Inspection on 27/05/09 for Kingsfield Care Home

This inspection was carried out on 27th May 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Kingsfield Care Home 02/07/08

Kingsfield Care Home 21/11/07

Kingsfield Care Home 26/06/07

Kingsfield Care Home 25/01/07

Kingsfield Care Home 19/04/06

Kingsfield Care Home 17/11/05

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 16/02/2010.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Kingsfield Care Home 23 High Street Clay Cross Chesterfield Derbyshire S45 9DX     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: Rose Moffatt     Date: 2 7 0 5 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The 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 Adults (18-65 years) Page 2 of 29 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 Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: Kingsfield Care Home 23 High Street Clay Cross Chesterfield Derbyshire S45 9DX 01246861505 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Kingsfield Care Homes Ltd care home 9 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: Date of last inspection Brief description of the care home 9 Kingsfield provides personal care and accommodation for up to 9 people with learning disabilities. The home is in the village of Clay Cross, near Chesterfield, close to local shops and amenities. The home is a large, detached house with accommodation over two storeys. There are seven single bedrooms, one with an en-suite bathroom, and one shared bedroom. There is a large lounge and separate dining room. There are separate kitchen and laundry facilities of a domestic scale. There is a large attractive garden to the rear of the home with a small garden and car parking space to the front and side of the home. Information about the home, including CSCI inspection reports, is available in the home or from the provider or manager. The fees at the home are £398.80 per week. The manager gave this information on Care Homes for Adults (18-65 years) Page 4 of 29 Brief description of the care home 27th May 2009. Care Homes for Adults (18-65 years) 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: one star adequate service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 1 star. This means the people who use the service experience adequate quality outcomes. The focus of our inspection is on outcomes for people who live in the home and their views on the service provided. The inspection process looks at the providers ability to meet regulatory requirements and national minimum standards. Our inspections also focus on aspects of the service that need further development. The last key inspection of the home was on 02/07/2008. We looked at all the information we have received, or asked for, since the last key Care Homes for Adults (18-65 years) Page 6 of 29 inspection or annual service review. This included: the annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also has some numerical information about the service; surveys returned to us by people using the service and from other people with an interest in the service; information we have about how the service has managed any complaints; what the service has told us about things that have happened - these are called notifications and are a legal requirement; the previous key inspection and the results of any other visits we have made to the service in the last 12 months; relevant information from other organisations; and what other people have told us about the service. We carried out an unannounced inspection visit that took place over 4 hours on 27/05/2009. The inspection visit focused on assessing compliance with requirements made at the previous inspection and assessing all the key standards. We sent out 8 surveys to people living in the home and received 7 completed responses. We sent out 4 surveys to the relatives or representatives of people living in the home and received 4 completed responses. We sent out 7 surveys to staff employed at the home and received 7 completed responses. There were 8 people accommodated in the home on the day of the inspection visit. People who live in the home and staff were spoken with during the visit. The manager was available for part of the inspection visit. Case tracking was used during the inspection visit to look at the quality of care received by people living in the home. 2 people were selected and the quality of the care they received was assessed by speaking to them, observation, reading their records, and talking to staff. 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 Adults (18-65 years) Page 8 of 29 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 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, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs were properly assessed and they had the opportunity to visit the home before admission, so they were confident their needs could be met. Evidence: People told us they liked living in the home. They said, Im glad I came here, and, Im still happy here. Relatives told us the home always or usually met the needs of the person. We looked at the records of 2 people who had come to live at the home since the last inspection. Both had detailed assessments from social services and community learning disability nurses. These assessments were obtained before the person was admitted. From observation, discussion with people in the home and with staff, and from the records seen, we found that peoples needs were met. Care Homes for Adults (18-65 years) Page 10 of 29 Evidence: The AQAA said that in addition to offering visits prior to admission, there was also a 3 month trial period to see if the person settled at the home and if their needs could be fully met. Care Homes for Adults (18-65 years) Page 11 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Some improvements had been made so there was a more consistent approach to care planning. The practice of involving people in the development of their care plan and in making choices about their daily lives was variable. Evidence: People told us they could choose what they wanted to do each day and could follow their preferred routines. One person who attended a local adult education class said, Staff used to go with me but now Ive got the confidence to go on my own. The individual care needs of each person were covered in the 2 care records seen, though the information was not all included in the care plans. 