Care Home: Manor Lodge

Similar services:

• Fairfields Country Rest Home
• Queensmount
• Poldhu
• Trevaylor Manor
• Didsbury Court Rest Home
• Belma
• Hunters Care Centre
• The Garden House

What the care home does well The information available and opportunities to visit this home before people make a decision about whether or not the service provided will be able to meet their needs is excellent. The needs of anybody considering moving into the home are assessed with them so that their individual wishes and needs can be identified. The assessment is used to form the basis of a plan of care and this is regularly reviewed following admission to ensure that it is kept up to date and to record any changes that may occur. The ethos of the home is to encourage people to be as independent as they can be but help with personal care is readily available when it is needed. The residents physical and mental well being is monitored and professional assistance is sought from the primary and secondary health care services as and when necessary. Medication is safely managed and residents are supported if they chose to manage their own medication. People are able to receive their visitors and any time and visitors will be made to feel welcome by the management and staff. Social and recreational activities are provided and Birthdays are always celebrated. Meals are varied and the quality of the meals provided is good. The front garden provides ample off road parking and has won the Exmouth in Bloom competition every year for the past six years. The back garden provides a lovely area for people to relax or take exercise in. The home is exceptionally well presented. Communal areas are light and spacious, all of the bedrooms have en-suite facilities and the communal bathrooms are warm and homely. The quality of the staff training has earned the home the `Investors in People` Award. Safe practices are used to recruit new staff and the staff turnover is low. The home is managed by a competent and experienced manager, who is supported by the company directors and a dedicated staff team to provide an exceptionally high standard of service for the residents. What has improved since the last inspection? An extension has been added to provide additional bedrooms and communal areas for the residents. What the care home could do better: Although alternatives to the set meals are available on request, people could be offered a choice of at least two set meals at dinner and tea times. Key inspection report Care homes for older people Name: Address: Manor Lodge Manor Lodge 8 Portland Avenue Exmouth Devon EX8 2BS     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: Judy Hill     Date: 0 9 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 28 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 28 Information about the care home Name of care home: Address: Manor Lodge Manor Lodge 8 Portland Avenue Exmouth Devon EX8 2BS 01395282740 01395277886 mail@manorlodgedevon.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Manor Lodge [Devon] Ltd care home 27 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users that can be accommodated is 27. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category (Code OP) Date of last inspection Brief description of the care home Manor Lodge is a detached house in a quiet residential avenue in Exmouth. It is within walking distance of both the sea front and town centre. It is also very close to a regular bus service and the town also has a train service. This home provides personal care and accommodation for up to 27 older people. The accommodation is arranged over ground and first floors and all rooms have en suite facilities. There is a passenger lift and a stair lift between the ground and first floor. The lounges and dining room are on the ground floor. Care Homes for Older People Page 4 of 28 Over 65 27 0 Brief description of the care home There is a large parking area at the front of the house and landscaped level gardens to the front and rear of the property. The latter has an extensive decked area used for sitting and for walking. Fees charged at this home range from £450.00 - £600.00 per week. This fee does not include items such as toiletries, hairdressing, newspapers and chiropody. Further information about this home, including reports, is available direct from the home. Care Homes for Older People Page 5 of 28 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 inspection included an unannounced site visit that was carried out by one inspector on 9th December 2009. The information contained in this report was gained from an Annual Quality Assurance Assessment that was completed and returned to us by the registered manager and from surveys that were completed and returned to us by nine of the people who live at Manor Lodge and two members of staff. During the site visit we saw and spoke with most of the residents, several relatives who were visiting the home, the company directors, Eileen ONeill, who is the registered manager and the staff on duty. We read the homes Information Pack, Statement of Purpose and last inspection report and annual service review. We also looked at the service history that we keep on our Care Homes for Older People Page 6 of 28 files. During the site visit we carried out an inspection of the premises and observed a meal being served. We also inspected the arrangements for storing medicines and the medication administration records. We looked at staff records, including staff recruitment, supervision, training records ans staff rotas. We also used a process called case tracking to look at residents records, including needs assessments, care plans and risk assessments and how well the service provided was identifying and meetings the residents wishes and needs. Care