Care Home: Holme Lea

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What the care home does well The home provides a clean, pleasant and safe environment for the people living there and their family, friends and visitors. The staff in the home are good at making people feel welcome. There is a wide range of information about the home which is available in different formats. The information is on display and includes the last inspection report of the service. This means that people can make an informed decision about their future care and support arrangements. There is a good skill mix in the staff team and staff are given plenty of opportunities to develop their skills and go on training courses. This means that people in the home benefit from receiving care and support from a staff team that have a good knowledge base. People in the home spoke highly of the manager and the staff team. Comments included: “The manager is very approachable”. “I do feel that staff are good and needs are met. I like their manner and they interact well with people. You can tell they know people well”. Care plans were clear and gave staff information on how people wanted to be supported. Robust procedures are in place for the recruitment of staff, so people can be confident that proper procedures have been followed to ensure that the right people are chosen to work in the home. Systems are in place to help and support people to make a complaint or raise a concern. People in the home told us that they felt confident in raising concerns. What has improved since the last inspection? A new manager is in post, and the service has recently appointed a deputy manager. The manager feels this will help in ensuring that time is allocated to implement key management and monitoring systems in the home. Some staff have received training in supporting them to deliver activities in the home. This should mean that people will be supported to choose activities which suit their individual lifestyle preferences. During this visit, there was evidence of an ongoing maintenance and refurbishment programme which means people living in the home will benefit from a safe and well maintained environment. Holme Lea DS0000005571.V378032.R01.S.doc Version 5.2 Improved security at the front door entrance ensures that people in the home are safe at all times. What the care home could do better: No requirements or recommendations have been made as a result of this inspection visit. Key inspection report CARE HOMES FOR OLDER PEOPLE Holme Lea Astley Road Stalybridge Tameside SK15 1RA Lead Inspector Ann Connolly Key Unannounced Inspection 13th October 2009 10:00 DS0000005571.V378032.R01.S.do c Version 5.3 Page 1 This report is a review of the 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. 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. Holme Lea DS0000005571.V378032.R01.S.doc Version 5.2 Page 2 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 Holme Lea DS0000005571.V378032.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Holme Lea Address Astley Road Stalybridge Tameside SK15 1RA Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0161 338 5187 0161 304 0990 holmelea@meridiancare.co.uk Meridian Healthcare Ltd Ms Patricia Elizabeth Sherwood Care Home 48 Category(ies) of Dementia - over 65 years of age (18), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (5), Old age, not falling within any other category (18), Physical disability (1), Physical disability over 65 years of age (3), Sensory Impairment over 65 years of age (13) Holme Lea DS0000005571.V378032.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 18 OP up to 18 DE (E) up to 3 PD (E) up to 13 SI (E) and up to 5 MD (E) and 1 named individual PD. 8th November 2007 Date of last inspection Brief Description of the Service: Holme Lea is a purpose built, two-storey building in its own grounds. It offers accommodation to up to 48 older people in single bedrooms, many of which have en-suite facilities. Communal space consists of five lounges, three dining rooms and a patio area to the rear of the building. The building is situated in a residential area of Stalybridge, opposite Stamford Park, and is close to a main road offering public transport links to Stalybridge and Ashton Under Lyne. Car parking is shared with the adjacent home, Stamford Court. The home is run by Meridian Healthcare Limited, an organisation which operates several other care homes in Tameside. Fees for accommodation and care at the home range from £398. 11p to £430.11p. All fees are subject to a financial assessment carried out by the placing authority. Additional charges are made for hairdressing and chiropody services, newspapers, personal toiletries and arranged trips. Holme Lea DS0000005571.V378032.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means that the people who use this service experience good quality outcomes. This was a key inspection that included a visit to the home which lasted seven hours. The manager was not told beforehand that we were coming to inspect, this is called an unannounced inspection. The inspection looked at all the key standards and included a review of all available information received by the Commission about the service provided by the home since the last inspection. During the visit to the home a selection of records, care plans, policies and procedures were looked at. Discussions took place with the manager, staff working in the home and some relatives and visitors. People living in the home were spoken to in order to find out about what they thought about the home and what they felt about the way in which staff supported them. A tour of the building took place and people living there were asked for their views and comments about the environment. Before the inspection we asked the manager of the service to complete a form called the Annual Quality Assurance Assessment (AQAA) to tell us what they felt they did well, and what they needed to do better. This is one of