Care Home: The Liberty Of Earley House

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What the care home does well People who may be interested in moving in to the Liberty of Earley Home are provided with plenty of information and a chance to try the home, to enable them to decide if it is right for them. They have their needs and wishes fully assessed and discussed, including applicants for intermediate care, to ensure they can be appropriately met, before being offered a place at Liberty of Earley House. Once people decide to move in to the home, they receive the care and support they need and wish for, to ensure that their individual and diverse needs are met and they enjoy positive outcomes. They are supported to live the life they choose and they enjoy the social life of the home and the meals provided. People know how to complain if they are not happy and are safeguarded from abuse. The people who live at Liberty of Earley benefit from having their own independent accommodation and from living in a safe, clean and well maintained environment. They benefit from being supported by a committed staff group who are appropriately recruited and very well trained and supported. They also benefit from living in a home which is well managed and run in their own best interests. People are able to be involved in the decisions regarding the running of the home through regular meetings with the trust and through direct approaches to the manager. The health and safety of people who live or work at the home is promoted and protected. What has improved since the last inspection? As a result of listening to the people who live at The Liberty of Earley, the home has made many changes. These include, for example purchasing a flat screen television, arranging monthly outings, changed the venue for religious service to respect the need for quiet and changes to the menu. One requirement was made following our inspection three years ago. This related to the need to always ensure medication was appropriately recorded. The requirement was met shortly after that inspection and medication procedures now meet all the standards required. What the care home could do better: No requirements have been made as a result of this inspection and the number of outcome areas rated as excellent have increased from three to four. Where possible areas for improvement have come to light these have been commented on in the text of the report. Key inspection report Care homes for older people Name: Address: The Liberty Of Earley House Strand Way Earley Reading Berkshire RG6 4EA     The quality rating for this care home is:   three star excellent 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: Amanda Longman     Date: 1 2 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 25 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 25 Information about the care home Name of care home: Address: The Liberty Of Earley House Strand Way Earley Reading Berkshire RG6 4EA 01189751905 01189314912 libertyofearleyhouse@hotmail.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Trustees of Liberty of Earley House Name of registered manager (if applicable) Mrs Penelope Anne Smith Type of registration: Number of places registered: care home 35 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 35 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 home are within the following category: Old age, not falling within any other category (OP) Date of last inspection Brief description of the care home The Liberty of Earley House is a two-storey purpose-built residential care home owned by the Earley Charity. TPeople have their own accomodation. There are 29 individual flats which accommodate up to thirty-five people. There is a large communual open plan lounge with adjoining dining room on the ground floor, and a dining room on the Care Homes for Older People Page 4 of 25 Over 65 35 0 Brief description of the care home first floor; various seating arrangements are situated in alcoves overlooking the gardens and at other convenient locations along the corridors. The home also has one guest room that is available to older people, with low care needs, for respite care, or can be used for intermediate care. Car parking is available at the front of the building, and to the rear is an attractive courtyard garden with raised borders filled with an array of mature plants that is accessible from patio doors within the communual areas and ground floor flats. The homes admission criteria is that people from the Earley catchment area are given first priority. Public transport is available and local shops are within a five-minute drive; the towns of Reading and Wokingham are within a 20 Minute Drive. The fees for this service will be confirmed in our final report. Care Homes for Older People Page 5 of 25 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: three star excellent 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 of the service was an unannounced key inspection. It was a thorough look at how well the service is doing. We, the commission, received detailed information from the service in the form of an annual quality assurance assessment, the AQAA. This gave us information about current care provided, and plans for the future. It provided details of staff and resident numbers, qualifications and training of staff, and information about the health and safety of the home. A site visit was undertaken by Amanda Longman, regulatory inspector on 12 April 2010. During this site visit we looked around the home, observed care practices and chatted with people living and working at The Liberty of Earley home. We also examined a selection of care records and staff records. The home has in place policies and procedures relating to equality and diversity and there was evidence that they could meet a range of different needs and choices. Care Homes for Older People Page 6 of 25 The home was last inspected by us on 12 April 2007. Care Homes for Older People Page 7 of 25 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 8 of 25 