Inspecting for better lives Key inspection report
Care homes for older people
Name: Address: Grovewood 13 Woodlands Road Dacre Hill Bebington Wirral CH42 4NT The quality rating for this care home is:
two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Ingerbritt Moynihan
Date: 2 8 0 5 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. 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 Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 28 Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI 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: Grovewood 13 Woodlands Road Dacre Hill Bebington Wirral CH42 4NT 01516455401 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : grovewoodreshome@btconnect.com Soundpace Limited care home 32 Number of places (if applicable): Under 65 Over 65 32 old age, not falling within any other category Additional conditions: 0 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 The maximum number of service users who can be accommodated is: 32 Date of last inspection Brief description of the care home Grovewood is registered to provide personal care to 32 older people. There are 8 double and 16 single bedrooms, at present only 4 bedrooms are being used as double rooms. All bedrooms except one have en-suite facilities. Bedrooms in the older part of the home are on three floors, reached by stair lifts. The single rooms in the two-storey extension can be reached by 5-person passenger lift. The communal areas of Grovewood include a lounge, conservatory, dining room, a smaller lounge/dining room and a visitors? room/library. There are two bathrooms with assisted baths and a separate shower that is accessible to wheelchair users on the first floor and a further bathroom on the third floor. There are no bathrooms on the ground floor. Due to the Care Homes for Older People
Page 4 of 28 Brief description of the care home number of stairs at the home, the home has limited suitability for independent wheelchair users. There is level access to the garden to the rear of the home. The garden has a patio area with garden furniture for the summer. The home is close to local shops and amenities. The home is situated on a bus route. Fees at Grovewood range from #378.91 to #400.00. 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: Information about the home was obtained through discussion with the manager and members of the staff team. Policies, procedures and supporting documentation were also looked at along with a selection of service users case files. We also obtained information from the Annual Quality Assurance Assessment (AQAA). The AQAA is a self-assessment document that is filled in once a year by all providers. It is one of the ways that we get information from providers about how they are meeting outcomes for people using the service. A part of the inspection process includes sending surveys to service users, staff and health care professionals to obtain their views on the standard of the service provided. Ten service user surveys and eight staff surveys were returned to us. Comments made Care Homes for Older People
Page 6 of 28 in these surveys are included in the report and contribute to the basis of any judgments made. A copy of this report and past inspection reports, can be obtained from the manager at the home. What the care home does well: An assessment of service users care needs is carried out before they move into the home so that staff have the information they need on how to provide the right level of care. A plan of the care given to each service user is in place. Service users general welfare is monitored regularly so that staff can be proactive in planning and managing their care for the future. Eight service user surveys returned to us indicated they always receive the care and support they need and the staff are available when needed. One survey noted Everything and everyone is looked after. I get all my food and a nice room. I can have a lie down or go to bed whenever I want. Another survey noted There is an unacceptable level of care and attention. Service users family and friends can visit the home at any time so they can maintain personal relationships and continue to be part of family life. Staff have completed training on how to manage service users medication so they are aware of their responsibilities and know how to work safely. Service users spoken to during the visit said they always receive their medication on time. Staff ensure service users are treated with respect and their right to privacy is upheld particularly when carrying out personal care. One service user said The staff help me have a bath and they are always very gentle. The service users said the homes routines are flexible and they can come and go as they wish. A varied menu is provided which reflects service users likes and dislikes. Meals based around service users medical needs are catered for. The cook confirmed the quality of the food delivered to the home is good and there is always enough food for the number of people living there. One of the service user said The food is very good and there is always enough to eat. A complaint procedure is available to service users and their carers. We have not received any complaints about the service provided at Grovewood. One of the service users spoken to during the visit said I have no complaints to make about the staff, they are all very kind. The relative of one service user said I am very happy with the way my relative is looked after. I know I can speak to the manager or owner if I want to make complaint. Staff are trained on how to ensure service users are protected from abuse, neglect and self harm. No allegations of abuse have been made at Grovewood. One of the service users spoken to during the visit said The girls are lovely, nothing is ever any trouble to them. The relative of one service user said The staff are very kind and attentive to the service users care needs. The home is decorated in a traditional style which provides a comfortable environment for service users to live. Care Homes for Older People Page 8 of 28 Systems are in place to prevent the spread of infection and staff are trained in this area of care so they know how to work safely. Nine of the service user surveys returned to us indicated the home was always kept fresh and clean. One survey noted I am dissatisfied