Care Home: Old Charlton House

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What the care home does well The service is provided in a well-situated, well-maintained and well-furnished house that is positioned well and provides a very comfortable environment for people as well as picturesque views across The Solent. The home is managed very well and focuses on the needs and wishes of people living there. Service users spoken with during the inspection appeared comfortable, well cared for and appeared to be relaxed in the home. The home`s approach to mealtimes is very good and is part of a wider approach to meeting the nutritional needs of people living in the home. What has improved since the last inspection? Since the previous inspection the home had addressed two requirements made at that time. These related to weekly checks on the fire equipment and not holding doors open with inappropriate items. The home had also identified improvements to the service and acted on these. They included the introduction of a monthly newsletter, improvements to the activities programme, the introduction of nutritional assessments and various improvements to the building. What the care home could do better: No requirements were identified as a result of this inspection. We did discuss with the Manager the need to ensure that care plans were written in a more descriptive way and the need to share action plans arising from service user feedback questionnaires with all the people who had provided feedback so that it was clear about how the service intended to respond to the feedback they received. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Old Charlton House Baring Road Cowes Isle Of Wight PO31 8DW     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: Nick Morrison     Date: 0 5 0 6 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: Old Charlton House Baring Road Cowes Isle Of Wight PO31 8DW 01983294453 01983294453 oldcharlton@onwight.net 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) : Kensington Healthcare Ltd care home 32 Number of places (if applicable): Under 65 Over 65 0 0 32 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Additional conditions: 32 32 0 The maximum number of service users to be accommodated is 32. 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 category: Old age, not falling within any other category (OP) Dementia (DE) Mental disorder, excluding learning disability or dementia (MD) Date of last inspection Brief description of the care home Old Charlton House is registered to provide personal care and accommodation for up to thirty-two older people. The home provides all accommodation in single bedrooms, although twin rooms can be made available for couples wishing to share. The majority of bedrooms have en-suite facilities. The home has two lounges, a large dining room and level access to a well maintained garden. Care Homes for Older People Page 4 of 26 Brief description of the care home Old Charlton House is located in a residential area of Cowes, with local buses stopping within a short walking distance of the home. Many rooms face the sea and have views of the Solent. The home has a shaft lift providing level access to most bedrooms. The home is owned by Kensington Healthcare Ltd and managed by Deidre Cooper. 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: 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: This report represents a review of all the evidence and information gathered about the service since it was registered. This included a site visit that occurred on 5th June 2009 and lasted six hours. During this time we looked at the files of six people who use the service. We also met with the Manager, the Deputy Manager and two members of staff. All records and relevant documentation referred to in the report were seen on the day of the inspection visit. We looked at the Care Plans and records of six service users. We also referred to the services own self-assessment of the home (AQAA). We spoke with four service users. Care Homes for Older People Page 6 of 26 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 7 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 8 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users benefit from having their needs assessed prior to moving into the home. Evidence: The home requires full assessment for all service users prior to deciding whether or not they can meet the persons needs in the home. Service users files showed that these assessments were in place and had been completed prior to the person moving in. The six assessments we looked at were comprehensive and contained details of all needs. Clear information about the service was available to all people moving into the home Care Homes for Older People Page 9 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users benefit from having their needs identified in a care plan and from having their healthcare needs met. They are protected by the homes medication policies and procedures and are treated with dignity and respect. Evidence: We looked at the care plans of six people who live in the home and compared them with the initial assessments. This showed that the home took the needs identified in the assessment process and made sure that they were reflected in the care plan. Within the care plans there was also a personal history for each service user. When people were newly admitted, the care plans showed that staff in the home observed the person very regularly on several occasions each day to ensure that the needs identified in the assessment were comprehensive and to record any further needs identified. Where potential risks were identified they were recorded on a risk assessment contained within the care plan. The risk assessments highlighted what measures were put in place in order to prevent the occurrence of risk. Staff spoken with were clear about the information in the care plans and the risk assessments. We Care Homes for Older People Page 10 of 26 Evidence: spoke with a member of staff in the kitchen and found that she was aware of risks relating to food allergies that service users had. The care plans and risk assessments were reviewed on a monthly basis and were also reviewed in between those times if necessary. For example there was evidence on service users files that care plans and risk assessments had been reviewed where the service user