Homes for Older People Page 7 of 28 What the care home does well: What has improved since the last inspection? What they could do better: Although alternatives to the set meals are available on request, people could be offered a choice of at least two set meals at dinner and tea times. Care Homes for Older People Page 8 of 28 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 28 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 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who are considering moving into Manor Lodge are given the information and help they need to make an informed decision about whether or not the home will be right for them. Evidence: The Statement of Purpose is kept in a folder in the entrance hall of the home and available for residents and visitors to the home to read at any time. Prospective residents are given an information pack which tells them about the management and staff, the home and the service provided. The admissions criteria is included in the Welcome Pack. Surveys completed and returned to us by nine of the people who use the service tell us that either they, or their families, did have the information they needed to help they make an informed decision about whether or not the home would be right for Care Homes for Older People Page 11 of 28 Evidence: them. People are encouraged to visit the home before applying to move in. The registered manager said that she carried out a pre admission assessment with prospective residents and, where appropriate, their families and professional representatives and this is used as the basis for planning the service that people will need to meet their individual wishes and needs. The first month is of a new admission is on a trial basis so that people can decide if the home is right for them and the management can make sure that the service will be able to meet people long term needs. In conversation with them, the management and staff demonstrated a very good understanding of the trauma that moving into a residential care home can have on people. We spoke with two people who had recently been admitted into the home. One came in for respite care and was due to go home the following day. She said that when she felt ready to move into a residential home on a long term basis, she would like to come back to Manor Lodge. The second person said that she had moved into Manor Lodge on a trial basis, liked it and had decided to stay. Care Homes for Older People Page 12 of 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. Evidence: The pre admission assessment forms the basis of individual plans of care, which are developed and built upon to provide a detailed care plan, risk assessments and, where necessary, risk management plans and a personal and social profile. These are reviewed regularly with the residents and signed by them. The residents physical and mental wellbeing is monitored by the management and staff and the residents are encouraged to discuss any problems or concerns that they may have so that arrangements can be made for them to see a health care professional. Four of the residents have chosen to manage their own medication and a system of checks is in place to safeguard against errors being made. The medication for the rest of the residents is managed by trained care staff. We looked at the facilities for storing medicines and these were satisfactory. Regular checks are carried out to ensure that the storage area is kept at the correct temperature and separate Care Homes for Older People Page 13 of 28 Evidence: facilities are provided for controlled drugs and medication that requires refrigeration. With the exception of honey and lemon for colds and hot peppermint for wind, no homely remedies are kept at the home. This is recognised as an example of good practice. We looked at the medication administration record book. This contained photographs of the residents and well as details of their prescribed medication. We did a spot check of the medication administration record sheets and found these to be clear and up to date. We observed the interaction between the management and staff and the residents and saw that people are treated with dignity and respect. People are actively encouraged to retain their independence and autonomy and their privacy is respected. For example, the staff knock before entering a residents bedroom and people can lock their bedroom doors if they choose to do so. The nine people who completed and returned surveys to us told us that they always receive the care and support they need one person said It makes me feel safe and cared for. Care Homes for Older People Page 14 of 28 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 who use the service are able to make choices about their lifestyle. Social and recreational activities are provided and visitors are made to feel welcome. Evidence: The residents are able to invite their families and friends to visit them at Manor Lodge whenever they choose and several visitors called during the site visit. We spoke with one of the residents and her visitors in private. The visitors said they called at the home twice a week and that they were always made to feel welcome by the staff. They said that they were very happy with the quality of care provided by the home. One of the residents gave us a copy of the homes Christmas Diary. This showed that five birthdays were being celebrated in December, a Church choir was coming to the home to entertain people, a Christmas lunch outside the home had been organised, school children were coming into the home to entertain the residents and a Christmas party had been arranged. In addition to this there were to be Christmas stories, a Christmas raffle and Christmas skittles. One of the highlights of the social calendar was a