with the facilities and cleanliness. Another survey noted A homely atmosphere is provided with comfortable bedrooms with nice bedding and curtains. The manager and staff reported there are sufficient care staff to meet the individual needs of the service users. This was also confirmed in the staff surveys return to us. Staff are provided with training when they are first employed and there is ongoing training to ensure they are clear on their responsibilities and know what is expected of them. The manager, Monica Quigley is qualified, competent and experienced to run the home. This means that service users receive a consistent, well-managed and planned service. One of the of this user surveys said The staff and Monica (the manager) are marvelous. Systems are in place to ensure the efficient and effective running of the home. One of the staff surveys return to us noted when asked what does the service to well, Cares and understands the needs of the staff as well as the service users. One of the service user surveys returned to us noted when asked what does the home do well, Provides a homely atmosphere, family always made to feel welcome when visiting, a small reception rooms create more intimate environment. The staff spoken to during the visit said they enjoy their work and feel well supported in their role. One survey noted I meet regularly with my manager who will always give me advice help and support if ever I need it. Regular health and safety checks are carried out to ensure the safety of both staff and service users. Staff are provided with health and safety training so they are aware of their responsibilities and know how to work safely. 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 set out on page 4. Care Homes for Older People
Page 9 of 28 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 10 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 11 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. Service users care needs are assessed before a service is offered so they know they will receive the care and support they need. Evidence: An assessment of service users care needs is carried out before they move into the home. The service user, their family and any relevant health care professional can contribute to the assessment to ensure the staff have all the information they need on how to provide the right level of care. Issues relating to equality and diversity such as service users disability, gender, age and religion are looked at during the assessment to ensure service users holistic care needs are met. Service users and their carers can visit the home so they can meet the staff and other service users and view the facilities provided. Staff surveys returned to us indicated they are always given up to date information about the needs of the service users they support. Care Homes for Older People Page 12 of 28 Care Homes for Older People Page 13 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. Service users personal care needs are met and they are treated with respect and valued as individuals. Evidence: A plan of the care given to each service user is in place. Service users general welfare is monitored regularly and staff seek advice from different health care professionals such as the dietitian, chiropodist and GP when required. Detailed records are kept of health care professional visits and any guidance given in relation to service users care. This means staff can monitor service users welfare and be proactive in planning and managing their care for the future. Staff surveys indicated that the way information about service users is passed between staff works well. Eight of the ten service user surveys returned to us indicated they always receive the care and support they need and the staff are available when needed. One survey indicated this was sometimes the case. One survey noted staff are never available when needed. Seven service user surveys indicated the home makes sure their medical needs are met. Two surveys indicated this was usually the case and one survey indicated this never happened. One
Care Homes for Older People Page 14 of 28 Evidence: survey noted Everything and everyone is looked after. I get all my food and a nice room. I can have a lie down or go to bed whenever I want. Another survey noted There is an unacceptable level of care and attention. Staff are trained on how to administer and manage service users medication so they are aware of their responsibilities and know how to work safely. Medication is stored securely and a policy and procedure in relation to this area of care is available to staff should they need additional information or clarification on a specific issue. Service users spoken to during the visit said they always receive their medication on time. Medication administration record sheets were accurately maintained. Staff spoken to explained how they ensure service users are treated with respect and their right to privacy is upheld particularly when carrying out personal care. The service users said the staff are very sensitive when they help them with their personal care such as washing and dressing. One service user said The staff help me have a bath and they are always very gentle. Staff were seen speaking to service users in a polite and friendly manner and they appeared comfortable in each others company. Care Homes for Older People Page 15 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. The homes routines are flexible and service users are helped to exercise choice and control in their lives. Evidence: A part time activity co coordinator is employed at the home. She has orgainised a broad range of social activities to reflect service users assessed social care needs. A lot of work has been put into ensuring the activities fun and interesting. They have also been adapted to meet service users individual needs so they have an opportunity to join in on every occasion. Activities are provided in groups and on an individual basis and they are provided both inside and outside the home. Outside entertainers visit the home regularly and trips out are organised. Seasonal occasions are always celebrated such as mothers day and Easter along with service users birthdays. Activities provided include art and craft, painting, mental exercises, quizz, listening to music and gentle exercises. The Age Concern befriending scheme is used for service users who have no family or visitors. Five of the staff surveys returned to us indicated that activities are always provided, three surveys indicated they are usually and sometimes provided. When asked what the home could do better two surveys indicated they would like more entertainment such as visits to the museum and the
