Inspection on 09/06/10 for Bentley Court Care Home

This is the latest available inspection report for this service, carried out on 9th June 2010.

CQC found this care home to be providing an Adequate service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Similar services:

Maple Lodge

Heathlands

Inspirations

Westmead

Hopwood Court

Coton Hill House

Doddington Lodge

Innage Grange

Extracts from inspection reports are licensed from CQC, this page was updated on 04/09/2010.

Key inspection report Care homes for older people Name: Address: Bentley Court Care Home Bentley Court Care Home 29 Nordley Road Wednesfield Wolverhampton West Midlands WV11 1PX     The quality rating for this care home is:   one star adequate 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: Sara Gibson     Date: 0 9 0 6 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 27 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Bentley Court Care Home Bentley Court Care Home 29 Nordley Road Wednesfield Wolverhampton West Midlands WV11 1PX Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Priory Elderly Care Limited Type of registration: Number of places registered: care home 77 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 77 The registered person may provide the following category of service only: Care Home with Nursing, Code N To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following category/ies: Old Age, not falling within any other category, Code OP (36) Dementia, Code DE (41) Date of last inspection Brief description of the care home Bentley Court is a three storey purpose built building located along a residential road in the Wednesfield area of Wolverhampton. The home is close to local bus routes for Wolverhampton, Walsall, Cannock and Birmingham. It is also close to local community Care Homes for Older People Page 4 of 27 Over 65 41 36 41 0 1 0 0 3 2 0 1 0 Brief description of the care home facilities including shops and healthcare services. There is ample off road parking with specific spaces for people who have disabilities. There is a level access front entrance. It has a welcoming reception area and an assisted toilet facility for visitors. The majority of bedrooms have en-suite facilities consisting of a toilet and wash hand basin. A number of bedrooms have en-suite facilities that include a walk in shower. There are two spacious lounges and dining rooms on each floor. The main lounges and have an induction loop system, to support people who have hearing impairments. There is a choice of stairs or passenger lift to the first floor and there is level access to a patio and rear garden, which is fully enclosed. People can obtain information about this service from the homes Statement of Purpose and Service User Guide. The guide did not contain information on the range of fees charged therefore the reader is advised to seek information direct from the service. Inspection reports produced by CQC can be obtained direct from Bentley Court or from CQCs website at www.CQC.org.uk. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate 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 quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. One inspector carried out this unannounced key inspection over one day. All the key standards identified by the Care Quality Commission were assessed to evaluate the experiences of care and support received by the people living at Bentley Court. Information about the service provided were sought and collated in a number of ways. Prior to the inspection an Annual Quality Assurance Assessment (AQAA) was sent to the home for completion. The AQAA is a self assessment that is filled in once a year by all providers. It informs us about how providers are meeting outcomes for people living at the home, and is an opportunity for providers to share with us areas that they believe they are doing well in. We used comments and information in the AQAA to help plan our inspection. We also gathered information from the last inspection undertaken Care Homes for Older People Page 6 of 27 by the Care Quality Commission. During the course of the inspection we used a variety of methods to make a judgement about how the people living at the home are supported. We talked to the manager and senior staff who were able to answer questions and provide us with documentation. We assessed in detail the care provided to four people using the care documentation. We sampled a variety of other documentation related to the management of the home such as training, recruitment, staff supervision, accidents and complaints. All this information helped to determine a judgement about the quality of care the home provides. Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. 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 27 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are confident that the home can support them. This is because a full and comprehensive needs assessment has been carried out with their involvement. This tells the home all about them and the support they need. This is carried out before they are offered a place at the home. Evidence: The home understands the importance of having sufficient information when choosing a care home. They have developed clear information to help prospective individuals choose a home that will meet their needs and preferences. The information is contained within the homes Statement of Purpose which clearly sets out the homes aims and objectives, and is supported by a Service User Guide that details what services the home can provide, the qualifications and experience of the staff, and what levels of service the prospective resident can expect. The Care Homes for Older People Page 10 of 27 Evidence: documents are clear, and easy to understand. The fees charged by the home are entered into the service user guide given to each individual along with any extra charges that may be incurred. Prospective residents are offered a trial visit to the home and admissions to the home are not made until