Care Home: Wamil Court

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What the care home does well This report highlights all standards of good performance. This assessment is a reflection of a consistent good service offered to people who use this service as well as what has been found at this inspection. The overall approach of this service is friendly and professional using up to date thinking and involving outside agencies to promote good quality care. The health care and support delivered to people at Wamil Court is good. All comments around care and support were positive. One person said `The home have acted appropriately when calling in the GP, district nurse or other health professionals`. People who use this service will find they have a comprehensive care plan in place that is using current good practice guidance and that they are regularly reviewed with the individual. Information about this home is very good and up to date and clearly sets out what is included. Surveys from residents returned all said that they received enough information about the home. All comments made were positive. In speaking to residents they told us the care home was able to meet all their care needs and one person said they had sufficient and correct equipment to meet their care needs at all times. Wamil Court provides a good range of social activities and ensures that residents health and well-being is maintained through the provision of good quality catering. One person said `there were plenty of activities to join in and I particularly liked the the jolly pensioners bar where I had a lunchtime drink`. This same resident said that the food at the home was lovely with plenty of choice and showed us the menus that were available for all to see. What has improved since the last inspection? At the previous inspection we highlighted areas for development and improvement and we found that action had been taken in all areas. At the last key inspection of the service we made a requirement asking that the service update their information and we found on this occasion that a standard contract was available to prospective residents along with a copy of the last report written by the care quality commission. From the surveys returned by residents all five residents said that they had a contract and one resident said ` the staff keep it in a safe place for me`. Also at the last inspection we required Suffolk Social Services to monitor this service for themselves with regular visits to the service and compiling a report on their findings having spoken to the residents and staff. At this inspection we found there were regular visits made by Suffolk Social Services representatives to the home which support the internal quality assurance process. The reports form the visits were available for inspection at the home. What the care home could do better: We are confident that the management of this service will address matters we raised during inspection. During the inspection we gave feedback to the Team Leaders on duty and subsequently the manager by telephone. One of the matters we raised was development of the homes falls prevention strategy to include policies and procedures for staff to follow that will monitor, assess and prevent residents from having falls and recurrent falls. A staff member was due to attend training that they could then cascade. Medication was well managed and initiatives were being developed to have medication stored in peoples rooms. Currently one units medication was stored in an area that may see a rise in temperature. Therefore we suggested that the temperature of this room be monitored to ensure medication remains stable and not affected. Key inspection report Care homes for older people Name: Address: Wamil Court Wamil Court Wamil Way MILDENHALL Suffolk IP28 7JU     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: Claire Hutton     Date: 2 7 0 5 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 26 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 26 Information about the care home Name of care home: Address: Wamil Court Wamil Court Wamil Way MILDENHALL Suffolk IP28 7JU 01638714751 01638712664 marcia.hyland@socserv.suffolkcc.gov.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Suffolk County Council care home 33 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The home is able to accommodate two named service user over the age of 65 with dementia, as per variation applications V34076 and V36357. Date of last inspection Brief description of the care home Wamil Court is a purpose built home for older people, situated in a quiet road not far from the centre of Mildenhall in Suffolk. It is a single storey building laid out around a central courtyard and has been completely refurbished and adapted to provide care for up to 33 residents. All residents who live at the home have their own bedroom with en suite facilities. The home is divided into four units each of which has a lounge, dining room and kitchenette. Two units are for people with a diagnosis of dementia and the other two offer residential care to older people. The home has 2 places available for respite care. There is a large communal lounge called the function room and a number of small seating areas around the home that offer quiet away from the main lounges. There are two laundry rooms, a hairdressing room, a small conservatory and Care Homes for Older People Page 4 of 26 15 0 Over 65 2 18 Brief description of the care home a bar on site. Wamil Court is also the home to two cats. Wamil Court is owned and managed by Suffolk County Council. Information about the home and fees can be obtained from contacting the home. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This was a key inspection, which focused on the core standards relating to care homes for older people. The inspection was unannounced on a weekday, which lasted 6.5 hours. This report has been written using accumulated evidence gathered before and during the inspection, including information obtained from 7 Have Your Say surveys. Comments from these surveys are used in this report. The Annual Quality Assurance Assessment (AQAA), issued by the Care Quality Commission (CQC) was returned completed by the manager. This self-assessment gives providers the opportunity to inform the CQC about their service and how well they are performing. We (CQC) also assessed the outcomes for the people living at the home against the Key Lines of Regulatory Assessment (KLORA). A tour of the premises was made and a number of records were inspected, relating to Care Homes for Older People Page 6 of 26 people using the service, staff, training, the duty roster, medication and health and safety. Time was spent talking with people who live in the home, 3 members of staff and the Team Leaders on duty. Their comments are included in this report. The manager of the home was unavailable during this inspection however feedback was given by telephone shortly after our visit. Care Homes for Older People Page 7 of 26 What the care home does well: What has improved since the last inspection? What they could do better: We are confident that the management of this service will address matters we raised during inspection. During the inspection we gave feedback to the Team Leaders on duty and subsequently the manager by telephone. One of the matters we raised was development of the homes falls prevention strategy to include policies and procedures for staff to follow that will monitor, assess and prevent residents from having falls and recurrent falls. A staff member was due to attend training that they could then Care Homes for Older People Page 8 of 26 cascade. Medication was well managed and initiatives were being developed to have medication stored in peoples rooms. Currently one units medication was stored in an area that may see a rise in temperature. Therefore we suggested that the temperature of this room be monitored to ensure medication remains stable and not affected. 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 26 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 26 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. Wamil Court ensured that information was available about the service. An assessment was routinely completed before moving in and formed the basis of care planning to ensure the service could meet individual needs. Trial periods were in place and followed up with a review. Evidence: This service has up-to-date information available and people wishing to use the service has enough information to make an informed choice about living out the home. In the main foyer we found the Statement of Purpose and the Service Users Guide. Both these documents had very recently been updated and contained very recent changes relating to the care quality commission. At the last key inspection of the service we made a requirement asking that the service update their information and we found on this occasion that a standard contract was available to prospective residents along with a copy of the last report written by the care quality commission. From the surveys returned by residents all five residents said that they had a contract Care Homes for Older People Page 11 of 26 Evidence: and one resident said the staff keep it in a safe place for me. The self-assessment described a process that a prospective resident would be visited at their current residence and invited to visit for the day whereupon a care plan would be drawn up with the resident and a close relative if appropriate. We were able to verify this process by looking at records and speaking to residents and staff. The selfassessment also told us that six weeks after initial placement a review would be conducted with the social worker. We were told by a social worker the home keep me well-informed about how the person is. In speaking to residents they told us about the care home was able to meet all their care needs and one person said they had sufficient and correct equipment to meet their care needs at all times. We saw from looking at records that care plans are kept under constant review and changes made where relevant. Care Homes for Older People Page 12 of 26 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. People who use this service will find they have a comprehensive care plan in place that is using current good practice guidance and that they are regularly reviewed with the individual. Dignity and privacy is observed in this home. People are protected by the homes policies and procedures for dealing with medication. Evidence: We examined three care plans for residents who were in different parts of the service and differing dependency needs. We found that the care plans gave good clear information to care staff on how best to support individuals. There was evidence of regular update and review. The care plans were divided into different sections such as personal care, communication and dietary requirements. There were also risk assessments that supported these plans such as manual handling, continence management and personal finances. We observed staff moving a resident so that they could eat at the dining room table. Staff was seen to handle the resident well and knew what they were doing. We also saw staff confidently and knowledgeably get a resident up from the floor who had fallen. We were able to look at this persons care plan and see that staff had used the correct equipment and techniques as described in Care Homes for Older People Page 13 of 26 Evidence: the care plan. Daily care notes had been kept by care staff and were good factual care notes of the support given to individuals. There was also a record of bathing, weight and when a health professional such as the GP or District Nurse had visited. This showed a comprehensive record of care input. We received a completed survey from a social worker and they told us Wamil court always keeps me well informed about how the person is. The home have acted appropriately when calling in the GP, district nurse or other health professionals. We saw a committed team of staff meeting peoples needs, they were able to give an in depth account of the health and personal care needs of people and