Care Home: Rookwood Nursing Home

What the care home does well We asked people what the home does well. Most of the nine people living in the home who completed surveys for us listed meals, activities, trips and holidays at things the home does well. One person said helping them to manage their money and another said "have my freedom". Staff told us the home promotes people`s independence by encouraging them to go out and do things for themselves. A social care professional who visits the home told us it "provides a high standard of care for residents". People told us staff and management treat them well and take notice of what they say. During the visit we saw that their was a lot of positive interaction between staff and people living in the home. It was evident that staff know people well and understand what they need to do to support people. People told us they know who to talk to if they are not happy. The home tries to deal with issues as they arise so that people don`t feel the need to make formal complaints. People`s needs are assessed before they move in and people are encouraged to visit the home and have a trial stay so that they can be sure it is the right place for them before they decide to move in permanently. The home has been awarded a 5 star (the highest) rating by Environmental Health for its standards of food safety and hygiene. What has improved since the last inspection? There was one requirement following the last inspection. This related to care planning; the home has taken action to deal with this and the care records we looked at were up to date and provided staff with information about how to support people. The company is planning more changes to the care records to promote a more person centred approach to record keeping, this will help to make sure people continue to get appropriate support. There have been some improvements to the environment, two bathrooms have been refurbished and some new furniture has been provided, however more work is needed to provide people with a more comfortable and pleasant place to live. Staff training has improved and staff told us this has helped them to understand and meet people`s needs. What the care home could do better: Improvements must be made to the environment, this was discussed at the last inspection and although some work has been done the pace of progress is slow. This is necessary to make sure people have a pleasant place to live which is appropriate to their needs. The home should look at how they can reduce the number of shared rooms so that people can have their own room. In their self assessment the home told us about their plans to improve the service and some of these were discussed during the visit. The area manager told us he wants to give people more of a say in how the home is run. He is hoping that some of the people living in the home will agree to form a committee to give a more formal structure to the way they share their views and suggestions with the home`s management. The home should continue to keep us informed about the management arrangements and the new manager should apply for registration with the Commission. Key inspection report Care homes for adults (18-65 years) Name: Address: Rookwood Nursing Home 4 Victor Road Bradford West Yorkshire BD9 4QL     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: Mary Bentley     Date: 2 4 1 1 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 Adults (18-65 years) 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 Adults (18-65 years) 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 Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: Rookwood Nursing Home 4 Victor Road Bradford West Yorkshire BD9 4QL 01274547597 01274549215 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: European Care Lifestyles (B) Ltd care home 20 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: Date of last inspection Brief description of the care home Rookwood is registered to provide nursing care to 20 people with enduring mental health needs. It is situated in the Manningham area of Bradford, close to Lister Park. There are bus connections to Bradford, Bingley, Keighley, and Skipton. Some parts of the home are not accessible to people with limited mobility, there is no passenger lift and the stair lift is due to be removed because it doesnt work. The bedrooms are on three floors. There are a mix of single and shared rooms. Communal space includes a dining room, a large lounge, and a conservatory. The conservatory is the designated smoking area for people living in the home. There is a small enclosed patio area at the back of the home which people can use when the weather permits. Information about the services offered is available in the home. In December 2009 the weekly fees ranged from 483.00 to 696.00 pounds per week. Items not covered by the fees include personal expenses such as hairdressing and people are asked to make a contribution to the cost of holidays and day trips. Please contact the home for more detailed information about the fees. Care Homes for Adults (18-65 years) Page 4 of 27 Over 65 4 20 2 7 0 1 2 0 0 9 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 Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This is what we used to write this report: The annual quality assurance assessment (AQAA) that was sent to us by the service. 