Care Home: Queensway House Residential Care Home

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What the care home does well People living at Queensway House and the relatives we had contact with continue to express their satisfaction with the service provided. A resident told us `I`m very happy here`. A relative said you `can`t fault the place`. Social care professionals who are responsible for arranging people`s placements at Queensway House value this service and tell us the home `provides a caring environment, whilst respecting the clients individuality and wishes` and they are `very professional and skilled at meeting service user needs`. People living at Queensway House have opportunities to take part in a varied range of activities and social occasions to help them lead fulfilling lives and go out into the community. People living at Queensway House will experience good interaction with fellow residents and staff. There is a real buzz of people talking to each other, seeking each other out and being interested in what is going on. Social care professionals visiting residents in the home told us Queensway House `is always busy and vibrant` and there are `good activities`. People will experience an open approach to listening to their views and supporting changes in their lives. People will be supported by a consistent team of staff who know them. People will experience a positive management approach to ensuring the home meets their needs and the quality of systems across the service are kept under review. What has improved since the last inspection? The development of staff training and skills in the area of dementia care means people are supported by more confident staff who understand how to meet people needs sensitively and interpret their needs to promote a sense of calm and well-being. A social care professional told us Queensway House `provides an excellent service for people with dementia. A deputy manager has been appointed to provide an increased management presence in the home guiding staff and responding to residents. The manager has continued to update areas of the home with new furniture and fittings. A sensory area has been added to the many features in the garden residents and visitors enjoy. What the care home could do better: People who are prescribed medicines to modify their behaviour need a plan of care in place so staff have clear guidance on when it is to be used and what alternative action they could take. This is to make sure staff are consistent and use the medication appropriately. People have mixed views on the quality and presentation of the meals. People would benefit from the company bringing forward their refurbishment plans as some areas of the home are beginning to look tired and worn. Key inspection report Care homes for older people Name: Address: Queensway House Residential Care Home 148 Jupiter Drive Hemel Hempstead Hertfordshire HP2 5NP     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: Sheila Knopp     Date: 0 3 0 9 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 27 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Queensway House Residential Care Home 148 Jupiter Drive Hemel Hempstead Hertfordshire HP2 5NP 01442266088 01442261818 queensway@goldcarehomes.com Queensway@goldcarehomes.com GCH (Queensway) Limited care home 60 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) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: Date of last inspection Brief description of the care home Queensway House is a sixty-bedded care home for older people, who may also have a physical disability or dementia. The home does not provide nursing services. It is a two storey building and there is a passenger lift. Residents have access to all parts of the home and gardens. Bedrooms are spread across both floors. There is a separate area, with its own lounge/diner and kitchenette on the first floor, for people with dementia. Everyone has a single room with en-suite facilities. The main dining room is on the ground floor but each floor has its own lounge. There is a large, secure garden to the rear of the home and a parking area at the front. The home is situated in a residential area, near to the town of Hemel Hempstead, which has extensive shopping areas, leisure facilities and good transport links. The fees range from £620 based on an assessment of the persons care needs. Information about the service and the latest inspection report can be requested from the manager. Care Homes for Older People Page 4 of 27 0 0 0 Over 65 60 60 60 Brief description of the care home Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: 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: Our last inspection to Queensway House took place on 11th September 2007. At that time the home was assessed as providing a good service, which meant that we carried out an annual service review during 2008. Annual service reviews do not involve a visit to the home but are an assessment of risk based on the information we have received since our last visit. For this inspection we visited the home and met with residents, visitors and staff. We reviewed relevant records that tell us about the care being provided, staff recruitment and management of quality and safety systems. We also asked health & social care professionals who have regular contact with the people living at Queensway House to give us their views. Surveys from 11 professionals and 7 staff employed at Queensway were received and have been included in this review. Care Homes for Older People Page 6 of 27 The manager also sent us an annual quality assurance assessment (AQAA). 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. Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? What they could do better: People who are prescribed medicines to modify their behaviour need a plan of care in place so staff have clear guidance on when it is to be used and what alternative action they could take. This is to make sure staff are consistent and use the medication appropriately. Care Homes for Older People Page 8 of 27 People have mixed views on the quality and presentation of the meals. People would benefit from the company bringing forward their refurbishment plans as some areas of the home are beginning to look tired and worn. 