Care Home: Hillcrest Care Home

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What the care home does well The home benefits from having a well qualified and experienced manager in control. His style of management encourages a relaxed and very happy atmosphere where people are valued. Staff at the home are well-trained and supported. They are enthusiastic and work very hard to ensure people living at the home receive good care. Staff are cheerful, friendly and very welcoming. People living at the home are treated as individuals and staff make every effort to establish choices and preferences so that person centred care can be achieved. People receive a varied and nutritious diet that is based on choice and is well presented. The home is well maintained, clean, tidy and free of unpleasant odours. Some examples of very good practice were seen. Staff have contributed towards making an environment that is pleasing and appropriate for people and particularly those who have dementia. For example, they have been involved in decorating the bathrooms so that they appear less institutionalised and more inviting. Staff have also painted a life-sized shopfront, complete with jars of sweets. This is painted around the doorway where activities take place and encourage people to walk through. The staff are commended. What has improved since the last inspection? At the last inspection, dated 28th of January 2009, there were three outstanding requirements and four new requirements set . In addition, we made five good practice recommendations. These requirements and recommendations were assessed during this inspection and we also referred to the improvement plan that had been sent to us by the service. All requirements and recommendations had been met. All residents had received a complete bedding pack that consisted of new quilts, pillows and covers. In addition, a refurbishment plan had been set up and this was ongoing at the time of this inspection. Staff training had improved so that they had the knowledge and skills to meet the specific needs of people with dementia. The manager is now operating a quality assurance process that seeks the views of people who live and visit the home. The process generates a report and action plan that is made available to residents and their relatives. One of the recommendations made at the last inspection referred to social support for residents and how this should be recorded. The activities coordinator has worked hard to develop very good records that provide information about the social and emotional needs of the individual and how they should be met and supported. What the care home could do better: As stated above, the service has made improvements in many areas. However, there remains the issue identified at the last inspection, where some residents bedrooms are bare and have no pictures or personal items in them. The home is commended for encouraging families and residents to bring personal items into the home. However, where it is not forthcoming, the home needs to consider how it can personalise these bedrooms and makes them more appealing for the person living there. Key inspection report Care homes for older people Name: Address: Hillcrest Care Home 106 Thorpe Road Thorpe Norwich Norfolk NR1 1RT     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: Geraldine Allen     Date: 2 3 1 1 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 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: Hillcrest Care Home 106 Thorpe Road Thorpe Norwich Norfolk NR1 1RT 01603626073 01603765100 hillcrest@schealthcare.co.uk www.southerncrosshealthcare.co.uk Ashbourne (Eton) Limited Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Garry Nightingale Type of registration: Number of places registered: care home 52 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Hillcrest is a care home providing care for up to 52 older people including service users with dementia. The accommodation is located on both ground and first floors. There are 37 single rooms en-suite, 3 single rooms without en-suite facilities and 6 double rooms with en-suite facilities. The home is situated within walking distance of the centre of the city of Norwich and its facilities. The detached property is set in its own grounds; the garden areas have flowerbeds and a terraced patio. There is parking space to the front of the premises. Hillcrest is one of several homes in Norfolk owned by the proprietors. The fee range at the time of inspection was between £288 and £458. Additional charges were for items such as hairdressing, newspapers and Private Care Homes for Older People Page 4 of 26 Over 65 32 20 0 0 2 8 0 1 2 0 0 9 Brief description of the care home chiropody and these charges were variable. Please refer to the manager for the current fee range. 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: This inspection took place on Monday, 23 November 2009 and was unannounced. Before the inspection, we looked at information the manager had sent to us in his Annual Quality Assurance Assessment (AQAA). We also looked at information we have received in the last 12 months and the notifications the home has sent us about events that have occurred. On the day of inspection we gathered further information from a variety of sources. These included looking at various records, speaking with residents and their visitors, speaking with the manager and staff, touring the building, observing practice and having a meal with residents in the dining room. Care Homes for Older People Page 6 of 26 What the care home does well: What has improved since the last inspection? What they could do better: Care Homes for Older People Page 7 of 26 As stated above, the service has made improvements in many areas. However, there remains the issue identified at the last inspection, where some residents bedrooms are bare and have no pictures or personal items in them. The home is commended for encouraging families and residents to bring personal items into the home. However, where it is not forthcoming, the home needs to consider how it can personalise these bedrooms and makes them more appealing for the person living there. 