Care Homes for Older People Page 16 of 28 Evidence: countryside. Service users family and friends can visit at any time so they can maintain personal relationships and continue to be part of family life. A small private room is available for service users to see their visitors in private. Service users are encouraged to be as independent as possible and make decisions for themselves. The service users said the homes routines are flexible and they can come and go as they wish. There is no set time for getting up and going to bed and staff fit in around service users preferences. On the day of the visit the kitchen was clean, tidy and well organised. A varied menu is provided which reflects service users likes and dislikes. Meals based around service users medical needs are catered for. The cook confirmed the quality of the food delivered to the home is good and there is always enough food for the numberer of people living there. A choice of meal is provided each day and the menu was displayed. So that service users know what meal is being provided the menu should be displayed so that is can be seen more easily. Service users should also be offered a choice of drink at meal times as this did not happen during the visit. Seven of the service user surveys returned to us indicated they always enjoy their meals, three surveys indicated they sometimes enjoy their meals . One survey noted when asked what could the home do better Improve the food quality. Another survey noted The food is very good. One of the service users spoken to during the visit said The food is very good and there is always plenty to eat. Another service user said I always enjoy the meals, they are very good. Care Homes for Older People Page 17 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. Systems are in place to ensure service users are protected from abuse.. Evidence: A complaints procedure is available to service users and their relatives so they know what to do if they are unhappy with the service they receive. The staff spoken to were clear on the action they should take in the event of them receiving a complaint. We have not received any complaints about Grovewood. The manager has received two minor complaints which have been investigated and concluded. To ensure service users confidentiality, the manager must store information about complaint investigations in service users individual files rather than in one book. One of the service users spoken to during the visit said I have no complaints to make about the staff, they are all very kind. The relative of one service user said I am very happy with the way my relative is looked after. I know I can speak to the manager or owner if I want to make complaint. Six of the service user surveys returned to us indicated they know there is someone the can speak to informally if they are not happy and they know how to make a formal complaint. Three surveys indicated they did not know who to speak to if they want to make a formal complaint but were aware they could speak to someone informally if they were unhappy. Service users legal rights are protected. The manager had arranged for service users to complete their ballot paper for the forthcoming European elections.
Care Homes for Older People Page 18 of 28 Evidence: Staff are trained on how to ensure service users are protected from abuse, neglect and self harm. During discussion they demonstrated an understanding of the different types of abuse that can occur and what they should do if they know or suspect abuse is taking place. A whistle blowing procedure is in place so that staff can raise concerns anonymously. No allegations of abuse have been made at Grovewood. One of the service users spoken to during the visit said The girls are lovely, nothing is ever any trouble to them. The relative of one service user said The staff are very kind and attentive to the service users care needs. The recruitment procedures need to be improved to ensure all the necessary information about staff is held on their personal files. A Criminal Record Bureau check must be completed before staff are employed and this must be available for inspection at all times. Staff must not be employed on a POVAfirst check unless this effects the welfare of the service users. Care Homes for Older People Page 19 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. Overall the building is well maintained and provides a comfortable and homely environment service users to live. An improvement to the standard of the decoration in some areas would improve the overall environment. Evidence: The home is decorated in a traditional style and provides a comfortable environment for service users to live. Although there is a programme of maintenance, some improvements need to be made to the standard of the decoration in the hallways and stairs, as the paint work is badly scratched and worn. Shared facilities include two lounge/dining rooms and a large conservatory. Because some of the bedrooms are shared, there is also a small private room which service users can use to see their visitors in private. This room would benefit from being redecorated. There is a pleasant mature and secluded garden with seating at the back of the home. There are sufficient toilets and bathing facilities for the number of service users living at home. While these facilities of functional, they would benefit from being refurbished in order to make them more homely. Care Homes for Older People Page 20 of 28 Evidence: Systems are in place to prevent the spread of infection and staff have completed training in this area of care so they know how to work safely. The overall standard of hygiene was mixed. Bedrooms and bathrooms were clean and tidy, although the halls, stairs and landings needed cleaning. The manager acknowledged this point during inspection and a meeting was held with the domestic staff to address this issue straight away. Nine of the service user surveys returned to us indicated the