Nativity play that was to be performed by the management and staff. Care Homes for Older People Page 15 of 28 Evidence: In house activities are provided daily. Some are facilitated by the staff and some by visiting entertainers. The range of activities provided includes board games, quizzes, skittles, reminiscence sessions and sing a longs, to name but a few. People are also assisted to take walks along the seafront before lunch and often have afternoon tea at the local garden centre. Organised outings are arranged in the summer months using the local Ring and Ride service, which can accommodate wheelchairs. A Garden Party is also held once a year and the money raised is donated to a local charity. One of the residents told us that she would like more activities and outings to be provided. The home uses the Devon Library Service to provide a wide range of books that are changed every six weeks. However, one of the people we spoke told us that a better selection of books could be provided. The home also has a vast range of music CDs available to suit all different tastes in music. A monthly newsletter is written by the manager. We were given a copy a copy of the latest issue. This provides light hearted news about the people who live and work at the home and forthcoming events. Television sets are provided in the residents bedrooms so that people can watch television in the privacy of their own rooms or in the communal lounge if they prefer to do so. The registered manager said that the residents could have their meals in their bedrooms if they wish but that they were encouraged to come to the dining room for their meals and hot drinks in the morning and afternoon as this encouraged people to mix socially with each other. We took morning coffee in the dining room with some of the residents and the atmosphere was very relaxed and sociable. Lunch is the main meal of the day and on the day of the site visit a dinner of roast chicken, stuffing, roast potatoes and seasonal vegetables was served. The vegetables were served in separate dishes so that people could help themselves to as much or a little as they wanted. Desert was banoffee pie or fresh fruit. Glasses or sherry or apple juice were served with lunch. The manager told us that a healthy option, such as fresh fruit salad or yogurts, were always available as an alternate desert. Fresh fruit is also available if people want a snack during the day. High tea is served at around 5pm and was to be smoked haddock followed by peaches and evaporated milk. We were told that people were offered hot drinks and biscuits, cheese and biscuits or a sandwich later in the evening. We saw that the daily menu that was displayed in the dining room did not offer the residents a choice of set meals. We discussed this with the owners and manager who said that alternatives would always be provided on request. Three of the people who completed and returned surveys to us told us that they Care Homes for Older People Page 16 of 28 Evidence: always enjoyed their meals. The remaining six said that they usually did. Care Homes for Older People Page 17 of 28 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. People who use this service are able to express their concerns and have access to a complaints procedure. People are protected from the threat of abuse and have their rights protected. Evidence: A copy of the Complains Procedure is displayed in the entrance hall of the home and details about how to make a complaint are included in the Statement of Purpose and Information Packs. The registered manager told us that she had not received any complaints since the last inspection and we have not received any complaints about this service. Although in their surveys some of the residents told us that they did not know how to make a formal complaint, all of them said that they would know who to talk to informally if they were not happy. There is a suggestion box in the entrance hall and regular reviews and residents meetings enable people to voice any concerns that they may have. The Annual Quality Assurance Assessment tells us that new staff are given training on the Protection of Vulnerable Adults. Refresher training is provided. No safeguarding referrals have been made since the last inspection and all of the people we spoke with Care Homes for Older People Page 18 of 28 Evidence: during the site visit told us that they were happy with the service provided. Care Homes for Older People Page 19 of 28 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 people who live at Manor Lodge benefit from living in an exceptionally attractive, spacious and well designed home. A high standard of cleanliness is maintained throughout. Evidence: Manor Lodge is an exceptionally well presented home. It is set in its own grounds in a quiet residential area of Exmouth. The home has won the Exmouth in Bloom competition in its class for the past six years for the colourful displays in the front garden and, although a gardener is employed, one of the residents told us that she had helped out in the garden by doing some dead heading. The garden to the back of the house is very attractively landscaped and well maintained. It provides an attractive and secure area for the residents to exercise in and enjoy. The original home has been extended several times and each new extension has been thoughtfully planned to enhance the home for the residents. For example, a large conservatory has been added to the front of the home and this provides a light and spacious dining room. A ground floor extension has been added which is linked to the original building by a wide corridor. The corridor is used by the residents for recreation and exercise and provides an additional seating area which overlooks the back garden. Care Homes for Older