the ways we get information from the manager about the service and about how they feel they are meeting the needs of the people who live there. The information provided on this occasion showed us that this was an organisation committed to the ongoing development of the service. Surveys consulting people were sent to the home and at the time of writing this report we had not received any returned surveys. Since the last inspection of the service which took place on 8th November 20078, the Commission have not received any recent complaints about the service. There was evidence during this visit that the manager was handling complaints well and that policies and procedures for managing complaints and safeguarding issues were followed appropriately. Holme Lea DS0000005571.V378032.R01.S.doc Version 5.2 Page 6 What the service does well: The home provides a clean, pleasant and safe environment for the people living there and their family, friends and visitors. The staff in the home are good at making people feel welcome. There is a wide range of information about the home which is available in different formats. The information is on display and includes the last inspection report of the service. This means that people can make an informed decision about their future care and support arrangements. There is a good skill mix in the staff team and staff are given plenty of opportunities to develop their skills and go on training courses. This means that people in the home benefit from receiving care and support from a staff team that have a good knowledge base. People in the home spoke highly of the manager and the staff team. Comments included: “The manager is very approachable”. “I do feel that staff are good and needs are met. I like their manner and they interact well with people. You can tell they know people well”. Care plans were clear and gave staff information on how people wanted to be supported. Robust procedures are in place for the recruitment of staff, so people can be confident that proper procedures have been followed to ensure that the right people are chosen to work in the home. Systems are in place to help and support people to make a complaint or raise a concern. People in the home told us that they felt confident in raising concerns. What has improved since the last inspection? A new manager is in post, and the service has recently appointed a deputy manager. The manager feels this will help in ensuring that time is allocated to implement key management and monitoring systems in the home. Some staff have received training in supporting them to deliver activities in the home. This should mean that people will be supported to choose activities which suit their individual lifestyle preferences. During this visit, there was evidence of an ongoing maintenance and refurbishment programme which means people living in the home will benefit from a safe and well maintained environment. Holme Lea DS0000005571.V378032.R01.S.doc Version 5.2 Page 7 Improved security at the front door entrance ensures that people in the home are safe at all times. 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. Holme Lea DS0000005571.V378032.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Holme Lea DS0000005571.V378032.R01.S.doc Version 5.3 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 3 People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Information about the home is made available to help people in making a decision about their future care and support arrangements. People moving into the home have their care and support needs assessed so they can be confident that the home is able to meet their personal needs. EVIDENCE: Information about the service was on open display in the reception area of the home. The latest inspection report was on display so that people had access to information about how the home was doing. The company has been pro-active in developing information in a wide range of formats for example virtual tours Holme Lea DS0000005571.V378032.R01.S.doc Version 5.3 Page 10 using IT programmes, in an attempt to make it more accessible for people wanting to find out more about the service. Four care plans were looked at during this visit and each of them contained a pre-admission assessment and background information. Information in the pre-admission assessment was used to develop each individual care plan. New documentation has been introduced by the service to include information about mental capacity and deprivation of liberty screening. This records information about any advanced decisions made by the individual person and considers whether admission to the home is likely to deprive people of their liberty. Information in the aqaa stated that people who are considering a move into the home are involved in the pre-admission planning. Opportunities are provided for people to visit the home and spend time there before making any decisions about placement and future care and support arrangements. Holme Lea does not provide intermediate care. Holme Lea DS0000005571.V378032.R01.S.doc Version 5.3 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans provide details of individual support needs and the actions and care to meet needs. EVIDENCE: Four care plans were looked at during this visit. The care plans provided background details of the individual, risk assessments, a record of reviews of care, and information about the contact the individual had with other healthcare professionals. Information in the plan provided staff with clear instructions on what they needed to do to support people, and there was evidence of a focus on what the individual could do for themselves. Holme Lea DS0000005571.V378032.R01.S.doc Version 5.3 Page 12 From discussions with people living in the home and their families, there was evidence to show that people were supported to access healthcare services when appropriate. All of the people spoken to said that staff responded promptly to any health concerns. We