Inspecting for better lives Key inspection report
Care homes for older people
Name: Address: Keneydon House 2 Delph Street Whittlesey Cambridgeshire PE7 1QQ The quality rating for this care home is:
one star adequate 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: Don Traylen
Date: 0 7 0 4 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 27 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 27 Information about the care home
Name of care home: Address: Keneydon House 2 Delph Street Whittlesey Cambridgeshire PE7 1QQ 01733203444 01733202648 adrcare1@btconnect.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: ADR Care Homes Ltd care home 21 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: Dementia - over 65 years of age (DE(E) - 21 (both sexes) Old Age not falling into any other category (OP) - 21 (both sexes) Date of last inspection Brief description of the care home Keneydon House is a care home registered to provide for 21 people over the age of 65 years. The home is situated in the town of Whittlesey, near Peterborough and is close to local amenities. The home is an older property built approximately in 1890. The accommodation is on two floors accessible by stairs or a chair lift to the first floor. A ground floor extension housing six bedrooms was added approximately 15 years ago. There are 13 single and 4 double rooms and a large garden to the rear of the building. Care Homes for Older People
Page 4 of 27 Over 65 21 21 0 0 Brief description of the care home Fees asked by the home are between £395 per week and £445 per week depending on assessed needs. CSCI inspection reports are available at the home and can be accessed on the CSCI website. Care Homes for Older People Page 5 of 27 Summary
This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home 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: Two inspectors carried out this inspection between 11am and 16:45pm on the 7th April 2009. A supporting manager from one of the organisations other care homes was present during the inspection and was provided with feedback throughout the inspection. People living at the home were spoken to throughout the day by both inspectors. The admission arrangements, the assessment process and care planning and care records were assessed. Peoples social activities and the arrangements to protect people from harm were assessed, as were the recruitment process and the induction and training arrangements for new staff. The ability of the service to prevent infection and cross infection were considered. The environment was assessed. The home completed and Annual Quality Assurance Assessment prior to the inspection. Eleven survey forms from people using the service were returned.
Care Homes for Older People Page 6 of 27 Since the last key inspection on the 08/04/2008, the home has been the subject of Safeguarding investigations carried out by Cambridgeshire Primary Care Trust (PCT). These investigations determined the home had not adequately ensured the health and welfare of people living there. Subsequent action by Cambridgeshire PCT was the suspension of their contract to place people at the home. This suspension was removed in March 2009. Since the last key inspection a Random inspection was carried out on 09/09/2008. This Random inspection showed the home had made significant improvements, although there were further improvements that were required. A new acting manager and a consultant had been employed. The home had written an action plan for the PCT of which they kept the Commission informed. The acting manager had initiated changes to care planning and the written care plans. Staff training had been reviewed and new arrangements for training staff had been started. Further environmental improvements had been made to some bedrooms and the upper floor hallway and staircase. Plans were in place to continue with these environmental improvements. Work to completely refurbish the kitchen had started. The recruitment of staff had not ensured the safety of people. A requirement to comply with the regulation relating to the recruitment records and procedures was made. The timescales to meet the remaining and outstanding requirements made at the previous key inspection were extended as a result of the random inspection. What the care home does well: What has improved since the last inspection? What they could do better: Where specific details in the care plans have recorded a persons preferences regarding their death, they they should be verifiable. Similarly, when details of a person health diagnosis have been recorded in their care plan, this information should be verifiable. Medication records must qualify what the use the letter F means when used to record Care Homes for Older People
Page 8 of 27 the medication administration record (MAR) charts. All staff must receive training in Safeguarding and should be assessed by the home for their competency and responsibility to prevent and report abuse. People would be better assured if staff fully understood their responsibility to independently report an allegation of abuse directly to the Local Authority or the Police, should this ever be necessary. Further improvements to the external aspect of the home should be achieved. Repairs and attention to the wooden gable ends at the front of the building are necessary. The condition of the flaking and worn paintwork to the exterior of the wooden windows should be attended to. There were the remains of quite large dead vegetation growing from the brickwork at the front of the home. The extensive electrical wiring and aerial cable should be made tidy. The porch, or covered entrance to the home should be repaired or made safer. Improvements to the laundry facility should be arranged. The use of the bathroom where there was a stained non-slip bath mat and corroded bath, should be determined whether it is fit for purpose. Carpets should be cleaned, or considered for replacement where they appear stained. The Fire Safety Officer should be consulted regarding the fire escape door from the annex and the door leading from the hallway into the kitchen that are both fitted with combination locks and whether these doors are, or should be fire and smoke retardant. The recruitment process can be further improved. Application forms should show full details of dates of previous employment and the name and full addresses of the referees. Any written references requested and received must bear proof of the name and address of the referees. Attention to preventing infection and cross contamination should continue. The condition of the laundry room must be improved. The expectation that care staff carry out laundry tasks should be reviewed to ensure that people are not left without adequate care staff. 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 9 of 27 Details of our findings
Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 27 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 are assured their needs are known by the home before they decide to move into the home. Evidence: The admission process for one person who recently moved into the home was assessed. She was privately funding her care. Her assessment had been completed by the home. Although this was brief, it contained details of her needs. A further easement was carried out after she had moved into the home and this determined more needs were addressed in her care plan. We spoke to her and her daughter who were aware of the process and the potential involvement of the local authority to assess her financial status. They both confirmed that they had received a contract and stated they were happy with the admission arrangements when asked. The home has revised their Statement of Purpose. There were some leaflets in the home about moving in to a care home and funding care. Care Homes for Older People Page 11 of 27 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 are assured the home can meet their needs and are treated with respect by staff and that accurate medication records would offer greater assurance of good care. Evidence: Two peoples care plans were read. Both plans contained comprehensive instructions and detail about how to meet their needs. These plans were extensive and clearly demonstrated the involvement of community health services where they had provided health care. One persons plan showed she had a poor appetite and a risk assessment about her risk of poor nutrition. The plan had recorded her daily consumption of food and fluids and the encouragement and assistance that should be offered. The same person had been weighed weekly and this had been recorded. A dietitian had been involved in her care and had recommended food supplements, but it was not clear whether these were being offered.There were some issues that needed clarifying in her care plan: a nutritional assessment dated 13/03/2009 showed she was at low risk, which contradicted her recorded nutritional needs. There was a record that stated she had heart failure and whether she should be resuscitated. However, there was no record from whom, or when this diagnosis and instruction had come from, or if it was
Care Homes for Older People Page 12 of 27 Evidence: agreed. There was no other reference in her care plan about her wishes or arrangements to be made regarding her death. This was pointed out to the relief manager and discussed with her as an aspect of care planning that should be recorded. The second persons plan was for a self-funding person who had been assessed by the home. Her plan was appropriate and contained enough information to provide the care to meet her needs. Weight charts and a nutritional assessment related to her reduced appetite had been noted. Both care plans were neat and well presented documents that contained sufficient instruction to meet each person needs. Observations of two care staff demonstrated they knew the needs of people and communicated with each other to ensure they were not leaving people unattended. One person was encouraged by care assistants to eat and was offered a variety of alternative food. She was seen to be checked by staff whilst we spoke to her. Staff demonstrated a knowledge of peoples needs when we spoke to them. The home has managed to meet peoples health needs after intensive interventions by the Specialist Team of community Health Services had been provided over several months. A community Nurse who was visiting at the time of the inspection said the home did refer people to her and to her team when they considered Health Services support were necessary. Medication Administration Records (MAR) charts showed that one persons medication had been frequently recorded as markedF, but did not qualify what this symbol meant, although the MAR charts showed F to mean, other. This was pointed out to the relief manager during the inspection who assured us that this would be immediately corrected. As this was able to actioned immediately a requirement has not been made in relation to this matter. Records and stocks ithat awere checked ndicated that correct levels of medication had been administered to other people. Care Homes for Older People Page 13 of 27 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. People are assure their daily life is quite and comfortable and they will be offered suitable meals. Evidence: It was observed that people were clean and appropriately dressed. One person who was visited by her daughter said she thought the home was meeting her needs. Her daughter commented that she could visit at any reasonable time and was welcomed by the home whenever she visited. People were observed to walk independently or were assisted and chose where they wanted to be be, to sit within the home. Two choices are given each day for meals and these choices are recorded by the the cook. Two people who had chosen to eat in the lounge were assisted to do this. Another person chose not to eat at all and was encouraged by staff and offered alternative food, although she declined these offers. The lunchtime meal served in the dining room appeared to be of good nutritional value of meat and freshly cooked vegetables. The food was served individually, already plated-up for each person. The tables were laid with clean table cloths and napkins. The main dining room was bright
