Inspection on 06/05/09 for Perrygrove

This is the latest available inspection report for this service, carried out on 6th May 2009.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Perrygrove 25/06/07

Perrygrove 05/09/06

Perrygrove 02/09/05

Perrygrove 11/04/05

Perrygrove 26/04/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

Extracts from inspection reports are licensed from CQC, this page was updated on 20/07/2009.

Key inspection report Care homes for older people Name: Address: Perrygrove Rectory Fields Crescent Charlton London SE7 7EN     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Janet Pitt     Date: 1 1 0 5 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 29 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 29 Information about the care home Name of care home: Address: Perrygrove Rectory Fields Crescent Charlton London SE7 7EN 02088563995 02083191663 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: www.kcht.org Kent Community Housing Trust care home 43 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 43 The maximum number of service users who can be accomodated is :43 The registered person may provide the following category of service only: Care Home Only (CRH - 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 (maximum number of places: 36) Dementia - Code DE (maximum number of places: 7) The registered provider may provide the following category of service only: Care Home only (CRH- PC) to service users of the folowing gender : Either whose primary care needs on admission are within the following caegories : Old Age not falling within any other category - Code OP (maximum number of places:29) Dementia - Code DE ( maximum number of places :14) Date of last inspection 7 0 Over 65 0 36 Care Homes for Older People Page 4 of 29 Brief description of the care home Perrygrove is a Care Home for up to 43 older people. Accommodation and personal care is provided to 36 older people and to 7 older people with dementia in s separate unit. Kent Community Housing Trust manages the service. The property is situated in a quiet road in Charlton close to local shops and bus routes and the town centres of Lewisham, Greenwich and Woolwich are within easy access. Accommodation is provided over three floors. The home has one shared room and the rest are for single occupancy, which is currently used for single occupancy. Fifteen rooms have en-suite toilet and wash hand basins and adequate shared assisted bathing and toilet facilities were provided. Adequate communal space is provided on the ground floor and the home has a designated smoking room. To the rear of the property is a pleasant enclosed garden, which is accessible to residents and well maintained. To the front there is some parking space. The current fees ranged from #442.96 - #545.00. Residents pay privately for items such as hairdressing, private chiropody, toiletries, newspapers and outings. Care Homes for Older People Page 5 of 29 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: The quality rating for this service is two star. This means that the people that use this service experience good quality outcomes. One inspector undertook this unannounced inspection. A site visit was made over two days that lasted a total of ten and a half hours. During the site visits records relating to staff recruitment and training were examined. We looked at assessments and care plans. Records relating to complaints and compliments were inspected. Minutes of meetings with people that live in the home and staff meetings were read. People who live in the home and staff who care for them were spoken with. A tour of the premises was undertaken. Care Homes for Older People Page 6 of 29 Perrygrove provided us with their Annual Quality Assurance Assessment [AQAA] information from this has been used in the report. Care Homes for Older People Page 7 of 29 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 8 of 29 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 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be confident that their needs will be assessed prior to moving into the home. They are involved in the process and able to say what their needs are. Information is gathered on a persons life history. Contracts are in place which detail what is provided in the fee. Evidence: The homes AQAA indicates that service users and their families are fully aware of what they can expect from us as care providers. When we looked at peoples assessment of need we found that the person or their representative had been involved in the process. Assessments are undertaken by the company assessor or a senior member of staff. The documents we looked at had information on the individuals personal and health needs, such as mobility and communication methods. The social history included information on significant life events. This was confirmed by speaking with people and then examining their files. Care Homes for Older People Page 10 of 29 Evidence: One assessment that had been completed by the companys assessor was excellent and included all relevant information. There were good details of the persons care needs. This was highlighted to staff as the standard to aim for when aiming for excellent outcomes. Each persons file had details on why they had been referred for the service and a contract was present. The contract detailed what services are included in the fee. Care Homes for Older People Page 11 of 29 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be confident that their identified needs will be addressed in care plans. Input from other health professionals is sought when needed. Medications are administered and handled safely. Care plans are person centred and are live documents that reflect the changing need of the person. Staff are aware of the need to make sure that it is the persons needs that are to be met. However, care is needed in recording