Inspection on 02/10/09 for Riverside Mews

This inspection was carried out on 2nd October 2009.

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

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

Other inspections for this house

Riverside Mews 08/10/07

Riverside Mews 01/08/06

Riverside Mews 08/12/05

Riverside Mews 21/06/05

Riverside Mews 07/02/05

Riverside Mews 09/08/04

Similar services:

Snydale Care Home

Abbey The

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 13/03/2010.

Key inspection report Care homes for older people Name: Address: Riverside Mews Ancholme Court Market Place Brigg North Lincolnshire DN20 8LD     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Stephen Robertshaw     Date: 0 2 1 0 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 29 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 29 Information about the care home Name of care home: Address: Riverside Mews Ancholme Court Market Place Brigg North Lincolnshire DN20 8LD 01652653414 01652655888 jan@northlincscare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: North Lincolnshire Care Limited care home 25 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: Condition of Registration is that the home only uses designated beds for the DE (E) category of service user. To admit 1 Service User under the age of 65 years Date of last inspection Brief description of the care home Riverside Mews is a care home providing personal care and accommodation for 25 older people. North Lincolnshire Care Limited owns and manages the home. The home is a converted 18th century warehouse extending to three floors with a conservatory on the ground floor. All the homes bedrooms are single and there is a shaft lift connecting all three floors. Riverside Mews is a well-established care home in the market town of Brigg. It is set in the middle of the town overlooking the river Ancholme. There is easy access to all of the town facilities and events, including the weekly market. There are ample toilets and bathroom areas in the home. The dining Care Homes for Older People Page 4 of 29 Over 65 5 25 0 0 Brief description of the care home room and several bedrooms overlook the river, with very pleasant views. The home caters for predominately low to medium dependency service users, with problems of old age and other associated medical problems. Five of the bedrooms are registered for EMI care. The home has a relatively stable work force, that appears to be very committed to the home and promoting service users independence as much as they are able to, and for as long as is possible. The current scale of charges are currently between £364.25 and £426.55 per week. Additional charges include hairdressing, chiropody, newspapers/magazines and holidays. A copy of the last report is openly available in the entrance of the home and can be accessed by the people that live there and their visitors. Care Homes for Older People Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The site visit to the service took place on the 02nd October 2009 The visit was unannounced and the Commission was in the home for approximately six hours. The information included in this report has been gathered over a period of time since the last inspection. This includes all of the information received by the Commission since the services last inspection. The manager of Riverside Mews stated that the service had not received their Annual Quality Assurance Assessment prior to the inspection taking place. The Commission made a tour of the premises and grounds and spoke with nine of the people that use the service, four care staff, the acting manager, four visitors to the home and a professional visitor. On the day of the site visit the Commission also read through the documentation maintained in the home. This included looking at individual assessments of needs, care Care Homes for Older People Page 6 of 29 plans and staff employment, training and supervision records. Care Homes for Older People Page 7 of 29 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. Care Homes for Older People Page 8 of 29 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 29 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This means that the people living in the home can make an informed choice about the home and can be confident that the home can meet their needs if they are admitted to the home. Evidence: The Commission observed the services statement of purpose and service user guide. These were seen to be up to date and included all of the information that was required detailing the management structure, staffing levels and the services available to the people living there. Care Homes for Older People Page 11 of 29 Evidence: We case tracked three of the people that were living in the home. This included looking at all of their care files including the assessments of their care needs before they had been admitted to the home. This showed that the home had made sure that they could meet peoples individual needs safely and professionally before they admitted them to the home. The standard of information was varaiable in depth and the assessments would be more consistent if they all included how peoples needs affected them and the individidual support that they need to meet these needs. Care files held in the home included the homes pre-admission assessments of need and where appropriate care management or health care authority assessments of need. The Commission spoke with nine of the people that use the service. It was identified that their care needs had been identified before they were admitted to the home. One person said I came to have a look around with my family before I came here. Some of the people that are living in the home had dementia related problems. The assessment of their mental health needs had improved since the last inspection. This means that people are more likely to get the support that they need in a way that is safe and acceptable to them. The home does not provide