Care Home: Lytham Court Care Home

What the care home does well The home is led by an experienced manager and staff spoken with feel well supported and stated that they have enough time to care for the persons residing in the home. The majority of person cared for have fairly challenging behaviour and staff were observed to be patient and calming whilst delivering the care. The home is large with ample space and all parts of the home looked well maintained and the furniture and fittings are of good quality. Bedrooms are generally spacious and comfortable with personal possessions in evidence. The care records are comprehensive and include relevant risk assessments on areas of potential risk; the care plans had been reviewed once a month. Liaison had taken place with other health professionals such as a dietitian and weight had been monitored regularly. Food diaries are kept for any person in danger of losing weight. Previous lifestyle and any religious or cultural requirements are taken in to account. All the people cared for in the home looked clean and well groomed and there was good interaction with the staff. The majority of persons cared for lack capacity to make decisions for themselves and close liaison takes place with relatives or an appropriate advocate over the care to be provided. Relatives are encouraged to participate in any activities within the home and their views are sought on a regular basis as to how the services provided can be improved. A relative spoken with who had been unable to care for his wife any longer, was full of praise for the staff and manager and the care and attention provided to his wife who had settled down quite quickly in her new home. Comments included: `The staff and manager have been absolutely wonderful and kept me informed at all times`. Staff comments included: `I feel well supported and been on some very good training that helps me to do my job.` An annual questionnaire is delivered to the people supported, relatives, the community mental health team and other health professionals. The results of the questionnaires and any recommendations are looked at by the management team and put into action. What has improved since the last inspection? An assessment had been undertaken under the Mental Capacity Act and the Deprivation of Liberty. This is legislation that is in place to protect the rights of people who may have reduced capacity to make their own decisions. Staff have been involved in fund raising and have held `wheelchair walks` with staff pushing staff. A mini bus is available and there have been trips out to Blackpool Zoo, Dobbies Garden Centre, Sea Life Centre and the Illuminations. Lowther Gardens is immediately opposite Lowther Court and the sea front and Lytham Green is close by. The home has purchased digital TV`s for both lounges. The home has an attractive garden easily accessed from the home and it has been redesigned to ensure that the persons cared for can walk round safely and yet not feel constrained. The home is well maintained both inside and out and is constantly being refurbished. The entrance and hallway have had new flooring fitted. A part of the home where clinical procedures are carried out has been refurbished. A wet room has been established in one of the bathrooms. A new conservatory has been erected at the rear of the home. A new hoist has been purchased. A deputy manager has been employed who takes the lead on `End of Life` documentation and who is to also commence the Registered Managers Award. The number of trained staff has increased, there are currently 18 staff and 12 have a National Vocational Qualification (NVQ) in Care other staff have a nursing qualification. Senior staff have received training in Tissue Viability. The manager is now registered, she is a qualified nurse and has also obtained the Registered Managers Award. The manager has also completed Alzheimer`s training delivered by the Alzheimer`s Society. What the care home could do better: The home continues to improve in all aspects and there were no requirements or recommendations made at this inspection. Key inspection report Care homes for older people Name: Address: Lytham Court Care Home 2 Lowther Terrace Lytham St Annes Lancashire FY8 5QG     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: Susan Dale     Date: 1 0 0 8 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: Lytham Court Care Home 2 Lowther Terrace Lytham St Annes Lancashire FY8 5QG 01253735216 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Century Healthcare Limited care home 31 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia Additional conditions: The registered person may provide the following category/ies of service only: Care home with nursing - Code N to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Dementia - Code DE The maximum number of service users who can be accommodated is: 31 Date of last inspection Brief description of the care home Lytham Court is a care home offering Residential and Nursing Care to a maximum of 31 persons aged both under and over 65 years of age of both sexes with dementia. The home is situated opposite the Lowther Gardens, near to the sea front in Lytham. The town of Lytham is close by and there are churches of various denominations and a bus stop serving both Preston and Blackpool. The building is a converted Victorian detached house with a purpose built extension to the rear. The accommodation consists of 26 single and 5 double bedrooms. Communal areas include a large two communal lounges with a dining area in both rooms, a conservatory and a sensory room. There is a well established safe garden area to the rear of the property and a Care Homes for Older People Page 4 of 26 Over 65 0 31 Brief description of the care home very attractive garden at the front of the property. Qualified nurses and experienced staff are led by an experienced and registered manager in the care of the persons accommodated. Information about fees can be obtained from the manager of the home. 