Key inspection report
Care homes for older people
Name: Address: The Cedars 45 Queens Road Oldham OL8 2AX The quality rating for this care home is:
one star adequate 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: Jacqueline Kelly
Date: 3 0 0 9 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 28 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 28 Information about the care home
Name of care home: Address: The Cedars 45 Queens Road Oldham OL8 2AX 01616264665 F/P01616264665 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mrs Eileen Ashton care home 12 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The registered person may provide the following category/ies 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 categories: Old age, not falling within any other category - Code OP (maximum number of places: 12 Dementia - Code DE (maximum number of places: 12) The maximum number of service users who can be accommodated is: 12 Date of last inspection Brief description of the care home The Cedars is a small, family run care home for up to 12 service users. At the time of our visit there were nine people living at the home. The home is situated one mile from Oldham town centre, close to local amenities and public transport. Accommodation is provided in six single bedrooms, four of which have en-suite toilet facilities, and three twin rooms with en-suite toilets. Privacy screens are provided in the shared rooms. There is a large lounge, a lounge/dining room and a small separate lounge at the rear of the property, which is a designated smoking area for service users. The front of the home provides a large garden which overlooks the park. The Care Homes for Older People
Page 4 of 28 Over 65 0 12 12 0 Brief description of the care home garden had seating areas for the people who live at the home. A small amount of car parking space is available at the rear of the property. The weekly fee is from £365.00 to £375.00, that does not include hairdressing, clothes and newspapers. A copy of the most recent inspection report was on display in the entrance hall. A service user guide was given to people who were thinking of using the service Care Homes for Older People Page 5 of 28 Summary
This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: 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 quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. The report was written on behalf of the Care Quality Commission therefore throughout the report the terms we and us were used. We last inspected this service on the 26 September 2007. On the 27 August 2008 we carried out an Annual Service Review. This is a review of good and excellent services that takes place between key inspections. At the time we conducted the review we found no evidence to suggest that our quality rating had changed or that we needed to bring the inspection forward. This was a key inspection and we spent a total of four hours at the home. The owner/ manager did not know we were going to visit. Care Homes for Older People
Page 6 of 28 Before this key inspection we asked the manager of the home to complete an Annual Quality Assurance Assessment, AQAA, to tell us what they felt they did well, what they needed to do better and to give us current information as to employment of staff and training provided over the past twelve months. The form had been completed honestly and it showed us the manager saw the service being provided the same way as we did. However we felt that more information about how the services were provided and how services could be done better and improved would have been appropriate. During the inspection we looked at the care files and care plans of two people who used the service and the supervision and training records of the care staff. We also looked at other documents such as the menus and medication records. We talked to the people who were sitting in the lounge and another person in private in the dining room. We talked with the manager, deputy manager and a care worker. Questionnaires were sent out to the nine people who were living at The Cedars and ten to the staff team. We had returned to us two service user surveys which had been completed by relatives and seven staff surveys. The information we received was mainly positive. Comments we received from the surveys completed by relatives on behalf of the people who lived at the home to the question what does the home do well were; Keep an eye on my welfare. Food is good and they will always provide an alternative. Other comments were I am content with what is already in place; staff treat her with compassion and I feel she is cared for with affection. The staff to the question what does the home do well said; by creating a laid back homely environment with a friendly atmosphere; the home helps all residents to meet their needs and help them with their own choices in life; the manager cares a great deal about the residents; the home gives out a lot of information to the residents familys and staff; Cedars does as well as we can do with the residents and the staff, everybody goes out of their way to make sure residents are looked after how they should be, especially our manager Mrs Ashton. There were a Small number of comments about what the home could do better such as; I think it could try and do more about taking the residents out on day trips; be tidier at all times. There had been one complaint over the past twelve months which we had been made aware of. The complaint had been looked into by social services and no further action was taken. There had been no safeguarding adult protection referrals or investigations. Care Homes for Older People Page 7 of 28 What the care home does well: What has improved since the last inspection? There had been one requirement made at the previous inspection of September 2007 regarding the administration of medication. This was a direction that the staff team sign the medication record at the same time the medication was given and not at a later during the day. The manager said that this was now done and we saw no evidence on the day to the contrary. There were four recommendations all of which had been implemented as follows; To have in place a risk assessment for those people who were administering their own medication. At the time of this inspection everyone had help from the staff with their medication. To keep staffing levels under review to make sure that peoples needs could be met especially over the weekends. As there were only nine people living at the home at the time of this visit the number of staff was adequate. The manager had also employed a Care Homes for Older People
