Inspection on 17/07/09 for Parkview House

This is the latest available inspection report for this service, carried out on 17th July 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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Parkview House 10/01/07

Parkview House 13/07/06

Parkview House 09/02/06

Parkview House 23/10/05

Parkview House 08/02/05

Parkview House 23/07/04

Parkview House 24/02/04

Extracts from inspection reports are licensed from CQC, this page was updated on 15/11/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Parkview House 12 Houndsfield Road London N9 7RQ     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: David Hastings     Date: 1 7 0 7 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: Parkview House 12 Houndsfield Road London N9 7RQ 02088057031 02088054374 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: 2 Care care home 45 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia Additional conditions: The maximum number of service users who can be accommodated is: 45 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: Dementia - Code DE Date of last inspection Brief description of the care home Parkview House is managed by 2 Care who operate other care homes nationally. The home is a two-storey building with a car park at the front of the premises. The building is leased from Sanctuary Housing Association, which is responsible for maintenance and repairs. This home is registered to care for forty-five older people who have a diagnosis of dementia. The home is purpose built and opened in 1993. Residents live in five units, called clusters, which each house nine people. The units are selfcontained to provide a more homely environment, each with its own lounge, dining room and small kitchen for preparing drinks and snacks. There is a central laundry Care Homes for Older People Page 4 of 28 Over 65 45 0 Brief description of the care home and the central kitchen caters for the main meals. Although the living accommodation is in separate units, the residents are able to move around the whole building, and do so quite safely, as the entrance and exits are protected by a coded keypad. There are three internal garden areas with attractive water features and there is a long internal ramp and a passenger lift, to provide access to the first floor. In addition, there are spacious communal areas and a Snoezelen room for providing sensory stimulation and/or relaxation for the residents. The home aims to provide a high level of support to residents to maintain their independence and quality of life. The home is located in Edmonton, opposite a public park. The fees for the service are five hundred and eight pounds per week. 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 Key Unannounced inspection took place on Friday 17th July 2009 and lasted six and a half hours. We were assisted with the inspection by an Expert by Experience who spent time talking to the residents. An Expert by Experience is a person who has had experience of either receiving care services themselves or of having contact with care services through a person close to them. They help to ensure that the inspection focuses on the people who are receiving the service. We spoke with six staff on duty during the inspection. We spoke with fourteen residents of the home and we met two visitors. We observed the interactions between staff and residents. We inspected the building and examined various care records as well as a number of policies and procedures. Prior to this inspection we sent out surveys to staff and residents. We received four surveys back from staff and seven surveys from residents or their relatives. Care Homes for Older People Page 6 of 28 The home also prepared a self-assessment (AQAA) and this was submitted to the Commission. This information was used as part of the inspection. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 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 9 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. The home carries out an assessment of individuals needs so that they know that the home is able to meet their needs before they decide to move in on a trial basis. Evidence: Pre admission assessments were examined for four people who are now living at the home. The information was satisfactory and clearly outlined each persons individual needs. The service has a block contract with the local authority and all files examined had a care needs assessments filled in by a social worker. These assessments were detailed and also gave information about the persons social history. There was evidence that these identified needs were also being recorded in each persons individual care plan. People who use the service and their relatives told us that they were involved in this assessment process and, where possible, had visited the home before moving in on a trial basis. Care Homes for Older People Page 10 of 28 Evidence: We also saw evidence that people have a review of their placement after 4-6 weeks to see if they would like to stay at the home on a permanent basis. 