Care Home: Stallingborough Lodge Care Home

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What the care home does well People are assessed prior to admission and this is used as a basis to develop a fuller care plan which reflects peoples current needs and is evaluated regularly. Safe practices are in place to ensure they receive medication as prescribed. A varied programme of activities is in place to ensure peoples social, religious and cultural needs and expectations can be met. A balanced diet is on offer to help people maintain their well-being. A comprehensive process is in place to ensure people can be confident in making any concerns known and have an outcome within 28-days. They live in an environment which is clean and safe and adapted to suit their individual needs and tastes. People are consulted about their wishes and how they want their personal living space to look like. A robust system of recruitment is in place and staff are then trained and supervised to do their jobs. The quality assurance process which is in place ensures that regular audits are completed and that peoples current needs are being addressed and they live in a comfortable and safe environment, cared for by competent staff. What has improved since the last inspection? Since the last inspection more links have been made with the local community and research taken place to ensure people do not become isolated and can have access to a broader community. There has been better recording and analyzing of peoples views who live in the home so the Company can ensure those peoples` current needs are being met and the home is being run for their benefit. What the care home could do better: No requirements have been set at this inspection. Key inspection report Care homes for older people Name: Address: Stallingborough Lodge Care Home Station Road Stallingborough Grimsby North East Lincs DN41 8AF     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: Theresa Bryson     Date: 1 3 0 4 2 0 1 0 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 24 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) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 24 Information about the care home Name of care home: Address: Stallingborough Lodge Care Home Station Road Stallingborough Grimsby North East Lincs DN41 8AF 01472280210 F/P01472280210 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Shire Care (Nursing and Residential Homes) Ltd Name of registered manager (if applicable) Type of registration: Number of places registered: care home 44 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability Additional conditions: The maximum number of service users who can be accommodated is: 44 The registered person may provide the following category of service only: Care home with nursing - Code N, to service users of the following gender: Either, whose primary care needs on admssion to the home are within the following categories: Old age, not falling within any other category - Code OP, Physical disability - Code PD and PD(E) Date of last inspection Brief description of the care home Stallingborough Lodge Care Home is a purpose built establishment that is registered for 44 service users with problems of old age, physical disability over 65 years of age and under and also has a nursing registration for service users. The accommodation is Care Homes for Older People Page 4 of 24 Over 65 44 20 0 20 2 1 0 4 2 0 0 9 Brief description of the care home set on the outskirts of a small village, near the larger town of Grimsby. It has some local amenities for service users to visit and the home is near a regular bus route into the town. The home is set in enclosed gardens, which are all accessible to wheelchair users. The home is part of a small group of homes, Shire Care Ltd, and is supported by a head office team and a visiting Director of Operations. It has the benefit of also having service users visiting from other local homes. The home has several groups of staff employed including; - professionally trained nurses, care assistants, domestic and laundry staff, kitchen staff, administrator, handyman and activities organiser. The weekly fees are reviewed annaully .Extra charges are made for hairdressing and chiropody depending on treatments. This is also reviewed annually. The provider makes available to all prospective service users and current service users, the service user guide, which is also available and on display in the main entrance hall. Care Homes for Older People Page 5 of 24 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: This inspection took place over one day in April 2010. Prior to this a number of surveys were sent out and some were returned. Ten from people using the service, eight from staff, nine from relatives and two from health and social care professionals. We also looked at the service history kept by CQC since the last inspection and spoke to health and social care professionals by telephone and in a meeting. The Company sent us their Annual Quality Assurance Assessment (AQAA) which gave details of how they felt they had improved since the last inspection and their plans for the future as well as other statistical data. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. Care Homes for Older People Page 6 of 24 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 7 of 24 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 24 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 are assessed prior to admission so decisions can be made as to whether the home can meet their specific needs. Evidence: At the site visit we looked at the latest admissions care plan documentation. This person had received an holistic assessment prior to admission and staff informed us that this is used as a basis for a core plan to be developed. Each specific need had been identified and a further in depth assessment made to ensure the home could make a decision as to whether they could meet the persons needs. People living in the home told us they had found it comforting that staff knew so much about them on admission. The most senior staff complete