1 person had a care plan entitled person centred and this was reasonably well completed, though it showed some lack of understanding by staff of the concept of person centred care. Although this care plan was not signed by the person, they confirmed they had seen it. Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: There were appropriate risk assessments in each of the care records seen with good details of the risk and of the action for staff to take to minimise the risk. People told us they were involved in regular meetings in the home where they discussed the rules of the home, daily routines, meals, activities, and holidays. We observed that staff encouraged people to make decisions, such as choice of food for lunch, and what clothes to wear. There was information available in the home about the Mental Capacity Act 2005. Staff had not received any training about this and although aware of the Act, were not sure of the full implications for people in the home. The AQAA said that each person had an individual care plan and a keyworker. Care Homes for Adults (18-65 years) Page 13 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People were encouraged and supported to engage in activities in and out of the home so that the lifestyle in the home met their needs, preferences and expectations. Evidence: People told us about what they enjoyed doing - going to local adult education classes, going out for meals, going shopping locally and in the town centre. One person particularly enjoyed going to help out at an animal centre. People told us how they kept in touch with family and friends by visits and telephone calls. People told us they could decide what they wanted to do each day and could follow their preferred routines. All the people in the home had a key for their bedroom door. Cordless telephones were provided so that people could use the telephone privately in their own room if they wanted to. Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: The main weekly shopping was carried out on-line for home delivery. This limited the choice and experience of people in the home. Some people in the home were involved in a small amount of local shopping for food. The menus were discussed at the regular meetings for people in the home. People told us they enjoyed the meals in the home. The AQAA gave details of the range of opportunities and activities available to people in the home. The AQAA said that the home could improve by limiting on-line shopping and involving people more in the weekly food shopping. Care Homes for Adults (18-65 years) Page 15 of 29 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Medication was well managed and people were supported to access services to meet their health care needs. Although care plans were not consistently person centred, there was sufficient detail and good staff awareness to ensure that people received care to meet their individual needs and preferences. Evidence: People told us they had the help they needed from staff and that their privacy was respected. They said, I am happy with my keyworker and Im always treated well, and, staff dont come in unless I ask them to when using the bathroom. A relative told us that staff respond very quickly when emergencies arise. There were details in the care records of the persons preferences regarding care and support. From discussion with people in the home and staff, and from looking at the daily records, we found that staff were well aware of individual needs and preferences and had adapted to peoples changing needs. Care Homes for Adults (18-65 years) Page 16 of 29 Evidence: We saw records to show that people had access to healthcare services, such as GP, dentist, podiatrist, and the community learning disability team. People confirmed that they saw their GP when needed and that they usually attended the local surgery. Medication was securely stored and properly managed with satisfactory records of the receipt, administration and disposal of medication. All staff had received appropriate training. The AQAA said that people in the home could choose their own local GP and all were encouraged to have annual well woman or well man checks. Care Homes for Adults (18-65 years) Page 17 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Complaints were mostly effectively dealt with and people in the home had confidence that staff would listen to them and sort out any problems. There were suitable policies in place and good staff awareness so that people were protected. Evidence: People told us they would go to staff with any concerns or complaints. The complaints procedure was displayed in the home in a suitable format for people living there. People were encouraged to bring up any complaints or issues at the regular meetings, and the complaints procedure had been explained to people at a meeting in December 2008. People had regular access to an independent advocacy service and were encouraged to use this. We looked at complaints records and found these were