Care Home: Victoria Cottage Residential Home

Similar services:

• Byars Care Home
• St Marys Nursing Home
• Bramble Lodge
• Parkmanor Residential Home
• Thornham Grove
• Hunter`s Lodge
• London Road Neurological and Specialist Care Unit
• Carlton Care Home

What the care home does well Anyone new wanting to come to the home is assessed beforehand to identify what the person`s needs are and if the home is able to meet them. This information is then shared with staff so they know what they are expected to do. One person told us, "They have done everything they can to help me settle". People have their healthcare needs met and are able to have medical support when they need it. One person said, "I am not well, they are doing what they can to help me". Staff make sure they see people take their medication. Frequent and varied activities are arranged and there are regular entertainers who visit the home. there are also other items of interest to provide stimulation. A resident told us, "I join in the quizzes, we have also got some volunteers who come in and do things with people." Visitors are welcome to come and see their friends and relatives and they are able to take people out. Regular church services are held in the home and people can attend a local church if they wish. People are able to make choices about their daily routines and a resident told us, "I have only got to say `can I have so and so` and it will be there, thats food or anything". People are happy with the food they receive and have a choice at each meal. One resident said, "We have a variety of food, nicely cooked and presented". People are given information about how to complain if they are not happy about anything. Everyone who completed our survey forms said they knew how to make a complaint. One person said, "I have been told if I am not happy about something I can complain". Staff know how to protect people in the event of any allegation and people told us they feel safe in the home. The home is kept clean and homely, and comments made included `There is always a homely atmosphere at Victoria Cottage` and ` It is not luxurious but has a big heart`. There are suitable arrangements for the disposal of waste products, and good practices are followed to prevent the spread of any infection. There are sufficient and suitably trained staff on duty who have been through the required recruitment checks. One person wrote on our survey form, `All the staff are very good, always at hand if I want anything and the kindness they show towards me is excellent.` and another resident said, ""My friends have said aren`t they a friendly lot which is nice". A number of staff have worked together at the home for a long time and over half of them have a professional qualification. They are provided with regular training. There is a suitably qualified and experienced manager in post and people are encouraged to comment on how the home is run. The required health and safety checks and tests to the building and equipment are carried out. What has improved since the last inspection? Details of people`s needs and how these will be met are recorded in a care plan, which includes information about their capacity to make decisions for themselves. Residents and/or their relatives are able to be involved in determining what care is required, and how this will be provided. One person said, "I have the support I want, it is very good, they help my independence". A new controlled drugs cabinet has been purchased and the manager said she made sure this complied with the current safety requirements. A dignity champion has been appointed who has instigated a number of developments to promote and improve people`s privacy and dignity. Recruitment documentation has been updated to include a full working history for any future new staff. What the care home could do better: Measures must be in place, and known to staff, which ensure that people`s capacity is assessed when any decision is required which has an impact upon their rights. The Annual Quality Assurance Assessment (AQAA) must be fully completed and include the views of people living in the home. Key inspection report Care homes for older people Name: Address: Victoria Cottage Residential Home 13 Station Road Lowdham Nottingham NG14 7DU     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: Stephen Benson     Date: 1 6 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 29 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 29 Information about the care home Name of care home: Address: Victoria Cottage Residential Home 13 Station Road Lowdham Nottingham NG14 7DU 01159663375 01159664165 suncarehomes@hotmail.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Sun Care Homes Ltd Name of registered manager (if applicable) Andrea Josephine Clark Type of registration: Number of places registered: care home 18 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Victoria Cottage is a care home providing personal care and accommodation for 18 older people. The home is owned by, Mr Pancholi. The home is located in the village of Lowdham, close to shops, pubs and other local amenities. The home was opened in 1984 and consists of a converted 2 storey house with a newer purpose built extension. All the homes bedrooms are single and 9 of the bedrooms have en-suite facilities. There is a passenger lift. The home has small gardens. The manager said on 16/04/10 that the fees for the service range from £349 - £360 per week depending on dependency needs. There are additional charges for hairdressing and chiropody. Further information about the home is available in the brochure and service user guide a copy of the latest inspection report is available in the office and there is a notice in the entrance inviting people to read it. Care Homes for Older People Page 4 of 29 Over 65 18 0 2 8 0 4 2 0 0 9 Brief description of the care home Care Homes for Older People Page 5 of 29 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 focus of inspections undertaken by the Care Quality Commission is upon outcomes for people accommodated and their views on the service provided. This process considers the providers capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. This was our first visit to the