Care Home: Sholden Hall Residential Home

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What the care home does well The home have clear written information ready for people who might be interested in living here. Each person has a thorough assessment to make sure the home is the right place for them. The care plans contain information about the needs of each person and how they would like to be supported. People are well supported with their health and personal care. Community health care professionals visit the home and offer advice and support. Food in the home is of a good standard and provides service users with a healthy balanced diet. The home is comfortable and homely. Staff are well trained with a good ongoing national vocation qualification training programme. The home has an open and friendly atmosphere. The owners and staff take the time to find out what people want and listen to what changes or improvements need to be made. The home provides a safe place for people to live in and work in. What has improved since the last inspection? The care plans are being revised so that they contain more ongoing health and personal care assessments. This is to make sure that if there are any changes in a person`s need that they are quickly responded to. The care plans are also being computerised which will cut down the time the staff have to spend updating them. The activities provided in the home have increased. People are able to get out without only relying on family and friends. The staff are spending time with each person to find out what they would like to do so that the leisure activities provided can be developed. They are building a memory book for each person to assist with recall of previous interests and to record current outings and events. A new medication trolley, fridge and store cupboard have been purchased. The medication has been reviewed and the records have been re-designed so they are easier to read. Each person has somewhere to put creams and other external medications in their bedrooms, that is lockable. There is clear information for staff about medication. Some external essential building work was necessary including repairs to the roof and outside wall. And this has been completed. An extension has been built to the laundry which has increased the space so that laundry can be dried appropriately and not in the main parts of the home. The staff have a changing room and are able to wash their uniforms on the premises. The entrance hall and stairway has been painted and looks lighter and more spacious.The main communal parts of the home have been redecorated and new lounge and dining room furniture has been bought. The workstation in the dining room has been removed making the room bigger. Instead of separate dining room and lounge the two rooms have both lounge furniture and dining furniture. One room has the TV in it and one is quieter. People can choose where they want to sit and where they want to eat. The kitchen floor has been replaced. New carpet has been ordered for both lounge dining rooms and the conservatory. The owner and manager have looked at all the training provided and booked courses for staff where needed. All the staff are receiving training in dementia awareness and communication to give them the skills to support people who are becoming confused and disorientated. The home has an audit system so that every aspect of the care provided and the home is checked. A different area is checked each month and the timetable runs throughout the year. The owner and manager identify what needs to improve from this. A development plan has been designed which clearly outlines the current plans for improvement and many things on the list have been completed. The manager makes sure that when new staff are recruited that all the required information is requested and kept in an individual file. What the care home could do better: It was not necessary to make any requirements or recommendations. The owners and manager know the areas that they want to improve and have clear plans to do this. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Sholden Hall Residential Home London Road Sholden Deal Kent CT14 0AB     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: Julie Sumner     Date: 1 1 0 9 2 0 0 8 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. the things that people have said are important to them: They reflect 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 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) 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.csci.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Sholden Hall Residential Home London Road Sholden Deal Kent CT14 0AB 01304375445 Telephone number: Fax number: Email address: Provider web address: c.steven@btconnect.com Name of registered provider(s): Name of registered manager (if applicable) Mrs Clare Stephens Type of registration: Number of places registered: Mr Rajendra Kumar Boodhoo,Mrs Amanda Jane Boodhoo care home 27 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users to be accommodated is 27. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP). Date of last inspection Brief description of the care home Sholden Hall is a large listed house in the village of Sholden in Deal. The home is registered to provide care for 25 older people. There are 18 single and 4 double bedrooms, arranged over two floors. 15 of the rooms have en-suite facilities. There is a shaft lift and a stair lift to access the upper floors in the home. On the ground floor there are two large lounge and dining rooms and a conservatory with access to the Care Homes for Older People Page 4 of 27 Over 65 27 0 Brief description of the care home garden area. There is a large walled garden area to the rear of the property. At the front of the property there is a drive and car park. The home is situated on the main Deal to Ramsgate road, and there is a local bus service into the town of Deal. The current fees for the service at the time of the visit range from 337.00 to 450.00 pounds per week. Information on the home?s services and the CSCI reports for prospective service users will be detailed in the statement of purpose and service user guide. