Inspection on 25/02/09 for St Bathens

This inspection was carried out on 25th February 2009.

CSCI found this care home to be providing an Good 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.

Other inspections for this house

St Bathens 18/04/07

St Bathens 02/11/06

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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: St Bathens 88 Newbridge Hill Bath Bath & N E Somerset BA1 3QA     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: Grace Agu     Date: 2 5 0 2 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 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 29 Information about the care home Name of care home: Address: St Bathens 88 Newbridge Hill Bath Bath & N E Somerset BA1 3QA 01225319293 01225311955 juliettegrier@btinternet.com 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) : M & J Care Homes Ltd care home 16 Number of places (if applicable): Under 65 Over 65 16 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home 0 St.Bathens is a care home owned by M&J Care Homes Ltd and provides accommodation for up to 16 older people. There was a change of ownership of the home in May 2006; however, the new owners have retained the former owner and registered manager to act as the registered manager. This has provided valuable continuity for the existing residents and staff. The home is situated in the Newbridge area of Bath with bus access to the city centre it is also conveniently located close to the local Health Centre where most of the residents are registered. St.Bathens is a converted older property and the home is two properties made into one. It is on two floors with some of the rooms only being accessed by stairs; however, there is a lift to the first floor. There is a large lounge area at the front of the house, a dining room and conservatory with access to attractive gardens and patio area. Care Homes for Older People Page 4 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: This was an unannounced visit which was undertaken as a part of key inspection over eight hours to review the requirements made at the last inspection and also to review the care practice to ensure that it is in line with the legislation and that best practice is followed at the home. At the last inspection five requirements were made in relation to care planning, staff recruitment and medication practices. It was pleasing to note that the home has made efforts to ensure the requirements were met. Care Homes for Older People Page 5 of 29 At this inspection three requirements were made in relation to various aspects of service provision. We met with a Senior Care Assistant who assisted us for most of the inspection before the home manager Ms Juliet Grier arrived later in the afternoon. Whilst touring the building. We spoke with a number of residents, staff and one relatives and a number of records were viewed. What the care home does well: What has improved since the last inspection? What they could do better: We issued requirements in relation to medication administration practices, providing comprehensive individualised care plans and risk assessment. This is so that the Care Homes for Older People Page 7 of 29 residents are protected and to ensure that their needs are fully met. It would be better if staff received training update on the Protection of Vulnerable Adult from Abuse and Manual Handling. Residents would be better protected if the generic risk assessments included the corridors, bedrooms, dining areas and the lounges. The manager sent us a detailed action plan on how the above requirements are to be implemented before this report was completed. 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 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 9 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them 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. The homes admission process is comprehensive and it ensures that prospective residents and or their representatives receive required information to make an informed choice. Evidence: The home stated in the Annual Quality Assurance Assessment (AQAA) that it has a comprehensive pre-admission/information pack for all interested parties. It also stated that the manager makes a pre-assessment visit to the home or hospital to assess the needs of the individual to ensure that the home is able to meet their needs. Visits and viewings of the home are encouraged during which all potential residents are given as much information as possible to enable them to make an informed choice of moving to the home. We looked at the care records of four people admitted to the home and we noted that there was detailed assessment from the home to include Care Homes for Older People Page 10 of 29 Evidence: physical, mental and social needs of the individuals to ensure that their needs would be met. One of the residents whose care file was viewed confirmed that they visited and were assessed at home before admission. The individual stated that they had one month trial period to enable them to settle in and decide if they wanted to stay permanently at the home. Terms and conditions of their stay was also noted in the care files viewed. Care Homes for Older People Page 11 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. Residents needs are assessed and respected. Doctors and other health professionals are involved in their care, however, the home fails to protect them through unsatisfactory drug administration practices. Evidence: The last inspection evidenced that the residents physical emotional and social needs were assessed and care plans were in place describing how the needs were being met. There was also evidence of assessed potential risks to the residents and plans were in place on how to minimize the risks. Four care files were sampled and