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 receive sufficient information that helps them to make an informed choice to live at this home. All people have a full assessment of their needs before moving into the home. Assessments are also obtained from other health professionals as needed. People know that the home can meet their needs before they decide to live there. Prospective residents are able to have a trial period before deciding to live permanently at the home. This service does not provide intermediate care. Evidence: The home has a statement of purpose and service user guide and both documents are made available to people before they move into the home. Copies were also available Care Homes for Older People Page 10 of 26 Evidence: for people to look at in the entrance hall. The statement of purpose and service user guide provides people with information about the services and facilities provided at this home. People told us that a full preadmission assessment of their needs was completed before they moved into the home. We saw these completed assessments in residents care plans, together with assessments that had been completed by other agencies such as social services or the hospital. The needs assessments were comprehensive and considered all aspects of the persons needs. A relative told us she had been very confident the home would be able to meet her parents needs before they moved into the home. People told us that they had first gone into the home on a trial basis that lasted for approximately one month. One resident told us she had decided to remain at the home before the end of the one-month trial period. This service does not provide intermediate care. 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 an individual care plan that sets out their specific needs and how staff should support and meet them. Staff refer health care concerns promptly and follow advice and instructions given to them by health professionals. The service operates robust practice and follows good procedures when dealing with medicines. People are treated with respect and their privacy and dignity is supported by good practice. Evidence: We looked at three care plans in detail and spoke with two of these residents so that we could see if the information in the care plan reflected what the people told us about their needs. We also spoke with other residents, staff and visitors and observed how staff cared for people. Care Homes for Older People Page 12 of 26 Evidence: The care plans were completed to a good standard and they gave staff the information they needed to care and support individual residents appropriately. The needs of people were reviewed at least every month and the care plans were updated if necessary. We also saw evidence that people were involved in planning their care as much as possible. Good records were also seen within the care plans about visits from health professionals. We saw eveidence that staff requested health professional visits promptly and that staff followed all instructions given to them regarding health care. We looked at the arrangements for the storeage, administration and recording of medicines kept in the home. All records were up to date and legible and provided good evidence that staff follow best practice guidelines. The deputy manager and team leader spoke about the training they have recieved and confirmed only staff who had completed relevant training were able to administer medicines. They also described the way they ensure on a regular basis that staff continued to be competent when dealing with medicines. The practices described were robust and helped to safeguard people from medicine errors. Staff practice was discreetly observed throughout the day to ensure it was appropriate to the needs of the people living at the home. Staff knocked on doors before entering a room and always spoke respectfully to people. All personal care was provided behind closed doors to preserve privacy and dignity. Care Homes for Older People Page 13 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. The routines of daily living are based on peoples preferences and choices. Routines are flexible and meet individual needs. People are supported to maintain contact with family and friends and are able to access the local community. Staff help people to identify choices and preferences and these are recorded so that their preferred lifestyle is maintained. People receive a varied and nutritious diet that is based on their choices and preferences. Evidence: The manager has told us that each resident now has a key worker, who works with them and communicates with their relatives and friends so that choices and preferences around daily living can be understood. There is also a recently appointed activities co-ordinator, who is introducing a choices pack that uses picture cards to help residents identify their preferences. Very good records are kept about the activities and social interactions that individual residents enjoy. Efforts have been Care Homes for Older People Page 14 of 26 Evidence: made to ensure that people are able to take part in activities they enjoy. For example, one resident has been supported to develop and maintain the gardens at the home. Some excellent and innovative practice was seen and staff are commended. For example, staff had consulted with the relatives of one resident and had also obtained dictionaries to support a resident whose first language is not English. On the day of inspection, residents had been supported in making Christmas cards to send to their relatives and friends. A game of bingo had been arranged for the afternoon and the mobile sweetshop was seen going around the home. People were also seen throughout the building, taking part in activity and meaningful occupation as they wished. People told us they were able to go to activities if they wished and one person said she preferred not to attend as she enjoyed peace and quiet. We saw the activities programme displayed in the entrance hall and this showed that activities are arranged