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Inspection on 20/04/09 for South Collingham Hall Care Home

Also see our care home review for South Collingham Hall Care Home for more information

This inspection was carried out on 20th April 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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The manager or a senior member of staff will go out to assess anyone who wants to move into the home. People have their health care needs met and access community healthcare services. One person said, ""I had had my eyes tested recently" and a relative commented on a survey form, ``Mum had two minor strokes recently, and the staff astonished me on how they acted, and my mum is recovering very well due to their ongoing support.` People are given their medication when needed and a record is made when this is done. The cook acts as a dignity champion to promote practices to respect people`s privacy and dignity. One person said "Yes that`s right" when asked if she was treated with respect. There is a choice of main meal and a cooked breakfast is available if wanted. People were happy with the food, one person said, "I enjoyed lunch, the lamb was nicely cooked" and another commented in a survey, `Excellent food and nicely cooked.` There is a complaints procedure for people to raise any concerns through and staff have had training on safeguarding adults. There were sufficient staff on duty to meet people`s needs, who have received the required training. One person commented "I like it when staff have time to talk with me". There is an appropriately experienced and qualified manager in post. People have been asked to comment on the home in a a questionnaire and one person wrote, `I would not change anything because I think things seem to run nice and relaxed as it is.`

What has improved since the last inspection?

People`s needs are recorded onto a new electronic care planning system the home has started to use. One person said, "The care is very good, I get the care I want" and another commented on a survey form, `We are happy with mum`s care and we know that she is happy too.` All equipment and aids used are now being properly maintained and serviced. People now have their hair done in the privacy of their own room. A member of staff is allocated to organise activities each day. People appreciate these opportunities and would like more of them. One person said, "I take part in them when they do them, whatever is going". Another person wrote in a survey form, `Perhaps a few more activities would be helpful.`Some areas of the home have been decorated and a new assisted toilet and showers are being fitted. A room has now been allocated for ironing and storage of clothes. The required pre employment checks had been carried out on staff appointed since the last inspection.

What the care home could do better:

The new care plans need to be gone through to make sure they are accurate as there were some mistakes seen. People must have regular opportunities to have a bath or shower, and a record made when they do so to show these are taking place. Laundry systems need to be improved so people have their own clothing returned to them when cleaned, and they are not wearing other people`s clothing. There should be sufficient supplies of protective clothing to operate the colour coded system.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: South Collingham Hall Care Home Newark Road Collingham Newark Nottinghamshire NG23 7LE     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: Stephen Benson     Date: 2 0 0 4 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 30 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 30 Information about the care home Name of care home: Address: South Collingham Hall Care Home Newark Road Collingham Newark Nottinghamshire NG23 7LE 01636892308 01159818790 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) : Broadoak Group of Care Homes care home 33 Number of places (if applicable): Under 65 Over 65 0 33 dementia old age, not falling within any other category Additional conditions: 33 0 The maximum number of service users to be accommodated are 33. The registerd provider may provide the following category of service only:- Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category - Code OP Dementia - Code DE Date of last inspection Brief description of the care home South Collingham Hall is a converted and extended 1930s country house situated on the outskirts of the village of Collingham near Newark. It is registered to provide personal care for up to thirty-nine people of both sexes over 65 years of age. They can also care for people with a diagnosis of dementia. The village of Collingham has a variety of shops, doctors surgery with pharmacy and opticians service, library, community hall, churches and pubs. The market town of Newark, six miles away, has a full variety of facilities and Care Homes for Older People Page 4 of 30 0 5 1 1 2 0 0 8 Brief description of the care home amenities available. A regular bus service passes the home, with a bus stop at the end of the homes drive. The home is over two floors and there is an annexe. A passenger lift and wide staircase give access to the upper floor. It has one room used for double occupancy and twentythree single rooms. Of the single rooms, nine are en-suite, five with shower or bath facilities and four with toilet and washbasin. Communally, there are five bathrooms, one with a specialist bath, and five toilets, some of which are being refurbished and will include toilets specifically for disabled use or that fit a wheelchair in without difficulty. The home is surrounded by six acres of extensive gardens with views over the countryside. People can sit out in fine weather. There are approximately thirty car parking spaces for visitors and staff. The homes philosophy of care is that they are firmly committed to giving the people equal opportunities in the delivery of services. Regardless of their mental or physical