intermediate care. Care Homes for Older People Page 12 of 29 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This means that the people that live in the home have their personal and health care needs supported through the services provided through the home or their healthcarei partners in the community. Evidence: The Commission looked at the care plans for three of the people that were living in the home.The care plans that were observed demonstrated that they met all of the individual personal and health care needs of the people that they concerned. The standard of the care plans in the home continue to improve and are now developing in to a much more person centered approach to care. There was evidence to suggest that the care plans are reviewed on a regular basis to make sure that they Care Homes for Older People Page 13 of 29 Evidence: are still appropriate to the needs of the individuals that they relate to. There was also evidence that when peoples needs changed then new care plans were introduced to meet the requirements of the newly assessed needs. This approach to care planning was in the process of being rolled out for all service users, meaning that consistently high standards will be met when this is achieved. The standard of the care plans will also improve once the original assessments of need include clearer detail. One person spoken to by the Commission said the staff here are wonderfully, you dont have to wait long for any help. a visitor commented to the Commission she is much brighter since she has been here Individuals care files supported that they can see a GP of their choice when they request. One person said I always go to my room to see the doctor or nurse. Information held by the home also supported the evidence that dentists, opticians and chiropodists visit the home to support the needs of the people that live there. A visiting health care professional that visited the home on the day of the inspection was very positive in relation to the care that she observed being delivered in the home. She said the staff always follow our care plans for individuals and keep us well informed of any changes in peoples physical health. The prescribed medication in the home is safely and appropriately stored. The administration of medication was observed at two meal times in the home. This supported the evidence that the staff follow safe administration practices. A member of staff stated that in the home in line with good practice they record any Warfarin prescriptions as a controlled drug. All Warfarin prescriptions were seen to be up to date had had been accurately recorded. A national company provides the home with all of their prescribed medication and medication training for the care staff. As good practice it was observed that the person administering the medication wore a coloured tabard to identify that they shouldnt be disturbed while giving out medication. This means that it is more unlikely that any administration errors could be made. Direct observation and discussions with people that live in the home that were spoken to said that staff treat them with dignity and respect at all times. The observations also helped to confirm the positive relationships have been developed between the care staff and people that live at the home. One person said whatever you want, they (the care staff) are there. Care Homes for Older People Page 14 of 29 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This means for the people that live at the home experience a good quality of life and varied activities are made available to them. Evidence: People that use the service are encouraged to maintain the interests and hobbies that they had before they were admitted to the home. They are also encouraged to take part in the activities that are arranged in the home and the community by the staff. This included visiting local garden centers, pubs and shops. It also included religious services held regularly in the home. One person said tuesdays,wednesdays and thursdays are my play days. By this he meant that the regular activities that are held on these days were his favouite. The people that were spoken to by the Commission said that they were happy with the range and frequency of activities that were made available to them. Direct Care Homes for Older People Page 15 of 29 Evidence: observations that took place on the day of the site visit confirmed that people are encouraged to take part in activities, however the staff recognised if people were not interested and did not want to join in. A weekly activity plan is provided on the notice board in the entrance to the home. The Commission spoke to six visitors on the day of the site visit and all of them confirmed that they are made to feel welcome when they visit the home. One visitor said that the staff work are very busy, I dont know how they have the patience. Direct observation supported the evidence that the people that live at the home are provided with choices throughout their daily lives at the home. They confirmed that they could choose what time to rise from and retire to bed and what to eat and where to have their meals. The Commission observed two meal periods in the home. The mealtimes were very relaxed and the meals were well presented. The people spoken to by the Commission were very positive in relation to their meals at the home. One person said the foods good and so is the company. Care Homes for Older People Page 16 of 29 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This means that people that are living in the home are safe guarded from abuse and there is an easy to follow complaints procedure. Evidence: The service has clear policies and procedures that support the people that live in the home. There had been no formal complaints received received by the home since the last inspection. The complaints records were observed and these confirmed that no complaints had been received by the home since the last inspection. All of the people spoken to by the