Care Home: Bank Close House

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What the care home does well People living at the home are cared for in a safe homely environment, and they are encoraged to personalise their rooms with their own possessions and furniture. A lot of the staff have worked at the home for a long time and they have developed close relationships and patterns of care that are individual to the pole concerned; they are knowledgeable about them and are responsive to their needs. Leisure and recreational needs are identified, and people living at the home are encouraged to join in; the importance of maintaining links with family, friends and the community is also recognised and supported. People were positive about the meals provided at the home, and they stated that they were provided with choice and variety. Similarly they were positive about the standards of cleanliness and hygiene around the home and about the care given by staff. The staff group has good morale and are committed to giving a good standard of care. Staff work in planned ways and have clear documentation to help them care for and support people in their day to day needs. People`s needs are properly assessed and their healthcare needs are effectively met. Staff have a good understanding of older people and recent training about caring for the needs of people suffering from dementia has been particularly well received and effective. In addition staff said that they have received a good amount of training in the past year, which helps them do their jobs more professonally and consistently. Staff were observed to be warm, friendly, and relaxed in the way they communicate and help people retain dignity and individuality. What has improved since the last inspection? The home`s management have continued to maintain a good standard of service and individual care. Improvements have been made in the documents that support care activities and the physical environment of the home has continued to be improved and there are plans for further improvements. Staff training has been continued to a good standard and staff are able to demonstrate how this has improved the quality of their work. What the care home could do better: One statutory requirement have been repeated as a result of this inspection which requires the home to have a manager who is registered with the Care Quality Commission. There are good practice recommendations that relate to indirect aspects of care and people`s lives. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Bank Close House Hasland Road Hasland Chesterfield Derbyshire S41 0RZ     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: Brian Marks     Date: 2 8 0 4 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Bank Close House Hasland Road Hasland Chesterfield Derbyshire S41 0RZ 01246208833 01246208833 pat@bankclosehouse.totalserve.co.uk 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) : Vital Balance Ltd care home 27 Number of places (if applicable): Under 65 Over 65 27 old age, not falling within any other category Additional conditions: Plus Three (3) Day Care Places Date of last inspection Brief description of the care home 0 Bank Close House is a large converted Georgian building situated close to the town centre of Chesterfield. The home is registered to provide personal care for up to twenty seven residents in accommodation spread over two floors and includes three double rooms. The care home is a listed building with many of the original features retained and is set in extensive grounds, with a walled garden area accessible to residents. Several communal lounge areas are located on the ground floor and these include a conservatory. There are bathroom and toilet facilities on both floors with a stair lift and passenger lift allowing easy access between floors, and a resident call system throughout the building. Information about the service is provided in the Statement of Purpose and Service User Guide; the former is available upon request and people are given a copy of the Care Homes for Older People Page 4 of 27 Brief description of the care home latter when they move into the home. The fees for the home range from 380.00 to 442.00 pounds as provided on the day of the inspection. Care Homes for Older People Page 5 of 27 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 was a Key unannounced inspection that took place at the home over one day. Additionally, time was spent in preparation for the visit, looking at key documents such as previous inspection reports, records held by us, the written Annual Quality Assurance Assessment document (AQAA), which was returned before the inspection, and surveys that had been previously sent out to the homes and the people living there. All of the above material assisted with the preparation of a structured plan for the inspection. From the surveys that were returned before the inspection, the information supplied was analysed and the outcomes included in the inspection process and reflected in this written report. At the home, apart from examining documents, files and records, time Care Homes for Older People Page 6 of 27 was spent speaking to the manager, who was in charge of the home during the visit, and the area manager and owner who were there throughout the visit. We also spoke to all of the staff working on the early day shift. The care records of three people who live at the home were examined in detail and two of these were interviewed along with a number of others. The relatives or friends of two more were also spoken to. No other inspection visits have been made to the home since the last Key unannounced inspection on 29 April 2008 and the assessment was made against the key National Minimum Standards (NMS) identified at the beginning of each section of this report, as well as other Standards that were felt to be most relevant. 