Please wait

Inspection on 18/05/10 for Chaffinch Residential Care Home

Also see our care home review for Chaffinch Residential Care Home for more information

This is the latest available inspection report for this service, carried out on 18th May 2010.

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

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

People had lived at the home for a long time and were settled. People said that they got on well with each other as a group. People were able to make choices and decisions about their daily lifestyles. They said that their privacy was respected, for example staff members did not enter their bedrooms without their permission. It was observed that there was a good rapport between people living at the home and the registered manager. People`s mental health needs were kept under review and monitored closely to ensure that they do not relapse into ill health.

What has improved since the last inspection?

The care staff team had started to receive training in person centred planning that will help them improve support plans and risk assessments and develop good practice. All the people living at the home routinely see a dentist and an optician. New cupboards and floor covering had been fitted in the kitchen. The home had joined the local adult care training partnership and were accessing training through them. Members of the staff team had received regular supervision sessions from the registered manager. The registered manager had successfully completed NVQ Level 4 in leadership and managerment and the registered provider was undertaking the course.

What the care home could do better:

Once the person centred planning training has been completed the home needs to look at ways to improve their current support plans and risk assessments. Care needs to be taken to ensure that all medication can be accounted for. The staff team need to undertake the planned safeguarding training to ensure that they know what action to take if a person makes an allegation of abuse. They also need to access Mental Capacity Act training that includes deprivation of liberty. There is a need for continuing improvements to be made to the house to ensure that acceptable standards are maintained. The registered manager must complete NVQ Level 4 in care to ensure that she is qualified to run the home. More information is needed in the home`s AQAA to help us make an assessment of the quality of the service.