reviewed during the inspection. There was evidence of pre-assessment of residents before admission to the Home to ensure that their needs are adequately met. Two of the care files had care plans in place however, these care plans had not described in details how the needs were to be met. The other two had missing care plans in relation to their specific needs. Care Homes for Older People Page 12 of 29 Evidence: We noted that there were detailed entries in the daily report of care provided. It was agreed that care plans need to be comprehensive and individualised to support staff in meeting the needs of the residents and that the needs identified must have care plans for the reasons already stated above. The manager sent us a detailed action plan in relation to providing a detailed care planning system for the residents identified before the report was completed. We have issued a requirement to ensure that the action plan is fully implemented and we will be monitoring this before and at the next inspection. Residents spoken with stated that staff respected their privacy and treated them with respect. One resident stated, I am very happy here, staff are respectful, I have a choice of when I get up and retire. They answer when I ring the bell. Another resident stated, I am very well looked after staff are very kind to me. Staff meet my needs, I like it here. One staff member spoken with confirmed that they are able to meet the needs of the residents through reviewing the care plans, regular hand over and discussion with the residents. The staff member spoken with demonstrated knowledge of caring for the dying and the importance of keeping information about the residents confidential. The AQAA stated that the home has very beneficial healthy and respectful working relationship with professionals and domiciliary visitors involved in the administration of care to the residents. The four residents care files viewed evidenced that the General Practitioner and other health professionals were involved in the management of the residents care. One comment card received from a health professional states Staff are very good at asking for advice and reporting any problems regarding the residents. Requirements about medication made at the last key inspection have been addressed but further requirements have been made following this inspection.We looked at residents medication administration practices practice, with the aim of improving care for the individuals living in the home. All medication is reviewed routinely and when necessary as part of this process. However, some practices were noted to be unsatisfactory.The Medication Administration Record Sheets (MARS) for all the residents had missing signatures for medication administered at tea time on the 16 February 2009 and action needs to be taken to make sure that staff sign for all the medicines they administer and record a Care Homes for Older People Page 13 of 29 Evidence: reason why regular medicines have not been administered. We have issued a requirement to ensure that this practice is prevented in order to protect the residents. The manager told us before this report was completed that action had been taken through a medication training update to ensure that this practice is not repeated. Secure storage is available for medication and the medicine trolley is kept secured to the wall. We noted that medicines that require extra security were stored in the trolley and there was no provision made to keep an account of medication. The individual on duty stated that the extra storage noted in the medicines cupboard in the basement was not being used. This was discussed with the manager and she would ensure that this is implemented as a matter of urgency. It was also agreed that the cupboard should be changed to metal in order to comply with current regulation. 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. The Home enables the residents to maintain contact with families, friends and the local community. It provides meaningful activities and choice in respect of meals and meal times. Evidence: Evidence of discussion with residents and staff showed that the home actively supports the residents to maintain contact with their families, representatives and friends. One resident told us that her friends call her frequently on her private telephone and that she prefers to stay in her room and watch the television. Another resident stated that her sons visit every Saturday to take her out regularly. When asked how they participated in activities provided at the home the individual stated I do knitting and tapestry. The Home stated in the Annual Quality Assurance Assessment that activities have been fairly consistent all year with a weekly calendar of events being displayed each week in the communal lounge. Weekly and monthly activities undertaken by staff to ensure Care Homes for Older People Page 15 of 29 Evidence: that residents are regularly stimulated include, Skittles, Crosswords and Everyday Miracles Activity workshop; these are supplemented by outside entertainment to include six weekly drama group performed through poetry and singing. There are also six weekly sing along sessions with Dave. The manager stated that every Monday and Wednesday the homes activity volunteer visits the home to do jigsaws, cards, dominos, and board games with residents. The person also does one to one visits to residents in their rooms who decide not to participate in activities. The home undertakes occasional trips. A trip to the Pantomime planned was cancelled because the tickets were sold out. Last summer the residents enjoyed a Barbecue, Sunday Afternoon Buffet Tea, Olympics Day andPicnic in the Garden. Christmas was another very enjoyable time with lots going on:Several residents helped decorate the tree, made Christmas cake and even wrote a