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 Older People Page 8 of 27 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 9 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People do not come to live at the home without the care they need being properly identified but not enough attention is being paid to their social world and background history, which would help staff provide person centred care for everybody. Evidence: In the AQAA we were told that the homes Statement of Purpose and Service Users Guide had been updated and that there is a system in place for people coming to live at the home. We looked at the care records of three people who had been living at the home since 2008, including somebody who had moved in about three weeks before the inspection. Within these records, there were assessments of the physical care needs of the person concerned and these assessments were carried out at or before the person came to live at the home. Whilst the ones prepared in 2008 were rather brief in their content, Care Homes for Older People Page 10 of 27 Evidence: those of the most recent person to be admitted were thorough and contained more information than had been previously available. The manager confirmed that this had been part of a programme of updating all care records. The information had been obtained from the person concerned, from their family, or from outside professionals such as a social worker. However the amount of information about the psychological and social worlds of the people concerned was variable and in most of the files we looked at this was very brief. This does not fully support the intention to provide person centred care for everybody living at the home. All of the care records looked at contained an assessment of the risks related to their lives and the areas covered included falls, nutrition, and mobility, where these had been identified as an issue. These were not compeleted as a matter of routine for everyone. The home does not provide intermediate care. Care Homes for Older People Page 11 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living at the home have care and risk assessment records that promote safety and consistency, and staff work in ways that respect individuality, privacy and dignity. Evidence: In the AQAA we were told how the care plans of people living at the home had been updated by the manager and about plans for more staff training about their use and development. The three care records that we looked at all contained a detailed care plan prepared by the homes senior staff, two of which were supported by more general care plans from the sponsoring Adult Social Care staff of the Council. All of this documention gave clear descriptions of the areas where people need help; as indicated in the previous section the documents for the person who came to the home most recently were much more comprehensive than the two older records and included a first monthly evaluation. As before, none of the records contained detailed descriptions of the persons social Care Homes for Older People Page 12 of 27 Evidence: history, which would fulfill a complete person centred approach. All the care plans that we looked at indicated detailed actions for staff to carry out, and staff told us that they found the care documentation more up to date than before, with more information and better descriptions of how we are to work. There were clear records of the medical and health needs of residents being regularly monitored, and also of visits by outside professionals such as G.P and district nurse, and by the chiropodist, optician and dentist. Additionally in the written records and from the direct comments from people, it was clear that the staff at the home work hard to care in sensitive and dignified ways, and to keep people as independent as possible: Im very independent living in this part of the building, and use the stairlift by myself. I need help with personal care in the mornings and the staff do this properly. Personal care is done very well, theyre sensitive and respectful. I dont need a lot of care but the morning assistance is given very sensitively and carefully. I have a shared room but staff make sure there are no privacy problems. Examination of the arrangements for the receipt, storage and administration of medicines indicated that these were satisfactory and that all entries in the written records had been made properly. Medication is stored securely and the home uses a Monitored Dosage System for organising administration. The arrangements for managing controlled drugs was satisfactory at the time of the inspection and record keeping and storage was secure. Care Homes for Older People Page 13 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People at the home enjoy lifestyles and routines that suit them and have good opportunities to take part in organised leisure and social activities. Evidence: In the AQAA we were told that everybody living at the home is encouraged to join in group activities and also outside activities and social groups. We were also told about more inhouse activities being provided and the purchase of two large televisions for people to enjoy,and about plans to employ an activities coordinator. The manager told us about the activities that had been organised and these had regularly included tai chi exercises, bingo sessions, outside entertainers and regular arts and craft sessions. One of the people living at the home is a keen piano player and she regularly entertains the others including during the afternoon of the inspection. We were also told about the monthly church service that is well attended and the hairdresser who is a weekly visitor. The people we spoke to confirmed that they are very happy with their lives and that they are able to do very much what they like. They develop their own routines, Care Homes for Older People Page 14 of 27 Evidence: including spending their time in the communal areas or in their rooms. The former is the choice of the majority although we spoke to one person who showed us her room and told us how she spends time there during the afternoons and how she likes to help out with the garden flowers in the summer. We also received written feedback from our own surveys and were told that there are always or usually activities for people to take part in. We also spoke individually to people around the home and to some of their visitors: Im a very regular visitor here and staff are always welcoming, its more like a family. Theres enough going on here to keep people stimulated. Theres always enough to do, it would be like this if I was at home, only with less company. Things are pretty good here, I have a comfortable life. I needed to be looked after for health reasons and its a wonderful place to be. I like to go out walking in the gardens, theyre lovely. My family