had had an accident and where staff had noticed deterioration in their condition. Written feedback from relatives of people living the home contained very positive comments about how their relative was cared for. We spoke with the Manager about the need to ensure that care plans were written in a descriptive way that gave specific instructions to staff about exactly how needs were to be met. For example, on some care plans we looked at, the instruction was that the people needed full assistance with personal care. We discussed the need for this to be written in terms of the particular tasks the staff need to undertake in supporting people with their personal care. The Manager confirmed that the care plans would be re-written to reflect our discussion. The health needs of people living in the home were monitored well. Records were kept on service users files about their current health needs and records also showed that needs were responded to in a timely manner and that people were supported to access the healthcare services they needed. Observation throughout the day of our inspection visit showed that people living in the home were well presented and had support to maintain their own appearance where necessary. Feedback from all service users spoken with and observation on the day of the inspection confirmed that people living in the home were treated with respect and dignity at all times. The approach staff had when interacting with people living in the home showed that they had respect for people living there and were able to demonstrate that in the way they spoke with them. From examining the medication files and the care plans of people living in the home we found that the home ensured that their medication needs were identified and recorded. The home uses a monitored dosage system and keeps accurate records of all medication coming into and going out of the home as well as clear records of all medication administered to people living in the home. Care Homes for Older People Page 11 of 26 Evidence: Staff who administer medication had received training and the medication in the home was stored safely in a locked cabinet. The Manager has implemented a very comprehensive system in the home to ensure that all aspects of managing medication are closely monitored. Since the inspection the Manager had highlighted an error within the medication system and notified us about it. This showed that the monitoring system in the home was effective and that issues were dealt with in a thorough and timely manner rather then being ignored or hidden. Care Homes for Older People Page 12 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users benefit from being able to exercise choice and control and have stimulating activities. They also benefit from good support in maintaining contact with friends and families. The food in the home was of very good quality and the home had a very positive approach to ensuring that peoples nutritional needs were met. Evidence: We observed staff spending a lot of time interacting with service users and promoting socialisation among all the people living in the home. There was a programme of activities in the home and comparing this with the personal histories of service users, their care plans, service user meetings minutes and feedback given during the homes quality assurance process showed that the programme had been designed to reflect the needs and wishes of people living there. Some activities were run by staff and other activities were provided by people from outside the home. On the day of the inspection we observed service users involved in a group activity designed to maintain and increase their movement and coordination. Records were kept of each activity. This showed that the home took the issue of activities seriously and wanted to provide activities that were relevant to the people living there. Care Homes for Older People Page 13 of 26 Evidence: From observation on the day of inspection and from discussion with people who live in the home it was clear that service users are able to choose whether or not they join in with each activity and are able to determine how they spend their day. Observation during the inspection visit showed that staff were aware of the need to interact with people living in the home throughout the day. They were skilled in communicating with people and service users told us that staff are friendly and supportive. People living in the home were supported to maintain contact with their families and friends. Records showed there were regular visits and that staff kept in touch with families to ensure they were kept up-to-date with what was happening with their relative. A service user spoken with on the day of the inspection visit told us that staff helped her with her correspondence with her family members. Families were encouraged, through the visitors policy, to visit the home at any time that was convenient to them and their relative. The homes approach to food for people living there was very positive. During the initial assessment individual dietary needs were assessed and peoples preferences were recorded on the assessment and in their care plans. Emphasis was placed on the importance of good nutrition for people and this was clear from the assessments and care plans as well as from the homes policies and the training that staff in the home received. Staff were clear about the nutritional needs of older people and also those of people who have dementia. In discussion with a member of the kitchen staff, who works part-time and had only been working in the home for four months, we were impressed with her knowledge of the dietary requirements and individual preferences of people living in the home. She told us that clear information was given to kitchen staff about each persons requirements and preferences. The kitchen area was well managed and kept very clean. The food storage area showed that good quality food was purchased for the home and menus showed that a range of nutritious meals were available and that there was a range of choices for people at each mealtime. The home also made homemade cakes which service users spoken with were impressed about. Service users also told us that they had the option of a cooked breakfast on Sundays if they wanted it. All service users spoken with told us that the food in the home was very good and that they received adequate