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. Care plans clearly set out residents health, personal and social care needs so that staff know how best to support everyone at the home. Residents have good access to health care professionals and they are treated with respect. Residents get the medication they require, at the right times and by appropriately trained staff. Evidence: Seven care plans were examined from various clusters throughout the home. Each plan gave clear instructions to staff about how best to care for each person. All care plans covered the physical, emotional and cultural needs of the individual. Care plans also contained a social history of the individual resident. Care plans were being reviewed on a regular basis and updated where needed. Staff told us they found the care plans useful particularly if they moved to other clusters and needed to know about individual residents needs. It was clear from observing staff interactions with residents that staff knew the Care Homes for Older People Page 12 of 28 Evidence: residents well and treated them as unique individuals. Each persons plan of care included an assessment of the risk of falling and how staff are to reduce this risk, for example, having two staff to help with personal care tasks. There were other risk assessments seen in each persons file, including manual handling, pressure care, nutrition and other risks associated with dementia. All these were being reviewed on a regular basis. There was evidence from care plans that people have good access to health care professionals such as doctors, chiropodists, district nurses and opticians. People who use the service confirmed that they had good access to health care professionals. On the day of the inspection people using the service looked well cared for, their clothes were clean and they were appropriately dressed. We examined the medication on two clusters in the home. Satisfactory records were examined in relation to the receipt, storage, administration and disposal of medication. Records indicated that staff have undertaken medication training and only qualified staff administer medication at the home. Each unit had a list of residents allergies both in terms of food and medication. It is good practice to record any allergies in the individuals medication chart and also to record if none are known. It is also good practice to have a picture of each resident on their medication record so staff can double check they are administering the medication to the right person. Two recommendations have been made regarding these matters. We saw a number of examples of supportive staff interactions with people and staff were able to describe to us how they ensure the privacy of people they support. We saw staff knocking on residents bedroom doors before entering. People we spoke with told us that the staff were respectful and kind towards them. Care Homes for Older People Page 13 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home tries to provide varied activities for people who use the service in order to keep them suitably occupied and engaged. However staff do not always have the time to support people with activities. Visitors to the home are encouraged and welcomed. Residents are able to exercise choice and control over their lives. The home provides people with a wholesome appealing and balanced diet. Evidence: There is no designated activity coordinator and all staff are expected to carry out activities with residents at the home. In the morning a bingo session was taking place in the main activities room. This left one member of staff in a number of clusters. We could see that the staff in the clusters were trying to keep the residents occupied and engaged and one member of staff was painting a residents nails. Some staff told us that keeping residents at the home suitably occupied and engaged was very challenging due to only two staff being on each cluster for nine residents. The registered manager has been trying to obtain funding for an activities worker for a number of years now with no success. A number of people who use the service told us Care Homes for Older People Page 14 of 28 Evidence: they wanted more activities at the home as well as more outings. One resident who was referring to activities undertaken in the clusters said, All there is to do is watch telly. There are no facilities to really do anything. Were not allowed out, so we are all sitting in here. Some residents do go out of the home with staff. One resident told us, You are proud to walk down the street with them. We have issued a requirement that the home reviews how activities are carried out and ensure that all residents at the home are kept suitably occupied and engaged. This could involve employing an activities coordinator. The issue with activities had also been highlighted in the last improvement plan developed by the service in December 2008. Some residents were able to tell us about their personal hobbies and interests. These interests were also recorded on peoples care plans. Staff we observed did not appear to have time to support people to follow these interests. Records are being maintained of activities residents take part in at the home. One relative were spoke with told us that the staff, Do their best and work very hard. Visitors to the home told us that they could visit at any reasonable time and that they were made welcome by the management and staff. Residents we spoke with said they enjoyed getting visitors and confirmed they were made welcome. Interactions observed between staff and visitors were warm and friendly. The home has regular residents meetings where residents can have a say in how satisfied they are with the service. We saw records of these meetings and there were many positive comments about the care people receive. The home also holds regular relatives meetings. Staff we interviewed were able to give us practical examples of how they offer choice to people living at the home. We saw examples of staff offering choice in relation to meals and activities during the Care Homes for Older People Page 15 of 28 Evidence: inspection. People who use the service confirmed that they could exercise choice and control over their lives. We were pleased to see that residents are able to move between clusters and also move freely around the home. On the day of the inspection the kitchen was clean and well stocked with fresh fruit and vegetables. The cook was aware of any special diets that people needed and told us that home made cakes are provided for residents birthdays. Fridge and freezer temperatures were being recorded. We looked at the menu and saw that a choice is always available. We were invited to have lunch with the residents and the food was hot and tasty. Residents said they enjoyed the food and always had enough to eat. One resident commented, The food is nice. 