Care Home: 15 Woodville Road

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What the care home does well People are supported to have access to a range of Health and social care professionals and this ensures that health care needs are met. Systems are in place to ensure that peoples health and safety is promoted. People receive good support to maintain their personal care needs so their dignity is maintained. People have been supported to personalise their own bedrooms. People are supported to maintain relationships that are important to them. People told us " I ring my family when I want to" "I like the food" "I can have a drink when I want one" What has improved since the last inspection? Care plans are detailed and kept under review so staff know how to meet peoples needs. A new sofa and flat screen television have recently been provided in the lounge for people to enjoy. What the care home could do better: Some internal areas of the Home would benefit from redecoration so the home is a pleasant environment for people to live in. There should be a clear link between the systems in place for assessing and reviewing people`s care so it is clear that their needs are met. Some staff training updates were required so staff continue to have the skills and knowledge to support people safely. Regular staff meetings should take place as these provide an opportunity to promote good practice and ensure the smooth running of the Home. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Woodville Road, 15 Woodville Road, 15 Harborne Birmingham West Midlands B17 9AS     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: Donna Ahern     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. 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 Adults (18-65 years) 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 Adults (18-65 years) Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: Woodville Road, 15 Woodville Road, 15 Harborne Birmingham West Midlands B17 9AS 01214282455 01214284660 clarewoodville@dsl.pipex.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) : New Outlook Housing care home 5 Number of places (if applicable): Under 65 Over 65 0 0 learning disability sensory impairment Additional conditions: Residents must be aged under 65 years Date of last inspection Brief description of the care home 5 5 Woodville Road is a large traditional house. There is accommodation for five younger adults with a visual impairment and associated learning disability. The home is staffed 24 hours a day including waking night and a sleeping in member of staff. People would be admitted to the home following a full assessment that would determine the level of support they require. People are encouraged and supported to maintain links with their families and the local community. The home has a ramped access and has recently had a shaft lift installed to enable easy access to the first floor. All bedrooms are of single occupancy. One bedroom is on the ground floor and four are on the first floor. There is a floor level shower and a toilet located on the ground floor and a bathroom with an assisted bath and toilet on the first floor. There is a lounge/diner, large kitchen, small laundry, office space and staff facilities also located on the ground floor. The home is in Harborne, a residential area of Birmingham. It is in walking distance of shops, pubs, Care Homes for Adults (18-65 years) Page 4 of 29 Brief description of the care home parks, places of worship and public transport. Copies of our most recent inspection reports are available for people to read if they choose to. Current fee levels start from Nine hundred and eighty pounds per week and are dependent on the level of care required by an individual. Care Homes for Adults (18-65 years) 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 Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The focus of our inspections is upon outcomes for people who live in the home and their views of the service provided. This process considers the care homes capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provision that need further development. One inspector carried out this inspection over one day; the home did not know we were going to visit. Five people were living at the home. All people have a learning disability. We case tracked three peoples care this involves establishing individuals experience of living in the care home by meeting or observing them, discussing their care with staff, looking at care files, and focusing on outcomes. Tracking peoples care helps us understand the experiences of people who use the service. Care Homes for Adults (18-65 years) Page 6 of 29 Some of the people who live at the home were not able to tell us their views because of their communication needs. Time was spent observing care practices, interaction and support from staff. Three staff on duty were spoken to. We looked around some parts of the Home to make sure it was warm, clean and comfortable. We looked at a sample of care, staff and health and safety records. We were sent an Annual Quality Assurance Assessment (AQAA) by the home. This tells us about what the home think they are doing well and where they need to improve. It also gives us some numerical information about staff and people living at the home. We also looked at notifications received from the home. These are reports about things that have happened in the home that the Home must tell us about. What the care home does well: What has improved since the last inspection? 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 Adults (18-65 years) Page 8 of 29 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. 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 the person 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. Prospective residents and their relatives would have the information that they would need to know so they could make an informed choice about whether they wanted to live at the home. Evidence: We saw the certificate of registration on display in the office and it reflects the current registration of the Home. There have been no new people recently admitted to the home. All of the people have lived there several years. We saw a detailed admission process that would be implemented in the event of a vacancy occurring. This includes pre admission assessments and the opportunity for visits to the home so that people would have the opportunity to meet staff and the other people who live there. Care Homes for Adults (18-65 years) Page 10 of 29 Evidence: The service user guide and statement of purpose were in the process of being updated and were not available for us to look at. The statement of purpose should include details of fee levels and any additional charges so people know what the fees include. Care Homes for Adults (18-65 years) Page 11 of 29 Individual needs and choices 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 needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. 