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This report is based on information received about Sholden Hall including an annual quality assurance assessment (AQAA) completed by the registered manager and a visit to the home lasting around 7 hours. The visit was unannounced, which means that the people living in the home, staff and homeowners did not know that we (the commission for social care inspection - CSCI) were calling. Sholden Hall is a care home for older people and has been providing a service for many years. This was the first inspection visit since the new owners took over. Care Homes for Older People Page 6 of 27 Information was gathered for this inspection in a variety of ways since the new owners took over and during this visit to the home. As it is only the ownership of the home that is new, some information from the last inspection visit was also considered. Surveys have been sent out to residents, staff and visiting professionals. Some surveys were available in the home for relatives. Those returned have been taken into account in this report. The visit included talking with residents, the owner and staff. General observations were made during the day of how people are supported. There was a tour of the building and various records were inspected. The people living in Sholden Hall were able to participate in the inspection by having conversations about their lifestyle and completing the surveys before the visit. What the care home does well: What has improved since the last inspection? The care plans are being revised so that they contain more ongoing health and personal care assessments. This is to make sure that if there are any changes in a persons need that they are quickly responded to. The care plans are also being computerised which will cut down the time the staff have to spend updating them. The activities provided in the home have increased. People are able to get out without only relying on family and friends. The staff are spending time with each person to find out what they would like to do so that the leisure activities provided can be developed. They are building a memory book for each person to assist with recall of previous interests and to record current outings and events. A new medication trolley, fridge and store cupboard have been purchased. The medication has been reviewed and the records have been re-designed so they are easier to read. Each person has somewhere to put creams and other external medications in their bedrooms, that is lockable. There is clear information for staff about medication. Some external essential building work was necessary including repairs to the roof and outside wall. And this has been completed. An extension has been built to the laundry which has increased the space so that laundry can be dried appropriately and not in the main parts of the home. The staff have a changing room and are able to wash their uniforms on the premises. The entrance hall and stairway has been painted and looks lighter and more spacious. Care Homes for Older People Page 8 of 27 The main communal parts of the home have been redecorated and new lounge and dining room furniture has been bought. The workstation in the dining room has been removed making the room bigger. Instead of separate dining room and lounge the two rooms have both lounge furniture and dining furniture. One room has the TV in it and one is quieter. People can choose where they want to sit and where they want to eat. The kitchen floor has been replaced. New carpet has been ordered for both lounge dining rooms and the conservatory. The owner and manager have looked at all the training provided and booked courses for staff where needed. All the staff are receiving training in dementia awareness and communication to give them the skills to support people who are becoming confused and disorientated. The home has an audit system so that every aspect of the care provided and the home is checked. A different area is checked each month and the timetable runs throughout the year. The owner and manager identify what needs to improve from this. A development plan has been designed which clearly outlines the current plans for improvement and many things on the list have been completed. The manager makes sure that when new staff are recruited that all the required information is requested and kept in an individual file. 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.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 27 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Admissions are not made to the home until a full needs assessment has been carried out and the service is confident it has the skills and facilities to meet the needs of the individual. Evidence: The new owners have designed a new statement of purpose and service user guide. One of the people who has recently moved into the home said he had received these. And information was seen in his care plan. The owner discussed the fee structure. These vary depending on the type and size of the room. Individual contracts clearly state the fees agreed. The registered manager carries out an assessment where the person is living. This is to see whether Sholden Hall would be a good place for the person to live. If the person Care Homes for Older People Page 11 of 27 Evidence: might have nursing needs or need any other support, a joint assessment is carried out to make sure this is the right type of home. The joint assessment would be carried out with a district nurse or mental health nurse and a care manager from social services. Three care plan folders were looked at. A joint assessment was seen in one of the individual folders. There was good basic information about individual needs and interests so that the manager and staff could write a plan of support for each person. Care Homes for Older People Page 12 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Personal and healthcare support is responsive to the varied and individual needs and preferences of the people living in the home. Individuals privacy and dignity are respected. Evidence: Each person has an individual written plan. This contains various assessments including risk assessments, guidelines for staff on how they are to be supported and records of care given. Peoples preferred name is recorded in the care plan. There are also guidelines for staff of how the person has said they like to be supported and what their preferences are. A new care plan format is being implemented a folder at a time. Three care plans were looked at and one of these was in the new design. Various health related documents like pressure care assessments, nutritional assessments and moving and handling assessments are included in the care plan. The owner said he wanted all these assessments