knew exactly how to care for them. We spoke to a resident who explained that there was sufficient equipment to meet care needs. We were shown the individuals en-suite and bathroom they chose to use to demonstrate their point. The same resident said they chose to get up early each day as there were sufficient staff available when called for at that time. From the 5 surveys we received back from residents 4 said they always received the care and support they needed and one said they usually did. People said the staff always respected them, one person described how lovely the staff were and that they were always able to have a laugh and chat with them. We could see peoples dignity being maintained during lunchtime and staff took time to make sure that peoples privacy was protected at all times. People commented in surveys that they were treated very much as individuals. Medication within the home was well-managed. We were fortunate to observe staff administering medication at the lunchtime period. We observed the staff were confident and competent and completed all paperwork appropriately. Medication within the service is always administered by a trained senior member of staff. The member of staff was seen to have a caring approach to the residents. The member of staff explained what medication was for and with one resident gently encouraged them to take the medication and stayed with them until all the medication was consumed. Another example was a resident said that they were in pain and staff immediately responded to them and administered their prescribed painkillers and then noted the site of pain with in the care plan. Care Homes for Older People Page 14 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in Wamil court have opportunities to participate in activities that are appropriate to their needs. People have varied diet that they enjoy. Evidence: Before we visited the self-assessment had told us that 2 activities persons were employed at the home and provided group activities in a morning and individual activities in an afternoon. Also that a Pat dog visited each fortnight and that there was a shop trolley twice week. The five surveys received from residents have told us that they were satisfied with the level of activities available at the home. During our visit we found that a good variety of activities were available. There was a notice board that told of events planned for the week such as seed planting, bingo, blockbusters, shop trolley and town trips. There were also notices around the home for upcoming event such as a race night and an underwear party. In one part of the home that was specifically for people with dementia we saw the there were activity boxes. One of these contained seaside memorabilia such as shells and another contained items that would be of interest to ladies such as a nice handkerchief. Also on the wall for staff to have access to was information on Care Homes for Older People Page 15 of 26 Evidence: meaningful activities. This included suggestions such as setting tables, and household chores such as dusting or simply going for a walk. We spoke with one of the residents in this particular unit who told us that they like to to use the garden area and the staff put up on the green umbrellas to keep the sun off. Another resident in a different part of the home told us that there were plenty of activities to join in and they particularly liked the the jolly pensioners bar where they had a lunchtime drink. This same resident said that the food at the home was lovely with plenty of choice and showed us the menus that were available for all to see. Whilst we were at the home we were able to discreetly observe the lunchtime meal. The small dining rooms are nicely laid out with table settings condiments and napkins. Each resident was offered a choice of drink. Lunchtime was a social affair that was unhurried and enjoyed by most if not all the resident group. We were able to see from the chalk board the todays lunch was jacket potato with chili. There was an alternative served to those who did not like this and also a vegetarian option. There was a lot a social chatter at the dining table however when the meal was served there was silence whilst the residents ate and enjoyed their main course and over the choice of dessert the chatting and socialising resumed. The staff went to great lengths to ensure that each person had a meal of their liking. One resident who had been ill chose toast and staff prepared this for them. Great care was also taken on the quality and style of presentation of the food. One relative told us My relative has a diabetic diet and a special menu. There are a good range of menus during the week. We observed and people told us that visitors were welcome at any time. Relatives were seen visiting, chatting freely and helping themselves to tea and coffee in the kitchenettes and one relative was taking a resident out for a meal as it was their birthday. Care Homes for Older People Page 16 of 26 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. People who use this service can be assured that Wamil Court will take concerns and complaints seriously and take action to put things right. This home safeguards people from abuse and is aware of action they must take following any allegation. Evidence: The self-assessment completed by the manager told us that there was a complaints procedure in place and currently this was being reviewed. Also when a resident was admitted they were given a copy of the complaints procedure. All 5 completed surveys told us that residents did know who to speak to if unhappy and were aware of how to make a complaint should they need to. This service has not received any complaints in the last 12 months and we have not been made directly aware of any complaints. Staff spoken with on the day knew of the procedure to follow if anyone had a complaint to make. One member of staff said we take concerns seriously and would do everything to remove the concern. A staff member also told us that 3 staff were doing training relating to The Mental Capacity Act and Deprivation