portions. Specific diets were catered for and, where necessary, food was cut up or pureed for particular people who could not otherwise eat it. In Care Homes for Older People Page 14 of 26 Evidence: discussion, the member of staff in the kitchen described the importance of good presentation of food and the importance of ensuring that all pureed food was pureed individually and served individually on the plate and also that service users were informed about what it was they were eating. The mealtime we observed on the day of the inspection visit appeared to be a relaxed and enjoyable occasion for people living in the home. Tables were set out in a way to encourage discussion between service users and were laid ready for people when they came into the dining room. Food was served by staff and they did so with reference to written information on peoples individual needs and preferences to ensure that each person got exactly what they wanted. During the mealtime there was sufficient staffing available for everyone who needed some assistance in eating their food. Care Homes for Older People Page 15 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users benefit from a clear and effective complaints procedure and are protected by the homes adult protection procedures and practices Evidence: The home has a Complaints Policy in place and this has been made available to all service users and their families through the service user guide. People we spoke with told us they were aware of how to complain if they thought they needed to. There was evidence in the complaints records that people who use the service had been encouraged and supported to use the complaints procedure if they wanted to. There was a system in place for recording all complaints and each complaint was recorded clearly. The records also listed the response to each complaint and this showed that the home responded very quickly to each complaint and made every effort to resolve them to the satisfaction of the complainant. Every action taken by the home in response to the complaint was listed along with the outcome for the complainant. Systems were in place through policies and staff training to ensure that people were protected from abuse. Staff had signed the procedures to say they were aware of their role within this and the Manager was aware of the local reporting procedures for any suspected incidents of abuse of any kind. The home has a whistle blowing policy in place to ensure that people are able to report Care Homes for Older People Page 16 of 26 Evidence: any suspected bad practice without fear of retribution. The home had instigated a Deprivation of Liberty checklist for each service user to identify and rectify any areas where their liberties might be infringed. In addition to this, the home was developing a policy to reflect the aims of the Mental Capacity Act. There was evidence form the minutes of service users meetings that part of each meeting was used to emphasise to people living in the home what their rights were. Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users benefit from living in clean, safe, well-maintained environment. Evidence: The building is large and in a very good position with the rear garden overlooking The Solent. We discussed the garden and the views with a service user who was sat on the patio and who told us what an exceptional position they thought the home was in and that she was lucky to be able to sit outside and enjoy the weather and the views. Inside the home is decorated to a high standard and furnished with high quality furniture. The layout of the home provides a range of different seating areas for people living there as well as the large main lounge. Next to the upstairs lounge is a door onto a balcony. The dining area is large and contributes to enjoyable and relaxed mealtimes. All except one of the service users bedrooms have en-suite facilities and the bedrooms are well equipped with lockable drawers and storage and each have privacy locks so that people living in the home can maintain their own privacy whenever they feel the need to. Service users are able to bring some of their own furniture with them to the home if they want to. The building also has an induction loop fitted, which makes it easier for people who use hearing aids to hear what is going on in the home. Care Homes for Older People Page 18 of 26 Evidence: The kitchen and laundry areas are in the basement and so do not present any risk to people living in the home as they are not able to accidentally wander into the basement. The grounds are very well kept and present a relaxed and enjoyable environment for people to live in. The home was kept very clean throughout by the cleaners who work there. From observation it was clear that the cleaners took a lot of pride in their work and wanted to maintain a good environment for people to live in. Infection control procedures were in place to ensure that the cleanliness of the home was sufficient to prevent the unnecessary spread of any infection. The laundry area was very clean and well-organised. Care Homes for Older People Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users benefit from being supported by adequate numbers of sufficiently trained staff and are protected by the homes recruitment policies and practices Evidence: We examined the recruitment files of four members of staff, including the two most recently appointed people. These showed that the home had undertaken all necessary pre-employment checks prior to people working in the home in order to ensure that service users are supported by appropriate staff. We did discuss with the Manager that she needed to keep photographic identification documents in the home for each member of staff and she told us this would be rectified. She had seen all the original identification documents prior to people beginning to work in the home, as they had to bring them in order to apply for their Criminal Records Bureau check. The home kept good records of all staff interviews. Rotas showed that sufficient staff were deployed throughout the week and the staffing on the day of the inspection visit reflected the rota. The home has four care staff working each morning and four each afternoon. This is in addition to kitchen staff, cleaners, administration staff, an activities coordinator and the Manager and Deputy Manager. On the day of the inspection