Care Home: Hopton Court

What the care home does well The home is well managed and people that live and work at the home feel valued and enjoy a friendly and relaxed atmosphere. People told us that they found the manager approachable and always willing to listen to their concerns or their ideas about how the service could be improved. The home has a thorough staff recruitment and selection procedure in place which makes sure only people suitable to work in the caring profession are employed. There is also a genuine commitment to providing staff with the specialist training they need to care and support people with dementia. The home encourages people to visit or stay for a trial period before they move in permanently so that they can experience at first hand the care and facilities provided. This helps people to decide if the home is right for them. The home has an open door policy and encourages people to tell them what they think about the service. There are regular meeting arranged for people living at the home and their relatives and quality assurance survey questionnaires are sent out at regular intervals. The home has established close working relationships with other health care professional to make sure people`s health care needs are met and they have access to the full range of NHS services. The home has an ongoing programme of refurbishment and renewal and the providers, manager and staff take a great deal of pride in providing people with a clean, comfortable and safe environment. Comments from people living at the home and/or their relatives included the following "the home is always kept clean and tidy and the staff are kind, considerate and very friendly" and "we are very pleased with the standard of care and facilities provided at the home." What has improved since the last inspection? The appointment of a new manager who is open to new ideas about how the service could be improved means that the home is moving forward and providing quality care. Pre-admission assessment reports are now completed to a good standard and provide staff with good information about people`s health and social care needs so that an initial care plan can be in place on admission. What the care home could do better: Staff should be more vigilant when completing the monthly care plan evaluations so that the care plans in place accurately reflects any changes in the level of care and support required by individuals. Daily records and reports should focus more on how people spend their time while living at the home and should indicate how staff have helped to promote their independence and include information about the choices and decisions they have been able to make. Key inspection report Care homes for older people Name: Address: Hopton Court Hopton Mews Armley Leeds West Yorkshire LS12 3UA     The quality rating for this care home is:   three star excellent 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: Stephen Marsh     Date: 3 0 0 4 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: Hopton Court Hopton Mews Armley Leeds West Yorkshire LS12 3UA 01132632488 01132632509 hoptoncourt@schealthcare.co.uk www.schealthcare.co.uk Southern Cross Care Management Limited care home 45 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia Additional conditions: The maximum number of service users who can be accommodated is: 45 The registered person may provide the following category of service only: Care home only - Code PC, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following category: Dementia - Code DE Date of last inspection Brief description of the care home Hopton Court is a 45 bedded home which provides care for people with Alzheimers disease or other types of dementia. The home was purpose built as a residential home for older people, though not architect designed specifically for people with dementia. The building was constructed with new environmental standards in mind so all rooms exceed the minimum standard on size and all have en suite toilet and hand washing facilities. Built on two floors, there is access to the first floor by passenger lift. Each floor operates as a separate unit with food and laundry being provided from a central area on the ground floor. A garden area to the rear of the building has been developed Care Homes for Older People Page 4 of 26 Over 65 0 45 Brief description of the care home to provide a secure outdoor sitting area for people to use, and which allows them the freedom to wander outside in safety. The home is situated in the Armley area of Leeds within walking distance of the main shopping area, a small park, two pubs, a hairdresser and a post office. Because of the vulnerability of the people living there, restrictions, in the form of digital locks (linked in to the fire alarm system) prevent them walking freely around all areas of the home. The front door can only be opened by staff for the same reason. 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: 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: The quality rating for this service is three star (3). This means that people that use the service experience excellent quality outcomes. The inspection process included looking at information we have received about the service since the last key inspection, as well as this unannounced visit to the home, which was carried out between 10:00 and 17:00 hrs. The methods we used included looking at records, observing staff at work, talking to people living at the home and visitors, talking to staff and looking around the property. The home had also completed and returned their Annual Quality Assurance Assessment (AQAA) form and the information provided has also been used as evidence in the body of the report. The AQAA is a self assessment form that focuses on how well outcomes are being met for people using the service. It also gives us some numerical information Care Homes for Older People Page 6 of 26 about the service. The purpose of the visit was to assess what progress the home had made in meeting the requirements made in the last inspection report and the impact of any changes in the quality of life experienced by people living at the home. We have recently improved our practice when making requirements to improve national consistency. Some requirements from