Care Home: St Peters Convent

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What the care home does well Residents receive support in moving about the premises either independently or with help. There are many areas where residents can meet visitors in private. Resident`s relatives and friends are welcome to visit. According to residents, visitors and staff, meals provided are good and they appreciate the choices given. Residents are able to use the chapel on the premises. They have the benefit of the companionship and support of sisters of the community. Residents receive very good social and healthcare support. Relevant equipment and adaptations are provided for the benefit of residents. The premises are suitable for use by older people. Plans for the future, according to the AQAA and discussions during the inspection visit, include, for example: 1. Giving more responsibility to individual members of staff by allocation tasks to individuals. 2. Reviewing and, if necessary, extending training in medication administration. 3. Introducing guidance for staff on the implication of the Mental Capacity Act. 4.Implementation of a malnutrition universal scoring tool for the further protection of vulnerable people. 5. Provision of additional sensory equipment for residents. 6. Progression with the residents/relatives forum. 7. More fundraising to help offset the costs of care. 8. Further improvements to the premises in a planned way. 9. More training in palliative care. 10. Continuation of the programme of dementioa care training. 11. Introduction of a new staff questionaire to assist with current quality assurance measures. What has improved since the last inspection? The manager has introduced several improvements. These include further work on new written pre-admission information, better individual care plans and risk assessments and continuation of the advanced procedures in providing activities for the physical and mental stimulation of residents. There are also advanced work procedures in place to ensure that the changing needs of residents are supported by, for example, sufficient members of staff on duty and additional support obtained from district nurses. Procedures for administering medication were reviewed and updated during 2008 and 2009. The induction procedure was brought into line with "Skills for Care" standards. Staff files were updated to make sure that all relevant employment checks are carried out. Formal staff supervision was reviewed and improved. Over the past year, the manager has reviewed and improved many of the home`s procedures so that residents are protected and members of staff are clearer as to their responsibilities in meeting the support needs of residents. The AQAA refers to how this work is continuing for the benefit of residents and their advocates. What the care home could do better: This report contains no requirements or recommendations. The improvements carried out over the past year are acknowledged as well as the references in the AQAA to ways that the service is being further developed. Key inspection report Care homes for older people Name: Address: St Peters Convent 15 St George`s Terrace Herne Bay Kent CT6 8RQ     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: Eamonn Kelly     Date: 2 2 0 4 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 28 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: St Peters Convent 15 St George`s Terrace Herne Bay Kent CT6 8RQ 01227744000 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: info.stpeters@btinternet.com Sisters of the Sacred Hearts of Jesus and Mary care home 34 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 34 The registered person may provide the following category of service only: Care home only (PC) to service users of the following gender: Either whose primary care needs on admission to the service are within the following category: Old age, not falling within any other category (OP) Date of last inspection Brief description of the care home St. Peters Convent, owned and operated by a religious order, provides accommodation and support for older people. Sisters of the Order retain occupancy of the 3rd floor and some other parts of the premises as part of their convent. Residents bedrooms are on the 1st and 2nd floors. A passenger lift operates from the basement to third floor. All residents have single bedrooms with ensuite facilities. The premises are on the seafront and have enclosed gardens at the rear. Information about fees and other charges may be obtained from the manager. Details of admission procedures and Care Homes for Older People Page 4 of 28 Over 65 34 0 Brief description of the care home facilities at the service are contained in written pre-admission information available to prospective residents and their supporters. Care Homes for Older People Page 5 of 28 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 that people who use the service experience good quality outcomes. The inspection took place on 22nd April 2009. The methodology used to produce the report included reference to the AQAA (annual quality assurance assessment) submitted to the Commission by the manager, meetings with members of staff, residents, manager and Sisters of the Order. Checks were made of those parts of the premises used by residents and staff. A review of records (for example, care planning documents) used in the care and support of residents were assessed. The outcomes of the previous inspection report were checked. Checks were also made of information known to the Commission about the service. This report contains no requirements or recommendations. Care Homes for Older People Page 6 of 28 Care Homes for Older People Page 7 of 28 What the care home does well: What has improved since the last inspection? What they could do better: This report contains no requirements or recommendations. The improvements carried Care Homes for Older People Page 8 of 28 out over the past year are acknowledged as well as the references in the AQAA to ways that the service is being further developed. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 of 28 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 28 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. Prospective residents and their supporters receive initial advice and guidance to help them assess the facilities and suitability of the service. This includes provision of written information about services and facilities and as much support as individual people need at the time. Evidence: Prospective residents and their representatives receive assistance and guidance to help them decide if the home is able to meet their support needs. They receive a written guide that contains information about services and facilities. New residents receive a personal contract that contains information on the rights and responsibilities of both parties. The manager carries out an assessment of prospective residents support needs with assistance where necessary from Social Services care managers. Some residents Care Homes for Older People Page 11 of 28 Evidence: have support needs associated with the on-set of dementia as well as substantial mobility problems and other disabilities. The care plan record begun at this stage outlines the support needs of the prospective resident and how these needs would be met. A review of two care plans for recently admitted residents provided useful insights into how residents are supported at this stage. Both residents were satisfied with the support given then and subsequently. The manager carries out a pre-admission assessment before all admissions. A checklist and associated notes are taken at this stage that form part of subsequent care plan records. In the case of two recently admitted residents, care plan records showed that their health requirements had been checked in detail and that their specific support needs were identified. In both situations, assessments provided by local authorities were found to be lacking and re-adjustments were required to their original suppport package. Potential residents may not always visit the home prior to taking up residence. However they (and their representatives) are invited to do so. The home occasionally admits residents for respite care. Care Homes for Older People Page 12 of 28 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. Residents health, personal and social care needs are met. They receive very good support on a day-to-day basis to remain mentally and physically active and alert. Evidence: Care plan records seen for three residents contained good information about residents support needs and how these are being met. They contained good personal profiles of residents. An outline profile is initially obtained and this is followed by a more detailed profile with the participation of the resident and family members. According to the manager, care plans are an increasingly effective operational tool for staff. The evidence is that members of staff are using care plans to identify the changing needs of residents and record how support should be provided. Residents care plans have a great deal of information about their support needs. In particular, risk assessments in each residents personal file identify the relevant issues associated with his/her continuing support and, in the examples seen, were recently updated. The senior carer completes daily records in respect of important aspects of residents health and changes in health or disposition. These issues are discussed during staff Care Homes for Older People Page 13 of 28 Evidence: changeover to enable in-coming staff to be aware of changes in residents temperament or health. During the inspection visit, members of staff treated residents with understanding and respect. Discussions about the profiles of three residents and how they are supported also indicate a high level of understanding of and respect for clients. Where difficulties occur in the continuing support for some residents, there was evidence that care managers and family members are involved in reviews and any necessary changes in the levels of support. GPs visit as necessary. The services of district nurses are routinely obtained and they have an increasingly important role as the support needs of residents increase. Residents have good access, according to profiles of residents discussed during the inspection and records checked, to local NHS community services. There is close contact with local PCT nurses who, for example, provide and change dressings. Two new residents said they receive very good healthcare support particularly when they were feeling most vulnerable. They also said that carers have a good understanding of the difficulties faced by residents and are skilful in providing the personal support needed. Residents have good access to dentists, chiropodists and opticians according to current care plans. The senior carer explained how medications are administered and how unwanted medicines are recorded and disposed of. MAR sheets are completed at the time of administration. A photograph of each resident accompanies their MAR sheet. In the case of residents receiving respite care, a MAR sheet is completed manually to control and supervise their medication administration if the resident is unable to safely retain and administer his/her medication. The manager said that only those members of staff who have received specific training are allowed to administer medication and update MAR sheets. Based on the evidence of information in the selection of records seen, members of staff have access to good information about residents support needs and how these are being addressed. There was also evidence of reviews of residents health with outcomes of formal reviews recorded. An important declared aim of support is to help residents remain as independent as possible. This involves encouraging them to move around on their own with any necessary staff observation. Members of staff help residents who have hearing aids to keep them in working order and they encourage them to continue using the aids. Records indicate that residents Care Homes for Older People Page 14 of 28 Evidence: weights are recorded monthly or more often if necessary. GP or dietician involvement is sought where there are