infirmities or disabilities, they will receive professional and sensitive care, which will be of a high standard, meeting the full range of their individual needs and personal preferences. The current weekly fees for the service range from £296 - £348 depending upon the persons needs. Care Homes for Older People Page 5 of 30 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The focus of inspections undertaken by the Care Quality Commission is upon outcomes for people accommodated and their views on the service provided. This process considers the providers capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. This was our first visit to the home since 1st April 2009. This inspection involved one inspector; it was unannounced and took place over two days in the daytime, including one lunchtime. Prior to the visit an analysis of the home was undertaken from information gathered over the last year including that from the Annual Quality Assurance Assessment they Care Homes for Older People Page 6 of 30 completed. We sent survey forms entitled Have your say about... to a sample of 10 people and 3 of these were returned. The main method of inspection used is called case tracking which involves looking at the quality of the care received by a number of people living at the home. We also use evidence from our observations; we speak with them about their experience of living at the home; we look at records and talk with staff about their understanding of the peoples needs who they support. The premises were not inspected in detail but various areas of the home were visited as part of the inspection. What the care home does well: What has improved since the last inspection? Peoples needs are recorded onto a new electronic care planning system the home has started to use. One person said, The care is very good, I get the care I want and another commented on a survey form, We are happy with mums care and we know that she is happy too. All equipment and aids used are now being properly maintained and serviced. People now have their hair done in the privacy of their own room. A member of staff is allocated to organise activities each day. People appreciate these opportunities and would like more of them. One person said, I take part in them when they do them, whatever is going. Another person wrote in a survey form, Perhaps a few more activities would be helpful. Care Homes for Older People Page 8 of 30 Some areas of the home have been decorated and a new assisted toilet and showers are being fitted. A room has now been allocated for ironing and storage of clothes. The required pre employment checks had been carried out on staff appointed 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 9 of 30 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 30 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People coming to the home will know their needs can be met, as they have been assessed. Evidence: It was recorded on the Annual Quality assurance Assessment that people are admitted after a full assessment has been carried out by the manager. The manager said that she now prepares a written assessment when she goes out to assess any prospective new person coming to live at the home and showed assessments that had been prepared for the two new people admitted to the home since our last visit. One file also contained an assessment carried out by the Local Authority. Staff were aware that people coming to live at the home are assessed first. Care Homes for Older People Page 11 of 30 Evidence: One person who recently moved into the home nodded in agreement when asked if someone from the home had come to see him before he moved in. The home dos not offer an intermediate care service. Care Homes for Older People Page 12 of 30 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. Improvements are being made to the way people have their health and social needs met, but some people are not having regular baths and wearing other peoples clothing. Evidence: All care plans have now been transfered onto a new electronic care planning system, which produces a care plan following information entered through the programme. As these have only just been completed staff have not yet had time to go through them, but three plans were discussed with keyworkers and these provide a mainly accurate reflection of peoples needs and how they should be met. The manager said she was going through them to rectify any errors and it was possible to tweak the plans where needed to reflect any particular requirements. There is a system to review plans monthly and update them as required. The administrator gave a demonstration of how this is done. Care Homes for Older People Page 13 of 30 Evidence: Staff said they were just getting to see the new system, but liked what they saw so far. One person commented in the survey of peoples views carried out by the home, We are happy with mums care and we know that she is happy too. In our survey Have your say about.... two people said they always receive the care and support they need and one person said they usually do. People spoken with were happy with the care they receive, one person said, The care is very good, I get the care I want. It was stated on the Annual Quality Assurance Assessment that the aids and equipment recommended by health professionals is received in the home. In the improvement plan requested from the provider following the last inspection it was stated that, All hoists are maintained every 3 months by the visiting technician and inspected on a yearly basis by our insurance company. A new contract for the maintenance of wheelchairs is being sought. Staff are being retrained to use the equipment correctly. The manager said that a new contract for the maintenance of wheelchairs has now been arranged. Staff said that wheelchairs are now being checked and kept in good order. One person was seen going with a member of staff to the doctors for a blood test. Staff said that sometimes people go to the local surgery and other times