Care Home: New Wycliffe Home

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What the care home does well New Wycliffe Home provides an excellent physical environment for people with a visual impairment or dementia. Close attention is paid to the use of light and colour in the home to ensure that people`s residual vision is maximised. Other features such as plain floor coverings, colour coded corridors, signs on doors, talking notice boards and rails (both indoors and in the garden) all facilitate people`s ability to move around the home independently and help them to remain orientated. The service has adopted an approach to elderly care known as the `Eden Alternative` which seeks to `eliminate loneliness, helplessness and boredom`. All staff have received training in this philosophy and their perception of the people living in the home is informed by it. The outcome for people living in the home is that they are supported and encouraged to maintain and form relationships and to actively engage with their environment. As one person said, "there`s lots of things going on here". `Activities` are not just offered on certain days and at certain times, but throughout the week and at evenings and weekends. People spoke to us about the singer they had enjoyed the previous evening and told us that the bar was also open in the evenings so that they could relax and enjoy a drink. People`s individual needs and choices are respected, one person commented, "It`s a good place, you`re not tied down to any strict routine." The service works closely with healthcare professionals to ensure that people`s health care needs are met and staff receive a wide range of training to enable them to support people`s needs. Training is updated regularly so that staff remain up-to-date with their practice. One person told us how much their health had improved since they came to live at the home, "I`ve improved so much since I came." People living in the home, relatives and staff all commented on the accessibility of the registered manager and the senior staff team, one staff member said "Julie [the manager] is also available to talk...the seniors on the floor are all very approachable, we get a lot of support." What has improved since the last inspection? No requirements or recommendations for improvement were made at the previous key inspection. What the care home could do better: No requirements or recommendations for improvement were made at this inspection. Inspecting for better lives Key inspection report Care homes for older people Name: Address: New Wycliffe Home 111 Gleneagles Avenue Rushey Mead Leicester Leicestershire LE4 7YJ     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Ruth Wood     Date: 0 2 0 4 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. 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 Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI 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: New Wycliffe Home 111 Gleneagles Avenue Rushey Mead Leicester Leicestershire LE4 7YJ 01162667093 01162667093 julie.rudd@vistablind.org.uk www.vistablind.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: VISTA care home 46 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia physical disability sensory impairment Additional conditions: New Wycliffe care home can accommodate one person named in variation application V37966 under the PD(E) category, who also has sensory impairment. New Wycliffe care home is registered to provide personal care to male and female service users who fall within the following categories (SI) 46 (SI(E)) 46 (DE(E) 20 (PD(E) 1 No persons can be accommodated at New Wycliffe care home with dementia, unless they also have a sensory impairment. No persons under the DE(E) category can be accommodated at New Wycliffe care home when there are already 20 persons within this category residing at the home. Sensory Impairment over 65 years of age (SI(E) 46 Care Homes for Older People Page 4 of 26 Over 65 20 1 46 0 0 46 The maximum number of persons to be accommodated at New Wycliffe care home is 40. Date of last inspection Brief description of the care home New Wycliffe Home for the Blind offers care for up to 46 older people who have a visual impairment. The home is also registered to provide care for up to 20 people who have a dual impairment i.e. people who have sensory impairment and dementia. The home is situated close to the Rushey Mead area in Leicester in its own large grounds, which are designed to enable service users with a visual impairment to use them fully. The home has been extensively refurbished and all the communal areas are colour coded to enable people to identify their surroundings. A passenger lift or the stairs can access the first floor. All bedrooms are single rooms with en-suite facility and are located on both the ground and first floors. There are choices of communal sitting and dining areas for people to use on both the ground and first floor. Smoking is not allowed inside the home. The range of charges falls between £425 and £506 per week, this information was provided at the site visit. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This inspection visit took place on a weekday between 09:50 and 16:55. We examined in detail how the service meets the needs of three people living in the home, one of which had recently come to live there. We examined their support plans, spoke to staff about the kind of support they gave to these people and directly and indirectly observed how staff met their needs. We spoke to 6 people living at New Wycliffe about their experiences of living in the home and their opinion of the support they receive. We were also able to speak with one persons relatives about their opinion of the service. We directly observed the administration of medication and looked at records and storage relating to this. We also spoke to the District Nurse about their involvement in ensuring the healthcare needs of people living in the home are met and how they work with staff to ensure this. Care Homes for Older People Page 6 of 26 We examined fire safety records, records relating to peoples finances and the arrangements in place to ensure the ongoing quality of the service. We spoke to 3 staff members about their experiences of recruitment, training and their ongoing supervision and support from the manager and senior staff. Their recruitment and training records were also examined. In addition to the inspection visit this report is informed by the Annual Quality Assurance Assessment (AQAA) which is completed by the provider and informs us how the home has maintained and improved the quality of the its service in the preceding year. The AQAA also give us some statistical information about the home. We also issued ten surveys to people living in the home asking them about their experiences of living there and five surveys to people working at New Wycliffe. At the time of writing, two people who live in the home had returned their surveys and information from these has also informed the report. 