Care Home: Bramley Grove

What the care home does well People are provided with information about the home so they can make an informed decision about whether they would like to live there. People have access to a range of external health care professionals.This ensures their health care needs are met. People are offered a choice of meals that take into account their cultural, dietary and preferences. Medication records showed us that peoples` medication is given safely and as prescribed. There is a friendly atmosphere at home and people can personalise their own rooms to reflect preferences and taste. A core group of staff is maintained so that people know who will be assisting them to meet their needs. Maintenance checks are completed to ensure that equipment is in full working order and safe to use. What has improved since the last inspection? People living in the home,external health care professionals and relatives`, were very complimentary about the staff and the management team. The staff have received training in challenging behaviour, dementia care, and areas that will ensure people`s needs are met. Record management has improved and inform staff and other health care professional of the needs of people who live in the home. Which means needs are met as people choose. What the care home could do better: The manager must ensure that future references are obtained from the persons last employer and the authenticity confirmed. This will ensure that people are kept safe at all times. It is recommended as part of the assessment process information is obtained about the person`s capacity to make a decision so as not to inadvertently deprive somebody of their liberty. Where risk management plans have been put in place staff must follow these plans to ensure peoples safety. The service should consider a comments book so when people visit the home they can record their comments about the home.When peoples` needs change this must be recored in the individual plan of care. This will mean staff have up to date information. efforts should be made to obtain any additional information the social worker holds about a person. This will mean the home has all the information about a person so they can meet their needs in full. Key inspection report Care homes for older people Name: Address: Bramley Grove 251 School Road Yardley Wood Birmingham West Midlands B14 4ER     The quality rating for this care home is:   one star adequate 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: Sue Scully     Date: 2 9 0 1 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 29 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) 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 Older People Page 3 of 29 Information about the care home Name of care home: Address: Bramley Grove 251 School Road Yardley Wood Birmingham West Midlands B14 4ER 01214744101 01214744105 bramleygrove@schealthcare.co.uk www.schealthcare.co.uk Southern Cross Care Management Limited care home 34 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) : Number of places (if applicable): Under 65 dementia Additional conditions: The maximum number of service users who can be accommodated is: 34 The registered person may provide the following category of service only: Care Home Only (Code PC) To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia (DE) 34 Date of last inspection Brief description of the care home Bramley Grove is a purpose built, residential care home owned by Southern Cross Healthcare and offers care and accommodation to 34 elderly people with dementia. The philosophy of care for Bramley Grove states it is the aim of Bramley Grove to provide an environment that all service users can regard as their home. The home is located in Yardley Wood in a mainly residential area and close to local amenities. Public transport routes are easily accessed from the home. Accommodation is offered over two floors and each floor offers identical facilities. The two floors of the home are operated as separate units and staffed accordingly. All bedrooms are of single occupancy with en-suite facilities of a toilet and wash hand Care Homes for Older People Page 4 of 29 Over 65 0 34 2 4 1 1 2 0 0 8 Brief description of the care home basin. Although located at the rear of a nursing home the home has its own car park and secure garden area for the use of the people living in the home. Care Homes for Older People Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate 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: The focus of inspections undertaken by us is upon outcomes for people who use the service, and their views of the service provided. This process considers the care homes capacity to meet regulatory requirements and minimum standards practice, and focuses on aspects of the service that need further development. The visit to the home was undertaken by two inspectors over eight hours and was assisted by the registered manager. The home did not know we were going to visit. Information was gathered from speaking to staff and people who live in the home. Staff were observed performing their duties and two staff were spoken to. Three people were case tracked and this involves looking at individual experiences of people living in the home by meeting or observing them, discussing their care with Care Homes for Older People Page 6 of 29 staff, looking at medication and care files, and reviewing areas of the home relevant to these people. Case tracking helps us to understand the experiences of people who use the service. Health and safety records were also reviewed to ensure people were living in a safe environment. Information was also taken from the homes quality assurance report and comments have been included in the main body of the report. Before the inspection the registered manager had completed an Annual Quality Assurance Assessment (AQAA) and returned it to us. This gave good information about the home, staff, and people living in the home. The AQAA identified plan for improvement and plans for the future. We also looked at the information we have received before the inspection such as notifications, any concerns, or complaints. Care Homes for Older People Page 7 of 29 What the care home does well: What has improved since the last inspection? What they could do better: The manager must ensure that future references are obtained from the persons last employer and the authenticity confirmed. This will ensure that people are kept safe at all times. It is recommended as part of the assessment process information is obtained about the persons capacity to make a decision so as not to inadvertently deprive somebody of their liberty. Where risk management plans have been put in place staff must follow these plans to ensure peoples safety. The service should consider a comments book so when people visit the home they can record their comments about the home. Care Homes for Older People Page 8 of 29 When peoples needs change this must be recored in the individual plan of care. This will mean staff have up to date information. efforts should be made to obtain any additional information the social worker holds about a person. This will mean the home has all the information about a person so they can meet their needs in full. 