the doctor will visit the home. A doctor was seen at the home later in the day to visit another person. The manager said there is an extremely good rapport with the local surgery. There were records seen of when people had a bath or shower, and their weight is monitored monthly. There is a bath rota which allows for everyone to have at least two baths a week. There were some periods in excess of a week and other in excess of two weeks where there was no record of people having or being offered a bath or shower. A senior member of staff said they thought it was not always recorded when someone was offered a bath or shower but chose not to have one. In our survey Have your say about.... two people said they always receive the medical support they need, and one person said they usually do. A relative commented, Mum had two minor strokes recently and the staff astonished me on how Care Homes for Older People Page 14 of 30 Evidence: they acted and my mum is recovering very well due to their ongoing support. One person said, I dont need to see a doctor, I am in good health and another person said, I had had my eyes tested recently. There have been two pharmacy visits since our last inspection both were satisfied with the arrangements for the storage of medication. One report commented All meds checked, good monthly stock rotation. Part of the morning medication round was observed and people were seen given their medication and watched taking it. The Medicine Administration Records were completed once this happened. It was stated on the improvement plan that the hairdresser has been instructed to attend to people in the privacy of their own bedroom. Staff said that hairdressing is no longer carried out in a corridor. There was information seen in questionnaires completed about some people wearing clothes that are not theirs. The manager accepted there had been a problem with this, caused at least in part by not having a member of staff in the laundry, however someone has now started work in this position and improvements would be made to the laundry systems to prevent this from happening any more. There was information about a member of staff (the cook) being the dignity champion, who said she has read through the information about this role and was arranging to meet with staff to discuss it. Staff felt this was a good person for the role as she would soon say if something was not right. One person replied, Yes thats right when asked if she thought staff treated her with respect. Care Homes for Older People Page 15 of 30 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have opportunities to take part in activities and are provided with a wholesome diet. Evidence: There was a poster displaying an activities programme in the hallway and a member of staff is allocated each day to organise activities in the afternoon. Staff spoken with said they vary this depending upon what is happening, for example the staff member for today said they will take some people out for walk as it is one of the first warm days of the year, and it would be nice to have some fresh air. Other activities provided include board games, crafts (some people recently made Easter cards) and some people will join in a game of table tennis on a recently purchased table. One person commented in the survey of peoples views carried out by the home, Perhaps a few more activities would be helpful. People said they enjoy taking part in activities, one person said, I take part in them when they do them, whatever is going. Care Homes for Older People Page 16 of 30 Evidence: Staff and a relative were heard discussing a forthcoming river trip which has been organised. One person enjoys regular short walks, and the activities record showed these happen. The person was seen going for a walk at dinner time when he requested. The records made of activities were not clear, however these are being included within the new care planning format. There were comments seen in some questionnaires completed by relatives about peoples clothes getting mixed up. The manager said this has been a problem but they have taken on a new person in the laundry and this is expected to resolve that problem. There were also some comments about people not having hair cuts frequently enough. One relative was seen visiting his mother at breakfast time and was relaxed with other residents and staff. Other visitors were seen coming to the home during the day. One relative commented, Dad has had a birthday whilst in the home and the staff arranged a birthday tea for him. He was over the moon. Staff said they ask people what they would like to do, and when someone is not able to make their own choices they use the information they have about them. The daily menu is displayed in the hallway and this includes a choice of main meal. There was an option to have a cooked breakfast (scrambled eggs on toast), in addition to cereals and toast. Some people also had sandwiches. On the second part of this visit there were boiled eggs for breakfast. There was a choice of sausages in gravy or lamb for lunch with a selection of vegetables. When asked ,people said they had enjoyed their lunch. One person said, I enjoyed lunch, the lamb was nicely cooked. A recent complaint had said that people are not being offered regular drinks throughout the day, however drinks were seen being given out throughout the inspection and there were jugs of juice in both lounges. The home also has a happy hour each evening when people can have an alcoholic drink if they wish. One person commented in the survey of peoples views carried out by the home, Excellent food and nicely cooked. Care Homes for Older People Page 17 of 30 Care Homes for Older People Page 18 of 30 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. There are systems in place for people to raise any concerns, and staff know how to safeguard people. Evidence: The home has a complaints procedure, and there is a book to record any complaints in. There was one complaint recorded since our last