Inspection on 28/04/09 for Victoria Cottage Residential Home

This inspection was carried out on 28th April 2009.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Victoria Cottage Residential Home 30/05/08

Victoria Cottage Residential Home 11/12/07

Victoria Cottage Residential Home 14/05/07

Victoria Cottage Residential Home 15/12/06

Victoria Cottage Residential Home 09/02/06

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 10/07/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Victoria Cottage Residential Home 13 Station Road Lowdham Nottingham NG14 7DU     The quality rating for this care home is:   one star adequate service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Stephen Benson     Date: 2 8 0 4 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 31 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 31 Information about the care home Name of care home: Address: Victoria Cottage Residential Home 13 Station Road Lowdham Nottingham NG14 7DU 01159663375 01159664165 suncarehomes@hotmail.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) : Sun Care Homes Ltd care home 18 Number of places (if applicable): Under 65 Over 65 18 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home 0 Victoria Cottage is a care home providing personal care and accommodation for 18 older people. The home is owned by, Mr Pancholi. The home is located in the village of Lowdham, close to shops, pubs and other local amenities. The home was opened in 1984 and consists of a converted 2 storey house with a newer purpose built extension. All the homes bedrooms are single and 9 of the bedrooms have en-suite facilities. There is a passenger lift. The home has small gardens. The manager said on 27/04/09 that the fees for the service range from £320 - £360 per week depending on dependency needs. There are additional charges for hairdressing and chiropody. Further information about the home is available in the brochure and service user guide a copy of the latest inspection report is available in the office and there is a notice in the entrance inviting people to read it. Care Homes for Older People Page 4 of 31 Brief description of the care home Care Homes for Older People Page 5 of 31 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The focus of inspections undertaken by the Care Quality Commission is upon outcomes for people accommodated and their views on the service provided. This process considers the providers capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. This was our first visit to the home since 1st April 2009. This inspection involved one inspector; it was unannounced and took place in the daytime, including lunchtime. Prior to the visit an analysis of the home was undertaken from information gathered over the last year including that from the Annual Quality Assurance Assessment they completed. We sent survey forms entitled Have your say about... to a sample of 8 Care Homes for Older People Page 6 of 31 people and 4 of these were returned. The main method of inspection used is called case tracking which involves looking at the quality of the care received by a number of people living at the home. We also use evidence from our observations; we speak with them about their experience of living at the home; we look at records and talk with staff about their understanding of the peoples needs who they support. The premises were not inspected in detail but various areas of the home were visited as part of the inspection. What the care home does well: What has improved since the last inspection? Care Homes for Older People Page 8 of 31 There have been some improvements made to the decor and furnishings of the home with some new carpets, curtains and some decorating. A sit in shower has also been added. It was commented in a survey form that the atmosphere in the home is homely and friendly and The redecoration of the lounge has improved the feel of the place. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 31 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 31 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. Assessments are usually obtained before people move into the home, but these are not being used by staff to learn about the persons needs. Evidence: A sample of four files were looked at to see what information is gathered prior to someone moving into the home. Of the three people who were case tracked one person had been in the home for a number of years, and had an admission assessment on file. Another person admitted within the last few months had a pre admission assessment and an admission assessment. The pre admission assessment was completed during a visit to the home by the manager a week before the person moved in. The third case tracked person had also been admitted within the last few months and had a pre admission assessment completed on the day she moved into the home. The manager said one of the reasons for this was that the person was already known to them as she had been for periods of respite care previously. Care Homes for Older People Page 11 of 31 Evidence: A fourth care file for another person recently admitted to the home was looked at and this had a pre admission assessment completed a month before the person moved into the home. There were assessments completed by the Local Authority for people they are funding kept in the managers office, which means these are not readily available to staff. The manager agreed this was not the best arrangement and she would look at moving these somewhere so staff can have easy access to them. Staff said they were aware when someone new is moving into the home and described being told about the needs of the most recent person to be admitted when on shift, but had not read the assessments that had been prepared. In the Have you say about Victoria Cottage surveys returned all said enough information was received to help decide if the home was the right place before moving in. A visiting social worker who had arranged the placement for one of the case tracked people said she had sent a Community Care