Page 8 of 28 part time cook since the previous inspection of 2007. To increase staff supervision from twice a year to six times a year. We saw evidence during our visit that formal staff supervision had taken place every three months over the past year. This gave staff the opportunity to sit and talk with the manager about their work and their training and development needs. The final recommendation was to discuss with the fire service the practice of leaving bedroom doors open at the request of the people who lived at The Cedars. A visit had taken place by the fire service in May 2009. The manager had discussed this with the fire officer. The manager said that the fire officer although would prefer the doors shut did acknowledge that this was not always practicable and was against some peoples wishes. What they could do better: The owner must put in place all the requirements made in the fire officers report of 15 May 2009.This is for the safety and protection of the people who live at The Cedars. The manager must report to us any accidents, injuries and incidents. This is to enable us to monitor services for the protection of the people who use the service. It is recommended that the manager looks at providing the people who live at The Cedars with choices to wider their environment outside of the home. The two service user surveys we received and the person we spoke with said that they liked the meals however the menus should be looked at so that there is more variation. More variety in the menu would make sure that people have a nutritious and well balanced diet. The manager should look at training for herself and everyone regarding the Mental Capacity Act and Deprivation of Liberty Safeguarding and how it may affect the people who live at The Cedars. Training for staff on the safeguarding of adults should be updated to make sure that everyone is aware of current legislation and practices. Some of the bedrooms had an odour problem which needs to be resolved. New floor coverings, re-decoration and some modernisation are also required. All the care workers require training in caring for people with a dementia type illness. This is to make sure that they are up to date in understanding current practices. The manager should put in place a system for obtaining residents and relatives views that are confidential and have the opportunity to remain anonymous. This is to make sure that people are able to say if they are not happy with any areas of the service. The manager should make sure that all the staff received up to date training in moving and handling techniques to ensure the safety of both the staff and people who live at Care Homes for Older People
Page 9 of 28 the home. 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. 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 10 of 28 Details of our findings
Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 11 of 28 Choice of home
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who express an interest in moving into The Cedars receive an assessment of their care needs to make sure that they can be met by the staff team. Evidence: All the people who expressed an interest in the home had a care needs assessment which was completed by the manager of the home. To help her with the assessment the manager had contact with the local social services department and talked with as many people as possible who knew the person. This enabled her to understand the person to make sure that the environment and the staff could meet the health and personal care needs of the person. The manager said that nine of the care workers had received training in nutritional screening. Each resident had a nutritional screening when first admitted in order to see if they required any special diet. Care Homes for Older People Page 12 of 28 Evidence: The manager did not provide an intermediate care service that had specialised facilities, equipment and staff to deliver short term intensive rehabilitation to enable people to return home. Care Homes for Older People Page 13 of 28 Health and personal care
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Individual care plans are in place which record the persons health and personal care needs to help the care workers look after the people who use the service. Evidence: Two peoples care files were looked at and were found to contain care plans which gave the care workers information on how to care for the person and their likes and dislikes. Other records within the file included a record of GP visits, district nurse visits, risk assessments and a monthly review done by the manager. A key worker system was in place which meant that each resident was given a particular care worker who took responsibility for their day to day care needs. The manager said that she personally tried to take the residents for all hospital and GP visits. Medication records were in place and the medication was stored safely. The manager
Care Homes for Older People Page 14 of 28 Evidence: said in the information she provided to us before the inspection that she monitored the records closely to make sure that there were no errors. Staff said that they had received training in the administration of medication. None of the residents held their own medication. There was a policy and procedure in place for the values of privacy and dignity which was last reviewed April 2009. The care workers received training in these areas as part of National Vocational Qualifications (NVQ). All but two of the residents had a single room and were therefore able to receive visitors in private if they so wished. There was also comfortable seating in the dining room which could be used. Care Homes for Older People Page 15 of 28 Daily life and social activities
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There was little variety in the menus therefore choice for the people who lived at The Cedars was limited. Links with the wider community for the people who lived at the home again was limited. Evidence: The activities co-ordinator was also one of the care workers. She was responsible for organising activities such as; quizzes, bingo, armchair skittles, cards, singalongs and board games. One lady particularly liked doing books of crosswords, word searches and reading the newspaper. An entertainer visited the home; the next date he was due was November. Religious needs were catered for by a vicar who visited the home once a month to give Holy Communion; he did not exclude anyone no matter what their religion may be. The manager said that because of the changes in running a care home and the frailty of residents trips out had dwindled off. It is recommended that the manager looks at re-starting visits out to give people a choice of a wider environment.
