Care Home: Valley View

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What the care home does well A tour of the premises showed that the owners continues to update and maintain the decoration of the home and upgrade the environment for the comfort of the people who live at the home taken into consideration. People are offered a choice of food to suit individual tastes and all food served is freshly prepared. Those who were able to stated the care and support provided by the home was very good. The home arranges a varied activities programme and employ a designated person to organise all activities. Observation throughout the inspection showed the staff to be being kind gentle and very caring towards people living in the home. The home benefits from having a long serving staff team with the manager working on site daily to promote continuity in care. One relative spoken with said, "I can`t praise the home enough". One survey returned from someone living in the home said, "Would recommend this home to anyone". What has improved since the last inspection? The home has repainted some of the rooms with new bedroom furniture in some rooms. The lounge area has benefited from new lounge chairs for the comfort of people living in the home and the manager confirmed that a new sofa was on order. Carpets have been replaced in areas required and bedroom linen has been purchased for some rooms. What the care home could do better: No requirements are recommendations were made in this report. Key inspection report Care homes for older people Name: Address: Valley View 298 Fort Austin Avenue Crownhill Plymouth Devon PL6 7JP     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: Kim Fowler     Date: 1 7 1 2 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 28 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Valley View 298 Fort Austin Avenue Crownhill Plymouth Devon PL6 7JP 01752705109 01752705109 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr John Alan Ward,Mrs Jill Anne Stevens care home 17 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Age 60yrs One named person out of category (MD E) Date of last inspection Brief description of the care home Valley View is a care home providing personal care and accommodation for seventeen older people over the age of 60. Mr Ward and Mrs Stevens privately own it. This home is situated in the residential area of Crownhill, close to shops, pubs, and other amenities. The home is a bungalow and was opened in 1998. All the homes bedrooms are single and six of them have en suite toilets. There are separate lounge and dining rooms. The home has an attractive rear garden, with raised flowerbeds, and parking facilities at the front of the house. All areas are accessible to the service users. There is a call bell system throughout the home. The current fee range from 359 pounds to 390 pounds but may vary based on individual need. Care Homes for Older People Page 4 of 28 Over 65 17 0 Care Homes for Older People Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: 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: The inspection was unannounced and took place between 10:00am and 3:00pm on the 17th December 2009. The Registered Manager, Debra King assisted throughout the inspection and one of the owners Mr Ward was present for part of the inspection. The inspector made a tour of the building and spoke to most of the people living at the home and the staff on duty at the time of the inspection. Documentation relating to the care planning process and the management of the home were examined. Prior to the inspection surveys had been sent to the care home to allow people who live there to comment upon their experiences. Four surveys were returned to the Commission along with two staff surveys, one relative survey and two surveys from professionals involved in the home. Any comments are in the relevant section of the report. Care Homes for Older People Page 6 of 28 Care Homes for Older People Page 7 of 28 What the care home does well: What has improved since the last inspection? What they could do better: 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 28 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The completion of pre-admission assessments ensures that any prospective new admissions needs are known and will ensure that the home can meet their individual needs. Evidence: The files examined for people living at home show that the last two new admissions and other files had a completed pre-admission assessment carried out and that people admitted to the home have been assessed. Information recorded in the new preadmission assessment was comprehensive in detail. This ensured that the care staff were aware of peoples needs. These documents are important for prospective service users to assure them that not only can their health care needs be met but also their emotional, social, cultural or religious needs. The file for the person admitted the day before the inspection had a placing authority care plan to support the pre-admission form and the manager Care Homes for Older People Page 10 of 28 Evidence: confirmed that she will visit people before admission. The staff on duty were spoken with during this inspection and they were able to provide information on people living in the home and this showed they were fully aware of the needs of each persons currently living at the home. This included several people who currently requiring additional support and attention. Several visitors spoken with were able to confirm that they had visited the home before their relative had been admitted and one was able to confirm that they had assisted in the completion off a pre-admission assessment. One person living at the home, when asked, stated that they thought a relative had been to the home with them before being admitted. The homes AQAA returned to the Commission stated, We encourage prospective residents to come to the home for the day before making a decision. The home currently has one bed designated to short term care. The person currently occupying this bed has the full support of a Occupational