poem. Another day the cake was decorated. Carol singing, about thirty people came and stayed for mince pies and coffee. A Group of young children dressed as angels and shepherds came and sang carols. There was a Christmas Party for all staff and residents and it was a great success. All activities are entered in the homes diary and in individual care plans. The manager stated that the possibility of a activities organiser joining the staff was discussed at a meeting recently with Mr. Morris the provider but decisions have yet to be made. In relation to choice in their daily routine, residents spoken with stated that they have a choice of when to get up and retire. One resident stated, The place is very good. Staff are very kind to me. The menu on the day contained a good variety of nutritional meals and a choice of pudding. Staff were assisting the residents during lunch in particular residents who were unable to feed themselves. All residents spoken with after lunch stated that they enjoyed their food. The kitchen was found to be clean and tidy. 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. Residents are enabled to complain and are confident that their complaint will be listened to. Practices at the Home ensure protection of residents from harm and abuse. Evidence: The Home has appropriate and robust procedures in place for management of complaints. The complaints procedure was noted displayed in the hallway at the entrance. This document contains information about the Commission for Social Care Inspection to enable individuals to contact the Commission if they were not satisfied with the outcome of their complaint to the organisation. There were no recorded complaints since the last inspection. Residents spoken with and responses noted on the comment cards evidenced that residents are aware who to complain to. One resident stated, I know where to go if I have any reason to complain. The manager stated that new residents/families are informed about the complaints procedure on admission and that this is also included in the Service Users Guide. Staff were aware of the Whistle Blowing policy and would report any bad practices to the Manager without fear of reprisal. Staff training record evidenced that some staff members are yet to attend Protection of Vulnerable Adults from Abuse updates. The manager stated that all staff will be booked to attend POVA training this year. Care Homes for Older People Page 17 of 29 Evidence: The manager was aware of the Bath and North East Somerset Councils policy on the Protection of Vulnerable Adults from Abuse to ensure that the protocol is followed if incidences of abuse occur. It was agreed that the home should obtain the most recent document to ensure that the home is up to date with any changes to the document. 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. The home has a generally well-maintained clean and comfortable environment for residents to live in. Evidence: St.Bathens is a care home owned by M&J Care Homes Ltd and provides accommodation for up to 16 older people. There was a change of ownership of the home in May 2006; however, the new owners have retained the former owner and registered manager to act as the registered manager. This has provided valuable continuity for the existing residents and staff. The home is situated in the Newbridge area of Bath with bus access to the city centre it is also conveniently located close to the local Health Centre where most of the residents are registered. St.Bathens is a converted older property and the home is two properties made into one. It is on two floors with some of the rooms only being accessed by stairs; however, there is a lift to the first floor. There is a large lounge area at the front of the house, a dining room and conservatory with access to attractive gardens and patio area. Generally, the home was found tidy, clean, well lit, warm, comfortable and suitable for its stated purpose. It was well maintained with on going refurbishment Care Homes for Older People Page 19 of 29 Evidence: Residents were noted sitting in the lounge relaxed and enjoying each others company. Staff were well presented in uniform and were wearing disposable aprons when serving and assisting residents with meals, demonstrating that infection control and principles of hygiene are being followed at the home. Residents interviewed stated that they felt comfortable at the home. The laundry was noted to be clean and tidy. The home has one washing machine and a tumble dryer to provide better laundry services for the residents at the home. There are risk assessments of both laundry and kitchen. The maintenance book was up to date clearly stating jobs/tasks to be carried out, date completed and any relevant comment in relation to outstanding jobs. The homes house keeper undertakes the weekly/monthly required checks in relation to fire safety, emergency lighting and water temperatures. It was pleasing to note that there are very prominent yellow warning signs on the steps around the home to minimize the risk of falls to residents who are able to use the stairs, staff and visitors. 