Care Homes for Older People Page 14 of 27 Evidence: and overall, was an inviting environment. During the morning a religious service was being conducted in the lounge. This service has been organized to take place every first Tuesday of the month. The home has employed a person to encourage and assist people with activities in the home. She works five days each week between 2 and 4pm. Financial affairs are managed either by families or an Attorney or by the the person themselves. The home does not assist people with their finances. Care Homes for Older People Page 15 of 27 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assured they are protected from harm by the homes policy although the individual responsibilities of staff to deal with abuse could be more assuring. Evidence: The home has a policy regarding safeguarding. The AQAA sent to us stated that staff know how to respond to abuse and take action when abuse is suspected and that, protection of vulnerable adult training is provided to all staff. There was information posted in the hallway near the main entrance from Age Concern, about protection from abuse and additional information of where an incident could be reported to the Local Authority. There was also information about Deprivation of Liberty and the Mental Capacity Act 2005. The office had a flow chart of the process when abuse is suspected and how the process should operate. One member of staff was asked about safeguarding and protection. She was asked if she knew where to report an incident or allegation of harm to, other than to the manager. She demonstrated that she was willing to report any concern to the manager, although she was not familiar with the wider reporting process of where she could independently report abuse to, or who would investigate these matters. It was discussed with the relief manager that the home should further promote safeguarding, by ensuring staff have the knowledge to independently report abuse, as this might be required and it is their responsibility to safeguard vulnerable people. As the home has been the subject of a prolonged investigation of abuse since the last key inspection in
Care Homes for Older People Page 16 of 27 Evidence: April 2008, all staff should be competent to provide good safeguarding practice, by being fully informed of their individual responsibility in this subject. All staff had received training in Safeguarding, apart from the cook and the activities co-ordinator. It was discussed with the relief manager during feedback that it was vital that both of these people receive training in this subject and a requirement for this has been made in the staffing outcomes group of Standards. The home has a complaints policy and keeps a logbook of any complaint made to them. Care Homes for Older People Page 17 of 27 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assured the home is comfortable and warm and inviting and is making further improvemnts to their environment and they would be better assured if the oustanding risks of cross infection were closely monitored and prevented. Evidence: Improvements have been made to the interior environment that have resulted in a brighter, lighter and more pleasant place to live. New furniture, such as chairs have continued to be provided throughout the home and new carpets have been laid in the upper floor and bedrooms. The kitchen has been completely refurbished and fitted with new equipment. The office had been enlarged and redecorated and is a brighter place to work. Further bedrooms have been redecorated as and when they have become vacant, or accessible. Two bathrooms have been fitted with replacement sanitary ware. The relief manager reported that further improvements were planned for the roof and the porch and it was noticed that these areas were in need of significant repair, or replacement. The quality of the exterior paintwork to the woodwork was poor. Paint was flaking off the window frames and the wooden gable ends. There was an amount of loosely fitted, uncovered wiring both outside the main entrance and in the front bedroom next to the main door. Improvements had been made to provide all toilets with soap dispensers and paper towels although there were no paper towels in one toilet. Another toilet had a plastic
Care Homes for Older People Page 18 of 27 Evidence: bag deposited in it. One of the two toilets in the annex area of the home had a pool of water on the floor at the base of the sink. It was noted that a number of improvements that could be made. These included: the carpet in one room that was extensively stained. The bed in this room was fitted with two protective sides that were both stained with several spots and looked unclean. There was a deeply stained non-slip rubber bath mat in one of the two bathrooms on the upper floor. The bath was rusty and not suitable to be used. The dishwasher in the kitchen was broken and the cook reported she had to wash everything by hand. The home does not have a sluice room for soiled laundry and the laundry room is an outbuilding with an open door. This building was bare brick walls and the general cleanliness of this facility was poor. The front of the washing machine and the floor were covered in soap and water stains. The floor was not clean and peoples clothing was stored in baskets. A fire exit next to the entrance to the area of the home referred to as the annex was locked with combination lock. This must be referred to the County Fire Safety Officer for advice. The door to the kitchen from the main hallway was locked with a combination lock and was unable to be opened by a member of staff when he tried. This door should also be assessed by the Fire Safety Officer. Care Homes for Older People Page 19 of 27 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The Skills for Care Common Induction Standards should be promoted and the induction already provided should be assessed within the Common Induction Standards framework. Evidence: The home is registered to provide for 21 people and had a cohort of 12 staff including the cook and 10 care workers. The impression was that staff work well to cover the hours necessary to provide the care and support and two staff told us these arrangements were working well. Twelve people were living there and two care staff were providing their support on the day of inspection. We were informed that more staff will gradually be rostered to work, as and when more people come to live at the home. We were told that care staff are expected to manage the laundry tasks. Two staff files were read. Both had satisfactory POVA first checks and Criminal Records Bureau disclosures. Application forms had been completed, although details about previous employment and named referees were not complete in one persons file. References had been gained for both persons, but for the one person the referees address and status was incomplete. The referees address was not shown on the two references obtained and there was not a copy of a letter sent requesting these refrences in either persons files. The reference was hand-written on a form form sent by the home and did not include an address or company stamp or other indicators to