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. Staff have the information they need and a good understanding of how to offer care and support to each person, which should ensure peoples needs are met in a way they prefer. Evidence: We looked at three care plans. Care plans explain what each person needs are and the care and support they require to make sure these needs are met. We found that the files looked at gave detailed information about how staff should support the person in order to meet their individual needs in relation to personal care, communication health care and social activities. The plans also gave information about peoples likes and dislikes. A review is held annually for each person and their relatives or friends, their key worker and the owner and manager attend as well. This enables the Home to keep peoples needs under review. Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: We spoke to three members of staff who support each of the people and we also observed people being supported by staff. The staff demonstrated knowledge of peoples individual needs which was consistent with the information on peoples file. This indicates that staff know how to provide care and support to people so their needs are understood. We saw some good information recorded about how people should be supported to access their own care plan and how staff should explain to people what and why information is recorded. We saw risk assessments for manual handling, nighttime routines, use of lift, and use of stairs, becoming locked in bedroom. These were detailed and should ensure that people can take responsible risks according to their individual needs. Although the homes care planning and recording systems are detailed the link between peoples care plans, annual reviews and risk management plans are not always clear. Case files would also benefit from some culling so it is easier to physically access the most up to date information. Some of the people who live there due to their communication needs were not able to tell us about how they are supported to make choices and decisions about their lifestyles. We saw people receiving good support from staff and people were encouraged to communicate their needs by using what limited verbal communication they have. People were seen making different choices about how they spent their time. Some of the people chose to spend time in their own rooms listening to music and some people relaxed in the lounge. The AQAA informed us that comprehensive plans are in place and people are encouraged to make decisions about their own lives. Where needed advocacy is provided within the organisation or externally. Care Homes for Adults (18-65 years) Page 13 of 29 Lifestyle 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 can take part in activities that are appropriate to their age and culture and 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 and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. 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 in the Home experience a meaningful lifestyle that promotes their independence and is reflective of their individual needs. Evidence: We looked at care plans and daily records to establish that people are leading meaningful lifestyles and taking part in activities that they enjoy. We also spoke to three staff members and observed care and support on the day. Care plans details what people like to do and people have an activity plan in place that details how they will access the local community. Most people attend day centres one or two days per week. On the days that people dont go to structured day care people are supported to do home based activities or to go to places of interest or out shopping. Some activities are brought into the home including aromatherapy and Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: music mobility. One of the people goes out every morning to get the newspaper and they had done this on the day of the visit. One of the people had been shopping in Birmingham City Centre with a staff member. Some of the people require significant support to participate in activities. We looked at some of the activity plans and saw for some people the same activity to go out was planned each weekend but crossed through and recorded as not acheived. The reasons for this were unclear. People told us that they enjoyed a Christmas meal out recently, and one of the people said they like going to the pub for a drink with their friend. People moved freely around their home accessing their own bedroom or spending time in the lounge. People told us I see my family every week I ring my family when I want to I visit my family and go for a meal Care records seen evidenced good contact with families and indicated that people have regularly contact with family and friends. One of the relatives telephoned the Home during the visit inquiring after their relative who was unwell. The staff member was polite, friendly, unrushed and informative. People rights to privacy was detailed in their care plans and gave details about entering peoples rooms, whether they wanted a key for their bedrooms. We saw that one of the people had requested that there room is locked when they are out but left open at other times. There were no planned menus. Meals are prepared based on peoples likes and dislikes. We saw a range of tinned, frozen and ample supplies of fresh food. People said that they are asked about the food they like. Records of food served is recorded daily and indicated that a range of culturally appropriate food is available. People told us I like the food I can have a drink when I want I go shopping sometimes for food we pick the