Care Home: Abbeydale

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What the care home does well The home provides a service to people who have enduring mental health needs and whose behaviour can be very challenging. As a result people may have spent large parts of their lives in institutions. The service offers a stable and supportive home to people and there was lots of evidence that as they settle in the home people are becoming more confident and making more positive life choices. What has improved since the last inspection? There has steady improvement in the way the home operates over the last two years. People using the service are now more involved in their needs assessments, care plans and risk assessments. Improvements have been made in the way medication is managed in the home. The staffing rota is more geared to the needs of the residents and in supporting them to undertake meaningful activities in the home and in the community. Involving people who use the service, monitoring records and quality assurance have all been improved since the first key inspection in 2008. What the care home could do better: The management team continue to look for ways to make the building more homely and less institutional, although there are still improvements to be made in this area, particularly in the corridors. A number of recommendations are made in the light of the Mental Capacity Act 2005. These include providing training for staff and updating assessments, policies and procedures. Key inspection report Care homes for adults (18-65 years) Name: Address: Abbeydale 98 Bisterne Avenue Walthamstow London E17 3QS     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Caroline Mitchell     Date: 1 6 0 6 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 28 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: Abbeydale 98 Bisterne Avenue Walthamstow London E17 3QS 02085094100 02085094101 pchibagu@schealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Active Care Partnerships Limited care home 12 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 past or present alcohol dependence past or present drug dependence mental disorder, excluding learning disability or dementia Additional conditions: The maximum number of service users who can be accommodated is: 12 The Registered Person may provide the following category of service only: Care home with Nursing - Code N to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Mental Disorder, excluding learning disability or dementia - Code MD Past or present drug dependence - Code D Past or present alcohol dependence - Code A Date of last inspection Brief description of the care home Abbeydale Care Centre is part of Abbeydale Independent Hospital. There are four units within the hospital and Abbeydale is the only one to be registered with the Commission as a care home. The home is registered to accommodate twelve people with past or present mental disorder, drug and alcohol dependence. The home is situated in a purpose built building and is near to Walthamstow town centre with all of the amenities Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 0 0 12 12 12 2 3 1 0 2 0 0 8 Brief description of the care home that this offers. There are bus routes near to the home. The fees range from £960 to £1,010 per week and people using the service pay for their own toiletries, outings and holidays, and clothing. Following Inspecting for Better Lives the provider must make information available about the service, including inspection reports, to the people who use the service and other stakeholders. Care Homes for Adults (18-65 years) 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 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: This inspection was unannounced so the staff in the home didnt know that we were coming. The inspection took a day and a half days to complete. We met the previous manager, who has now taken over the management of the hospital as a whole, the acting manager and several of the nurses and care staff. Everyone was helpful throughout the inspection. There were five men living in the home at the time of the inspection and we spoke to two at some length and met the others briefly. They told us that they were happy living in the home. We stayed for lunch and took the opportunity to chat with one resident and two staff members. We looked at written records for two of the people living in the home. This included their assessments, care plans and the regular reviews of these, risk assessments, daily records, minutes of 1-1 meetings, review meetings and Care Programme Approach (CPA) meetings. We looked at the personnel records for one staff member. These included their application, recruitment and pre-employment checks, training record and induction records. We looked at the complaints records and all of the written records about a complaint that the home had Care Homes for Adults (18-65 years) Page 6 of 28 received, and which had recently been dealt with through the safeguarding procedure of the local authority. We checked the arrangements that are in place to maintain health and safety in the home and checked the staff rotas. Care Homes for Adults (18-65 years) Page 7 of 28 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 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 28 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 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, 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. 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. The admission assessment would be improved by including information about the persons mental capacity in the light of the Mental Capacity Act 2005. Evidence: We looked at the assessment information for two people, who had move into the home since the last inspection. Before they moved in the home had received lots of pre-admission assessment information about them, and other information provided by people like psychologists and psychiatrists. Assessments had been undertaken by staff in the home with each person, and these included some self- assessment by the person themselves. Information gained from the assessments had been fed into the support plans that had been devised. Prior to admission to the home a prospective resident usually complete a pre-assessment pack, which includes their selfassessment. Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: In light of the changes brought about by the Mental Capacity Act a recommendation is made about amending the admission assessment to include information about the persons mental capacity, particularly in relation to the Deprivation of Liberty Safeguards Care Homes for Adults (18-65 years) Page 11 of 28 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. 