visit regularly and join in with everybody, the manager encourages that. A brief visit was made to the kitchen and the cook described current arrangements. Good standards in the catering service have continued, and a 4 week menu is being followed. The cook described how a choice at the main meals of the day is available and that a hot option is regularly available for breakfast and at teatime. People were generally very positive in their feedback about the standard of food at the home with several mentioning good quality and quantity: Im on a reducing healthy diet and they get bran flakes especially for me. Food is good and meals are regular, perhaps we eat too well. The meals are good for both quality and qualtity. Arrangements for purchase, storage and stock control are satisfactory. The cook routinely deals with people who have special dietary needs, and at the time of the inspection these included diabetic and softened, the arrangements for which indicated a careful approach to individual needs. Care Homes for Older People Page 15 of 27 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. The home responds to complaints made by residents and their representatives according to a written procedure, and aims to protect them from harm. Evidence: In the AQAA we were told that the homes policies and procedures in relation to complaints had been updated and that they had received positive responses in surveys about how they deal with problems. The AQAA indicated that there had been one formal complaint since the last inspection but this was not borne out by our examination of the homes records, which indicated that there had been none. In the feedback that we received everybody said that they knew about getting their problems resolved and were confident that they would be listened to: The management of the home are very good at communicating and any problems we have get sorted out straight away. If we have any issues we know where to go. A copy of the homes complaints procedure is on display and given to people when they move in. The records we looked at indicated that there have been no situations at the home that have required investigation under statutory safeguarding procedures since the last inspection. The AQAA told us how there are policies and systems in place to protect people living at the home and that these had been updated. Staff have received refresher training in their responsibilities to recognise and alert others to suspected abuse, and this subject had also been covered for those who had completed a National Care Homes for Older People Page 16 of 27 Evidence: Vocational Qulaification (NVQ). The policies and procedures in place are in line with the statutory procedures on safeguarding adults. Care Homes for Older People Page 17 of 27 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. The physical aspect of the home has been maintained to a good standard so that people can enjoy an environment suited to their physical needs and comfort requirements. Evidence: In the AQAA we were told that the environment at Bank Close House is clean, odour free and has a homely appearance, and were also told about the improvements that have recently been made. From a brief tour of the building with the proprietor and visits to some of the bedrooms we saw how good standards of decoration and furnishing have been maintained and we saw the changes and improvements that have been made: Half of the bedrooms have now been redecorated, carpetted and fitted out with modern furniture. New carpets have been fitted to the downstairs corridors, stairs and entrance hall. The right hand lounge has been completely redecorated and fitted with new curtains and carpets. A new shower wet room has been created in the downstairs bathroom. The stairlift in the extension has been replaced. Decoration and maintenance has been carried on throughout the building. Plans are in hand to create more communal rooms and bedrooms through extending the building and these are currently with the planning authorities. We also noted that bedrooms had good levels Care Homes for Older People Page 18 of 27 Evidence: of personalisation to suit individual residents and which create a sense of personal space, and that there was a good range of equipment for staff to help people with mobility difficulties. Comments from people living at the home and relatives were positive about the standards of comfort and cleanliness offered: The changes around the building make it feel comfortable and pleasant to live in. I really like my room which is very nice and comfortable. The home is always very clean. All the recommendations made at the last visits by the Fire and Environmental Health Officers have been carried out, and the latter gave the home the highest rating possible of five stars. On the day of the inspection the home was clean, tidy and free from odours and everybody spoken to was complimentary about the service provided by the laundry. However the laundry area continues to be under review as it is located in a small area that is unsuitable for this facility. Should the previously mentioned plans for enlargement of the home occur then a new laundry will be included in the redevelopment. All residents observed in the home were seen wearing clean and wellpresented clothing Care Homes for Older People Page 19 of 27 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. The home has adequate numbers of staff to carry out the physical care needs of the people living there and they have been recruited and trained to do their jobs properly and in a professional way. Evidence: In the AQAA we were told how the numbers of staff on duty are able to meet the needs of the people living at the home and that the team of care staff are well motivated to extend their skills and knowledge through training and in achieving a qualification, the required National Vocational Qualification (NVQ) level 2 and 3. During the inspection we interviewed most of the staff on duty, including the carer who was the last to be appointed during 2008. She described how she had received basic instruction and training at the start and how, because of her lack of previous experience, she had been retained on a probationary status at first, working under the supervision of the experienced staff. Additionally other staff told us that we have had a lot a training in the past year. We