Care Home: Oakridge House Nursing Home

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What the care home does well When asked this question people surveyed gave the following replies: "I find all the staff hard working and considerate to the residents. Care and nursing staff very professional in their job Management will listen and talk to you" "As far as I can see everything" "My mum has been at Oakridge house for several years now and has always had the best attention by the most devoted staff, I can sleep at nights!" "Talks affectionately to the residents making them feeling important and cared about. Keeps them very clean and well groomed" "The staff look after my mother in law very well She has her bath once a week in all everything is ok she seems to be happy with everything" "Excellent communication with the whole staff of oakridge residential. Most co operative at all times especially with the nursing provision and care" "Very friendly, helpful and do all they can for the residents" "We feel there is a quality atmosphere about Oakridge House. everything is clean and tidy meals on time we can always speak to someone if and when necessary my father needs appear to be cared for in an attentive manner" " In general I feel that the service in the home is very good. My husband seems very settled in the house , likes all the staff that looks after him and they do look after him very well" "Certain staff have a lot of respect for the patients they are looking after" "Staff are friendly and always ready to listen catering is very good with a choice of meals a regular thing. The complex is modern and clean with access 24/7 it provides a wide range of activities to keep the residents minds active" "Gives my relative dignity-she is always well looked after, clean well fed" The other findings of this inspection broadly support these views. The home has an open culture. The management team have been effective in identifying and working on areas where the service could improve. What has improved since the last inspection? Care plans have been revised to help staff to support people more effectively A chiropody service now visits every six weeks so people have better access to regular foot care The service has just recruited a new activity coordinator to increase the range ofleisure and social opportunities available. A new deputy has been recruited. A new call bell system has been installed to improve response times. The home has a suggestion box. What the care home could do better: The ways in which information is communicated could improve further. For example, people do not have easy access to their care plans and menus are currently available only in small print. The service needs to continue to recruit staff and so reduce its reliance on agency workers. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Oakridge House Nursing Home Jefferson Road Basingstoke Hampshire RG21 5QS     The quality rating for this care home is:   two star good 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: Kathryn Kirk     Date: 1 1 0 5 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 28 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 28 Information about the care home Name of care home: Address: Oakridge House Nursing Home Jefferson Road Basingstoke Hampshire RG21 5QS 01256324357 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Hampshire County Council care home 82 Number of places (if applicable): Under 65 Over 65 0 82 dementia old age, not falling within any other category Additional conditions: 82 0 The maximum number of service users to be accommodated is 82. The registered person may provide the following category/ies of service only: Care home with nursing only - to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) Dementia (DE) Date of last inspection Brief description of the care home Oakridge House Nursing Home is a purpose built home for eighty two older people, some with Dementia. Hampshire County Council is the registered provider. The home is accessible to local services and facilities. The home has residential and nursing wings, each of which is divided into four units. All units have their own communal living space. All bedrooms are single and all of those in the nursing wing have en suite facilities. The home also has a large garden area creating additional recreational space Care Homes for Older People Page 4 of 28 Brief description of the care home Weekly fees are #469. This is the rate for April 09-March 2010. This information was provided by the service in May 2009. 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: 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 looked at all the information that we have received, or asked for since the last annual service review. This included: The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Surveys returned to us by three people using the service and from 14 other people with an interest in the service. Care Homes for Older People Page 6 of 28 Surveys returned to us by 9 staff members and by 2 social care professionals. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection. Relevant information from other organisations. We visited the home on 7 May 2009 and on 11 May 2009 and spoke with 8 residents 7 staff, the manager and a senior manger. We looked around communal areas and some bedrooms. We also looked at some records to help to substantiate the other evidence we had gathered. What the care home does well: What has improved since the last inspection? Care plans have been revised to help staff to support people more effectively A chiropody service now visits every six weeks so people have better access to regular foot care The service has just recruited a new activity coordinator to increase the range of Care Homes for Older People Page 8 of 28 leisure and social opportunities available. A new deputy has been recruited. A new call bell system has been installed to improve response times. The home has a suggestion box. 