Care Home: The Homestead

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What the care home does well Comments made by service users, healthcare professionals and relatives,carers and advocates who completed a survey included: `Caring and patient staff` `Good food` ` The service provided for my X is good and the staff always make me feel at home` ` My X and I cannot speak to highly of the time given by the manager and other staff in preparing my X admission. The good spirit of The Homestead is self evident the moment you enter also the care of the residents, the mission statement seems to motivate its management` `It seems like home from home` `I have no complaints. My X have been resident since May 2009. Any small problems have been dealt with well by the staff. I have contact with a lot of the staff and they are always helpful` `With the publicity now about quality of care for the elderly, it would make sense for more airing to be given to good practice that works, as it does in this case at The Homestead`. ` The home takes extra special care of the residents. Pleasant, friendly staff. Nothing is too much trouble for them. A lovely light, bright and cheery atmosphere` `The home looks after the residents well` What has improved since the last inspection? The manager Jeanie Cole was registered with the commission in April 2009. Several new staff roles have been created. Two care manager have been recruited. Ninety percent of care staff have completed or nearing the completion of NVQ training. What the care home could do better: The recording in service users daily records needs to include more detail in order to demonstrate continuity of care. Key inspection report Care homes for older people Name: Address: The Homestead 24 Flax Crescent Shilton Park Carterton Oxfordshire OX18 1NA     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: Marie Carvell     Date: 2 6 0 2 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 27 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for 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 27 Information about the care home Name of care home: Address: The Homestead 24 Flax Crescent Shilton Park Carterton Oxfordshire OX18 1NA 01993845754 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): www.mha.org.uk Methodist Homes for the Aged Name of registered manager (if applicable) Mrs Jeanie Cole Type of registration: Number of places registered: care home 68 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users to be accommodated is 68. The registered person may provide the following category/ies of service only: Care home with nursing - (N) 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) Dementia (DE). Date of last inspection Brief description of the care home The Homestead, opened in June 2008 is a purpose built home catering for the needs of forty four service users who have care needs associated with dementia on two units and a third unit for twenty four service users who have nursing care needs. The Homestead is managed by Methodist Homes for the Aged. The home is situated in a Care Homes for Older People Page 4 of 27 Over 65 0 68 68 0 0 4 1 1 2 0 0 8 Brief description of the care home residential area of Carterton. The fees for this service range from 428.00 pounds per week to 763.00 pounds per week. Items not covered include hairdressing, chiropody, newspapers and toiletries. 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 last key inspection of this service was completed in November 2008. This inspection was an Unannounced Key inspection. We ( the commission) arrived at the service at 10:30 and we were in the service until 17:15. It was a thorough look at how well the service is doing. It took into account detailed information contained in the Annual Quality Assurance Assessment (AQAA) document completed by the manager in September 2009 and any other information that we have received about the service since the last inspection. We looked at how well the service was meeting the standards set by the government and have in this report made judgements about the standards of the service. We toured the premises, examined a sample of records required to be kept in the home including service users and staff records. Time was spent with the manager, staff on duty, service users and visitors to the home. In addition we spent time in each of the units observing how care was being delivered to service users. We joined service users Care Homes for Older People Page 6 of 27 in one unit for the midday meal. Care Homes for Older People Page 7 of 27 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. Care Homes for Older People Page 8 of 27 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 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. Service users are provided with enough information to help them decide if the home was the right place for them, before moving in. A detailed assessment of need is completed prior to admission to ensure that the home can meet the individuals care needs. This is confirmed in writing to the service user. Service users are provided with a contract terms and conditions. Evidence: All prospective service users are provided with information about the home, including a copy of the homes brochure, service user guide and information about the MHA. Seven of the eight surveys completed by service users confirmed that they had received enough information to help them decide if the home was the right place for them, before moving in. Service users confirmed that they were encouraged to visit Care Homes for Older People Page 11 of 27 Evidence: the home, before moving in for a trial period. Comments made a survey complete by a relative included My X and I cannot speak to highly of the time given by the manager and other staff in preparing for my X admission. The good spirit in The Homestead is self evident the moment you enter the front door, also the care of the residents, the mission statement which seems to motivate the management etc. are excellent A detailed assessment of need is carried out prior to admission by a senior member of staff, this may include input from health and social care professionals and relatives. Once the assessment is completed the service user is advised in writing whether the home is able to meet his/her assessed needs and if this can be met on the general nursing unit or one of the two dementia care units, to ensure that the individual knows that his/her can expect the home to manage his/her health and welfare needs properly, whether this is for personal care on the dementia units or nursing care. Five surveys confirmed that the service user had received a contract/terms and conditions and three surveys stated that they hadnt received a contract/terms and conditions. Copies of the terms and conditions/conditions provided to service users were available for examination in service user files. 