visit, which was concerning locks on doors and some personal care matters. Part of this complaint was referred to the Local Authority under the safeguarding procedures. The report for this was seen and although the issues raised were not upheld, there were three recommendations made, which have been complied with. There was also a complaint received by ourselves just prior to this visit. This concerned breakfast, bathtime and toileting regimes, laundry arrangements and staffing levels when accompanying people to healthcare appointments. There was evidence seen showing the majority of these complaints were not founded however requirements have been made concerning laundry and bath time arrangements. In our survey Have your say about.... one person said they knew how to make a complaint, and two people said they did not. Care Homes for Older People Page 19 of 30 Evidence: Following the last inspection staff have been provided with training on safeguarding adults. In survey forms completed by people living in the home and their relatives, people said they knew about the complaints procedure, but did not have any complaints to raise. Care Homes for Older People Page 20 of 30 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. Improvements are being made to the standard of accomodation to make it a more homely and suitable place for people to live in. Evidence: It was stated on the Annual Quality Assurance Assessment that new carpets have been provided in bedroom areas and hallways. There was also work going on converting one bathroom area into a shower and assisted toilet area, which staff said would be a great help. A room has now been designated to hold washing and ironing, so this is not left in communal areas. In our survey forms Have your say about.... two people said the home is always fresh and clean, one person said it usually is. Staff were seen using protective clothing, although they were not able to work to the colour coding system to differentiate between personal care and food handling, as one colour had run out. The manager asked for some more to be ordered and delivered as soon as possible when she became aware of this. Care Homes for Older People Page 21 of 30 Care Homes for Older People Page 22 of 30 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. People are cared and supported by a sufficient number of staff, who have been suitably trained to meet their needs. Evidence: There were four care staff on duty, which staff said is the normal compliment, and is usually sufficient. In the improvement plan requested from the provider following the last inspection, it was stated that each shift has a senior on duty who is National Vocational Qualification level 2 or above trained. One person commented in the survey of peoples views carried out by the home, They are a very good team and very friendly... In the forms returned seven people described staff atitudes as excellent and one as good. One person said that staff are available to help him, and another said, I like it when staff have time to talk with me. It was stated on the Annual Quality Assurance Assessment that nine staff have completed National Vocational Qualification (NVQ) level 2 or higher. One person was being assessed on moving and handling by an NVQ assessor during the visit. Some staff said they had completed their NVQ level 2. Care Homes for Older People Page 23 of 30 Evidence: The file for a recently appointed member of staff was seen and this contained the required information. A staff training matrix showed that staff have been provided with recent training and staff spoke of having done fire safety, working with dementia and equality and diversity. It was stated on the Annual Quality Assurance Assessment that new staff are given a full induction and mandatory training is completed as soon as possible. A copy of the common induction standards were seen in the office. Care Homes for Older People Page 24 of 30 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. There are suitable management arrangements in the home. Evidence: The manager has been is post since 2001 and has completed National Vocational Qualification level 4. A survey of peoples views is currently being carried out, and 8 forms have so far been returned (some comments from these have been included in this report). One comment was, I would not change anything because I think things seem to run nice and relaxed as it is. The manager said she is waiting for some more forms to be returned (a reminder will be sent out in the next newsletter) and then the results will be collated and published in the June newsletter. Care Homes for Older People Page 25 of 30 Evidence: There is a system for people to have assistance in managing their personal allowances. A sample of records seen were accurate and all transactions are witnessed. It was stated on the Annual Quality Assurance Assessment that equipment is tested or serviced as recommended by the manufacturers or other regulatory body. Care Homes for Older People Page 26 of 30 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 27 of 30 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 7 15 Review all care plans to ensure they accurately reflect peoples needs and how these should be met. This Will ensure that staff have accurate information on how people want their needs to be met. 01/07/2009 2 8 12 Ensure people have regular opportunities to have a bath or shower. This will ensure people are kept clean. 14/05/2009 3 10 12 Ensure people wear their own clothing and this is not worn by others. This will ensure that peoples dignity is not compromised. 14/05/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 28 of 30 1 26 Ensure there are sufficient supplies of protective clothing to operate a colour coded system to prevent the risk of cross infection. Care Homes for Older People Page 29 of 30 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 30 of 30 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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