Care Home: Rylands Care Home

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What the care home does well People we spoke with told us that they are very satisfied with the quality of service provided at Rylands and that they have confidence in the managers abilities to maintain a high standard of care. People said they feel involved in the decision making processes and that their opinions are listened to and acted upon wherever possible. People are treated with respect and their dignity and privacy is maintained. People are also enabled to be as independent as possible within the safe environment of the service. What has improved since the last inspection? Three requirements were made at the last Key Inspection and these had been met as follows; Security has improved and access can only be gained by use of a key pad entry system. Staff files we saw contained the necessary proof of identity. Accurate records are kept relating to peoples health needs and or medical appointments. Four recommendations were also made and these had been achieved. There has been a substantial amount of refurbishment of the premises, including carpets, curtains, furnishings, kitchen equipment and decoration. What the care home could do better: The service would benefit from having a dedicated activities co-ordinator to enable further development in this area. Staff numbers could be increased at busy times of day to ensure that there is a staff member available to respond promptly to peoples needs. A private room could be provided for people to meet with family and friends. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Rylands Care Home 9-11 Meadow Road Beeston Nottingham NG9 1JP     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Angela Starr     Date: 1 1 0 9 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. 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 Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Rylands Care Home 9-11 Meadow Road Beeston Nottingham NG9 1JP 01159436247 F/P01159436247 meh338@aol.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr Vijay Mehan care home 17 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 Rylands Care Home is situated close to the centre of Beeston, which provides a good variety of local facilities and amenities. The accommodation is sited over three floors, with the service users accommodation on the ground and first floor. There is a staff room, training room and office on the second floor There is a passenger lift providing access to all levels. The home is comfortably furnished and has been decorated and maintained to a very good standard. The rear garden has been redesigned and now provides a private and very pleasant environment for service users. The fees charged at the date of this inspection are £392.00 A copy of the most recent inspection report is available in the home. 0 Over 65 17 Care Homes for Older People Page 4 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: 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 good service. This means that the people who use this service experience good quality outcomes. The focus of Inspections undertaken by the Care Quality Commission is upon outcomes for people who use the services and their views on the service provided. This process considers the providers capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provision that need further development. We ask managers to fill in a questionnaire called an Annual Quality Assurance Assessment, which tells us about how well their service provides for the needs of the people who use it and how they intend to improve their service. We received this back from the manager within the required timescale and the form was completed in a satisfactory manner, providing us with information to assist in planning our visit and Care Homes for Older People Page 5 of 26 deciding what areas to look at. We also reviewed all the information we have received about the service since we last visited and we considered this in planning the visit and deciding what areas to look at. The main method of Inspection we use is called case tracking which involves us selecting a number of people who use the service and looking at the quality of the care they receive by speaking with them, observation, reading their records and asking staff about their needs. We also sent Have Your Say questionnaires to a random selection of people who use the service and some staff members. The information provided in the replies we received, was also a contributory factor in the focus of our inspection visit. We spoke with three members of staff, three people who use the service and three relatives to form an opinion about the quality of the service being provided. We read documents as part of this visit and medication was inspected to form an opinion about the health and safety of people who use the service. 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 set out 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 26 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 8 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who want to live at the service have their needs assessed and can be assured these will be met. They receive good quality information about the service to enable them to make an informed choice about living there. Intermediate care is not provided at the service and the standard is not applicable. Evidence: The information we received from the manager told us that the service do carry out an assessment of each persons needs before they are offered a place at Rylands to ensure that these identified needs can be met. As part of our case tracking process we looked at the files for three people who currently live at the service, including the last person to be admitted. All three contained documentation confirming that a pre-admission assessment had taken place before a place was offered. This information was comprehensive and included a life Care Homes for Older People Page 9 of 26 Evidence: history and likes and dislikes in addition to identified support needs. These assessments had been signed and agreed by the person or their representative. The files we saw also contained copies of contracts. People we spoke with told us that they were given good information about the service before they moved there. Relatives we spoke with told us that they were involved in this process and felt there was plenty of good information available to them. We sent out questionnaires to a