were not able to confirm this however because the records of staff training ahd not been updated and not all the valid certificates were in place on individual files. Further discussion with the area manager established, by verbal report, good achievements for all but the two most recently appointed staff in a good range of training subjects, including updates in fire safety, general health Care Homes for Older People Page 20 of 27 Evidence: and safety, safe moving and handling, food hygiene and dementia care. It is also policy of the home for people to complete the NVQ qualification and all but the two new staff team have either completed this or are signed up to start, which is in excess of the nationally set target. The files of two recently appointed staff that we looked supported that their recruitment had been carried out properly with the right checks being made, although both had worked under supervision at the beginning due to delays in getting a reply from the Criminial Records Bureau (CRB). There had also been problems in getting useful written references due to the increasing unwillingness for employers to supply them. Examination of the duty roster and discussion with staff indicated levels of staff on duty slightly improved form the last inspection with no vacancies to be filled. In the written feedback we received, we were told that there is always enough staff on hand to meet peoples needs and the people we spoke to confirmed this: Staff are always available. Theres always somebody around to help me. The staff spoken echoed these views and told us that they did not feel that their workload was excessive. They told us that: Most of the pole are in the downstairs living rooms so its easier to cover any demands. Its my designated role to keep an eye on things and make sure that everything gets done. Gaps in the staffing are now routinely covered and teamwork is good at present. Care Homes for Older People Page 21 of 27 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. The home is a well-managed and safe environment in which to live and work. Evidence: The AQAA told us that the home is well supported by its management including the area manager and proprietor, and that jointly they have been involved in improving things at the home including revising documentation. The situation regarding the arrangements for the management of the home have not changed since the last inspection and the current managers acting status remains. We were told by the area manager that they have been advertising continuously in the past year but none of the candidates who came forward were regarded as suitable. However as a management team they have demonstrated complimentary skills and have jointly made a positive impact on running of the home. We were told by people at the home that they are well known to everybody living there and the latter told us: The owner is often here so we can talk to him about anything at any time. The manager is also very approachable and if we have any issues we know where to go. Care Homes for Older People Page 22 of 27 Evidence: Although there have been irregular formal meetings for the staff group, planned meetings between manager and individual staff are now occurring regularly enough to meet the National Standard, and the staff we spoke to were positive about the way the home is run and how the management team supports them if they have any problems: The manager is there to talk to at any time and the other managers are in and out throughout the week. Formal supervision meetings are now regular and the home is being run in a positive way for everybody. Its good to work here now and the atmosphere for everybody is more relaxed. The feedback, both verbally and in writing from people living at the home and their relatives, was positive about the general aspects of how the home is run, with comments about the welcoming approach and homely atmosphere. The homes owner is now completing written monthly reports and these reflect how he keeps in touch with the standards of service. The area manager has also commenced more formal activities of monitoring the quality of the homes service and surveys have recently been sent out to people living at the home and their relatives. They also achieved a good return on the surveys sent out professionals in contact with the home, who mostly rated the home as good. Generally good record keeping and management systems are in place at the home, and the area manager has carried out a number of audits to test their effectiveness. The systems in place for looking after residents money were found to be satisfactory at the last inspection and remain unchanged. The AQAA told us about good standards of health and safety activity at the home and about the regular servicing of equipment, and we examined records of the latter as part of this inspection, which supported this. Additionally observations made around the building and a look of fire safety activity and equipment records indicate that the home was hazard free at the time of the inspection. Care Homes for Older People Page 23 of 27 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 24 of 27 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 31 8 The people responsible for the running of the home must appoint a permanent manager and that person must apply to register with the CQC. This so in order to comply with the law and to demonstrate professional leadership. 30/09/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 3 Assessments of the needs of people living at the home should contain more information about their social world and background history so that a more person centred style of care can be developed. Assessments of the needs of people living at the home should contain more information about the hazards and risks in their lives and should follow a more structured pattern so that care can be provided in safe and consistent ways. The care plans of people living at the home should contain Page 25 of 27 2 3 3 7 Care Homes for Older People more information about their social world and background history so that a more person centred style of care can be developed. Care Homes for Older People Page 26 of 27 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 27 of 27 - 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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