each pre-admission visit to ensure they are fully aware of a persons needs and expectations. The management team have also put together a new GP protocol which informs staff Care Homes for Older People Page 9 of 24 Evidence: of when they need to contact local GPs and also includes the admissions policy of the Company for permanent and short stay and emergency admissions. This ensures the home does not take outside its category of registration with CQC. The home does not give intermediate care, therefore Standard 6 is not applicable. Care Homes for Older People Page 10 of 24 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. Peoples needs are regularly reviewed and the care plans reflect their current needs. Evidence: Prior to the site visit we sent out a number of surveys to people. We had returned, ten from people living in the home, nine from relatives, two from health and social care professionals and eight from staff. We were also able to speak to some health and social care professionals prior to the visit. Each person made positive comments about the service the home provides. They particularly made comments about the kindness of staff and the high quality and variety of food they receive. We tracked four care plans and found the writing legible and the recording accurate when we followed through certain aspects of care practices. For example where it had been identified that someone had a history of falls prior to admission a core care plan had been developed and a falls risk assessment completed. Where necessary the home had engaged with the local NHS falls coordinator who then completed their own risk assessment. In this case a risk assessment had been completed for the use of bed rails, which were thought unnecessary at this point. A manual handling assessment also identified what equipment this person may need to Care Homes for Older People Page 11 of 24 Evidence: assist their walking and help prevent them from over balancing and falling. We followed through some of the accident records for this person and found the recording in the daily report sheets and other records to be accurate. This ensures the risks to this person are minimized whilst allowing them as much independence as possible. In the case of a person with a wound management problem we also tracked how the staff were evaluating regularly this persons condition and what treatments were being applied. There was clear liaison being recorded between outside agencies and other health professionals who were assisting with advice to the homes staff. There was a clear understanding with staff on how they can access local help to improve a persons condition and well being. The same was the case for a person with diabetes. In this case risk assessments had been completed for nutritional risk, weight control. blood sugar records and visits to the local diabetic clinics. As well as core care plans, events recorded in the daily reports and regular evaluations of each new need. The recording in the care plans had much improved since our last visit and the recording appeared more accurate and there was good follow through in all the records we saw. We also saw written evidence that the care plans are now being more regularly reviewed by senior management staff. Where necessary action plans are put in place for staff to complete and then followed up at a later date and in individually staff supervision sessions. This ensures senior staff have a better picture of peoples current needs and ensure staff are completing their work with people living in the home and are not putting them at risk of harm. We sampled some of the drug administration sheets and saw that accurate recording was taking place. The senior management team complete regular drug audits to ensure records are accurate and where necessary ensure staff are aware of any problems. The local pharmacy also completes intermittent audits, the last one being in November 2009. This ensures safe practices are in place and people are receiving their medication as prescribed. The drug room area was clean and tidy. With regular checks recorded for temperature control and to ensure the Controlled Drugs are stored safely. During the visit we observed staff assisting people with a number of care tasks which they performed with dignity and respect to each individual.People living in the home told us Im happy to be here, I feel safe and when I was in hospital staff came to see me which was lovely. They also told us that they can ring their call bells any time of the night or day and staff come quickly. They particularly liked the key worker system and felt each of them was treated as an individual, with special needs and expectations. We observed during the day that people appeared happy and relaxed and there was a lot of laughter in the home. Care Homes for Older People Page 12 of 24 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. A variety of activities ensures peoples social, cultural and religious needs and expectations are being met. Evidence: Whilst touring the home we saw several programmes on display which informed people living there about forth coming events taking place both inside and outside the home. This enables them to choice what they may like to participate in. Some people were able to tell us what sort of events they occupy their day with. This included raising funds at the Easter fair by making craft items Two people told us what they were planning in their planting sessions in the garden, facilities have been made to ensure one of the green houses has benches at wheelchair and chair height. There was someone dead heading plants when we arrived on our site visit who told us I consider this my daily job. Several people told us how much they enjoy the entertainers saying such a variety and the reminiscence sessions. The activities records showed us written evidence that a variety of social events take place each month. These were group events such as games, film shows and exercises. To one to one sessions for example putting together a life story book and reading newspapers. The events were not just based