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. The recording in service users daily records need to include more detail in order to demonstrate continuity of care. The healthcare needs of service users are well met. A sample of medication administration records were seen to be well maintained with no obvious gaps in recording. Evidence: All service users have a comprehensive care plan in place, drawn up from information recorded on the pre admission assessment, agreed and signed by the service user or representative, as appropriate. A sample of care plans, daily records and risk assessments were examined with the manager. From the sample of daily records seen, most included a brief entry made by staff late morning or early afternoon, with no further entries being made, until the night staff completed their night care records, recorded on a separate sheet. This results in a lack of continuity of how the care needs of the service user are being met. This was discussed with the manager, who Care Homes for Older People Page 13 of 27 Evidence: agreed to address this with the staff team. Four surveys completed by service users, stated that they always received the care and support they needed and four service users stated that they usually received the care and support they needed. Comments made by service users on surveys included They look after the residents well, I am happy here, The staff are very patient, I would like to get more attention when I want it. Staff were observed to interact with service users in a calm, respectful and kind manner. Comments made on surveys completed by relatives, carers and advocates included I have no complaints, my X have been residents since May 2009. Any small problems have been dealt with well by the staff. I have contract with a lot of the staff and they are always helpful, The service provided for my X is good and the staff always make me feel welcome. The health care needs of the service users are met by a local GP practice and a range of healthcare professionals visit the home on a regular basis. The nursing care needs of the twenty four service users on the nursing unit ( Emerson) are met by registered nurses (RN) employed by the home. The forty four service users on the two care units (Charles and Williams) which provides personal care for service users with dementia are met by the the District Nursing team. From evidence seen the healthcare needs of service users are well met. Seven of the eight surveys completed by service users confirmed that the home always makes sure they receive the medical care needed, one survey stated that the service user usually received the medical care they needed. Two surveys completed by healthcare professionals stated that they considered the home always ensured that accurate information is gathered and that the right service is planned for people and that service users social and health care needs are always properly monitored, reviewed and met by the care service. Comments made included The home takes special care of residents. Pleasant, friendly staff. Nothing is too much trouble for them. A light, bright and cheery atmosphere, Clients always neat and tidy, Information to hand, Will inform district nurses if anybody requires attention. Pleasant attitude from staff. Activities planned well and include menus etc . Service users are encouraged to take responsibility for their own medication following appropriate risk assessments. The majority of service uses prefer their medication to be administered by the staff team. Medication is administered by a RN on Emerson and on Charles and William by care staff who have completed medication administrative training and assessment. Regular medication audits are undertaken by the manager and an annual pharmacist visit is undertaken by the Primary Care Trust ( PCT) the last report dated September 2009 was available for examination.The Care Homes for Older People Page 14 of 27 Evidence: manager confirmed that MHA are currently reviewing their medication policy and are intending to address the points raised in the report. The manager confirmed that the next pharmacist visit was due in March 2010. A sample of medication administration records were examined and seen to be up to date with no obvious gaps in recordings. Time was spent with service users and relatives in communal areas and in private, all expressed their satisfaction with the care provided in the home. As in many other care homes, there is a wide range of racial, ethnic and faith backgrounds represented within the staff team compared with the current service users. From discussion with the manager and staff on duty we consider that the home is able to provide a service to meet the needs of service users with various religious, racial or cultural needs. However, there are indications that service users and relatives sometimes find that some staff cannot communicate effectively because English is not their first language. Comments made on one survey included Only employ overseas staff who can communicate clearly with dementia residents. Care Homes for Older People Page 15 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. There is a varied activities programme in place and good links have been developed with the local community. Service users are