Care Home: Linden House Nursing Home

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What the care home does well There is a strong management team, which continually monitors the quality of care in the home and makes improvements in line with needs and wishes of the people who live and work there. There is a well motivated and enthusiastic staff team. Throughout the day there were activities taking place and interaction between all staff and people living at the home. People appeared alert and stimulated. Everyone appeared well cared for and well presented. One health care professional commented that they always found standards of personal hygiene to be good. One person was being nursed in bed, there was appropriate equipment in place and they appeared comfortable and warm. Speaking with staff it was apparent that they took pride in ensuring people were well cared for and content. There is a warm and friendly atmosphere in the home and an obvious commitment to providing person centred care. People are treated as individuals and are able to make choices about their day to day lives and routines. One person wrote on their questionnaire " Its a very happy home, because its run like our own home, you can do what you like, when you like." During the inspection many people commented that they regarded Linden House as their home. There is a good selection of food on offer and mealtimes are treated as a social occasion. Throughout the day people were seen to be treated with respect and all support offered promoted peoples personal choice and dignity. What has improved since the last inspection? Since the last inspection the home have continued to provide staff training that gives people the skills to effectively care for the people who live at the home. Staff have received training in the care of people who are dying, the mental capacity act and other relevant topics. There has been continued maintenance of the building to ensure that it provides a safe and comfortable environment. A stone porch has been built at the main entrance and some rooms have been redecorated. A modern wet room has been created which means that everyone living at the home is able to choose to have a shower or a bath. As a result of listening to people who live at the home some activities have been enhanced and some changes to the menus have been made. Additional lighting has been provided in the lounge at the request of some people. What the care home could do better: Comments received on questionnaires and practices observed during the inspection demonstrate that the home provides a high standard of care and support. No requirements have been made as a result of this inspection. Two recommendation for good practice have been suggested. It is recommended that the daily menu is clearly displayed to ensure people are aware of the food on offer each day and to assist them to remember which meals they have chosen. It is also recommended that the whistle blowing policy contains contact details of appropriate agencies for staff to contact if they have concerns about the home. Key inspection report Care homes for older people Name: Address: Linden House Nursing Home Linden House Nursing Home Lower Westford Wellington Somerset TA21 0DW     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: Jane Poole     Date: 1 5 1 2 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 27 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 27 Information about the care home Name of care home: Address: Linden House Nursing Home Linden House Nursing Home Lower Westford Wellington Somerset TA21 0DW 01823667711 01823667174 enquiries@linden-house.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mrs S C Joyce care home 34 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: To provide Nursing care for up to 4 service users aged 45 years and over. Up to 3 places for Personal Care Date of last inspection Brief description of the care home Linden House is situated on the outskirts of Wellington. The house was converted to a Nursing Home in 1984 and sits in large landscaped grounds and has two private access roads. The home is registered with the Care Quality Commission to provide general nursing care for up to 34 elderly persons. The home can provide specialised nursing care for up to four adults aged over 45. The homes proprietor is Mrs S Joyce (RGN); the homes manager is Mrs L. Bennett who has been in post since September 2004. There is a Registered Nurse on duty at all times and there is a stable staff team. There is commitment to staff training. 0 Over 65 34 Care Homes for Older People Page 4 of 27 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 3 star. This means the people who use this service experience Excellent quality outcomes. The focus of this inspection visit was to inspect relevant key standards under the Commissions Inspecting for Better Lives 2 framework. This focuses on outcomes for people and measures the quality of the service under four general headings. These are:- excellent, good, adequate and poor. This inspection was carried out by one inspector over a one day period. During this time We, The Commission, were able to speak with people living, working and visiting the home, observe care practices, tour the building and view records. We were given unrestricted access to all areas of the home and all records requested were made available. Care Homes for Older People Page 5 of 27 Prior to the inspection the proprietor completed an Annual Quality Assurance Assessment (AQAA.) This was completed to a very high standard and demonstrated a commitment to monitoring the quality of care and ongoing improvements. 