Care Home: Brackley Cottage Hospital

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What the care home does well The staff give good care with dignity, privacy, compassion and they relate well to the residents, despite working in a difficult environment. The staff are well trained to care for the residents. ` My mothers` needs are always fully met` ` Excellent care` ` Very happy in the hospital, staff are excellent`. ` Staff have been very supportive` ` Excellent care, like a 5 star hotel` ` Environment could be better but the care is what matters` The residents have a good choice of well cooked and planned meals. ` The food`s very good, we can choose what we want to eat`. What has improved since the last inspection? The only requirement made at the last inspection was to improve the environment for the residents. This will be achieved when the new hospital is built and remains an ongoing requirement until this is in place. What the care home could do better: Although Brackley Cottage Hospital is registered with the Commission, the environment does not and cannot meet the National Minimum Standards due to the layout and age of the building and has more of the atmosphere of a cottage hospital than a care home. The requirement made at the last inspection is repeated to provide an improved environment for the residents that meets the National Minimum Standards. The hot water temperatures should be checked on a monthly basis to make sure that the outlets that the residents may have access to are at a temperature that is safe for them. Key inspection report Care homes for older people Name: Address: Brackley Cottage Hospital Pebble Lane Brackley Northants NN13 7DA     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: Anthea Richards     Date: 2 6 0 4 2 0 1 0 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 Older People 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 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 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) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Brackley Cottage Hospital Pebble Lane Brackley Northants NN13 7DA 01280702388 01280700329 brackley.hospital@virgin.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Brackley Hospital Trust Name of registered manager (if applicable) Type of registration: Number of places registered: care home 14 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: No-one falling within the category of intermediate care may be admitted to the home when there are 9 persons in this category already accommodated within the home. No-one falling within the category of OP receiving nursing care and not intermediate care may be admitted to the home when there are 5 persons in this category already accommodated within the home. Service users whose anticipated stay exceeds 8 weeks may not be admitted into the intermediate beds. The 14 service users will be in the category of OP The beds located in the multi bed rooms must only be used for service users receiving intermediate care for rehabilitation, and must not be used for any other category, including palliative care. The total number of service users must not exceed 14. Date of last inspection Care Homes for Older People 1 5 0 5 2 0 0 9 0 Over 65 14 Page 4 of 28 Brief description of the care home Brackley Cottage Hospital is registered as a care home for older persons and provides nursing and intermediate care for up to fourteen people. The Hospital is situated in the market town of Brackley and is close to a bus route, a park and all the local amenities. Although there are no parking facilities within the grounds, some parking is available along Pebble Lane where the hospital is situated. The Hospital also provides a 24-hour First Aid Unit that is open to the general public. There is a Registered Nurse on duty at all times. Accommodation is on the ground floor; this comprises of two four bedded rooms, one double room and four single rooms. There are five beds for people requiring long-term, residential care and two four-bedded wards (one male & one female) and a double room for people requiring intermediate care. People receiving intermediate care can remain at at the Hospital for up to eight weeks. There are no en suite facilities but there are two bathrooms with adaptations for assisted bathing. There is a small communal sitting room and a small garden with seating to the rear of the property. Weekly fees ranged from £640.00 for a shared room to £655.00 for a single room. There are extra charges for hairdressing and newspapers. NB. Although Brackley Cottage Hospital is registered with the Commission For Social Care Inspection (CSCI), the environment does not and cannot meet the National Minimum Standards due to the layout and age of the building and has more of the atmosphere of a cottage hospital than a care home. As the service is known locally as Brackley Cottage Hospital so the term hospital is used in place of home throughout the report. Care Homes for Older People Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This was a key inspection of a care home for older people, which ended with an unannounced visit to the service. Before the visit we [throughout the report the use of we indicates the Care Quality Commission], spent five hours reviewing information received by the Care Quality Commission [CQC] since the last Key Inspection on the 15th May 2009. The visit took place on the 26th April 2010 and lasted five hours. During the visit we checked all the key standards as identified in the National Minimum Standards. This was achieved through a method called case tracking. Case tracking means that we looked at the care provided to three of the residents. To achieve this we spoke with the staff supporting their care