Commission stated that they have not made any complaints about the home, however they said that they knew how to make a complaint if they wished to. Staff training records and interviews with management and the care staff confirmed that the staff receive safeguarding adults training. This was a combination of local authority and independent training companies training programmes. The staff that were interviewed by the Commission were aware of how to raise any concerns that Care Homes for Older People Page 17 of 29 Evidence: may arise to the appropriate authorities.There had been no safeguarding issues raised since the last inspection. Care Homes for Older People Page 18 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This means that the environment is suitable to meet the needs of the people that live in the home, however some parts of the environment need to be improved to create a warm, friendly and homely atmosphere. Evidence: Previously to this inspection the home had received a grant and part of this was used to develop the outside garden area for the people that live in the home. The homes garden was awarded the local councils garden of the year 2009. The home also has a new greenhouse in the grounds and if people that live at the home are interested in gardening they are encouraged to use the facilities of the greenhouse. The Home have also introduced rabbits for the people to look after. A company also visits the home taking dogs to see the people that use the service. The Commission made a tour of the premises. The home was clean and tidy, however Care Homes for Older People Page 19 of 29 Evidence: the toilet and bathroom areas were slightly odourous. The home employs domestic staff that are responsible for keeping the home clean and tidy and maintenance staff are employed for two days a week to carry out any repairs and to carry out the servicing and maintenance of the equipment used in the home. Some areas of the home were in need of redecoration and the dining area appeared to be quite dim. This could cause concerns for people with sight problems. Two of the bathrooms had linen towels left in them, this could cause problems with infection control if several people used the same towels. Since the last inspection a new shower room had been introduced in the home. The water temperatures in the bathrooms and toilets are recorded on a regular basis to make sure that they are safe for the people that use the service. There is a choice of three communal areas for the people that live in the home, which they can choose to use to see their friends or family. The manager stated to the Commission that since the last inspection additional emergency lighting had been fitted throughout the home to provide a safer environment for the people that live in and work at the service. The Commission was invited to look at five peoples individual rooms. These had all been decorated and furnished to their own tastes and preferences. One person said got me own stuff out of me house, pictures and a clock. The laundry appeared to be well organised. This would help to make sure that people only received their own clothes back from the laundry. A large exercise bed was previously seen on one of the landing spaces in the home had been removed. This has made the area a much safer place to access and use. Care Homes for Older People Page 20 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This means that the staff receive the training and supervision to make sure that they have the knowledge and skills to be able to safely care for the people that are living in the home. Evidence: The Commission observed the staff rotas for the home and these supported the evidence that there are adequate staff on duty at all times in the home. Interviews with management and care staff also supported this evidence. People that use the service that were spoken to on the day of the site visit were very positive in relation to the number of staff on duty and their professional abilities. A visitor to the service commented they are well looked after here Staff training records and employment records were also observed by the Commission and these showed that the staff receive all of the mandatory training that is required to make sure that the care staff have all of the necessary knowledge and skills to safely care for the people that live at the home. The training records also included Care Homes for Older People Page 21 of 29 Evidence: specialist training in relation to dementia care and safeguarding training for vulnerable adults. Direct observations on the day of the site visit supported the evidence that the care staff have the knowledge and skills to be able to safely deliver care to the people that use the service and the observations also supported the good relationships that had been developed between the care staff and the people that use the service. The management and staff are very committed to National Vocational training (NVQ). Twenty three care staff are employed at the home and thirteen have completed NVQ 2 in care.This means that the home has achieved approximately 56.5 of the care staff to have completed this award. The remainder of the staff have been enrolled on NVQ training and are working towards their awards. The Commission looked at the employment, training and supervision files for two of the staff working at the home. This supported that equal opportunities were followed in their employment processes and appropriate safety vetting had been completed before they had been employed to have any contact with the people that live in the home.This included two references and a Criminal Records Bureau (CRB) safety check. Care Homes for Older People Page 22 of 29 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This means that the home is well managed and the management understand how to support the needs of the people that live in the home and to support the staff in carrying out their work. Evidence: The management structure of the home