home since 1st April 2010. This inspection involved one inspector; it was unannounced and took place in the daytime, including lunchtime. Prior to the visit an analysis of the home was undertaken from information gathered over the last year including that from the Annual Quality Assurance Assessment they completed. We sent survey forms entitled Have your say about... to a sample of service users, relatives and staff and responses from those returned have been considered. Care Homes for Older People Page 6 of 29 The main method of inspection used is called case tracking which involved looking at the quality of the care received by a number of people living at the home. We also used evidence from our observations; we spoke with them about their experience of living at the home; we looked at records and talked with staff about their understanding of the peoples needs who they support. The premises were not inspected in detail but various areas of the home were visited as part of the inspection. Care Homes for Older People Page 7 of 29 What the care home does well: Anyone new wanting to come to the home is assessed beforehand to identify what the persons needs are and if the home is able to meet them. This information is then shared with staff so they know what they are expected to do. One person told us, They have done everything they can to help me settle. People have their healthcare needs met and are able to have medical support when they need it. One person said, I am not well, they are doing what they can to help me. Staff make sure they see people take their medication. Frequent and varied activities are arranged and there are regular entertainers who visit the home. there are also other items of interest to provide stimulation. A resident told us, I join in the quizzes, we have also got some volunteers who come in and do things with people. Visitors are welcome to come and see their friends and relatives and they are able to take people out. Regular church services are held in the home and people can attend a local church if they wish. People are able to make choices about their daily routines and a resident told us, I have only got to say can I have so and so and it will be there, thats food or anything. People are happy with the food they receive and have a choice at each meal. One resident said, We have a variety of food, nicely cooked and presented. People are given information about how to complain if they are not happy about anything. Everyone who completed our survey forms said they knew how to make a complaint. One person said, I have been told if I am not happy about something I can complain. Staff know how to protect people in the event of any allegation and people told us they feel safe in the home. The home is kept clean and homely, and comments made included There is always a homely atmosphere at Victoria Cottage and It is not luxurious but has a big heart. There are suitable arrangements for the disposal of waste products, and good practices are followed to prevent the spread of any infection. There are sufficient and suitably trained staff on duty who have been through the required recruitment checks. One person wrote on our survey form, All the staff are very good, always at hand if I want anything and the kindness they show towards me is excellent. and another resident said, My friends have said arent they a friendly lot which is nice. A number of staff have worked together at the home for a long time and over half of them have a professional qualification. They are provided with regular training. There is a suitably qualified and experienced manager in post and people are encouraged to comment on how the home is run. The required health and safety checks and tests to the building and equipment are carried out. Care Homes for Older People Page 8 of 29 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 9 of 29 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 29 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 coming to the home will know their needs can be met, as they have been assessed. Evidence: We were told in the assessment they completed that, The manager liaises with the multi disciplinary team to obtain a clear picture of the residents needs. A sample of files seen included pre admission assessments completed by the manager prior to the person moving into the home. There were also copies of assessments completed by the Local Authority, which were given to the home prior to the person being admitted. In our survey forms everyone said they had received enough information about the home before they moved in and that they had received a contract. Care Homes for Older People Page 11 of 29 Evidence: Staff spoke of the manager going to see a recently admitted resident in hospital and coming back and telling them about his needs. The resident confirmed that the manager had visited him in hospital and said, They have done everything they can to help me settle. Care Homes for Older People Page 12 of 29 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples health, personal and social needs are met by care practices in the home in a manner that promotes their privacy and dignity, as detailed in their care plans, although peoples mental capacity is not being properly assessed. Evidence: A sample of care files were looked at and these contained relevant information about the residents needs. Staff said that the care plans were a lot better than they were, and the inclusion of an index in the front makes them a lot easier to follow. There was information at the front of the care file explaining how care plans should be used and updated, that they are individual for that person and that the resident and/or their family should be involved in preparing them. There were care plans seen to cover short term needs such as treating an infection and guidance given as to how and when staff should raise concerns about someones health. There was also information such as how someone likes their tea and that another resident likes to watch a particular television programme. Care Homes for Older People Page 13 of 29 Evidence: There was some information included about the principals of the Mental Capacity Act, however this needs to developed more into