visit there were six care staff working in the morning. The Manager informed us that these staffing arrangements are fl;exible and can vary according to the needs of the people living in the house at the time. At night the home employs two staff who remain awake all Care Homes for Older People Page 20 of 26 Evidence: night. The home demonstrated some flexibility in organising the staff rota in response to the needs of people living in the home as they had changed the times that night staff began work. Night staff used to begin work at ten oclock at night but this had changed to eight oclock to ensure that there were sufficient staff in the early evening for people living in the home. This is a variable arrangement and the time of night staff beginning work is subject to review according to the needs of people living in the home at the time. All service users spoken with said that staff were friendly and supportive and said there always seemed to be enough staff available. This was confirmed in our own observations on the day of the inspection when we saw that staff were very attentive to the needs and requests of people living in the home and that people did not have to wait for very long to attract the attention of staff when they needed some help. Staff training records in the home showed that training was planned around staff development needs, the needs of people living in the home, developments in good practice and the requirements of the national minimum standards and regulations. Clear records were kept of all the training each member of staff had done and of what future training was planned. These clear records and good monitoring of expiration dates meant that any necessary updates in training were planned and provided so as to keep all staff training current. The induction training in the home followed national standards and staff had to demonstrate the knowledge they had gained by completing workbooks. The induction covered moving and handling, infection control, fire safety, first aid, health and safety and food hygiene. Further training that staff had received included the administration of medication, pressure care, nutrition, mental capacity and the deprivation of liberty and safeguarding vulnerable adults. All staff were supported to undertake a National Vocational Qualification (NVQ) at level two and were also encouraged to go on to undertake NVQ at level three if they wanted to. Senior staff in the home received training in leadership and coaching. 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 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 very competently managed and focuses on the needs and wishes of service users. Quality assurance processes ensure the home continues to develop in response to the needs and wishes of service users. Health and safety in the home is managed well and this ensures that people have a safe environment to live in. Evidence: The Manager is registered and has demonstrated that she has the skills, knowledge, qualifications and experience to manage the home. Staff and service users spoken with on the day of the inspection visit spoke very positively about the manager and about the level of organisation within the home. There was evidence from our own observations that the Manager was skilled in dealing with staff, service users and visitors to the home and that she was focussed on the needs and wishes of the people who live there. She was knowledgeable about each person living in the home and Care Homes for Older People Page 22 of 26 Evidence: spent time going around the home talking with them. She had introduced clear and effective monitoring systems in the home to ensure that the service was provided in the way it should be and there was further evidence that, where the monitoring highlighted problems in the service, these were dealt with swiftly and effectively. The home is continuously improving and the Annual Quality Assurance Assessment (AQAA) completed by the Manager demonstrated the service was continually looking for ways to improve. Improvements and potential improvements were not only highlighted by the needs and wishes of people who use the service, but also by feedback from relatives and other professionals the home engages with. There was also evidence that the Manager keeps up-to-date with developments in the care of older people and people who have dementia and is keen to ensure that the service provided at the home is forward thinking. The quality assurance system within the home is well developed and we saw records of the written feedback received from service users, their relatives and other professionals. This showed that the home was well thought of by those people as there was a lot of very positive feedback. All the feedback received by the home was always shared with service users. Where the feedback consisted of suggestions for improvement there was evidence that this was dealt with swiftly. The home developed an action plan in response to the feedback received and then ensured that this plan was implemented. We discussed with the Manager the benefits of sharing the plan with those people who had contributed to the feedback so that they could clearly see how the service was to improve. The Manager thought this could be done effectively through the newsletter that had recently been introduced. Workplace risk assessments were in place and kept under regular review. On the day of the inspection visit there were builders working in the home and risk assessments were in place to ensure that the work went ahead without causing a risk to people living in the home. Records in the home showed that staff training in health and safety issues was kept up-to-date and observation of staff practice demonstrated that they understood the need to be mindful of their own safety and that of people living in the home when they were going about their tasks. We did not observe any outstanding health and safety issues during the course of the inspection visit. The Manager had addressed a requirement from the previous inspection relating to weekly tests of fire equipment and this was evidenced by the fire records. A further requirement about doors not being held open with inappropriate items had also been addressed and was not an issue at this inspection. 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. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!