in the home but there was written evidence that supported the staff and peoples comments who live in the home that Care Homes for Older People Page 13 of 24 Evidence: they attend local events in the village such as church events and local galas, to visits to the near by seaside and garden centre. The home has started to produce a newsletter to keep people abreast of forth coming events, peoples birthdays who are resident in the home, information topics such as how to access the dentist and information about the time of year. This ensures that peoples social, cultural and religious expectations are being met. We looked into a sample of bedroom areas and there was ample evidence that people are allowed to personlise them. People told us this had been a comfort to them as they felt it was more home from home. The local Environmental Health Officer had visited the home a couple of weeks before our site visit and had awarded the home the highest rating of 5-stars for its standard of hygiene and record keeping. During our visit we briefly toured the kitchen area and observed that food was being prepared in a safe and clean environment. The records were all up to date and there was ample food in the storage areas including fresh vegetables, fruit and home baking. Since our last inspection the Company had purchased a new dishwasher and microwave oven. A senior member of the kitchen staff was able to explain the 4-week cycle of menus and that they work a summer or winter version. They appeared satisfied with the local suppliers. People living in the home told us that they were very happy with the menus and we never go hungry. They also made such comments as choices are good and I consider lunch my main meal and it is nice to eat it in a nicely decorated dining room. Another couple of people told us how the particular needs were being satisfied by the menus and they staff were accommodating enough to arrange a Chinese take away night once a month. The kitchen keeps a record of peoples likes and dislikes and dietary preferences and needs such as those requiring a diabetic diet of fortified diet. This ensures that people are receiving a balanced diet suited to their individual needs. Care Homes for Older People Page 14 of 24 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. A system is in place to ensure people know how to raise concerns and these are dealt with individually and records kept of each case. Evidence: Since our last visit there has been a referral made to the local safe guarding adults team which has now been concluded. When the Company returned their Annual Quality Assurance Assessment (AQAA) to us they notified us of nine other complaints they had dealt with internally. During our site visit we checked the complaints folder and saw these all had a conclusion within the 28-day period as stated in their policy manual. The details for each concern raised included full details of the concern, whether opportunity was given to access the manager, summary of main points, details of investigation, outcome and copies of letters (if appropriate) to complainant. People we spoke to who live in the home and relatives told us they have every confidence in the management team in dealing with concerns. Staff told us they had received training in how to recognise abuse and how to deal with complaints, which we saw written evidence of on the training matrix and in individual training records of staff. The complaints process was on display around the home so people could be clear on how to raise concerns. Care Homes for Older People Page 15 of 24 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 safe and clan environment suited to their needs. Evidence: During our site visit we toured the whole building and looked at all toilets, bathroom and communal areas, Plus a selection of peoples bed rooms and the garden area and laundry. All areas were looking clean and tidy. The main downstairs lounge was in the process of being redecorated but people had been accommodated in other parts of the building during this process. Various pieces of redecoration work had been completed since our last visit including some bed room areas. We were informed the main corridor was to be next to be decorated. The public telephone had been moved to a quieter area of the home for people to have private conversations but staff informed us the main office phone could be used in an emergency by people living there or if the conversation was to be of a private nature. The toilet doors had been painted a different colour for ease of identification for people living there. People told us they felt more at ease as they had been able to bring with them certain items of furniture and belongs to ensure their individual bedroom areas met their tastes and current needs. There was ample evidence of this when we toured the home. The laundry area was clean and tidy and all equipment was in working order. People Care Homes for Older People Page 16 of 24 Evidence: told us their clothing was well ironed and never have a problem with clothes being lost. The gardens are all accessible for wheel chair users and people are encouraged to help where they can. There was ample seating in the garden areas and also summer houses for people to sit in. There is a large car park which was free from hazards. We checked the safety certificates of all the equipment in use and for the maintenance of the building and all were valid. Ensuring people are living and working in a safe and clean environment suited to their needs. Care Homes for Older People Page 17 of 24 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. A robust system of recruitment is in place and staff are then trained to do their jobs. Evidence: Prior to our site visit we sent out a number of surveys to staff and had eight returned. No one made any negative comments about working in the home. We also spoke to six staff during our site visit. Staff told us they enjoyed the training sessions they had been offered and feel this has changed the way I work and also made comments such as can go to the management team any time and enjoy