Inspection on 15/12/08 for The Grove and The Courtyard

This inspection was carried out on 15th December 2008.

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

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

Other inspections for this house

The Grove and The Courtyard 01/12/09

The Grove and The Courtyard 25/08/09

The Grove and The Courtyard 03/01/08

The Grove and The Courtyard 12/01/07

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

Extracts from inspection reports are licensed from CQC, this page was updated on 27/02/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: The Grove and The Courtyard 341 Marton Road Marton Middlesbrough TS4 2PH     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: Jacqueline Herring     Date: 1 5 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect 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.csci.org.uk Internet address Care Homes for Older People Page 3 of 29 Information about the care home Name of care home: Address: The Grove and The Courtyard 341 Marton Road Marton Middlesbrough TS4 2PH 01642819111 01642819103 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Grant Williamson Type of registration: Number of places registered: care home 55 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Additional conditions: One bed may be used to provide respite for service users aged 18 within the MD category of registration One named individual who is under the age category can be accomodated in Grove Lodge DE(E) unit. Date of last inspection Brief description of the care home The Grove and The Courtyard is a purpose built care home providing care for three different client groups, within three separate units. The Grove incorporates a 14 bedded unit for older people with dementia and 29 older people with personal care needs. All rooms within The Grove have ensuite facilities which include toilet and washhand basin. The Courtyard is a 12 bedded unit registered for younger adults with Care Homes for Older People Page 4 of 29 0 12 0 Over 65 14 0 29 Brief description of the care home mental disorders of a neurological cause. All rooms within the Courtyard have ensuite facilities which include shower, toilet and wash-hand basin. The home is located centrally in Middlesbrough; it is on a busy main road, close to public transport, shops, public houses and churches. The weekly fees for The Grove and The Courtyard range from three hundred and ninety five pounds to five hundred and twenty five pounds. Care Homes for Older People Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is two stars. This means the people who use this service experience good quality outcomes. This Key Inspection was to check that the home meets the standards that the Commission for Social Care Inspection say are the most important for the people who use the services, and that it does what the Care Standards regulations say it must. This inspection was conducted by two inspectors in one inspection day. During the inspection, a number of records were looked at, including records of people who use the service, along with staff recruitment and training records. Care Homes for Older People Page 6 of 29 Discussion also took place with the people living at The Grove and The Courtyard and a relative, the Operations Director, the Manager and staff. The Operations Director has completed the Annual Quality Assurance Assessment (AQAA), the services self-assessment of how well they think they are meeting standards. This was received prior to the inspection and some of information has been reflected within the report to support the judgements made. The AQAA was very well completed. We have reviewed our practise when making requirement to improve national consistency. Some regulations from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use the services are not being put at risk or harm. In future if a requirement is repeated it is likely that enforcement action will be taken. What the care home does well: What has improved since the last inspection? What they could do better: As identified, the care assessments, care plans and risk assessments have been improved, more specifically within The Courtyard. Work has commenced with regard to this within The Grove and this needs to continue. There is the need to ensure that appropriate references are in place prior to the commencement of employment. The work that has commenced on rolling out Care Homes for Older People Page 8 of 29 mandatory training and staff supervisions should continue. The temperature of the medication rooms need to be monitored to ensure that medication is being stored at the appropriate temperatures. The manager needs to complete the registration process with CSCI. Whilst significant improvement has taken place, the work that has been ongoing for the past six months in terms of effective management systems and care assessments needs to continue. In order for the Commission for Social Care Inspection to monitor progress a further Key Inspection will take place within twelve months of this inspection. This will be to ensure that improvements have continued and the issues as identified in the companys own action plans have been addressed. 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.