a full needs assessment has been carried out by the home. During the inspection we saw five pre admission assessments completed by the home with the full involvement of the individual and their family and friends. The assessment document is comprehensive with prompts and indicator pathways that allow staff to gain as much information as possible on individuals specific needs, their likes, dislikes and preferences. For example, information seen in the completed assessments ranged from an individual who likes to wear perfume daily, another who likes a daily facial shave with baby oil applied after the shave, another who likes soft foods but not pureed, to information on assisting with washing and dressing, help with mobilising and specific dietary needs. The information gained in the assessments allows the staff to plan the care the individual requires once admitted to the home. Care Homes for Older People Page 11 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Each person is treated as an individual, and the home is responsive to their individual needs and preferences. Their right to privacy is respected and the support they get from the staff is given in a way that maintains their dignity. Medication is administered safely at the prescribed time to promote peoples health. Evidence: Since the last inspection the home has introduced new documentation for care planning and risk assessing. The documents are detailed, informative and provide guidance for staff to enable them to meet the needs of the individual person. Five care plan files were seen during the inspection. The new documentation identifies the individual need, how staff should support the person to meet that need and the agreed outcomes. Of the five care plans seen, we felt that all of them provided a good picture of the individual, their specific needs and the agreed outcomes. The guidance for staff on how to meet these needs does require further development in some cases to ensure staff understand how to meet the specific needs of the individual. For example, in one persons washing and dressing care plan it states that minimal Care Homes for Older People Page 12 of 27 Evidence: assistance of one member of staff is needed, but it doesnt state what the member of staff is to do to assist with this task. In another it says to apply barrier cream but doesnt state which cream is to be used. Detailed care plans will allow staff to meet the exact needs of the individuals they are supporting. Where care plans have been written for behaviour management and challenging behaviours, they are extremely detailed and give specific guidance for staff on how to manage these behaviours to reduce the risks to both the individual and the staff. Risk assessment documentation has also been improved. The risk assessments seen during the inspection were comprehensive, specific to the individual and covered areas such as falls, nutrition screening, moving and handling, dependency, pressure area care, pain levels and specialist depression in dementia assessments. The care plans and risk assessments are reviewed monthly or as changes occur to ensure that staff are able to support people with their current needs, that they are safe and that potential risks are minimised. We also saw a number of forms for each individual monitoring their food intake, bowel habits, mobilisation, position changes and bath charts. We advised the manager that these forms do not need to be used for every person living at the home. They should only use the appropriate form if there is an issue, for example, poor appetite or fluid intake. If there is an issue there should be a care plan in place and entries made into the daily records should reflect the monitoring of the problem and the actions taken to rectify the issue. The staff understanding of the specific needs of the people living in the home is very good. All the care staff have had to present a written profile of each of the residents they are responsible for. Five of these profiles were seen at inspection. It allows the staff to find out the individual needs and preferences of the residents and gives them an understanding of the care documents and where to find the relevant information. They covered areas such as personal details, allergies, diet, past medical history, health care needs, physical needs, psychological needs, social needs and safety needs. Medication is administered by trained staff in a safe and appropriate manner. Medication administration records were looked at, and all were found to be completed correctly, although staff must ensure their initials are enclosed in the appropriate box to avoid any confusion over when medication was given. Medication is stored safely and appropriately, and no issues were identified in this area. Care Homes for Older People Page 13 of 27 Evidence: People were supported by staff to choose clothing appropriate for the time of year which reflected individual, gender and personal preferences. Staff were observed assisting individuals in a sensitive manner, giving choices about the food they ate and encouraging people to participate in the activities on offer. Care Homes for Older People Page 14 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a varied social activities programme that meets the needs of people and provides them with activities and interests to improve the quality of their lives. A wholesome and varied diet is offered and specialist diets are catered for to meet the needs of the individuals. Evidence: Residents and relatives meetings are held throughout the year and minutes of previous meetings seen demonstrate that staff listen and respond to suggestions made. Family and friends are encouraged to visit and to participate in the activities. A number of people living at the home often go out with visitors for the day. This allows close relationships to be maintained, and gives the people living at the home a sense of family life. On the day of inspection a number of family and friends were visiting and were positive