for each day. The spiritual needs of residents are also met, with monthly church services and also singalong hymn services all turn months. We had lunch with residents in the residential dining room and were able to talk to people living at the home and also to discreetly observe staff practice. The dining room was attractively laid, with linen tablecloths and fresh flowers in a vase. Paper napkins were also available. People told us they enjoyed the food, although one resident said that sometimes the portions were too large. However, on the day of inspection the resident cleared her plate. The food was nicely presented and was based on peoples choices. The cook said she was able to provide special diets as needed. Drinks and snacks were seen being provided to people through out the day. People told us they could have visitors whenever they wished and were also able to go out of the home on outings or to visit relatives. One person told us he had enjoyed going out with a small group of other residents for a pub meal recently. A visitor to the home told us she was always made very welcome and could visit her relatives whenever she wished. She said that the door was always open. Care Homes for Older People Page 15 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. The home has a complaints procedure that is known to residents and their relatives and is displayed in the entrance hall. People are protected from abuse by good recruitment processes and regular staff training. Evidence: The home has a complaints procedure that is displayed in the entrance hall and a copy is provided to all residents and their representatives. The manager confirmed that he has not received any complaints in the last 12 months and no complaints have been received by us. He said he operates an open door policy and also ensures he spends a significant amount of time with residents, visitors and staff so that he can address any issues immediately they arise. He said he acts on any comments received. A comment book was seen in the entrance hall. The home has policies and procedures in place for safeguarding adults and also whistleblowing. Staff spoken to demonstrated a good understanding of these procedures and what to do if they suspected abuse was taking place. We were shown evidence that all staff have received safeguarding adult training and that it is updated each year. Good staff recruitment processes were in place that helps to protect the people living Care Homes for Older People Page 16 of 26 Evidence: at the home. A criminal records bureau check is completed and two written references obtained before newly appointed staff start working at the home. 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. The home is safe and well maintained and is suitable for its stated purpose. Toilets and bathing facilities are appropriate and aids are in place and well maintained. Residents bedrooms are comfortable and most have their own possessions around them. The home is clean and tidy, with no unpleasant odours. Heating and lighting is appropriate and meets health and safety requirements. Evidence: A tour of the home was made with the manager and all areas were seen. We were told that the refurbishment programme was continuing over the coming months. The lounges had been refurbished to good effect, with new furniture, carpets and decoration. We saw where one corridor had been completed, with door knockers & false letterboxes being fitted to residents bedroom doors. A lifesize sweet shop front had been painted around a doorway on the first floor dementia unit, with plans to continue the theme by painting other shop fronts. These are examples of good practice and the home is commended. Some of the bedrooms seen had been highly personalised with small peices of Care Homes for Older People Page 18 of 26 Evidence: furniture, pictures and other items of importance to the person. These bedrooms were attractive and reflected the person and their interests. Other bedrooms were very bare, with no pictures or personal items. The manager said that all residents and relatives were encouraged to bring in items but they did not always do so. It was suggested that the home put some pictures into rooms that appear bare to improve their appearance and make them feel more inviting to the person. Bathrooms were seen and had been decorated with appropriate themes such as underwater views and dolphins. The manager said that staff had done some of the artwork. The rooms were warm and inviting. The manager told us that an unused shower room was to be converted into the hairdressing room and will also be used for the chiropodist. One of the assisted baths was out of order and was due to be replaced. The home felt warm on the day of inspection and the lighting was adequate, with artificial lighting being used as needed. All areas of the home were clean and there were no unpleasant odours. We looked at the laundry room and spoke briefly with the housekeeper. The laundry room was well equipped with two industrial washers and one industrial dryer in place. Both washers had sluicing and disinfection programmes installed. The laundry was well organised and clean. Time was spent talking with the maintenance worker. We looked at the maintenance records, which were up to date and legibly written. These showed that all equipment is properly maintained and serviced so that it is reliable and safe. We looked at the external environment that consists of an enclosed courtyard garden and a front garden and patio area. A resident works with the maintenance worker to keep these areas in an attractive and well maintained state. Both areas were attractive and full of interest for people. The courtyard garden had a gazebo over seating that can be used in all weather. 