as this does not always protected an individuals privacy and dignity, as some language used is inappropriate. Evidence: Perrygroves AQAA says that each person has a detailed care plan which identifies needs. The plans are regularly reviewed and updated as needed, reflecting changing health and personal care needs of the individual. We found that all the people who live in the home had the new care plan format. These were seen to lead from the assessment of need. The person or their representatives had had input into the writing of the plans. For example one persons Care Homes for Older People Page 12 of 29 Evidence: spouse had provided information on their social history. Care is needed on the sort of language that is used in documentation. Entries in daily records such as refuse to change clothes and refused to sleep in bed, do not promote a persons dignity and ability to make choices. Staff need to develop awareness of appropriate sort of words to use and try alternatives such as prefers or declined. Another plan had the following [they] also refused to leave the eating area after dinner Known to be verbally abusive. Was calling staff stupid and saying food was dry. Was offered sauce. Staff should be aware of the possibility on putting all condiments on the table to enable people to select what they want.[See also section on Daily Life and Social Activities] Death and dying had not been covered in any of the plans looked at. The manager said this is being introduced, a new section will be added to the plan soon. There was information in the plans of other health professionals involvement in a persons care. The district nurses undertake insulin administration and wound dressings. The nurses also maintain their own health records that are kept in the home. Records of professional visits were present such as the optician for glasses and staff from the mental health team for a chat. Care plans have yet to include information on an individuals equality and diversity needs. We were informed by the manager that staff are currently attending training and this will be introduced once the training is complete. There was information on mobility aids needed eg wheelchair for long distances. Some good daily record entries included the following: I want staff to reassure and guide me when I am confused, depressed and disorientated. I like to change my dress everyday as I dont like wearing the same dress for a few days We discussed with staff the possibility of using barriers to stop individuals walking into other peoples rooms at night, as this has been an issue. Use of a bright line in a doorway can sometimes be useful in deterring an individual from entering an area. We discussed with one of the team leaders about the Outcome section of the plan as Care Homes for Older People Page 13 of 29 Evidence: some had not been filled in. The team leader said this is completed at six week review to make sure it is the persons wishes and not the views of staff. Significant improvement has been made in managing medications. there was a clear audit trail in place of medications received into an out of the home. We found no gaps in the administration records when we looked at them. As required medications had clear instructions on when they should be given. We saw reports form a pharmacist who audits the medications every three month and actions had been taken when necessary. Care Homes for Older People Page 14 of 29 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. People are able to eat in pleasant settings. Attention to detail would improve the dining experience for all. Care is needed to make sure that individuals have real choice in what they eat and drink. Staff need to consistently respect peoples dignity and right to make choices. Activities in the home reflect peoples interest and attention is paid to making sure that the programme is developed according to what the people who live in the home want to do. Evidence: The home considers that they have activities in the home, that reflect peoples interests. They plan to continue to increase the level and variety of activities both within the home and the community. We spoke with the activities coordinator who said that she takes some people out at least twice month or more with other people from care services in the area. The activities coordinator has a designated budget and is planning to buy items such as art equipment. One person has stated that they would like to start painting and drawing again. Care Homes for Older People Page 15 of 29 Evidence: There is a specific room for activities which is able to accommodate a large number of individuals. The coordinator said she would like some further training on dementia care. The training that has been given so far has shown her that there are many possibilities to connect with an individual who has dementia. We found that people had a social history in their plans. One person has been able to tell the staff about their life and interests. the member of staff who had completed the form had recorded that it was all [the persons] words. Care staff were seen to be involved in activities. One member of the care team regularly assists with group activities. We saw members of staff taking an interest in what music a person wanted to listen to. In one of the lounges there was a stereo system and people were able to chose what CD they wanted to play and were able to access the player. People were able to have visitors and retain links with local community. Visitors, relatives of a person who has recently moved in said they were happy with the care so far and their relative had settled well and was complimentary about the staff. Lunchtime was observed in main dining area and supper in Cherry Suite. In both areas the tables were laid attractively and there was salt, pepper and vinegar on the tables. Other sauces were brought round by staff. To improve