Care Home: Ridgecourt Residential Care Home

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What the care home does well The home continues to update and maintain the decoration of the home and upgrade the environment for the comfort of the people who live at the home taken into consideration. Several areas of improvements includes, fitting a new stair left, new carpets and bedroom furniture in some bedrooms, new boiler for the heating system and fire door closure to nine of the current fire doors. People are offered a choice of food to suit individual tastes and all food served is freshly prepared. Many of the people living at the home said the care and support provided by the home was very good. Observation throughout the inspection showed the staff to be being kind gentle and very caring towards people living in the home. The home benefits from having a long serving staff team to promote continuity in care. One person wrote in a survey returned to the Commission, "They make me feel a real person" and a professional wrote in a survey returned to the home, "One of the best residential homes around-keep me a bed!" What has improved since the last inspection? The home has upgraded the homes Service Users Guide to include more comprehensive information for prospective new admissions. Some bedrooms have benefited from new carpets and furniture and many fire doors have been replaced as has the homes heating boiler. A new chair lift has been fitted to the second floor for easier access for people who require it. What the care home could do better: No Requirements or Recommendations have been made in this report. Key inspection report Care homes for older people Name: Address: Ridgecourt Residential Care Home Bridgetown Hill Totnes Devon TQ9 5BH     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: Kim Fowler     Date: 1 4 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: Ridgecourt Residential Care Home Bridgetown Hill Totnes Devon TQ9 5BH 01803866152 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Ogwell Grange Ltd care home 15 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Ridgecourt is a detached period property, set in its own grounds at the top of Bridgetown Hill in the South Hams town of Totnes. The home provides six single and one double bedroom on the ground floor, and eight rooms on the first floor. The ground floor has two communal lounges (one incorporating a sun lounge facility) and a dining room. Residents at the home benefit from having easy access, from the front of the home, to the homes level gardens with a ramp that leads from the sun lounge to the front garden. There is plenty of open parking to the front of the home. The current weekly fees range from 300 pounds to 515 pounds but may vary dependent on individual need. 0 Over 65 15 Care Homes for Older People Page 4 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: The inspection was unannounced and took place between 9:30am and 3:00pm on the 14th September 2009. The Registered Manager, Mrs. Irene Wilson-Tancock assisted throughout the inspection. The inspector made a tour of the building and spoke to most of the people living at the home and the staff on duty at the time of the inspection. Documentation relating to the care planning process and the management of the home were examined. Prior to the inspection surveys had been sent to the care home to allow people who live there to comment upon their experiences. Ten surveys were returned to the Commission along with eight staff surveys. Any comments are in the relevant section of the report. Care Homes for Older People Page 5 of 27 Care Homes for Older People Page 6 of 27 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 7 of 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 8 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 who are considering admission to Ridgecourt Residential Home can be confident that an assessment will be completed before admission to ensure the home can meet their individual needs. Evidence: The files examined for people living at home show that everyone admitted to the home had a completed pre-admission assessment carried out and that people admitted to the home have been assessed. Several files held care plans form the placing authority to support these assessments. The homes pre-admission assessment process and forms hold comprehensive information on individuals. These completed assessments ensure that the care staff were aware of peoples needs and the home is able to meet those needs. Several staff members were spoken with during the inspection and all were able to provide information that showed they were fully aware of the needs of each persons Care Homes for Older People Page 9 of 27 Evidence: currently living at the home. This included several people who currently are very frail and need additional support. Information was recorded into individual files that trial visits had been offered and these offers accepted. This included one letter from a relative confirming dates and times of visits there relative had undertaken before their admission. One person living in the home said their relative had visited on their behalf. The homes AQAA returned to the Commission states, We have improved our Service Users Guide. We continue to visit prospective residents at home, hospital and encourage visits to the home. Ridgecourt residential Home does not provide Intermediate care. Care Homes for Older People Page 10 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at this home receive consistent health and personal care as appropriate and their privacy and dignity upheld. Evidence: All files examined held an initial assessment and a full assessment, both giving clear information detailing care needs and showed comprehensive care plans were in place. The home also has in place a second file, a observation book, that holds further information on individuals and included each persons preferred pattern of getting up and going