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 29 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have their needs assessed prior to being admitted to The Grove or The Courtyard, to ensure that their needs can be met. Evidence: The AQAA detailed the admission process. It stated, We arrange home visits prior to admission to give the individual a sense of what life within our home will be like where possible. A full assessment prior to admission by a least one senior staff member. Where it is possible or appropriate input from families/advocates is also sought. One inspector spoke to some staff about the process for admission. There is a planned process for this, dependant very much on the individual and their needs. The process can be as long or as short as necessary. One example shared was, Will attend for 2 hours initially with Occupational Therapist, then one overnight stay and a full day before deciding. Care Homes for Older People Page 11 of 29 Evidence: Five sets of records of people who live at the service were looked at during this inspection. Two sets of records were for The Courtyard and three were for The Grove. There was a copy of the pre admission assessment on some of the files looked at. The Operations Director confirmed that detailed assessments take place for all prospective people who might want to live at the home. Some of the assessment information was not contained within the care file and was not available on the day of inspection. The Operation Director confirmed that all of this information would now be contained within the care files. Further pre admission information was made available to CSCI to show the extent of pre admission assessments that take place for people who are assessed for The Courtyard. Information from other disciplines such as care managers was also available within the files. Care Homes for Older People Page 12 of 29 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The homes assessment and care planning process generally ensures peoples needs are identified and met and are supported to be as independent as possible, although further detail and information will strengthen this further. Medication systems are good. Evidence: The same five sets of files of people living at the home were looked at in more detail. Discussion took place with the Operations Director about the care needs assessments and supporting records. They said that they were well on the way to completely reviewing and updating peoples records who lived in the Courtyard. They said they had commenced the work needed within The Grove. They showed a file for one person living in The Grove and said that this was an example of what they were aspiring to and how they wanted all of the care records to be. This persons records contained much more informative information, risk assessments were well completed and there was a range of very detailed care plans, all of which have had good value based Care Homes for Older People Page 13 of 29 Evidence: evaluations. The daily statement of care was also much more informative. It is clear that a great deal of work has taken place in regard to the care records, assessments and risk assessments within the Courtyard. Work has commenced on the care assessments and records within The Grove, this is ongoing, as was identified through the examination of a further two sets of records. Risk assessments are clearly in place, risks are being identified and risk management plans are being developed. Where necessary, external agencies are being contacted and involved in providing advice and support to the staff team. Again, this work is ongoing within The Grove. Whilst significant work has been undertaken in respect of the care files of people living in The Courtyard, there is the need to continue to review and update. For example, someone who had challenging behaviours, their records needed to be updated to reflect that they could be potentially physically abusive and potentially physically aggressive. There were some additional examples of this, which were shared with the Operations Director and Manager. There is still work to do with the assessment and care plans. Up to date care needs assessment were not available within all of the files looked at. This was discussed with the home manager and Operations Director and it was agreed that they would review their procedure for this. Evaluation of care are much improved, with more specific value based information, which then details the effectiveness of the plans of care in place. Life history work is in the process of being developed, which will support the staff to deliver more person centred care. Schedules were seen for this, which details the named staff member who will be developing these and the target date. People living at the home said, Some staff are better than others but all staff now speak to us respectfully. Staff spoken to said, I have received training on care planning and how to evaluate care plans, I have learnt quite a lot. We put short-term care plans in place for matters such as Chest Infections. Some people have increasingly dependant needs, if their skin is paper thin we will complete a risk assessment and update it daily. They also confirmed that there was the appropriate range of equipment in place to meet peoples individual needs for example hoists and pressure pads for people who are at high risk of falls. Of what the service does well, one member of staff said, Provides a high standard of Care Homes for Older People Page 14 of 29 Evidence: cheerfulness, safety and respect, it is their home. People can make decisions and have choices for example, activities, personal space and they can stay in their rooms if they want to, it is a warm and safe environment and we do our best to ensure people are treated with dignity. Staff also said, The home has really tuned around, it is now much more person focused. Care is needed with the heading of the actual documentation as some related to other care services rather than The Grove and The Courtyard. The medication systems was looked at in both The Grove and The Courtyard. The systems in place are good and only staff who are qualified to administer medication do so. The Operations Director has recently spent time looking at these system and reviewing medications in use, ensuring that there was no over stocking and that clear systems were in place for the use of as and when required medication. It was identified that the medication room was too hot. There is the need to monitor this and to takes steps to address this if the temperature remains in excess of 23 degree centigrade. Care Homes for Older People Page 15 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. People are treated with respect and their lifestyles are now much individualised with an appropriate