Inspection on 15/10/08 for White Gables Care Home

This inspection was carried out on 15th October 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

White Gables Care Home 09/05/07

White Gables Care Home 12/06/06

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 06/12/2008.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: White Gables Care Home Lincoln Road Skellingthorpe Lincoln LN6 5SA     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: Dawn Podmore     Date: 1 5 1 0 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 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) 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 28 Information about the care home Name of care home: Address: White Gables Care Home Lincoln Road Skellingthorpe Lincoln LN6 5SA 01522693790 01522689725 whitegables@schealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Apta Healthcare (UK) Ltd care home 53 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The category old age (not falling within any other category) applies to 5 named individuals as stated in the Notice of Proposal to Register dated 10 December 2004. The maximum number of service users to be accommodated is 53. The home is registered to provide personal care with nursing for service users of both sexes whose primary needs fall within the following categories: Dementia - over 65 years of age (DE(E)) -53 Old age, not falling within any other category (OP) - 5 Date of last inspection Brief description of the care home White Gables Care Home is situated at the edge of the village of Skellingthorpe, on the outskirts of Lincoln and is set in a rural location overlooking fields. It accommodates up to 53 older people who are mentally frail in a purpose built single storey building, comprising three units. Cedar Unit accommodates up to 22 people needing personal care and Castle and Cathedral units provide nursing care for up to 31 people. Forty nine of the bedrooms are single and twenty five bedrooms have an en-suite toilet. The home is on a level site and provides parking for several cars. To the front of the property there is a large lawned area and to the back is a patio and courtyard. Care Homes for Older People Page 4 of 28 Over 65 53 5 0 0 Brief description of the care home Information about the fee rates and how the home intends to operate, such as the Statement of Purpose, and a copy of the last inspection report is available from the office. The last Key inspection took place on May 9th 2008 and an Annual Service Review was undertaken on April 29th 2008. 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: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This key inspection was unannounced and took any previous information held by C.S.C.I about the home into account. Throughout this report the terms we and us refers to the Commission for Social Care Inspection (CSCI). Before the the visit the provider had returned an Annual Quality Assurance Assessment (AQAA). This gave us information about their own assessment of how well they are meeting standards and their plans for improvement over the next twelve months. We also sent out surveys to residents and staff, 12 of which were returned in time to be included in the report. The main method of inspection used was called case tracking. This involved selecting a Care Homes for Older People Page 6 of 28 proportion of residents and tracking the care they received through the checking of records, discussions with them and the staff who care for them, and observation of care practices. A partial tour of the home was also conducted, which included looking at some bedrooms, communal areas and bathing and toilet facilities. Documentation was sampled and the care records of the four people being tracked were examined. We spoke with five residents and a visitor, as well as five members of staff. They shared their views about how the home operated on a day to day basis and the care and facilities provided. The manager was available during the visit and the general outcomes of the visit were discussed with her. An hour was also spent observing a small group of residents in one of the lounges. All observations were followed up by discussions with staff and examination of records, As observation was used during the inspection residents were only spoken to informally as part of the tour of the home and at lunchtime. On the day of the visit 46 people were living at the home. The manager confirmed that the weekly fee rates ranged from three hundred and ninety eight pounds to six hundred and fifty four pounds, depending on peoples assessed needs. Additional charges are made for services such as chiropody and hairdressing. What the care home does well: What has improved since the last inspection? What they could do better: The proprietor or their Representative must visit the home at least monthly and provide a report of their findings so that they can evaluate how the home is operating and make plans to address any areas that need attention. Other areas that would benefit from some attention included the following. Care plans should be developed further so that they include more information about peoples likes and dislikes and how they prefer their care to be delivered. This will help to make sure that staff have a better awareness of how to support people in a more individual, person centred way. Monthly reviews of residents planned care should be more meaningful so that they fully evaluate if the planning is working. Care plans should contain information about recent legislation that is designed to protect peoples rights and choices. This is so the home can show that they have looked at the effects the legislation has on the residents lives and planned their care accordingly. Staff should receive appropriate training in this subject so that they know their role in supporting people. Although the activities programme provides very good stimulation for some residents it should incorporate more appropriate stimulation for people