Key inspection report Care homes for adults (18-65 years) Name: Address: Chaffinch Residential Care Home 36 Chaffinch Drive Bury Lancs BL9 6JU     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: Julie Bodell     Date: 1 8 0 5 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 Adults (18-65 years) 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 Adults (18-65 years) 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 Adults (18-65 years) Page 3 of 26 Information about the care home Name of care home: Address: Chaffinch Residential Care Home 36 Chaffinch Drive Bury Lancs BL9 6JU 01617634579 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr Swadesh Munbodhowa Name of registered manager (if applicable) Miss Jane Ann Louise Arrowsmith Type of registration: Number of places registered: care home 5 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability mental disorder, excluding learning disability or dementia Additional conditions: 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: Mental disorder, excluding learning disability or dementia - Code MD (maximum number of places: 4). Learning disability - Code LD (maximum number of places: 1). The maximum number of service users who can be accommodated is: 5. Date of last inspection Brief description of the care home Chaffinch House is a small home providing long term care and support to four people with mental health needs and one person with a learning disability. The home is in a residential area in Bury, about a mile from the town centre. Buses and shops are within walking distance of the home. Care Homes for Adults (18-65 years) Page 4 of 26 Over 65 0 0 1 5 0 2 0 6 2 0 0 9 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 Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The home did not know this inspection visit was to take place. A total of four and a half hours was spent at the home. We (the commission) talked to the registered manager and briefly with a support worker and three people who lived at the home. We looked round parts of the home and at some key records. We requested an annual quality assurance assessment (AQAA) before this visit from the registered manager. The information we received in the AQAA was limited. We also received surveys from four people who lived at the home and two staff members, which overall gave us positive feedback. Care Homes for Adults (18-65 years) Page 5 of 26 What the care home does well: What has improved since the last inspection? What they could do better: Once the person centred planning training has been completed the home needs to look at ways to improve their current support plans and risk assessments. Care needs to be taken to ensure that all medication can be accounted for. The staff team need to undertake the planned safeguarding training to ensure that they know what action to take if a person makes an allegation of abuse. They also need to access Mental Capacity Act training that includes deprivation of liberty. There is a need for continuing improvements to be made to the house to ensure that acceptable standards are maintained. The registered manager must complete NVQ Level 4 in care to ensure that she is qualified to run the home. More information is needed in the homes AQAA to help us make an assessment of the quality of the service. Care Homes for Adults (18-65 years) Page 6 of 26 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 Adults (18-65 years) Page 7 of 26 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 8 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, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. 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 the person 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 are assessed before they move in to ensure that the home can meet their individual needs. Evidence: People considering moving into the home have a community psychiatric assessment undertaken by a qualified person to ensure that the home was a suitable placement for them. Either the owner or registered manager would also visit people at home or in hospital to undertake an assessment to ensure that their individual needs could be met. Before people come to live at the home they were given a copy of the service user guide, the complaints procedure and information about an advocacy service. People were able to visit the home, including overnight stays before making the decision to move in. No new people had come to live at the home for sometime. The needs of the existing group of people living at the home would be taken into account before agreeing to offer a place. Care Homes for Adults (18-65 years) Page 9 of 26 Individual needs and choices 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 needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. 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 are able to make choices and decisions about their daily lifestyles and a person centred approach to care planning has started to be developed. Evidence: Where appropriate people had an up to date CPA review in place. Support plans and risk assessments relating to two people were looked at and were seen to be still basic. The support plans covered areas such as monitoring mental health needs, personal care, emotional needs and daily living skills. At previous visits we had talked with the owner and manager about ways to improve the care plans through adopting a person centred approach and finding relevant training for the staff team to attend. We were informed at this visit that the home had now become a member of Bury Adult Care Training Partnership and that the staff team had started to access staff training. On the day of our visit the owner and a support worker were attending person centred planning training. The registered manager said that once all the staff team had completed the training then they would Care Homes for Adults (18-65 years) Page 10 of 26 Evidence: then review the current support plan and risk assessment formats to see what could be done to improve them. Discussions with the registered manager confirmed that she had a good understanding of the needs of people living at the home. Records showed that care plans and risk assessments were reviewed, regularly. People spoken with said that they could choose how and where they spent their time. They said they got up and went to bed at the times they chose. Most people had their own bank accounts and looked after their own personal money. They had residents meetings. At our last inspection visit people were expressing concern about the home becoming a smoke free zone. The registered manager said that people had adapted well to the change. Care Homes for Adults (18-65 years) Page 11 of 26 Lifestyle 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 can take part in activities that are appropriate to their age and culture and 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 and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. 