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Care Home: Hoylake Cottage Hospital

  • Birkenhead Road Hoylake Wirral CH47 5AG
  • Tel: 01516323381
  • Fax: 01516324544
  • Planned feature Advertise here!

Hoylake Cottage Hospital is a nursing home for elderly people set within the Cottage Hospital environment. A new purpose built care home has replaced the original hospital premises. It is registered to provide general nursing care to sixty older people and nursing care to twenty older people who have dementia within a maximum of sixty persons accommodated. The home is located on the main thoroughfare through Hoylake and is fully accessible by public transport. The fees for the home range 22 0 Over 65 0 60 between 550 and 600 pounds per week plus the assessed nursing fee.

  • Latitude: 53.398998260498
    Longitude: -3.1659998893738
  • Manager: Linda Cooke
  • Price p/w: ~
  • UK
  • Total Capacity: 62
  • Type: Care home with nursing
  • Provider: Hoylake Cottage Hospital Trust Limited
  • Ownership: Voluntary
  • Care Home ID: 8663
Residents Needs:
Dementia, Old age, not falling within any other category

Latest Inspection

This is the latest available inspection report for this service, carried out on 28th July 2009. CQC found this care home to be providing an Excellent service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

For extracts, read the latest CQC inspection for Hoylake Cottage Hospital.