and looked at the records relating to their health and welfare. We spoke with the residents and their families. With their permission the residents bedrooms were looked at. Care Homes for Older People Page 6 of 28 We also checked how the home was run and organised. This included looking at staff records, training and how the staff are organised. We looked at health and safety records, menus, minutes of meetings and the quality audit. The policy for handling complaints and how the home dealt with them was checked. We looked at how prospective residents and their families are given information about the services the home can offer and whether they are suitable for them. We checked the Annual Quality Assurance Assessment [AQAA] that the home had sent to us. This describes the services provided at the home for the residents, how the home is hoping to improve services and statistics about the residents and the staff. The comment cards that we sent out were seen and comments made were noted. During the visit we spoke with the homes manager, the Lead Nurse, the staff, the residents and visitors to the home. Care Homes for Older People 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 Older People Page 8 of 28 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 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 and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents needs are always assessed before moving into the hospital and they have good information to help them make the right choice about the hospital. Evidence: The residents and the families spoken with told us that they had seen the Statement of Purpose and had been given the terms and conditions. The Statement of Purpose contained thorough information that described the services that the hospital provided. These documents could be made available in other formats including large print and other languages to give as many people as possible the opportunity to read them. Pre admission assessments are completed by the lead nurse, this makes sure that the hospital has a full picture of the resident before they are admitted. Residents and/or their families have the opportunity to visit the hospital. The residents and the families spoken with told us that they had a visit before they came in. The staff spoken with told us that they always knew about the resident before they were admitted. Care Homes for Older People Page 10 of 28 Evidence: The current registration certificate from the Care Quality Commission (CQC)was displayed in the entrance of the hospital with the latest report and an up to date public liability insurance certificate. Care Homes for Older People Page 11 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staff meet the care needs of the residents, with privacy, dignity and respect. Evidence: The records for the residents who were case tracked were found to contain good individual evidence of the care being given to the residents and reflected the care that the residents needed. The care plans contains a nutritional assessment and a record of the residents weights, to make sure that the residents are eating well. There was evidence that the residents and/or their relatives have been involved in planning the care. The residents and the families spoken with told us about the care that they needed and that they were happy that they received it. Comments received included: Very happy in the hospital, staff are excellent. Staff have been very supportive Care Homes for Older People Page 12 of 28 Evidence: Excellent care, like a 5 star hotel There are records of the involvement of G.P.s, district nurses, chiropodist and optician, where needed in the care plans, showing that thorough health care is being provided for the residents. The residents and their families spoken with said that they could see the doctor and other health professionals when they needed to. There was evidence that the care plans are regularly reviewed and the residents and the families spoken with confirmed that they could be involved with them and were aware of the care to be given and that they were happy with it. The daily record of care was up to date and contained details about the residents day and night. This makes sure that the staff know what has happened to the resident at all times. We saw residents being treated with dignity and respect when staff spoke with them and undertook their care, particularly when moving them. There were risk assessments in place to cover all the identified risks for the residents and how the staff should manage those risks. This makes sure that the residents and the staff are protected from any risks that have been identified, without restricting their activities. We saw good records recording how often the residents were turned and that the pressure relieving mattresses were checked twice a day to make sure that they were at the right pressure. The residents told us that they could have a bath or a shower whenever they wanted to. Medication records for the case tracked residents were in order. Medicines are given by the nursing staff who have regular updating in medicines. We saw that the medicines were administered individually and the residents were seen to be taking them. Medicines are supplied in individual boxes but a monitored dosage system where each tablet is in a separate pop out card, which is a safer method of administration is being considered when the hospital moves. The staff spoken with were knowledgeable about the medicines and where to obtain information. They were also aware of the requirements for the receipt, storage and disposal of medicines. The controlled drugs were checked and correct. Care Homes for Older People Page 13 of 28 Evidence: There is a self-medicating policy in place but there