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 have access to activities within the community and regular contact with family and friends. Evidence: People who live at the home were all able to travel independently using public transport. On the day of our visit two people were out visiting relatives, one person was out at the gym, one person was out on an introductory visit to the People First project and the fifth person was preparing to go out to college. People we spoke with said that they could choose how they spent their time. Some people took responsibility for some household tasks. One person had an activity timetable that involved attending music classes at a local drop in centre and going to the gym. Two people were going to college and attending basic living skills and maths and English courses. One person was working with an organisation who were helping Care Homes for Adults (18-65 years) Page 12 of 26 Evidence: them to find a job and they were also waiting for a place to attend an exercise therapy group. The registered manager said that they continued to help and encourage people to find suitable activities and would accompany people on activities outside the home whenever possible. A trip to Whitby was planned and two people had recently been to the Science Museum. There had been a number of meals out and people enjoyed pub lunches and going shopping. People had a key to their bedroom and no one entered their rooms without permission. Most people had their own television and sound system in their bedrooms. People said that they generally got on well with each other as a group. Care Homes for Adults (18-65 years) Page 13 of 26 Personal and healthcare support 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 receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people 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. If people are approaching the end of their life, the care home will respect their choices and help them to 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. Peoples health is kept under review and monitored but more attention needs to be paid when accounting for medication. Evidence: People living at the home were very independent in respect of their physical needs. Staff involvement in meeting personal needs is mostly in the form of prompt and encouragement. At a recent meeting it had been discussed with people about the importance of washing their hands and cleaning their teeth. The people we spoke with said that they had choices about their daily routines, for example what time they got up or went to bed. They said that they were happy with the way that staff members treated them and the way they spoke to them. The registered manager knew the needs of people well and they described how they would quickly pick up on any mental health concerns and contact the appropriate person for help and advice if necessary. One example was discussed. No major issues of concern about behavioural management were raised at this visit. There was evidence on care files of contact with healthcare professionals such as GPs, psychiatrists, psychologists, chiropodists, opticians and dentists. Care Homes for Adults (18-65 years) Page 14 of 26 Evidence: People had signed a consent form agreeing that members of the staff team could administer their medication. The homes medication procedures included guidelines covering non-prescribed medication. The Boots monitored dosage system was being used. Medication was appropriately stored and medication administration records (MAR) were completed and up to date. Hand written entries were signed and countersigned. Sample staff signatures were kept with the MAR sheets. Depot injections were administered and monitored by community psychiatric nurses. Staff training certificates showed that all staff including the registered provider had undertaken training in the safe handling of medicines. We found that there was an excessive amount of one type of tablet that could not be accounted for. We could not identify why or now this had occurred because there was no record of the tablets being carried forward. This was important medication that was only dispensed through an authorised supplier. It was agreed that the registered manager would attend the next clinic with the person and talk with the CPN about the best way to either return or destroy the excess medication. Care Homes for Adults (18-65 years) Page 15 of 26 Concerns, 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. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. 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 feel that they are listened to any concerns they my have are acted upon. Members of the staff team have started to undertake training so that they know what action to take in the event of an allegation of abuse. Evidence: People said they would speak with the registered manager if they had any concerns. They felt that they would be listened to. A complaints book is kept on the kitchen table for people to write in any concerns they have. The home had a copy of the local authority safeguarding vulnerable adults procedures and various other Department of Health pamphlets about the Mental Capacity Act, Deprivation of Liberty and IMCAs. No allegations had been made since the last visit. Now that the home is a member of the Bury Adult Care Training Partnership the staff team have started to attend safeguarding awareness training. The registered manager said that it was also the intention for both her and the owner to attend the 2 day investigation officers course. It is recommended that once the safeguarding training has been completed that the staff team attend Mental Capacity Act training that includes deprivation of liberty to keep up to date with current best practice. Care Homes for Adults (18-65 years) Page 16 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, comfortable, 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. People have enough privacy when using toilets and bathrooms. 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. An ongoing programme of renewal and maintenance needs to be undertaken to ensure that good standards are maintained. Evidence: The home had a lounge, two small dining areas, a domestic style kitchen and a small laundry room. There was a bathroom with an overhead shower on the first floor and a shower room on the ground floor. Each contained a toilet. Bathrooms were lockable to ensure privacy. All bedrooms were single and lockable. Bedrooms were personalised with peoples own possessions. People we spoke with said that they were satisfied with their rooms and with the home in general. At our last inspection visit it had been decided that because the home was to become no smoking from 3rd August 2010 plans to decorate the house would be put back until after this date. Work on the decorating had yet to be started because the manager had hurt her foot and was unable to undertake the work. New cupboards had been fitted in the kitchen as well as new floor covering. The registered provider must produce a maintenance and renewal programme to show what improvements are planned for the coming year. The home was clean and tidy. A cleaner works at the home for 8 hours a week. Liquid Care Homes for Adults (18-65 years) Page 17 of 26 Evidence: soap and paper towels were provided for hand washing in communal areas for hand drying in the interests of good hygiene. People continued to be reminded at the resident and staff meeting about the importance of people washing their hands to help promote good control of infection practices. Care Homes for Adults (18-65 years) Page 18 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, qualified 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. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. 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 receive care and support from staff who know them well and have the skills to support them safely. Evidence: Staff rotas were seen. There was normally only one staff member on duty at any one time. As a result, the staff team were rarely able to spend time with people on meaningful activities outside the home. The registered manager said that she was confident that if anyone needed extra staff support that the registered provider and the staff team would ensure that time was made available. The staff team was made up of the registered provider, the registered manager and three part-time support workers. No outside agency workers were used by the home. Two members of the staff team were retired psychiatric nurses. Two support workers were of retirement age. The registered manager said that she was satisfied that they were fit and able to carry out their role on a part-time basis. There had been no changes to the staff team since our last visit. At that time we checked the most recently employed support workers recruitment details. An application form had been completed that had a full employment history, with dates and reasons for leaving previous care jobs. Two references had been taken up and a Care Homes for Adults (18-65 years) Page 19 of 26 Evidence: criminal record check had been undertaken. The registered manager said that the staff member had recently completed NVQ Level 2 and was keen to enrol on NVQ Level 3. Since our last visit the home had joined the Bury Adult Care Training Partnership and the staff team had started to access training from them. Planned updated training included safeguarding, medication, food hygiene, person centred planning and the principles of good record keeping. In the long term the registered manager will use the staff training matrix kept by the partnership to evidence training that has been undertaken. The registered provider was said to be attending the partnership meetings on behalf of the home. Staff supervision sessions had been resumed on a more regular basis. The registered manager said that there were no issues or concerns about the performance of the current staff team. Care Homes for Adults (18-65 years) Page 20 of 26 Conduct and management of the 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 have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because 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. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. 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. The registered manager must complete a relevant care training course to an appropriate level to ensure that she is suitably qualified to manage the home. Evidence: The registered manager holds a NVQ Level 2 in care and has recently completed NVQ Level 4 in management and leadership. Progress had been slow because of a number of changes in assessors. The manager now intends to enrol on NVQ Level 4 in care. The registered provider is a retired psychiatric nurse manager. He is currently undertaking NVQ Level 4 in management and leadership. It was clear from observation and discussions, that the manager encouraged an open and inclusive atmosphere within the home. Rotas showed that the owner of the home, worked every weekend at the home, therefore Regulation 26 visits were not required. The home carried out an internal quality review of the service in December 2009 and the outcome overall was people were happy with the service that they were receiving. Care Homes for Adults (18-65 years) Page 21 of 26 Evidence: Before our inspection visit we asked the home to complete our Annual Quality Assurance Assessment (AQAA). The registered manager completed the latest AQAA, but as at our last inspection visit the information provided to us was limited. The home had a laptop and were using it more than in the past. The home were in the process of re-registering the home due to changes in the law. We showed the registered manager the new outcomes for registered services and explained which were the sixteen essential outcomes. Safety records were checked. These included portable electric appliance tests, electrical installation, gas safety, servicing of fire alarms, emergency lighting and fire extinguishers. The gas safety check was due and arrangements were in place to have the system services on 27th May 2010. Examination of the fire book showed that alarms, means of escape, fire fighting equipment and emergency lights had been tested weekly. Care Homes for Adults (18-65 years) Page 22 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 Adults (18-65 years) Page 23 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 1 20 20 The registered manager 30/06/2010 must keep accurate carried forward medication records. This must be done to ensure that all medication can be accounted for. 2 24 23 The registered person must send us a plan of what maintenance and renewal planned for the coming 12 months. This must be done to inform us of what action is to be taken to keep the physical condition of the home up to an acceptable standard. 30/06/2010 3 37 18 The registered person shall ensure that the manager complete NVQ Level 4 training in care. This must be completed to ensure that she is suitably qualified to manage the home. 30/09/2010 Care Homes for Adults (18-65 years) Page 24 of 26 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 6 That once the staff team had completed training in person centred planning then the present formats for support plans and risk assessments needs to be looked at to see if they can be improved. That all the staff team undertake the planned safeguarding training so that they know what action to take in the event of an allegation of abuse. That all the staff team attend Mental Capacity Act training that includes deprivation of liberty to keep up to date with current legislation and best practice. That more detail is put into the annual quality assurance assessment (AQAA to evidence that the home is run in the best interest of the people who live there. 2 23 3 23 4 39 Care Homes for Adults (18-65 years) 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. © 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 Adults (18-65 years) Page 26 of 26 - 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!