were told by some relatives that the service always provided an escort if a person needed to attend hospital for an out patient or emergency appointment. Records showed that that people in the home had access to a wide range of healthcare services such as local clinics for general practitioners, chiropody, optician and dentist. One person confirmed that reviews took place regularly and that the staff and management team were good at keeping them informed of any changes in individual care needs. One person said, “I feel staff are good and that individual care needs are met. I like the manner that the staff use and the way they speak to people. I can tell you that they know how to support and help my relative”. One person said, “There can be peaks and troughs with the home, sometime the care is better than at other times, but I keep an eye and watch things. When issues arise we address them. Most of the time staff do listen and respond appropriately. The manager is very approachable”. Medication was looked at during this visit. The medication was stored appropriately. The medication-administrated records (MAR) were up to date, and signed appropriately. There was evidence that regular audits of medication took place so that any shortfalls were identified and addressed at an early stage. The storage of medication was in good order, and the regular audits ensured that medication was not overstocked as only medication that was required was requested. All staff responsible for the administration of medication had received training. This means that people in the home can be confident that they receive their medication from a staff team who have a good understanding of medication policies and procedures. Holme Lea DS0000005571.V378032.R01.S.doc Version 5.3 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 People using the 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 had opportunities to join in social activities, and mealtimes offered choice of wholesome appealing menus. EVIDENCE: Care plans included records of individual lifestyle preferences and social interests. This section of the plan varied in content detail on individual files. Some plans included sufficient information about individual interests, whilst other plans lacked this information. The manager told us that she was aware of this shortfall, and had plans in place to address this. This is important as it will help carers to plan their support for people in a way that suits individual needs and preferences. There were mixed responses from people living in the home and their relatives about the opportunities to engage in activities. Some people told us that there Holme Lea DS0000005571.V378032.R01.S.doc Version 5.3 Page 14 was plenty going on and listed activities such as bingo, gently exercises, theme activities such as art and craft based on Halloween, and outside entertainers. Other people told us there wasn’t much to do. One visitor told us that in recent years things had stayed the same and that in terms of social activities nothing had evolved or changed with technology. This person felt that the service needed to listen to suggestions such as supporting people to use computers and information technology. During this vist the television was on in two lounges with no-one consciously watching. There were plenty of visitors during our visit to the home. People were seen coming and going and being made welcome by the staff team. People were able to see their visitors in the comfort of their own room or in one of the quite sitting areas. Some activities took place in the afternoon, and these included a sing-along session and art and craft. Meals in the home were nutritionally well balanced and offered people a choice. People who were spoken to told us that they enjoyed the meals in the home. Holme Lea DS0000005571.V378032.R01.S.doc Version 5.3 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are good procedures in place so that people who live in the home are able to express their concerns and be listened to. Their rights are protected and they are safeguarded from abuse. EVIDENCE: There was a complaints procedure in place and this was available in each bedroom. The service user guide and statement of purpose included detailed information on how to make a complaint. The complaints book was seen and this included information about concerns raised. Recordings showed the nature of the complaint and the action taken, followed up by the outcome for the complainant. Most of the complaints were of a minor nature about lost clothing. All of them had been resolved to the complainant’s satisfaction. This record demonstrated the commitment of the home to take all complaints seriously, no matter how small. Residents spoken to expressed confidence in approaching the manager or staff with any concerns. Information in the AQAA informed us that the service had received 9 complaints in the last 12 months and that all of these had been responded to Holme Lea DS0000005571.V378032.R01.S.doc Version 5.3 Page 16 within 28 days. Three of these complaints had been upheld. The Commission has not received any recent complaints about this service. Staff training records showed that staff had received training in safeguarding adults. Staff spoken to during this visit had a sound knowledge of safeguarding procedures and were aware that any allegations of abuse must be reported to Social Services who take the lead in any investigations, and also that the Commission must be informed. Holme Lea DS0000005571.V378032.R01.S.doc Version 5.3 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 People using the 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 living in the home are provided with a pleasant comfortable environment. EVIDENCE: During a tour of the building we saw that people living in the home had been supported to personalise their room to reflect their individual character. Most Holme Lea DS0000005571.V378032.R01.S.doc Version 5.3 Page 18 of the rooms