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 9 of 29 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them 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 have all the information they need to make an informed choice about whether to move into the home. Peoples needs are assessed before admission which enables the home to meet peoples needs. Evidence: Information is given to people in the form of a service user guide and statement of purpose. This tells people about the home and gives details about the facilities available. People that are considering going to live at the home are visited by a senior member of staff before being admitted. At this visit information is gathered about the persons health and social care needs. This means that details such as the persons personal care needs, medical conditions, medication and and information about what they can Care Homes for Older People Page 11 of 29 Evidence: do for themselves is collated. This information is then used to write a care plan that informs staff of what care is needed. We found that peoples care plans were written in a timely way so that staff have the information to deliver the care. Some information is provided by social workers for some people funded by social services. This information is in the form of a care plan. More detailed information is held by the social worker in their single assessment and efforts should be made to get this information. There is an admission procedure in place however this procedure doesnt have a process to ensure that people are willing to come into the home. This is needed to ensure that the home is compliant with the Mental Capacity Act and is not inadvertently depriving someone of their Liberty without the necessary safeguards being in place. This is especially important for services providing care for people with dementia. Care Homes for Older People Page 12 of 29 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a home where their personal, health and personal care needs are reviewed.. However risk management plans and where peoples needs have changed is not always recored which may place people at risk of harm. The people using the service are treated with kindness and respect. Medication management ensures people receive their medication safely. Evidence: People have care plans, risk assessments and management plans in place; these are well ordered and available to staff. Where a need or a risk has been identified there is an appropriate management plan in place. This means staff should use the information to ensure risks to both staff and the person living in the home is minimised. However one persons risk assessment for being moved from place to place had been changed the day before the inspection. We observed a move undertaken and this did not take account of this risk assessment. This could mean that a person is moved unsafely and result in injury to the person or staff. Care Homes for Older People Page 13 of 29 Evidence: Each care plan is reviewed each month, however this does not always mean that they are changed when peoples health changes or they find out more about the person. For example,one person care plan wasnt changed when it was clear that there were concerns about their nutrition and they had moved to weighing the person weekly rather than monthly. There was little review of the challenging behaviour incidents of another person and so it was difficult for the home to adapt the risk management plan to be more personal to the individual. Plans generally needed to be clearer about what works for the person. There is ample evidence that the staff and management monitor the health of the people using the service and access medical professional support when required. However the staff need to be mindful to record this information and share with the staff team if management plans have changed to ensure continuity of care for the individual. Systems for the administration of medication are good with clear arrangements being in place to ensure peoples medication needs are met. People living in the home were seen to be relaxed and staff were interacting on a one to one basis. Observations were made of privacy and dignity being promoted. We saw people using the service being consulted about what they wanted to do, what they wanted to eat. People were spoken to in a respectful and considerate manner. The home gave us an analysis of the surveys they had given to the people using the service. This told us people using the service found the home to be friendly, comfortable and warm. Care Homes for Older People Page 14 of 29 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 are able to exercise their choice over their daily life and activities they choose to participate in which promotes independence and individuality. People receive a varied diet, which takes account of their dietary, cultural, and their preferences. Evidence: When you go into the home there is excellent information in the reception which gives details about menus, activities, peoples birthdays, newsletters, and when meetings are to take place for relatives. It is recommended that a comments book be put in the reception so visiting relatives, social workers, doctors and other health care professional can use to record their comments about the home. This will enable the home to gather information and address any issues before they escalate. Although