Inspection on 02/12/09 for Burntwood Hall

This is the latest available inspection report for this service, carried out on 2nd December 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Burntwood Hall 24/10/07

Burntwood Hall 24/10/06

Burntwood Hall 29/11/05

Burntwood Hall 21/06/05

Burntwood Hall 03/02/05

Burntwood Hall 16/06/04

Similar services:

Abbey The

Snydale Care Home

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 16/02/2010.

Key inspection report Care homes for older people Name: Address: Burntwood Hall Moor Lane Brierley Common Barnsley South Yorkshire S72 9HB     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: Shirley Samuels     Date: 0 2 1 2 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 28 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Burntwood Hall Moor Lane Brierley Common Barnsley South Yorkshire S72 9HB 01226780222 01226713645 none www.guardiancarehomes.co.uk Guardian Care Homes (UK) Limited Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Type of registration: Number of places registered: care home 42 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: 42 The registered person may provide the following category of service only: Care home only - Code PC, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP and Dementia - Code DE Date of last inspection Brief description of the care home Burntwood Hall is situated on the South Yorkshire/West Yorkshire border. The home is a detached property within its own grounds and is in open countryside. Village amenities are approximately five minutes drive from the home. Care Homes for Older People Page 4 of 28 Over 65 0 42 42 0 1 9 0 1 2 0 0 9 Brief description of the care home The home is registered to provide personal care for older people on a long term or short-term basis. A unit to cater for the needs of 15 people with dementia is sited on the first floor. A passenger lift serves the first floor. Accommodation is provided in single and double rooms at ground floor and first floor levels, with views over the open countryside and landscaped gardens. We were told the fees ranged from £356.77-£481.00. Further information about the home can be obtained by contacting the manager. Care Homes for Older People Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: 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 an unannounced inspection carried out by Shirley Samuels on the 02/12/09 from 9:00AM-5:00PM. The previous inspection at this service took place on the 19/01/08. As part of the visit we spoke to five people using the service, one relative, and five staff. Case tracking was used during the inspection visit to look at the quality of care received by people living at the home. Three people were selected and the quality of the care they received was assessed by speaking to them, observation, reading their records, and talking to staff. We checked a selection of documents regarding peoples care and support staff records and records that showed evidence of compliance with regulations and standards. Before the inspection the manager completed an Annual Quality Assurance Assessment Care Homes for Older People Page 6 of 28 (AQAA). This information provided by the manager tells us how the service had developed since the last inspection and what is planned to further develop the service over the next 12 months. Care Homes for Older People Page 7 of 28 What the care home does well: What has improved since the last inspection? Since the last inspection there had been improvement in the content of the care plans which now included details of people at risk of pressures ulcers. Records were kept of the action staff needed to take and evidence that these actions were carried out. This promoted peoples health needs. Some shortfalls were found with the medication system however the previous requirement about accurate information on hand written medication administration records had been addressed. Care Homes for Older People Page 8 of 28 There were no people sharing a bedroom at the time of the inspection. Therefore there were no privacy issues regarding double rooms. Should it be necessary the manager told us privacy screens would be provided. The (AQAA )was completed and returned to us when we asked for it. 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 28 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People did not move into the home without having their needs assessed. This meant staff had the information they needed to make a judgment about whether or not they could meet peoples needs. Evidence: We checked the files of three people. All the files contained assessments carried out before people moved into the home. From these assessments care plans were developed. Staff told us that in the main they received the information they needed. Care Homes for Older People Page 11 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People had a plan of care, their health care needs were met and they were treated with respect and dignity. There were however shortfalls in the medication procedures. Evidence: Three service user plans were checked. Each person had a plan of care. The plans included information about peoples needs and the action that staff needed to take. Care plans included peoples requirement regarding, personal care, diet, mobility, medication and social interest. Risk assessments were in place for people who were at risk of developing pressure sores. There was recorded evidence that people were checked regularly to make sure they were comfortable and instructions detailed in the care plan were followed. This showed that the home had complied with a requirement made in the last inspection report. For people who were at risk of dehydration there were records