Assessment to the home before the person moved in and commented that the staff had been really helpful. A person who was case tracked said, I dont think anyone came to see me, but I visited the home. The staff were really friendly. Care Homes for Older People Page 12 of 31 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People cannot rely on their care needs being fully recorded and kept up to date within their care plans. People have the healthcare support they require and are administered their medication in a safe manner. Evidence: The files for the three people case tracked were looked at and these were broken down into sections for assessments, care plans, daily reports and monitoring forms. There was also copies of any correspondence sent or received kept, including healthcare appointments and financial matters. Much of the documentation seen for recording in the care plan was blemished due to poor photocopying, making it difficult to follow some of the information, particularly dates. A recent safeguarding investigation had shown that care plan are not being updated promptly enough, and this was found still to be the case. One case tracked person had Care Homes for Older People Page 13 of 31 Evidence: been stopped a medication he had been taking for a long time, but the care plan still referred to this being given daily and another case tracked person had changes to her mobility that had not been included. The manager said she prepares and updates all the care plans and finds this a mammoth task, which she has problems keeping on top off and she is looking at getting more assistance in doing this. The manager acknowledged that care plans have to be kept up to date. Staff said they refer to the daily report file for any changes to peoples needs as this gives the latest information and dont often refer to the care plans. staff said they feel that the care plans could be simpler. One of the people had a care plan review carried out on 19/03/09 which the person had signed. In the Have you say about Victoria Cottage surveys returned two people said they always receive the care and support they need and that staff act upon what they say. Two people said they usually do. A comment was written that Andrea and her staff look after me very well, the care given to me is very good. None of the people case tracked could recall discussing preparing their care plans but one said when asked if they felt involved in how their care was provided said, Yes, I feel involved, I am able to say what I want. Another case tracked person commented, Ive only got to ask when I need help, they dont stop me from doing what I can. Staff were observed using the hoist on one person who was case tracked. Staff explained what they were doing, asking the person to move when needed and said to say if she wanted to stop at anytime. Staff were joking with the person and referred to recent training they had received where they had been hoisted, so they knew what it felt like. I mentioned to staff that the persons legs had been exposed during the process and the next time the person was hoisted a blanket was placed over her legs to protect her dignity. The hoist was put away when not in use. Staff were heard asking people if they were comfortable and offering them cushions and footstools. When one case tracked person said she did not like a particular footstool as she found it too high, staff bought another lower one. One person who was case tracked was seen by the district nurse in private. There is a section of the care plan to record any medical appointments in, however regular appointments one person who was case tracked had with the district nurse were not Care Homes for Older People Page 14 of 31 Evidence: recorded. On one of the Have your say about Victoria Cottage surveys returned a comment was, The manager is always aware of any health problems I have and does not hesitate to contact my GP or District Nurse for support. Part of the morning and lunchtime medication rounds were observed. Staff were seen taking medication to people, observing them take it and then recording this on the Medicine Administration Records. A recent safeguarding investigation had included looking at how one persons medication was administered. As a result the person now has one medication provided in liquid form. All people who were case tracked were given their medication as required. One person required lots of encouragement to take it and this was given. When the member of staff went to get a clean spoon to administer the medication from she took the medication with her so as to not leave his unattended with the person. One of the people who was case tracked was given their medication by a different member of staff to the other two. Staff said it is usually only one member of staff who gives out medication but the other member of staff had assisted as they were busy. Both staff have completed safe handling and administration of medicines course and said only staff who have had this training administer medication. A new medicine cabinet was required following the last inspection, a locking section has been added but this still fails to met the required standard. One person who was case tracked had recently been in hospital and had a change made to his medication. The person was not happy about this and the manager has liaised with the doctor. The person said, I am not happy with the medication change, staff are trying to sort this out. The doctor is coming tomorrow to talk to me about it. Staff were seen treating people in a respectful manner including suggesting to one person who was case tracked they went for a walk when it was time to go to the toilet, although one member of staff was heard telling another in a communal room that one person had wet themselves, which I heard at the other end of the room. The home has not appointed a dignity champion and the manager was unaware of this initiative being promoted by the Local Authority. One person who was case tracked said, My privacy is usually respected. Care Homes for Older People