to bed, how they like their personal care needs carried out and there usual sleeping pattern. These care plans give detailed instructions to all staff to ensure intimate personal care is being provided in a manner that meets with peoples approval. This is particularly important if the people living at the home have limited communication skills. All peoples assessment and daily care plans are easy assessable for staff on duty and risk assessments are held on individual files for the protection of all people living at the home. The risk assessments held cover all aspects of a person daily live including Care Homes for Older People Page 11 of 27 Evidence: and history of falls. The manager stated that the risk assessments are reviewed regularly and updated as and when needed. All people living at the home have access to all health care services and information was recorded onto a medical visit record sheet in each persons file that there was input from other professionals including GPs, chiropodist and consultants based at the local hospital. A visiting GP and District Nurse were spoken with during the inspection. Both gave high praise for the care and treatment the home provides everyone living in the home and this included people who become terminally ill remaining in the care of Ridgecourt staff. Both also confirmed that they felt the home would ask when needed for additional support from other professionals including the palliative care team. Specialist equipment is obtained to assist with peoples comfort and information recorded onto individual files showed one person being assessed for a pressure relieving mattress and another person being assessed by a Occupational Therapist to be provided with a walking aid. Most people living in the home were spoken with and some were able to confirm that their health care needs were met and one person said, I have seen the GP recently. The District Nurse confirmed that all treatments are carried out in private. The manager of the home talked through the medication procedure for the home. The home uses the blister pack system for administration. The manager confirmed that the staff had attended medication training. It was evident from these discussions that manager and other staff spoken with that they understood the medication procedure that included administration, storage and disposal of medication. Staff members were able to confirm they had completed medication training and certificates were held on staff files. The manager has also undertaken medication training with a local college. All changes in medication were recorded, signed and dated onto the medication recording sheets. The Controlled drugs were also examined and showed a clear audit trial of receipt, administration and record keeping. Most people living at the home were spoken with during this inspection and all that were able to confirm that the staff respects their privacy and dignity at all times. Observed during the inspection were staff knocking on peoples doors to promote privacy and shutting the bedroom door when attending to a person personal care needs. Care Homes for Older People Page 12 of 27 Evidence: The homes AQAA returned states under how they have improved over the last 12 months wrote, We have increased our care hours by 90 hours a week, and we have a stable well trained staff group. One person living in the home said, My door is always shut when staff are helping me and another stated, They shut the bathroom door. Comments received from people living in the home to surveys returned to the Commission state under what the home does well, Everything! and another commented, Friendly and supportive. A staff member recorded, A good level of care is provided to each individual who resides at Ridgecourt. Care Homes for Older People Page 13 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Ridgecourt can be confident that the home offers good wholesome meals. And meals and mealtimes are not rushed making them an enjoyable, social occasion for people. The home welcomes and encourages families and friends to visit. Evidence: People were observed moving freely around the home with several people confirming they like to remain in their own room. One person stated they like to stay in their own bedroom and said, I like to stay here. Most staff were seen interacting with people and discussing everyday topics and included assisting individuals when needed showing staff were aware of the needs of people living in the home. Displayed in the homes main entrance was a notice showing this month activities and visiting entertainment professionals as well as Holy Communion booked for later this week. Others included a Tia-Chi session and Keep Fit session being held in the afternoon of the inspection. Other sessions planned included Tranquil Moments, Reminiscence session and a Music Session. Care Homes for Older People Page 14 of 27 Evidence: The manager also stated that either she or the staff team carries out activities when possible. Some of the people spoken with were able to confirm that activities are available and offered, one person stated they choose not to participate. Activities mention included a quiz and board games. The manager was informed of a comment recorded onto a survey by a person living in the home that was returned to the Commission that stated, Give a list of things going on in the world like Wimbledon with dates and times so that we can keep up with things of interests going on in the world. The manager thought this to be an excellent suggestion and planned to act on it by including items of interest on the activities list. Several people walk to the local shops either with family member or with staff and one person was observed having their weekly piano lesson in the home. The home uses a local taxi firm that has wheelchair access when needed. One person stated, I went out yesterday. A staff member wrote on their survey returned to the Commission, Good activities regularly. The