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 set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 26 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Thorough assessment procedures ensure that detailed information is available to staff to enable them to meet peoples needs effectively. Evidence: We looked at the assessment and admission of a person who had recently come to live at New Wycliffe to see how this process is managed. The manager visits the person in their own home (or other setting) and undertakes a detailed assessment of their needs. The assessment is wide ranging but pays particular attention to needs arising from visual impairment. Assessments from placing social workers are also obtained as well as information from any other professionals or carers involved in the persons care. People are encouraged to visit the home as many times as they wish before they move in and during these visits they are introduced to the staff member who will act as their key worker and help them with the settling in process. Information about the home is detailed, well presented and available in different Care Homes for Older People Page 10 of 26 Evidence: formats such as large print, Braille, audio or in alternative languages. This reflects the needs of the people who the home is registered to accommodate. The two people who responded to the Commissions survey said that they had received enough information about the home before they moved in but had also been informed by word of mouth reports about the home. Word of mouth made our minds up. Its even better than we expected. Care Homes for Older People Page 11 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples care, health and medication needs are consistently well met by well informed staff Evidence: We looked at how three peoples personal care, health and medication needs are met, examined their support plans and spoke to staff about their understanding of their needs. We also directly observed practice in relation to these people. Support plans are held on computer as well as on paper and all staff have received training about how to access the information about peoples needs that they require. Support plans are reviewed on a monthly basis and are compiled with the active input of the person themselves and/or their relative. The format is currently being updated to take account of changes arising from the implementation of the Mental Capacity Act and the Deprivation of Liberty Standards. Detailed information is included about how to meet peoples specific needs arising from their visual impairment and/or dementia. Specific risk assessments are in place for each person, together with information as to each persons moving and handling requirements. Care Homes for Older People Page 12 of 26 Evidence: Both senior and care staff are very well informed about peoples specific needs and have received training in such areas as diabetes management, pressure area care and dementia care. Observation of care practice demonstrated that care is being delivered according to the support plans in place and was delivered sensitively. At all times during the inspection we observed staff to treat people living in the home with respect and attend to their needs as promptly as possible. All staff members have received training in the Eden Alternative Approach the aim of which is to combat loneliness, boredom and helplessness. Staff are very positive about this philosophy and the difference it has made to how they perceive the people living in the home. People made positive comments about how staff interact and care for them; The staff are very good, theyre friendly with you - I dont feel Im being talked down to.; Theyve been very good to me here. Nutritional assessments are completed for each person and peoples weights are recorded on a weekly basis. Additional input is obtained from dietitians and speech and language therapists, with regards to specialist diets and any difficulties with eating or swallowing. New Wycliffe has developed excellent relationships with colleagues in health to ensure that the full range of peoples health care needs are met. The home has a direct computer link to the local GP surgery which enables people to have some routine tests (such as Electrocardiograms, ECGs) completed at the home. The GP holds a surgery in the home twice per week and the District Nurse visits the home daily. During the inspection we observed good dialogue between nurses and home staff about how to meet peoples health care needs. Peoples health care conditions are actively monitored to ensure that they can be supported as long as possible within the service, particularly toward the end of their lives. As part of this process, two Consultant Geriatricians and a specialist nurse visit the service to monitor peoples health and to identify those that may require additional care and support. People also have access to optical,dental and chiropody services as required. Two people commented specifically on how they felt their own or their relatives health had improved since coming to live at the home; Ive improved so much since I came.; At the last home, my husband was in and out of hospital. Since hes been here he hasnt been in once. Wycliffe works within the NHS Gold Standards Framework to improve the quality of care for people in their last year of life. As part of this, all staff have received training in palliative care. The lunchtime administration of medication was observed. One senior staff member is Care Homes for Older People Page 13 of 26 Evidence: responsible for overseeing medication in the home and good systems are in place for storage and administration. All senior staff members administer medication and have received extended training in this area from North Warwickshire College and have also completed training given by the dispensing pharmacy, Boots. Suitable storage is in place for controlled medication and administration of this is accurately recorded in the Controlled Drugs Register. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Excellent provision is made to meet the social and emotional needs of the people living in the home. People enjoy good, home cooked food, which meets their nutritional needs, in pleasant, relaxed surroundings. Evidence: Wycliffe has an activities organiser who coordinates an exceptionally varied activities programme together with a group of volunteers who offer additional support to implement some aspects of this. On the day of the inspection five people from the home went out for a pub lunch (with staff support) to celebrate one persons birthday. In the afternoon staff and volunteers were involved in offering a nailcare session and two people spoke to us about the good singer who had entertained them the previous evening. As one person said, theres lots of things going on here and activities are not restricted to certain days at certain times but take place throughout the week, including evenings and weekends. During evening entertainments, the licensed bar is also open. The Eden Alternative Approach places emphasises on peoples abilities and the need to view each stage in peoples lives as an opportunity to develop. Pets and children are welcomed into the home and one visiting relative said that they were now part of Care Homes for Older People Page 15 of 26 Evidence: the Pets as Therapy (PAT) scheme, bringing their dog to interact with people living in the home. Activities offered are too numerous to list and people are also offered one to one input to engage in a particular activity, such as doing crosswords or attending a football match. Regular cooking sessions take place, which include planning recipes and shopping for ingredients. Horticulture sessions are planned as the greenhouse has been equipped with heating and raised beds have been made in one area of the garden. Two people told us that they were looking forward to a holiday to Mablethorpe supported by care staff, in the summer. One person commented, Its a good place, youre not tied down to any strict routine. Peoples individual needs and routines are accommodated by the home and they are encouraged to make choices about day to day aspects of their lives. Activities on offer and the menu for each day are clearly written on notice boards throughout the home and are also available on talking notice boards. Relatives are actively encouraged to take part in the life of the home and are free to visit at any reasonable time. Relatives spoken with said that they felt supported by the manager and staff and welcome in the home. Relatives can stay for meals and join in activities if they wish. Many positive comments were received about the food; plenty of good variety; The food is very good. On the day of the inspection the main meal served was asparagus soup, braised steak served with potatoes, broccoli and carrots or savoury bake. Pudding was a choice of apple and blackberry crumble, semolina or ice cream. Several people in the home require support to eat their meals and this is offered in a calm and unobtrusive manner. Additional staff are on duty at lunchtime so that no one has to wait for support to eat their meal. Input from dietitians and speech and language therapists is obtained for people with specific dietary needs and nutritional assessments are completed for each person living in the home. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are well protected by the procedures and practice in place and their concerns are listened and responded to promptly Evidence: The Complaints procedure is given to all new and prospective residents and is available in a range of different formats including Braille, large print and audio to reflect the different levels of visual impairment that the home caters for. The procedure is promoted at all relatives meetings and at residents reviews so that people are kept aware of how they can raise any concerns they may have about the service they receive. Both people who responded to our survey said that they knew who to speak to if they werent happy and knew how to make a complaint: Someones always there if you need them.; All complaints are corrected. All staff receive safeguarding training, which is updated every year, this includes information about whistleblowing and how to create a safer environment for the people living in the home. The registered manager is a co-trainer for the multi-agency training programme for safeguarding and, although she is aware her role as registered manager will not involve investigating incidents, she has completed the two day investigator training run by the multidisciplinary team. This is to consolidate her knowledge of the safeguarding process and each persons responsibility within it. A recent safeguarding incident was discussed with the registered manager and some Care Homes for Older People Page 17 of 26 Evidence: of the staff team. Documentation regarding the incident was also examined. This demonstrated that correct process and procedure had been followed promptly to minimise any distress to the resident concerned. Staff displayed an excellent understanding of their responsibility to disclose any concerns and confirmed that they received regular training in this area and had been well supported by the manager and senior staff throughout this specific incident. Staff are also made aware of the wider implications of safeguarding such as the need for them to seek help if they feel stressed by any situation. They are also made aware of forms of restraint which may inadvertently be used, such as removing a persons walking aid out of their reach and the implications that their actions may have on peoples liberty and choice. Good recruitment practice is in place for both staff and volunteers in the home. Two written references are obtained and Criminal Records Bureau checks are completed before they start work in the home. This is to ensure that only suitable people work at New Wycliffe. Care Homes for Older People Page 18 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The environment is