my work. We tracked four staff personal files and found sufficient evidence to support that adequate safety checks had been completed prior to their commencement of employment to ensure they were safe to work with the people living there. New starters now have a personal meeting with a member of the senior management team, on a regular basis, according to their personal needs, in their three month probationary period. This ensures the team can make judgments as to whether they are suitable for their job roles. There was written evidence that staff sign to say they have received their job descriptions to ensure they understand their roles. Also a new handbook had been produced in March 2010 detailing many aspects of working for this Company. The staff training folders were very full and there was ample written evidence to support that all mandatory training and more service specific topics had been covered. Topics included age related changes, care planning, dignity in care, stroke awareness Care Homes for Older People Page 18 of 24 Evidence: and pressure damage care. Specific topics were for some designated roles. For example specific training had been given to the professionally trained nurses on the Liverpool Care Pathway to assist nurses in helping those with specific needs as their lives draw to a close. And health and safety aimed specifically for kitchen and domestic staff, as well as topics such as dementia awareness for care assistant grades. This ensures staff are prepared and have the latest information to enable them to look after the current needs of people living in the home. People told us that there needs are being met and they had no concerns about ringing my nurse call any time of the day or night as they knew staff would respond. We were able to see copies of all the latest staff rotas and details of how the management team had arrived at the numbers working each day. Staff told us that the busiest time was in the morning and early evening when they were sometimes stretched but at the moment they could cope with their work load. The management team needs to ensure it keeps abreast of peoples dependency levels and adjust the staff according to need when necessary. This will ensure people are not put at risk of harm. Care Homes for Older People Page 19 of 24 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. Peoples views are sought to ensure the home is being run for their benefit and is a safe place to live. Evidence: Since the last inspection there is still an Acting Manager in position but we saw the application form which was being sent to CQC for this person to become registered. This will ensure continuity for staff and people living in the home to know who to refer to. The management team are very pro-active in the local health and social care community ensuring they attend regular date meetings and training sessions to inform staff and people living in the home of the local provision for social and health care needs. The Company has an extensive quality assurance programme and people told us how they were kept regularly informed about events in the home by regular meetings (the minutes of which we saw) and surveys (the results of which we saw). Other meetings for all staff groups take place regularly and staff said they appreciated this effort by Care Homes for Older People Page 20 of 24 Evidence: the management team. We saw the minutes of meetings for all staff groups. The Company has a detailed business plan in place which we saw reflected the last years work of the Company, results of surveys, details of training of staff and how the policy manual is updated. It also gives a view of what the Company hopes to achieve in the future, so people living in the home can be clear about their home environment. We also saw written confirmation that a variety of audits take place each month, so the management team can ensure staff are doing what they are supposed to do and peoples current needs are being met in a safe environment. These audits include drug administration audits to ensure people are receiving medication as prescribed. Financial audit of peoples personal allowance money to ensure there has been accurate recording and money is only being used for peoples personal wishes. We tracked three of these records and all appeared to be correct. Care plan audits to ensure staff have up dated care plans and they reflect peoples current needs. When speaking to people living in the home they told us that they are regularly asked if everything is fine and I am asked for any ideas about how staff can help me maintain my independence more. We tracked several accident records and found there to be accurate recording and follow through on each one. For example when some one had fallen, this was recorded on the accident sheet and in the daily report sheet. If necessary their care plan file amended. A member of the management team then audits each form to see if all details are correct and adds it to the monthly summary. If necessary comments are given at individual supervision sessions and at staff meetings. This ensures where incidents occur people are checked and monitored to ensure they are safe. The home, where necessary sends us a Notification 37 form so we can then judge whether they have taken the right action. The supervision records of staff were now more detailed and showed a balance of discussion time and observational supervision. They also detailed training issues, personal needs and aspirations of staff and good follow through from one session to another. This ensures the management team are monitoring staff work and ensuring they are safe practitioners. Care Homes for Older People Page 21 of 24 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 22 of 24 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 1 27 The management team should ensure that regular checks are made to ensure there is sufficient staff available at all times to meet peoples needs. Care Homes for Older People Page 23 of 24 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 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