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 are taken seriously and responded to in a professional manner. People at the home are protected from abuse by clear policies and procedures and by an appropriately trained staff team. Evidence: The home has satisfactory policies and procedures in relation to complaints and the protection of residents from abuse. We examined the record of complaints and saw that all complaints, however minor are responded to in writing by the manager and the outcomes of all complaints are also recorded. All the residents and visitors we spoke with said they had no complaints about the service but were clear that they would say something if they had a concern. Residents told us that they felt the manager was very approachable and would deal with complaints effectively. Staff were able to describe how vulnerable people could be at risk of abuse in a residential care setting. All staff interviewed were clear of their responsibility to report any suspicions of abuse to the appropriate authorities. Residents that we spoke to said they felt safe and well supported at the home. Care Homes for Older People Page 17 of 28 Evidence: Records indicated that most staff have undertaken training in the protection of vulnerable people. There has been a recent safeguarding issue at the home. This was dealt with in a professional manner by the registered manager and relevant procedures were followed. As a result of this investigation the multi agency panel advised the home to review staffing levels at night. There has not been an increase in staffing at night as a result. The registered manager told us that she was in the process of recommending staffing and management changes with the organization. These changes could improve staffing at the home and allow more flexibility for taking residents to hospital during the night. 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 is clean, well maintained and furnished and decorated to a very good standard. Evidence: Although the living accommodation is in separate units, the residents are able to move around the whole building, and do so quite safely, as the entrance and exits are protected by a coded keypad. All areas of the home were inspected, including many residents bedrooms. All bedrooms are single and have en-suite shower facilities. There are also communal assisted bathrooms and toilets in the clusters. The lighting in the bedrooms seemed a bit dark and the assistant manager told us that this could be because of recently fitted energy saving light bulbs. Research shows that older people require three times as much light to see by. A requirement has been issued that all bedrooms have adequate lighting for the needs of the residents. People said they were happy with their rooms and there was evidence that people had brought some personal possessions with them. The assistant manager told us that some people choose not to bring in personal items and sometimes furniture can not be brought in due to space limitations. Care Homes for Older People Page 19 of 28 Evidence: All parts of the home were well maintained and decorated to a good standard. The home has a maintenance person who also tends the gardens and ponds, which were particularly attractive at the time of the inspection. There are sufficient bathroom and toilet facilities in each cluster and appropriate equipment is available for people with mobility problems, for example assisted baths and hoists. On the day of the inspection the home was clean and tidy. The home employs domestic workers and the residents and visitors we spoke with confirmed that the home was always clean. The laundry area was clean and washing machines included a sluice cycle for soiled laundry. The laundry person understood the need to maintain good levels of hygiene and there are good systems in place to deal with soiled laundry. Bathrooms and toilets were clean and contained anti bacterial soap and paper towels to limit the risk of cross infection. Records indicated that staff have attended infection control training. 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. The staff at the home work hard to meet the needs of the residents and are provided with good training opportunities to further enhance their knowledge and skills. Recruitment practices are sufficiently detailed in order to protect residents at the home. Evidence: The manager told us that there are two staff on each cluster throughout the day and one staff on each cluster throughout the night. There are currently ten care staff vacancies at the home. The service is in the process of recruiting more staff. The manager said that vacant posts are being filled by agency staff who are well known to the service and the residents. Residents we spoke to were overwhelmingly positive about the staff team. Some staff commented that they were sometimes understaffed when residents were escorted to hospital or taken out of the home. As mentioned previously staff are also taken out of the cluster to provide activities for residents. As also mentioned elsewhere in this report a recent safeguarding issue highlighted the need to review staffing levels at night. Having small units of nine people in clusters is a good way to ensure a homely and an individualised care approach. However this model requires a higher staffing ratio. Care Homes for Older People Page 21 of 28 Evidence: At the last key inspection staff were sometimes observed sitting in the dining room on clusters away from the majority of residents. Although this situation appears to have