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. The results of any visits that we have made to the service in the last 12 months. We have not made any additional visits since the last inspection in January 2009. Surveys returned to us by people using the service. We received a total of 13 surveys from people living in the home, staff and visiting professionals. Information we have about how the service has managed any complaints. Care Homes for Adults (18-65 years) Page 5 of 27 What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. Relevant information from other organisations. A site visit carried out by one inspector between the hours of 10:00 am and 5:00 pm. The visit was unannounced. During that time we spoke to people living in the home, staff and management. We looked at various records including care records, looked at some parts of the home and observed staff as they carried out their duties. The registered manager left just before this visit, the company is in the process of recruiting a new manager for the service. We have reviewed our practice when making requirements to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated it is likely enforcement action will be taken. Care Homes for Adults (18-65 years) Page 6 of 27 What the care home does well: What has improved since the last inspection? What they could do better: Improvements must be made to the environment, this was discussed at the last inspection and although some work has been done the pace of progress is slow. This is necessary to make sure people have a pleasant place to live which is appropriate to their needs. The home should look at how they can reduce the number of shared rooms so that people can have their own room. In their self assessment the home told us about their plans to improve the service and some of these were discussed during the visit. The area manager told us he wants to Care Homes for Adults (18-65 years) Page 7 of 27 give people more of a say in how the home is run. He is hoping that some of the people living in the home will agree to form a committee to give a more formal structure to the way they share their views and suggestions with the homes management. The home should continue to keep us informed about the management arrangements and the new manager should apply for registration with the Commission. 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 Adults (18-65 years) Page 8 of 27 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 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, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. 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 the person 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. Peoples needs are assessed before they move in and people are given information to help them decide if the home is the right one for them. Evidence: Nine people who live in the home completed surveys for us. They all said they had been asked if they wanted to move into this home and said they had been given enough information before moving in to help them decide if it was the right place for them. There were no new people living in the home when we visited. One person did move in during the last 12 months but is no longer living there. The home told us that peoples needs are always assessed before they move in. We saw completed pre-admission assessment in the care records. People are encouraged to visit the home before making a decision about moving in. They are offered overnight and/or weekend stays so that they can experience first hand what the service is like before making a decision about moving in permanently. Care Homes for Adults (18-65 years) Page 10 of 27 Evidence: The home told us they are continuing to develop the service user guide and statement of purpose to make sure people have accurate and up to date information about the service. Care Homes for Adults (18-65 years) Page 11 of 27 Individual needs and choices 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 needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. 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. Peoples individual needs and goals are identified and people are supported to maintain their independence. The home is continuing to improve the care records to make them more person centred, this will help to make sure that people continue to get appropriate support. Evidence: Everyone living in the home has a care plan and we looked at three peoples records. Improvements have been made since the last inspection and the records were looked at were up to date. The care records have detailed assessments with information about peoples current needs and abilities and their past lives. Overall the care plans were satisfactory, they provided information for staff on how to support people. However, more could be done to make the plans more person centred using the detailed information from the assessments. The area manager told us he is working on a new format for the care records to help promote a more person centred approach. Risk assessments are in place for areas of potential risk such as smoking, drinking and Care Homes for Adults (18-65 years) Page 12 of 27 Evidence: challenging behaviour. When restrictions are in place they are recorded and it was evident that people have been involved in these decisions. One person told us that the home is helping her to manage her money by having an agreed daily allowance, she said she is happy with this because it is helping her to save money for Christmas. There are suitable systems in place to make sure that any money held for people is properly accounted for. All transactions are recorded and receipts are kept for money spent on peoples behalf. Whenever possible people sign for their money, if this is not possible two members of staff sign for it. There are meetings for people living in the home where they are encouraged to share their views and suggestions. People told us they know who their key workers are and are happy to talk to them if they have any worries or problems. Care Homes for Adults (18-65 years) Page 13 of 27 Lifestyle 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 can take part in activities that are appropriate to their age and culture and 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 and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. 