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 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A full assessment of needs, which is completed before a move into Oakridge House is agreed, helps to ensure that the service can provide the appropriate level of care and support. Evidence: The AQAA says that all new residents are referred by a Care Manager, whether they are funded or self funding. Peoples needs are initially considered by care managers or health care professionals who complete a written assessment. The Registered Unit manager receives a copy of this assessment and in this way peoples needs are known before a move to the home is agreed. The manager said that in addition, staff from the home carry their own assessment of prospective service users needs. Two of these were seen on files viewed of recently admitted residents. During the visit,the manager and senior manager explained that further consideration Care Homes for Older People Page 11 of 28 Evidence: has recently been given to admissions and a clear statement is available for prospective residents, relatives and social and medical staff regarding what service Oakridge House can provide. This is to ensure that the home can meet peoples collective needs . Service users were asked Did you receive enough information to help you to decide if this home was the right place for you before you moved in? generally said that they had. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good care planning helps to ensure that peoples health and social care needs are properly supported by staff. Evidence: All service users have a care plan. The AQAA says that these are prepared by keyworkers or named nurses in consultation with the resident. Relatives are also consulted where this is appropriate. In surveys and in discussion people said that they generally receive the care and support they needed. Advocates surveyed largely agreed. They were asked Do you feel the care service meets the needs of your relative or friend? Four said always, six said usually, one said sometimes. When asked Does the care service give the support or care that you expect or agreed?, Nine people said always and four said usually. The manager said that care plans are being revised. Four care plans were seen during the visit These were comprehensive. They included information about all aspects of peoples health and personal care needs, as well as information and guidance for staff Care Homes for Older People Page 13 of 28 Evidence: about any risks identified. Files also contained information about peoples life history. All care plans seen were up to date and had been changed to reflect peoples different needs where necessary. All care plans are currently held in staff offices. One resident spoken with and one visitor said that they were aware of care plans. The visitor said They do let you see the care plan but you have to ask It was discussed with the manager that peoples care plans could be kept in their own rooms so that they can have easy access to them unless there is a good reason for this not to happen. Staff spoken with felt that care planning had improved although two commented that there was a lot of writing. Staff surveyed felt that they were generally given up to date information about the needs of people they cared for and gave positive comments about care planning for example one said the home offers high quality individualised care which is person centred the home involves significant others in care planning Records checked showed a record of all health care appointments kept by service users. People surveyed and spoken with felt that they receive the medical care that they need. The AQAA states that health care has been improved further because the home has secured a chiropody service on a six weekly basis to ensure that residents get regular foot care. Staff confirmed that the home contains appropriate equipment and adaptations to enable them to care for people properly. Service users asked all confirmed that they felt safe, for example, when staff hoisted them. Health care visits take place in private and a visiting health care professional said that staff had provided them with good information to help them in their role. The home uses the MUST tool to assess everyones for nutritional needs and where there is a cause for concern, a record is kept of peoples food and fluid intake. Evidence of this was found on a visit to the home. Staff said that no current service user administers their own medication, although the AQAA says that this could occur following a suitable risk and capacity assessment. The AQAA says that all relevant staff receive specific training in the storage, administration recording and disposal of medications. Staff spoken with confirmed that this was the case and said that they felt confident when managing medicines. Medications were observed to be securely and properly stored and records of medicines that had been administered were filled in properly. The manager said that the management of medication is monitored by the service as part of the monthly quality assurance visits to the service undertaken by other managers. The AQAA says that all residents have individual ensuite rooms in the nursing unit and individual rooms in the residential unit. Staff have core training in personal care including maintaining resident dignity and choice Residents may have personal phone lines if they wish to do so and a pay phone is available in a separate room for general Care Homes for Older People Page 14 of 28 Evidence: use. Residents choose how they wish to be addressed. This was found to be the case during the visit. Visitors and service users spoken with felt that staff always respect privacy and dignity. Care Homes for Older People Page 15 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service works hard to accommodate peoples different preferences and expectations. Evidence: Peoples interests are recorded in their care plans .The AQAA says that the home provides a programme of activities, internal and external for example, residents attending church services, Active Hearts and Wii gaming. Information about events and activities were seen displayed on notice boards, for example details of when church services were being held. Service users were asked Does the home