What the care home does well The home provides a high standard of accommodation and facilities for all service users. A well trained and supportive staff team are employed to meet the needs of the service users. A full programme of activities are provided for service users to offer stimulation and entertainment. What has improved since the last inspection? The home is now located in a new purpose built premises adjacent to the original home. The new home provides accommodation in single bedrooms, each with full ensuite facilities. All equipment within the home is new and service users have been provided with profiling beds to aid their comfort and safety. What the care home could do better: The pre admission assessment documentation would benefit from review to include additional information regarding the needs of service users who have dementia. Care files would benefit from review to remove outdated information to provide staff with up to date information. Key inspection report Care homes for older people Name: Address: Hoylake Cottage Hospital Birkenhead Road Hoylake Wirral CH47 5AG     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: Jeanette Fielding     Date: 3 1 0 7 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: Hoylake Cottage Hospital Birkenhead Road Hoylake Wirral CH47 5AG 01516323381 01516324544 director@hoylakecottage.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Hoylake Cottage Hospital Trust Limited care home 60 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The registered person may provide the following category of service only: Care home with nursing - Code N To people of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Dementia - Code DE (maximum number of places: 22) The maximum number of people who can be accommodated is: 60 Date of last inspection Brief description of the care home Hoylake Cottage Hospital is a nursing home for elderly people set within the Cottage Hospital environment. A new purpose built care home has replaced the original hospital premises. It is registered to provide general nursing care to sixty older people and nursing care to twenty older people who have dementia within a maximum of sixty persons accommodated. The home is located on the main thoroughfare through Hoylake and is fully accessible by public transport. The fees for the home range Care Homes for Older People Page 4 of 26 Over 65 0 60 22 0 Brief description of the care home between 550 and 600 pounds per week plus the assessed nursing fee. 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: This unannounced key inspection was undertaken on two days over a period of ten hours. As part of the inspection process, all areas of the home were viewed including many of the service users bedrooms. Assessments and care plans were inspected together with staff records and certification to ensure that health and safety legislation was complied with. Observation of the interaction between staff and people who live at the home provided further evidence of the actual care given. The care files of five service users were case tracked to evaluate their care. Discussion took place with the registered manager, care manager, nurses, care staff, service users and visitors to the home. The manager completed an Annual Quality Assurance Assessment form prior to the inspection to give additional information regarding the home. A meeting was held with the registered manager subsequent to the inspection to address inaccuries within the draft report. Information not given at the time of the inspection was also given to enable the report to contain full and accurate details Care Homes for Older People Page 6 of 26 regarding the home and the service provided. Care Homes for Older People Page 7 of 26 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 8 of 26 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Pre admission assessments contain information regarding service users care, mental health and social needs to provide staff with the necessary details to enable care plans to be prepared. Evidence: The home provides a comprehensive information pack for prospective service users and their relatives. This includes a colour brochure which gives details of the services provided within Hoylake Cottage Hospital together with the statement of purpose and service user guide for the care home. These documents provide prospective service users with full information about the services and facilities offered by the home. The statement of purpose and the last inspection report are displayed in the foyer and additional copies are available on request. This information enables prospective service users to make an informed decision regarding their care provider. Prospective service users are assessed by the care manager or one of the qualified Care Homes for Older People Page 10 of 26 Evidence: nurses to ensure that the home has identified their needs and to ensure that all necessary equipment can be provided in preparation for the admission. Information is gathered from the service user, their relatives and any other person involved in their care. The care files for service users recently admitted to the home were inspected. One care file did not contain a completed pre-admission assessment as the service user was admitted as an urgent admission. A full assessment was made on the day of admission to the home. One pre-admission form had been completed with basic information but was not dated. Other files showed that information regarding the service users medical history had been recorded. The form used covers a large range of subjects regarding need and preferences but would benefit from review to provide additional information. Prospective service users and their relatives are encouraged to visit the home prior to admission to view the rooms available and to meet the staff. These visits also provide the opportunity to meet with the registered manager or care manager and to ask any questions they may have. The managers Personal Assistant is responsible for providing full information to enquirers. She shows prospective service users and/or their relatives around the home, including rooms available and communal areas. She gives details about staffing levels, facilities, services, activities, costs and contracts. The home does not offer 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. Care plans are to be reviewed and updated to provide additional information to further inform staff of the care that service users need to enable them to meet that need. Evidence: Individual care plans are prepared for all service users. A sample of care plans for ten service users across the three units within the home were inspected. The home predominantly uses generic care plans which are printed forms requiring that unnecessary instructions be crossed out and additional information added where needed. The information recorded in some plans would benefit from additional insufficient to give staff full information regarding the care required by the service users. The care file for one service user states in one section that the service users requires one type of aid for mobility, and in another part of the file states that a different type of aid is required. Assurances were given that outdated information would be removed from the file. One service user requires specialist