Care Home: Mont Calm Lydd

What the care home does well Many of the people living in Mont Calm Lydd find it difficult to express opinions about where they are living and how they are supported and cared for but one person told us "...they look after us well..." and another said "...they do a good job...". We observed some people being very relaxed and enjoying chatting to each other and to staff. This included banter and humour at times. One person said of her relative "...it`s nice to see him laugh again...". We noted that when staff had to divert people from something inappropriate, they did so carefully, explaining why they were asking someone to do something. Staff also were patient and polite when explaining routine things to people and offering them choices such as where they wished to sit, what they wished to eat or drink and also about their medication. Two or three of the residents like to walk around the communal areas and corridors and staff were confident about this, not stopping people or telling them to sit down. We saw that if people wished to stay in their own rooms, this was respected. The house was clean and fresh on the day of our visit. What has improved since the last inspection? The care plans have been expanded and improved, reflecting more on the person as an individual. More activities have been provided and a `memory room` is being created which provides stimulation for people. Some decoration has taken place and carpets and curtains renewed. A key worker system has been introduced. What the care home could do better: The manager needs to apply for registration. A requirement has been made about this and a separate letter sent to the registered provider. The manager has identified for herself that the programme of redecoration will continue. She intends to recruit more staff and continue with planned training. Key inspection report Care homes for older people Name: Address: Mont Calm Lydd Manor Road Lydd Romney Marsh Kent TN29 9HR     The quality rating for this care home is:   two star good 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: Christine Lawrence     Date: 2 1 0 7 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 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: Mont Calm Lydd Manor Road Lydd Romney Marsh Kent TN29 9HR 01797321127 F/P01797321127 stephenmontcalm@aol.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr Stephen Anthony Castellani care home 22 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia Additional conditions: The maximum number of service users who can be accommodated is: 22 The registered person may provide the following category/ies of service only: Care home only - PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Dementia - DE Date of last inspection Brief description of the care home Mont Calm Residential Home, Lydd is a care home registered for twenty-two older people with dementia. It is situated in the small coastal town of Lydd. There are some local shops and a church nearby. There is easy access, by road, to the larger towns of New Romney, Hythe and Folkestone. There is some car parking spaces available and parking is not restricted in the street. Currently the scale of fees is between £390 and £560 pounds per week. Hairdressing, chiropody and toiletries are at an additional charge. 0 1 0 9 2 0 0 8 22 Over 65 0 Care Homes for Older People Page 4 of 27 Care Homes for Older People Page 5 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: two star good 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: We, that is the Care Quality Commission (CQC), visited the home unannounced on the 21 July. We were in the home from 9:30 until 15:30. The manager sent us an annual quality assurance assessment (AQAA) when we requested it. This is a self assessment and a dataset that is filled in once a year by all providers whatever their quality rating. It is one of the main ways that we get information from providers about how they are meeting needs and wishes, and achieving positive outcomes for people using their service. The AQAA also provides us with statistical information about the service. The AQAA completed for Mont Calm Lydd gave us some information but could have provided more details and focussed more on the standards and how they affect the people living in the home. We spent time talking to some of the residents and watching people within the home, including how staff helped and supported them. We sent out five surveys for residents and five surveys for staff; these were all returned. We also received a survey back Care Homes for Older People Page 6 of 27 from a health care professional. We spoke to four staff and one relative. The manager was present throughout the visit. During the visit we looked at assessments and care plans, daily reports, records of activities and participation, menus, the rota, two staff records, a training matrix and medication administration records. We walked round parts of the building and observed lunch, and watched medications being administered. Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 8 of 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. Residents can be confident that the home judges that it can meet their needs because it assesses their needs before they move in. Evidence: We looked at five care plans for this inspection. Two of those were for people who had moved into the home recently. Their needs were assessed by the manager before she agreed that the home could meet their needs. She described one example of another person who she did not agree to admit as their needs would not have been fully met at Mont Calm, Lydd. We saw that information was also sought from family and from social services. The assessment of needs is used to compile a care plan. A survey completed by a health care professional was answered always with regard to the question Do the care services assessment arrangements ensure that accurate information is gathered and that the right service is planned for people? and one person, on behalf of their relative answered yes to the question Did you receive Care Homes for Older People Page 10 of 27 Evidence: enough information to help you decide if this home was the right place for you?. Mont Calm, Lydd does not provide intermediate care. 