the dining experience consideration could be given to placing all condiments on the table. This would enable individuals to help themselves and have control over the amount of sauce or gravy they have. We saw that meals were ready plated, of a good portion size and attractively presented. Some individuals had had blue plastic aprons placed on them by staff. This does not respect a persons dignity. We discussed with the team leader about this not being appropriate. Alternative arrangements need to be made. Some staff were standing to assist individuals with their meals. Again a persons dignity is not respected, staff should sit down beside someone who needs assistance. This will promote good interactions and make sure that people do not feel overshadowed by carers. Individuals were not consistently asked if the meal choice was what they wanted. Their order had been taken the previous day, but staff need to check that the choices made were still valid. Improvements to consider for the future could include placing vegetable dishes on the tables, so that people can chose what they want and how Care Homes for Older People Page 16 of 29 Evidence: much to have. Cups were on tables, but not fluids. One staff member was seen putting a drink in front of a person without asking if they wanted that choice of drink. When they noticed us in the room,the staff member started to ask other people what choice of juice they wanted and made small talk. An improvement could be made in offering a hot drink after the lunchtime meal. We did see that each person had their own choice of mug when hot drinks were served. it is important to evidence fully that drinks are available. Some people in Cherry Unit had to ask a couple of times before a cup of tea was brought. People were asked if they had finished eating before plate taken away. Generally the meals observed were relaxed and unhurried. people had favourite places to sit and eat. Those individuals who were wheelchair users were assisted onto dining chairs if they wanted. The menu for the day was written on white board, it could be clearer and include more detail. For example the choices of cereals or vegetables on offer. Staff could consider the possibility of having menus with photographs on the tables to reinforce the meal choices. Care Homes for Older People Page 17 of 29 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be confident that they will be protected from harm by Safeguarding procedures within the home. Complaints and concerns are taken seriously and the home makes sure that there is an appropriate investigation and action taken when needed. Evidence: The home states in its AQAA that the complaints policy is accessible and all complaints are taken seriously, recorded and dealt with immediately and appropriate action taken. We looked at the complaints folder. Each complaint that had been received was detailed and there were appropriate outcomes and actions noted. the majority of concerns raised involved local issue such as missing laundry, but there was one issue concerning rough handling of a person. This was dealt with under Safeguarding procedures. Currently there is no-one living in Perrygrove subject to a Deprivation of Liberty. the manager said that area is covered in meetings for home managers regularly. Training on Mental capacity and Deprivation of liberty has been provided. A compliments folder is kept some comments included, I have no qualms about [the Care Homes for Older People Page 18 of 29 Evidence: person] being in residential care because I am more than satisfied with the care [they]are getting and that [they] are very well looked after in my absence. As previously mentioned there has been one safeguarding investigation earlier this year. An issue that was identified was communication not being effective between the home and the district nurses. This has now been resolved. Meetings occur monthly between the parties to make sure discussion is held around ways of working together, for the benefit of people that live in the home. Another issue was about staff attitude toward individuals. The staff members concerned have been dealt with appropriately under disciplinary procedures. Care Homes for Older People Page 19 of 29 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. People are able to access safely all areas of the home. they can sit in a pleasant garden or go and tend an allotment. people who live in the home are able to have input into decoration choices and can personalise their rooms. Evidence: The home considers in its AQAA that it provides a safe, secure clean and tidy home for the people that live there. The work on the Dementia unit now finished. It is safe and secure for people to be able to move around freely. There is a key pad to the door and visitors able to have the number. people have access to a level garden, which has sensory areas with aromatic plants like lavender. On the second site visit new garden tables and chairs were being put up. The manager said home now has an allotment, one person had expressed an interest in this. Strawberries have been planted and there are plans to grow potatoes and tomatoes to be used in the home. We were able to speak with the maintenance person for the home on second day of site visit. He said that he has a record book in which repairs are recorded. Care Homes for Older People Page 20 of 29 Evidence: The areas that have been redecorated have had input from residents, for example the colour of the dining room paint. Bedrooms that have been redecorated are of a good standard. We noted in some rooms there were unpleasant odours. The manager was aware of this and has plans to replace flooring with something easier to clean which does not absorb spills. there is a separate smoking lounge in the home for people who wish to smoke tobacco. Individuals are able to bring personal possessions for their rooms, we saw