Therapist, Physiotherapist and the District Nurses team to support them. The care plan examined for this person set down clear guidance for staff on the planned stay including any treatment required during this stay. Observed during the inspection was the Physiotherapist discussing with the staff team on improving this person mobility and discussing the guidelines recorded. Care Homes for Older People Page 11 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at this home receive consistent health and personal care as appropriate ensuring the promotion of privacy and dignity at all times. Evidence: Four files were examined during this inspection and all were found to hold completed care plans holding comprehensive details in place. Each file examined of people living at the home contained an individual care plan based on care needs and how the home would meet these needs. The daily care plans are easy assessable for staff on duty and risk assessments are held on individual files for the protection of all people living at the home. These care plans give detailed instructions to all staff as well as information to new staff to ensure intimate personal care is being provided in a manner that meets with the approval of people receiving the care. This is particularly important where people have limited communication. Care Homes for Older People Page 12 of 28 Evidence: Each care plan has comprehensive risk assessments in place including details of the risk of falls, information on how best to prevent future falls and a manual handling risk assessment. Each risk assessment in place gave clear guidelines for staff to follow on the prevention of falls. The manager stated that the risk assessments are reviewed regularly and updated as and when needed. The registered Manager is a qualified nurse and has provided detailed information in each persons care plan on their health care needs and how best to meet these needs for individuals. The care plans holds information on which professional visits each individual as well as the treatment carried out and any further action required by the home. Evidence was recorded into these forms of the referrals to the District Nurse team and the frequent visits by the district nurse when needed. The District Nurse was spoken with during this inspection and spoke very highly of the home and said, It is excellent and went onto say that the home are excellent in carrying out treatments when requested. An Occupation therapist was also spoken with and confirmed that the home is very good and will seek advice when needed. One professional survey returned to the Commission recorded, End of life patients remain in the home until their last days where their holistic needs are met and another professional survey said, An excellent care facility and well run. All people living at the home have access to all health care services and this information was recorded into individual files examined. These files recorded that there was input from other professionals including GPs, chiropodist and consultants based at the local hospital. Several people living in the home confirmed that they are able to see a Doctor when they wish and a family member said the home looked after their relative very well when they had been unwell recently. One professional spoken with has recently had their own relative staying in the home for short term care. This professional stated that placed their relative in the home as the home provided, excellent care and support. Many staff have benefited from the completion of a Palliative Care course to aid the comfort of people living in the home. The Commission received two professional surveys with one saying, General care of Care Homes for Older People Page 13 of 28 Evidence: our practice patients to a very high standard. The manager of the home talked through the medication procedure for the home. The home uses the blister pack system for administration. The manager confirmed that the staff had attended medication training. It was evident from these discussions that the manager and some staff spoken with that they understood the medication procedure that included administration, storage and disposal of medication. Staff members were able to confirm they had completed medication training and certificates were held on staff files. The homes Controlled drugs were checked and found to be well recorded and documented. The inspector spoke to many of the people living at the home and most were able to comment directly about their experiences of living in the home. People who were able to clearly stated that they were well cared for and that their dignity and privacy was maintained. The inspector observed people who were confused being treated respectfully by the care staff, staff knocking on bedroom doors and staff assisting people with meals. Several people said they were assisted promptly. It was observed that people who chose to wander freely through the home were able to. One person said, The staff are wonderful. The homes AQAA returned under what we have improved over the last 12 months states, We continue to make small improvements to our care planning and assessment of needs procedures. One person living in the when asked agreed that the staff shut their bedroom door to aid privacy and dignity. The inspector spoke to family and friends visiting the home during the inspection. All agreed that the staff and particularly the manager were very supportive and always kept them informed of the well being of their relative. Care Homes for Older People Page 14 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Valley View offers a wide range of social activities for the enjoyment of all. The food served is always freshly prepared with individual choice taken into consideration. Evidence: The people living in the home were observed moving freely around the home and some people choose to remain in their own bedroom. The staff were able to confirm that people who remained in their own room were visited often. Staff were seen interacting with people and discussing everyday topics and included assisting