of fluid intake. Staff made detailed records of the care provided. Information in peoples daily notes Care Homes for Older People Page 12 of 28 Evidence: included, how people responded to care, their mood, whether they were eating well are not, if family had visited and if people had taken part in any activities. Records were legible, signed and dated. This showed that peoples health personal and social care needs were set out in a plan of care. We spoke to five people using the service and one relative. They all knew that records were kept, but told us they were not asked to contribute to the care plan. The files checked did not reflect that people had been asked to contribute. One person spoken to did say The staff ask me what I want, and I can pretty much please myself. The manager told us that there had been a review of the care plan format and care plans were being transferred onto a new format. The relative we spoke to told us, they were satisfied that their relatives health care needs were being met. Records were kept of visits by health care professionals , which included, chiropodist, district nurses, GPs and opticians. One person told us, If Im ill the staff call the doctor, another told us, Im quite healthy but Im sure the staff would take care of it if I needed to see a doctor. This showed that peoples health care needs were met. We checked the medication for three people using the service. This included checking medication administration records, storage of medication, booking in systems and medication auditing procedures. All medication was stored appropriately. The medication trolleys and cupboards were clean and medication was all securely stored. Medication was administered by senior carers. All staff responsible for administering medication had received training and had been assessed as competent. The manager told us that further, more in depth medication training was booked for all designated staff. This training was booked to take place on the 12/12/09. At the time of the visit the manager told us staff administered all medication and no one using the service was self administering. We found errors in procedures for all three samples checked. When we checked the medication administrations sheets, some gaps were found where staff had not signed to say that medication had been administered. Controlled medication was appropriately stored. However we found a controlled medication being administered without a prescription label with the administration Care Homes for Older People Page 13 of 28 Evidence: instruction and the name of the person the medication was prescribed for. This information was hand written by staff onto the bottle, copied from the printed medication administration sheet. For one person, one tablet instead of two had been administered for three days. This meant medication was not being administered as prescribed. The manager was present at the time the medication errors were identified. The manager was required to complete a full medication audit within 48 hours. Details of her findings and the action taken or to be taken was to be forwarded to us. This would make sure that people were protected and that medication would be administered correctly. The manager submitted details of the audit within 48 hours of the inspection. She found further examples of medication not being booked in correctly and gaps in medication administration records. An action plan had been put in place with timescales. The action included, investigations, monitoring of procedures, retraining, random medication audits and regular checks on staff competency. This showed that the manager took prompt action and had put procedures and monitoring in place to ensure the medication system was safe. The records of meetings held with people using the service and their representatives, showed that they had some concerns about the way laundry was treated. There were comments from people, that clothing often went missing, and clothing was damaged. This meant that the procedures in place for managing peoples laundry was unsatisfactory. We spoke to five people using the service. They told us they were treated with respect. Staff always spoke to them in a way that made them feel respected. Staff were observed on the day of the visit knocking on peoples doors before entering their bedrooms and asking them to make choices at mealtimes. Five staff were asked how on a daily basis they respected peoples privacy, rights and choices. Staff told us they made sure they read the information available, offered choices, encouraged independence, and provided support to people in a way that respected their privacy and dignity. Care Homes for Older People Page 14 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Activities were provided and people could maintain contact with family and friends. People were provided with a balanced meal that was pleasing to them. This meant peoples daily life and social needs were met. Evidence: The home had an activities programme in place. There was a member of bank staff that was currently employed as activities coordinator. People using the service told us activities were provided. There was information about activities posted on the notice board and people using the service told us, staff always let us know what is planned,we discussed activities and trips at a our residents meetings. They told us entertainers came into the home, craft sessions and papering sessions were held, which they told us they enjoyed. The manager told us that opportunities to go out on trips had been lacking in the past. She added that action had been taken to increase these opportunities. People using the service told us there was a trip booked to the garden centre before