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 peterchart Environment Staffing Management and administration Poor Adequate Good Excellent How we did our inspection: The site visit was unannounced and took place over Five hours; a visit was also undertaken to Century Healthcare Ltds Head Quarters. Various records belonging to the people being cared for were examined as well as policies and procedures. Prior to the inspection, the registered manager of the home completed an Annual Quality Assurance Statement (AQAA) that is a self assessment that provides information about how well outcomes are being met for people using the service as well as some numerical information. Surveys were provided to both the people who use the service and staff who can respond anonymously if they wish. Up to the time of writing the report no surveys had been returned. The registered manager, staff, the persons cared for and a relative were spoken with as well as the companys registered owner and the estate manager. The last key inspection took place on the 2nd August 2007 and an Annual Service Review took place on the 31st August 2008. Care Homes for Older People Page 6 of 26 Care Homes for Older People Page 7 of 26 What the care home does well: What has improved since the last inspection? An assessment had been undertaken under the Mental Capacity Act and the Deprivation of Liberty. This is legislation that is in place to protect the rights of people who may have reduced capacity to make their own decisions. Staff have been involved in fund raising and have held wheelchair walks with staff pushing staff. A mini bus is available and there have been trips out to Blackpool Zoo, Dobbies Garden Centre, Sea Life Centre and the Illuminations. Lowther Gardens is immediately Care Homes for Older People Page 8 of 26 opposite Lowther Court and the sea front and Lytham Green is close by. The home has purchased digital TVs for both lounges. The home has an attractive garden easily accessed from the home and it has been redesigned to ensure that the persons cared for can walk round safely and yet not feel constrained. The home is well maintained both inside and out and is constantly being refurbished. The entrance and hallway have had new flooring fitted. A part of the home where clinical procedures are carried out has been refurbished. A wet room has been established in one of the bathrooms. A new conservatory has been erected at the rear of the home. A new hoist has been purchased. A deputy manager has been employed who takes the lead on End of Life documentation and who is to also commence the Registered Managers Award. The number of trained staff has increased, there are currently 18 staff and 12 have a National Vocational Qualification (NVQ) in Care other staff have a nursing qualification. Senior staff have received training in Tissue Viability. The manager is now registered, she is a qualified nurse and has also obtained the Registered Managers Award. The manager has also completed Alzheimers training delivered by the Alzheimers Society. 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 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. A full assessment is carried out to ensure that the services provided by the home are suitable and that there is enough information gathered for an appropriate care plan. The home does not provide Intermediate Care. Evidence: The assessment process and documentation was comprehensive in order to ensure that the care provided by the home was suitable and would meet individual needs. Records were examined of two persons cared for within the home, one was receiving nursing care and the other dementia care. Information had been gathered about the persons physical requirements as well as their background and wishes about how the care was to be provided. Liaison had taken place with other health professionals and a relative spoken with whos wife had recently entered the home confirmed that he had been involved with the assessment process and had been kept informed at every stage. Care Homes for Older People Page 11 of 26 Evidence: An assessment had been undertaken under the Mental Capacity Act and the Deprivation of Liberty. This is legislation that is in place to protect the rights of people who may have reduced capacity to make their own decisions. Risk assessments had been completed with regard to personal care, dietary requirements, and psychological health. Previous lifestyle and any religious or cultural requirements are taken in to account. 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. The health and personal care needs of the people living at the home are met by the care provided by the staff in a sensitive and caring manner. Evidence: Four care plans were examined. Two of the care plans belonged to people assessed as requiring nursing care and two assessed as requiring specialised dementia care. The care plans included risk assessments for nutrition, moving and handling, skin tissue viability and any nutritional risk. Individual choices were recognised with regard to daily living, getting up, going to bed. Every aspect of the care required was recorded and the best way to deliver the care. A care plan is devised for day and night time. The care plans had been reviewed once a month and there was evidence that family are involved with the review and a signature had been obtained. A key worker system is in operation, this means that each member of the care team has responsibilities for a small group of people cared for. The key workers are involved in the provision and evaluation of care of the individual assigned to them. Care Homes for Older People Page 13 of 26 Evidence: It was evident that peoples health was being monitored with in-put and