encouraged to make choices and remain as independent for as long as possible. Service users are provided with a wholesome, well balanced and nutritious diet. Evidence: Two part time activities organisers have recently been recruited. The manager is hoping to recruit a part time volunteer coordinator and additional pastoral support. There is a varied activities programme in place. A music therapist and reflexologist are employed to work in the home for one day per week. Good links have been developed with the local community. Two surveys completed by service users stated that the home always arranged activities that they could take part in, five surveys stated that the home usually arranged activities that they could take part in and one survey stated that the home sometimes arranged activities that the service user could take part in. Comments made on surveys by service users included Need to improve activities programme and communication relating to these and Take me out more. Care Homes for Older People Page 16 of 27 Evidence: Service user meetings are held and minutes of meetings held in March 2010 were seen. Service users are encouraged, as far as possible, to maintain contact with the local community. The home has a dedicated Chaplain, who provides regular services. Religious ministers from other denominations visit the home each week. Service users confirmed that routines in the home are flexible such as being able to choose how they spend their day, when to go to bed and when to get up. Visitors are welcome at any time and several service users commented that it was helpful that their visitors were able to visit in the evenings. Many of the service users have friends and family who are able to visit regularly. We joined service users in one unit for the midday meal. Service users confirmed that they always had a choice of main course. The meal served was hot, tasty and attractively served. Staff were observed to be assisting service users in a discreet and dignified manner. Menus evidenced that a wholesome, well balanced and nutritious diet is provided to all service users. Four surveys completed by service users stated that they always liked the meals at the home, three surveys stated that they usually liked the meals at the home and one survey stated that the service user sometimes enjoyed the meals at the home. One service user had recently celebrated a birthday and said that the birthday cake made his/her day. Care Homes for Older People Page 17 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. Service users are confident that any concerns or complaints would be listened to, taken seriously and acted upon. Policies and procedures are in place to protect service users from possible abuse. Evidence: The home has a clear complaints procedure in place and this is displayed in a prominent position in the reception area. The homes complaints procedure is included in the homes service user guide. The home has a policy of recording all complaints received whether verbally or in writing. In the last twelve months the home has received nine complaints either verbally or in writing. The recording of complaints were seen to be clear, detailed and included action taken and outcomes. In discussion with service users and comments made on surveys completed by service users, all confirmed that there was someone that they could speak to informally if they were unhappy, this was usually family, friends, the nurse/care assistant or the manager. Six surveys completed by service users confirmed that they knew how to make a formal complaint and were confident that their concerns or complaints would be listened to, taken seriously and acted upon. Two surveys stated that the service users did not know how to make a formal complaint. Comments made on surveys completed by healthcare professionals confirmed that the home always responded appropriately if they or a service user raised any concerns. Three surveys completed by relatives, carers or advocates confirmed that they knew how to make a complaint about the Care Homes for Older People Page 18 of 27 Evidence: care provided by the home if they needed to. Since the last inspection we have received information regarding three complaints about the service. These were investigated and addressed by the manager. All staff receive training in safeguarding vulnerable adults procedures including whistle blowing procedures. This is well documented and confirmed in discussion with staff on duty. Training is provided during the initial induction period and updated on a regular basis. The home has a copy of the Oxfordshire Safeguarding procedures. One safeguarding adult protection referral and one safeguarding adult protection investigation have taken place since the last inspection. No referrals have been made for inclusion of staff on the protection of vulnerable adults list (POVA). Care Homes for Older People Page 19 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a safe, well maintained environment. Service users and visitors expressed their satisfaction of the premises and facilities. The housekeeping staff work hard to ensuring that the home is clean, pleasant and free from odours. Evidence: The home is purpose built and was registered in June 2008. The location and layout are suitable for its stated aim and purpose. The fabric of the building and equipment are monitored by the homes maintenance person and estates management team. Service users and visitors to the home expressed their satisfaction of the premises and facilities. There is a yearly repairs and renewal plan and the manager controls this budget. The housekeeping staff work hard to ensuring that the home is clean, pleasant and free from odours. Six surveys completed by service users stated that the home is always fresh and clean, two surveys completed by service users stated that the home was usually fresh and clean. Comments made on one service user survey included The home could do better by painting the white walls a different colour. 