Care Home: Redcote

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What the care home does well People in this home told us that they were well cared for by a committed and friendly care team. Staff treat people with dignity and respect. They are well trained and have a good understanding of peoples needs and wishes. They encourage people to make their own choices and decisions and to be as independent as possible. There are good systems in place to make sure people are protected, including staff training, risk assessments and policies; people who us this service told us that they feel safe living in the home. There is a range of activities and relatives and friends are made welcome when they visit the home. What has improved since the last inspection? Since the last inspection there have been lots of improvements to the environment. For example; lounges have been refurbished, corridors painted and more signs to help people find their rooms. There are plans for a new kitchen, new chairs for the dining room and a number of bedrooms and a new carpet for the stairs. During this inspection we found that people are actively involved in their care plans, with staff working closely with people by explaining what is in their care plans and what changes they would like to make in them. One resident completes her care plan by herself detailing the care that she expects to receive whilst living in this home. What the care home could do better: There were no requirements or recommendations as a result of this visit. We discussed with the manager about ensuring that our new name was in their complaints procedure. We made some suggestions to help make things better. We said that the night staff check list could be improved to show when staff had helped a resident during the night and what the time was and help needed. This would show which residents needed more care at this time so staff would be aware of their changing needs. We also said that care plans should provide more information about the likes and dislikes of people other than their dietary needs. This would inform staff about what residents may wish to do or things that they do not like. Lastly we said that social histories should be available, which tells staff what jobs, families and hobbies that people might have had in the past. This information is important in planning peoples care and what hobbies and friendships they which to keep. The manager told us that they are going to update the night staff check list so that they know the changing levels of care required. She also said that they are going to update the complaints procedure with our new name, address and telephone number, so that people can contact us if they need to. She confirmed that acre plans would change to show the likes and dislikes of residents and that social histories will be a part of the changes made for all residents. Key inspection report Care homes for older people Name: Address: Redcote 23 Gainsborough Road Lea Gainsborough Lincs DN21 5HR     The quality rating for this care home is:   two star good 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: Douglas Tunmore     Date: 1 9 0 8 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: Redcote 23 Gainsborough Road Lea Gainsborough Lincs DN21 5HR 01427615700 F/P01427615700 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Redcote Homes Limited care home 28 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 people who can be accommodated is 28. The registered person may provide the following category of service only: Care home only - Code PC to people of the following gender:- Either, whose primary needs on admission to the home are within the following categories: Older persons, not falling within any other category - Code OP Dementia, not falling within any other category Code DE Date of last inspection Brief description of the care home Redcote care home is a detached property, which has been adapted and extended to provide accommodation for older people. The home is set back from the main road which runs through the village of Lea and stands in approximately two acres of mature and landscaped gardens, which are accessible to residents. Access to the home is via a blocked paved drive, which extends and includes a ramp to the front entrance. Car parking space is available to the front of the home. Accommodation is provided on two Care Homes for Older People Page 4 of 27 Over 65 0 28 28 0 Brief description of the care home floors. There are twenty-six single rooms and one twin room that is currently used as a single room. Seven of the rooms have en-suite facilities and all have wash hand basins. The proprietor has a house to the rear of the premises in which he stays when visiting the home. The philosophy of the home is to provide a warm, friendly atmosphere in which individuals can have the opportunity to be as independent as possible. The current scale of charges at this home is from four hundred pounds to four hundred and thirty pounds. Extras charged for include chiropody, hairdressing, toiletries and newspapers. The providers Survice Users guide and the last inspection report is available from the manager. 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: 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: The quality rating for this service is two star. This means the people who use this service receive good quality outcomes. This was an unannounced visit undertaken by an inspector and it formed part of a key inspection, focusing on key standards, which have the potential to affect the health, safety and welfare of people who use the service. From 1 April 2009 the duties of The Commission for Social Care Inspection (CSCI) has been taken over by the Care Quality Commission (CQC), the new independent regulator of all health and social care in England. Throughout this report the terms we and us refer to the Care Quality Commission (CQC). We took into account previous information held by us, including the previous inspection report, their service history and records of any incidents that we had been notified of since the last inspection. Care Homes for Older People Page 6 of 27 Before we made our visit the provider had returned the Annual Quality Assurance Assessment (AQAA). This gave us information about their own assessment of how well they are meeting standards and their plans to improve aspects of the service. We also received four surveys from people living in this home telling us about the care they receive. We also received four surveys from care staff telling us about how they go about their care duties. The main method used to carry out the inspection is called case tracking; this includes following the care of a sample of two people through their records and assessing their care. We spoke with a number of residents two of which were being case tracked and one carer. The manager was informed of the general outcomes of this inspection. Comments from people who use this service, their relatives, staff and a visiting health care professional are mentioned in the rest of this report. 