Page 15 of 31 Care Homes for Older People Page 16 of 31 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 would like more frequent activities and more opportunities to go out of the home. People are encouraged to make choices for themselves and are provided with a varied diet. Evidence: During the morning a member of staff came to play a quiz with people, but did not do so as a number of people were asleep. Records of activities showed group activities that take place. The records showed recent activities people case tracked had taken part in were a quiz on 17th April, listening to a visiting singer on the 14th April and some visiting Christian singers on 12th April. Staff said they did not always record the group activities that take place and dont record individual activities people do. The manager said one person had suggested holding a lottery bonus ball each week, which was raising money towards entertainment. In the Have you say about Victoria Cottage surveys returned two people said there are always activities arranged in the home they can take part in and two people said there usually are. There was also a comment on one of the surveys returned to the Care Homes for Older People Page 17 of 31 Evidence: home distributed by the manager More activities for residents to participate in. People who were case tracked said I join in a few things, the singer was nice and I get involved in a few things, like the quizzes. Staff said that two of the people case tracked go out with their family, and the third person has visitors in the home, but does not think she has been out of the home since she moved there five months ago. Another person who was not case tracked was seen going out with a member of staff for a walk. When asked why the person who was being case tracked could not be taken out for a walk staff replied that a relative pays for this when the member of staff finishes work. One person who was case tracked said he would like to be able to continue attending the church he has attended for a number of years, and a monthly lunch after one of the services at a local garden centre. The person said, If I could get there that would be really nice. The manager said she was aware of this and would be speaking to the persons relative to see what could be arranged. The manager said if something is important we will go out of our way to accommodate this. Staff were seen offering people choices over everyday matters like Have you finished with your cup and Shall I take your piny off. Staff said nothing is done without the person being asked, and that people are always asked what clothing they would like to wear each day. One person who was case tracked said, I am asked what I want to wear, I like to look right, I like to look smart and another said, I am able to get up and go to bed when I want. Two people who were case tracked had porridge for breakfast in the dining room and the other had cereal and toast in his bedroom. There is a choice of main meal at lunchtime and two people who were case tracked chose a Cornish pasty and one a lamb casserole. All said they enjoyed their meal when asked after lunch. A record is made of all food provided and these records showed that all people who were case tracked had fish cakes for lunch yesterday, and two had chosen roast chicken and one roast beef on Sunday. Care Homes for Older People Page 18 of 31 Evidence: All the people case tracked had their lunch sat at a table with others, although there were some other people who ate in the lounge area and some in their rooms. One person required some assistance, which was provided, and two people ate independently whilst talking with others whilst eating their meal. One person said, Its pilchards on toast tonight. In the Have you say about Victoria Cottage surveys returned three people said they always like the meals in the home and one person said they usually do. It was commented, The meals are excellent with plenty of choice and will always cater for individual preferences. Care Homes for Older People Page 19 of 31 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 feel that if they had cause for concern this would be dealt with seriously and they feel safe in the home. Evidence: There is a complaints procedure for people to use if they have a complaint. There is a file kept in the office to record any complaints in. The manager said there have not been any complaints made in the last 12 months and none were recorded in the file. Staff were aware of the complaints procedure and said that the manager is the first point of call. Two of the people who were case tracked said they knew about the complaints procedure and how to make a complaint. One said Go to the office, I think they would sort anything out and another said, Yes, I know who to make a complaint to. The third person said, Ive not been told yet, they will get round to it. Two of the people said they did not have any complaints and the third said, The only thing I have to complain about is my medication being stopped, and they are being brilliant trying to sort this out for me, they are helping more than the hospital. In the Have you say about Victoria Cottage surveys returned two people said they Care Homes for Older People Page 20 of 31 Evidence: had someone they could speak to informally and they knew how to make a formal complaint and two people did not. There has been one recent safeguarding investigation which has just been concluded. The manager showed the report for this, which included some recommendations. The manager said those that have not yet happened are being worked on. Details of this investigation have been included in this report. The manager said this was the first time the safeguarding adults procedures had been followed and some practices have been reviewed as a result. One person who was case tracked said she had seen a social worker a couple of weeks ago and had been asked if she was alright. The other two people who were case tracked both said they felt perfectly safe within the home. Staff received training in safeguarding