photographs and ornaments. The manager reported that she plans with peoples permission to put photos on doors, eg a hobby they enjoy. We discussed individuals choosing photos and it was thought that some people would like a photograph of themselves on the door. Staff were seen encouraging people to use the garden. The manager reported that there are plans to upgrade the laundry and sluices, it is recommended that this work occurs as soon as possible. When we looked at these areas we found that they were in need of attention to make sure all areas of the home are safe. Care Homes for Older People Page 21 of 29 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. Individuals are cared for by a staff team who are trained and competent to carry out their role. Recruitment procedures within the home are of a good standard and make sure that all necessary checks are carried out before a person starts working. Evidence: The home considers that during the past twelve months they have improved in the training and personal development given to staff. We examine staff files of people that had been employed since the previous inspection. All files had the same clear format. Information required by the regulations was present in each file looked at. Such as two references, an application form,including detail on the persons employment history. Criminal records bureau checks had been carried out and individuals were asked about any cautions or convictions they had on the application form. Each file had interview notes and clear rationale for appointing a person to work in the home. Staff spoken with reported that they had had suitable training for their role and were Care Homes for Older People Page 22 of 29 Evidence: currently doing dementia care. The manager reported that the two assistant managers had resigned. The organisation is looking at the role of the assistant manager and whether it would be more beneficial to expand the team leader role. The two team leaders we met at site visits were competent and ably assisted with the inspection. They both demonstrated a good rapport with other staff members and residents. The manager said that she has access to training in dementia care and equality and diversity for staff. Once the training is completed it will be implemented more fully in care plans, as the home acknowledges that this is lacking in plans. The manager is aware that staff need time to understand equality and diversity and their own attitudes toward this sensitive subject. During our discussions with all staff members we talked about how important is is for staff to have a professional attitude. Many staff agreed that it was the persons home and their needs and interested must come first. Care Homes for Older People Page 23 of 29 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. People who live in Perrygrove are able to influence the running of the home. Regular meetings are held to gain their views. The manager is open and approachable and is focused on providing a homely environment. Staff consider that they are supported by the manager. The home is maintained and checks are in place to make sure that this is continued. Evidence: Staff who work at Perrygrove consider that they are well supported by their manager. During the second site visit the managers office door was open and people were able to approach her when they wanted. When we talked with people in the home they were aware of who the manager was. One resident was seen saying good morning to the manager. Staff spoken with said that she is approachable and visible within the home. Care Homes for Older People Page 24 of 29 Evidence: We know that the manager has many years experience and clearly showed throughout the site visit that she is person focused and strives to run the home in the best interests of those people that live there. During discussion she said that she is aware of the need to have a good team who all share the same vision. The manager reported that the philosophy of care is being rewritten and will soon be made available in the home. This will place the person at the centre of running the home. No health and safety issues were identified during the site visit. Some people spoken with said that they were able to manage their own money and others said that staff or their families would help them. Care Homes for Older People Page 25 of 29 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 12 16 Social and leisure care plans 30/09/2008 must be prepared for and with individual residents to ensure they meet their needs and preferences. (Timescales of 20/04/07 and 10/08/07 were not met). Activity provision has improve. new coordinator in place. Care Homes for Older People Page 26 of 29 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 15 12 Blue plastic aprons must not 31/07/2009 be used as a form of clothing protection. An alternative is needed. This will make sure that people are treated with respect and their dignity maintained. 2 15 12 People must have real choice in the food and drink they have. This must be demonstrated by the home. This will make sure that they are treated with respect. 31/07/2009 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 improving their service. No Refer to Standard Good Practice Recommendations 1 7 It is recommended that staff are made aware of more appropriate language that can be used when recording in documentation. this will help to evidence that a persons dignity is respected. Care Homes for Older People Page 27 of 29 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 2 15 It is recommended that some areas around mealtimes are reviewed, such as menu display and how food is served. This will enhance the dining experience for the people that live in the home. Care Homes for Older People Page 28 of 29 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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