Care Homes for Older People Page 16 of 28 Evidence: Relatives could visit any time and people were able to bring personal possessions with them. Everyone handled their own money or were helped by relatives or social services. One of the residents did not have any relatives and a second did not have any who were able to visit regularly. It is recommended that the manager looks to finding someone from a reputable source who will visit the people so that they have someone they can talk to who have no connection with the home. This is of course providing the resident is in agreement with this. The menu board in the dining room showed that the meal of the day was fish, chips and peas and for dessert a variety of cakes. Tea was cheese on toast. The menu was looked at and every day it was a variety of cakes after the meal. This was discussed with the manager who said that fruit was available instead of cakes and there was a bowl of fruit on the table in the lounge. Even so a more varied menu should be put in place. Care Homes for Older People Page 17 of 28 Complaints and protection
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager has a complaints procedure in place which people were aware of and had access to. Staff training on the safeguarding of adults could be improved. Evidence: The complaints procedure was displayed in the hallway for everyone to see. The manager also said that each person was given a copy. There had been one complaint which had been investigated by social services and no action was taken. No safeguarding adult referrals or investigations over the past twelve months had been made to us. The manager should look at training for herself and everyone regarding the Mental Capacity Act and Deprivation of Liberty Safeguarding and how it may affect the people who live at The Cedars. All the care workers had gone through a Criminal Record Bureau disclosure before they had started work. Many of the care workers had received training in safeguarding adults however this was in 2007. It is recommended that all staff do the training again to make sure that they are up to date with current legislation and procedures. Care Homes for Older People Page 18 of 28 Environment
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home did not meet all the requirements of the fire safety office for the health and safety of the people who lived at The Cedars. However the home was mostly clean, comfortable and reasonably decorated. Evidence: We looked around the home including a number of bedrooms and found that there was a need for refurbishment such as decorating, new floor coverings and modernisation in general. We also found that some of the bedrooms had an odour problem which needed to be looked into. We discussed with the manager the fire escape which we felt needed painting in order to maintain its safety. However the fire service had visited the home on the 15 May 2009 and had not passed any comments about this. The fire service did find some areas of non-compliance as follows:- fire resistance provided between basement and ground floor level was not sufficient. Means of escape; remove existing lock fastenings from the door at rear of premises. If door needs to be locked needs to have an approved lock that can be operated from the escape side of the door without the use of a key. All exits providing means of escape
Care Homes for Older People Page 19 of 28 Evidence: need to be marked with Fire Exit signs. The manager said that she had discussed the problem of residents requesting bedroom doors be left open and advice was given. Care Homes for Older People Page 20 of 28 Staffing
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living at The Cedars are supported by care workers who have worked at the home for many years. However training for care of people with a dementia type illness needs to be implemented. Evidence: We looked at the care worker rotas which showed that there were enough staff for the number of people living at the home which at the time of our visit was nine. A domestic assistant and a cook were also employed. The manager did not use agency staff as all the staff covered for each others holidays and sickness. There had been no new staff appointed at the home since 2007 which was when the last inspection took place and there were no vacancies. Four of the care workers were in the process of doing their National Vocational Qualification (NVQ) level 2 again as they felt that they would benefit from refreshing their caring skills and knowledge. The training was being done through Northern training. The last person to be employed in 2007 had also started her NVQ level 2 and had
Care Homes for Older People Page 21 of 28 Evidence: completed one unit. She had also taken training in such areas as moving and handling, first aid, and protection of vulnerable adults. Nine staff had received training in safe handling of food. We looked at the training records which showed that two people had taken training in dementia care in 2004. As the home had a majority of people that had some kind of dementia type illness it was essential that all staff had up to date training in dementia care. The manager must arrange this as soon as practicable. In general the training taken should be looked at as some of the staff need refresher courses to update their knowledge. Care Homes for Older People Page 22 of 28 Management and administration