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 9 of 25 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 provided with plenty of information and a chance to try the home, to enable them to decide if the home is right for them. People have their needs and wishes fully assessed and discussed, including applicants for intermediate care, to ensure they can be appropriately met, before being offerred a place at Liberty of Earley House. Evidence: The Liberty of Earley home has plenty of relevant information for people wishing to move in to the home as well as for people who already live there. They have a detailed Staement of Purpose which lays out information about the type of care they provide and a Residents Guide which provides lots of day to day information including terms and conditions, information about the manager and her staff and how to make a complaint. The people we spoke with during our site visit confirmed they had plenty of information about the home. Care Homes for Older People Page 10 of 25 Evidence: We looked at the records for six of the people who live at Liberty of Earley. All of then showed a detailed assessment had been undertaken prior to the person being offerred a place, to assure the home and the person concerned that their needs could be met, appropriately, by the home. Details included the persons physical needs, their religious and cultural needs, details of their past life experiences, their hobbies, family contact and any special dietary needs. We also saw evidence that a satisfaction survey is completed after one months stay to ensure the home is suitable and needs are being met. Care Homes for Older People Page 11 of 25 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to receive the care and support they need and wish for, to ensure they enjoy positive outcomes. Evidence: We reviewed the plans for care for six of the people who live at the home. All were detailed about the individual needs of that person and how they preferred them to be met, including their preferred daily routines with times. We saw that these plans were reviewed monthly with each individual who then signed them to confirm their agreement. Peoples plans for care include their health needs and how they are met. We saw evidence that people have access to health professionals, including, for example, doctors, district nurses, chiropodists and hospital appointments. Records of all such visits are maintained as are other health records as required, for example weight monitoring. Peoples plans also included up to date risk assessments to enable the home to support individuals in their independence, for example to use a microwave independently. Questionnaires returned to us prior to our site visit indicated people were generally Care Homes for Older People Page 12 of 25 Evidence: very happy with the care they received at Liberty of Earley. All stated that they received the care and support they needed, including medical care. One comment was received that assistance for personal care was not always timely. Comments included The caring and carers are very good and Help is always available in an emergency. The people we spoke with during our visit all confirmed that they received the support they required and that the standard of care was very good. We received some feedback that there may be room to improve procedures for visiting or calling a doctor to ensure individual wishes are always reflected but it was made clear to us that this was not a matter of complaint. Each person has a key worker assigned to them who helps ensure their needs are being met in the way they wish. Staff we spoke with all stated that the standard of care was very good. The home has an appropriate policy and procedure for medication and all staff receive regular training. People who wish to administer their own medication are supported to do this. An inspection of medication policies and procedures was undertaken by Berkshire West Primary Care Trust in February 2010 and found the standard to be fully met. No actions or requirements were made. The ethos of the home, as stated in their Statement of Purpose, includes to enhance peoples quality of live whilst maintaining their dignity, privacy and independence. People we spoke with during our visit felt that their privacy and dignity were always respected and that they were treated as individuals. peoples individual needs are reviewed monthly with their key workers to ensure all of their diverse needs are being appropriately met. The home has an equal opportunities policy and sates, in its Statement of Purpose, that it expects all residents and staff to abide by it. People are free to come and go as they please and receive visitors as they wish. People live in their own flats with their own front doors, which can be rung externally from the main front door. One comment received on the questionnaires returned to us prior to our site visit stated that individuals are able to be a free agent. The home has in place plans to run further dignity workshops for staff and is currently developing a detailed approach to planning end of life care, to ensure individuals needs and wishes are always met. Care Homes for Older People Page 13 of 25 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. People who live at The Liberty of Earley are supported to live the life they choose. They enjoy the social life of the home and the meals provided. Evidence: From the evidence we were able to gather we could see that the home has a wide range of activities on offer to the people who live there. There is a monthly timetable of activities on display and for April these included art, knitting, bingo, scrabble, poetry circle, gardening, crafts and visits to gardening centres. The previous months activities had included a visit to the science museum in London. Many of the activities are organised by the residents committee and the home has a large number of volunteers, some of whom are ex employees or relatives who organise activities that people wish to take part in. On the day of our