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 given the support they need to help them make decisions and exercise choice about how to live their lives. People are given the opportunity to take part in a range of social and leisure activities that reflect their interests and are appropriate to their needs. Evidence: People told us they can choose what to do during the day, in the evenings and at weekends. They said the home is good at organising activities, trips out and holidays. Activities in the home include games such as dominoes and scrabble and watching films. We saw people playing dominoes and scrabble with staff during the day. People go out for example to local pubs and restaurants. During the visit people were Care Homes for Adults (18-65 years) Page 14 of 27 Evidence: discussing plans to go out for a Christmas lunch and the Christmas party in the home was also being organised. The home has a small garden and a green house in the back garden. During the summer some people got involved with growing tomatoes and chillies. When we visited the area manager was discussing plans with two people who live in the home to take on part time employment in the home, helping in the kitchen and garden. This will give them work experience and will enable them to be paid therapeutic earnings which will help supplement their incomes. The home have a team in a local bowling league which they won last year. Some people we spoke to attend the MIND centre in Bradford four evenings a week, they told us they really enjoy going there. The home organises holidays for people who want to go away. Information about peoples social and cultural needs is recorded and staff are knowledgeable about peoples interests and abilities. People have lots of belongings in their rooms which reflect their interests. For example, one person told us he likes music from the 60s and he has a music centre and lots of compact discs in his room. People told us the food is good and said they really enjoy their meals. People are consulted about the menus and the cook is aware of peoples dietary preferences and needs. Care Homes for Adults (18-65 years) Page 15 of 27 Personal and healthcare support 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 receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people 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. If people are approaching the end of their life, the care home will respect their choices and help them to 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 in meeting their personal and health care needs. The home is continuing to improve the way information about peoples needs and preferences is recorded. Evidence: The care records have information about peoples personal and health care needs. We saw that peoples weight is monitored and nutritional risk assessments are done when people are at risk. If necessary food charts are used to record what people are eating and drinking so that the home can make sure they are receiving a well balanced and nutritious diet. There is one person in the home with a pressure sore, this is a long standing issue and the home is working with the district nurses and the tissue viability nurse specialist to make sure he is getting the right care and treatment. The records show that people have access to a range of NHS services and people confirmed this. People have access to community mental health nurses and psychiatric Care Homes for Adults (18-65 years) Page 16 of 27 Evidence: consultants and this means they get the support they need to meet their mental health care needs. Medicines are managed safely and people get their medicines as prescribed. One person manages their own medicines with support from staff and there is a risk assessment in place. There is very little information in the care records about peoples wishes in relation to end of life care. This was discussed as an area that needs to be developed, particularly for those people who are getting older and frailer and those who have long term physical health care needs. Care Homes for Adults (18-65 years) Page 17 of 27 Concerns, 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. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. 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. There are suitable systems in place to make sure that complaints are taken seriously and acted on and to make sure people are protected. Evidence: People living in the home told us they know who to speak to if they are not happy and said they know how to make a complaint if they need to. Staff told us they know what to do if someone has concerns about the service. The home has not had any formal complaints in the last 12 months. They said they try to deal with issues as they arise and this means that people dont often feel the need to make formal complaints. No complaints have been referred to us since the last inspection. Staff told us they have had training on safeguarding (adult protection) and know how to report any concerns they might have. There have been no safeguarding referrals in the last 12 months. Care Homes for Adults (18-65 years) 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, comfortable, 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. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is clean and safe but more needs to be done to create a homely, comfortable and pleasant place for people to live. Evidence: Some improvements have been made to the environment in the last year. For example two of the communal bathrooms have been upgraded and some new furniture has been provided. However, the pace of progress is slow and more work is needed to make sure people have a pleasant and comfortable place to live. The home has CCTV which is used externally for security purposes. When we looked around we saw the home was clean but in need of refurbishment in most areas. The stair lift which was not working when we visited last year has not been repaired or replaced. There is no cleaning cupboard which means that mops and other cleaning materials are stored in an alcove in the corridor. Generally people were satisfied with their rooms, however one person who shares a room told us they would ideally like to have a room of their own. In most peoples rooms we saw that people have personal belongings which reflect Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: their personal tastes and interests. The homes policy is that people can have keys to their rooms unless a risk assessment has identified that this is not safe. Most people we spoke to had keys and told us they can go to their rooms whenever they want. When we visited last year we asked the company to provide us with plan for the refurbishment of the home. We did not receive this. The area manager, who was in the home when we visited, said he is working on a refurbishment plan and this will be available in January 2010. During the visit there was a meeting for people living in the home and one of the subjects discussed was upgrading the dining room, people were invited to put forward their ideas for a theme for the new decor. The laundry is in the basement and not accessible to people, staff do the laundry and people told us it is usually good. The home has a small kitchen area where people can help themselves to drinks, this is separate from the main kitchen. The home was inspected by Environmental Health in July 2009 and they have maintained their 5 star (the highest) rating for standards of food safety and hygiene. This is commendable. Care Homes for Adults (18-65 years) 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, qualified 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. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. 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 are enough staff to meet peoples needs. People are protected because all the required checks are done before new staff start work. Evidence: People living in the home told us staff listen to them and take notice of what they say, they said staff and management treat them well. There are usually 3 care staff on duty during the day. In addition there is a cook and during the week (Monday to Friday) there is a cleaner. Most of the staff whom we spoke to or who completed surveys for said there are enough staff on duty to meet peoples needs. One member of staff said it would be nice to have more staff sometimes so that there was more time to do one to one work with people. We looked at the files of two new staff and they showed that all the required checks were completed before they started work. This includes two written references, PoVA (Protection of Vulnerable Adults) and CRB (Criminal Records Bureau) checks. We saw evidence that for nursing staff checks are carried out to make sure they are registered to practice with the NMC (Nursing and Midwifery Council). Staff confirmed that all the Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: required checks were carried out before they started work. Staff told us they had received induction training when they started work and we saw evidence of this in the staff files. Information provided by the home showed that 80 of care staff have achieved an NVQ (National Vocational Qualification) at level 2 or above. This shows that the home is committed to making sure people are supported by a trained and competent team of staff. One health care professional who completed a survey for us said the staff team usually have the right skills and experience to give people the support they need. Training is recorded and the home maintains a training matrix which shows when staff are due to attend training updates. Staff told us they enjoy working in the home. They said they are well supported by the management team and are offered lots of training. They said the training helps them to give people the right support. Throughout the day we saw that there was a lot of interaction between staff and people living in the home and staff were kind and respectful. Care Homes for Adults (18-65 years) Page 22 of 27 Conduct and management of the 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 have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because 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. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. 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 are suitable systems in place to make sure the home is appropriately managed. People living in the home are given the opportunity to share their views and contribute to the improvement of the service. Evidence: The registered manager had just left when we visited, his last working day was on 13 November 2009. The company is in the process of interviewing for a new manager. In the meantime management support is being provided by one of the area managers who will be based in the home until the new manager has taken up his/her position. The home completed an annual quality assurance assessment (AQAA) for us and returned it to us in good time, it gave us the information we asked for. Discussions with staff showed that they have not yet received training on the Mental Capacity Act and Deprivation of Liberty safeguards, however they were aware of where to get more information if they needed it. The area manager confirmed that training is to take place. There was no evidence that peoples capacity to make decisions is assessed and recorded. The area manager had already identified this and told us the company are Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: addressing it. No one in the home was being deprived of their liberty when we visited. The company has well established systems for monitoring the quality of the service. These include regular audits of various aspects of the service and monthly visits by a senior manager. The home has meetings for people using the service where they are encouraged to share their views and suggestions for improvements. The area manager told us he wants to give people a greater say in how the home is run and is planning more regular meetings. The company sends questionnaires to people using the service and there was evidence in the monthly visit reports that the results of the questionnaires are looked at and action taken if necessary. Information provided by the home showed that equipment and installations are maintained and serviced at the required intervals. The fire alarms are checked every week and there are regular fire drills which people living in the home take part in. Care Homes for Adults (18-65 years) 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 Adults (18-65 years) 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 1 24 23 The Commission must be provided with detailed plans for the refurbishment of the home, this must include timescales. To make sure that the home provides a pleasant and homely environment that is appropriate to the needs of the people living there. 12/02/2010 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 Adults (18-65 years) 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). 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