liaison with other health professionals such as their GP or a dietician. Two of the records seen indicated that there was a danger of loss of weight and the care plan indicated how this was to be managed and a weekly weight check had been conducted until it was obvious that her weight had stabilised. A food diary is kept for any person at risk of losing weight. A suitable medication policy and procedure is in operation. The manager who is a registered nurse has undertaken accredited training in the administration of medication and then provided the training herself to 5 staff. None of the persons cared for in the home are able to self medicate due to poor physical and mental health conditions. The medication administration record (MAR) was examined and found to be up to date and there was evidence of written permission from GPs over the providing of any homely medicines such as indigestion remedys. The care records showed that medication has to be provided covertly for some persons cared for. There was evidence that this had only taken place following liaison with other health professionals as well as any family. A relative spoken with confirmed that staff had been excellent and the care and attention to his wife could not be faulted. He had been very concerned about her admittance to a home because of the difficulties of caring for someone with dementia and had been pleasantly surprised by the way she had settled down. A comment was made: The staff and manager have been absolutely wonderful and kept me informed at all times. Privacy and dignity is seen as very important. Staff were observed to be gentle and caring towards the persons cared for and sensitive to their individual wishes. All the people cared for in the home looked clean and well groomed and there was good interaction with the staff. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The daily routines and services provided by the home are suitable for the various needs, expections and capabilities of the people cared for. Evidence: The majority of people living at the home are dependant on the staff because of their lack of mental capacity and/or poor mobility and health requirements. On admission to the home a recording is made of any hobbies and interests; activities are provided that suit the expectations and capabilities of the people concerned. The home used to employ an activities co-ordinator but, activities are now provided by the staff and the staffing rota identifies who is to be providing the activities each day. Staff have received dementia care training and this has helped them with ideas for suitable activities. Relatives have also been asked for suggestions at relatives meetings. Staff have been involved in fund raising and have held wheelchair walks with staff pushing staff. A suggestion has been made by relatives and staff that a Karaoke Machine might be a useful item to purchase. Care Homes for Older People Page 15 of 26 Evidence: A mini bus is available and there have been trips out to Blackpool Zoo, Dobbies Garden Centre, Sea Life Centre and the Illuminations. Lowther Gardens is immediately opposite Lowther Court and the sea front and Lytham Green is close by. An entertainer visits the home each time there is a birthday celebration and he is according to staff, well appreciated by all concerned. A snoozelem room is used for relaxation with coloured lights and music providing a calming atmosphere. The home has purchased digital TVs for both lounges. There was evidence of Arts and Crafts that are on display within the home. Every effort is made to encourage the people cared for to be as independent as possible whilst ensuring that their safety is not compromised. The home has an attractive garden easily accessed from the home and it has been re-designed to ensure that the persons cared for can walk round safely and yet not feel constrained. There is a 2 weekly menu and the registered manager stated that they are aiming for a 3 weekly menu. Following consultation, the home are looking for new ideas for the menu would appeal to an older generation. A choice of meal is available at dinner and tea time. The majority of people cared for require assistance with feeding or have to be encouraged to eat. Food supplements are used when these have been agreed with the individuals GP. Staff were observed assisting with meals in a sensitive manner and a record is kept of liquids and food consumed for a person in danger of weight loss. A staff member spoken with confirmed that there is always enough staff on duty for them to talk to the people cared for as well as performing necessary physical care. 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. The policies, procedures and training of staff ensures that the people living at the home and staff are protected from abuse and any concerns are recognised and investigated. Evidence: The home has a suitable complaints policy and procedure that is publicised in the Statement of Purpose and the documentation provided to new people entering the home. A record of complaints is kept and was examined. There have been no complaints made to the home; a concern was raised with the Care Quality Commission and was passed onto Century Healthcare Ltd for investigation; the concern was not upheld. Staff are provided with training on the safeguarding of vulnerable people from abuse and there are opportunities for staff to report any incidents that require investigation. Staff are provided with training on challenging behaviour which can involve verbal and physical aggression. Policies and procedures have been implemented in line with the Deprivation of Liberty Safeguarding Code of Practice which ensures that the best interests of the persons being cared for are safeguarded. Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well maintained and provides a very comfortable safe environment for the people living at the home as well as staff. Evidence: A tour of the home took place and all areas of the home were clean and tidy. Three domestic staff are employed by the home. Personal possessions and photographs were in evidence in the bedrooms. Furniture and fittings throughout the home are of good quality. The home is well maintained both inside and out and is constantly being refurbished. The entrance and hallway have had new flooring fitted. A part of the home where clinical procedures are carried out has been refurbished. A wet room has been established in one of the bathrooms. A new conservatory has been erected at the rear of the home. The garden at the rear of the property has been landscaped and made safe for the protection of the people cared for in the home. Digital TVs have been purchased for the communal lounges and individual bedrooms. A passenger lift is available for access to all floors; all parts of the home are accessible. Care Homes for Older People Page 18 of 26 Evidence: All staff are provided with Health and Safety training as well as Fire Safety; 19 staff have received training in Infection Control. Fire risk assessments are conducted on all the persons cared for to establish the best ways of protecting them in the event of a fire. An Estate Manager is employed by Century Healthcare Ltd who is responsible for making regular inspections to ensure the home meets with all relevant legislation. The carpet in the larger of the two lounges is to replaced following an accident that has caused the existing carpet to have an unpleasant odour. Various aids and equipment is available throughout the home and a new hoist has recently been purchased. 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. New staff are recruited appropriately and there are sufficient trained staff on duty for the current number and needs of the people being cared for in the home. Evidence: There were adequate staff on duty for the number and needs of the current people residing in the home. During the visit staff spoken with said there was adequate time for them to provide the care required as well as have some quality time according to the individual. A deputy manager has been employed who takes the lead on End of Life documentation and who is to also commence the Registered Managers Award. Staff had been recruited appropriately with security checks undertaken with the Criminal Records Bureau (CRB) and the Protection of Vulnerable Adults (POVA) Register, two written references had been obtained, one from the last employer. New staff receive a 12 week induction training programme whereby staff are supernumerary until they have received adequate experience and training. Mandatory training consists of Manual Handling, Health and Safety, Safeguarding, Challenging Behaviour and Dementia. Care Homes for Older People Page 20 of 26 Evidence: There are currently 18 staff and 12 have a National Vocational Qualification (NVQ) in Care other staff have a nursing qualification. Senior staff have received training in Tissue Viability. The registered manager is a qualified nurse and has also obtained the Registered Managers Award. The manager has also completed Alzheimers training delivered by the Alzheimers Society. Staff spoken with confirmed that training is good and that they feel confident to deal with the demands of the people cared for by the home, some of whom have very challenging behaviour. Comments include: I feel well supported and been on some very good training that helps me to do my job. 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 home is managed well for the benefit of the people living at the home and staff. Evidence: The manager of the home is now registered with the Care Quality Commission and has obtained the Registered Managers Award as well as having a nursing qualification. The manager is supported by a deputy manager who also has a nursing qualification. Good support is also provided by the Director of Nursing for Century Healthcare Ltd. The home is friendly and welcoming and the staff appear to work well as a team. Staff confirmed that they receive good support from the manager and senior staff and feel well supported. Staff benefit from one to one supervision which is formally recorded and takes place at least 6 times a year. The process provides the opportunity for the supervisee to set the agenda as well as the supervisor and goals are set to be examined at the next supervision session. Relatives meetings take place on a regular basis and minutes were seen to have been Care Homes for Older People Page 22 of 26 Evidence: recorded. Relatives are asked for suggestions on the running of the home and are encouraged to take part in any activities and fund raising exercises. An annual questionnaire is delivered to the people supported, relatives, the community mental health team and other health professionals. The results of the questionnaires and any recommendations are looked at by the management team and put into action. The manager ensures that she meets with relatives on a frequent basis to discuss any issues that arise. The home has been awarded Investors in People status which is an award only obtained when the home has provided good evidence of staff training and support that ensures a well managed service. The people supported and their families are encouraged to deal with their own finances. Most of the fees due to the home are paid by direct debit arrangements. Where the home keeps money on behalf of the people cared for, appropriate records are kept. Risk assessments are carried out on all aspects of care where there is a potential hazard and the health, safety and welfare of the people cared for is protected as much as possible by the policies and procedures operating within the home. 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. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!