Care Home: Oldbury Grange Nursing And Residential Home

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What the care home does well There is recorded evidence that people using the service have an ongoing assessment and that their care plan covers all needs, including making sure that their health and well-being is as good as it can be and that they get support to engage in social activities. Feedback from people we spoke to showed that they feel all of their needs are being met and that they are entirely happy with the service. People`s nutritional and hydration needs are understood by staff and accounted for in their plan, including any medical dietary requirements. The plan is reviewed and monitored regularly and staff proactively seek peoples` input. Diverse needs are accommodated and a healthy balanced diet is offered at all times. People told us that the range of food choice is very wide and they fully enjoy their meals in the home. One person told us that their food is always presented in an appetising manner and their dignity is considered in being assisted to eat. The provision of stewards in giving out meals and drinks supports care staff so that they are free to spend time with people who need assistance in this area. People told us that they are allowed sufficient time to enjoy their meal and are not generally interrupted. This was observed during the visit. Action plans for improvement are good and the service is monitoring its implementation. People living in the home told that they attend regular meetings to identify any issues and that they are able to give feedback to the manager. The acting manager conducts meetings to ensure that people can express their views, as well as using a variety of other methods to ensure that people using the service, and their carers or relatives, can comment on and influence the service (for example, comment or suggestion form, one-to-one discussions with members of staff, enabling people to access advocacy support where necessary). The service provides support for learning and development opportunities, and resources are easy to access. Staff working within the service have an appropriate induction and undertake mandatory training as required. Arrangements for monitoring attendance at mandatory training is good. The learning and development plan makes links between the needs of people who use the service and skills and training required. For example, some staff are going to undertake a National Vocational Qualification in dementia care to improve care provision for people with specific needs in this area. There are sufficient resources available to prevent and control infections, and there is clarity around the roles and responsibilities of staff. The physical environment used for the provision of care is clean with staff accountable for maintaining cleanliness throughout the home. What has improved since the last inspection? The acting manager ensures that the staffing mix is suitable to meet the range of needs of the people who use the service. Registered nurse hours have increased where there are changes to a person`s care plan so that the allocated staff are able to continue to meet their needs. Whenever new staff members start there is always an induction to ensure they are competent for the role they need to do and that they know how to take advice and report concerns. Staff confirmed that this is the case and that they have been closely mentored.Decision-making procedures and lines of accountability across the organisation are clear and reporting systems are communicated well and understood by all staff. Staff commented that they are now sure about how to raise concerns and would not be nervous about speaking out and are actively encouraged to report concerns by senior management. Staff we spoke to were able to explain what they understood by the term abuse and were able to correctly describe the procedure they would take if any was suspected. Policy regarding complaints is clear to staff and one member of staff explained how they would act if someone reported that they felt unsafe or had a complaint. Management structures and lines of accountability and supervision are clear to staff. Most staff are starting to have regular appraisal and access to supervision, including clinical supervision where appropriate. Equipment is used safely. Training occurs, and records are kept up-to-date. A process for reporting and managing adverse events, near misses or errors is in place, and understood by all staff. A staff member was seen to use this system during the visit. What the care home could do better: The management of this service has a good awareness and understanding of what they want to achieve and how to do this including involving people who use the service. Key inspection report Care homes for older people Name: Address: Oldbury Grange Nursing And Residential Home Oldbury Road Oldbury Bridgnorth Shropshire WV16 5HA     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Pat Scott     Date: 0 2 0 3 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 26 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Oldbury Grange Nursing And Residential Home Oldbury Road Oldbury Bridgnorth Shropshire WV16 5HA 01743768586 01746768741 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Shropshire Private Care Limited care home 55 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 55. The registered person may provide the following category of service only: Care Home with nursing, to service users of either gender, whose primary care needs on admission to the home are within the following categories: - Old age, not falling within any other category - Code OP. Date of last inspection Brief description of the care home Oldbury Grange is situated on the outskirts of Bridgnorth close to local amenities but in a rural setting. There are large, well maintained gardens with good parking for visitors. The home is owned by Morris Care Ltd. 55 