home has organised a Cheese and Wine evening with a jewelery and makeup party organiser in attendance for people living in the home with family and friends invited. Visitors are welcome at any reasonable time and can visit their friends and family in the privacy of their own room. One visiting relative was spoken with during this inspection and was able to confirm they were able to visit at any reasonable time. Also this visitor confirmed that they were able to see their relative in private if they wised. Other people confirmed they have visitors and one person said, I see my daughter. The homes AQAA records that, Communion takes place on a monthly basis and some of the church parishioners attend when they can, this helps provide a link with the local community. All bedrooms visited contained personal possessions and items and several people living at the home said that the home encouraged them to bring in items from home. Information on a local advocacy group is clearly displayed on the homes notice board for people to access when needed. All people who were able to made positive comments about the food provided. The cook on duty confirmed that the home has all the required fresh ingredients needed Care Homes for Older People Page 15 of 27 Evidence: and has 4 weekly menus available and displayed for all to see and this showed a varied and nutritional diet. On the day of the inspection the local water company had disconnected the local water supply for the day and the home were preparing an easy meal on this occasion. The meal served at lunchtime was Ham, egg and chips followed by a choice of desserts. A relative and many people in the home confirmed that all meals are home cooked using fresh products. The meal served was well presented and freshly prepared. With many positive comments received by people about the meal served today including, It was lovely! Staff were observed serving meals individually and some staff informed people of the meal being served. The staff confirmed that the evening meal offered to people is always a personal choice for individuals and home made cakes were available. One staff member was observed removing one person plate without asking if they had finished their meal and also placing a second course in front of a person with out informing them of the contents. The manager stated this was an unusual practice and felt it did not normally take place and agreed to observe the staff serving meals. During discussions with people about food they said it was excellent and another said, always home made One person was able to confirm that they were able to choose a different meal if they did not like the one on offer. A visiting relative stated that they had observed the food being served and commented, The food is excellent. The surveys returned to the Commission made the following comments about the food, My relative is difficult with there food but the manager always finds something that they like, they buy special things she enjoys. A staff member wrote, the food is all home cooked, with fresh vegetables, fruit and meat from a local butcher. 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. Ridgecourts arrangements to protect people living in the home and handling complaints help protect everyone living in the home. Evidence: The home has a copy of the complaints procedure in the main entrance accessible to people living in the home and any visitors. The homes annual quality assurances questionnaires ask if people are aware on how to make a complaint and the homes Statement of Purpose and Service Users Guide also hold the homes complaints procedure. The manager is available most days and felt that any concerns raised would be dealt with immediately. The home also displayed the Commissions complaints process for people and this is held in a CD Rom format. This enables people to complain directly to the Commission if they feel unable to approach the home. The home has not received any complaints and neither had the Commission. People spoken with stated that the manager was available and they were able to discuss any worries with her directly. One relative said they had never needed to make a complaint but would feel able to raise any issues with the manager. Some of the staff members on duty were interviewed during this inspection. The Care Homes for Older People Page 17 of 27 Evidence: discussion with these staff members confirmed that many had completed the Safeguarding training. This training was carried out by a local training company employed by the home and it was clear from the information given to the inspector from some staff they had a clear knowledge and understanding of the Safeguarding process. This training is supported by the manager discussing with staff at regular staff meeting the Safe Guarding procedure ensuring all staff are updated on their training. The homes AQAA records that, Staff are trained on MCA (Mental Capacity Act) and DOLS (Deprivation of Liberty Act). 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Ridgecourt Residential Home continues to maintain a clean and suitable environment for its stated purpose and the people who live at the home can be assured that they will live in comfortable home that is regularly maintained. Evidence: The home is safe and well maintained and suitable for its stated purpose. It is very comfortable, warm and light home. Several people living at the home confirmed this is usual. One relative commented that the home is, Always spotless and one person living in the home saying, My room is always kept clean for me. A tour of the building confirmed that the home was clean and tidy, with no offensive odours. All bedrooms and communal areas were pleasantly decorated. Bedrooms have been fitted with door locks and therefore people are able to lock their doors should they wish for privacy or to secure their belongings when they are not in their room. The home employs a maintenance person to carry out day to day repairs on the home. Since the last inspection the home has continued to update some areas where needed and the home has benefited from the installation of a new stair lift. The homes AQAA records under, what they have improved over the last 12 months Care Homes for Older People Page 19 of 27 Evidence: states that they have, replaced some carpets, new wardrobes for some bedrooms, fitted new door closures and purchased and fitted a new boiler. Staff had access to disposable gloves and aprons to help prevent the risk of cross infection. And all areas of the home were found to be clean and odour free. With antibacterial gloves available were needed. Comments received from surveys returned to the Commission include, Ridgecourt Residential Home is a lovely home and relatives comments received included Provides a clean relaxing environment and It creates a peaceful and harmonious atmosphere. 