need. We found that assessments are regularly reviewed to make sure the support is still right. This also shows if there is any change in needs so the staff can act quickly to change the support. Care Homes for Older People Page 12 of 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People know that their needs and preferences will be recorded and kept under review so staff know what support people want and need. Medication practice is safe and people are treated with respect. Evidence: We sampled service user plans or care plans and spoke to people. We found that each person has a detailed service user plan which is developed from the initial assessment. We found that peoples needs and the support that staff need to give is recorded in detail. This means that there is a good record of the support people need and want. We found that people are involved in developing and reviewing their plans so they have a say about their support. We found that plans are reviewed thoroughly every month and regularly audited by the manager. This means that any change in need can be picked up at an early stage and acted on. We found that there are photographs of peoples next of kin, key workers Care Homes for Older People Page 13 of 28 Evidence: and named nurses so people know who is who. There is detailed background information about people and their lives. This means that staff have a better picture of who the person is and the life they have had so far. We found that any potential risks to people are assessed and managed so people remain safe and well. At the same time independence is supported, for example support is given if people wish to take control of their own medication. Staff monitor this to make sure people remain safe.We found that peoples health needs are recorded with good monitoring systems in place. This means that staff can give the right support if and when someones health needs change. They keep records of appointments with health professionals and the outcomes. We found that medication storage is safe. We sampled records of administration and found records are in order showing receipt and administration of medication. There are good audit and checking systems in place. For example they keep running totals of tablets so mistakes are minimised. They use a handover sheet between shifts where medication checks are recorded. Controlled drugs are stored and handled safely. This protects service users. Everyone spoken to said that they are treated with respect and their dignity is maintained. We observed staff knocking on doors before entering rooms rather than just walking in. We found that signs are used on doors so people are not interrupted during personal care. We heard a domestic staff talking kindly and with patience to one person while cleaning their room.There is a named dignity champion. This staff member has had training in promoting and ensuring peoples dignity. Service users said that staff are wonderful, very caring, kind and attentive. People said their dignity is ensured. Care Homes for Older People Page 14 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have the opportunity to take part in a range of activities in house and the community. People have support to keep in touch with family and friends. The food is wholesome, nutritious and well presented. Evidence: We found that there is an activity person employed by the home. Everyone spoken to was complimentary about the activity person saying they are a nice person. The activity person organises events and activities and displays the choices on a notice board in the home. People are also given copies of this so they know what is on offer. The activity person said that if people prefer, one to one session are organised. There are also opportunities to have support to access the community. People said they enjoyed a recent party to celebrate Mothering Sunday. People have televisions and DVD players in their rooms, there are also televisions and CD payers in the communal lounges. There are books, magazines and newspapers available. People said that there is enough going on for them. We found that people have support to keep in touch with family and friends. The home Care Homes for Older People Page 15 of 28 Evidence: welcomes visitors and we spoke to one visitor on the day of the site visit who is happy with the service provided. One person said they enjoy going out with friends to the local pub and out into the community. A choir from a local school has visited the home to perform for residents. People have telephones in their rooms so can speak to friends and family in private. We found that people enjoy a balanced healthy diet. We spoke to the chef and had a look around the kitchen. The kitchen and stores are clean and orderly. The kitchen has recently been awarded a four star rating, previously it was two star, by the local environmental health office. The chef has been trained in nutrition and works out the nutritional value of the meals. This information is displayed with the menu in the reception area.There is always a choice of two main meals with a third alternative on offer. There is a choice of dessert also. People said that the chef makes them something else if they choose, like mashed potatoes instead of roast potatoes. There is a written menu and people are asked daily what they would like. People have the opportunity to give feedback about the meals on a daily basis by way of feedback cards. The chef said he looks at comments and makes changes when necessary to improve the service. Everyone spoken to said the food is good and that there is enough of it. We found that people preferences even down to how they like their porridge first thing in the morning is recorded clearly. This means that people get what they want the way they like it. We observed lunch being served and found that people are given the time they need and are supported discreetly. There are clean tablecloths and flowers and condiments on each table. The lunchtime was relaxed and the dining room a pleasant place to enjoy your meal. People were given a choice of drinks. Relatives and friends can be provided with lunch so can eat with their loved ones if they ask in advance. There is a fridge that service users can use in a separate kitchen to store their own items. We found that nutritional needs are assessed and recorded in individual plans. This means that staff can ensure people are having enough of the right foods to eat and enough to drink. Care Homes for Older People Page 16 of 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People know their complaints will be listened to an acted on. People are safeguarded from harm and abuse. Evidence: We found that there is a complaints procedure. The manager makes sure that everyone has a copy of this. It is also displayed in the home. We found that the manager is open and listens to complaints and takes steps quickly to make sure complaints are dealt with satisfactorily. There is opportunity for people to raise concerns and make suggestions at regular service user meetings and relatives meetings. Feedback is sought daily about the meals provided. This means that they can act quickly if someone is not happy about something. Everyone we spoke to said they had no complaints about the service. They said if they did have a complaint they would speak to staff and are confident something would be done. We have had no complaints about the service since the last inspection. We found that there is a whistle blowing and adult protection policy. This means that staff have a clear reference about what they should do if they suspect harm or abuse. Staff have training in how to safeguard vulnerable people. This includes how to recognise and respond to abuse. Care Homes for Older People Page 17 of 28 Care Homes for Older People Page 18 of 28 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. The home is attractive, clean and well kept which enhances peoples lives. Evidence: We found that the home is well maintained with furniture and fittings of good quality. There are spacious light communal areas for people to relax in including a conservatory and two lounges. Every room has a view of the garden, which is very well kept and has seating, patio areas and a pond. The garden is very attractive so is a nice place to spend