0 Over 65 0 55 Care Homes for Older People Page 4 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 is a key inspection for Oldbury Grange. This inspection site visit provided an opportunity to find out how peoples developing care needs are being met, together with the services plans for improvement. This report draws on information received from the home in their Annual Quality Assurance Assessment, which is a self-assessment process that requires care services to record how well care outcomes for the people living in their service are being met as well as providing a range of statistical information about the service. We also looked at information we have about how the service has managed any complaints and responded to safeguarding referrals. We reviewed what the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. Care Homes for Older People Page 5 of 26 We reviewed the previous key inspection outcomes of 22/4/08, annual service review of 20/5/09 and those of the random inspection 10/2/2010. Evidence from the random inspection was also used to inform a judgement about the service and is included within this report. We gathered relevant information from other organisations such as the Environmental Health Office (EHO), Health and Safety Executive (HSE) and the Fire Safety Officer (FSO). We spoke with 6 people in detail about their experience of care and reviewed their care plans. 5 staff working at the home were interviewed and records were reviewed. The acting Senior Nurse Manager was available during the visit. One Regulatory Inspector carried out this inspection over 4hours. Care Homes for Older People Page 6 of 26 What the care home does well: What has improved since the last inspection? The acting manager ensures that the staffing mix is suitable to meet the range of needs of the people who use the service. Registered nurse hours have increased where there are changes to a persons care plan so that the allocated staff are able to continue to meet their needs. Whenever new staff members start there is always an induction to ensure they are competent for the role they need to do and that they know how to take advice and report concerns. Staff confirmed that this is the case and that they have been closely mentored. Care Homes for Older People Page 7 of 26 Decision-making procedures and lines of accountability across the organisation are clear and reporting systems are communicated well and understood by all staff. Staff commented that they are now sure about how to raise concerns and would not be nervous about speaking out and are actively encouraged to report concerns by senior management. Staff we spoke to were able to explain what they understood by the term abuse and were able to correctly describe the procedure they would take if any was suspected. Policy regarding complaints is clear to staff and one member of staff explained how they would act if someone reported that they felt unsafe or had a complaint. Management structures and lines of accountability and supervision are clear to staff. Most staff are starting to have regular appraisal and access to supervision, including clinical supervision where appropriate. Equipment is used safely. Training occurs, and records are kept up-to-date. A process for reporting and managing adverse events, near misses or errors is in place, and understood by all staff. A staff member was seen to use this system during the visit. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 8 of 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are fully involved in the decision to move into Oldbury Grange and invited to provide information, that enables staff to support each person, according to their individual preferences and care needs. Evidence: A resident told us they were satisfied and well looked after. A staff member, stated she had been able to be involved in a persons admission to Oldbury Grange and confirmed the acting manager or a senior member of staff always went out to assess people before accepting them to see if staff could meet their needs. Three residents we spoke with confirmed that they were receiving the help and support they needed. We were able to see that their needs had been assessed by the manager before offering a place. A further assessment was carried out on admission and a care plan put in place so staff know what they need to do. People are involved in developing their care plans and invited to sign them. Further reviews are carried out Care Homes for Older People Page 10 of 26 Evidence: after 6 weeks, with the resident, relatives and funding authority, if involved, so people can give their views and make suggestions for changing the care plan if need be. On arrival people are given a welcome pack which provides useful information about what they can expect during their stay including the names of staff, times of meals and visits from hairdressers and chiropodists. An activity newsletter is also provided every month which is on display at the entrance of the home and in peoples bedrooms. 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. People can be confident that the care they receive will be based on their individual needs and support their dignity. People are supported to manage their medicines and there are safe systems in place for people who need help with this area of their lives. Evidence: We observed a high level of personal care and attention which maintained peoples dignity and individual identity. People spoken with were well dressed and had received nail and hair care. Some one told us their relative was nicely presented and the room always fresh when they visited. People spending time in bed because of their frailty, all looked comfortable and well supported with drinks and call bells to hand. Aids to independence and prevention of pressure ulcers are available and in use. Assessments for the safe and appropriate use of items such as bed rails are in place. Work is under way to make the initial