number of people living at Rylands and we received seven that had been completed. Six of these told us that people felt they had received all the information they needed to enable them to make the decision about moving to the service. One person told us they did not feel they had been given sufficient information. One person told us My relatives came to look round and they liked it. It was a good choice for me. Care Homes for Older People Page 10 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Personal and healthcare needs are assessed and provided for in a way which shows respect for the privacy and dignity of people who live at the service whilst meeting their identified needs. Evidence: The manager provided us with written information that told us, We have completely re- structured our care plans this year, they are more detailed and informative. As part of our case tracking process we looked at files for three people who live at the service. The care plans we looked at were all detailed and included relevant risk assessments written specifically for the person and the identified area of need. We saw that people had been assessed under the Mental Capacity Act and that staff were considering the outcome of this assessment in the way they delivered the support, therefore enabling care to be delivered in a person centred manner. All care plans had been reviewed monthly and agreed and signed by the person. There was also evidence that relatives had been involved in this process with the agreement of Care Homes for Older People Page 11 of 26 Evidence: the person and this was confirmed by people we spoke with, staff and relatives. We saw good comprehensive records of all visits from health practioners including Doctors, District Nurse, Dentist, Optician and Chiropodist. Any appointments for people outside the service were clearly recorded. People we spoke with told us that staff will accompany them to these appointments and relatives confirmed this, but added that whenever possible, they prefer to go. We looked at the Medication Administration Records for the people we case tracked and these were completed correctly and signed by the staff. No one is currently administering their own medication, although care files showed us that people had been assessed to see if it would be appropriate. The service has a clear policy in place relating to people administering their own medication and the manager has informed us that a comprehensive risk assessment would always be completed with any person who wished to undertake this. We checked the records of administration of controlled drugs and found them to be correct. We looked at the storage for medication and found it to be suitable. However, the daily recorded temperatures did show us that there are a number of occasions when the recommended temperatures had been exceeded. We discussed this with the deputy manager who was present at the inspection and she assured us that this will be addressed and measures put in place to ensure that medications are stored safely. On arrival at the service we observed that the keys were left in the medication trolley and a persons medicines were left on top. We spoke with the staff and they told us that they both thought the other person had locked the trolley. We discussed this with the manager and suggested that this confusion could be avoided if one person took responsibilty for the medication round at each time. The manager assured us that she will look into this and will ensure that it does not happen again. We also observed that tablets had been left in a pot on a windowsill in the dining room. Further discussion with the deputy manager revealed that these had been left there by the night staff. The relevant Medication Administration Record had been completed appropriatley, telling us that the person had refused their medication but the tablets had not been returned to a locked facility for disposal. Following this inspection we discussed these matters with the manager of the service and she assured us that she had already taken steps to ensure that these errors do not reoccur. The way the medication rounds are conducted is being looked at and will Care Homes for Older People Page 12 of 26 Evidence: be changed in line with best practice. Staff will be provided with refresher training immediately to ensure that people who live at the service are safe. Care Homes for Older People Page 13 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People enjoy a range of activities and a flexible menu that suits their needs and wishes. Evidence: The written information provided to us by the manager tells us We offer a happy home with an open door policy, which is why the home is mostly busy either by visitors or entertainers coming into the home as we have no strict visiting hours. People can see visitors in their own rooms if they wish to do so. Tea and coffee making facilities are always available on request. We have a daily social activites programme that is displayed in the Lounge for people to see but also they are told on an individual basis to ensure those who have poor sight do not miss out. One persons relative told us that they visit four or five times a week and have always been made welcome. Rylands do not currently employ an activities co-ordinator but staff are resposible for arranging and facilitating any activities that take place. We looked at the records and observed that it is recorded when people decline to join in with things and in some cases a reason is given. Care Homes for Older People Page 14 of 26 Evidence: The manager informed us in the Annual Quality Assurance Assessment that the service does hope to be able to employ an activities co-ordinator to enable development in this area. She also told us that they are raising funds to enable more outings from the home. One person told us I like to go out on trips. People we spoke with who live at the service told us There is usually something to do or someone to talk to. Im never bored. A relative told us that the staff organise a number of social events throughout the year including barbecues and open days. Another relative said It would be better to have a bit more structure to activities. Activities include people visiting from the local community to provide entertainment and a represenatative from Help the Aged facilitates residents meetings several times a year, giving people an opportunity to discuss any issues or concerns they may have. These meetings are minuted