individuals when needed showing staff were aware of the needs of people living in the home. There was a notice board in the dining room area for everyone to see and this showed a weekly timetable of activities planned. Other activities booked for the week included a trip to the garden centre for lunch and shopping in a near by shopping centre. A few of the people spoken with were able to confirm that there is regular activities provided and these activities were either organised by the staff or by visitors to the Care Homes for Older People Page 15 of 28 Evidence: home. The home has one staff member designated to arrange activities. Several people confirmed that they had a pantomime production in the home recently. This was arranged and paid for by the home and everyone spoken with enjoyed this show. Relatives and friends were also invited to attend and a relative spoken with said, It was a great party. All family visits and contact is recorded into individual files and daily records examined showed recent family visits for several people living in the home. Visitors are welcome at any reasonable time and can visit their friends and family in the privacy of their own room. Seven visiting relatives were spoken with during this inspection and all were able to confirm they were able to visit at any reasonable time. Also one visitor confirmed that they always see their visitor in the privacy of their own room. Several people were observed going out with relatives on the day of the inspection and the manager confirmed that many were due to go home with their relatives over the Christmas period. A few of the people spoken with agreed and felt that they were able to make individual choices about everyday issues in their lives. These choices also included choosing food from the daily menu on offer and times of going to bed and getting up. All bedrooms visited contained personal possessions and items and a relative of a person living in the home said that the home encouraged them to bring in items from home for their relative. Most people were able to make positive comments about the food provided. The home has a 2 weekly menu and displays the daily meal and choices available in the main lounge area for peoples convenience. It was evident from the food seen served at lunchtime, Sausage casserole severed with fresh vegetables and potatoes that the food was home cooked using fresh products. This was followed by a choice of home made desserts. Other menus showed that the home offers a varied choice and many fresh products used. The meal was well presented and freshly prepared. Staff were observed assisting people with their meals in a relaxed and sensitive way. And one person asked for and received a different meal to the one offered. The comments received from people living at the home about the food provided included, The food is excellent. And a relative stated, My relative enjoys their food. One person living in the home said, The food is so good I have put on 2 stone! The staff confirmed that this person was under weight when they came to the home. Care Homes for Older People Page 16 of 28 Evidence: The homes AQAA returned to the Commission stated, At Valley View, residents have a complete choice how they spend their day and goes onto say, Food is important at Valley View and the cooks go to great trouble to ascertain preferences and then meet them. Most people continue to manage their own finances themselves whilst others allow there family do this for them. Several relatives confirmed that they manage the money for their relative. Care Homes for Older People Page 17 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live at Valley View and their relatives can be confident that any issues of concern or complaints would be taken seriously and dealt with promptly. Evidence: Displayed in the main hallway was the homes current complaint procedure and supporting this was the homes Statement of Purpose holding the complaints procedure and complaints forms for people to access at any time. The home has not received any complaints and neither has the Commission. Most people living at the home were able to confirm that they were aware the home had a complaints procedure but have never needed it. One person said they would talk to their family if they had any concerns. This family member visiting confirmed that their relative would speak to them and that they were also aware of the homes complaints procedure but has never needed to use it. All other relatives spoken with also confirmed they were aware the home had a complaints procedure and had never needed to use it. Most people agreed that the manager was available most days to discuss any concerns. The manager confirmed that most staff have completed the safeguarding training and many had also completed the Deprivation of Liberty (DOLS) and Mental Capacity Act Care Homes for Older People Page 18 of 28 Evidence: (MCA) training. All the staff spoken with confirmed that they had received Safeguarding, DOLS and MCA training and all staff confirmed that the manager was in the home most days and would deal with any issue raised straight away. The homes AQAA records under what they do well, Residents and relatives tell us that it is easy to make their views and concerns known. Care Homes for Older People Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Valley View continues to maintain a clean and suitable environment for its stated purpose and the service users can be assured that they will live in an attractive and comfortable home that is regularly maintained. Evidence: The home is safe and well maintained and suitable for its stated purpose. It is a very comfortable, warm and light home. All the people spoken with and their relatives confirmed this was usual. The gardens are well maintained and the home employs a gardener and maintenance person to carry out everyday repairs and general upkeep of the home. The office area was at the side of the lounge room therefore the Registered Manager and staff are not able to have private meetings or telephone calls. In order to do this they had to find a quiet