arrange activities that you can take part in if you want? 1 said usually and 2 said sometimes. During the visit, a bingo session was being held in one of the lounges on the residential side. There were no obvious activities taking place in the nursing units. The manager said that a full time activities coordinator and activities assistant has just been recruited to improve peoples leisure opportunities. The AQAA says that visitors are encouraged and people living at Oakridge said that they could meet their friends and relatives in private if they wish. Relatives generally Care Homes for Older People Page 16 of 28 Evidence: felt that they home kept them up to date about important issues .A small number of relatives thought that although generally good, communication could be improved upon , one visitor said, for example, that they had been told when their relative had a cold but were not informed about a hospital appointment. One social care professional and a few staff also felt that communication could improve. Although there was written information available service users spoken with were not aware of what was for lunch on the days of the visits. The menus are in small print and therefore may not be as accessible to all as they could be. Through discussion, the manager showed that she was keen to ensure that there is an open culture within the home and is happy to respond to peoples opinions and views. Staff are given information about how to support people effectively without taking away their skills, for example one care plan said prefers coffee with no sugar to tea but should be given choice and able to choose what clothes she would like to wear The AQAA says that within reason, residents are encouraged to bring special pieces furniture with them and to conduct their own financial affairs, with help where required from appropriate persons. Advocates surveyed were asked Do you get enough information about the care service to help you make decisions? Six said always, six said usually and two said sometimes One service user spoken with was able to confirm that staff offer them choice in their daily activities, for example, they said that they like to get up early and that staff are very efficient in the morning to assist them to do this. The AQAA says that the service provides three meals a day.There is a choice of two hot meals and a provision for specific dietary needs. The menus are developed within the guidelines of the Caroline Walker Trust to help to ensure that they are nutritionally balanced. Service users spoken with said that they were asked about the food from time to time. Most, but not all, said that they liked the food. A mealtime was observed. Staff gave people choices and offered appropriate assistance where required. One service user asked for, and was given, a sandwich as they did not want either of the hot meals. Another person who was not hungry, had a liquid meal supplement instead. Most people ate in a communal dining room but some chose to have meals in their rooms. There are water coolers available in communal areas and the AQAA says that people can keep food or drink in their rooms if they wish to do so. The manager described how one persons cultural needs were met by the service working in conjunction with the persons family who brought in home cooked food. 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 are encouraged to express their views. Policies and procedures have been further refined to ensure that people are well supported by the organisation and can feel safe. Evidence: Information regarding the complaints procedure and how to access this is displayed prominently in the reception area of the home. People who were asked Is there someone you can speak to informally if you are not happy? Gave mixed responses but all said that they know how to make a formal complaint. Most advocates or relatives also said they know how to make a complaint should they need to do so and they were generally satisfied with the services response when they had voiced a concern. Records checked showed that complaints have been responded to in a timely way. Records of some recent complaints were not seen but seen but the manager confirmed that they had been similarly recorded and had also been responded to quickly. All staff surveyed said that they know what action to take if someone has concerns about the home. The AQAA says We have a robust Safeguarding Procedure which encompasses all service users and is shared with adjacent local authority services. All staff are trained on the issues relating to adult protection Staff spoken with confirmed that they have had training in adult protection issues. The home has referred some issues relating to Care Homes for Older People Page 18 of 28 Evidence: adult protection to adult services and to CQC . Senior staff have recently also completed an information and awareness session on safeguarding and worked upon their protocol for responding and reporting safeguarding issues. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is clean and well maintained. It provides a physical environment that is appropriate to the specific needs of the people who live there. Evidence: The home has purpose built nursing units and residential units .Both these units have two floors, which are again divided into two smaller units, each with their own communal areas. At the time of this inspection some communal rooms were being redecorated. Staff had minimised disruption for service users and some said in fact that they felt it was more sociable, with more people using the remaining communal areas, for example, to eat together. It was observed during the visit that more people were being cared for in their rooms in the nursing unit. This has an impact upon staffing levels , particularly as most people require two carers to assist them with all care tasks. Staff spoken with felt that there were enough staff on duty to accommodate this, but commented at times too great a proportion of the staff team were made up of agency workers. this could put additional pressure on regular staff members. Two relatives commented in surveys that their mothers