there is an activity schedule available in the home activities are person centred, for example activities take place on a one-to-one basis and this can include daily living tasks such as helping clear tables after meals, putting washing away or staff sitting with the person. Care Homes for Older People Page 15 of 29 Evidence: Observations throughout the inspection demonstrated people complete activities on an individual basis and the interaction with staff was very positive. Meals are cooked on the premises people told us that good quality ingredients are available, such as fresh fruit and vegetables. Information is available for staff about peoples special diet, and nutritional screening.This ensures the home provides the food people like and meets their needs. A choice of meals is available to people using the service and they are offered two choices of main meals at lunchtime and alternatives are available. People spoken to told us the food was very good. We observed the main meal and staff were seen to assist people appropriately while maintaining their dignity. People were given a choice of foods and encouraged to eat their meals. Where meal replacements were required medication records showed that these are taken regularly. The home operates an open visiting policy. This means people living in the home have regular contact with family and friends. One family said they were very happy with the care observed at the home. Relatives are invited to take part in activities such as trips, birthday parties and keep in close contact with their relatives. Meetings are arranged for the people living in the home so they can voice their views. We noted in minutes of these meeting the attendance was very poor. This is due to peoples increasing age and ill heath. The manager told us that they had more success on an individual basis and this was working well. Observations were made of staff consulting people and encouraging them to make choices about their daily routines. There was a relaxed and friendly atmosphere. Care Homes for Older People Page 16 of 29 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are able to make complaints and are safeguarded by the homes policies and procedures. however lapse in following risk management plans may place people at risk. Evidence: Two complaints had been received by the home since the last inspection, which had been thoroughly investigated with a satisfactory outcome. The manager told us that the management team try to deal with issues immediately before they escalate. It was suggested that this is also recorded detailing the action taken with these minor concerns, as evidence that minor issues are taken seriously. The home would benefit from a complaints, grumbles, complements book in which they would record any issues. This would encourage relatives and other health care professionals to put comments in the book that could be used as part of the homes annual quality assurance. We looked at the feedback from visiting general practitioners and this is very positive. Comments include: Excellent individual care staff are approachable polite and have good communication skills. Care Homes for Older People Page 17 of 29 Evidence: It is a well-run home and people receive individual personal care. Very good home. This training matrix for the home showed the staff have received training in the protection of vulnerable adults, reporting of incidents and health and safety issues. This ensures staff are able to safeguard people from harm or abuse. The risks to people health is compromised by staff failing to follow the instruction in risk management plans. (See Standard 7) Care Homes for Older People Page 18 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a home that is well maintained, warm, comfortable and safe. Evidence: Access to the building is via a call bell this should mean that staff are aware of who is in the building and give them the opportunity to check the callers identification. This means people are assured the building is secure. The reception area is pleasant with notices boards where information about the home is available. This includes information about relatives meetings, activities, how to complain and other information. We looked around the building and areas relevant to the three people whose files we looked at. There was a pleasant atmosphere and people were seen to be relaxed. The corridors are decorated in different colours such as bedrooms and, bathroom doors. This is to identify the different rooms which are particularly important for people suffering with dementia. There are themed sitting areas along the corridors such as gardens with artificial flowers and plant pot to give a feeling of being outdoors. In the lounge downstairs there are both comfy chairs and in the dining area so people can choose where they wish to sit. Facilities are available to make drinks and snacks in the lounge. We observed in one bathroom that a commode had been cleaned out in the bath. One Care Homes for Older People Page 19 of 29 Evidence: staff member told us that this was not done and another staff member told us it was where staff clean the commodes. The home does have a facility to clean commodes in a sluice room. The manager was informed that using the bath is not good practice as the control of infection could be compromised. The manager told us that this would not happen and felt that the staff member had got mixed up when they told us where staff were cleaning the commodes. Bedrooms were very pleasant, individualised and personal. Peoples sitting in their bedrooms had the opportunity of having their door open or closed. One person told us I like my door open. All doors have electronic door closures in the event of a fire which means people are protected. Care Homes for Older People Page 20 of 29 Evidence: Care Homes for Older People Page 21 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent 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. People are supported by adequate trained numbers of staff to ensure peoples needs are met. Lapses in recruitment procedures may not ensure the safety of people. Evidence: The home generally maintains a core group of staff, which means that the people who live at the home know who will be assisting them to meet their needs. In addition to care staff the home