and the minutes were on display in the lounge for any interested person to see. We observed the staff interacting with people in a positive manner throughout the time we spent at the service. Some people told us that they do not want to take part in activities but enjoy watching others or doing something else. Care plans we saw detailed how staff might encourage people to be more independent and active and they included peoples likes and dislikes. There is a four week menu plan in place and a menu board in the dining room tells people what meal is being provided on that day. There is always a choice of main course and we observed people being offered choices. We also observed people having lunch and they told us The food is very good and there is plenty of it. One person said If I dont like something that is on the menu I am offered something else. People we spoke with told us that they enjoy a glass of wine with their meal or a sherry. We spoke with one of the cooks and she told us We provide fresh, home cooked food from local suppliers. We make all our own pastries and cakes. Care Homes for Older People Page 15 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People know how to complain and are confident that any concerns would be acted upon and responded to. The people living at the service are safeguarded from harm and abuse by staff who adhere to robust policies and procedures. Evidence: The information provided to us by the manager tells us We have a comprehensive complaints policy displayed in the foyer and also in every persons room so they have easy access to the procedure. We also have an advocate who is a representative from Age Concern and chairs the quarterly residents meetngs. We saw the complaints procedure clearly displayed in the entrance foyer along with other information, including advocacy services. People we spoke with told us they would feel very confident to complain if they needed to and that the staff and manager make this very easy by asking them if everything is alright. A relative said They always ask my relative if everything is OK. Things are dealt with immediately so complaints are unnecessary. We looked at records of complaints and saw that none had been recorded since February 2007. We discussed this with the deputy manager and also, what constitutes a complaint, to ensure that people are being listened to and taken seriously. The deputy manager was very clear in her understanding and assured us that any complaint or concern would be taken seriously. Care Homes for Older People Page 16 of 26 Evidence: We did see evidence that the last complaint received was thoroughly investigated within the policies and procedures of the service and the outcome was upheld. Appropriate actions were taken and the outcome was shared with the complainant. People we spoke with and relatives said they had never needed to complain but would if there was something wrong. As part of our case tracking process, we looked at files for three members of staff. The records we saw told us that all staff have had safeguarding adults training and the staff we spoke with demonstrated a good understanding of the procedures, their roles and responsibilities. They also conveyed their understanding of whistle blowing. Safeguarding Adults is a process of identifying and reporting suspected or potential abuse of vulnerable people and provides a framework of consistency to protect those individuals at risk. Whistle Blowing is a means for staff to feel supported to report anything of concern that they may witness. One staff member said I would always encourage someone to complain if they werent happy and I know things would be put right strainght away. Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a clean, safe and comfortable home which is well maintained and equipped to meet their needs. Evidence: The previous inspection identified that members of the public could gain access to the building without staff being aware, therefore putting people at potential risk. The manager has addressed this and there is now a secure entry system in place. We conducted a partial tour of the service where we looked at some bedrooms, bathrooms, communal areas, the laundry and kithen. The atmosphere was homely, clean and fresh. People we spoke with told us The home is kept very clean and comfortable. The questionnaires we sent to people prior to undertaking this inspection visit asked if the home is fresh and clean. We received seven completed by people living at the service. Six replied Always and one replied Usually. The bedrooms we viewed during this visit were comfortably furnished and people had clearly been encouraged to personalise the rooms with photographs, ornaments and small items of furniture. Care Homes for Older People Page 18 of 26 Evidence: All the people we spoke with stated that they liked their bedrooms and confirmed that they can use them at any time. One person told us that they choose to spend the majority of their time in their bedroom. A relative said My relatives bedroom is cosy and comfortable with their things around them. Home from home. We saw that some people had private telephones installed in their bedrooms and although this is not funded by the service, people can make arrangements to have a private telephone line. Hospital beds had been provided for people where there was an assessed need and each room had a lockable drawer facility for secure storage of personal items. We spoke with people sitting in the lounge and they told us that the room is Homely and comfortable. One person said I like to sit here with my friends. We chat a bit and sometimes watch television and we can see who comes and goes. One relative told us they would like somewhere private to meet with their relative, other than the bedroom. They had discussed this with the manager and in turn, she had discussed it with the proprietor. The manager has informed us in the Annual Quality Assurance Assessment that there are plans in place to create a private visiting area on the second floor and that refreshments will be made available. The bathrooms we saw were warm, clean, easily accessible and well equipped. The service has benefitted from some refurbishment since the last key inspection including flooring in the bathrooms, new furniture in the dining room and lounge as well as new carpets and curtains. A number of bedrooms have also been refurbished and it is planned that the others will be done this year. New equipment has been