home was always kept fresh and clean. One survey indicated the home was sometimes fresh and clean. One survey noted I am dissatisfied with the facilities and cleanliness. Another survey noted A homely atmosphere is provided with comfortable bedrooms with nice bedding and curtains. Care Homes for Older People Page 21 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. Recruitment and selection procedures need to be improved to ensure suitably qualified and competent staff are employed. Evidence: The manager and staff reported there are sufficient care staff to meet the individual needs of the service users. This was also confirmed in the staff surveys returned to us. There is training to the National Vocational Qualification standards which is a recognised qualification for staff involved in the care profession. This is in line with good practice and ensures the staff are kept up to date with new ways of working. Staff are provided with induction training when they are first employed which means they are clear on their responsibilities and know what is expected of them. The staff surveys returned to us indicated their induction covered everything they needed to know to do their job well. Staff are provided with ongoing training to support them in their role and keep them up to date with new ways of working. This was noted in the staff surveys returned to us. One staff survey noted The manager keeps us up to date with everything and we have regular meetings if there is a problem. 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 management systems ensure the agency is run efficiently and for the service users best interest. Evidence: The manager, Monica Quigley is qualified, competent and experienced to run the home. She has completed training to update her knowledge and skills of the service user group and is planning to develop her management skills through further training. The management structure reflects the size of the home and staff are clear on the lines of accountability. This means that service users receive a consistent, wellmanaged and planned service. One of the of this user surveys said The staff and Monica (the manager) are marvelous. Systems are in place to ensure the efficient and effective running of the home. Staff are monitored and supervised daily and administrative procedures are reviewed and updated regularly. The manager carries out regular spot checks to ensure staff are
Care Homes for Older People Page 23 of 28 Evidence: maintaining good standards. The AQAA indicated that a range of policies and procedures are available to support staff in the role and ensure they are clear on their responsibilities and know how to work safely. One of the staff surveys returned to us noted when asked what does the service to well, Cares and understands the needs of the staff as well as the service users. Another survey noted The service we provide is to a very high standard. All staff are competent care workers. One of the service user surveys returned to us noted when asked what does the home do well, Provides a homely atmosphere, family always made to feel welcome when visiting, a small reception room creates a more intimate environment. The manager will help service users manage their finances as part of an agreed package of care. Two of the three records examined were not accurately maintained even though they have been regularly audited. The manager must ensure a thorough auditing system is set up and include more detailed information about any financial transactions that take place. This will ensure service users are protected from potential financial abuse. The staff spoken to during the visit said they enjoy their work and feel well supported in their role. They confirmed the manager meets with them regularly to give support and discuss how their working. This meeting provides staff with an opportunity to develop in their role. This was indicated in the staff surveys returned to us. One survey noted I meet regularly with my manager who will always give me advice help and support if ever I need it. The staff confirmed the manager or a senior member of staff is available for advice and support out of hours. The staff spoke highly of the registered manager. One member of staff said You can take any problem to the manager and it gets sorted. One of the staff surveys returned to us noted I have worked Grovewood the seven years and I am happy in my work. I can approach management about any concerns I have which may be work-related or personal. Regular health and safety checks are carried out to ensure the safety of staff and service users. Staff are provided with training and supporting policies and procedures so they are aware of their responsibilities and know how to work safely. Details of any accidents that occur are recorded and monitored to see if any patterns develop. This allows the manager to take steps to minimise the risk of accidents re occurring. The manager must record all accidents in a Health and Safety Executive accident book. This will ensure all of the necessary information is recorded following an accident and staff follow the correct health and safety procedures. 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 18 18 Record Bureau check is 28/08/2009 completed for all staff before they are employed. This will ensure they are suitable to work with older people. 2 19 23 Improvements need to be made to the standard of the decor in the bathrooms, halls, stairs and landings. This will ensure a more comfortable and pleasant environment is provided for service users to live. 24/07/2009 3 35 13 Accurate financial records must be maintained at all times. This will protect service users from potential financial abuse. 26/06/2009 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 Care Homes for Older People
Page 26 of 28 improving their service.
No. Refer to Standard Good Practice Recommendations 1 26 The standard of hygiene in some parts of the home needs to be improved to ensure a more pleasant and hygienic environment is provided. Care Homes for Older People Page 27 of 28 Helpline: Telephone: 03000 616161 or Textphone: or 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) Commission for Social Care Inspection (CSCI). 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 CSCI 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!