satisfactory with details of the action taken and the outcome of the complaint. Information had been passed on to social services and/or CSCI as appropriate. We had not received any direct complaints about the home since the last inspection in July 2008. However, we had received a copy of a complaint made directly to the providers. We found that this complaint was not recorded and that the complainant had not received a formal, written response to their complaint. Care Homes for Adults (18-65 years) Page 18 of 29 Evidence: Staff had received appropriate training about safeguarding vulnerable adults. Staff were aware of the correct procedures to follow if abuse was suspected or alleged. The AQAA showed that relevant policies were in place and had been recently reviewed. The home had improved by the regular and increased number of independent advocacy meetings held there. The information in the data section of the AQAA incorrectly said the home had not received any complaints in the previous 12 months. Care Homes for Adults (18-65 years) 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, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Some improvements had been made since the last inspection and the home was clean and comfortable. However, the lack of any progress in building work and the limited progress in refurbishing the home was frustrating for people living there. Evidence: Since the last inspection, the lounge carpet and curtains had been replaced and new furniture provided. In the dining room, new tables and chairs had been provided, though these were to be changed as they were not robust enough for use by people in the home. The lounge and dining room were pleasant, comfortable and homely. Although the kitchen was clean and tidy, it remained in need of refurbishment as noted at the last inspection. The kitchen units, work surfaces and flooring were dated and worn. The laundry was suitably equipped. As noted at the last inspection, the flooring was torn and cracked in places. The condition of the flooring appeared worse than at the last inspection and was a potential trip hazard for people in the home. People told us they liked their bedrooms - I like my big room. The bedrooms seen Care Homes for Adults (18-65 years) Page 20 of 29 Evidence: were comfortable and personalised with peoples own photos and possessions. As at the last inspection, no progress had been made in completing the extension to the rear of the home. No work had been carried out since late 2006. The building work was unsightly with the partly built extension and piles of rubble in view from the lounge window. Since the last inspection, the temporary path from outside the lounge window to the garden had been made more even and safe for people to use. Also since the last inspection, a risk assessment of the building site and associated hazards had been completed. As at the last inspection, people in the home said they wanted the extension to be finished and they said they were fed up with waiting. Staff said the home could do better by finishing the extension off. Clearing all the mess in the garden. In response to being asked what the home could do better, relatives said keep the rooms cleaner and more up to date, and, the garden could do with being sorted out. The home was clean and free from offensive odours on the day of the inspection visit. People in the home helped with keeping their own rooms clean and tidy, and doing their own laundry with help. There was no cleaner employed and so care staff did all the cleaning of communal areas. The AQAA said the home was homely, bright and cheerful. The AQAA said that all the care staff had received training about infection control and showed there were suitable policies in place. Care Homes for Adults (18-65 years) 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, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff had appropriate training and there were usually sufficient staff available to ensure the basic needs of people in the home were met. Recruitment practices did not consistently protect people in the home. Evidence: There was a stable staff team at the home with a low turnover and most staff having worked at the home for several years. The staff rotas showed that staffing levels were maintained without use of agency staff. At weekends there were 2 staff on duty all day and up to 9pm in the evenings. During the week most of the people in the home were out during the day and so there was usually 1 staff on duty between 10am and 4pm. There was no cleaner employed and so care staff were responsible for ensuring the cleanliness of the communal areas of the home. People told us that staff were usually available when needed, though one person said sometimes staff are busy. We observed that the carer working alone during the inspection visit was very busy and could not always be available immediately when needed by people. Care Homes for Adults (18-65 years) Page 22 of 29 Evidence: Staff told us the staffing levels were usually enough to meet the needs of people in the home. They said there should be always be 2 members of staff, even when most people in the home were out, as this would allow for more choice of activities and for the time taken by care staff to do the cleaning. We looked at the records of 2 members of staff recruited since the last inspection. Both had a Criminal Records Bureau (CRB) disclosure and 2 written references as required. 1 did not have a photograph of the member of staff, and the other did not have a photograph, form of identity, or full employment history in place. There was no indication that people living in the home had been involved in the recruitment of staff. All staff had been through the induction programme that met Skills For Care standards. Staff training was up to date, including manual handling, fire safety and safeguarding vulnerable adults. 