range of social and recreational activities as well as the opportunities for personal development. Meals are provided to a reasonably good standard. Evidence: Throughout the inspection, there were activities taking place. There was a bingo afternoon, which involved people from all three of the units. A game of dominoes was taking place on a 1:1 basis, and a small group of people were involved in an old time sing-a-long. An activities co-coordinator has been appointed since the last inspection and is in the process of developing this role. Plans are underway to assess people on a one to one basis and they will be planning activities around this as well as consulting with people living at the home, family members and staff to ensure that activities are relevant and appropriate. As well as there being an activities co-coordinator, care staff are also involved in daily activities or one to one time with people living at the home as an integral aspect of their job role. Care staff ensure that people have the opportunity to go out of the home and take them to the local pub or shops. One member of care staff said, We Care Homes for Older People Page 16 of 29 Evidence: offer as much as we can, we do what they want us to do. We have one to one time and have been talking about Christmas, doing hand massage and nail care, its much better now, more structured. Other plans are in place to develop more specific activities for example tactile boards for people with dementia. People spoken to who lived in The Grove confirmed that there were activities taking place, they however said, I dont get involved in activities, they prefer to stay in their room. They also said, I can have visitors anytime, can have a bath when I want, get up and go to bed when I want. A relative said, We can visit at any time and always feel welcome. In the Courtyard, there is a plan of activity for people which promotes independence and risk taking, and takes account of social and daily life skills, such as cooking, cleaning and crossing the road. People spoken to said that there had been recent changes to the home and they now believed they had much more freedom and that their individuality and independence was now being promoted. One person said, Things are much better now, no longer feel like a prisoner. I can go out when I want, now I have a life. Since September, I have been to the Metrocentre, Teeside Park, go to the cinema and have themed social evenings A four week menu is in place with daily alternatives. There is choice available at most mealtimes and also a light supper. People said that the meals had improved and that they were generally fine, although one person said, Food is getting better, better than it was but there is still room for improvement. A pictorial menu has been developed to support people to make meal choices. There are currently no visit to the home by the local church or clergy. Staff spoken to said that with the recent appointment of the activities co-ordinator that they hoped these links would be made. People can however be taken to church if they so wished. Care Homes for Older People Page 17 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. People who use the service were confident their complaints would be listened to, taken seriously and acted upon. Despite a number of complaints and issues, the appropriate action has been taken. Adult protection procedures are in place, which helps to protect people that use the service from abuse. Evidence: The AQAA contained the following information about complaints, Manage complaints objectively, thoroughly and effectively. We encourage and listen to feedback from our service users and their representatives and act upon this as a means of developing our service. There have been a number of complaints since the last inspection, all with the exception of one has been investigated and where necessary action taken. Some concerns led to a joint random inspection being carried out by CSCI and the local authority, in which a number of areas of improvement were identified. A relative who was spoken to said, I can approach Lynne (Operation Director) if I have any concerns, feel things are now acted on. One person living at the home said if they had concerns, Tell the boss when unhappy. There have also been safeguarding issues, that have led to a number of multi agency Care Homes for Older People Page 18 of 29 Evidence: safeguarding meetings. Action has been taken to address these issues, although some remain open to safeguarding. Regular monitoring has been taking place from the local authority. Staff spoken to confirmed that they had received training and knew what to do in the event of concerns effecting peoples welfare and wellbeing. It is clear that the current management of The Grove and The Courtyard take these issues very seriously, they have taken appropriate action and continue to do so when issues are identified. Care Homes for Older People Page 19 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. People who live at The Grove and The Courtyard benefit from a well-maintained, comfortable and homely environment in which to live. Evidence: The Grove and The Courtyard continues to provide a very pleasant environment for people to live. There are three units within the home, all of which have their own lounge and dining areas. There is a good amount of communal space, with several lounges being available throughout the home, as well as areas that are described as coffee shops. Corridors are spacious and additional seating is available for people to sit and rest. Bedrooms within all of the units are spacious and decorated to a good standard. Bedrooms within The Grove are ensuite with toilet and washhand basin, while those in The Courtyard have the addition of a shower. There is much evidence of people bringing their own belongings to the home and personalisation of the bedrooms. There is a choice of assisted bathroom and showers throughout the home. Additional plans are underway to create a library/computer room