clean, comfortable and tailored to effectively meet the specific needs of people with a sensory impairment and/or dementia. This assists people to maintain their independence Evidence: Attention is paid to lighting and the use of colour in the home and lighting can be varied in rooms to take account of peoples individual visual impairment and the activity taking place. All corridors are colour coded, so that people know which area of the home they are in. All corridors have handrails and all fire doors are on automatic closures (with large buttons) to enable people to move freely throughout the home. There are no patterned floor coverings in the home and the environment is kept free of unnecessary obstacles. All rooms are clearly signed and information on notice boards is given in print and also delivered through recorded speech. Throughout the home there are large clocks, giving the correct time. All these factors help people to remain orientated in time and place. The garden contains handrails to enable people to move around independently and contains many sensory features. Highly coloured and scented plants are used, together with plants with different textures. A specialist water feature has different sprays to give different tactile sensations. The garden also contains an aviary and has plenty of space for people to sit outside in good weather. One person was enjoying a Care Homes for Older People Page 19 of 26 Evidence: walk around the garden during the inspection visit, looking at the highly coloured blossom on some of the trees. All external doors are alarmed and an information screen informs staff which particular door has been opened so that they can offer assistance if required. The home also has its own interdenominational chapel, which has been used for both funerals and weddings as well as regular services. All areas of the home were clean and fresh smelling at the time of the inspection and all staff have received training in infection control, which is regularly updated. Care Homes for Older People Page 20 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are very effectively supported by well trained, competent staff Evidence: We spoke to three staff members about their experiences of training; all spoke very positively about the amount and quality of training that they had received. In addition to key, statutory training (such as moving and handling) staff have received specific training in such areas as visual impairment, dementia, stoke awareness and the Eden Alternative. One staff member said that they had particular enjoyed the training in dementia care and felt that this had helped them to support people. All senior staff have obtained a National Vocational Qualification (NVQ) in care at level 3 and care staff have either obtained, or are working toward NVQ at level 2. Staffing levels have recently been increased at key times, such as over the lunchtime period to ensure that peoples needs can be met promptly. One relative commented positively on the number of staff in the home, which meant that their mothers needs were being attended to. Recruitment practice is well developed. All staff and volunteers complete an application form and are formally interviewed before being offered a post in the home. Two references are obtained together with Criminal Records Bureau checks to ensure that people are suitable to work with vulnerable people. 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. Excellent management actively promotes health, safety and welfare and ensures that the home is run in the best interests of the people living there. Evidence: The registered manager has managed New Wycliffe since October 1991. She holds a National Vocational Qualification in Care at level 4 and the Registered Managers Award. She undertakes additional training (such as that relating to the Deprivation of Liberty Standards) to ensure that she remains up-to-date with current practice and legislation. There is an open and inclusive atmosphere in the home. Many positive interactions were seen between people living and working in the home and the registered manager is seen as accessible by residents, relatives and staff. Senior and ancillary staff receive regular one to one supervision from the registered manager and care staff are supervised by seniors. One staff member commented, Julie [the manager] is always available to talk and if shes busy shell always get back to you. The seniors on the Care Homes for Older People Page 22 of 26 Evidence: floor are all very approachable - we get a lot of support. As part of the ongoing supervision of staff, focus groups take place which concentrate on specific aspects of working in the home. Currently groups are looking at effective stress management. There is a well developed quality assurance system with residents, relatives, staff and other stakeholders being surveyed on an annual basis. The results of these surveys inform how the home is run and the registered manager also does an annual audit using the National Minimum Standards to evaluate the service. Relatives information meetings are held every three months and relatives spoken with during the inspection said that they were always kept up to date with what was taking place. The home also has a Board of Trustees who monitor the operation of the home and representatives of the Board visit on a regular basis. There is a well established system for managing peoples finances. Al transactions are recorded and all receipts are kept. Two people sign for each transaction and the balance of monies is regularly checked. The system is audited by the parent organisation. Fire systems and equipment are regularly serviced and tested and the fire risk assessment has been recently updated. Staffs fire prevention training is refreshed annually. A comprehensive disaster plan is in place which contains contingencies for a wide range of emergencies. Staff also receive annual updates to training in moving and handling and have also received training in food hygiene and first aid. 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 or Textphone: or 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) Commission for Social Care Inspection (CSCI). 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 CSCI 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. 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