site visit we saw a craft session and viewed the woodwork workshop. People have access to a computer and lessons have been provided by the Rotary Club. Peoples individual plans for care also include their hobbies and interests and peoples key workers check with them on a monthly basis to ensure there are activities they can join in with should they wish. In the replies to the questionnaires which we Care Homes for Older People Page 14 of 25 Evidence: received before our site visit people confirmed that there were activities on offer, should they wish to take part and one comment was the social calendar is very full. Activities include a lot of community contact with schools and other groups visiting to provide entertainment and outings to places of interest. Family and friends are welcome at the home and people have the freedom to entertain as they wish in their own flats. An Anglican church service is held at the home and other services can be arranged, or transport organised as required. People we spoke with during our visit confirmed that the home has a successful social life with plenty of enjoyable activities on offer. The residents committee meets monthly and welcomes suggestions for activities or outings to be arranged through them or through the homes manager and staff. People we spoke with also stated that having their own flats within the home provided a good balance between support and independence. During our visit we had lunch with some of the people who live at The Liberty of Earley who told us the food is always good and that there is always plenty of it. A choice of hot dishes is offered at lunch time and alternatives such as jacket potatoes or salad are also always available. People select their menu choices on a Monday for the following week but we were told by the people who live there and by staff, that the chef will always accommodate changes in mind. A high tea is offered at approximately 5:30pm and breakfast is served in peoples flats. People told us that the home were very good at accommodating personal choices such as not being disturbed before 10:00am. All the flats have kitchens so people also have the choice to prepare their own food and drinks and supplies can be purchased from the kitchen. The home received five stars for its kitchen following its most recent environmental health department inspection. Care Homes for Older People Page 15 of 25 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live at Liberty of Earley know how to complain if they are not happy and are safeguarded from abuse. Evidence: The Liberty of Earley has in place a complaints procedure which is provided to the people who live there as part of their residents guide. All of the people who returned questionnaires prior to our site visit said they knew who to speak to if they were not happy and how to make a formal complaint. We have not received any information regarding complaints during the previous twelve months. The home had received one complaint which they had dealt with following appropriate procedures. The people we spoke with during our site visit all stated the manager was approachable but that they had no complaints. A residents committe meeting is held every month and any issues can be fed to the manager or the trustees through this meeting. The home has an appropriate procedure in place for safeguarding vulnerable people. No safeguarding issues had arrisen in the year proceeding our inspection. All potential staff are vetted appropriately before being employed and all staff receive appropriate training in the safeguarding of vulnerable adults. Staf we spoke with confirmed they had reseived training in the safeguarding of vulnerable adults and demonstarted relevant knowledge of appropriate procedures. Care Homes for Older People Page 16 of 25 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 people who live at Liberty of Earley benefit from having their own independent accommodation and from living in a safe, clean and well maintained environment. Evidence: The information supplied to us by the manager prior to our site visit confirmed that the gas, electirc and other equipment is maintained in line with manufacturers reccommendations. During our visit we saw that the home is comfortable, homely and well maintained. The home employs a maintenance person and had a maintenance programme. People are accomodated in their own flats, which are either one bedroom flats or bedsits. All have their own kitchen and bathroom. In addition there are comunal spaces including dining rooms, sitting areas and a large lounge. All areas are comfortably furnished and people are able to bring their own possessions with them when they move in to the home. Assisted bathrooms are available and people are assisted to use these if they wish. There is a landscapped garden which is well maintained and had accessible paths and lots of places to sit down. The home has its own laundry facilities. Staff receive training in infection control procedures and those staff we spoke with demonstarted knowledge of appropriate procedures. The home appeared to be very fresh and clean on the day of our visit. All of the people who replied to our survey before our site visit stated the home is always fresh and clean the people we spoke with during our visit confirmed that the home is Care Homes for Older People Page 17 of 25 Evidence: always fresh and clean. Care Homes for Older People Page 18 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live at The Liberty of Earley benefit from being supported by a committed staff group who are appropriately recruited and very well trained and supported. Evidence: People who live at Liberty of Earley are supported by a manager and two assistant manager. There is always a senior care assistant on duty, including waking night duty. There are four additional care assistants in the mornings, two in the afternoons and three in the evenings. In addition there are kitchen staff and domestic staff. 