Inspection on 04/12/08 for Koinonia

This inspection was carried out on 4th December 2008.

CSCI found this care home to be providing an Good 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

Koinonia 10/07/06

Koinonia 07/12/05

Koinonia 11/08/05

Koinonia 06/01/05

Koinonia 31/08/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Koinonia 2-4 Winchester Road Worthing West Sussex BN11 4DJ     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Beth Tye     Date: 0 4 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Koinonia 2-4 Winchester Road Worthing West Sussex BN11 4DJ 01903237764 Telephone number: Fax number: Email address: Provider web address: koinonia.sussex.ltd@unicombox.co.uk] Name of registered provider(s): Type of registration: Number of places registered: Koinonia (Sussex) Limited care home 31 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users to be accommodated is 31. The registered person may provide the folllowing category of service only : Care home only - (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 - (OP) Date of last inspection Brief description of the care home Koinonia is a care establishment registered with the Commission For Social Care Inspection to accommodate service users in the registration category OP Old Age, not falling within into any other category. Koinonia (Sussex) Limited is a registered charity, which exists to provide accommodation and care for elderly Christians from churches linked with the Fellowship of Independent Evangelical Churches. The establishment is situated in Worthing close to the town centre. Koinonia is a converted premise. Care Homes for Older People Page 4 of 28 Over 65 31 0 Brief description of the care home Accommodation is provided on ground and first floor levels. All rooms are single and have en-suite facilities. There are two passenger lifts. The home has attractive gardens that are well maintained and easily assessable. Koinoina Sussex Ltd privately owns the service. The Registered Manager is Mr J A Royston who manages the home on a daily basis, supported by his wife Mrs C Royston and Mrs Polly Lander, both care managers. Care Homes for Older People Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The overall rating for this home is GOOD. Our visit to the home took place on the 4th December 2008. Prior to the inspection the information held on file was examined and the manager of the home completed an Annual Quality Assurance Assessment. This ensured we had all the information we needed about changes in the home since the last inspection, prior to our visit. The Commission received several feedback forms from service users and relatives. All comments were positive and praised the service provided by the home. An expert by experience accompanied the inspector and her findings contributed to the overall content of the report and rating. On the morning of the inspection, most residents were dressed and socialising in the lounge. During the visit the inspector and expert by experience spoke privately to some residents, interviewed three staff and spent some time discussing the service Care Homes for Older People Page 6 of 28 with the care manager (in the registered managers absence). Four residents care files were case tracked. Five personnel files examined, alongside policies and procedures, training files, health and safety and medication records. In addition a tour of the premises was undertaken. Overall the standard of care was found to be good. This was supported by clear administration systems and a committed staff team. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 28 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. An assessment of need is undertaken for each resident prior to admission. Each resident is provided with a written contract of terms and conditions, which is signed by all involved parties. This ensures residents are clear about their rights within the home. The quality of this outcome area is good. This judgement was made from available evidence including a visit to the service. Evidence: Four residents, including one new admission were case-tracked. Prior to their admission to the home, the manager had assessed all the residentsneeds. All residents had the Statement of Purpose and Service Users Guide in their rooms and the complaints procedure was included in the Statement of Purpose and Service Users Guide. This was also displayed on the notice board in the hall. All the residents had contracts that gave up-to-date information about the service and responsibilities Care Homes for Older People Page 10 of 28 Evidence: for this. The expert by experience stated in her report I asked four of the residents how they chose this home. One replied because her friend already lived here, another that she had met two managers of Koinonia at a wedding and I took to the managers straight away. God guided me. Another who hadnt visited the home beforehand but knew of it said The Lord guided me here. The fourth had been in three separate homes for respite care but had chosen this home with her daughter because it was smaller and had such a wonderful community spirit. One of the residents who has been at the home prior to the current manager said He has lifted this home. Care Homes for Older People Page 11 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. All residents have care plan in place, ensuring healthcare needs are met appropriately by staff in the home. Risk assessments and reviews for residents were not all up to date. A requirement has been made in respect of this. Medication procedures are adhered to and staff have received dispensing medication training as part of their induction. This promotes good practice when dealing with medication. The quality of this outcome area is adequate. This