concerns. Care plans seen and discussion of profiles of residents indicate that good end-of-life planning is carried out. This includes more recent improvement in the ways residents wishes are discovered and how these are recorded in care plan records. The availability of services at the chapel on the premises is, according to residents and staff, valued by residents and their advocates. The companionship of Sisters of the Order is also of acknowledged benefit to residents. Care Homes for Older People Page 15 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents receive excellent support on a day-to-day basis to remain mentally and physically active and alert. The objective of the home is to help residents gain and retain their independence. Evidence: Members of staff help residents to remain physically and mentally active. This support is enhanced by the individual and group attention to residents given by the activities co-ordinator. The activities co-ordinator maintains extensive records about the success of initiatives and involves residents in the planning of events and activities. Residents receive copies of the homes newsletter that, amongst other items of information, contained photographs of residents and details of outings and activities. Relatives and visitors provide good support and they may visit at any time. There are several kitchenettes throughout the premises for visitors and staff to avail of informal arrangements. Residents and staff have access to the Sisters minibus for outings. Residents spoke positively about the events arranged and of how they are involved in selecting events and venues. Care Homes for Older People Page 16 of 28 Evidence: Residents are encouraged to continue the patterns of their former lives as far as possible within their changing circumstances and to exercise control over longer and shorter-term decisions. The manager is continuing to enhance the importance of having relevant biographical details of each resident included in care plans. This is to enable members of staff to more fully appreciate and understand the nature of residents previous lives and occupations. Weight charts and nutritional assessments are maintained. Residents are able to have their meal over an extended period and members of staff give them assistance as needed. They are encouraged to choose from different meals options available at around noon and late evening and have their meals in very congenial surroundings. The AQAA indicates that residents and family members are encouraged to say what they feel and to give their views about any issue they feel affects them. Residents gave examples of particular activities promoted by the service. There were a number of examples seen during the inspection that suggested they are helped in a number of ways to remain mentally and physically active. This included staff assisting residents on a one to one basis, helping them to walk about the premises including using the stairs and stair lift, provision of books and newspapers, talking to them, providing music and helping residents visit the garden. Care plans have been extended to include activities most likely to interest residents and efforts are made to provide these activities. A notice board outlines planned activities and proposed outings over the coming weeks. Residents referred to the range of activities within the premises and to trips out. They have the use of a minibus and residents spoke of how often this opportunity is used. During the inspection, there was a positive atmosphere and carers were working actively with residents when they were not engaged in household activities. Care Homes for Older People Page 17 of 28 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. Residents are protected from abuse by the vigilance and expertise of staff. They are well supported and their views are listened to and acted upon. Evidence: There have been no complaints about the service since the previous inspection visit. People connected to the service are encouraged to make their views known to the manager and members of staff and note is taken of these comments or views. Written surveys are also used for this purpose. The activities organiser also carries out regular surveys during which she helps residents where necessary to reflect on how to respond to the questions raised. The service has a complaints procedure. Residents met said they are aware of this procedure. The manager has updated policies and procedures for safeguarding people and has made these readily available for staff. Members of staff receive POVA training. The manager advises social services and the Commission of issues affecting residents health. Members of staff are aware of how they should report concerns to the relevant local authority. Care plan records indicate that care managers carry out frequent reviews of social services funded residents. Staff files indicate that references are taken up and new members of staff receive Care Homes for Older People Page 18 of 28 Evidence: induction that meets the requirements of the relevant care-sector organisation (Skills for Care). These checks contribute to procedures for ensuring the protection of residents. The AQAA (annual quality assurance self-assessment) indicated that the manager provides staff with training on working with residents with the on-set of challenging behaviours to enable them to work confidently and effectively when problems and new situations arise. A member of staff also indicated that consideration is being given to this issue as the home continues to support people as their aging problems increase. The AQAA indicated that members of staff, residents and visitors are aware of the complaints procedure and that all comments about the service are welcome. Care Homes for Older People Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The premises are suitable for use by frail older people. Residents live in a comfortable and well maintained environment and benefit from the ongoing improvement programme of redecoration and routine maintenance. Evidence: Residents bedrooms are situated on the first and second floors and residents