adults in January 2009 and said they were aware of the procedures. Care Homes for Older People Page 21 of 31 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Improvements are being made to the standard of accommodation to make it a more homely and suitable place for people to live in. Evidence: There have been some improvements made to the decor and furnishings of the home. Staff said there has been a programme of improvement to a number of areas of the home, with new carpets, curtains and some decorating. In the Have you say about Victoria Cottage surveys returned two people said the home is usually fresh and clean and two said it usually is. It was commented that the atmosphere in the home is homely and friendly and Andrea is gradually improving the interior of the home. A comment was also seen on a survey form provided by the home, completed by a person who was case tracked saying, The redecoration of the lounge has improved the feel of the place. One person who was case tracked said she is able to be taken around the home in her wheelchair. Another person said, I like the home, my room is just right for me. Care Homes for Older People Page 22 of 31 Evidence: A sit in shower has been fitted since our last visit and staff said this has made a big difference on how they can support people when bathing. Areas of the home seen were clean and tidy and staff were seen using different coloured protective clothing when providing personal care and handling food. One case tracked person asked a member of staff if it was bed stripping today and was told that hers would be done on Thursday. All people who were case tracked said they were happy with the cleanliness of the home. Care Homes for Older People Page 23 of 31 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. There are sufficient staff available to meet peoples needs and they are provided with the training they require to do this, however people are not being fully protected by recruitment practices in the home. Evidence: The number of staff on care duty varies throughout the day according to peoples needs and times of the day. There are staff who primarily work in a supportive role, for example admin and domestic who assist with care tasks at busy times. These staff join in care training to enable them to do so. Staff said they felt there are generally enough staff on duty and there are people around who will come and assist if needed, for example at mealtimes. In the Have you say about Victoria Cottage surveys returned two people said there are always staff available when you need them and two people said there usually are. One case tracked person said I wouldnt know how many staff are needed but I dont think I am left waiting. There are four staff who have achieved National Vocational Qualification level 2 in care Care Homes for Older People Page 24 of 31 Evidence: and one person is working towards this. Kitchen staff are working towards a similar qualification in catering. Training was arranged for staff on using a hoist to support one person and further training is planned. One person who was case tracked has diabetes and a course has been arranged for staff on managing diabetes. There is also a fire safety course booked. There is a staff training file where copies of all certificates are kept. There is a training matrix in the front of the file, however this is not easy to follow due to information being on three separate sheets. One person who was case tracked said I dont know about training they have but they seem good at their jobs and another said, Thy have just started using the hoist, I think they are getting it right. A sample of staff files seen showed that people have been through the required pre employment checks but there were some that did not have completed application forms or full details of previous employment. Care Homes for Older People Page 25 of 31 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are suitable management arrangements in the home. Evidence: The manager has worked in the home for fifteen years and has been the registered manager for the last four. The manager has achieved National Vocational Qualification level 4. The manager has distributed questionnaires to people to complete and one of the people case tracked has completed one. The manager said other people will be asked to complete them in due course. People were heard discussing a residents meeting that was arranged for later today and all the people who were case tracked said they would be attending this. Care Homes for Older People Page 26 of 31 Evidence: People who were case tracked either are able to look after their own finances or this is done by relatives. The manager said that all the required health and safety checks are carried out at the required frequency and there are service contracts in place for servicing all the equipment. Care Homes for Older People Page 27 of 31 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 9 13 (2) Medication must be stored in 01/08/2008 an approved cabinet that meets current safety guidance. Care Homes for Older People Page 28 of 31 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 7 15 Ensure that staff refer to 01/06/2009 care plans which must clearly describe how peoples needs are to be met and kept updated when there is a change. This will ensure staff know how to meet peoples needs. 2 12 16 Ensure there are sufficient opportunities for people to participate in group and individual activities of their choosing, including visit out of the home. This will ensure people spend their time doing things they enjoy 01/07/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 29 of 31 1 2 3 3 7 10 All assessments should be kept where they are available to staff to refer to at all times. Use clearly copied documentation within care plans. Appoint Dignity Champion within the home Care Homes for Older People Page 30 of 31 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 31 of 31 - 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. 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