7 out of 9 care staff had achieved a relevant National Vocational Qualification (NVQ) at level 2 or above. The AQAA said the home had improved in the last 12 months by high standards of training for staff and by having sufficient staff on each shift. The AQAA said the home could improve by having training for staff about the Mental Capacity Act. Care Homes for Adults (18-65 years) Page 23 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The day-to-day management of the home was sufficiently effective to ensure that people received a consistent and generally well organised service. There were staff issues that were not effectively dealt with by the manager. People were frustrated by the lack of progress in building the extension to the home Evidence: The manager was suitably qualified and experienced to run the home. He was usually in the home on 1 or 2 days each week and the responsible individual also came in for 1 or 2 days. There were 2 deputy managers who carried out the day to day management of the home. Both deputy managers had achieved NVQ level 4 in care. One of the deputy managers was on long term leave, but, although the hours had been covered to ensure the needs of people in the home were met, there was no additional management cover to assist the other deputy manager. The requirements made at the last inspection had been met, resulting in Care Homes for Adults (18-65 years) Page 24 of 29 Evidence: improvements to care plans and to the lounge and dining room. As noted earlier in this report, people in the home and staff were frustrated by the lack of any progress in the building work to complete the new extension. As at the last inspection, we found that people in the home and staff lacked confidence in the registered manager and responsible individual. We were told that the registered manager did not always appear to take staff concerns seriously. Also, that management could be more involved and that management should be firmer with all staff. The AQAA was completed by the manager. In the self assessment section of the AQAA there was adequate information about the current situation in the home. However, most of the sections to show where improvements could be made and any future plans for improvement were left blank or marked N/A (We interpreted this as not applicable). This showed a lack of understanding of the purpose of the AQAA. The data section was mostly completed, though there were a few gaps and some inconsistencies in the information given. The quality assurance system included surveys completed by people in the home. An annual report was produced from the results of the surveys. People in the home had regular meetings to air their views and opinions, and also had regular meetings with a local advocacy service. The AQAA showed that the maintenance of equipment and systems was up to date. We checked the fire safety records and found that the weekly checks were up to date. Fire drills were carried out at least every 6 months, though the records did not include details of who had taken part, problems, and any action to be taken arising from the fire drill. We looked at accident records and found that although they had improved overall, one record did not include all the required information. The accident records were not stored in accordance with data protection legislation. As noted in the Environment section of this report, the laundry flooring was split in several places causing a potential trip hazard. Care Homes for Adults (18-65 years) Page 25 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 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 22 22 All complaints must be fully investigated and the complainant must be informed of any action to be taken within 28 days of the date the complaint is made. This will help to protect people and ensure all complaints are taken seriously. 30/06/2009 2 34 19 Staff records must include all the required information. Specifically, proof of identity, including a recent photograph, and a full employment history together with a satisfactory written explanation of any gaps in employment. This will help to ensure robust recruitment practices that protect people in the home. 30/06/2009 Recommendations Care Homes for Adults (18-65 years) Page 27 of 29 These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 6 Staff should have training about person centred care planning to ensure people in the home are actively involved in making decisions about their own care. Staff should have training about the Mental Capacity Act 2005 to ensure that peoples rights are promoted. People should be actively involved in food shopping and preparation of meals to promote their independence and ensure choice. A cleaner should be employed to ensure that care staff are always available when needed by people in the home. People in the home should be actively supported to be involved in the selection of staff. This will help to ensure the views of people in the home are listened to and their choices respected. Fire drill records should include details of who took part and of any further action taken, such as additional training needed. This will help to protect people in the home. Accident records should include all the information asked for on the forms and should be stored in accordance with data protection legislation. This will help to protect people in the home. 2 3 7 17 4 5 33 34 6 42 7 42 Care Homes for Adults (18-65 years) Page 28 of 29 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). 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