have the additional benefit of access to a passenger lift. All bedrooms are single and are equipped with ensuite facilities. Handrails have been fitted throughout the premises for residents safety. Specialist equipment is provided throughout the premises (for example several Parker baths in bathrooms, bed sides, hoists, call bells in bedrooms and communal areas, electrically operated beds). The AQAA (annual quality assurance self-assessment) stated that the necessary safety checks have been completed and that, for example, fire safety checks are undertaken and recorded. The premises are kept clean and tidy and are in very good condition. The maintenence engineer provided an outline of how the premises are maintained, how all necessary checks are carried out and how the outcomes are recorded and reviewed. Care Homes for Older People Page 20 of 28 Evidence: Lounge areas are comfortable as are dining room areas. The enclosed gardens are suitable for use by frail older people using them independently or accompanied. Care Homes for Older People Page 21 of 28 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The use of appropriate recruitment, selection and training procedures contributes to the safety, comfort and protection of residents. Evidence: Staff files indicated that most members of care staff have achieved an NVQ qualification and all are encouraged to do so. Members of staff also undertake training in moving and handling, infection control, health and safety, and medication administration. The manager has enabled carers to undertake the RVQ Certificate in Dementia Care. They also receive training in moving and handling vulnerable people. Job descriptions and specifications define the roles and responsibilities of staff. People who use the service report that staff working with them are skilled in their role and are consistently able to meet their needs. The manager said that she is given sufficient funding to have enough staff available to meet the needs of the people using the service. The rota sheets examined evidenced this. The manager said that she concentrates on enabling members of staff to receive Care Homes for Older People Page 22 of 28 Evidence: relevant training that is focussed on delivering improved outcomes for residents. The training matrix suggested that the home puts a high level of importance on training. Staff said that they are supported through training to meet the individual needs of people in a person centred way. There is a good recruitment procedure that defines the process to be followed. This was evidenced in three staff files seen. The relevant checks are carried out including CRB and POVA First checks. A previous inspection report requested more emphasis on formal staff supervision and staff files indicate that this request was addressed in early 2008. There are contingency plans for cover for vacancies and sickness; there is little use of agency or temporary staff and a bank staff procedure is maintained to enable staff to be obtained when necessary. Residents met during the inspection visit said they have confidence in the staff that care for them. Staffing rotas showed that there are well thought out ways of making sure that the home is staffed efficiently with attention given to the changing needs of the people who use the service. Care Homes for Older People Page 23 of 28 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. Residents live in a service that is well managed and that acts in their best interests. Evidence: The service aims for an increased quality of life for residents with a focus on equality and diversity issues. Staff training is being arranged for the latter topic. There is also a focus on person centred thinking with residents centrally involved in shaping the support they require. There is a strong ethos of being open and transparent in all areas of running of the home. Supported by the organisations strategic, financial and operational systems the manager conducts the home in the interests of residents. She says that she is confident that the budget for staffing hours is sufficient for meeting the needs of residents. Discussion is taking place to ensure that ever-increasing needs of residents are properly met. The manager has a clear understanding of the key principles and focus of the service. Care Homes for Older People Page 24 of 28 Evidence: The AQAA contains a declarationto that all necessary safety checks and associated certificates are in place. The service has good policies and procedures that the manager reviews and updates in line with current thinking and practice. She ensures that all members of staff follow the policies and procedures of the home. Over the past year the manager has improved many of the homes procedures for the benefit of residents. The home has a clear health and safety policy. The manager is confident that all members of staff are aware of the policy and are trained to put theory into practice. She says that regular random checks take place to ensure they are working to it. Safeguarding is given high priority and the home provides a range of policies and guidance to underpin good practice. The manager and registered responsible person for the service deliver good business planning and effective financial controls. Quality assurance and monitoring procedures are in place for efficient running of the home, to give value for money and deliver effective outcomes for the people who use the service. The examples of questionnaires used by the manager and activities organiser show that residents are centrally involved in having a say and being helped to give this feedback. People are supported to manage their own money where possible. Where this is not possible there is a clear reason why and they receive advice to obtain impartial legal and financial support. Individuals have access to their records whenever they wish. Care Homes for Older People Page 25 of 28 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 26 of 28 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 27 of 28 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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