previous inspections may have been deleted or carried forward as recommendations, but only when it is considered that people that use the service are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. No requirements or recommendations have been made as a result of this inspection. Feedback was given to the manager at the end of the visit. The fees for the service currently range from 450:23 to 698:00 pounds per week. Details of the exact charges can be obtained by contacting the manager. Care Homes for Older People Page 7 of 26 What the care home does well: What has improved since the last inspection? What they could do better: Staff should be more vigilant when completing the monthly care plan evaluations so that the care plans in place accurately reflects any changes in the level of care and support required by individuals. Daily records and reports should focus more on how people spend their time while living at the home and should indicate how staff have helped to promote their independence and include information about the choices and decisions they have been Care Homes for Older People Page 8 of 26 able to make. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 of 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 10 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. The admission process is thorough and people will not be admitted unless staff are able to meet their needs. People are provided with good information about the service and are encouraged to visit and see the facilities at first hand before deciding if the home is right for them. Evidence: The service has produced a comprehensive service user guide, which is made available to all people considering moving into the home. The service user guide provides people with good information and can be published in different languages or formats on request. The guide is also available on CD and audio tape. Records show that peoples needs are always assessed before they move into Hopton Court either in their own home or temporary place of residence. Needs identified during this pre-admission assessment visit form the basis for the initial care plan, Care Homes for Older People Page 11 of 26 Evidence: which is completed on admission. People are invited to visit the home before admission to see at first hand the facilities provided, meet the staff and other people living there and stay for a full day if they wish to do so. People are also able to move in to the home on a trial period if they are still undecided. This is good practice and shows that people are supported through the admission process. Feedback from people shows that they feel the information they received about the home before admission was very good and the initial visit was helpful and informative. The relatives of one person recently admitted said that they had chosen the home because of its reputation for providing good quality care and facilities. They confirmed that they had not been disappointed with their choice and would have no hesitation in recommending the home to anyone considering respite or long-term care. Another relative said that they had chosen Hopton Court for her mother to live because the staff had taken time to show the family around the home, provided them with very good information about the service and were kind and caring. Feedback from people also clearly shows that they feel there is a good mix of skills within the staff team and staff had a good understanding of their needs Care Homes for Older People Page 12 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 living at the home and/or their relatives are fully involved in the care planning process, which means that care and support is provided in a way that takes in to account their needs and preferences Evidence: Care plans are in place for all people living at the home and are generated from the initial Social Service Care management assessment and the assessment of needs completed by the manager or deputy manager. The plan is drawn up with the involvement of the person using the service and/or their relatives and forms the basis for the care and support to be provided. The care plans are evaluated on a monthly basis and a review meeting is held with the person concerned and their relatives on a three to six month basis to discuss all aspects of their care. This means that people are fully consulted about how they want their care and support to be provided. The care plans we looked at were person centred, generally completed to a good standard and provided staff with clear guidance on how care and support was to be provided. However, in some instances we found that although the monthly evaluation Care Homes for Older People Page 13 of 26 Evidence: report indicated that there had been changes in peoples needs, the care plan had not been amended to reflect this. For example the monthly evaluation reports for one person over a three month period clearly indicated that that there had been a deterioration in their communication skills but the care plan had not been changed to show how staff were expected to manage this change in their condition. This matter was discussed with the manager who confirmed that he would review the care plans in place and make sure that they accurately reflected peoples present circumstances. All people living at the home are registered with a general practitioner and are supported in having access to the full range of NHS services. The input of other healthcare professionals is clearly recorded in the documentation available. This shows that staff are seeking advice if they concerns about peoples health. Moving and handling and nutritional assessments are routinely carried out for all new admissions and risk assessments are completed where areas of potential risk to peoples general health and welfare are identified. People confirmed that they were happy with the care and support they received and said that staff always treated them with kindness and respect. Comments included we are very well cared for and the staff will do anything to help you and staff look after us very well -- I have no complaints at all about care provided. Feedback from relatives shows that they are also pleased with the standard of care and facilities provided and were always kept informed of any significant