practice. Staff said they have been given some information about the act, which has made them think about how to help people make everyday decisions. In our resident survey forms everyone said they always receive the care and support they need, and a comment was made on a staff survey that they, Always make sure the residents welfare and well being are the priority. We always put the residents needs before anything else, they are always our main priority. A resident told us when asked if she had been shown a care plan, I imagine there is one, I might have seen it and forgotten, but I have the support I want, it is very good, they help my independence. We were told in the assessment they completed that, Our residents are encouraged by staff to maintain control of their personal care wherever possible. Help given to those who are unable to carry out their own hygiene and health care whilst maintaining their privacy and dignity. There is a record made of all healthcare appointments and staff were heard discussing one residents well being. A District Nurse was in the home attending to needs of some residents. In our resident survey forms everyone said they receive the medical support they need and one person commented, Staff look after my health. One resident told us, I think they promote good health and another said, I am not well, they are doing what they can to help me. A new controlled drugs cabinet has been purchased and the manager said she made sure this complied with the current safety requirements. Part of the lunchtime medication round was observed, and medicines were seen being administered in a safe manner. Records were properly maintained following the administration and records seen were all up to date. Medication was administered to suit the resident by waiting until they had finished their lunch rather than interrupting their meal. Staff said that one resident partially self medicates, and another resident told us, Care Homes for Older People Page 14 of 29 Evidence: They (staff) give out tablets, I probably could manage mine, but I cant be bothered, I believe in letting them do it for me. Since our last inspection the home has appointed someone to act as a dignity champion. This has led to a number of developments within the home to promote peoples privacy and dignity. This includes signs on bedroom doors to show when care is taking place, how soft diet food is presented, naming clothes and having fresh flowers in the home. The manager said she was pleased with how having a dignity champion has promoted dignity within the home and she is planning to get all staff to become dignity champions. Staff were seen treating people in a respectful and dignified manner and promoting their dignity through their actions and language. One care plan said how a resident likes her bed to be neat and tidy at all times. Care Homes for Older People Page 15 of 29 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 have opportunities to take part in activities both in and out of the home. There are opportunities for people to exercise choice in their lives and they are provided with a wholesome diet to their liking. Evidence: We were told in the assessment they completed that, We encourage our residents to participate in in house activities. Their cultural and religious beliefs are respected and we strive to supply activities to suit different preferences. The manager showed a book which had information about activities and entertainment that has been provided. This showed as well as regular entertainers coming to the home, staff provide a varied range of activities. Notices were seen advertising forthcoming activities, including motivation sessions, quizzes and sing songs. There was also an activities table in the quiet lounge. There was jolly sing a long type music playing in the lounge, which staff changed regularly to prevent repetition. Care Homes for Older People Page 16 of 29 Evidence: In addition to organised activities such as memory quizzes and other games, there are other things to provide stimulation including a fish tank, visiting dogs, bird tables in the garden and a table with a large jigsaw for people to complete. The manager said she is organising a sunflower growing competition. Other events that have taken place include an Easter Bonnet parade, cream tea and sherry afternoon and a New Year dinner. Staff said there is a lot of activity provided and people can take part in community based activities. One resident won a prize at the recent horticultural show in the village. In our resident survey forms everyone said there are always activities arranged they can take part in. A resident told us, I join in the quizzes, we have also got some volunteers who come in and do things with people. There is a regular religious service held in the home, and one resident attends the local church. Staff were seen offering people choices at every opportunity and promoting their independence. A resident told us, I have only got to say can I have so and so and it will be there, thats food or anything. There is a menu which provides a choice a each meal and the cook asks people for their choice during the morning. Other alternatives are available if wanted and one person who is not eating due to health problems said, I just cant eat, they keep offering me food and ask if I want anything special. In our survey forms everyone said they always like the meals and one person commented, Meals are very good. A resident told us, We have a variety of food, nicely cooked and presented. Care Homes for Older People Page 17 of 29 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. There are systems in place for people to raise any concerns and staff know how to safeguard people. Evidence: We were told in the assessment they completed that the home will act promptly to any complaints received. The manager said they have not had any complaints as any niggles are sorted out at the time, such as missing clothing, which was a view also expressed by staff. In our survey forms everyone said they had someone they can talk to if they are not happy and that they know how to make a complaint. One person commented, The staff are always accessible to discuss any problems and to give residents tender