judgement was made from available evidence including a visit to the service. Evidence: All residents spoken to stated they felt the standard of care at Koinonia, in respect of health and personal care was excellent and that were very caring in their approach. Four care plans were case tracked and all contained information relating to health and personal care needs of residents. Staff stated this information informed them of individual needs and how to respond to them appropriately. Care Homes for Older People Page 12 of 28 Evidence: In relation to health and personal care needs, observation and feedback from residents reflected that they are treated with respect by staff, and their privacy and dignity is upheld. The care manager stated that all care records were being audited and updated. However, only one of the four care plans seen had been reviewed within the past three months and updated. Although hazards to residents had been identified as part of care planning, there were no action plans in place to inform staff how to manage areas of risk. A requirement has been made to ensure reviews are carried out on a monthly basis and risk assessments are completed in full and reviewed for each resident. There was no evidence on care plans that residents or their relatives were involved in the care planning or review process. The inspector fed back to the care manager that this should be included as part of the auditing process. This will demonstrate that residents have a say in the care they receive at the home in the future. Staff handover at each of the shift changes during the day ensures each staff member is fully aware of the immediate needs of each resident. This information is transferred to daily records in the care plans. All daily care records seen were all up to date and in good order. Any specialist health needs are referred to community-based professionals via the GPs. Correspondence held in individual files supported this The home has an up to date policy, procedure and code of practice relating to dispensing medication. Medication charts and storage of medicines within the home was examined. These were all completed correctly, demonstrating the staff adhered to the procedures within the home. Staff receive regular medication training from a local chemist, who audits the homes medicines on a quarterly basis. Care Homes for Older People Page 13 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Koinonia are able to make the day-to-day decisions about how they want to live their life. There is a range of activities for those who wish to participate and residents are encouraged to maintain contact with all their old friends and family, wherever possible. The food is of a good standard and choice of menu is offered. The quality of this outcome area is excellent. This judgement was made from available evidence including a visit to the service. Evidence: Residents visitors are welcomed to the home and feedback from residents confirmed that contact with family and friends are encouraged. Residents stated they are supported to actively pursue areas of interests in the wider community. Most residents at the home lead independent lives and maintain established links in the wider community. Activities are organised at the home on a regular basis, offering stimulation to those residents who are less able to explore interests outside the home. Prayer meetings are held in the home every evening to meet denominational needs Care Homes for Older People Page 14 of 28 Evidence: and a third of residents also regularly attend church in the community. Forthcoming activities and events are displayed on the community pin boards throughout the home. The expert by experience stated in her report Bookcases lined the wall containing an excellent cross section of books, fiction and non fiction in large print from Worthing library. One of the carers explained to me that the books are exchanged by them every 4 weeks according to the likes and dislikes of those residents who read them. On the day of my visit a member of the homes committee was organising a game of carpet bowls. All the residents joined in except for three, two were asleep and allowed to continue sleeping and one lady appeared too confused to play. The organiser told me, some days she is better than others and can join in. There was an air of obvious enjoyment with residents clapping and calling out encouraging remarks to each other. The atmosphere was extremely supportive with a very warm community spirit. There is a daily Epilogue for 30 minutes with one of the residents playing the piano and others taking part in the reading. One resident aged 102 recites poetry occasionally. On Sundays church sermons are videoed and watched in the lounge by the residents the following week and clergy of the Free Churches visit frequently. There are also frequent coach outings, the last one to a garden nursery. There is also a regular visit from a lady selling clothes and a few of the residents in the lounge modelled for me their latest purchases. Two of the residents took me on a tour of the new wing into a small room where a large jigsaw was in process on a table. We like sitting in here. You get the sun on your back and its very pleasant said one of the residents. This room led into a smaller room which is set aside for daily private prayer by a small number of the residents. We visited the green house where one of the residents, who likes working in the garden, is growing bulbs in little baskets and selling them for a pound to other residents for Christmas gifts, with the money going to charity. One of the residents said to me We use the garden a lot in the summer its sheltered and we have tables and chairs and umbrellas and take our tea outside, its really lovely