assessment to use them more specific to the individual and those involved in their care. Prompt action has been taken since the Care Homes for Older People Page 12 of 26 Evidence: HSE visit to improve the assessment, review, recording and training in this area. A resident said we are very well attended to. All people spoken with said they always received the medical support they needed. They said the nurses are knowledgeable and always call the doctor when needed. Our interviews with staff confirmed their understanding of the key worker role in supporting the needs and interests of individual residents. The care plans we looked at were very detailed and individual to the person concerned. They provided confirmation that people are involved in planning and reviewing their care. We saw very good evidence that people admitted with complex problems improve during their stay at the home. The nursing outcomes described in the care plans are linked to current nursing research and staff are provided with clinical training so they keep up to date and practice evidence based nursing. There are good systems in place for ensuring people receive their prescribed medication safely and regular audits are carried out to confirm staff are working to the homes polices and procedures. Observation of a medicine round showed that it was conducted well. Staff have a positive approach to promoting the health of the people living at Oldbury Grange. Regular assessments of their nutritional status and weight are carried out. Where needed, people are given dietary supplements to boost their intake and immune system. Staff made arrangements to give people flu vaccinations, when these were due. A comment from a thankyou card to staff read: ...treated with compassion and allowed dignity right to the end. no one ever too busy to spare us a minute and phoned us promptly. Thankyou for the privacy you gave us. Care Homes for Older People Page 13 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. People are given opportunities to lead dignified, comfortable and fulfilling lives based on their individual preferences, abilities and choices. People are provided with a choice of meals that they enjoy and maintain their health. Evidence: The acting managers self assessment (AQAA) tells us of changes that have been made as a result of listening to people living at Oldbury Grange and their relatives. Details of the activities and events taking place on a daily basis are displayed for people to see on a board and in a monthly newsletter. In addition to the one to one and small group activities, arranged by the coordinator, entertainers and exercise therapists also visit and some people recently enjoyed a trip to the theatre in Bridgnorth. A resident told us that staff make an effort to give us something to do but never make us do anything were not in the mood for. Another person told us about their involvement in the personal life book being compiled for each resident and said staff were asking questions about the residents early life and family. They went on to say there are regular events taking place and enjoy one to one time with their key worker. Care Homes for Older People Page 14 of 26 Evidence: The activity program includes opportunities for relatives to join in with events. People told us the home was very welcoming. Friends and relatives are encouraged to visit any time of the day and are made to feel very welcome. There are regular opportunities for residents and relatives to give their views on how the home is run. Each person living in the home has a plan of care that takes account of their individual interests, preferences and life history so activities can be matched to their individual needs. People are offered a choice of meals each day. We could see from our discussions with people that individual arrangements are made for people who need special diets or have particular preferences. 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. People can be confident that they will be protected and their individual rights supported because there is an open and inclusive atmosphere in the home and staff work in their best interests. Evidence: In several sections of this report we have identified that the manager and staff have a very open approach to listening to residents, relatives and staff and involving them in the running of the home. Complaints reviewed have been dealt with according to the homes policy and resolved. We have been notified of any relevant concerns between our inspections. Information on how to make a complaint is available in the home and copies are available in each persons room to remind them of their rights. The manager has taken on board the implications of the Mental Capacity Act and Deprivation of Liberty in making sure people act in the best interests of residents and involve them in decisions about their lives. This has included updating the documents available in each persons care plan and providing staff with training. Following recent safeguarding concerns staff have had updates in training in protecting people from abuse and understand their responsibilities to report any concerns they have. Care Homes for Older People Page 16 of 26 Evidence: People tell us that they are listened to. One person told us that the managers door is always open and she is ready to listen. 