the Christmas holiday. Care Homes for Older People Page 15 of 28 Evidence: People told us, I like to sit and watch television, when the staff have time they always come and have a chat and the staff are really friendly. The daily recordings detailed when people had taken part in activities and commented on their interactions with others and whether they had received any visitors. This showed that people were reasonably satisfied with the opportunities to take part in social activities. People using the service told us they were able to receive visitors at any reasonable time. The relative we spoke to, told us they were always made welcome when they visited and found staff approachable. This showed people were able to maintain contact with family and friends as they wished. Staff told us they had received training which helped them to care for people in a way that promoted independence and choice. Staff were able to give us some examples of how they promoted choice and autonomy, by giving information, getting to know people and by reading the information available. Staff had started to compile a life story for each person. They spent time talking to people and their relatives. This showed that peoples rights to choice was respected. People told us the food was, great, alright, we have a good choice, and there is always a choice. In each of the dining areas the menu was displayed and the dining areas were pleasant. We observed lunch in one of the dining rooms. The main course was served by the cook and kitchen assistant. The dessert was served by the care staff. People who needed help to eat their meal were supported appropriately and with dignity. Plate guards were used to encourage independence and staff were observed encouraging people to eat and offering prompts were necessary. In peoples care plans there was information about dietary needs and nutritional assessments. Some people who were on a liquidised diet received this in a way that was attractive and appealing. To promote good food hygiene practices. The homes procedure was for staff to use aprons and groves at mealtimes. One member of staff was observed not following this procedure. This could place people at risk of cross infection. Care Homes for Older People Page 16 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Complaints were investigated and people were protecteded from abuse. Evidence: The home had a complaints procedure which was given to people using the service and their representatives. Details of how to make a complaint and what a complainant could expect was included. The information also gave people up to date information about how to complain to the Care Quality Commission. In the AQAA the manager told us the home had recieved four complaints in the last 12 months. These complaints were recorded in the complaints book and contained details of the complaint, the outcome of the investigations and the action taken. This showed that complaints were listend to and investigated. In the AQAA the manager told us there had been one safegaurding referal made to the local authority. This was investigated and resulted in additianal supervision and retraining for one member of staff. This showed that the home took approriate action to protect people from abuse. Staff were able to give us some examples of what constituted abuse. They were also able to tell us the action they would take if an allegation was disclosed to them and the action they would expect from any senior person they reported an incident to. Care Homes for Older People Page 17 of 28 Evidence: The records showed that all staff had received some training in adult safegaurding but that a small number needed refresher training. The manager told us that staff would be attending further safegaurding adults training provided by Barnsley Metropolitan Borough Council (BMBC). Care Homes for Older People Page 18 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home was clean and reasonably maintained. This meant people lived in a comfortable environment. Evidence: The home was reasonably decorated and maintained. A maintenance person was employed at the home and had full time responsibility for the general maintenance. The manager told us that since the last inspection the roof to the home and the heating system had been replaced. The grounds were well maintained. People using the service told us they were able to enjoy the grounds and decked areas in the summer months. People told us they were happy with their bedrooms and they were able to bring items of furniture into the home with them. Bedrooms were personalised with pictures, ornaments and other items which for some people reflected hobbies and interest. Staff told us they had all the equipment they needed to carry out their duties. Cleaning materials were available and stocks were replenished. This made sure people lived in a safe well maintained environment. All areas of the home were clean. People told us, staff clean my room most days, Care Homes for Older People Page 19 of 28 Evidence: they always make sure the home is clean and tidy. When I come to stay at the home I dont need to worry about cleaning. The laundry room was sighted away from food preparation areas. The manager told us that some changes were being planned to improve the facilities available in the laundry. Some of the bathrooms and toilets were in need of refurbishment. The manager told us there were plans in place to refurbish three of the bathrooms. This would make sure bathing facilities were improved. In the AQAA the manager told us the majority of staff had not received training in infection control. Care Homes for Older People Page 20 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff were trained and competent