things we like Its fish and chips and beans today and sandwiches for tea The AQAA informed us that people are encouraged to make their presence known in the community they take part in shopping trips, access local cinemas, libraries and leisure centres. People are encouraged to maintain links with their family and friends; they can have visitors to their home whenever they wish. Care Homes for Adults (18-65 years) Page 15 of 29 Care Homes for Adults (18-65 years) Page 16 of 29 Personal and healthcare support 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 receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people 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. If people are approaching the end of their life, the care home will respect their choices and help them to 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. There are effective systems in place to meet peoples personal and health care needs. Evidence: Care plans that we looked at had good detail about how to meet peoples personal care needs. We saw that people were dressed in age appropriate clothing and people were very well groomed, this indicates that people are supported to maintain a good selfimage. We met all of the people who live in the home and saw that staff were prompt to offer personal care or support as needed throughout the day. Care plans looked at had good detail about peoples health care needs. Entries in their health records show that they are being provided with access to healthcare professionals to meet their assessed needs including routine check ups and treatment. After a medical appointment detailed notes are written up providing clear information about the appointment and any follow up required. We spoke to staff about people health care and they demonstrated a commitment to ensure that people get the Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: treatment they require. Medication is stored in a separate locked medication cabinet in the office. The cupboard was found to be clean, tidy and well ordered. The medication administration Records (MARS) looked at was signed indicating medication had been given as required. Copies of prescriptions are retained so that staff can check the right medication has been received from the chemist. Staff said they had completed accredited medication training and this was confirmed by looking at the training matrix provided by the manager after the visit. The manager told us that staff are also assessed internally so that people receive their medication in a way that meets their needs. The AQAA informed us that the manager has sent letters and questionnaires to health care professionals involved with supporting people living in the home to seek their views on the running of the home. The manager also plans to review and update policy and procedures. Care Homes for Adults (18-65 years) Page 18 of 29 Concerns, 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. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. 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 effective systems in place to listen to and respond to complaints about the service. Evidence: All of the people living there had a copy of the complaints procedure it is available in an easy read format and is also available in a variety of formats including Braille and Audiotape. We had received no complaints about this Home and no complaints have been made directly to the service. People told us I can talk to staff if I am not happy about anything. However some people living in the Home would require significant support to raise their concerns about something due to their communication needs. We spoke to staff who said they would recognise when people are not happy about something. Staff told us they monitor peoples behaviour and changes in behaviour for possible signs that they are unhappy about something. Staff we spoke to demonstrated a general understanding of their duty to safeguard people and how to report concerns on to senior managers. We spoke to staff and looked at the training matrix to determine that training in safeguarding vulnerable adults had been provided. Safeguarding procedures and a whistle blowing policy was available for staff to refer to. Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: We saw detailed risk assessments for the management of peoples personal finances which should ensure their finances are safeguarded. The AQAA informed us that the Homes has a clear and effective complaints procedure and people have been made aware of it and know how to use it. It also stated that it can be difficult to ensure individuals with profound Learning disabilities have an understanding of their rights and how to register concerns. Care Homes for Adults (18-65 years) Page 20 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, comfortable, 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. People have enough privacy when using toilets and bathrooms. 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 clean and safe home that meets their assessed needs. Evidence: Woodville Road is located near to Harborne shopping centre with public transport routes close by. The home was extended a few years ago and has a lift installed which provides access to the first floor for people with mobility difficulties. There is a combined lounge dining room and a large well-equipped kitchen. There are plans to put a conservatory off the lounge, which will provide additional communal space for people to enjoy. To the rear of the Home there is a large well-maintained garden. We looked at the shared areas of the Home and the bedrooms of the people whose care we had case tracked. All areas of the home were clean and hygienic indicating good cleaning routines. However many of the areas of the home are in need of painting and decorating as they are looking worn. The deputy manager informed us that there are plans to do this after the conservatory has been built. The lounge was welcoming and homely providing a range of seating for people. People told us that they helped pick the new sofas. A new flat screen television has also recently been purchased. Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: The kitchen was clean and well equipped with adequate space to store fresh, frozen dried and tinned food. There is a separate laundry room, which was clean and organised. The bedrooms we looked at were individual. People had been supported to personalise their rooms with pictures, photographs, and ornaments, music centres and personal belongings. People freely accessed their own rooms during the visit. Some of the bedrooms are in need of decoration so they are fresh and welcoming for people living there. The AQAA informed us that the Home has disabled access to the front and rear and they comply with all relevant guidance on health and safety and fire. Care Homes for Adults (18-65 years) Page 22 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, qualified 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. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. 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. Recruitment practice is robust and protects the people who live there. People are supported by a staff team who understand their needs. Evidence: We watched the way that people interacted with staff on duty, People seemed comfortable and relaxed when staff supported them which indicated that good relationships exist between people living there and the staff. We looked at the staffing rota for the week of the visit and the previous week. These showed that there is two staff on duty to care for the people living there during the day. We spoke to three staff during this visit who demonstrated that they had a good understanding of peoples individual needs. We spoke to staff about the training they had received and they said that they had completed training in mandatory areas including safeguarding, medication, health and safety, first aid and fire but were due some updates. We could not get access to staff training records on the second day of our visit as no senior staff were on duty to Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: provide access. However in a telephone discussion with the manager after the visit she informed us that a training audit was recently carried out and updates are due to be scheduled on medication and food hygiene. This should ensure that staff continue to have the up to date knowledge and skills required to meet peoples individual needs. . We looked at staff recruitment records for the two most recently employed people (one is a volunteer worker). Criminal Records Bureau checks (CRB) had been made and written references received before the employee began work so that people were protected from the risk of having unsuitable staff work in the Home with them. We looked at the minutes of staffing meetings, which were available for two meetings in the last ten months indicating that infrequent meetings take place. The minutes were not very informative. Regular staff meetings should take place, as these provide an opportunity for staff to discuss good practice and development issues, which are important for the smooth running of the Home. The AQAA informed us that all mandatory training is provided and all staff are required to undertake training such as LDAF and medication training. Care Homes for Adults (18-65 years) Page 24 of 29 Conduct and management of the 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 have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because 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. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. 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 health, safety and well being of people is promoted and protected. Evidence: The manager has been in post for a year and is also the registered manager for another care home with the same provider located a few miles away. She has a number of years experience of working with people who have a learning disability. Previous requirements from the last inspection have been met which indicates a commitment to providing a well run Home. The deputy manager assisted on the first day of the visit and provided us with the information we needed. There are quality assurance systems in place including an auditing system. We looked at a recent auditing report which was detailed and monitored care, staffing, and management. Internal auditing focuses on accidents, complaints, risk assessments, Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: medication and staff training. The quality assurance system in place should ensure that the provider has good oversight of how the home is run. We looked at some health and safety records including Fire records, gas appliances safety certificates and water temperatures checks. All are checked and serviced regularly so that peoples health and safety is being promoted. Staff spoken with and records looked at confirmed that staff have completed training on health and safety, fire, first aid, manual handling and basic food hygiene so a safe environment is provided for people. The AQAA informed us there is a development plan for the Home in place this is reviewed regularly to ensure they meet the aims. There is a functioning quality assurance programme that uses senior staff from other Homes who consult with staff, and people living in the Home to gain a complete picture of how the Home is functioning. Care Homes for Adults (18-65 years) Page 26 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 Adults (18-65 years) Page 27 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 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 2 1 6 The statement of purpose should contain details of fee levels so people know what the fees include. There should be a clear link between written information for assessing and reviewing peoples needs so it is clear that needs are being met. Consideration should be given to reorganising peoples case files so that the most up to date information is easier to access. Consideration should be given to how activities are planned and monitored to ensure people are not missing out on opportunities. Consideration should be given to painting and decorating some of the internal rooms so that the Home is comfortable for people to live in. Staff training updates should be provided to ensure staff continue to have the required knowledge and skills to support people. Regular staff meetings should take place so staff have the opportunity to discuss good practice issues. 3 6 4 13 5 24 6 35 7 36 Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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