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 owner and Registered Manager encourage staff training and this enables people who live at the home to receive the best possible service. Everyone living in Ridgecourt is supported by well-motivated and caring staff in sufficient numbers to meet the needs of those currently living at the home. Evidence: The homes rotas and the staff confirmed that there is sufficient staff employed to care for the number of people currently living at the home. On the day of the inspection there were 14 people living in the home and on duty were the Registered Manager, 3 care staff, 1 kitchen staff and a cleaner. Therefore providing evidence that the home had sufficient staff to support people currently living in the home. Some of the staff on duty during the inspection were spoken with and some confirmed that they hold a NVQ qualification. The manager confirmed 8 of the 13 staff employed within the home currently hold this qualification. Examination of staff files showed that all staff had the required pre-employment checks, including CRB (Criminal Record Bureau Disclosure) in place ensuring as far as possible unsuitable staff are not employed. Care Homes for Older People Page 21 of 27 Evidence: Many of the care staff employed at the home are long serving staff members having worked at the home for a number of years therefore have a great deal of experience working with older people. Several people living in the home and a relative were able to confirm that the care they received is very good. One relative said, The staff are warm and friendly and one person living in the home stated, Its Home! Several staff members were interviewed during this inspection and were able to confirm that regular training is offered. Recent training included Manual Handling, Food Hygiene and Medication training. The manager confirmed that 5 staff are due to start a course on Nutrition and most staff have completed Dementia Awareness training. The homes AQAA states under their plans for the next 12 months, Continue to build on our training programme. Reach our goal of 100 NVQ at level 2 qualified staff. A relative, in a survey on behalf of a person living in the home and returned to the Commission wrote, The staff are extremely caring, friendly and helpful and willing to explain anything to relatives and another wrote, Some of the staff could engage in conversation more. One staff member said, Ridgecourt is a lovely home to work in and all the staff are friendly and caring. 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. The management of this home is very good and ensures that records are effectively maintained. The manager and the staff team strive to provide a homely, stimulating environment that respects people who live at the home. Evidence: The Registered Manager, Mrs. Irene Wilson-Tancock, continues to manage the home and has done so for over 20 years. Mrs. Wilson-Tancock has a NVQ level 4 in care, holds the Registered Manager Award and is a trained Counsellor. The manager has run the home for a number of years and has a wealth of experience. Mrs Wilson-Tancock has an excellent relationship with the people living in the home, the staff team and family and professionals visiting the home. One relative spoken with stated the manager was Approachable at any time. This helps to ensure that the home is run in the best interest of people living in the home. Care Homes for Older People Page 23 of 27 Evidence: The manager continues to update her training regularly. This includes recent training completed in Palliative Care, Infection Control and is currently looking at becoming a trainer in Manual Handling. The yearly completed Quality Assurance surveys were held in the home and all showed positive comments. This included the following comments from a District Nurse, Always ready to lend a hand and other Health Care Professional comments included, This is a wonderful environment to visit and One of the best residential homes. One person living in the home recorded, The carers are kind and respectful of your comfort. The home does not manage the money for any people living in the home and will purchase items if needed and bill the relative when necessary. Staff confirmed and records showed that supervisions and yearly appraisals are carried out regularly in the home. The AQAA states under what we do well, Manager continues to improve her professional development. Sampling of records indicated equipment is serviced regularly and maintained in good order. Health and Safety is a priority in the home and records examined showed fire safety training and fire protection is in place and up to date. The accident records were accurate and files examined showed that information is recorded onto accident forms and also written into peoples daily records with appropriate action taken when needed. Good health and safety practices reduce any unreasonable risk, affecting people living at the home, to an acceptable level. 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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