changes in peoples general health. Comments included If I did not feel that my mother was being well looked after I would not allow her to remain at the home and I am very pleased with the standard of care and attention my mother receives at Hopton Court especially since the new manager was appointed. We reviewed the medication system in place and found that medicines are managed safely. Policies and procedures are in place relating to the receipt, safe storage, administration and disposal of medication and all staff receive appropriate training. Information provided in the self assessment form shows that the medication system is audited on a regular basis by both the manager and operations manager employed by Southern Cross Healthcare. This means that people can be confident that their medication is being given as prescribed. Care Homes for Older People Page 14 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are offered the opportunity to take part in a varied range of social and leisure activities that take account of their preferences and abilities. Evidence: The manager confirmed that people are encouraged to make choices and decisions about how they spend their time whilst living at the home. Peoples personal interests are recorded in their care plan and wherever possible they are supported by staff to follow their own daily routines. On the day of the visit the atmosphere within the home was very calm and relaxed and staff were observed to interact well with the people in their care. The home employs a full time activities co-ordinator and offers people the opportunity to join in a range of social and leisure activities including trips out to places of interest and regular entertainment. For people that dont like to join in group activities time is made to engage with them on a one-to one basis. Unfortunately the daily records completed by staff do not always reflect how individuals spend their day at the home but are more based on peoples health care needs. Therefore while it is apparent that staff are working hard to create a stimulating environment for people it is difficult to evidence this by looking at the records and reports completed. This matter was Care Homes for Older People Page 15 of 26 Evidence: discussed with the manager who agreed to review the system and make sure the home was recording and evidencing good practice. The home is pro-active in encouraging people with dementia to remain as independent as possible and staff are aware of the influence common place signs and symbols can have in assisting someone with dementia to orientate themselves in time and place. Within the home, corridors have been given street names from the local area and all bedrooms doors are brightly painted and have had letter boxes and other door furniture fitted. The aim is to create an environment that people with dementia can easily recognise and associate with, which will hopefully make their move in to residential care easier for them to cope with. Outside the home, in conjunction with West Yorkshire Metro a bus stop and bench have been installed in the grounds, which is used as a meeting place for trips out in the homes mini bus. People living at the home and their relatives told us that they were very pleased with the level of activities and outings made available to them. Comments included the staff try hard to create a stimulating environment for people and there is always something to do if you want to join in. Relatives also said they were always made to feel welcome when they visited and were offered light refreshment or invited to stay for a meal. They also confirmed that they could visit people in their own rooms if they wished. We observed the lunchtime meal being served. The meal provided was good both in quality and presentation. Tables were nicely set, the meal was unhurried and the atmosphere was relaxed with lots of friendly banter between staff and individual people. If people required staff assistance or prompting to eat their meals this was done discreetly so that the person was not made to feel uncomfortable or embarrassed. People spoken with confirmed that the food is always good and their preferences are taken in to account when menus are planned. Comments included there is always a good choice at meal time and I have no complaints at all about the standard of meals provided. Care Homes for Older People Page 16 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are suitable systems in place to make sure that complaints are dealt with appropriately and people are protected from any form of abuse. Evidence: There is a clear complaints procedure in place and information provided in the self assessment form shows that seven complaints have been received since the last inspection visit. Following investigations two complaints were upheld and required action to be taken to address the concerns raised. Feedback from relatives clearly indicates that they are aware of the complaints procedure and would have no problem at all in approaching the manager or registered provider if they had any concerns about the standard of care being provided. Adult protection (safeguarding) policies and procedures are in place and training records provided by the manager show that all staff have received training in the recognition and reporting of allegations of abuse. The manager confirmed that the home operates a zero tolerance approach when dealing with complaints and safeguarding issues. Feedback from staff indicates that they are aware of the homes policy on whistle blowing and knew what to do if they suspected that people were being abused or working practices at the home were not in the best interest of the people living there. 