feeding equipment to be used but little information is recorded in the care file to inform staff of the type of feed and the procedure to be followed. This information is held in the Care Homes for Older People Page 12 of 26 Evidence: service users bedroom. A copy of this information should be held on the file. Arrangements are in place for care files to be reviewed and updated. Risk assessments are undertaken. The risk assessments for dealing with challenging behaviour were extremely detailed and provided staff with full information about how the service users behaviour changes, the triggers which cause the change in behaviour and the interventions that staff should take to deal with any given situation. Staff have been given training in this. Some risk assessments would benefit from review to provide additional information. Daily records are completed by the staff but no indication is given as to the time that the records are completed. All accidents were appropriately recorded in the accident record book. Medications were observed to be dealt with in accordance with safe practice and in line with the homes policy and procedure. All medication administration record sheets were signed appropriately and were up to date. Medications are securely held and all storage areas were clean and organised. The medications are audited on a weekly basis and clear information was available regarding the medications that entered the home. Detailed records are held of medications that service users refuse or no longer require and appropriate disposal arrangements are in place for these. No excess or unwanted medications are held in the home. Controlled medications are securely stored. Observation at the time of the visit provided evidence that service users privacy and dignity were respected at all times by the staff team. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The programme of activities provides service users with a stimulating and entertaining lifestyle which promotes social interaction and the retention of skills and abilities. Evidence: The home employs two activities co-ordinators for a total of 54 hours each week. In addition to this, volunteers and relatives assist with the activities programme to provide service users with stimulating activities. The home has a residents focus group and an entertainments committee where the activities programmes are planned in line with service users individual preferences and abilities. Minutes are held following the entertainments committee meetings. A full programme of activities is arranged and is displayed within the home. Individual photographic journals have been prepared for some service users and a a programme of preparing memory diaries has commenced. Group and individual activities are provided and service users are free to choose whether they participate. A minibus is provided and service users are encouraged to go on outings and shopping trips. Photographs are taken on the trips and these are displayed in the home. Some service users go out independently in electric wheelchairs and staff can be provided for service users who require assistance or support. The home also provides a monthly drop-in cafe for carers and people who have dementia to provide support and socialisation. Students from Caldy and West Care Homes for Older People Page 14 of 26 Evidence: Kirby schools also assist with the provision of activities. Clergy visit the home on a regular basis and provide services for those who wish to participate. The home provides a visitors room where service users can meet with their relatives or other visitors in private. The majority of service users take their meals in the dining room but can take them in their bedroom or in the lounge as they prefer. Dining tables were attractively laid and a range of condiments were provided. The menus are displayed and service users are offered a choice of meals. The chef is able to meet most requests for alternative meals if a service user does not wish to take the meals offered on the day. Special diets can be provided on the advice of the GP or dietitian or at the request of the service users. Staff were observed to assist some service users with their meals in a dignified manner. Mealtimes were observed to be relaxed and calm to enable service users to take their meals without being rushed. The menus provide evidence that a varied and balanced diet is offered. Meals are prepared in the main kitchen and are served direct to the service users, taking their individual preferences into consideration. Staff spoken to were able to demonstrate that they were aware of service users individual preferences and were observed to encourage those who were reluctant to eat. The main kitchen was clean and organised and a fresh foods are used in the preparation of meals whenever possible. A selection of frozen foods are available to provide additional choices for out of season foods. 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 complaints procedure is good so people who live in the home are able to express their concerns and be listened to. Evidence: The home has a robust complaints procedure which is displayed in the foyer and detailed in the service user guide. Staff have been given training on the awareness of potential problems and they are encouraged to resolve issues as soon as they are raised. Plans are in place to provide staff with customer care training to assist with managing and preventing complaints. The home has received a low number of complaints and the complaints records show that these have been dealt with appropriately and in a timely manner. All staff are fully vetted prior to them commencing work at the home to ensure that service users are protected. Training in the protection of vulnerable adults is given to all staff during induction. All staff have been given in extensive training on protection and most have now completed formal training. Additional training is currently being arranged together with updates where necessary. Staff are provided with information about the homes whislteblowing policy to ensure that service users are protected at all times. Observation of staff interaction provided evidence that service users were treated with respect at all times. Relatives spoken to during the inspection said that if they had any Care Homes for Older People Page 16 of 26 Evidence: concerns about the home or the care given to their relative, they would feel comfortable in speaking to the manager about it. One relative said that the home was wonderful and she had no concerns at all. Two service users said that they would speak to the nurse or to their relative if they had a concern but both were very happy 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 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 bright and welcoming and provides a comfortable, homely and safe place for service users to live. Evidence: Hoylake Cottage is a purpose built home which has now been open for one year. It replaces the original home which is adjacent to the new building. It provides accommodation on three floors, each with their own lounges and dining rooms. All service users are accommodated in single bedrooms, each having ensuite facilities. The en-suites provide a toilet, washbasin and walk in shower. Individual shower chairs are provided for each service