we saw were clean, tidy and free from any unpleasant odours, however, one room had a very strong odour of urine. From case tracking it was evident that this had been raised as an issue by a relative. The manager told us that they were actively involved in trying to resolve this, and was open in acknowledging that there were other rooms with similar problems and that appropriate action would be taken to remedy this. Holme lea is a purpose built building and at the time of this visit a refurbishment programme was underway. Hallways and corridors were in the process of being decorated, new carpets had been ordered. Several bedrooms had been re-decorated. There were a range of plans in place to improve the environment and these included improved lighting in some areas of the building. Information in the AQAA confirmed that all health and safety checks were up to date and that staff had received training in infection control. People living in the home expressed satisfaction with the environment. One relative told us that most of the time she found rooms clean and tidy and that on one occasion when she hadn’t it was addressed and done immediately. Since the last inspection visit work had been carried out to improve security aspects of the building. This has improved access in and out of the building, and the safety of people living in the home has been prioritised. Holme Lea DS0000005571.V378032.R01.S.doc Version 5.3 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 People using the 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 living in the home are supported by a well-trained staff team, and are protected by robust recruitment procedures. EVIDENCE: During this visit there were sufficient staff on duty to meet the needs of the people in the home. In addition to care staff there was a team of dedicated kitchen staff, laundry staff and a handyman. We looked at the personnel files of four staff, one of which was a member of staff recently recruited to work in the home. All the required documentation was in place including Criminal Record bureau (CRB) enhanced disclosures and two written references. People living in the home and their relatives told us that they were happy with the way the staff team provided support. Comments included: “The staff here are very good”. Holme Lea DS0000005571.V378032.R01.S.doc Version 5.3 Page 20 “I do think the staff are good and that needs are met” “They know my relative and what kind of help and support is needed”. “I think it is very good, and they (the staff) listen to me”. Some relative told us that they felt there were ‘Peaks and troughs’ with the care, and that on some visits they had felt they did not see enough staff on duty. The manager told us that staffing arrangements was an area that was reviewed regularly to ensure that the changes in individual needs were reflected in staff in rota’s. Staff who were spoken to told us that they had received induction prior to commencing their job, and the information in the AQAA confirmed that induction programmes formed part of the recruitment procedures. Records on staff files showed that training was prioritised by this organisation, and all staff spoken to told us that they had plenty of opportunities for training and development. Information in the AQAA stated that 16 of the staff team of 25 had achieved a National Vocational Qualification (NVQ) level 2 or above. Holme Lea DS0000005571.V378032.R01.S.doc Version 5.3 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 People using the 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 well managed so that it is run in the best interest of the people who live there. EVIDENCE: Since the last inspection visit in November 2007 a new manager has been put in post who has many years experience of working in the care sector, and who has managed other establishments within the organisation. She has regularly Holme Lea DS0000005571.V378032.R01.S.doc Version 5.3 Page 22 updated her skills and knowledge by attending training sessions and promotes training within the rest of the team. We spoke with both staff and people living in the home about the general management and responses were positive. Comments included, “The manager is approachable”. “We can talk to the manager about any concerns”. The manager told us that she was currently involved in developing and implementing monitoring systems in the home. We were told that medication was monitored on a monthly basis, and that a system for monitoring care planning processes in the home had just been commenced. The manager told us that the senior team had only recently been established and that they were in the early stages of establishing key roles of responsibility. Staff told us that they received regular supervision and that they felt they could approach the manager or a senior member of staff at any time with any queries or concerns. The information in the AQAA confirmed that there was a system in place for the organisation to carry out regular quality monitoring audits. A full report of the audit was made available to people living in the home and their relatives. It was confirmed in the AQAA that all routine maintenance and servicing of equipment used in the home was carried out, and a random selection taken from the records during our visit confirmed this. Holme Lea DS0000005571.V378032.R01.S.doc Version 5.3 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 4 x 3 x x n/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 3 x 3 Holme Lea DS0000005571.V378032.R01.S.doc Version 5.3 Page 24 Are there any outstanding requirements from the last inspection? no STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Holme Lea DS0000005571.V378032.R01.S.doc Version 5.3 Page 25 Care Quality Commission North West Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: 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. Holme Lea DS0000005571.V378032.R01.S.doc Version 5.3 Page 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!