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 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 furnished and decorated to a high standard and provides a comfortable, safe and very pleasant place for people to live Evidence: The home provide accommodation for forty-five people in single en-suite bedrooms situated on both floors of the building. There is a passenger lift available to assist people with mobility problems access the accommodation and facilities on the first floor of the building. There are communal lounges and dining rooms located on both floors of the building close to toilet facilities. Both the bedrooms and communal areas are decorated and furnished to a high standard and there is an ongoing programme of refurbishment and renewal. It is apparent when talking with the manager and staff that they take a great deal of pride in providing people with quality accommodation and keeping the home clean and tidy. People living at the home and their relatives said that they were very satisfied with the standard of accommodation and pleased that they had chosen to live at Hopton Court. Comments included the home is very well decorated and the lounges are bright, and comfortable as are the bedrooms and the home is a credit to the staff team who work hard to maintain the high standard of accommodation. Care Homes for Older People Page 18 of 26 Evidence: Externally there are lawned areas and a car park to the front of the building and a good sized secure garden at the rear building with a patio area, which people living at the home and visitors can enjoy during the summer months. Care Homes for Older People Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home are protected by the recruitment and selection procedures in place. The home provides staff with good training opportunities and makes sure that they are clear about their roles and responsibilities. Evidence: The home has a thorough staff recruitment and selection procedure, which includes obtaining at least two written references and a Criminal Record Bureau (CRB) before new staff are permanently employed. This makes sure only people suitable to work in the caring profession are employed. All staff are provided with written job descriptions, which outlines their roles and responsibilities and a copy of the staff handbook. The home does not use agency staff therefore staff sickness or annual leave is covered by the homes own care workers, which makes sure that people receive continuity of care. The manager confirmed that all new staff receive induction training in line with the Skills for Care Common Induction Standards. These are nationally agreed induction standards designed to help new staff get the skills and knowledge they need to care for people. Following induction there is an expectation that staff will study for a Care Homes for Older People Page 20 of 26 Evidence: National Vocational Qualification (NVQ) at level two or three above depending on the post they hold. Information provided in the self assessment form indicates that over 50 of staff have achieved a NVQ and more staff are currently studying for the qualification. Information provided in the self-assessment form also shows that the manager uses the Alzheimers Disease Society accredited training course Yesterday, Today and Tommorow to provide staff with the specialist training they need to provide quality care to people with dementia. This shows that the home is committed to making sure that people are cared for by skilled, experienced and competent staff. Feedback from staff indicates that they are happy with the level and standard of training provided and were encouraged to take up training opportunities. Staff also felt that the training they receive helps them understand the individual needs of people living at the home and keeps them up to date with new ways of working. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management structure in place makes sure that the home is well managed and run in the best interest of the people living there. Evidence: Mr Craig McDermott was appointed manager of the home in June 2008 and is currently going through the registration process. Mr McDermott has worked at the home since 2005 and before taking up the post of manager was employed as the deputy manager. Mr McDermott has a positive attitude to the inspection process and during the course of the inspection showed a willingness to work with us to maintain and improve standards at the home. The manager confirmed that he is well supported by the operations manager for Southern Cross Healthcare and that there are clear lines of accountability. This makes sure the home is managed effectively and in the best interest of the people living there. Care Homes for Older People Page 22 of 26 Evidence: Feedback from relatives spoken with on the day of the visit confirmed that the manager has improved the quality of the service since taking up post and provides staff with a good sense of leadership and direction. They also said that the manager was very approachable and listened to them if they had any concerns or had any ideas about how the service could be improved. To make sure that there are clear lines of communication within the home regular staff meetings are held and the manager operates an open door policy so that people are able to approach him at any time if they have a problem or concerns. Formal oneto-one staff supervision also takes place, which gives staff the opportunity to discuss their training and personal development needs. There are recognised quality assurance monitoring systems in place, which cover all aspects of service provision. As part of the quality assurance process survey questionnaires are sent to people living at the home, their relatives and other healthcare professionals on an annual basis to assess how well the home is meeting stated aims and objectives. The home holds money in safekeeping for a number of people. Only senior staff deal with peoples personal finances and receipts are obtained for any items purchased on their behalf. We checked the system in place and no concerns were raised. This means that people can be confident that the system is safe and well managed. Policies and procedures are in place to ensure the health and safety of people living at the home, visitors and staff, which are audited on a regular basis to make sure that they comply with any changes in legislation and good practice guideline. Information provided in the self assessment form shows that all equipment in use at the home including the passenger lift and hoists are serviced in line with the manufacturers guidelines, which means that people can be sure they are in good working order Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 25 of 26 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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