were no residents looking after their own medicines at that time. These are kept in a locked cupboard when residents look after their own. Care Homes for Older People Page 14 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents enjoy the activities that they want to and have their spiritual and nutritional needs met. Evidence: The amount of activities in the hospital is limited as, although the residents are encouraged to they are not keen to take part. There was evidence of games, books and jigsaws in the home but there was much more emphasis on giving individual time to the residents. The staff spend time with them talking, reading and giving hand massages and doing their nails. The staff take the residents into the nearby town to the shops and to any fetes that are being held. Some of the residents were watching T.V. in their rooms, which they said they enjoyed. There is a comfortable day room that is not used very often. The residents and the families spoken with said that the staff spent time with them talking and supporting them. Care Homes for Older People Page 15 of 28 Evidence: The clergy can visit whenever the residents would like them to. All the families spoken with said that they were made very welcome in the hospital. Residents said the food was good and that they had a choice of what they had. Menus were varied and were discussed individually with the residents. Comments made by the residents and families included: The food is good. I am communicated with regularly, all the staff know all about Mum and how to look after her I enjoy the company The food is very good and I have a choice We spoke with the residents during their lunch, that was served attractively and that they said that they were enjoying. The cook is happy with the quality and amount of food supplied. She is aware of different diets such as vegetarian and diabetic and provides pureed diets in an attractive way. The staff were seen to be sitting with individual residents helping them with their meals. Care Homes for Older People Page 16 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are systems in place to support and protect residents and staff are aware of the processes. Evidence: There is a complaints policy in place which gives the details of how to complain and who to complain to in the hospital if they needed to. It is thorough in the details of any complaint and the dates of the progress of the complaint. It could be made available in a large print and other languages so that as many people as possible to understand it. The hospital has received one complaint since the last inspection that was resolved within the required timescale and not upheld. Residents and the families spoken with were aware of the policy, of how to complain and who to complain to. They were happy that their concerns would be listened to and acted on. The staff spoken with were aware of how to handle any complaints. The staff spoken with were able to describe how they would deal with an allegation of abuse, knew the areas where abuse could happen and could describe the process that they would go through if they suspected any abuse. The staff confirmed that they had had training in safeguarding adults and whistle blowing and the manager and the records seen supported this. They were confident that the management would handle any issues correctly. Care Homes for Older People Page 17 of 28 Evidence: Senior staff in the hospital have attended training in the Mental Capacity Act and the Deprivation of Liberty acts and have cascaded the information to the staff. The staff spoken with were aware of the Acts. We looked at the accident book, that had been completed correctly. These practices make sure that the residents are safe from any abuse and that any concerns are handled correctly. Care Homes for Older People Page 18 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents are protected by the policies and procedures in the home to provide a safe environment. Evidence: The hospital was warm, clean and welcoming. There was a comfortable day room on the ground floor that was suitably furnished and had books, games and jigsaws for the residents. The residents who were receiving intermediate care live in either one of two four bedded rooms or in a double room. Those residents who are in the hospital for nursing care live in either a single room or in a double room. They have been able to bring their own belongings to personalise their rooms. All the rooms seen had been personalised and were found to be clean and well decorated. The residents and the families spoken with confirmed that they were able to bring their own belongings in with them. There are no en-suite facilities in the hospital and all the residents use shared bathrooms, which were found to be clean and free of any hazards. Care Homes for Older People Page 19 of 28 Evidence: We saw that there were wheelchairs, hoists and special mattresses for the residents to use to help them. The staff check the pressure in the mattresses twice a day to make sure that they are correct. Those residents who need to use the hoist have a lifting and a bath sling each, which makes sure that they have the right size and reduces the risk of cross infection. The residents and the visitors told us that the hospital was always clean.There are dedicated staff to clean, who confirmed that they had control of substances hazardous to health (COSHH) training and seen in training files and had data sheets for all the chemicals that they use. The cleaning products are stored in a locked cupboard. There is a well kept garden area, that could be easily reached by the residents. Records for hot water testing not been completed for several months. The manager said that she would put this in place