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. The recruitment procedure of the home is robust and offers protection to residents at the home. There are adequate numbers of staff that are competent to meet the needs of the residents. Evidence: Evidence from staff rota and discussion with the manager showed that the home has a sufficient staffing level to meet the needs of the residents. Residents spoken with stated that staff attended them promptly when they rang the bell. The home operates a key working system to enhance the resident/staff relationship. The Home stated in the Annual Quality Assurance Assessment that all three senior carers have National Vocational Qualification (NVQ) at level 3 and that all other staff have NVQ level 2 in care. All staff have completed training in fire awareness update, food hygiene, infection control, first aid, end of life, effective communication, dementia awareness fire prevention, safety and safety in administration of medication. As discussed previously the manager told us that staff will be booked to attend Protection of Vulnerable Adults from Abuse training this year. Manual handling training Care Homes for Older People Page 21 of 29 Evidence: updates are also being considered for the staff members who are due. We have issued a requirement so that we can be sure that these training updates take place. One staff member spoken with confirmed that she had attended training courses to enable her to perform her duties effectively. Individuals living at the home stated that staff are very kind and are sensitive to their needs. The home has a robust recruitment procedure to ensure that suitable staff are recruited to meet the needs of people living in the home. The record of one recently employed staff member contained required information to include personal details previous employment details, two satisfactory references, Criminal Records Bureau disclosure and relevant qualifications. 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. The home benefits from good leadership and management however; its practices fully protect the health and safety of residents. Evidence: As stated at the previous inspection, the home continues to consistently demonstrate good, effective leadership and management that relates to the aims and purpose of the home. The homes registered manager Ms Juliet Grier has many years of managerial experience working in St Bathens and is well qualified both in management and training. It was evident from discussions with Ms Grier and her staff that the home has a stable management team that supports a commitment to providing quality care for the benefit of the residents. The atmosphere at the Home on the day of inspection was positive and welcoming. Care Homes for Older People Page 23 of 29 Evidence: Staff were noted interacting with residents in an informal and friendly manner. Evidence seen on the day showed that the residents are well cared for and staff showed clear understanding of the importance of providing good care for the people living in the home. Individuals spoken with made positive comment about, Juliet. One individual told us, Juliet is approachable is very good. I would complain to Juliet first if anything is concerning me. Some people who use the service told us in the questionnaire we sent to them that they are satisfied with the support offered at the home. It was agreed that the manager would look into the issues raised by the residents /relatives who are not satisfied with some services provided at the home. Staff supervision was reviewed, evidence from the records viewed and discussion with one staff member showed that staff have received regular supervision. The individual stated that staff benefitted from the exercise and that it afforded them the opportunity to express their opinion about the services provided at the home and to discuss areas of concern in relation to residents care. Evidence from the records of the newest staff member confirmed that the person completed a comprehensive induction programme before working independently with the residents. The fire logbook was noted to be up to date. Whilst the home has generic risk assessments of various areas of the home it needs to be updated to include individual residents bedrooms to ensure that the people who use the service are adequately protected. It was agreed that this would be reviewed at the next visit. We noted that accidents to residents have been well recorded however some risk assessments have not been reviewed to ensure that the accident is minimised or prevented. We discussed our concern with the Home manager and the manager and it was agreed that this is carried out and a copy sent to the Commission for review. This document was received and was found satisfactory. Other health and safety checks were noted to be satisfactory. Quality assurance for the Home was reviewed. The manager stated that the home checks the quality of its service using different methods. These include relatives and residents meetings. Other tools include, staff supervision and discussions at residents and staff meetings, care plan reviews and feedback from Social Workers and General Practitioners Care Homes for Older People Page 24 of 29 Evidence: The home has policies and procedures to include Protection of Vulnerable Adults from Abuse, Medication, Whistle Blowing, Manual Handling, Infection Control and Missing Persons. These have recently been updated. Residents monies checked showed that there was a minor discrepancy in the recording in one residents money. A satisfactory explanation was received from the home before this report was completed. Other residents documented information was noted securely locked away. 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 13 Ensure that all medication administered are signed for on the MARS To protect the residents from drug errors 31/03/2009 2 7 15 Ensure that detailed care plans are in place for all identified needs. To support staff in meeting the needs of the residents 30/03/2009 3 30 18 Ensure that Identified staff receive training updates on POVA and Manual Handling To offer the residents adequate protection. 24/04/2009 4 38 13 Ensure that the generic risk assessments includes the dining areas, bedrooms and corridors To protect the residents,staff and visitors from potential falls. 31/03/2009 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 Care Homes for Older People Page 28 of 29 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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