provided in the kitchen. We observed that the accommodation has been maintained to a good standard. We saw that the gardens are well maintained, safe and accessible to people, providing seating areas where they can relax. Some relatives we spoke with told us We love to sit outside with our relative whenever the weather is nice. Care Homes for Older People Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience 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 and protected from harm by trained staff in sufficient numbers to meet their needs. Evidence: As part of our case tracking process, we looked at files for three members of staff, including the last person to be recruited. All three files contained the necessary paperwork and information to tell us that the recruitment policies and procedures are safe and are being strictly adhered to. We saw that staff had provided a minimum of two written references and the required Criminal Record Bureau and Protection of Vulnerable Adults checks had been completed. We also saw evidence that staff receive a thorough induction when they commence employment and staff we spoke with confirmed this. The deputy manager told us that staff can shadow others until they are confident and competent and the length of time this continues is dependent on each persons ability. We looked at training records and saw that all staff have had mandatory training such as Moving and Handling. This training was up to date with refresher training planned as necessary. We saw evidence that a considerable amount of training has been provided for staff and numerous certificates are on display within the home, for anyone to see. Care Homes for Older People Page 20 of 26 Evidence: We spoke with two members of staff, one of whom told us The training is very good. We are a good team and share tasks throughout each shift. The information we received from the manager prior to this visit, told us that the majority of staff have achieved National Vocational Qualifications at level two or above. The service benefits from a low turn-over of staff, providing people who live at the service and their relatives with continuity and opportunities to get to know the carers. People we spoke with told us We feel comforable here. The staff are very good. I like living here and have a very good relationship with all the staff. A relative said The staff at Rylands are caring, loving, hard workers. Staff we spoke with told us that they have regular one to one supervision with the manager and group supervision. The home is very well run by the manager and the care staff. Training records showed us that all staff receive basic 1st Aid training and all have been trained in Safeguarding Adults and Whistle Blowing Safeguarding Adults is a process of identifying and reporting suspected or potential abuse of vulnerable people and provides a framework of consistency to protect those individuals at risk. Whistle Blowing is a means for staff to feel supported to report anything of concern that they may witness. Staff we spoke with demonstrated a good level of knowledge and understanding of these areas and told us I would always report anything of concern, even if it involved my friends. The residents come first. I know the people who live here are safe. Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience 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 is being run in the best interests of the people who live there. Evidence: The manager returned the Annual Quality Assurance Assessment within the required timescale and it was completed in a manner which provided us with a lot of useful information. The manager has the relevant qualifications and ten years experience of managing a care home. She has demonstrated her committment to her role by continuing her professional development, including undertaking further National Vocational Qualifications in Health and Social Care and Customer Service. People who live at the service, relatives and staff we spoke with all told us that the manager is very approachable and that she actively seeks their views about the service provided. Care Homes for Older People Page 22 of 26 Evidence: The service has an internal Quality Assurance system in place whereby people are asked to complete questionnaires to provide feedback about their experience of living at Rylands. There is a suggestion box in the hall and records of peoples requests having been actioned. Surveys are given to people and their relatives and the information is then collated and feedback given. Actions are then taken to meet peoples requirements and to inform the business plan. The manager does not manage anyones money and actively discourages people from having large amounts of money on the premises. Family, friends or representatives are sought to assist people in this area. Health and safety measures are in place to ensure the Health and Safety of staff and people living at Rylands. This is evidenced by the implementation of a Health & Safety Policy, which clearly identifies the responsibilities of management and staff. We looked at the records of accidents and incidents that had been recorded since the last Key Inspection. There were thirty four entries and these included the most minor incidents to ensure best practice. The recording provided accurate descriptions of the events and all were dated and signed. The last Key Inspection identified that we were not always receiving Regulation 37 notices to inform us of significant incidents at the service but this has been addressed and we do now receive them. (This is a regulatory process which informs us of any reportable incidents that occur at a service.) As part of our inspection process we looked at the relevant safety certificates for servicing and maintenance of equipment and services. All were in place and up to date. The fire safety equipment and testing was also seen to be up to date. Staff we spoke with told us that any maintenance tasks are reported and recorded for the benefit of the handyman, who completes the task and then signs to say this has been done. This inspection informed us that the manager responds to recommendations and requirements that are made, in order to continue to improve the quality of the service provided at Rylands. Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 25 of 26 Helpline: Telephone: 03000 616161 or Textphone: or 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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!