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. The home employs staff in sufficient numbers to be able to meet the needs of residents. A good skill mix is ensured on each shift. Staff receive training and achieve qualifications that ensure people living at the home are looked after by competent people and are in safe hands. People living at the home are protected by the homes recruitment policy. Evidence: The manager gave us a copy of the staff roster for the week of inspection. This showed that eight care staff were employed during the morning and seven during the afternoon. The manager was not included on the roster. In addition, ancillary staff were also employed to cover catering, housekeeping, administration, activities and maintenance. We also looked at the competence of the staff employed and this showed us that sufficient staff were on duty with the skills to meet the needs of residents. We looked at the number of staff who have obtained National Vocational Qualifications (NVQ) at levels two and three. 81 of staff have now achieved these qualifications and on the day of inspection further staff were being assessed for NVQ. These numbers exceed the minimum required. Care Homes for Older People Page 20 of 26 Evidence: We looked at three staff files, one of whom was a recently recruited member of staff. The staff files contained all of the information we need to see about the person, their experiences and the process followed for their recruitment. The recruitment process was thorough and included a criminal records bureau and protection of vulnerable adults check, a minimum of two written references and fully recorded interview notes. We spoke with several members of staff, including the newly appointed carer, and it was confirmed that they had not started working at the home until all of the checks and references had been successfully completed. The new member of staff also confirmed she had been given a copy of the General Social Care Council code of conduct as part of her induction. We looked at the training records and these confirmed that staff receive training appropriate to their role. All staff have attended fire safety training and most have attended a fire drill in the last six months. Staff receive statutory training such as manual handling, safeguarding adults, infection control and health and safety and these were also updated annually. Other training has included pressure care, care planning, dementia awareness and challenging behaviour. At the time of the inspection, the new member of staff was continuing to receive her induction training. This was seen within her personnel file, together with questionnaires she had completed to demonstrate her understanding of her learning. The induction training programme was fully recorded, dated and signed. We spoke with staff about the training they have received and they were able to demonstrate good knowledge about the subjects discussed. 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. The manager is suitably qualified and experienced to undertake his role. He provides leadership and a management style that encourages a happy, open and inclusive atmosphere. The views of people using and visiting the service are sought on a regular basis and these views are acted upon. Staff receive regular supervision so that they are supported to do their job effectively. The health, safety and welfare of people living at, working in and visiting the home are protected by good practice and procedures. Evidence: We spoke with the manager and he told us about his extensive experience in managing care homes. We saw certificates displayed confirming he has successfully completed NVQ at level IV. The manager is registered with us. Care Homes for Older People Page 22 of 26 Evidence: The manager told us about his approach to managing the home so that a relaxed and happy atmosphere is achieved. He said he had an open door policy, encouraging people to speak with him whenever they wished to. He also said he spends a significant part of his day within the home, speaking with residents and their visitors, staff and also observing what was going on. On the day of inspection we found that there was plenty of laughter and the atmosphere was relaxed and happy. The manager told us how he seeks the views of people living at the home and also their visitors. He provided us with a copy of the findings of the last questionnaire he sent out. The questionnaire addressed issues such as telephone etiquette, attitudes of staff, the appearance of staff, the professionalism and knowledge of the manager and the cleanliness of the home. All responses were very positive. The manager said this process is repeated every six months, but he also seeks the views of people continuously and especially when they have recently moved into the home. We did not look in detail at the arrangements for looking after residents personal allowances as the manager confirmed the home follows the organisations procedures. Inspections at other establishments owned by the company have confirmed that a very robust process is in place, with weekly checks and reconciliation of monies against records held. Staff supervision takes place in line with recommended practice and we saw completed supervision records in staff files. The manager said that he supervises department heads and they in turn supervise staff within their teams. The manager monitors supervision records so that he can pick up on any issues quickly and can also be assured that supervision is taking place in line with the companys procedures. We looked at records and practice with regard to health and safety matters. These included fire safety, infection control, maintenance of electrical systems and equipment, hot water temperatures and accident records. The records were in good order and up-to-date. We were able to confirm that staff receive training in all health and safety matters commencing with induction training and followed by either six monthly or annual updates. The accident records were seen and the manager said he keeps a record each month so that he can address any issues that may arise. 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 1 23 It is recommended that pictures and other items are put ito bedrooms where the resident has not brought any with them so that the room appears more appealing. 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. 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