who do not wish to, or are unable to, take part in organised group activities. This then needs to be included in their care plans and evaluated to make sure that peoples needs and preferences are being met. Care Homes for Older People Page 8 of 28 The manager should assess and monitor the information collected about peoples dependency levels and behaviour, as well as the layout of the home, to make sure that there are enough staff on duty each shift to meet the needs of people currently living at the home. The outcome of surveys used to gain peoples views should be summarised and made available to people living at 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 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 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 10 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 admissions procedure includes a pre-admission assessment, which helps to make sure that the home can meet the needs of the people who come to live at the home. Evidence: A review of all information available prior to the visit to the home, and the content of peoples care records, showed that the home does not admit residents without an assessment of their needs being completed. This was also confirmed by relatives and staff spoken with. Three people who returned surveys said that they had not been issued with a contract. This was discussed with the administrator who confirmed that all privately funded people had signed a contract. She said that some residents who had lived at the home for some time and were funded by social services had not been given the terms and conditions of residency, but that this was currently being addressed. Care Homes for Older People Page 11 of 28 Evidence: Although the home has not admitted people in the past for intermediate care, the manager told us that the home had been recently assessed by social services to provide this service. Care Homes for Older People Page 12 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. Peoples needs are being met by staff who understand their needs and deliver care in a respectful manner. However not all care plans contain enough information to make sure that individual needs and preferences are always fully met. There are systems in place to make sure that medications are administered safely. Evidence: We looked at the care records of 4 people living at the home choosing people with different needs. They contained detailed information about people care needs and the level of support they required. However some lacked detail about how people preferred their care to be delivered and their likes and dislikes. For example one plan said that the resident needed assistance with all their hygiene needs, but did not tell staff about their dental care or how they wanted their hair cared for. Although files contained care plans which discussed peoples wishes regarding death and dying some did not say what their religion was. A daily record of how people were progressing had been maintained and care plans Care Homes for Older People Page 13 of 28 Evidence: had been evaluated regularly. However some entries were not detailed enough so did not provide a comprehensive evaluation of the effectiveness of the planned care. Assessment for potential risk areas, such as manual handling and falls, had been carried out and the information used to formulate care plans to minimise any identified risks. The home has not yet included the content of the Mental Capacity Act into the care planning process. This is new legislation that is aimed at protecting peoples rights and choices. Record and peoples comments indicated that residents had access to outside health professionals such as doctors and the tissue viability nurse. Peoples health care was being monitored and equipment, such as specialist beds and pressure relieving mattresses were in use. A relative told us, appropriate medical help is always sought when needed and I am informed. Staff were knowledgeable about the people they supported and how they preferred their care delivering. During the observation period they supported people in a cheerful manner and were responsive to their needs and preferences, as well as respecting their privacy and dignity. The residents and visitor we spoke to, as well as those who returned surveys to us, said that they were happy with the level of care and support provided. They told us, she can be a bit forgetful so staff help her to wash and dress and my parents are always treated with dignity and respect. The providers AQAA demonstrated that the home has satisfactory policies and procedures concerning the receipt, storage, administration and disposal of medications. Records and a discussion with the nurse on duty showed that medications were being handled safely. Training had been provided to appropriate staff regarding the safe handling of medications with more planned. Care Homes for Older People Page 14 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a varied activities programme that meets the needs of the more active people who live at the home. Residents are enabled to maintain and develop links in the local community and relationships of their choice. They receive a nutritious and varied diet that meets their individual preferences and health requirements. Evidence: People have access to a varied activities programme which was displayed on the notice board in the reception area. This includes, art, gardening, knitting, baking and movement to music sessions. Outings into the community were also available included visits to local places of interest such as Doddington Hall, the community centre luncheon club, and church coffee mornings. On the day of the visit an art session was taking place and residents were making masks for the Halloween party they were to attend. The files we looked at contained a social care plan, but the information provided did not clearly tell staff how they could support and stimulate people. From speaking to the activities coordinator, and