sometimes had to press the bell for a long time before staff responded. One service user in the nursing unit spoken with however, said that they felt that in the main, staff responded within a reasonable Care Homes for Older People Page 20 of 28 Evidence: time. These comments were discussed with the manager who said that this issue had already recognized. The service is in the process of changing the call system to aim to improve response times. The service has an operational manager who, amongst other things, is in charge of the maintenance of the building and of the servicing of equipment. All visitors and people who lived at the home said that it is always very fresh and clean. The operations manager said that there had been an Environmental Health inspection in December 2008 and the home had been awarded an excellent rating. Laundry. sluicing and handwashing facilities are appropriately sited and hand disinfectant gel is available for all to use in corridors. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Action is being taken to ensure that permanent staff are employed in sufficient numbers to meet collective needs. The service has thorough recruitment procedures and a good training programme to help to ensure that service users are properly supported. Evidence: There are distinct staff teams during the day for the residential and the nursing units. Night staff work throughout the whole building. Most service users and advocates felt that there were enough staff on duty to meet peoples needs. There was a concern from some staff and from some relatives about the number of agency workers employed at the home. A number of people felt that agency workers did not have a chance to build relationships with people living at Oakridge. Some staff felt that agency workers were at times less skilled in managing episodes of challenging behaviour than regular staff. The AQAA demonstrates that the service had already recognised peoples concerns over staff and says that. In response to this we have had a successful recruitment drive to improve the permanent staffing levels The manager and the senior manager said that the service is committed to filling the 18 full time equivalent vacancies. The manager also said that in addition to a full time activity coordinator a deputy manager has been recruited. During the visit it was evident that the service had been flexible in their staff complement and had increased Care Homes for Older People Page 22 of 28 Evidence: staffing numbers to work with people who had been identified as having particularly high support needs. The AQAA says that 11 staff out of 49 have completed completed NVQ level 2 in care . The manager said that new care staff will be expected to undertake this qualification. All staff surveyed confirmed that their employer carried out checks such as CRB and references before they started work. Three records checked during the visit of recently recruited staff confirmed this. Staff surveyed with felt that their induction covered everything that they needed to do the job when they started. All but one said that they continued to have relevant training, helping them to understand and meet the needs of people. Staff training records seen indicated that staff are given training in moving and handling, infection control and adult protection as soon as possible after they start. Further courses available to all include first aid, mental capacity, dementia awareness and managing challenging behaviour. The manager said that she would ensure that all agency staff who might work with people with challenging behaviour had completed appropriate training. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and the service is monitored to ensure that it is run in the best interest of service users. Evidence: The manager is newly appointed and is applying to be registered with CQC. She is in the process of studying for her NVQ 4 and has had a lot of experience working as a nurse caring for people with dementia.The manager said that she makes a point of being in contact with service users every day, so that she is aware of what is happening throughout the home. Staff spoken with and surveyed felt that the management team were supportive and visitors said that they feel that the manager listens to them. As discussed in the previous section, the management team is going to be further enhanced as an experience deputy is due to start shortly. The home conducts its own quality assurance questionnaire. The most recent relatives survey was seen. and this had been carried out in July and August 2008. The Care Homes for Older People Page 24 of 28 Evidence: responses were mainly positive. The AQAA says that open meetings are also held about every three months. In March 2009 Relatives were contacted to inform them that a suggestion box is now available at the home for them to use if they wish. The home has unannounced monthly visits which are conducted by a manager of another registered home. This is to monitor the quality of the service and includes interviews with people who live at the home to ascertain their views. The service has recently developed an action plan with assistance from other senior managers in Hampshire County Council. This addresses some challenges that have been identified within the service. At the time of this inspection work had already begun to address these, for example by having a staff recruitment drive. The AQAA says that residents are encouraged to maintain financial independence wherever possible This is mainly done with support from relatives. Any small amounts of money or any valuables are securely stored. The manager said that there has just been a full external audit of finances, the results of which were satisfactory. As stated earlier, there is a dedicated operational manager who ensures compliance with relevant health and safety legislation. The AQAA confirms that equipment is serviced and maintained properly. 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 Care Homes for Older People Page 27 of 28 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. 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