People Page 20 of 28 Evidence: The communal rooms and the bedrooms that we inspected were all comfortably furnished and well decorated. Attention had been given to ensuring that the bedding, curtains and carpets were well coordinated. Some of the residents had brought their own furniture into the home with them and all of the bedrooms we saw were homely and reflected the personality of the occupant. Some of the bedrooms have en suite wet rooms, others have en suite toilet facilities. Communal toilets are well positioned and contain liquid soap and disposable towels. The bathrooms are suitable for use by people with poor mobility and have a warm and comfortable appearance. The laundry facilities clean, hygienic and meet the needs of the home. The kitchen is was seen to be clean and well organised. The managers office is close to the main entrance. This means that the manager can see and be seen by people as they come into or leave the home. Generous off road parking is provided to the front of the house. Care Homes for Older People Page 21 of 28 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. Staff in the home are trained, skilled and employed in sufficient numbers to support the people who use the service and support the smooth running of the home. Evidence: The staff rota tells us that four care staff are on duty from 8am to 2.30pm and that three care staff work from 2.30pm to 8pm. Two waking night staff come on duty and 8pm and work until 8am. Our observations of the staff working with the residents and conversations with some of the residents tell us that the care staffing levels are maintained at a level that is high enough to meet the wishes and needs of the people using the service. Two cooks are employed and this means that meals are prepared and cooked by dedicated catering staff. A housekeeper and a gardener are also employed. There is a full-time manager in post and the owners of the Company spend a lot of time at the home working with the manager, staff and residents. Manor Lodge has gained an Investors in People Award. This award is given in recognition of continual performance of excellence in relation to the training and development of staff. We looked at the staff training records and the home continues Care Homes for Older People Page 22 of 28 Evidence: to ensure that the staff have access to the certificated training courses they need. The home has been very proactive in helping and encouraging the staff to complete National Vocational Qualifications in Care and most of the staff hold at least one NVQ. Some are working towards gaining additional NVQ qualifications. We looked at three of the staffs file and saw that safe practices are being used to recruit new members of staff. References were being taken up and CRB checks carried out to ensure that unsuitable staff are not employed to work with the residents. During the site visit we spoke with most of the staff on duty and interviewed two in private. Very positive feedback was received about the training provided, the quality of the management and good teamwork. Two surveys were completed and returned to us by people who work at Manor Lodge. Both were very positive about the quality of care provided. One respondent told us It is a pleasure to work at Manor Lodge. Several of the residents we spoke with and people who completed and returned surveys to us told us that the staff were kind and supportive and made them feel safe and secure. Care Homes for Older People Page 23 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management systems in place help to ensure that the residents live in a well managed, safe environment where they are protected and where their quality of life is enhanced. Evidence: The registered manager is Eileen ONeill. Eileen has completed her Registered Managers Award and has years of experience working with and supporting people who are elderly. She is supported by a deputy manager and the Company Directors, who are both actively involved in the day to day running of the home. The quality of the service is regularly monitored using questionnaires to gain feedback from the staff, residents and their families. Information gained from the questionnaires is received by the directors and presented to the manager in a report that highlights both positive outcomes and areas where the service could be improved. It also provides an action plan for further improvements. Care Homes for Older People Page 24 of 28 Evidence: In addition to the questionnaires, regular staff and residents meetings are held, one to one staff supervision is provided and staff appraisals are carried out, all of which ensure that the people who live at Manor Lodge and the people who work there have a say in how the service is managed. It is a policy of the home not to handle the residents financial affairs or personal spending money. People are either encouraged to do this for themselves or requested to ask for help from a member of their family or legal representative. This is recognised as good practice. The Annual Quality Assurance Assessment tells us that all of the required and recommended written policies and procedures are kept at the home and that they are up to date. The AQAA also tells us that the servicing of electrical and gas appliances, fire fighting, detection and alarm systems and lifts and hoists are up to date. Care Homes for Older People Page 25 of 28 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 26 of 28 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 15 It would be good practice to offer the residents a choice of at least two set meals for lunch and for high tea. Care Homes for Older People Page 27 of 28 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 28 of 28 - 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!