8 people living at the home, 10 members of staff and 1 health and social care professional completed questionnaires prior to the inspection and some of their comments have been included in this report. At the time of the inspection there were 29 people living at the home. The registered manager and provider were available throughout the inspection. Current fees (14/12/09) range from 539 to 850 pounds per weeks. Additional costs are outlined in the service user guide. Care Homes for Older People Page 6 of 27 What the care home does well: What has improved since the last inspection? What they could do better: Comments received on questionnaires and practices observed during the inspection demonstrate that the home provides a high standard of care and support. No requirements have been made as a result of this inspection. Two recommendation for good practice have been suggested. Care Homes for Older People Page 7 of 27 It is recommended that the daily menu is clearly displayed to ensure people are aware of the food on offer each day and to assist them to remember which meals they have chosen. It is also recommended that the whistle blowing policy contains contact details of appropriate agencies for staff to contact if they have concerns about the home. 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 27 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 27 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. To ensure that the home has the skills and facilities to meet the needs of new people, pre admission assessments are carried out. People are able to spend time at the home, to make sure that it meets their needs and expectations, before they decide to move in. Intermediate care is not provided. Evidence: The majority (75 ) of people who completed a questionnaire answered YES to the question Did you receive enough information about the home before you moved in? Personal files seen contained evidence that pre admission assessments had been carried out with people wishing to move to the home. These assessments are basic but cover all areas of daily life to ascertain if the home could meet the new persons Care Homes for Older People Page 10 of 27 Evidence: needs. Staff spoken with said that they were able to read the pre admission assessment and discuss the new persons needs before they moved in. People living at the home said that they had met with the manager to complete an assessment before moving in. Some people spoken with said that they had visited Linden House before deciding to make it their home and others said that they had relied on friends and family to view the home on their behalf. In addition to permanent residential care the home also offers respite care and day care, which is an opportunity for people to spend extended periods of time at the home to assist them to decide if it is the right place for them. Two people spoken with said that they had originally stayed at the home on a respite basis and then decided to make it their permanent home. Care Homes for Older People Page 11 of 27 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. The home monitors peoples physical and mental health care needs and ensures that they have access to appropriate health care professionals. People are treated with respect and dignity at all times. Evidence: Everyone living at the home has a care plan that is personal to them. These care plans are kept in individual rooms. In addition to the main care plan daily records are written and these are kept in the care office. In some instances this makes care plans slightly disjointed but a full review of each care plan is carried out monthly and information from the daily records is taken into account at these reviews. Reviews are held with the main care plan. We looked at the care plans of three people living at the home and noted that there was guidance for staff covering needs and wishes. Each person has a care plan covering their night time needs and routines. As the home employs both male and female staff the care plan identifies if people have a preference for the gender of the Care Homes for Older People Page 12 of 27 Evidence: person who assists them to get ready for bed. Staff spoken with said that they found the care plan format good and easy to understand. All staff spoken with demonstrated a good knowledge of the people living at the home, including their likes and preferred routines. Records of appointments with health care professionals outside the home are recorded. These demonstrated that advice is sought to ensure that people receive appropriate health care for both physical and mental health needs. The health care professional who completed a questionnaire answered ALWAYS to the questions Are peoples social and health care needs properly monitored, reviewed and met by the care service? and Does the service seek advice and act on it to meet peoples social and health care needs and improve their well being? One relative spoken with during the inspection praised the staff for the way in which the home cared for their relative and had improved their physical health. A visiting health care professional stated that they were impressed by the personal hygiene standards within the home and their attention to detail. Everyone who completed a questionnaires answered ALWAYS to the question Does the home make sure that you receive the medical support that you need? 7 people said that they ALWAYS receive the care and support that they needed, the other person said that they USUALLY did. Staff were happy with the specialist equipment in the home and stated that if any equipment was needed it was provided. There is adequate lifting and pressure relieving equipment. Since the last inspection the home has continued to replace beds with modern profiling beds with integrated rails. The home uses a monitored dosage system for the administration of medication. There is adequate secure storage for medicines including those that require refrigeration and controlled drugs. Medication Administration Records (MARs) were viewed and these were well kept and correctly signed. All medication is signed for when it enters the home and when it is administered or refused. This gives a clear audit trail. A controlled drugs register is maintained and drugs sampled correlated with records kept. Throughout the day it was observed that people were treated with respect and dignity. Staff were seen knocking on bedroom doors before entering and speaking with people in a polite and friendly manner. In answer to the question What does the service do Care Homes for Older People Page 13 of 27 Evidence: well? one member of staff wrote treats everyone with respect and dignity and a person living at the home wrote Everyone is treated as an individual. Care Homes for Older People Page 14 of 27 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 able to make choices about their day to day lives and continue with their preferred routines and lifestyle choices. Social interaction between all staff and people who live at the home is relaxed and pleasant. Mealtimes are a social occasion and there is a wide variety of food and drink to choose from. Evidence: There are various organised activities that people are able to join in with if they wish to. In addition the activity worker spends time seeing people who prefer one to one interaction. When people first move to the home the activity worker spends time with them to get to know their hobbies and interests to ensure that appropriate stimulation is provided. The activity worker demonstrated an excellent knowledge of the people who live at the home. On the morning of the inspection some people were attending a Christmas craft session and others attended a Church service held by the local clergy. In the Care Homes for Older People Page 15 of 27 Evidence: afternoon some people watched a film whilst others spent time with the activity worker chatting and doing jigsaw puzzles. In answer to the question Does the home arrange activities that you can take part in? 6 people answered ALWAYS and 2 answered USUALLY. The notice board in the main hall advertises a large variety of entertainment and in house activities. Some people said that they went into the local town to shop and have coffee and one person said that the staff assist them to go out to lunch. Throughout the day it was observed that there was informal interaction between people living and working in the home. Staff were seen sitting in communal areas relaxing and chatting with people and visiting people who prefer to spend time in their rooms. People living at the home appeared stimulated, bright and content. Everyone said that there were no strict routines in the home and they were able to choose what time they got up, when they went to bed and how they spent their day. One visitor said that they were able to visit at any time and were always made welcome. Many people said that they now regarded Linden House as their home and were extremely comfortable to carry on with their preferred routines and lifestyle choices. The management of the home, and all staff spoken with, demonstrated a real commitment to providing care that was person centred and respected the individual and their wishes. The main meal of the day is at lunch time, there is a pleasant dining room or people can eat in their room if they prefer. There is an eight week menu giving a large variety of meals but people said that they were always able to ask for alternatives. A member of the kitchen staff sees each person daily to ask what they would like to eat. Lunch in the main dining room was observed and it was a relaxed and social occasion. People were offered a wide variety of drinks including wine and fruit juice. Some people needed physical support to eat their meals and assistance was given in an extremely dignified manner. People were able to eat at their own pace and staff politely encouraged and offered alternatives to people who appeared to have a poor food intake. It was noted that the menu is not displayed in the dining room and no one asked, before the meal was served, was able to remember what was for lunch or supper. Care Homes for Older People Page 16 of 27 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. Any complaints are listened to and fully investigated. There are policies and procedures in place to minimise the risks of abuse to people living at the home. Evidence: The home has policies and procedures in respect of making a complaint, recognising and reporting abuse and whistle blowing. The AQAA states that over the past year the home has trained 13 staff in the protection of vulnerable adults and the aim for the coming year is to provide further training in this area. Staff spoken with were aware of the whistle blowing policy and the ability to take serious concerns outside the home. The whistle blowing policy does not have clear contact details for the appropriate agency for staff to contact and the provider agreed to amend this to ensure that staff had clear guidance. The home has received two complaints since the last inspection and both were fully investigated by the home. The manager and provider gave evidence that they are pro active in ensuring that people living at the home are protected from abuse. Care Homes for Older People Page 17 of 27 Evidence: Everyone who completed a questionnaire said that they knew who to speak with if they were unhappy. All staff said that they knew what to do if someone was unhappy about the home. It was observed that people had unrestricted access to their personal rooms and communal areas allowing people to spend time socialising or in the privacy of their bedrooms. Care Homes for Older People Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Linden House provides a well maintained, homely environment for the people who live there. Standards of cleanliness are good. Evidence: The home is set in a semi rural location on the outskirts of the small town of Wellington. All areas are fitted with a fire detection and call bell system. The home consists of a large older style property with modern extension. Personal rooms are located on the ground and first floor with passenger lifts to give people access to all areas. Communal rooms are located on the ground floor and there is a variety of spaces for people to socialise. There is a large lounge with conservatory, a dining room and small quiet lounge. All areas are well maintained and homely in appearance. Outside there are pleasant grounds which many people said that they enjoyed accessing in good weather. A sample of bedrooms was seen. Rooms vary in size and character, many have views over open countryside. People are able to personalise their rooms with small items of Care