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. Again there is room to improve some policies and procedures in the light of the Mental Capacity Act 2005 and it would be timely to provide staff training in this area. Evidence: We looked at the written records for two people living in the home and they each have care plans in place. The plans reflect each persons needs and they are being monitored and reviewed thoroughly, on a regular basis. The assessment and care planning that we saw for each person is of a good standard. The emphasis is on the person being involved in creating their care plan from their own assessment of their wellbeing and saying what their hopes and dreams are, so the plan is based on both their choices and aspirations and the assessments by professionals. Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: Each person had a range of risk assessments that outlined the particular risks that are relevant to the their assessed abilities, mental health issues and lifestyles. The people we spoke to told us that they had been involved in their assessments, care planning and risk assessments and that staff were very supportive. One person said that the staff were very good at listening to what he had to say. Care Homes for Adults (18-65 years) Page 13 of 28 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. Each person is treated as an individual and the home is responsive to peoples 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 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 relationships. The management team need to look at the arrangements about meals, to help people to be as independent as they can be. 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. Evidence: A lot of emphasis is placed on improving peoples lifestyles. There is a room in the home that is set up as a well-equipped gym. There was lots of evidence that people Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: are encouraged to use the gym and to eat regularly. Most meals are prepared in the large kitchen, which caters for the hospital as a whole. In peoples plans we saw cooking their own meals was part of some peoples aims for a more independent lifestyle. There is a kitchenette in of the main lounge and this is where the people who live in the home make their own meals. We stayed for lunch and sat and talked with one of the people who lives in the home and one staff member. One person who lives in the home cooks his own meals regularly, and he told us that he very much enjoys making his own meals. The fact that people are able to get their meals from the main kitchen is an advantage because they have access to very good quality, nutritious meals on a regular basis and some people have tended to neglect themselves and so need. However, the fact that prepared meals are readily available doesnt help to motivate people to be independent in this area. A recommendation is made about this. Most people living in the home go out into the local community independently and were coming and going freely to the local shops and cafes on the day of the inspection. Emphasis is placed on preparing people for living more independently in the community and people are encouraged and supported to work to wards stability and independence. One person has recently successfully moved from the home, going on to a more independent setting. Some people living in the home have very little motivation and one person in particular is presenting a challenge to the service as they often refuse to engage in daily household tasks, work, education or leisure activities. There was evidence that the staff remain supportive and provide a lot of encouragement in this area. Meetings are held regularly, with the person, their close relatives and professionals such as the psychiatrist in order to look at what might interest and motivate the person. We saw the schedule of activities that are available to all residents along with the individual schedules that are designed to suit each persons needs ands interests. The written records show that people have a lot of encouragement and support to engage in meaningful activities, that are appropriate to their backgrounds and interests. The activities available are many and varied. The hospital manager told us that a sculptor has been recruited to do some art work with the people living in the home. Care Homes for Adults (18-65 years) Page 15 of 28 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. 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. Evidence: The five people living in the home are all relatively independent in their personal care and their care plans tell staff about what help they need in this area. One persons records showed that they sometimes need a lot of encouragement to attend to their personal care. Staff were monitoring this and providing regular reminders and prompts to the person. The people we spoke to said that they had been involved in designing their care plans and their needs were reflected in them. They said that staff support them in a way that is respectful and sensitive. We looked at the written records for two people in relation to their personal and health care support. We spoke to two people in some detail and they told us that they get regular access to physical and mental health care support. The records we saw Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: showed that people have access to and support from a range of health care professionals, both in terms of their physical health and mental health care. There is a treatment room where the medication is stored. The temperature in the room was being recorded daily and was consistently below 25 degrees Celsius. The medication administration file was examined and found to be up to date. The medication profiles were examined and these were clear and detailed. The protocols and guidelines for administration of PRN medication are clear. Where PRN medication is administered the rear of the medication chart is signed. The home uses the Boots monitored dosage system, where each drug is kept separately and we noted that training was being provided regularly by Boots. The use of PRN medication had continued to be reduced, and particularly for one of the people living in the home. Care Homes for Adults (18-65 years) Page 17 of 28 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. 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 home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. Evidence: There are policies and procedures in place about complaints and these are being put into practise. The procedure is appropriate to the needs of the people using the service. We looked at the record of complaints kept in the home and discussed the outcomes with the acting manager. The home had received and investigated four complaints since the last inspection. The records that we saw included the action taken and showed that, where possible the people who made the complaint had had a response, usually in writing. The records also showed that a full investigation has taken place regarding each issue and complaints received informally were being recorded as well as those received formally. We spoke to two of the people living in the home and both were very clear about how to complain, and what the process would be. They were also clear that they had no complaints to share with us at the time of this inspection. They both said that they felt safe and well supported in the home. The members of staff we spoke to said that they had attended training about responding to complaints and safeguarding people from abuse. Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: A number of care and nursing staff attended training about physical intervention. We also saw certificates for all the support staff, such as the chef, handyman, domestics and administrators, who had recently had training about breakaway techniques. We saw records that showed that staff have had regular training about safeguarding people from abuse, control and restraint, dealing with challenging behaviour and the Mental Health Act. Care Homes for Adults (18-65 years) Page 19 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, 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. Although more could be done to make the building feel more homely, it is a safe and well-maintained home that is clean, comfortable, pleasant and hygienic. There is enough space and facilities for them to lead the life they choose and to meet their needs. 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. Evidence: This is a purpose built unit and, although it is spacious, it is quite clinical in appearance. The management team has been making progress with making it less institutional and more homely and comfortable. At this inspection there was evidence that this work continues. The kitchenette has been completed and it is equipped with a fridge, cooker, microwave, kettle, toaster and milk dispenser. Other things have been done, such as hanging pictures, providing new furniture and providing alternative spaces for people to sit. However, the unit was built as part of the hospital and has a long wide corridor which doesnt feel very homely. There is more work to be done, particularly in the corridor and a recommendation is made about this. Each person has their own shower in the en-suite in their room. The home has handyman. At the time of the inspection the communal bathroom was out of action as the water temperature was too high, the washing machine was broken and there was Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: water damage on the ceiling in the corridor. We were able to confirm that appropriate action had been taken to address all of these issues. We found that all communal parts of the the home were clean. We particularly noted that the large kitchen, which provides food for the hospital as a whole, was cleaned to a particularly high standard. Three people we spoke to said that the home was always kept nice and clean and that they were comfortable in their rooms. Care Homes for Adults (18-65 years) Page 21 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, 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. 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. Peoples needs are met and they are supported because staff get the right training and support they need from their managers. Evidence: We looked at the staff rota for the week of the inspection and this showed that a qualified nurse was on the rota as on duty on a 24 hour basis. There was a minimum of one qualified nurse and one care assistant on each shift at the time of the inspection. We saw the staff personnel file for a staff member who has been recruited since the last inspection. The file included all of the necessary information required under the Care Home Regulations, to show that the staff member had had the appropriate preemployment checks before starting work in the home. The file showed the persons job title and the hours that they are contracted to work. We saw the record of the staff training which shows what training staff have undertaken, and highlight the training that they need. The record shows that staff are Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: provided with relevant training on a regular basis. They have recently had training about the Mental Health Act and a recommendation is made for them to have some training about the Mental Capacity Act in section 2 of this report. Care Homes for Adults (18-65 years) Page 23 of 28 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. People have confidence in the care home because it is run and managed appropriately. Peoples opinions are central to how the home develops and reviews their practise, 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 practises are carried out. Evidence: Since the last inspection the manager has withdrawn his application to be registered with the commission and has taken over management responsibility for the hospital as a whole. He is still involved in the running of the home to some extent and while a full time manager is being recruited, a senior staff member is acting-up to the position. We met the acting manager on the second day of the inspection and the hospital manager made himself available throughout the inspection. The acting manager has worked at the hospital for some time and came across as experienced and competent. People are asked regularly about their satisfaction with the home, in 1-1 sessions, residents meetings and review meetings. Additionally, they and their families are Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: asked periodically to complete questionnaires, as are the various social care and health care professionals who visit the home regularly. We looked at most of the written records kept in the home at this inspection and were pleased that there were good, detailed records of what activities each person living in the home has been engaged in and good monitoring records of their mental health and wellbeing. The necessary environmental risk assessments are in place, reflect the practise in the home and that the routine checks regarding health and safety in the home were being undertaken and recorded. Care Homes for Adults (18-65 years) Page 25 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 Adults (18-65 years) Page 26 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 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 It is recommended that the admission assessment be amended to include information about the persons mental capacity in the light of the Mental Capacity Act 2005, and particularly in relation to the Deprivation of Liberty Safeguards. It is recommended that staff be provided with training about the Mental Capacity Act 2005, and particularly in relation to the Deprivation of Liberty Safeguards. It is recommended that the home continue to develop and amend all policies and procedures relating to risk, peoples choice, freedom, peoples rights, restraint and restrictions, in the light of the Mental Capacity Act 2005. To encourage people to move toward more independence in daily living skills. It is recommended that the management team review the access people have to meals prepared by the hospital kitchen. It is recommended that the management team continue to find ways to make the environment more homely, and particularly the corridor. 2 9 3 9 4 17 5 24 Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 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