to be included to aid observation of changes in health and wellbeing. Care Homes for Older People Page 13 of 27 Evidence: The manager and staff team are working with health care professionals including the falls prevention team. People living in the home said that the chiropodist and hairdresser come regularly. They also said they district nurses come to the home when needed. All residents are registered with a GP. One of the people who shares a bedroom said that they are able to have privacy when they need support with personal and health care. The home uses the Boots monitored dosage system. The lunchtime medication round was being given by the team leader and part of this was observed. The medication administration records were looked at and medication was discussed with the owner. The owner has updated the medication folders so that all necessary information is in them including descriptions of the medication each person is prescribed and what it is for. This also includes possible side effects to watch out for. The manager and owner carry out medication audits to make sure all medication has been given, ordered and recorded for correctly. If individuals are prescribed creams or other external medication they can be kept in the persons bedroom. There is a lockable cupboard and drawer for these to be stored safely and discretely. A medication fridge has been purchased for medication that needs to be kept at a specified temperature. None of the people living in the home are prescribed controlled medication at present. A controlled medication cupboard has been fitted should anyone need this in future. Care Homes for Older People Page 14 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home are given the opportunity to take part in a variety of activities arranged in the home and are benefiting from more one-to-one activities and opportunities to go out. Individuals are supported well with their nutritional needs. Evidence: The people living in the home spoke about their lifestyle. People said some activities are arranged in the home and do they do sometimes go out. Staff said that outings are arranged by the home and sometimes individuals just like to go up to the local shops. They have recently organised lunch out, shopping, going for a coffee, out to the pub, and garden centres. One person spoke about his lifestyle before coming into the home and said he had gone to the pub last week. Relatives do also take individuals out. Outside entertainers visit the home to provide music sessions and armchair aerobics. Newspapers and magazines are delivered daily. Sometimes they sit and read the newspapers and do the cross word and there are some games. All the people in the lounge talked to us and told us that they have enough planned activities and some people said they enjoy just sitting and watching the general activity of the home. Care Homes for Older People Page 15 of 27 Evidence: Meetings are arranged to discuss what everyone feels about the activities provided in the home. The surveys from relatives indicated that there has been an increase in activities in the last 6 months. The owner explained that they want to establish what is important to each person, what their interests were and what they would like to continue. A member of staff has been allocated this task and has started building a record using photos to prompt memory with one person. This will continue until everyone has an activity plan which will include one-to-one activities. Visitors are welcome any time. People said their visitors sit in the lounge with everyone. They can also sit in the conservatory which is quieter or if they want privacy they can use their bedroom. Surveys seen from service users and some relatives indicated that they are able to visit when they want to and are happy with the communication from the home. We had lunch with some of the people who live in the home which was well prepared and presented. They talked about the home and said the meals are good. There are two cooks who take it in turns to work through the week. They spoke about their role. The menus were looked at. Residents said that the food was varied and they have as much as they want. There were alternatives to choose from the menu including vegetarian options. 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. The home has an open culture that allows residents to express their views, and concerns in a safe and understanding environment. People living in the home are protected by the policies and procedures in place. Evidence: There is a complaints and compliments folder. No complaints have been recorded. The owner and staff said that concerns raised are usually something that can be resolved immediately. The people living in the home said that they were happy to talk to the owner, manager or staff if they were concerned about something. One person said that he regularly complains about the meals and did so at lunchtime. Staff were observed to be courteous and make an effort to resolve the complaint to the persons satisfaction. The homes quality assurance surveys and some surveys collected for this inspection indicated that people know how to complain but they have not needed to make a complaint. Any minor issues have been dealt with at the time. All the staff have attended training in safeguarding vulnerable adults. Records of this training were viewed. One of the staff spoke about what she would do if faced with a suspicion of abuse and demonstrated a sound knowledge. Care Homes for Older People Page 17 of 27 Care Homes for Older People Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is clean and comfortable and has a programme to improve the decoration, fixtures and fittings for the benefit of the people living there. Evidence: We walked around the home and garden with one of the staff. The front entrance hall and stairway has been decorated and there is a good quality clean carpet. The entrance looks light and welcoming. The owner explained that he has plans for an alternative entrance that is wheelchair accessible as the main entrance has several stairs leading up to the home. There is a stair lift and a shaft lift for access to all the areas of the home. There is a large spacious kitchen. Parts of the kitchen have been refurbished and the flooring has recently been replaced. The two rooms that were the lounge and dining room have been rearranged. Both have tables and chairs for eating at or other table activities and easy chairs for relaxing. One room