user to promote independence and to prevent the risk of cross infection. Bedrooms are decorated and furnished to a high standard and every effort has been made to provide service users with a pleasant and homely environment. Service users and their relatives are encouraged to personalise bedrooms with pictures, photographs, small items of furniture and items of memorabilia. Lounges are homely and can be opened up into the dining rooms to provide a larger venue for social events and to enable service users to access the rooms more easily. Additional quiet sitting rooms are available for service users who do not wish to use the large lounges. Relatives rooms are available where catering facilities have been provided. All service users have been provided with profiling beds to aid their comfort and safety. Assisted Care Homes for Older People Page 18 of 26 Evidence: bathing facilities are provided for service users who are unable to or do not wish to use their own shower. All areas are decorated and furnished to a high standard and the home is clean and fresh throughout. A passenger lift provides full access to all areas of the home. Aids and adaptations have been provided together with moving and handling equipment to assist service users and to aid their comfort. The main kitchen and the laundry are located in the existing premises and plans are in place for a new kitchen and laundry to be provided within the new building. Work on this is due to commence within the next eighteen months. A pleasant garden area has been provided and plans are also in place to develop the garden area to provide a sensory garden, flower beds, a greenhouse and quiet areas within a secure area. The home has installed a Closed Circuit Television Camera system on the entrance door and the exterior of the home for security purposes. 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. Service users are supported by a well trained, effective staff team who have gone through a thorough recruitment process, so that their needs are met and they are safe from possible harm or poor practice. Evidence: The home employs qualified nurses, senior healthcare assistants, healthcare assistants, domestic, catering, laundry, maintenance and administrative staff. Each floor is staffed with nurses and care staff independently to provide a consistent level of care to the service users. The home has robust recruitment policies and procedures and the personnel files inspected showed that the procedure had been followed for all staff. All prospective staff are required to complete an application form prior to being called for interview. A record of the interview is held on the staffs files. Two references are taken and checks are made through the criminal records and protection of vulnerable adults bureaux. New staff are required to complete a comprehensive induction training programme. New staff are reviewed after three months. The manager explained that supervision is given to all staff but this is not recorded. A record of all supervision should be recorded on the staff files. Annual appraisals are given to all staff. Staff meetings are held on a regular basis and provide a forum for open discussion and the dissemination of information. Training is given to all staff. At present, seventy percent of healthcare Care Homes for Older People Page 20 of 26 Evidence: staff hold NVQ qualifications and additional staff are currently working toward this. Extensive training has been given to staff on the care of people who have dementia, as the home provides care for this. Staff complete their mandatory training and are offered specialist training to enable them to meet the individual needs of the service users. A matrix has been prepared to provide detailed information regarding training undertaken by staff and to identify when updates in training is due. The home employs a training facilitator to identify training opportunities. Student nurses and social workers from Chester College and John Moores University are placed at the home as part of their training programme. A bank of additional staff have been employed to cover annual leave and sickness to ensure that a consistent level of care is given. Agency staff are no longer required to be used unless exceptional circumstances arise. Staff spoken to, and responses to the survey sent out be CQC, all gave extremely positive reports about the home and the care they gave. All staff spoken to said that they were supported by the management and felt that they gave a high level of care within a warm and homely environment. Staff confirmed that a high number of training events have been provided and felt that the training had increased their knowledge and understanding, particularly in relation to the care of people who have dementia. One member of staff said that she had worked in the old home for several years and really appreciated the pleasant surroundings and modern equipment that was now provided. 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 health and welfare of the service users are protected through a strong and effective management team. Evidence: The home employs a registered manager and a care manager who are both work on a supernumerary basis. Both are qualified nurses and are experienced in the care and management of services for older people. Both continue to develop their knowledge through continued training. The manager communicates a clear sense of direction, is able to evidence a sound understanding and application of best practice operational systems, particularly in relation to continuous improvement, customer satisfaction, and quality assurance. Equality and diversity, human rights and person centred thinking are given priority by the manager who is able to demonstrate a high level of understanding and demonstrate best practice in these areas. The management team are well supported by a well trained staff team. Audits on care files are undertaken by the care manager Care Homes for Older People Page 22 of 26 Evidence: on a rolling programme. The system for auditing the files would benefit from review to ensure that all information is appropriately recorded. Small amounts of money are held by the home at the request of relatives. A finance manager audits service users money on a regular basis and systems are in place to ensure that all purchases are supported by receipts and are recorded. Regular questionnaires are sent to service users and their relatives to obtain their views about the home to enable further improvements to be identified. Regular meetings are held with relatives both in groups and on a one to one basis. The home is maintained to a high standard. Tests and checks are made on the premises and all equipment within the home. Certificates of these tests are held in the home and those seen were found to be up to date. Tests are made on the fire detection equipment and recorded as required. All staff undertake updates on fire prevention training and of the action to be taken in the event of a fire. Regular fire drills are held and these are duly recorded. 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 36 Evidence that staff receive supervision every two months should be held. Care Homes for Older People Page 25 of 26 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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