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 9 of 27 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are confident the home can support them because they are involved in a thorough assessment of their needs before they come to stay at Queensway House. Evidence: To look at the arrangements made for people choosing to live at Queensway House we met a resident who had recently moved in and also spoke with a relative about their experiences. Clear information is available to help people in their choice of home and for them to refer to after they have come to stay, so they know how things work within the home. The Welcome Pack, given to each resident, has photos of the management team and key staff so residents know who people are and how to raise any concerns they may have. The new resident we spoke to had been made to feel welcome by staff on their arrival Care Homes for Older People Page 11 of 27 Evidence: and continued to receive support and guidance from staff on how they could spend their time so they felt included. A social care professional who completed a survey for us said I have supported people to move into this home and the management and staff cant do enough to ensure that this move for service users is a smooth one. The care records we reviewed confirmed that the manager assesses people before they move in. The assessment is person centered and encourages the individual concerned to express their preferences for how they wish to live and be supported. Detailed information is also received from other key professionals and people who know the individual concerned. All the information is then used to assess whether their needs can be met at Queensway House and whether any specialist equipment or resources are required. It also enables staff to put an individual plan of care in place. After people move in a review is held after approximately 6 weeks. This is to check that everyone is happy with the arrangements in place and whether any adjustments are needed. The individual concerned, their relatives and any funding authorities would be involved. The managers self assessment (AQAA) told us that no residents have moved on after their 6 week trial period and that the assessment process is kept under review and adjustments made to ensure accurate and relevant information is obtained before people move in. The professional social care managers who are in contact with Queensway House tell us that assessments of people looking to move in are carried out in a timely and prompt manner, the home provides excellent service for people with dementia, provides a caring environment, whilst respecting the clients individuality and wishes. Care Homes for Older People Page 12 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported by staff to maintain their personal and health care needs in a way that meets their personal preferences and choices. People are supported by the systems in place to receive their prescribed medicines or to continue to manage this independently if they wish. Evidence: People have detailed care plans in place that tell staff what their personal preferences are and how they wish to be supported. The care plans are very detailed and provide information about peoples life history that enable staff supporting people with dementia to interact with them in a meaningful way and provide reassurance and comfort. The staff interaction with people who have dementia was sensitive and recognised and supported the individual experiences and reality of the person they were spending time with. Residents were encouraged to be involved with activities and objects of interest and comfort. There was a relaxed calm atmosphere with residents showing signs of positive well-being. Staff responded to changes in peoples mood and comfort by identifying what their new needs were. For example making a cup of tea or Care Homes for Older People Page 13 of 27 Evidence: enabling someone to go back to bed for a rest. The care plans are regularly audited by senior staff to make sure they are kept up to date and remain relevant. There are regular reviews of peoples nutritional needs and they are weighed regularly. Staff were able to give a good account of how they were providing support for one person who was losing weight. They had food supplements available and were monitoring their food intake. However there wasnt a specific plan of care in place recording how this was being managed. We discussed this with the manager as an area for further action. The manager may wish to consider adding a prompt to the weight recording chart so staff record the actual increase or decrease in weight and what action has been taken as a result of any changes. From our discussions with staff and a review of care records we were able to see that there are close working relationships with community health and social care professionals who provide residents with the support they need to maintain their health. This included support from community nurses for people at the end of their lives to enable them to stay at Queensway House when additional nursing care is needed to maintain their comfort. There were no reports of people with pressure sores and the community nurses have provided pressure relieving equipments for beds and chairs where the homes staff have identified a risk from their assessments. Three social care professionals who completed our surveys said Queensway House refers people to the mental health team in a timely manner, they provide a homely and calm environment in a caring manner and are very professional and skilled at meeting service users needs. There are good systems in place for the management of medicines within the home. This includes enabling people to maintain their independence by continuing to manage their own medicines where appropriate. Senior staff are trained to administer medicines and the pharmacy who provide a service to the home are involved in training and reviews of prescribed medicines. From our review of the administration records we have advised the manager to review the prescribing instructions for one persons medication, that states it is to be given as required to make sure staff have clear details on the frequency it can be used. We saw good accounts of the support provided when a residents behavior became more challenging and