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The Cedars is managed overall in the best interests of the people who live there. However some areas need attention to improve peoples choices and comply with legislation. Evidence: The registered manager who was also the owner of The Cedars had completed the Registered Managers Award and had many years of experience in managing care homes. The manager told us that regular resident meetings were held and recorded. She also said that time was spent each day sitting with the residents listening to and understanding their needs. Formal staff supervision had taken place every three months over the past year. Formal supervision is where the staff are given the opportunity to sit and talk with the manager in private about the job and their training needs.
Care Homes for Older People Page 23 of 28 Evidence: The manager had not done any confidential questionnaires with any of the people who used the service or their relatives/friends. This is something the manager needs to put in place in order to make sure that people are happy with the care they are receiving. The manager kept a small amount of money for the people who lived at the home to pay for day to day expenses. Records were kept however we did not look at these during this visit. As stated previously some of the residents allowances were kept and monitored by social services. We were told that there was an action plan in place for the prevention and control of infection and a hazzard analysis for dangerous liquids etc. All equipment had been checked and serviced in 2009 apart from electrical circuits which had been completed in 2007 and was within the time scale. Some of the staff had not received moving and handling training since 2003. Everyone should receive training without further delay to make sure that they are up to date with current practice for the safety of the people who live at The Cedars and themselves. The manager under the Care Homes Regulations must report to us within twenty-four hours any incident which affects the wellbeing of the people who live at the home and the death of any resident. The manager had not done this. This had been brought to the attention of the manager when we did the Annual Service Review in 2008. This was discussed again during our visit and the manager was again reminded of her duty to do this. Care Homes for Older People Page 24 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 28 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action 1 19 23 The owner must put in place 30/11/2009 all the requirements made in the fire officers report of 15 May 2009. This is for the safety and protection of the people who live and work at The Cedars. 2 38 37 The manager must report to 30/11/2009 us any accident, injuries and incidents. This is to enable us to monitor care homes for the protection of the people who use the service. 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 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 12 It is recommended that the manager looks at providing the people who live at The Cedars with choices to wider their environment outside of the home. It is recommended that the manager looks into the possibility of finding someone from a reputable source in
Page 26 of 28 2 14 Care Homes for Older People 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 the community who would visit those people who have little or no contact with relatives or friends. 3 15 There was little variety in the menu which needs to be looked at to make sure that people have a nutritious and well balanced diet. The manager should look at training for herself and the staff team regarding the Mental Capacity Act and Deprivation of Liberty Safeguarding and how it may affect the people who live at The Cedars. Training for staff on the safeguarding of adults should be updated to make sure that everyone is aware of current legislation and practices. Some of the bedrooms have an odour problem which needs to be resolved. New floor coverings, re-decoration and some modernisation is also required. All the care workers require training in caring for people with a dementia type illness. This is to make sure that they are up to date in understanding current care practices. The manager should put in place a system for obtaining residents and relatives views that are confidential and anonymous if that is what they wish. This is to make sure that people are able to say if they are not happy with any areas of the service. The manager should make sure that all staff receive up to date training in moving and handling techniques. This is to make sure that the staff and people who live at the home are kept safe. 4 17 5 18 6 19 7 30 8 33 9 37 Care Homes for Older People Page 27 of 28 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 28 of 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!