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: There were no requirements or recommendations as a result of this visit. We discussed with the manager about ensuring that our new name was in their complaints procedure. We made some suggestions to help make things better. We said that the night staff check list could be improved to show when staff had helped a resident during the night and what the time was and help needed. This would show which residents needed more care at this time so staff would be aware of their changing needs. We also said that care plans should provide more information about the likes and dislikes of people other than their dietary needs. This would inform staff about what residents may wish to do or things that they do not like. Lastly we said that social histories should be available, which tells staff what jobs, families and hobbies that people might have had in the past. This information is important in planning peoples care and what hobbies and friendships they which to keep. The manager told us that they are going to update the night staff check list so that they know the changing levels of care required. She also said that they are going to update the complaints procedure with our new name, address and telephone number, so that people can contact us if they need to. She confirmed that acre plans would change to show the likes and dislikes of residents and that social histories will be a part of the changes made for all residents. Care Homes for Older People Page 8 of 27 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. There was information available to enable residents to make a choice as to whether or not to enter the home. People received an assessment, which resulted in their needs being met. Evidence: We were told that, we have updated the homes statement of purpose and we have also made the assessment more person centred. We carry out a full assessment with the perspective resident and their families. We gain contact with any any members of the team who has care for the resident, such as nurses, doctors and social workers. Four residents surveys returned to CQC showed that the majority felt that they had received enough information about the home before they moved in to help them to decide if it was the right place for them. They also confirmed that they had received a contract from the provider. A number of residents were supported in completing their surveys. Care Homes for Older People Page 11 of 27 Evidence: This visit found that residents and their families had been involved in their admission to this home and assessments are carried out by a skilled and trained member of staff. We looked at care plans and found that some assessments were also available to the home from health care professionals as well as social workers detailing the needs of those residents. The manager confirmed that trial visits are available and prospective residents are encouraged to stay for a full day to help in the assessment process. Assessments contain information about the needs and wishes in areas such as mental health, physical health, social preferences, medication and end of life arrangements as well as nutrition. 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. The health and welfare needs of people living in the home are fully met. Medication procedures keep people safe. Evidence: We were told that, care plans reflect residents choice to ensure a good standard of care is given. We involve residents and families in the care planning to make sure that everyone is happy with their care. We looked at care plans which showed that accident reports and body maps are used for the mapping of any cuts or abrasions to residents. We also looked at risk assessments in residents files, which were available giving details of various risks concerning residents health care needs. We also made suggestions that the night care checks on residents should be recorded in a way which shows when they have been visited and what support was given at what time. The manager said that she would do this and inform all night staff of this way of working. Files seen also confirmed that health care professionals visit the home when required Care Homes for Older People Page 13 of 27 Evidence: by the residents. Files showed that people are actively involved in their care plans and had signed them. One residents file was seen to have been written by her and clearly laid out her own needs and requirements. This resident commented that staff go through my care plan with me. A visiting professional told us that, staff are very good, if they have a problem they will contact me very quickly so that ailments are addressed as soon as possible. She also said that staff are ever mindful of peoples privacy and dignity by keeping them covered and the door closed when she treats them. People told us that staff are very careful about their privacy and dignity and that they knock on our doors before entering and they do the same when we are in the bathroom. Those care plans which we looked at made reference to new laws about decisions that may effect peoples lifestyles. Some care plans made reference to what decisions residents can make and what they cannot decide without support. The manager stated that training had taken place to ensure that all staff are aware of how to assess and