of Liberty. The 3 staff we spoke with told us that they had received training in abuse awareness and knew about whistle blowing. We were aware of one safeguarding matter made by the home. The manager knew of the local reporting procedure with regard to any allegations of abuse and had access to policies and procedures that had been followed in this case. This matter has now Care Homes for Older People Page 17 of 26 Evidence: been satisfactorily concluded. Records examined showed that no staff were employed to work at this home before thorough checks around their suitability had been completed. This included a criminal records bureau check. Care Homes for Older People Page 18 of 26 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 living at Wamil Court can expect to live in a clean, comfortable and wellmaintained environment that meets their needs. Evidence: A tour of the communal areas and several bedrooms was undertaken, all were found to be clean and tidy and hygienic throughout. All furnishings provided were of good quality. Bedrooms had personal possessions such as photographs, pictures and books. All bedrooms are en-suite. Accommodation is all on the ground floor and fully accessible to all abilities. Residents are accommodated on four units, but can access the rest of the home freely. Activities are provided in a large function room, and residents leave their units to attend these. There is a bar in the home, which a resident confirmed is sometimes open, and is open for functions. There is also a veranda and well maintained gardens accessed and used by residents. Wamil Court is well decorated and maintained to a good standard. Bathrooms were seen to have good equipment that allowed older people to be bathed safely. All fire exits were clearly marked and designated. Care Homes for Older People Page 19 of 26 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. People at this home can expect to be supported by sufficient staff that are well recruited and trained to meet their needs. Evidence: The self-assessment told us that the service complies to recruitment in line with national minimum standards. Also that there sufficient staff employed who undertake induction training and National Vocational Qualifications. From examination of recruitment records we agree that staff are well recruited in line with regulation and that only suitable people work at the home. Staff spoke with said that the staff group is very stable and that at the moment things are ticking along nicely. Residents confirmed that the staffing levels were satisfactory and that they did not have to wait long for assistance. During the day our observations were that residents were attended to and staff were able to spend time chatting to residents without rushing from task to task. The self-assessment also told us that the home employ 30 permanent care staff and that 19 of these have achieved NVQ 2 or above. 6 staff have infection control training. And that 37 care and catering staff have received training in food hygiene. We spoke with 3 staff and all 3 said they had a NVQ qualification and that good training was on offer at this home. In a returned survey a staff member wrote Wamil is one of the best, if not the best home I have worked in. Care Homes for Older People Page 20 of 26 Evidence: Staff also confirmed that they had received training on medication, manual handling, dementia, unisafe and 1st aid. On the wall near the office up coming training for staff included Parkinsons awareness, a falls prevention champion, safeguarding vulnerable adults and hazards of chemicals. Care Homes for Older People Page 21 of 26 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. Wamil Court is run and managed appropriately with residents views being sought regularly. Health and safety practices were good and protected residents. Evidence: Wamil Court is managed by a suitably qualified and experienced manager. We were told that the manager had recently completed leadership management level 5. Staff and residents spoken with praised the managers friendly approach in her management of the home. They also said she was efficient and approachable. Staff confirmed they received regular supervision and there was evidence of regular residents meeting and staff meetings. There were regular visits made by Suffolk Social Services representatives to the home which support the internal quality assurance process. The reports form the visits were available for inspection at the home. The home had just completed a recent survey on catering within the home. This asked about portion size, flavour and special diets. The results of these were yet to be collated. We were able to look through the surveys and Care Homes for Older People Page 22 of 26 Evidence: what we saw feedback was positive. The service does not manage any financial affairs on behalf of service users. It does however keep small amounts of cash for individuals. These monies were kept secure and a ledger was kept of every transaction with receipts so that money could be audited if required. The self-assessment confirmed that all policies and procedures required are in place and that outcomes in relation to health and safety matters were positive. We sampled some areas to confirm matters. Hot water records for bathing were kept and hot water was delivered at a safe temperature. A fire risk assessment is in pace with regular drills and testing in place. Fire procedures are displayed throughout the home. Staff were seen to appropriately and frequently wash their hands. First aid kits were seen around the home. There was a good selection of manual handling equipment and staff were trained to use it. We looked at incident and accident records and found that recording was good. Staff confirmed that no bed rails are used with residents in this home. Care Homes for Older People Page 23 of 26 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 24 of 26 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 25 of 26 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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