distressed. Staff had recorded the actions they had take to restore this person to a calm state with out the use of medication. We have advised that where medication can be given at the discretion of staff, to manage behavioral symptoms, that clear guidance for their use and the reason they have been given must be recorded. This is to make sure people are consistent in their approach and use the medicine appropriately. Care Homes for Older People Page 14 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are invited to take part in a range of leisure activities and events that will enable them to lead busy, stimulating lives and go out into the community People are provided with a choice of traditional meals and opportunities to have snacks at any time they choose but there are mixed opinions about the quality of meals served. Evidence: The residents and relatives we spoke with during our visit confirmed there were opportunities to take part in a range of stimulating activities and social events. We were told about trips in the mini bus to various places planned to suit people who could only travel short distances and those who could go further afield. Photographs of a recent trip to the seaside were on display. A colourful news letter keeps people informed about about planned events and life at Queensway House. Professional visitors told us Queensway House provides a homely atmosphere with good activities, when visiting the home it is always busy and vibrant. The managers self assessment (AQAA) tells us taxi vouchers have been obtained for service users, which has given people increasing confidence and control over their Care Homes for Older People Page 15 of 27 Evidence: lives when out and about in the community. Arrangements are made for people to maintain contact with their local communities and attend day centres and clubs they belong to. Visitors told us they feel involved with life in the home and valued being able to join in the trips and events. One person particularly enjoyed joining their relative at a recent country and western evening. There are various areas for people to sit with their relatives including the gardens which have seating areas. An activity organiser is employed to promote this area within the home, supported by the care staff. The manager reports she is planning to make further staff resources available to develop this area further. Information about each persons abilities and interests is available to help plan individual and group activities. Information about events and activities are displayed around the building and a sample activity plan is included in information given to people looking to move in. There is a flexible approach to meals in that people are able to use the main dining room or stay in their rooms if they wish. Snacks, fruit and drinks are freely available. A Night Bites menu encourages people to choose hot or cold snacks throughout the 24 hour day if they wish. Special occasions are celebrated with cakes. The main dining room provides people with an opportunity to come together from all areas of the home. A choice of meals is provided including options for cooked breakfasts. People had varying views on the quality of meals from being very positive to saying they were tasteless. The meals we saw served on the day of our visit did not look appetising and lacked colour. This is an area for the manager to review and consider further options to maintain peoples independence. For example by letting them serve their own gravy and vegetables. Care Homes for Older People Page 16 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be confident that they will be listened to if they have any concerns and involved in discussions about any action that needs to be taken. People feel safe and protected at Queensway House because they are fully involved in decisions about their lives and their rights are respected. Evidence: Residents and the people who represent them are given a variety of opportunities to raise any concerns they may have. The manager reported no formal complaints have been received. She has an open door approach that enables people to discuss any issues before they become a problem. Survey forms and a suggestions box also encourages people to give their views. We have not received any complaints about the service provided at Queensway House between our reviews. The home has a folder of complimentary letters and cards. Two of the social care professionals who completed survey forms particularly commented on the good communication and open and transparent approach of the manager in relation to protecting vulnerable people. Information about peoples capacity to make decisions for themselves is understood and independent advocacy services are available if needed. Information we receive about the service between our visits indicates the manager works well with other organisations and takes appropriate action to make sure peoples rights are protected. Care Homes for Older People Page 17 of 27 Evidence: Information about peoples capacity to make decisions for themselves is understood and independent advocacy services are available if needed. training on the implications of the Mental Capacity Act has been made available to senior staff. Issues related to risk and the use of safety equipment, such as wheelchair lap belts, that may also imply an element of restraint are understood and recorded to promote safe practice. Staff receive training in protecting people from harm and recognising their responsibilities to raise any concerns. Staff confirmed that they would be able to raise concerns with members of the management team should the need arise. Care Homes for Older People Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be confident that Queensway House will provide them with a comfortable, safe, clean place to live close to local shops. However some areas that are beginning to look tired and worn need updating. Evidence: Queensway House has a comfortable familiar feel to it with decorations, fixtures and fittings that would make older people feel at home. People are able to add their own personal belongings to their rooms to make them their own. The manager has continued to update furniture and fittings as the need arises and in consultation with the residents. We are aware that there is a