time. Bedrooms are for single occupancy unless people wish to share. Every room has an en suite toilet and wash hand basin and one has an en suite shower room. We found that the home is clean and hygienic. Separate domestic and laundry staff are employed. People said the home is always clean and smells fresh. People said they are happy with the laundry service and always have clean sheets and towels. We found that there are two bathrooms and a shower room. Both bathrooms have been updated recently and have new baths, new flooring and blinds. Neither baths are assisted so people are supported into the bath by staff using a hoist. One of the Care Homes for Older People Page 19 of 28 Evidence: bathrooms is smaller than the other so there is limited room for staff, service user and hoist. The manager said there are plans to convert this room to a wet room so people have the space they need. One service user commented they thought this was a good idea and are looking forward to using the wet room. Care Homes for Older People Page 20 of 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users are supported by enough trained caring staff so are in safe hands. Recruitment checks are robust protecting service users. Evidence: We found that there are usually six staff on duty including the manager and a trained nurse. As well as this there are administration staff, domestic staff, laundry staff, kitchen staff, a deputy manager, an activity coordinator, maintenance man, a gardener and a chef. The manager said that she regularly reviews staffing levels to make sure there are enough staff on duty to meet peoples needs. Service users said that staff attend promptly when they call them. Staff are both male and female with a wide age range. The manager said that some service users have asked for more female staff and she has plans to address this. We found that there is enough staff on duty to meet peoples needs. We found that 100 percent of staff have a National Vocational Qualification. All of the staff are up to date with mandatory training which includes safeguarding vulnerable adults, nutrition and health and safety. We found that new staff complete an induction. This means that staff have the skills and competencies they need to meet peoples Care Homes for Older People Page 21 of 28 Evidence: needs. We sampled staff files and found that recruitment checks are carried out before people start work at the home. This includes references and Criminal Records Bureau checks. This protects service users. The manager said the home is fully staff so they do not use agency staff. This means that people are supported by staff they know and have a continuity of care and support. The manager said if a vacancy arises she plans to include service users in the recruitment of new staff. This means that people will have a say about who may potentially support them. We found that staff have contracts of employment and job descriptions so are clear about their roles. We found that staff have the opportunity to attend regular staff meetings and one to one meetings with the manager. This means they have the support, coaching and mentoring they need. We found that manager promotes staff autonomy by giving staff roles and responsibilities so they are all involved. We observed staff smiling and all are friendly so staff morale is good. Service users said that staff are kind and attentive and that the care could not be better. Care Homes for Older People Page 22 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and run in peoples best interests. There are good quality audit and monitoring systems in place based on the views of the people who use the service. People know their health and safety and finances will be protected. Evidence: The manager has the qualifications and experience required by the Minimum Standards. She also has a Diploma in tissue viability, which is related to peoples needs. The manager has experience of managing a care home and was previously a trainer of up to 200 staff. The manager is registered with us, this means that she has passed the fit person process. The manager spoke with knowledge and understanding of service users needs and of her future plans to improve the service for people. The manager has a good awareness of the requirements of the National Minimum standards and is working with staff to exceed the standards. The manager has made improvements since starting at the home in July 2008. She Care Homes for Older People Page 23 of 28 Evidence: has supported staff to raise the rating of the kitchen and catering service from a two star to a four star, rated by the environmental health officer. The manager has introduced stringent audit and monitoring of things like service user plans. Staff have more responsibility for keeping plans reviewed developing autonomy and involvement. Regular staff meetings and one to one meetings are held to enable staff to have feedback and mentoring. The manager also works alongside staff to observe and give coaching. This means the staff team are kept informed and are well managed leading to good staff morale. The manager attends periodic training to keep up to date with good practice and attends managers meetings for support. Information, documentation and records are very well organised and to hand when people need them. The requirements made at the last inspection have been met. Service users are complimentary about the manager and about the way the home is run. The manager completed the Annual Quality Assurance Assessment or AQAA. This is well completed and gives evidence of what they do well, how the home has improved and how it intends to improve further. The AQAA shows an awareness of issues relating to equality and diversity and how they intend to promote this more. The AQAA gives evidence of how the home is good value for money. We found that people have the opportunity to air their views about the service. As mentioned the manager organises regular meetings with service users, relatives and then staff to feed back any issues raised. We found that relatives raised an issue with the bathroom flooring. The manager addressed this by replacing the bathroom flooring and improving the whole bathroom.Service users have asked for grab rails in the bathroom and the manager has ordered these. Daily feedback cards are given to people about the meal of the day so the chef can make any changes. As well as this there are comments cards and questionnaires sent to service users and their representatives like family members to see what they think of the service. The results are published and acted on. We found that an operations manager carries out regular checks of how the service is running. They talk to staff and service users and produce a report. The company also carry out a yearly audit of the service, which is thorough and based on the outcomes of the Minimum Standards. The manager said this was carried out recently and she was given some action points for improvement, which she is working on. Care Homes for Older People Page 24 of 28 Evidence: We sampled records relating to peoples money and talked to the administrator. We found there are good systems in place to safeguard peoples finances. People have a contract about any personal allowances, which tells them about their own and the homes role and responsibilities. Up to date statements can be printed from the computer at peoples request. These systems ensure that peoples money, looked after by the home is safe and protected. The AQAA shows that the required health and safety checks of premises and equipment are up to date. There is a maintenance person employed and a planned programme for improvement and maintenance of the home. The home and grounds are well maintained and safe for people to use. We found that staff have training in areas of health and safety including first aid and fire awareness. One service user said they are very keen on safety here. Care Homes for Older People Page 25 of 28 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 26 of 28 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 27 of 28 Helpline: Telephone: 03000 616161 or Textphone: or 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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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