has a TV and one room is quieter. Residents said they like the rooms this way and move from one room to another. One of the rooms had a workstation situated in it which has been removed creating more space in the room overall. New dining room and lounge furniture has been purchased. And people said they liked the new furniture which is lighter in colour and comfortable. People said they also like to sit in the conservatory and in the garden in fine weather. Care Homes for Older People Page 19 of 27 Evidence: They said they had plenty of options of where they would like to sit or eat in the home. The owner explained plans to build an extension along the side of the home to make an activities and therapy room. This will also include a disabled toilet. As the home is a listed building he is waiting for the council to approve the building work. The laundry area has been extended. There is a drying room with shelves and an additional storage room for the home. The staff said that this has really improved the laundry process and removed some of the clutter from other parts of the home. They also said this is especially good because now there is no laundry drying around the house and in the conservatory. Staff are provided with uniforms and the facilities to wash them in the home hygienically. Protective equipment is also provided and there are policies and guidance in the home about cleanliness and preventing infection. Staff have attended infection control training. 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 people living in the home can be confident that their needs will be met by skilled and competant staff. Evidence: The home has a stable staff team. The staff have clearly defined roles. The duty rota was looked at. There is usually a team leader or senior carer, two care staff, a domestic and a cook on duty during the day. The manager works during the week days and the deputy manager works alongside her and covers when she is away. There are two care staff on duty at night. There is a clear line of accountability with team leaders and senior care staff working opposite each other to provide maximum cover to the home. All the senior staff have a national vocational qualification (NVQ) level 3. The owner has purchased new uniforms and each different role has a different colour. A key worker system has been introduced so that the people living in the home have a nominated carer that gets to know them and makes sure that the information in the care plan is acted on. There is a shift planner so that each member of staff knows who they are supporting and what tasks they need to do. At the end of the shift each staff records what they have done so that there is a record. Care Homes for Older People Page 21 of 27 Evidence: The deputy manager has been reorganising the staff files and together with the manager have made sure that they contain all the information that needs to be included. The recruitment process has been reviewed by the manager and all required information was seen in two staff folders that were looked at. New staff have an induction that is based on the skills for care common induction standards. The training matrix was looked at and discussed with the manager. The owner teaches a dementia training programme which is then verified externally. All the staff are having this training. Staff spoke about their training and comments in surveys indicated that they are able to access a good range of training. The training required by law is ongoing and all staff are updating this within the necessary timescales. There was a supervision timetable in the office and staff said they have supervision every other month. They also have an annual appraisal. Care Homes for Older People Page 22 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users benefit from a home that is well managed and run in their best interests; and their health, safety and welfare are promoted. Evidence: The manager has achieved her Registered Managers Award, her A1 certificate in assessment, and has a National vocational qualification (NVQ) 4 in care. She has been managing Sholden Hall for almost 6 years. The manager keeps herself up to date with mandatory training. She is a moving and handling assessor, and has certificates for attendance at various other courses. The atmosphere in the home is friendly and relaxed and this is supported by the management approach to the home. The home has a quality assurance strategy in place that the owner has further developed. Annual surveys are circulated to service users, family, visiting professionals, and staff and an analysis of the results is completed and acted upon. A copy of the last analysis for the home was looked at. The owner has designed a Care Homes for Older People Page 23 of 27 Evidence: timetable of regular audits to be undertaken in each area of service in the home. Specific risk assessments are in place for a variety of equipment and tasks. The owner has organised the improvements of the home and from this the manager has a development plan which clearly sets out her plan of action and planned timescales. There have been many developments in the last 6 months since the home has been under new ownership. The people living in the home commented on how much the home has improved. Surveys received also commented on the improvements. The owner and manager are reviewing the homes policies. Some of the completed ones were looked. They are being designed to relate to the minimum standards. The owner said this is to make the policies more understandable to each member of staff so that they are working policies. Staff said the new format is good. The home do not handle money on behalf of the people living in the home. Many of the service users handle their own financial affairs or they have someone to do this on their behalf. The owner invoices the person’s family or their representative when they have had their hair done or received something that they want that needs to be paid for. The home and equipment are serviced at required intervals. Building repairs have been undertaken to make sure the home is a safe place to live and work in. Training is provided and updated for all staff in areas required by law. 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: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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 © (2008) 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 27 of 27 - 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!