and also a Teaching Room, that will enable people who live in The Courtyard to have some information Care Homes for Older People Page 20 of 29 Evidence: about fire procedures and first aid. The AQAA also detailed that a dedicated garden had been developed for The Grove. It stated, We have created an external garden area for The Grove. One of the bathrooms has been altered since the last inspection making the facility more accessible for people to use. Care Homes for Older People Page 21 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. People who live at the home are generally protected by the recruitment systems although care is needed to ensure that appropriate references are obtained. Evidence: Five sets of staff records were looked at, two were for recently appointed care staff. In the main the appropriate checks had been carried out and the information was available to support this. In the files of the two most recently appointed people, the appropriate references were not available on file. The Operations Director said that these had been requested but not returned, as such alternative references had been taken, two of which were from her as she had recently previously worked with the staff concerned. There was also no correspondence on file to show that references had been sent for and to whom, this is recommended as good practise and for the homes own quality assurance purposes. It was agreed that the appropriate references would be sought immediately. Within 48 hours of the inspection, the appropriate references were available and had been emailed to CSCI. In one of the files there were no copies of certificates and training as specified within Care Homes for Older People Page 22 of 29 Evidence: the application form. The manager said that the person had their own learning and development file and they had requested that this be brought to the home so that this information could be copied and placed on their file. A training matrix has been developed since the last inspection and it details the ongoing mandatory training for all of the staff within their individual staff groups. The Operations Director said that a pro active approach had been taken to training and that staff were now attending. 85 of staff have attained NVQ level 2 in care with a number doing level 3 and 4. People living at the home said, The staff are really good. A relative said, Staff are really good now, always keep me informed and there is good communication. Staff who were spoken to said about the staffing levels,They are sufficient to meet peoples needs. They also said, We have a good team and we all get on fine. Staff also said, It is much better now that we are allocated to a dedicated floor, more awareness of individuals and their needs. Care Homes for Older People Page 23 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. There is new management in place within the home and ongoing input by senior staff within the organisation. This is providing clear leadership, ensuring that the home has good systems in place, ensuring a well run home for people to live in. Evidence: There has been the recent appointment of a new manager, who at the time of inspection had been in post for five weeks. This manager will have to complete the process with CSCI to register. There has been considerable senior management support, guidance and leadership in place at The Grove and The Courtyard since the random inspection. Following the inspection, action plans were forwarded to CSCI to show that the organisation were taking immediate steps to address the area for improvement that had been identified at this inspection. Care Homes for Older People Page 24 of 29 Evidence: People who live at the home and staff spoke of the positive developments that had taken place. People living at the home spoke of more opportunities to go out and promoting their Independence. A member of staff said, Things have got better for people living here and also for people who work here. The structure is better there is more information and more communication. The way in which personal allowances are managed by the home is good, the were records in place, with double signatures along with receipts and when a sample were checked, the balances were correct. Quality assurance is taking place within the service. A recent relatives survey had been completed and a copy of the analysis was forwarded to CSCI. There are also residents meetings taking place every months as well as staff meetings. The AQAA detailed that the majority of the maintenance and service of equipment was up to date, with the exception of the Portable Appliance Test. This was verbally confirmed as having been completed on the day of inspection and written confirmation was received within 48 hours of the inspection. 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 9 13 The temperature of the 02/02/2009 medication rooms must be monitored to ensure that the medication is being stored at the correct temperature. This will ensure that peoples medication is stored at the correct temperature. 2 29 19 The appropriate checks must 02/02/2009 be completed prior to commencement of employment of new staff, this includes appropriate written references. This will mean that the appropriate information is in place to ensure wellbeing and protection of people living at the home. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 27 of 29 1 2 3 4 7 8 29 31 The work that has commenced on reviewing and updating the care assessments and care records should continue. The work that has commenced on reviewing and updating the risk assessments and associated plans should continue. Copies of people qualifications and certificates should be obtained and available within the home. The recently appointed manager should complete the registration process with CSCI. Care Homes for Older People Page 28 of 29 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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. 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