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. People live in a safe, clean home, which is kept under review by the manager and provider, so that the improvements under way will benefit the people who live there. People can be confident that there are suitable systems in place to provide them with fresh clean laundry and prevent infections spreading. Evidence: The provider has continued to keep people updated about the on going improvements to the premises which will improve the space and facilities available to residents and their visitors. Staff take responsibility for ensuring people are living and working in a safe environment as they go about their work. Staff responded well to the fire alarm going off and knew their drill procedure. A person commenting on the improvements being made to the home said the home seems to be improving all the time. All areas of the home we visited were fresh and clean. People are provided with freshly laundered clothing and bed linen that promotes their dignity. Some people have chosen to use some of their favorite personal bedding which makes them feel more at home. This has been welcomed by people in that the rules arent so restrictive as to only having to have the fabrics and furnishings initially supplied by Morris care. Care Homes for Older People Page 18 of 26 Evidence: There are good systems in place to reduce the risk of infection. This includes staff, resident and visitor access to liquid soap and paper hand towels. Staff have access to protective clothing and disposable gloves. The manager is implementing the Department of Health, essential steps infection control audit, to make sure current guidance is being followed. Clear instructions are available to staff. 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported by a staff team that have been selected for their suitability to work with vulnerable people and receive the training and supervision they need to respond to peoples diverse and changing needs. Evidence: People commented positively on the approach of staff. One person said the staff are always pleasant and caring. Another said The staff are truly good and caring. I cannot praise them enough. They work very hard all the time. The recruitment records we reviewed at the random inspection showed us that the manager is receiving the required criminal records bureau check and references before staff are fully employed. There is a training plan in place to make sure staff receive the regular training they need to stay up to date. Staff are trained in specific areas, according to their role in the home, to enable them to support the needs of older people. Clinical training for the registered nurses to maintain their practice is supported. A staff member told us about the plan to assist staff to attend a National Vocational Qualification course in dementia care. They felt this would enable them to support relatives more, by being able to explain what was happening to the resident and how they were experiencing the world around them. Care Homes for Older People Page 20 of 26 Evidence: Staff confirmed they are well supported and are able to approach senior staff and the manager. Observation of their practice showed they take a pride in their work. Staff are able to contribute agenda items to influence the regular staff meetings. 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. People can be confident in the services provided at Oldbury Grange because the home is well managed and takes account of their views. There is a genuine commitment to reviewing the quality of the service provided and making sure that the health & safety systems in place to protect people living, working and visiting the home are up to date. Evidence: There have been recent difficulties with management and staff understanding their roles and responsibilities in the home which resulted in safeguarding issues around competency to care for people adequately. Morris Care seconded senior staff within the organisation at a managerial and clinical level to oversee the development of staff practice to the level that the provider expects. These people have been key in putting the service back on track with significant and sustained determination to see the necessary changes through. Care Homes for Older People Page 22 of 26 Evidence: A person told us there is a genuine commitment by the manager and staff to listening to what people say about the home. Ideas are acted upon and people provided with feedback. The provider has an excellent history of meeting and exceeding the required standards in other locations and is committed to implementing change at Oldbury Grange. The self assessment (AQAA) the manager submitted was sent to us on time. The information provides a true reflection of the service and confirms what we found during our visit. It also shows us that the manager works to achieve excellent outcomes for the people living in the home and has fully taken on board lessons learnt from recent safeguarding issues. There is a detailed quality assurance program in place that provides the manager and provider with a system of continued review and reflection on the standard of service provided. There are well established systems described in other areas of this report for obtaining the views and experiences of people who live, work and visit the home. People are able to leave small amounts of money for their day to day use. There are clear systems in place to account for any money deposited and paid out on behalf of residents for example to the hairdresser or chiropodist. There is an annual appraisal system in place to review the work of each member of staff. Staff confirmed that they are receiving more regular supervision. The training records we saw confirmed that staff receive the health & safety training they need to support safe working practices. These include food hygiene, fire safety, moving and handling, first aid training and bed rail safety. Health and safety risk assessments covering the work of the home are in place and kept under review. Records of all accidents are maintained and reviewed by the manager to identify any emerging patterns or risks for individual people. The manager keeps us informed of events in the home, such as accidents and incidents. The manager has provided dates of regular servicing of equipment and systems within the home. The hoists and slings were being serviced during our visit. 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 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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