about the service provided. Activities have greatly improved since the last inspection. The home has an activity coordinator who is supported by the care staff and they now have their own minibus Care Homes for Older People Page 15 of 27 Evidence: which has enabled them to arrange trips out to places of interest such as Dudley Zoo, the local garden centre and Bridgnorth. Each person has their own individual activity plan in place. This has been developed using the PAL assessment, a tool introduced by the dementia consultant working with the home. This assessment identifies each persons level of dementia, and then shows activities and plans that the home can use to keep the residents engaged and active. Activities include: gardening, reminiscence therapy, armchair exercises, cooking, knitting, arts and crafts, games, painting and sketching, taking part in housekeeping, and song and dance sessions. On the dementia wing the staff have developed reminiscence areas such as an old fashioned bus stop area complete with bench, a beach area with deckchairs, and an old style market area complete with stalls and produce. These areas have proved very popular and are well used by the people living at the home. Birthdays are celebrated, with bedroom doors decorated, a cake made and a party for all to join in with. Photographs of all the activities are displayed on notice boards throughout the home for all to see. The activity coordinator states she is well supported by the manager and the staff with activities, and is due to undergo specialist training in activities specific to dementia. Meals are well balanced, nutritious and choices are offered to those living at the home. For those individuals who need support during mealtimes, staff give discreet assistance. Mealtimes are flexible and relaxed, and dining at the home is a pleasant experience for all concerned. Care Homes for Older People Page 16 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who wish to raise concerns or make a complaint are confident that these will be dealt with, and their views listened to. Staff have access to the policy regarding safeguarding adults and have received training to ensure they possess the knowledge and skills to respond appropriately to allegations of abuse. Evidence: The home has an easy to read complaints policy on display in the home. One complaint has been received since the last inspection. This has been fully investigated, actionned and a detailed letter sent to the complainant explaining the outcome. All the documentation is held in the complaints log in the home. Safeguarding Adults policies are clear and detailed. Adult protection and whistle blowing policies are available for staff to access at any time. Staff have received training in Safeguarding Adults including whistle blowing. One safeguarding referral has been made since the last inspection, an incident where one resident hit another. This was investigated by social services who were satisfied with the way the home dealt with the incident, and the referral is now closed. At the last inspection the manager was advised to send notification forms for every incident occurring at the home, from a bruise to a fall, to CQC. After looking at all the forms, and the detailed accident and incident book held in the home, we were satisfied Care Homes for Older People Page 17 of 27 Evidence: that incidents are well documented and advised the manager to refer to the recent CQC guidance on notifiable incidents and only send notifications as per the guidance. Accidents and incidents are well documented by staff. The information is repeated in a number of different documents each time an incident occurs. We advised the manager that it would be sufficient to record the incident in the accident book and the corresponding daily entry with clear information as to what happened, actions taken and any follow up required. It is not necessary to log the information anywhere else. Care Homes for Older People Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A homely and comfortable living environment has been achieved for the people who live there so they feel safe and well cared for. Evidence: The communal areas seen were warm, well decorated, welcoming and homely. People living at the home spend most of their time in these areas. They looked comfortable, well cared for and happy, and were chatting amongst themselves and with staff and visitors. In one of the lounge areas some of the residents were taking part in activities with the staff and were eagerly joining in. The home is decorated, furnished and fitted to a high standard. Maintenance issues and repairs are seen to promptly, and the general housekeeping is of a good standard, no odours were present and it was all very clean and fresh. The bedrooms seen during the inspection were spacious and comfortable, and had been personalised with the individuals own photos and ornaments to reflect their personal taste, gender and culture. Garden areas were tidy and well maintained and easily accessible to people living at the home. Care Homes for Older People Page 19 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staffing levels are well maintained to ensure people living at the home receive competent and safe care from appropriately trained and robustly recruited staff. Evidence: Staffing levels at the home are well maintained to meet the needs of the people living at the home. From talking to staff and observing them during the day it was evident that staff morale was good, and the interaction with the people living at the home was excellent. Robust recruitment procedures are in place and safeguard the people being supported at the home. Two staff files were sampled and all the relevant checks had been carried out prior to the staff member starting work at the home. New staff undergo a thorough induction programme and work with a more experienced staff member until they feel confident to work independently and have been assessed as capable to do so. The training and development