plan to provide a more extensive refurbishment of the home. This needs to be moved forwarded as the decoration and carpets in some areas are beginning to look worn and shabby. Some of the bedrooms and kitchen on the dementia care unit are in need of attention. Queensway House has a large garden with seating areas and accessible pathways for residents and their visitors to enjoy. The managers self assessment told us about the involvement of residents and relatives in planning and designing the sensory garden. She commented on the positive impact of developments in the garden, which include a mini pitch and putt golfing area. Residents pointed out the large sunflowers they had planted. Care Homes for Older People Page 19 of 27 Evidence: All areas we visited had been kept fresh and clean by the housekeeping staff. Staff receive training in preventing infection. Liquid soap and disposable towels are available in key areas to promote good hand hygiene among staff and residents. There is a large laundry to make sure people have fresh clean clothing and bed linen. Care Homes for Older People Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be confident in the service because they are supported by a staff team that recognises and responds appropriately to their individual needs and there are robust recruitment procedures in place to check their suitability to work with older people. Evidence: Our assessment on the quality of staff provided at Queensway House and their ability to meet peoples individual needs is based on our discussions with residents and relatives, observation of the interaction between residents and staff on the day of our visit, discussions with staff on duty and a review of personnel and training records. Residents and visitors describe positive relationships with the staff who support them. Staff keep relatives informed of any changes. People have an allocated key worker so they know there is someone taking an interest in them. Changes have been made to the rota so staff are allocated in teams and provide people with greater continuity. Flexible shift patterns mean staff are allocated at busy times during the day. The manager reports she is able to provide additional staff to support individual residents and the activities of the home should the need arise. In addition to the care staff people are supported by housekeeping, catering, activity and maintenance staff. The manager has established a stable, confident, professional staff team. Over 50 of the care staff have achieved National Vocational Qualifications (NVQ) awards at level Care Homes for Older People Page 21 of 27 Evidence: 2/3 in care. This means the action we required the company to take after our last inspection and they told us about through their action plan has been achieved. Staff receive training appropriate to their work from their initial induction through NVQ training and more specialist courses. A new member of staff told us I had an induction course and training is always available. The staff are very good and I can ask anyone anything. The Investors in People Award recently achieved by the home looks closely at the influence of training. Staff receive training in supporting people with dementia and told us how this had increased their understanding and confidence. The people we observed supporting people with dementia were sensitive to their needs and using the approaches they had been taught. Care Homes for Older People Page 22 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience 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 service provided at Queensway House because the home is well managed, their views are fully considered and the company systems for monitoring the quality and safety of the service are kept up to date. Evidence: The information in this report tells us that Queensway House continues to be well managed and the interests of the residents are at the fore front of the managers approach. The self assessment (AQAA) provided by the manager tells us she continues to review and evaluate the service to further enhance peoples experiences by providing strong leadership and promoting a person-centred ethos. It is an achievement to receive the Investors in People Award as this tells us about the managers approach to monitoring quality and supporting staff to achieve good standards through training, supervision and appraisal. The manager has herself reported her intention to continue with her own personal development by undertaking a Diploma in dementia care studies. The appointment of a deputy is a positive step to increasing the day to day management influence within the home. Care Homes for Older People Page 23 of 27 Evidence: The surveys we received from social care professionals indicate they value this service. One person said the manager is very service user focused. There are company wide quality assurance systems in place to monitor standards within the home. This includes visits from senior Gold Care Homes staff who provide the manager with reports on their visits. Managers from homes within the group also audit each others services so there is a fresh and independent look at standards. The manager and company keep up to date with changes in care practices and their legal responsibilities. Residents, relatives and staff are very clear they can speak with the manager and pass on their views. There are also opportunities to do this at more formal meetings. The manager also sends surveys to people to get their views. Staff have planned supervision sessions and annual appraisals to monitor their practice and training needs. There is a banking system in place to enable people to deposit money so they have access to funds. The computerised system generates individual accounts and statements. The records of maintaining and servicing equipment and safety systems within the building were up to date. Staff receive training in safe working practices that include first aid and fire training. Care Homes for Older People Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 26 of 27 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). 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. Care Homes for Older People Page 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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