listening to peoples comments, it was evident that she knew about the types of things people liked to do. She had a separate activities file Care Homes for Older People Page 15 of 28 Evidence: which contained information about who had taken part in organised activities and various entertainment that had taken place. Although the social stimulation provided offered a variety of activities for the more active residents, records did not evidence that less active people were receiving regular planned stimulation. People we spoke with and those who returned surveys told us, we have nothing but praise for the activities that are on offer, Ruby should be given a medal for all the hard work she put in, I have met many pleasant people here and through joining the lunch club in the village and excellent activities coordinator who has done much to revamp the garden and include outings and visits. A visitor confirmed that he could visit at anytime and said that staff always made him feel at home by offering a cup of tea and chatting to him. The atmosphere in the dining room on the residential unit was calm and relaxed with staff serving the the lunch in an unhurried manner. Alternatives to the main menu and special diets, such as low sugar, were also available. One person told us that they had really enjoyed their cheese salad and another commented about the meal in general saying, it was really good. Earlier in the day a resident in the nursing unit said, sometimes its good, (the food) and sometimes its not, I just tell them and I get something else. People who returned surveys said, I think the meals in general have improved and mum is a fussy eater, but she has put weight on. The Environmental Health Officer visited the home in March 2008 and awarded a 3 star rating, the highest rating available being 5 star. Care Homes for Older People Page 16 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are protected by clear policies and procedures for handling complaints and allegations of abuse. Staff have received training in these subjects to help them protect the people they care for. Evidence: The home has a complaints procedure. It is displayed in the home and included in the Service Users Guide, which is available in residents rooms. The complaints file showed that 16 areas of concern had been raised over the last year, nine of which had been upheld. Most people said that they knew how to make a complaint and would be comfortable highlighting any issues. Two people who returned survey forms said that they did not know how to make a complaint, but had nothing they wished to raise. Residents and relatives spoken with said that they had no complaints. One person said, Ive never had to (raise a concern) and relative told us, I am aware of how to make a complaint, but I have never had to complain about anything. The home has procedures concerning the protection of vulnerable adults. Incidents had been reported to social services appropriately and recorded and addressed correctly. Staff demonstrated a satisfactory knowledge of what to do if they suspected abuse could be occurring. They had received training in this subject during their induction or as part of the ongoing training programme. Care Homes for Older People Page 17 of 28 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a well maintained, clean, comfortable and homely environment, which offers a good standard of decor and furnishing. Evidence: We took a partial tour of the home which included looking at the bedrooms of the people being case tracked and some communal areas. Most bedrooms had been personalised by the resident or their relatives with photographs, mementos and small items of furniture. The home was decorated and furnished in a homely manner with small sitting rooms and dining areas in each of the three units. One room had a slightly unpleasant odour, but staff said that this was being addressed. Bathrooms had a homely atmosphere with pictures on the walls and flower arrangements on window sills. Specialist baths and various aids were also available to help to keep people safe. People told us that they were happy with their rooms and the general facilities. One person told us, an outstanding housekeeping team are always friendly towards family and residents. Four people who returned surveys said that the home was always fresh and clean, with two others saying that it usually was. Care Homes for Older People Page 19 of 28 Evidence: The gardens were well maintained and included a courtyard with seating and raised flowerbeds. Ramps had been provided to enable easy access to all areas. The activities coordinator said that the local church youth group had helped to improve the gardens and a greenhouse was available for residents to grow their own produce. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are safeguarded by the homes recruitment procedure, which helps to make sure that staff are suitable to work with vulnerable people. Residents receive care from staff who are knowledgeable about their needs and have received satisfactory training and support. Evidence: Residents and relatives who returned surveys and spoke to us said that there was always or usually enough staff on duty to meet the needs of the people living at the home. One relative told us, there are staff in evidence at all times and they are always willing to help however busy they are. Staff told us that there was usually sufficient staff on duty but said that extra staff would be beneficial at times. One said, at times the staffing situation can let the service down. Another person said that they felt that staffing levels were based on numbers rather than dependency levels and although this was alright if it was quiet if one resident needed one to one support the levels were not enough. When asked how the home could improve four out of the five staff who returned surveys to us said staffing arrangements could be better. These issues were discussed with the manager during the visit. Care Homes for Older