programme at the home is very good. All staff have an individual training programme including the management team, nurses, care staff and ancillary staff. The home has a specific training room with full IT facilities and a large screen television. Each month specialist training takes place, the training is interactive Care Homes for Older People Page 20 of 27 Evidence: via the tv and IT programmes. After each session the staff member completes an online assessment and has to achieve a certain pass mark, or resit the training programme again. All this information is fed electronically into the main training system and provides up to date information for the home manager. Around the home there are information boards for staff and visitors to read on different topics from dementia to nutrition. Each month a homes policy is displayed on the staff notice board for staff to read, to sign, and to ask questions if they need further information. All staff including ancillary staff are undergoing dementia training to give all the staff an awareness and understanding of dementia care. The company has employed the services of a consultant specialist in dementia care. He spends one day a week at the home and is available anytime for queries. He works with all the staff, the residents and the families to provide understanding and training on dementia care. He has helped the home to develop its dementia wing, with specific signage, activities and reminiscence areas as well as introducing new documentation and specific assessment forms for the staff. Ongoing training and development ensures that people living at the home are supported by a safe and competent staff team. Care Homes for Older People Page 21 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager is very competent and possesses the skills and knowledge to oversee the day to day management of the home and ensures that residents needs and views are responded to. Arrangements in respect of health and safety are robust and prevent the risk of injury occurring. Evidence: Since the last inspection the manager has made a number of improvements to the service such as introducing new documentation for both the nursing and dementia wings including: pre-admission assessments, care planning, risk assessing and activity assessing, along with the development of the staff training programme. The manager is capable, efficient and proactive and has a number of years experience in care. The manager is well supported by the provider and monthly visits are made to the home by the Operations Manager who completes a visit form known as a Regulation 26 form. The completed forms were seen during the inspection and we advised the Care Homes for Older People Page 22 of 27 Evidence: manager that more detail is needed to show who was spoken to and what was discussed. Each month the Operations Manager carries out an audit in the home, identifies any issues, and raises an action plan for the home manager to follow. The manager sends out quality questionnaires to approximately ten different residents or their relatives each month. The questionnaire covers: care practice, communication, accommodation, catering and other services, and asks for a rating on each area along with comments. The questionnaires received back in May 2010 show that the home had received a good rating overall. The only negative comment was the lack of NHS chiropodist services. We discussed this with the manager who said that it was difficult to get the service of an NHS chiropodist regularly so they have now secured the service of a private chiropodist who attends the home every 6 weeks. Most of the people living at the home have taken up this service and are pleased with the outcome. There is a well planned staff supervision programme in place. The sessions are well documented and identify any care practice issues or training needs. This further safeguards the people living at the home by ensuring staff have the skills, knowledge and support they need to meet peoples needs. General arrangements for health and safety are good. Maintenance checks are carried out on schedule to ensure equipment is safe to use, and maintenance issues and repairs are responded to promptly. Care Homes for Older People Page 23 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 3 Pre admission assessments should capture as much information about the person as possible. To ensure the home can confidently meet the specific needs and preferences of the individual. Pre admission assessments do not need to be revisited once the individual is admitted to the home. All care plans and risk assessments should contain full guidance for staff. To ensure staff meet the agreed needs safely and competently. When auditing the care plans the manager should ensure that all the information captured in the pre admission assessment is transferred into the care plan. To ensure that staff have the up to date information they need to meet the individuals needs in the way they prefer. All the forms kept on the clipboards for each person such as dietary intake, hygiene and change of position charts do not need to be competed for every resident. They should only be used if an issue is identified and there is a specific care plan in place to monitor the problem 2 3 3 7 4 7 5 7 Care Homes for Older People Page 25 of 27 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 6 31 Regulation 26 visit forms completed by the provider require more details to give a clear account of who was spoken to and what was discussed. Accidents and incidents need only be documented in the accident book and the individuals daily entry records stating what happened, actions taken and any follow up needed. Only regulation 37 notifications identified in the current CQC guidance should be sent to the commission. 7 31 8 31 Care Homes for Older People Page 26 of 27 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 27 of 27 - 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. 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