I was very impressed with the companionship and community within the Home and observed that the residents are treated respectfully. Care Homes for Older People Page 15 of 28 Evidence: Residents spoken to stated the food is of a good standard and offers a choice of menu. People are able to eat either with other residents or in their own room, should they prefer. The expert by experience stated I started my own visit in the kitchen with the chef and kitchen assistants. The chef has been at the Home for eighteen and a half years. She took over the post of chef eight years ago, having previously been a carer at the home. All residents have breakfast in their rooms. Menus are planned over a 4 week cycle, consisting of traditional food, meat and vegetables, fish. Tea is served at the same time daily, except for Sunday when its served 15 minutes earlier to accommodate the Church Service. Currently there is one diabetic resident whose meals are prepared separately and no other individual requirement. However personal tastes are catered for e.g. one resident prefers not to eat wheat and is provided with alternatives This resident came to see the chef whilst I was in the kitchen and said to me She looks after me wonderfully. Care Homes for Older People Page 16 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has provided residents with information in respect of complaints. Residents spoken to were aware of their rights and how to complain. Some staff require refresher training on adult abuse awareness. The quality of this outcome area is good. This judgement was made from available evidence including a visit to the service. Evidence: The Commission has received no complaints in respect of Koinonia. A complaints procedure is made available to residents and their representatives. The expert by experience stated two of the residents told me we used to have residents meetings every quarter but its not so frequent now, but we would speak to the manager if there was a problem. All residents spoken to stated that they would not hesitate to approach senior staff, if they had any concerns. One complaint has been logged since the last inspection (Nov 08) this was dealt with appropriately by the manager with no further action required. Committee members and the Responsible Individual visit the home regularly to report on practice issues and establish whether residents are satisfied. Care Homes for Older People Page 17 of 28 Evidence: Staff had received protection of vulnerable adults training as part of their induction but records showed that some staff needed refresher training. The care manager stated that this was planned for later in the year. This will be reviewed at the next inspection. The staff files seen contained the relevant documentation, including Criminal Records Bureau enhanced checks and relevant references. This demonstrates that the home has a good recruitment procedure which protects the residents welfare. Care Homes for Older People Page 18 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a safe, well-maintained environment and have access to safe and comfortable indoor and outdoor communal facilities. Standards of hygiene and cleanliness are good throughout the home. Records and feedback demonstrate that some staff require infection control training. The quality of this outcome area is good. This judgement was made from available evidence including a visit to the service. Evidence: Since the last inspection the home has converted the building next door as an extension to the existing home. The new premises offer seven additional rooms with bathrooms and showers. All have toilets en-suite. Standards of hygiene and cleanliness are high throughout the home. Staff training records showed that staff had completed health and safety training. Although health and safety training has been undertaken, some staff need to complete infection control training to ensure good practice in this area is carried out in the home. Again, the care manager stated this planned for later in the year. This will be reviewed at the next inspection. Staff and residents were spoken to, to gain an insight into what it was like to live in the home. All commented how much they liked living in the home. Care Homes for Older People Page 19 of 28 Evidence: Several rooms were visited by the Inspector to ensure that the environment was safe and comfortable for residents, and all stated how pleased they were with their bedrooms. The expert by experience commented I visited three residents in their rooms and noticed that an activities sheet posted on the inside of each door (as a useful prompt). The rooms were all personalised with possessions and appeared very individual and comfortable. I also noted the names of two residents against the appropriate button in the lift to help them remember the correct button to press. Provision of a bath slide, grab rails and raised seating in toilets provide individuals with limited mobility more independence. A call bell is provided in every room so staff are aware and can attend an emergency situation should it arise. Records showed all fire, health and safety checks are regularly undertaken and up to date. All equipment is regularly serviced and certificates held on file. Radiators have been covered as appropriate to avoid burns from surface temperatures. An on going maintenaince plan for the home is in place. This demonstrates the Registered Providers are continually improving the facilities for residents. Care Homes for Older People Page 20 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staff numbers are sufficient to meet the assessed needs of residents. Recruitment procedures and record keeping are robust to ensure that residents are in safe hands at all times. Staff training needs to include