improved we still noticed that some staff were sitting in the dining room. On two occasions residents became distressed and staff were not immediately available. It was not clear if staff were on their break at this time. If this was the case staff should be having their breaks away from units. One resident commented, Sometimes staff dont know whats going on. We have issued a new requirement that staffing levels are reviewed at the home to insure greater flexibility and cover at busy periods. Overall we observed staff working very hard to meet the needs of people in their care. One resident commented, The staff could not do any more that they already do. The manager told us that the majority of staff have completed their NVQ level 2 training or equivalent. This exceeds the requirements of this standard. Staff we interviewed were positive about the training opportunities available to them and records were examined indicated that staff were undertaking the training relevant to their work. Staff undertake some training in dementia care and were positive about this training. As the home specialises in supporting people with dementia, staff could benefit from further, more in-depth training. A good practice recommendation has been issued relating to dementia training for all staff. Three staff files were examined from staff recently employed by the home. We checked these files to see if the homes recruitment procedures were being followed so that residents are protected from unsuitable staff working at the home. The files examined contained all the information needed to protect residents including two written references, proof of identity and criminal record checks. 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 manager of the home knows the residents very well and understands their needs. Residents do have opportunities to have a say in how the home is run. Residents financial interests are being safeguarded. The health and safety of residents and staff are promoted and protected. Evidence: Residents, staff and visitors we spoke with were very positive about the registered manager. Staff told us they appreciated the managers clear approach and high standards of care practice. The manager has the required qualifications for this post and is currently undertaking an advanced course in dementia care. The manager keeps in regular contact with us about issues that affect the home and the residents in her care. It was clear from discussion with the manager that she understands and promotes person centred care and this has a positive effect on the well being of residents and staff. The service carries out a customer satisfaction survey every year. The results of these Care Homes for Older People Page 23 of 28 Evidence: surveys are then collated and an action plan is put in place to work on suggestions for improvement. As mentioned previously regular residents and relatives meetings are held at the home. The home also produces a regular newsletter for residents and relatives to keep everyone informed about the service. The home does hold some money on behalf of residents. A sample of these invoices were examined and found to be accurate and included clear audit trails. Satisfactory health and safety records were seen in relation to electrical installation, PAT testing, gas safety and equipment servicing such as hoists and lifts. We also checked records in relation to fire safety. Records indicated that staff were undertaking fire drills on a regular basis. However most of these drills were taking place during the day. It is vital that night staff have regular fire drills so they understand the action they need to take if a fire occurs at night. A good practice recommendation has been issued relating to fire drills for night staff. The manager told us that the fire risk assessment for the home was currently being updated. Fire training has been given to all staff and staff confirmed they have undertaken this training. Records of checks for the fire alarm, emergency lighting and fire extinguishers were also satisfactory. 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 12 16 The registered person must ensure that the provision of activities are reviewed so that all residents at the home are kept suitably occupied and engaged and are able to follow their own hobbies and interests. This should ensure that residents can choose from a range of activities. 01/09/2009 2 19 13 The registered person must ensure that there is sufficient lighting in all residents bedrooms. This should ensure that residents can safely move around in their bedrooms. 01/09/2009 3 27 18 The registered person must 01/10/2009 ensure that staffing levels at the home are reviewed in order to provide greater flexibility and cover at busy periods. This review also includes night staffing cover. Page 26 of 28 Care Homes for Older People 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 This should ensure that there are enough staff to meet the needs of residents at busy periods at the home. 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 registered person should ensure that a photo of each resident is attached to their individual medication chart so staff can double check they are giving the right medication to the right person. The registered person should ensure that any known allergies are recorded on individual residents medication charts. This medication chart should also indicate if no allergies are known. The registered person should ensure that staff are provided with more in-depth dementia care training to further enhance their knowledge and skills. The registered person should ensure that night staff undertake fire drills every three months so they are confident about what action to take in the event of a fire occurring at night. 2 9 3 30 4 38 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!