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. Staffing levels appear adequate to meet the needs of the current service users. Recruitment procedures are robust. Staff are well trained and are able to carry out their roles in a courteous and professional manner. Evidence: From discussion with the manager, staff on duty, examination of duty rosters and observation, there appears to be adequate staffing levels to meet the needs of the service users. At present due to staffing vacancies, the home is using agency staff to cover vacant posts, the manager tries to ensure that the same staff are used. Since the last inspection, thirty four members of staff, mainly care assistants and senior care assistants have resigned for a variety of reasons. Exit interviews are conducted by MHA, human resources department. The majority of the vacant posts have been filled and the home now has vacancies for a full time registered nurse (RN), full time care assistant for night duty and a bank chef. The manager is confident that these posts will be filled. Since the last inspection a range of staff roles have been created, these include the appointment of two care manager, one for the nursing unit and the second for the two dementia care units, a staff trainer for twelve hours per week and additional care staff posts. Four surveys completed by service users stated that there Care Homes for Older People Page 21 of 27 Evidence: were always staff available when they were needed and four surveys stated that usually there were staff available when they were needed. Two surveys completed by service users stated that staff always listened to them and acted on what was said, five surveys stated that staff usually listened to them and acted on what was said and one survey stated that staff sometimes listened to them and acted on what was said. None of the surveys distributed to staff either during or after the inspection were returned to us. Care staff are encouraged to undertake national vocational qualification (NVQ) training. The AQAA completed by the manager confirmed that sixty five percent of care staff were qualified and this will rise to ninety percent, when the current staff in training complete the qualification. From examination of a sample of staff personnel files it was evidenced that the home has robust recruitment procedures. Each member of staff has a training and development programme in place. All staff must complete an induction through a programme in line with Skills for Care foundation guidelines. Additional mandatory and developmental training is also provided and an allowance of a least five days per person is made in the staffing budget. Senior staff are encouraged to participate in a specially designed management training programme. Nursing staff are assisted with their continuous professional development. Communication systems in the home are well organised, with staff handovers taking place at the beginning of each shift. Staff meetings are held regularly and are minuted. Staff were observed to be courteous and professional when carrying out their duties. 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 well managed home. Evidence: The manager, Jeanie Cole was registered with the commission in April 2009. She is an experienced and qualified manager, having completed the Leadership and Management course/ NVQ IV in care and management course as well as being a registered nurse. Supporting the manager are two qualified and experienced care managers, administrative staff and a team of ancilliary staff. Service users and visitors expressed the view that the home was run in the best interests of the service users. Policies and procedures are reviewed and updated as necessary. Policies and procedures are in place for dealing with service users monies and valuables held in safekeeping by the home. The accounts are audited yearly. Service users rights and best interests are safeguarded by the homes record keeping, policies and procedures. Comments made on a survey included The home could do Care Homes for Older People Page 23 of 27 Evidence: better by making more secure arrangements for residents post and liaise with relatives to ensure important communication does not get mislaid. Reports written by a provider representative, following a monthly unannounced visit to the home, were examined. The reports evidenced that the visits were undertaken by another home manager rather than a senior representative of MHA. The contents of the reports was brief and repetitive. The reports did not contain evidence of interviews with service users, their representatives or staff, inspection of the care home, the homes records of events or records of any complaints. This was discussed with the manager at the last inspection and we were advised that the reporting of these visits was being developed. Following the inspection we received an action plan from the manager advising us that future provider representative visits, will continue to be undertaken unannounced, as we require, that visits will be undertaken by a member of staff from the MHA management team and the template to record the visit will be as suggested by the commission, will be used with immediate effect. There is a quality assurance programme which includes an annual self- assessment (standards and values assessment) carried out by senior advisors in MHA. A six monthly internal audit involving service users and staff, an annual service user satisfaction survey and an internal management review including action plans from internal and external audits take place. The views of service users and their representatives are sought to ensure that service users receive a high standard of service. We examined a sample of the forty plus letters of gratitude, thanks and compliments. Service user satisfaction surveys were undertaken in May and June 2009 and the results released in November 2009. A sample of records relating to health,safety and welfare were examined and found to be up to date and well maintained. 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: 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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