record in care plans. Peoples surveys confirmed that they always receive the medication and health care support that they need. Specific comments made was, staff look after me well and staff are very good. One resident stated that staff are rough and dont understand my illness. This resident was seen as part of this visit and confirmed that, all the carers treat me very well and they are very kind to me. The pharmacist visited the home on the 28/07/09 and recorded that storage and administration records of medication is carried out and everything was in order. Medication sheets were seen by the inspector and it was found that an accurate record of medication was kept of medicine given on that day. The providers training file evidenced that staff receive training in the administration of medication. One resident who self medicates had documentation relating to any risks and how she could be supported in safely taking her own medication. 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. A range of activities is available to residents, which suits their needs. Meals provided are well balanced and take into account personal preferences. Evidence: We were told that, residents are all given choices and are able to live their lives without any restraints of residential living. They are given opportunities to pursue leisure and hobbies outside of the home. Surveys from people showed that they felt that there are always activities in the home. All but one survey also showed that they always liked the meals at the home and one felt that they usually did. One comment was I like shopping and going out for meals. The providers signing in book showed that people visit their relatives at various times of the day and evening. We looked at care plans and found that peoples likes and dislikes were recorded in relation to food. We said that to help people to be comfortable in the home more information should be recorded about their other likes and dislikes. This could relate to Care Homes for Older People Page 15 of 27 Evidence: favourite television programmes or being checked on at night, which stops them from going back to sleep. We also said that life story work should be undertaken so that staff have a wider view of the people they are caring for and some idea of activities they might like. There is no activities organizer and the manager confirmed that activities are undertaken by staff. People told us about a summer Fayre in which they attended as well as their relatives. They also said that they have contact with their local schools and go to plays there. People told us that they often go out for lunch and visits to the cinema. Although there isnt an activities organizer there is plenty to do at the home. The activities programme shows us that, bingo, dominoes, pets visiting and DVDs are available to residents. There are trips out shopping and people expressed the view that they enjoy going to Marshalls Yard to shop. Trips are also made to the ice cream parlour at Blyton. One resident who had reached one hundred years old told us that she had two parties organized by the provider, one was for people in the village where she used to live and the second for her relatives. She said that the lounge was used for these events and the cooks prepared all the food. On the day of this visit communion was taken by those people who wished to attend. We looked at the last minutes of the residents meeting held in July 2009 and found that it was well attended and residents felt free to voice their views about what they want. A visitor told us that she visits regularly and that the staff are always friendly, they bring us a cup of tea and ask me if Im OK. People told us that they enjoy the food at the home and that they have a choice. Observations made were that the meals looked wholesome and well presented. Residents seemed to be enjoying their meal. There was ample staff to support residents with their meal, which was undertaken in a dignified and caring manner. 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. Clear policies, training and a responsive and caring staff team protect people in this home. Evidence: We were informed that, there has been no complaints and no safeguarding investigations at this home since the last visit. We have a simple understandable complaints procedure, which is displayed in the hallway.The Staff have undertaken adult abuse training and also the mental capacity act. Peoples surveys showed that they knew how to make a complaint and who they could speak to if they are unhappy. One specific comment was, all carers are readily available. People who live in this home told us that they felt safe living there. They said that staff are kind and helpful and a visitor said that staff know how to keep people safe. The manager confirmed that there had been no complaints or safeguarding issues since the last visit. The provider has an up to date copy of Lincolnshire County Councils revised safeguarding adults protocol and are amending the homes procedure to ensure it follows local guidelines. Care Homes for Older People Page 17 of 27 Evidence: People who use this service are supplied with a complaints procedure that they can understand. The complaints procedure is clearly displayed in the reception area as is the last inspection report of this home. One carer spoken with had a good knowledge of the types of abuse that might occur and she was clear of the action to take should she need to report any allegations. Training records given to us showed that this member of staff had undertaken training in safeguarding adults, which she confirmed. Staff surveys showed that they knew what to do if a resident or relative had concerns about the home. One comment was as assistant manager I try to deal with any problems or concerns that arises. If I cant sort it, I report to the manager . During this visit no residents made negative comments about their care to the inspector. Observations made were that people are treated with dignity and respect by carers. The home has an open culture that allows residents to express their views and concerns in a safe and understanding environment. 