Homes for Older People Page 19 of 27 Evidence: furniture and personal possessions giving each room an individual feel. The majority of rooms have en suite facilities and there are toilets and bathrooms for communal use throughout the building. The home has up to date assisted bathing facilities and since the last inspection a large wet room has been created enabling everyone to choose between bathing and showering. There is a modern commercial style laundry with adequate equipment to meet the needs of the people who live at the home. There are appropriate hand washing facilities throughout the home to minimise the spread of infection. All areas seen on the day of inspection were clean and fresh. Care Homes for Older People Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home are supported by an enthusiastic and well motivated staff team. Robust recruitment practices and regular supervision minimise the risks of abuse to people who live at the home. Evidence: The home employs 9 registered nurses and 28 care staff. 57 of care staff have a National Vocational Qualification (NVQ) in care at level 2 or above. (Figures taken from AQAA) In addition to care staff there are 16 ancillary staff including domestic, kitchen and activity workers. All staff spoken with said that they had access to a wide range of training courses. 90 of staff who completed a questionnaire felt that they received training that was up to date and relevant to their job. There are regular staff meetings and staff felt that this was an opportunity to make suggestions about the running of the home as well as share information. Minutes of staff meetings showed that a wide range of topics were discussed. Many staff working at the home have taken on special responsibilities to further their knowledge and experience. Care Homes for Older People Page 21 of 27 Evidence: The majority of people felt that staffing levels were adequate with 90 of staff who completed questionnaires answering ALWAYS (3) or USUALLY (6) to the question Are there enough staff to meet the individual needs of all people who use the service? In the morning there are 7 staff on care duty and in the afternoons 6. There is always a registered nurse on duty. The management and all ancillary staff are in addition to this. Some people said that they often waited a long time for bells to be answered but acknowledged that this was at very busy times of the day, other people felt that call bells were answered promptly. On the day of the inspection it was noted that call bells were responded to within reasonable timescales. 4 recruitment files were viewed and these demonstrated a robust recruitment procedure that minimises the risk to people who live at the home. There was evidence that the management take action to address any bad or inappropriate practice. Throughout the inspection all staff appeared well motivated and enthusiastic about their jobs. People living at the home said that staff were always kind, will do anything for you, nothing is ever too much trouble and very helpful. The health care professional who completed a questionnaire said that staff were well organised, polite and efficient. Staff spoken with said that there was good teamwork between all workers. Comments on questionnaires from staff included A wonderful team, Im Glad to be part of it and I am proud to be part of the team at Linden House. Care Homes for Older People Page 22 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and takes account of the views of people living and working there. There are systems in place to monitor quality and a commitment to ongoing improvement. Evidence: The registered manager, Linda Bennet, is a registered nurse with many years of experience in care management. The proprietor is also a registered nurse and is very involved in the running of the home. Both were available throughout the inspection and appeared to view the inspection process as a positive experience for the home. Prior to the inspection the proprietor completed an Annual Quality Assurance Assessment (AQAA.) This was completed to a very high standard and demonstrated a commitment to listening to the views of people living at the home and working towards continual improvement of the service and facilities offered. Care Homes for Older People Page 23 of 27 Evidence: People living and working at the home all said that the management team were very visible in the home and extremely supportive and approachable. Comments on questionnaires included Excellent management team and Very well organised and managed. The home has quality assurance systems in place to monitor the quality of care and ensure that people are happy with the service provided. There are regular meetings for people living and working at the home, annual questionnaires for all interested parties and audits of records and care. Records of some audits seen showed that any shortfalls are identified and addressed. The home does not handle the financial affairs of anyone living at the home. Systems are in place to ensure the health and safety of people living, working and visiting the home. Equipment, including lifting and fire detection equipment, is regularly tested and serviced. Staff have received training in health and safety issues to ensure that risks to people are minimised. All accidents are recorded and all records of accidents are seen by a member of the management team. The home is maintained to a good standard ensuring the comfort and safety of people living there. Up to date certificates of registration and insurance are displayed. Care Homes for Older People Page 24 of 27 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 25 of 27 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 2 15 18 The home should display the menu in a prominent position to assist people to remember the meal they have chosen. The home should ensure that the whistle blowing policy gives contact details of appropriate agencies for staff to contact if they need to. Care Homes for Older People Page 26 of 27 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). 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