specialist areas to fully meet residents needs. The quality of this outcome area is good. This judgement was made from available evidence including a visit to the service. Evidence: The duty rotas showed an adequate number of staff are on duty at all times. A senior staff member leads each shift. Domestic staff are employed in sufficient numbers to ensure that the standards relating to good food and cleanliness are adhered to. Staff members, who were spoken with in private, said I like working here, the residents receive an excellent standard of care. Another stated there is good communication between team members. All the staff spoken to were clear about their role and responsibilities within the home. Over 50 of the care staff have now obtained training in National Vocational Qualification level 2, to ensure they have the skills and knowledge to do their job in a professional manner. Care Homes for Older People Page 21 of 28 Evidence: Records and certificates were available in respect of mandatory training in Manual Handling, Basic First Aid, Food Hygiene, Fire and Health and Safety. In addition, all staff members, who administer medication, have received the appropriate training through the local pharmacist. The inspector found that some staff needed to update their training in POVA and infection control. In addition, all staff need to complete dementia training to ensure they have the specialist skills and knowledge base to appropriately meet the needs of all residents. A requirement has been made in respect of this. Recruitment policies and procedures are in place to ensure staff employed by the home, have the necessary skills and experience to fulfil their roles. CRB checks, terms and conditions and job descriptions were seen on file for staff members. This ensures residents are protected by appropriate recruitment systems. Care Homes for Older People Page 22 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents and staff benefit from the leadership and management approach within the home. Supervision for staff is not undertaken regularly. This is an on going requirement for the home. Overall the residents welfare is a priority within the home, and this is supported by efficient administration systems. The quality of this outcome area is good. This judgement was made from available evidence including a visit to the service. Evidence: Mr Royston (Manager) has obtained National Vocational Qualification level 4 in Care Management and Mrs Royston (Care Manager) is a qualified nurse and National Vocational Qualification Assessor. The care manager spoken to throughout the inspection (Mrs Polly Lander) is a Registered Nurse and holds a level 3 Mentorship Module. Staff feedback reflected that the management provides a clear sense of leadership and Care Homes for Older People Page 23 of 28 Evidence: direction. Staff spoken to stated if there are problems the seniors are always on hand to deal with it. And that the management is supportive. This enables staff to seek guidance when needed to ensure residents needs are met appropriately. Supervision records were examined. Findings showed that staff undergo annual appraisals but supervision within the home is not held on a regular basis. Supervision would ensure that staff have the opportunity to reflect on their care practice and identify their training needs. This is an ongoing requirement for the home. The manager must ensure staff supervision (no less than 6 times a year) is implemented at the earliest opportunity. The home has insurance cover is in place and there is a business and financial plan for the home, which would be available upon request. Policies and procedures are in place and kept up to date in line with changing legislation. Residents finances are protected by policies, procedures and record keeping. Residents have their own bank accounts and all financial transactions are recorded and signed for. Feedback contained in the homes satisfaction questionnaire from residents and their families was complimentary and praised the quality of service provided. This is in line with the comments received by the Commission prior to the inspection. Feedback demonstrated that regular staff and resident meetings are not held in the home. This forum would allow participants of the home to be kept up to date with changes and able to give their views about how the home is run. The inspector examined record keeping for all aspects of health and safety, policies and procedures. Those seen were in good order and up to date. This practice ensures the occupants of the home are safeguarded and protected. The Responsible Individual of the home undertakes monthly Regulation 26 visits. Copies of reports are kept in the home and sent to the Commission on a monthly basis. Care Homes for Older People Page 24 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action 1 36 18 Staff must be supervised no less than six times a year Staff currently recieve informal support and annual appraisals but are not supervised at regular intervals in line with regulations. 30/06/2009 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 7 15 The service users plan shall 30/05/2009 include risk assessments and be reviewed by the care staff at least once a month Currently the care plans in the home do not contain full risk assessments and are reviewed sporadically. 2 30 18 Care workers shall recieve training appropriate to the work they perform Staff must recieve training in respect of residents specialist care needs, such as dementia. 30/06/2009 Care Homes for Older People Page 26 of 28 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 Care Homes for Older People Page 27 of 28 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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