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. Residents benefit from having an individual plan of care which identifies how their health and care needs are to be met. They are protected by the homes procedures for dealing with medication and they can be confident that they will be treated with respect. Evidence: We looked at five care plans for this inspection. They included assessments of peoples needs which form the basis of identifying what people want or need to acheive and how staff can help and support. The home uses a falls screening tool to identify anyone at risk of falling and there is also a section to record any falls someone might have and the circumstances. We noted that the care plans were reviewed monthly, with a more detailed update every three months. We also noted that the care plans contained information relating to health care and monitoring forms are used for things like skin condition, nutrition and where appropriate, fluid intake. The records show that various health care professionals are involved both routinely and as required. During our visit one person was taken ill and an ambulance was called. Staff updated an information sheet so the paramedics had information to take with them to the Care Homes for Older People Page 12 of 27 Evidence: hospital. The quarterly reviews undertaken specifically note the dates of last health care appointments such as optician and dentist etc. One relative said ...all I know is my dad is very happy there and he has gained the weight he lost when he was very ill.... The care plan contains risk assessments about various things including rooms (and the call system), inappropriate behaviour, manual handling, falls and whether or not they can join in with the exercise sessions. There is guidance to staff about how a person needs or wishes to be supported in things like personal hygiene and eating. Comments always include what someone can and cannot do for themselves. The care plans had some common themes for each person but also particular things about people, making them individual and person centred. We looked at the storage of medication and saw it was satisfactory. The records of administration were appropriately recorded. We observed a senior member of staff giving out medication. He did this carefully and took time to explain to residents what was happening and reassured them when necessary. Peoples individual preferences are known such as having a large or small drink with tablets or preferring a tablet on a spoon. Some people had their medication in the dining room, some in the lounge and for some people they chose their own rooms. The training matrix showed that staff who give out medications have received training and this was confirmed in talking to staff. During our visit we saw staff knock on residents doors and encourage residents to close toilet doors. Residents preferred name is known and recorded (sometimes this information is from a relative, sometimes the individual). The residents we saw during this inspection were all individual in their appearance and style of dressing, some people taking pleasure in giving and receiving compliments. Care plans often referred to an individuals appearance and how it is important to them. There are regular manicure sessions for anyone who wishes, and some of the femail residents had nail varnish on. A hairdresser visits regularly. We saw that staff spoke politely, reassuring people when required, in a way that was not condescending. Some residents clearly enjoyed bantering with staff and staff know which residents like to sit quietly or be on their own. In answer to the question Are peoples social and health care needs properly monitored, reviewed and met by the care service?, a health care professional ticked usually. The questions about medication being properly managed and privacy and dignity being respected also had positive answers. The five staff surveys completed for this inspection all had always ticked for the question Are you given up to date information about the needs of the people you support or care for (for example in the care plan)? and one comment included was ...treats all residents equally with dignity Care Homes for Older People Page 13 of 27 Evidence: and respect.... The three surveys from relatives all had always as the response to the question Do you feel that the care service meets the needs of your friend/relative? Comments from relatives included - my father appears to be well taken care ofthe service takes into account the needs of their clients and adapts to their individual needs the home meets my dads individual needs. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents can be confident that their preferences will be identified and responded to and that they will be enabled to maintain contact with friends and family. Residents will be enabled and encouraged to make choices and they will benefit from healthy, well-presented food at a time and place to suit them. Evidence: We noted that residents have choice and flexibility in their routines where they are able to make choices. This includes what time to get up or go to bed (one resident likes to get up mid-morning). We observed staff to ask people about things such as what to have to eat and drink, whether to listen to music in the dining room or go to the lounge where there was an activity, and we were told by staff that some residents choose to spend time in their own rooms. One person likes to walk along the ground floor corridor going from lounge to dining room as she likes to see whats going on and she is not dissuaded from this. There are some formal activities and there is an activities organiser who works three days a week. Staff told us that some of the residents like to go out for a walk if the weather is fine, or to local shops. The local cafe has unfortunately closed. One person attends church weekly and another receives communion in the home. The activities organizer keeps a record of who participated and what they got from it. This was informative but not up to date. We discussed with Care Homes for Older People Page 15 of 27 Evidence: the manager and acting deputy how best to ensure that all staff were aware of residents preferences and they are going to consider how to do this. The lounge has a television which was being watched by some residents, while others sat a distance away and chatted to each other. A radio is available in the dining room and this was tuned to classical music after lunch for those who wished to listen. A small lounge on the ground floor now doubles as a quiet area and a memory room, with posters, pictures and bits and pieces reflecting past years. The Statement of Purpose indicates that friends and family are welcomed to the home and encouraged to join in social events, as well as be involved in their relatives care. Visiting times are stated as 9.00am until 7.00pm but we were informed by staff that they would always try to accommodate people who might have to visit outside of these times. The rooms we saw during this visit contained personal things such as photographs of family and friends. We observed the midday meal which on this occasion had been changed to salad as there had been a problem with the gas cooker and an engineer was checking things. Staff asked residents what sort of salad they would like and there was a choice of three different things. We saw staff asking people individually if they would like extras such as beetroot and salad cream. Most of the people living in the home manage independently but some need encouragement or support and we observed this done appropriately. Staff did not rush people, giving them to eat at their own pace and some people chose to linger and relax after the meal. Some people chose to eat in their own rooms. Comments in surveys completed by staff and relatives included ...offers activities daily... ...the clients enjoy activities daily and regular trips to the shops... ...clients are more involved in activities...including gardening...we have a wide range of clients with varying abilities...we have just opened a memory room which is a great success with clients.... Relatives also told us that they are made welcome when they visit. 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. Complaints would be handled objectively and in keeping with the homes appropriate procedures and residents and their representatives can be confident that any concerns will be listened to, taken seriously and responded to. Staff are aware of adult protection issues and there are systems in place which create an atmosphere for protecting residents from abuse. Evidence: There is a complaints policy and information about this is included in the Statement of Purpose and on display in the home. Relatives and staff were positive in their survey responses with regard to making a complaint or dealing with concerns raised by visitors. The complaints policy includes timescales within which the home will respond. There has been no complaint in the last twelve months. The manager said she tries to sort out any small concerns before they become issues for complaint. The following comments were made by relatives either through surveys or during the inspection ...you can talk to staff and they will help you sort things out... ...Ive never had to make a complaint but I know how to... ...always listens to what I say.... There has been no adult protection/safeguarding adult issue since the last inspection. The manager said she has the relevant in-house policies in place as well as the Kent and Medway protocols for reporting any concerns to the social services department. We asked three staff what they understood about protecting people and they were all clear about their responsibilities. Their comments included ...you have to take Care Homes for Older People Page 17 of 27 Evidence: everything seriously... ...you have to look out for people because they cant do it themselves.... The training matrix on display in the office showed that staff have received training and for newer staff who have not yet attended courses, this is covered within the induction programme which is based on the Common Induction Standards compiled by Skills for Care, the national organisation which sets training standards. Policies and procedures include those relating to residents finances. We noted examples of relatives, solicitors and Kent County Council Client Affairs Officers responsible for residents finances. There are systems in place for the homes involvement with any cash. 