100 of the surveys we received from the people who live at the home stated staff were always or usually available when needed. Of the surveys we received from staff nearly 70 said there were usually enough staff on duty, approximately 16 said there were sometimes enough staff and a further approximately 16 said there never were enough staff available to meet everyones needs. We pursued this area with the people and staff we spoke with during our site visit. The people we spoke with who live at the home spoke very highly of the staff saying they were kind, courteous and friendly, well trained and responsive in meeting their individual needs. They accepted that occasionally they would have to wait for assistance if staff were busy assisting someone else. Staff we spoke with said there generally were enough of them and that an extra member of staff has been supplied if required in the mornings, but that this was not always possible in the evenings and that occasionally people had to wait for Care Homes for Older People Page 19 of 25 Evidence: their help. The home has a very high proportion of qualified staff with 18 out of 21 permanent staff being qualified to NVQ level two or above. People we spoke with told us the staff were competent and well trained. Staff we spoke with stated the home provided excellent training opportunities. All staff complete a thorough induction in line with that recommended by Skills for Care. Mandatory training is regularly updated for all staff and further opportunities such as NVQ are encouraged. The home has a thorough recruitment process which includes a full employment history, reference covering st least five years and a clearance from the Criminal records Bureau. We looked at the records for the most recently recruited member of staff and could see this procedure had been followed. The staff we spoke with during our visit also told us that it is a very good home and a very happy place to work, with excellent training, regular supervision and an accessible and supportive manager. Care Homes for Older People Page 20 of 25 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live at the Liberty of Earley benefit from living in a home which is well managed and run in their own best interests. People are able to be involved in the decisions regarding the running of the home through regular meetings with the trust and through direct approaches to the manager. The health and safety of people who live or work at the home is promoted. Evidence: The Liberty of Earley is managed by a suitably qualified person who is registered with us to manage the home. She has many years experience and keeps her skill up to date by regularly updating her training. People we spoke with during our visit all spoke very highly of the manager, describing her as committed, hard working and very supportive. The manager strives to involve the people who live at the home in its running and ensure their views are represented. The home has an active residents committee. We met with the chair and vice chair of this committee during our visit. They spoke highly Care Homes for Older People Page 21 of 25 Evidence: of their relationship with the manager and the trustees and are able to make representations and suggestions and to be consulted on major decisions. In addition the manager also organises regular residents meetings where people can express their views directly. Further measures to ensure people are involved with their care and the running of the home include regular reviews with individuals, to ensure their individual diverse needs are being appropriately met and the opportunity for them to participate in regular quality assurance surveys. Additionally, monthly inspection visits are conducted by a representative of the trustees, under regulation 27, to ensure the home is meeting all relevant standards. The manager takes all of the information from these procedures in to account when compiling the homes annual quality assurance assessment and includes all of the items for improvement in the homes annual development plan. People living at the home look after their own money, or are assisted by their families. The home does have the facility to safely look after small amounts of pocket money, for which records are maintained and receipts issued. The home has a range policies and procedures in place to ensure the health and safety of the people who live or work at The Liberty of Earley. These include, health and safety, manual handling, control of substances hazardous to health, infection control, fire safety and first aid, all of which are regularly reviewed. Generic risk assessments are maintained for all relevant areas, for example in relation to fire precautions. The home has recently reviewed its fire risk assessment and under advice from the fire authority, have increased the number of waking night staff to two. Individual risk assessments are also undertaken with people who live at the home as relevant. For example to support them in independently using microwaves to prepare their own food. A nominated health and safety office is in place with responsibility for monitoring health and safety. All equipment is maintained in line with manufacturers recommendations. The home keeps us informed of any incidents which happen in relation to anyones health and safety and what action they have taken. The staff we spoke with confirmed they received training in relation to health and safety and demonstrated appropriate knowledge regarding, for example, manual handling and infection control. The people we spoke with who live at the home confirmed that the home was maintained in a safe way, including, for example, easy access to the walk ways in the garden. Care Homes for Older People Page 22 of 25 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 23 of 25 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 24 of 25 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. © 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. Care Homes for Older People Page 25 of 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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