of the home has changed since the Commissions last inspection of the service. The previous acting manager of the home has been promoted to the area manager of the service. The current acting manager of the home has been in that position for six months. Previously she was employed at the home as a senior night care staff. The acting manager has completed NVQ 4 in Care Homes for Older People Page 23 of 29 Evidence: management that was combined with the Registered Managers Award. The acting manager was reminded by the Commission that it is her responsibility to become registered with the Commission as a fit person to manage the home. The care staff that were interviewed by the Commission and people that live in the service that were spoken to said that the manager is approachable and they feel able to listened to. One person said she is great and is always there if you want her and a member of staff said the manager is very supportive and understands what is needed to make the service here good. Direct observation during the time of the site visit also supported the evidence that the manager of the home is very approachable. The acting manager stated that she enjoys being on the shop floor and mixing with the people that use the service and the staff group. She stated that this is how she judges how well the service is performing in relation to meeting the needs of the people that use the service. The homes quality assurance and monitoring system has improved since the last inspection, however surveys need to be sent out to a wider audience including outside professionals to see how they view the services that are being provided through the home. Th support the homes quality assurance the management of the home hold staff meetings to gain their views and they hold service user meeting to see how they would like the service being provided to them to be improved. Both of these meetings needed to be held on a more regular basis to capture any information that could help to develop the services being provided at Riverside Mews. The home also produces a quarterly newsletter. This was looked at by the Commission and showed any planned improvements for the service. The homes quality assurance programme was also supported through an assessment of the home that had been completed by the local authority that monitors their contact provision. They assessed the following areas at the home,Staffing, Independence, confidence in the future, involvement, safety and respect. In all of these areas the home scored excellent with the local authority. No weaknesses were identified for the service in the local authority report. People that live in the home are risk assessed to see if they have the capacity to look after their own finances. Observation of individual care files showed that peoples individual finances are either controlled by themselves or their representatives. Representatives that were identified included included family members and solicitors that held Power of Attorney responsibilities. Staff interviewed by the Commission said that they received at least the minimum of six formal recored supervision sessions per year. One person said we see the manager every day and she is always there to supervise and support you in your Care Homes for Older People Page 24 of 29 Evidence: work. The records in the home were all up to date. However some of the records did not include the full names of the people completing them, or the full dates. The manager needs to make sure that all documents in the home include full signatures and dates so that a chronological audit can be easily completed and the person completing the records can be identified. All of the required safety certificates were observed to be in position and were up to date. The service and maintenance records for all of the equipment used in the home were open to inspection and this helped to support the health, safety and welfare of the people that live or work at the home. Care Homes for Older People 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 Older People Page 26 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 26 13 The registered person must make sure that all bathrooms and toilets in the home are maintained in line with the services infection controls policies and procedures. This will help to support the health and safety of the people that use the service. 26/10/2009 2 38 17 The registered person must make sure that all documents completed in the home include the full names of the people creating then and the full dates. This will help to leave a clear audit trail including who completed what and when they completed it. 30/10/2009 Care Homes for Older People Page 27 of 29 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 3 The registered person should continue to improve the quality of the homes pre-admission assessments. This means that the assessments should include more personal information to make sure that peoples needs can be met safely and in a way that is acceptable to them The registered person should continue to replace all of the old care plans in the home for the homes more personalised care plans. This will mean that people will receive the care that they require in a safe and acceptable way to them. The registered person should make sure that all of the bathrooms and toilets in the home are free of offensive odours. This will help to maintain a homely and safe environment The registered person should consider changing the lighting arrangements in the dining area of the home. This will help to make sure that people living in the home can remain safe while they access this area. The management of the home should seek the views of outside processionals as part of their quality assurance of the service. This will help to identify any improvements that are need at the service. 2 7 3 21 4 25 5 33 Care Homes for Older People Page 28 of 29 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 29 of 29 - 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!