area, such as the front hallway or the garden but will seek permission to use a bedroom if one is not vacant. The laundry facilities are sited separately and a sluice is available. The home was very clean, hygienic and free from offensive odours and the laundry facilities were suitable for its stated purpose also the washing machine has a sluice facility. The process for the removal of clinical waste was discussed and was satisfactory dealt with. Several of the staff confirmed they had completed an infection control course and that the home Care Homes for Older People Page 20 of 28 Evidence: provided disposable aprons and gloves for their protection. Updates taken place since the last inspection include new carpets in some areas, new lounge furniture and the replacement of some of the bedroom furniture. And the AQAA returned to the Commission states that whenever a room becomes vacant they redecorate. Comments received during the inspection from people living in the home and the visitors were,The home is always clean and tidy and another said, It is an excellent home. Care Homes for Older People Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff training is encouraged and this enables people who live at the home to receive the best possible service. People living at the home are supported by well-motivated and caring staff in sufficient numbers to meet the needs of those currently living at the home. Evidence: The homes rotas as well as the staff confirmed that there is sufficient staff employed to care for the service users in the home. On the day of the inspection there were 16 people living in the home and on duty was the Registered Manager, deputy manager, two care staff, a cook and a housekeeper. Therefore providing evidence that the home had sufficient staff to support people currently living in the home. All the staff on duty during the inspection were spoken with and some confirmed that they hold a NVQ qualification. The manager confirmed all bar one staff member holds the NVQ qualification and the staff member without the qualification have already started this training course. One staff member spoken with confirmed that they had the Mentoring and Coaching award to assist other staff members in the home. Care Homes for Older People Page 22 of 28 Evidence: Examination of staff files showed that all staff had the required pre-employment checks, including CRB (Criminal Record Bureau Disclosure) in place ensuring as far as possible unsuitable staff are not employed. Many of the care staff employed at the home are long serving staff members having worked at the home for a number of years therefore have a great deal of experience working with older people. Most people living in the home and all the relatives spoken with were able to confirm that the care they received is excellent. Several staff members were interviewed during this inspection and were able to confirm that regular training is offered. Recent training included Manual Handling, Food Hygiene and Medication training. The homes AQAA states, We operate a robust recruitment policy and goes onto say, We have built up a really excellent staff team. One staff member said, Good staff team and one person living in the home said of the staff, They are lovelyand a family member said of their relatives care, The staff are lovely with another saying, the staff and care is excellent. One staff survey returned to the Commission recorded, The service that are provided by Valley View are of a high standard and a survey completed by someone living in the home said, Care has been excellent and goes onto say, All staff are approachable. The home employs a cleaner and a cook and both of these staff have completed an NVQ in care and assist with care work when needed. Care Homes for Older People Page 23 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The owners, manager and the staff team strive to provide a homely, stimulating environment that respects and protects people who live at the home. Evidence: The Registered Manager, Debra King, was available throughout the inspection process and one of the owners, Mr Ward was available for part of the inspection. The manager confirmed she has an excellent relationship with the registered owners and lines of communication are good with them being available when needed. The manager is a qualified nurse and has the Registered Managers award and continues with her own professional development and is due to start her NVQ 5. All the people spoken with spoke very highly of the manager with one staff saying, Debra is a top boss and a relative said, An excellent manager who always put the residents first. A staff survey returned to the Commission recorded, The home is homely and friendly and very well run by the home owners and manager. Care Homes for Older People Page 24 of 28 Evidence: The manager stated that the homes quality assurance surveys require updating. Previous inspections showed these are competed regularly and no issues of concern had been raised in previous surveys. Meeting are held with the people living in the home and several people stated that they thought they had attended meetings with other people in the home. Staff supervision records showed that this is carried out regularly and on a one to one basis and the manager confirmed that they hold regular staff meetings. All staff interviewed confirmed that they receive regular supervision, which includes discussion on courses available. Sampling of records indicated equipment is serviced regularly and maintained in good order. Health and Safety is a priority in the home and the records that were examined showed fire safety training and fire protection is in place and up to date. The accident records were accurate and files examined showed that information is recorded onto accident forms and also written into individuals files and daily records with appropriate action taken when needed. Care Homes for Older People Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 27 of 28 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). 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