loving care. A resident told us, I have been told if I am not happy about something I can complain. We were told in the assessment they completed that there have not been any safeguarding investigations, and there have not been any reported to ourselves. Staff were aware of potential abuse situations that residents may face and the action they should follow if they felt someone needed to be safeguarded. Care Homes for Older People Page 18 of 29 Evidence: We asked some residents if they felt safe in the home and all said they did. One person told us, If anyone shouted at me I would shout back! Care Homes for Older People Page 19 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a comfortable and well maintained environment that provides a homely atmosphere. Evidence: We were told in the assessment they completed that, We strive to provide a pleasing homely atmosphere. It is a homely happy home where the welfare of our residents is paramount. The manager said there has been some decoration carried out since our last visit and ways of making the entrance hall more welcoming are currently being explored. Staff said that any repairs needed are attended to promptly. Areas of the home seen were clean and tidy. In our survey forms people said the home is kept fresh and clean and comments made included, There is always a homely atmosphere at Victoria Cottage and Victoria cottage provides a calm , caring environment and strives to provide a homely atmosphere. It is not luxurious but has a big heart. A resident told us, I have been asked if I would like to move to a bigger room, they are going to decorate it. Care Homes for Older People Page 20 of 29 Evidence: Staff were seen using protective clothing when handling food and providing personal care. A resident told us Everywhere is kept clean and tidy. They always wear gloves and aprons, I sometimes see them take them off, put them in the bin and then get more out. I suppose its not spreading infection but seems wasteful. Care Homes for Older People Page 21 of 29 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. There are sufficient staff available to meet peoples needs and they are provided with the training they require to do this. Evidence: We were told in the assessment they completed that, The atmosphere generated by residents and staff enables us to keep a regular and settled staff, this is something that the residents appreciate. Staff said the current deployment of care staff is sufficient to meet the current needs of the residents. In our survey forms everyone said that staff are there when they need them. One person commented, All the staff are very good, always at hand if I want anything and the kindness they show towards me is excellent. A resident told us, My friends have said, arent they a friendly lot, which is nice. Information included in the assessment they completed showed that over half the staff group have achieved a professional qualification. There have not been any new staff employed since our last visit, however the Care Homes for Older People Page 22 of 29 Evidence: manager said that she has amended the recruitment information to ensure that in future recruitment prospective staff will be required to provide a full previous employment history. There is a training programme and each staff member has an individual training record. Recent training has included dementia awareness and tissue viability. Training is planned on The Mental Capacity Act and Deprivation of Liberty. In our survey forms staff said they given training that is relevant to their role and helps them understand peoples needs. Care Homes for Older People Page 23 of 29 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. There are suitable management arrangements in the home to ensure the home is run in the best interests of people living there. Evidence: The manager has worked in the home for many years and has a managerial qualification. She takes part in routine training that is provided for staff. In our staff survey forms all staff said the manager gives them enough support and meets with them to discuss how they are working. There are questionnaires in the entrance foyer for anyone who wants to complete one. There are regular residents meetings where suggestions are put forward and views sought. Minutes showed residents being asked for their views on recent entertainment and menu suggestions. Residents also suggested a bonus ball syndicate to raise funds for more entertainment. Care Homes for Older People Page 24 of 29 Evidence: The assessment we ask the provider to complete and send back to us was returned on time. The information contained in this was brief and did not give sufficient detail about the service and the views of people living there. There is a system available to help people manage their personal allowances, which involves the money being held in the safe and a record made, and witnessed, of every transaction made. We were told in the assessment they completed that equipment is serviced or tested as recommended by the manufacturer or other regulatory body. Dates were provided showing this to be the case. Staff said they did not have any concerns about health and safety within the home. A resident told us, I used to be involved in Health and Safety so would know if something is not right and say something. They test the fire alarm. Care Homes for Older People Page 25 of 29 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 29 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 1 7 15 Measures must be in place, and known to staff, which ensure that peoples capacity is assessed when any decision is required which has an impact upon their rights. This will ensure people are supported to make the choices that affect their lives that they are able. 01/07/2010 2 33 17 The Annual Quality Assurance Assessment (AQAA) must be fully completed and include the views of people living in the home. This will ensure that people living in the home are able to contribute to how the home is run. 01/04/2011 Care Homes for Older People Page 27 of 29 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 28 of 29 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 29 of 29 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!