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. Residents benefit from living in a safe, well-maintained home which is homely, clean, comfortable, pleasant and hygienic. Evidence: The Statement of Purpose reflects a commitment to maintaining the buildings and grounds in a safe condition, as well as ensuring communal areas are safe and comfortable; toilet, washing and bathing facilities are suitable; specialised equipment available for independence; bedrooms are safe and comfortable, with personal possessions and the premises are kept clean and hygienic. We spent time in the lounges and dining room and later looked at some bedrooms, bathrooms and toilets and also the laundry areas. We were informed by the manager that a maintenance man works two days a week. The main lounge and corridor have been redecorated and bedrooms are being redecorated as required. We saw that residents were able to find their way around to communal areas and toilet facilities and where they needed help or guidance this was provided. We saw that bathrooms had hoist chairs and toilets had raised seats and frames, for easier use. The laundry facilities were satisfactory. There were appropriate hand washing facilities in the home and staff have access to sanitizers, which we saw them using. Eleven staff have received training with regards to infection control. A relative described Mont Calm Lydd as home from home and another said she was pleased with her relatives room. Staff made the following comments ...the home provides a clean and safe environment... Care Homes for Older People Page 19 of 27 Evidence: and ...we provide a safe environment.... 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents needs are met by sufficient staff who are competent and trained. Residents are supported and protected by the homes recruitment procedures. Evidence: The manager uses a rota to show who is working and in what capacity. There is a structure for staff which includes the manager, a deputy manager (currently someone acting), head of care, senior carers and carers. There is a part time activities person and a part time handyman. There are two domestics and a cook. Care staff will sometimes cook also and we were told they would be off the care rota at that time. Four staff currently have a national vocational qualification (NVQ) at level 3 and five people are currently undertaking this training. Three staff have NVQ level 2. We looked at the records for two recently appointed staff. They showed that the systems in place at Mont Calm Lydd include application forms, interviews, references (including verbal ones), terms and conditions of employment, criminal record bureau checks, equal opportunities monitoring and health declarations. The manager confirmed that she gives copies of the General Social Care Councils code to all new staff. There is a programme of training which includes induction training and training is planned for the Mental Capacity Act and the Deprivation of Liberty Safeguards. Care Homes for Older People Page 21 of 27 Evidence: Comments about staff (or reflecting on the care provided) contained within the surveys or expressed during the inspection included the following - the staff are very kind the peace of mind I have now is great, knowing my dad is well cared for I am very pleased with the care he is receiving at Mont Calm the staff always welcome us and I am very impressed with the way they look after her they are patient and kind. Staff confirmed that they have training opportunities. One person said they were looking forward to the training planned for the next few months. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from the home being managed by someone who is experienced and knowledgeable. Residents financial interests are safeguarded and their views are sought. Staff and residents have their health and safety promoted and protected. Evidence: The manager is experienced with working with people with dementia as she used to be a community psychiatric nurse. She is currently organising two courses, including the Leadership and Management for Care Services Award. She has not yet started the process of applying to be registered. A requirement has been made with regard to this and a separate letter was sent to the provider after the inspection. Staff comments either through surveys or during the inspection visit included I would be more than happy to recommend Mont calm to anybody the improvement has been amazing things have changed lately for the better everything is running fine the home is running well and xxx is easy to talk to if you have any problems or ideas. We saw that surveys had been sent out to relatives in June this year and eight people Care Homes for Older People Page 23 of 27 Evidence: had responded. There were no negative comments. We discussed with the manager the idea of including other people who visit or have an interest in the home and she agreed to consider how this could be done. We also discussed the AQAA, and about how it needs to contain more information and reflect outcomes for residents within the core standards. Reports are available of visits to the home on behalf of the provider under Regulation 26 of the Care Homes regulations 2001. As noted previously, residents finances are safeguarded as they are dealt with by relatives, solicitors or local authority officers. The manager had recently sorted out some queries with Kent County Council about how personal allowances can be monitored. The training records indicated that staff receive appropriate training regarding health and safety. Information about maintenance and service contracts showed these to be up to date. A person is employed to provide maintenance support part time. The AQAA indicates that there are relevant policies and procedures in place to cover health and safety issues. When asked What does the home do well? the following comments were included in surveys - ...provide a safe and secure environment... ...things have changed lately for the better... ...look after the interests and safety of our residents... ...the home provides a clean and safe environment... ...the improvement has been amazing.... 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 1 31 8 The managers application for registration must be submitted The manager is in day to day charge of the care home and must be registered 25/08/2009 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 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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