People Page 21 of 28 Evidence: Observation showed that staff supported people in a calm and relaxed manner. They were sat talking to people and never appeared too busy to see to their needs.They were visible in communal areas and responded well to peoples needs and requests. Recruitment of new staff was being carried out correctly with essential checks, such as written references and C.R.B. (Criminal Records Bureau) checks being undertaken. Records and staff comments showed that new staff received a structured induction which included working with an experienced mentor. Essential training such as manual handling and fire awareness was also provided as soon as possible. The company have a varied training programme which includes essential subjects such as, infection control, safe handling of medications, protection of vulnerable adults and basic food hygiene. More specialist areas such as dementia awareness and challenging behaviour are also made available to all staff. Staff said that they felt generally well trained and supported and they demonstrated a good knowledge of the people they were caring for. However one said that they would like more training and another told us additional support would be beneficial. When asked what the service did well one person commented, they provide good support for service users and for staff, great support with training. No training had been provided, or was planned, concerning new legislation, such as the Mental Capacity Act, which is aimed at protecting people rights and choices. The company encourage staff to complete and N.V.Q (National Vocational Qualification) in care. Information provided in the AQAA showed that out of 34 care staff 5 have attained an NVQ and 17 others are currently doing the award. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Satisfactory leadership and guidance is provided to staff to ensure that care is delivered in a consistent manner. The home is managed in the best interest of the residents. There are systems in place to make sure that the health, safety and welfare needs of the residents are met. Evidence: The home does not currently have a Registered Manager, but the acting manager said that she had started the process to become registered with us. Comments from residents and relatives indicated that they felt that the home was being well run. They told us, we are very satisfied with the care, love and support mum has always received at White Gables, the manager has always been helpful and a good listener, my mum always seems to be content and happy, I want to thank every member of staff for doing the fantastic job they do and White Gables are providing a happy, secure and considerate environment, for which I am extremely grateful. Care Homes for Older People Page 23 of 28 Evidence: In the main, staff said that they found the manager approachable and supportive. Apart from the areas highlighted in the last section of this report they did not raise any other concerns. One person commented, I am perfectly happy with the service and what is provided. The home has a quality assurance system so that they can gain the views of the people who use the service. The acting manager said that this included surveys, meetings and care reviews. Minutes of meetings were available in the reception area for the last meetings. Surveys had been sent out in April 2008 but the information had not been summarised so that the outcome could be shared with people. The financial records for the personal allowances of the people being case tracked were examined and found to be accurately documented, including receipts. The owner or their representative has to visit the home at least monthly to assess how the home is operating and any issues that may need addressing. They then need to produce a report of their findings and what people told them. Although some reports had been completed they were not consistent, the last one on file being June 2008. The home has health and safety polices and procedures available to guide and instruct staff. There is also a programme in place to service and maintain equipment in the home on a regular basis. Information provided in the AQAA demonstrated that regular checks on equipment such as hoists and fire equipment was taking place. 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 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 37 26 Monthly visits must be made 21/11/2008 by the proprietor or their Representative and a report completed regarding their findings and any areas that need addressing. As this will provide an ongoing evaluation of how the home is operating and any areas that need addressing. 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 7 It is strongly recommended that care plans contain more information about how people prefer their care to be delivered and their likes and dislikes. This will provide a more person centred plan that helps staff to provide the right level of care and support Care plans should include reference to the Mental Capacity Act and the effect it has upon residents lives. The activities programme should be revised to incorporate more stimulation for people who do not wish to, or are unable to, take part in organised group activities. Any Page 26 of 28 2 3 7 12 Care Homes for Older People stimulation provided should then be recorded and evaluated. 4 27 Information about residents dependency levels and the layout of the home should be used to assess the number of staff needed on each shift. This will help to demonstrate that adequate staffing levels are being maintained. Staff should receive appropriate training regarding new legislation such as the Mental Capacity Act so that they understand their role in protecting peoples rights. 5 30 Care Homes for Older People Page 27 of 28 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 © (2008) 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 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. 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