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. Residents benefit from a comfortable and clean environment that meets their individual needs. Evidence: We were informed that, we acknowledge the importance of keeping the home odour free and have a regular cleaning system in place. We have a rolling maintenance plan in place re decoration and replacement. We know from information we received before we visited that there is an ongoing programme of refurbishment and redecoration around the home. During this visit we saw that the dining room and lounge had been redecorated and a new carpet and curtains fitted. The upstairs lounge had also been redecorated a well as the downstairs carpet. The manager told us that a new kitchen is to be installed shortly as well as a new stair carpet and chairs for the front lounge and seven bedrooms. Work had also been undertaken in the garden to ensure the safety and privacy of people in the home. People who use this service are encouraged to see the home as their own. It is a very well maintained, attractive home and has very good access to the community facilities. An infection control policy is in place and we saw that staff were wearing Care Homes for Older People Page 19 of 27 Evidence: gloves and aprons and using the correct disposal bags when dealing with dirty laundry. The environmental Health Officer visited the home in January 2009 and has awarded a three star food hygiene certificate. The homes training programme showed us that staff had undertaken infection control training. Equipment was stored so as not to cause tripping hazards and cleaning materials that could harm people were locked away. 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. The home is adequately staffed with employees who were experienced, competent and trained to care for older people. People are protected by the homes robust employment procedures. Evidence: We were informed that, we have twenty seven staff members, the majority have been with us for numerous years, we do not have a staff turnover. All staff are not employed until they have criminal record bureau checks and references are carried out and an induction plan is put in place. Staff surveys informed us that their employer had carried out safety checks such as a criminal record bureau search and prevention of vulenrable adults check prior to starting work. They also confirmed in their surveys that they undertook induction training, finding out how the home works and meeting people who live there. They also felt that they received further training, which helps them understand the needs of people and keeps them up to date with new ways of working. A specfic comment was, we support each other and the residents to give them a good quality of care. A carer told us that she felt that there are generally enough staff on duty to meet the needs of people in the home. She confirmed that there is a key worker system and she is responsible for the care of some residents. She stated that she discusses with Care Homes for Older People Page 21 of 27 Evidence: people how they want their care to be delivered and residents sign to show that they have been involved in their care planning. She also told us that she has undertaken courses leading to nationally recognised care qualifications. Records confirmed this and show us that staff do training such as; fire training, dementia training, moving and handling, pallative care, first aid, infection control, new laws effecting peoples lives, moving handling and safe handling of medication. Three peoples surveys informed us that staff listen and act on what they say and that they, the staff are available when we need them. Recruitment records contain information such as criminal record bureau checks, application forms, identification and two written refrences. We looked at three personal files of care staff which contained all the documentation required to work at this home. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and people have a say in how the home is run. Evidence: The manager was registered with us in 2006, she has a background in providing care for older people and she worked at the home before becoming the manager. Since registering with us she has demonstrated that she has completed training, which helps her to keep up to date with care issues. She does not generally work as part of the care staff rota, but she does do some care shifts when necessary. She lets us know about anything that happens in the home, which affects the lives of people who live there. We were told that, staff feel supported by management, who are seen as approachable. We were also told by a carer that, I think she has a lot to do, she supervises us and if you ask her something she will help you. A visiting health care worker stated that the manager is very approachable, friendly and very professional. Care Homes for Older People Page 23 of 27 Evidence: The manager showed us that satisfaction surveys are carried out for people who live at the home, and their relatives. No surveys were available from doctors or other professionals who visit the home. We looked at eight surveys returned from residents or relatives, which showed that they were very satisfied or quite satisfied with the care provided. The manager told us that some people ask the home to look after their personal money for them. We saw that the money was kept securely, and we found that the amounts of money being held on the day of the visit matched personal account records, and receipts. A resident confirmed that her money is looked after by the manager and that she signs for it when she wants it. We know from our records and information sent to us by the provider that there are a range of policies and procedures available in the home relating to the health and safety of residents. This document also showed dates when equipment was serviced and fire alarm checked to ensure the safety of residents and staff. We were told by one carer that she had undertaken fire training and knew what to do if there was a fire. The fire safety service visited and asked the provider to fit two quick release door safeguards to ensure peoples safety. 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. 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