to do their job. This meant peoples well being was promoted. Evidence: Staff told us in the main there was enough staff in duty. At the time of this inspection there were 25 people in residence. There were four staff providing direct care from 8am to 8pm and three staff on the night shift. In addition there were ancillary staff, administrator, maintenance person, kitchen staff and the manager. The relative we spoke to told us there was usually enough staff on duty and that they were always available and attentive to people. This showed there were enough staff on duty to meet peoples needs. People using the service told us staff were, excellent, approachable, really kind and helpful and marvelous. The records showed that 16 staff were trained to National Vocational Qualification (NVQ) level 2 in care. People using the service told us they had confidence in the staff. Staff were observed to carry out their duties in a confident way. Staff explained to people what they were doing and what they could expect next. Care Homes for Older People Page 21 of 28 Evidence: Staff approached people living with dementia in a sensitive and reassuring manner. This was good practice and promoted peoples wellbeing. Three staff recruitment files were checked and they all contained the information required. The files included an application form, criminal record check, references, medical, photograph and proof of identification. This showed people using the service were protected by the homes recruitment procedures. The records showed that since the last inspection some staff had received training. The training they had received included, moving and handling, fire instruction, dementia care, managing challenging behavior, safeguarding adults, first aid, safe handling of medicines, health and safety, food hygiene, Mental Capacity Act, Deprivation Of Liberty, Infection Control and care planning. This showed a commitment to training and that staff received the training they needed to do their job. Care Homes for Older People Page 22 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home was run in the best interest of the people using the service. This meant their health safety and welfare was promoted. Evidence: Since the last inspection there had been a change of manager at the home. At the time of this inspection there was no registered manager. The person managing the home at the time of the visit had started work at the home in October 2009. She had experience in managing social care staff in home care and had previously been registered as a manager with us. Staff told us they had confidence in the manager and her ability to lead by example, support them and raise standards. The records showed that meetings were held with people using the service and their relatives. People were offered the opportunity to comment on the service and their comments were collated and shared. The outcome of feedback from people formed Care Homes for Older People Page 23 of 28 Evidence: part of the homes development plan. This showed that people were able to contribute to how the service was run. We checked the income and expenditure for three people. Appropriate records were kept including receipts and account sheets. People using the service told us they were satisfied with the procedures in place for managing their financial affairs. In the main we observed staff working in a way which promoted the health and safety of people. Staff were observed to move and handle people safely while offering reassurance and footplates were used on wheelchairs. This reduced the risk of injury to people. The records showed that the fire system was checked regularly, staff received fire instruction and staff were able to give examples of their responsibilities regarding health and safety, for example reporting any hazards, attending training and using the equipment provided. The fire risk assessment available at the home was not up to date. The manager contacted head office who said it was being updated. The up to date fire risk assessment was submitted to us following the inspection. Care Homes for Older People Page 24 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 9 13 There must be procedures in 08/01/2010 place which continue to ensure the monitoring and review of the medication system. Information giving details of any further action taken must be submitted to us. This will make sure that people are not placed at risk. 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 9 The medication training booked for staff to attend on the 12/12/09 should be undertaken. To make sure staff have the ongoing skills and knowledge to administer medication safely. People using the service and their representatives should be consulted about the development of the care plan. Any contributions should be recorded. This will make sure that peoples views are considered. Page 26 of 28 2 9 Care Homes for Older People 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 3 10 There should be procedures in place to make sure peoples laundry is handled with care, returned to them in good condition and in a timley manner. Plans to improve peoples opportunities to go on trips outside of the home should be actioned. To comply with the homes procedures for reducing the risk of cross contamination. Staff should use gloves and aprons when serving and assisting with meals. Staff should receive training on infection control. This will make sure they have the information they need to carry out their job safely. 4 5 12 15 6 26 Care Homes for Older People Page 27 of 28 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). 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 28 of 28 - 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!