Care Homes for Older People Page 20 of 27 Evidence: verify the referee. Both staff were expected to complete a longer PCT provided induction after their initial induction. The initial induction was not recorded for one person. The relief manager was informed of the expectation that all care staff should be inducted by the Common Induction Standards set by the Skill for Care Council and staff and people receiving care, would benefit from this Common Induction and that staff can be registered with that organisation after competently completing this induction. Eight staff had NVQ level 2 or level 3 awards in care and one overseas worker without an NVQ award had a nursing background. Staff training has been encouraged and facilitate to a greater degree over the past 8 months. All staff have received training in infection control and all staff bar two had received training in safeguarding. Care Homes for Older People Page 21 of 27 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home are assured the management of the home has improved and they would be further assured by further improvements to identified health and safety issues. Evidence: The registered manager resigned during the period when investigations into abuse were taking place midway through 2008. An acting manager and a consultant were quickly appointed and improvements to various aspects of the service began. After the departure of the acting manager, another acting manager was immediately appointed in late 2008. We were informed that this acting manager is undertaking an NVQ level 4 award in care and management. The relief manager provides additional support and guidance for the acting manager. She stated that more staff will gradually be rostered to work, as and when more people live at the home. Care Homes for Older People Page 22 of 27 Evidence: The key inspection for 07/04/2008 indicated a requirement to prevent cross infection and steps have been made to eradicate the issues raised in that report. The AQAA informed us (page 28) that the home does not have an infection control action plan, although all staff have received training in this topic. Further attention to monitoring the risks and the prevention of cross infection should be carried out to ensure all round good quality outcomes. For instance, staff should have time to notice if pillow cases need washing and if bedsides need cleaning and if water was leaking from a toilet where people are in danger of slipping, or whether toilets are in danger of becoming blocked and if paper towels need replacing. During the morning period when these matters were noticed the cleaner was not working, but did arrive in the afternoon, as she was employed to work five afternoons each week. The laundry room is an outbuilding that staff told us was unpleasant to use when the weather was cold. The building has been referred to in the environmental group of outcomes in this report. The use of this facility should be referred to the Environmental Health Officer for advice. It is recommended that the Fire Safety Officer be consulted for matters already referred to in this report. The financial viability of the home was not assessed at this inspection. The relief manager stated, as did the information written in the AQAA, that the home does not handle or manage any money belonging to people living there. The supervision of staff and the acting manager is a regular arrangement and these sessions are one-to-one and had been recorded. The acting manager is supervised by the acting manager of another care home within the organisations group of homes. Regulation 26 & 37 reports were kept at the home. Care Homes for Older People Page 23 of 27 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 24 of 27 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 29 19 Recruitment records must include all details expected under this regulation so the home has clear evidence that references can be verified to ensure people are safeguarded 30/05/2009 2 30 13 Arrangements must be made so that all staff are trained in Safeguarding vulnerable people so that people are protected from harm 30/05/2009 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 11 The wishes or arrangements that relate to the death of a person should show how these decisions have been verified and agreed with the person, or their Attorny, when such a decision has been recorded. The home should promote safeguarding so that all staff 2 18 Care Homes for Older People Page 25 of 27 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 have the knowledge and confidence to independently report an allegation of abuse, so that people are fully assured they are safe. 3 4 19 26 Attention should be given to planning the maintenance of the external aspect of the home. The hygienic condition of the laundry room should be referred to the Environmental Health Officer for advice or assessment. The initial induction given to new staff should always be recorded and the subsequent, longer induction should be clearly related to the Skills for Care Common Induction Standards so that staff can be registered with the Skill for Care Council. 5 30 Care Homes for Older People Page 26 of 27 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 27 of 27 - 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!