immediately. The fire records for alarms, fire drills and training were complete and the staff confirmed that they had regular fire drills and training. Comments that we received included: The environment could be better but it is the care that matters The registration certificate from the Care Quality Commission and the last report was displayed in the entrance with an up to date public liability insurance certificate. Brackley Cottage Hospital does not and cannot meet the National Minimum Standards due to the age and layout of the building but people are provided with a clean and comfortable standard of accommodation. The manager explained that a site had been identified for the hospital to relocate to and that this has been approved by NHS Northampton. The new cottage hospital will include a sixty bedded nursing home with twelve beds for people needing intermediate care. They planned to have the new premises in use in eighteen months time, however this may now be delayed due to the possibility of the high speed train going through the edge of the site. Care Homes for Older People Page 20 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The recruitment policy and the staff training meet the residents needs and protect their safety. Evidence: We looked at three staff files and the required information was complete in all of them. This included evidence of identification, adequately completed application forms, two written references, a Criminal Records Bureau (CRB) check and a Protection of Vulnerable Adults check. More space could be provided to make sure that a full employment history could be included. Staff spoken with told us that they could not start work until all the paperwork was in place. The staff spoken with confirmed that they had received recent training in moving and handling, fire, dementia awareness, safeguarding of vulnerable adults. they were aware of the Mental Capacity and the Deprivation of Liberty Acts. The manager has records for the staff so that she is aware of when they need to have updating in their training. Care Homes for Older People Page 21 of 28 Evidence: The residents and the families spoken with felt that the staff were well trained to do their job and that there were enough staff to look after them. The staff are very caring and look after me well. Most of the care staff either hold a National Vocational Qualification (NVQ) at least at level 2 or are in the process of completing it. The National Vocational Qualification is a qualification for care staff to make sure that they receive training in the needs of the resident group whom they are caring for. Care Homes for Older People Page 22 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents safety is protected by the practices in a home that is run in their best interests. Evidence: The manager is registered with the Care Quality Commission. She manages the service with the assistance of a Lead Nurse. The manager is available to talk with the residents and the visitors every day that she is in the home. The residents and the families spoken with told us that they saw her and spoke with her regularly. There were satisfaction surveys sent to the residents and their families every year and the questionnaires that we saw on the visit confirmed this. These were seen to be positive in the comments about the hospital. The families and the residents told us that they had completed the questionnaires. Care Homes for Older People Page 23 of 28 Evidence: We received positive comments from the residents and the families at the visit, amongst which were that the staff were very supportive of them and their relative. The hospital do not hold any personal monies for the residents. The fire drills and alarm testing were found to be in order, however the hot water temperatures had not been tested for several months. All other health and safety records were found to be in order and up to date. Care Homes for Older People Page 24 of 28 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 1 19 16 The Trutees must provide an 01/09/2011 environment that meets the National Minimum Standards. This requirement will remain outstanding until new premise are found. It is recognised that the Trustees are in the process of addressing this problem. Although Brackley Cottage Hospital is registered with the Commission For Social Care Inspection (CSCI), the environment does not and cannot meet the National Minimum Standards due to the layout and age of the building and has more of the atmosphere of a cottage hospital than a care home. Care Homes for Older People Page 25 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 19 16 The Trustees must provide 01/09/2011 an environment that meets the National Minimum Standards. This requirement will remain outstanding until new premise are found. It is recognised that the Trustees are in the process of addressing this problem. Although Brackley Cottage Hospital is registered with the Commission For Social Care Inspection (CSCI), the environment does not and cannot meet the National Minimum Standards due to the layout and age of the building and has more of the atmosphere of a cottage hospital than a care home. Care Homes for Older People Page 26 of 28 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 2 25 23 (2)(b) That the water temperatures are regularly monitored. To make sure that the water temperature in baths, showers and wash hand basins do not exceed 43 degrees centigrade 31/05/2010 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 29 That the application form is re-designed to include sufficient space to include a full employment history. Care Homes for Older People 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. 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