also have domestic, kitchen and maintenance staff to meet all the needs of the people who live there. Over 50 of staff have completed NVQ (national vocational qualification) level 2 and some staff have also achieved NVQ (national vocational qualification) level 3. This should ensure that staff have the knowledge and skills to care for people individually and collectively. Three staff files were reviewed.Two had references from their last employer. Two staff files had CRB (Criminal Records Bureau checks) in place and a full employment history. One CRB (Criminal Records Bureau checks) had not yet been returned. All three files showed us that they POVA first (protection of vulnerable adult checks) had been completed to safeguard people from harm. Care Homes for Older People Page 22 of 29 Evidence: The one staff file did not have references that had been sought by the home. The manager told us that the staff member had brought the reference with them. This is not good practice as the authenticity of the references could not been be confirmed. Both references were dated before the interview and the date on the application form. The manager told us that one reference had been difficult to obtain so she had asked the member of staff to take the reference form to the referrer, again this is not safe practice. It was suggested to the manager that the authenticity of these reference be sought. The manager started this process on the day of the inspection. Staff training records were reviewed and there was a matrix in place that told us staff training is monitored and were appropriate staff complete updated training as required. Information showed us that staff had received training in first aid , manual handling, safeguarding, medication ,health and safety, infection control, challenging behaviour and dementia. This means staff have the knowledge and skills to look after people. Care Homes for Older People Page 23 of 29 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is generally run in the best interest of people living in the home , which means people can be assured their needs will be met. Overseeing care practices needs to improve to ensure peoples care plan and risk management plans are adhered to. Evidence: The registered manger has many years of experience within the care of elderly people. Staff told us they were pleased with the way the home was run and the manager was very approachable supportive and wanted to improve the care people receive. The manager should ensure that care plans and risk management plans are adhered to by staff. This will mean she can be confident that changes in peoples needs are met. The manager has support from a senior representative of the organisation who visits the home monthly to monitor progress and give support where required. Before the inspection the manager had completed the annual quality assurance assessment (AQAA) and this gave us good information about the service provided, Care Homes for Older People Page 24 of 29 Evidence: how it had improved and how it planned to improve further over the next year. This shows that the manager and organisation have a clear vision of how the home could move forward. People living in the home and staff have the opportunity to share their ideas about the home although the people living in the home do not attend meetings regularly due to peoples complex needs. The manager overcomes this by having one to one sessions with them and relatives. Quality questionnaires are sent to relatives and health care professionals to seek their views about the home and the feed back is collated into a report. If there are any issues action is taken. We looked at two records of money held on behalf of people living in the home. There are computerised records of money that each person has asked the home to keep safe. Money is kept in a specific bank account for people with a small amount of money available in a petty cash system for when people want it. Receipts were kept for any service or goods that the home purchased on behalf of a person. Some receipts such as for hairdressing were joint for all the people receiving the service. However it was possible to determine the details of the service received and see a specific receipt on request. Peoples money is usually brought in by family but for some people this is sent by solicitors or by social services. Receipts are given for any money or cheques brought into the home. Money was usually spent on services such as hairdressing and chiropody. Money is usually only available when the administrator or manager is available unless a person has an expected expense at the weekend. We looked at a number of health and safety records for gas, fire, water and lifting equipment and found that these were maintained and inspected as required. The home was built just over five years ago and is now needing a five-year wiring installation check. The service ensures that electrical equipment is checked every two years. Care Homes for Older People Page 25 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 26 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 7 13 Where risks to the person using the service have been identified. The risk management plan must be followed by the staff team. This will ensure people are not placed at risk of harm. 01/03/2010 2 38 23 The home must ensure that an up to date electrical wiring installation check is completed. This will ensure the home has updated information. 31/03/2010 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 3 The home should consider updating the assessment process and include information about the individual capacity to ensure that the person liberty is is not effected adversely. This will also ensure safeguarding procedures are put in place. Care Homes for Older People Page 27 of 29 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 2 3 The home should consider ways of incorporating the additional information the social worker holds into the assessment process to give the home more information about the individual. The home should ensure that the Authenticity of references from peoples last employment are sought. This will keep people safe. It is recommend that staff receive training in deprivation of liberty. This will ensure staff have the knowledge and understanding so as not to aversely restrict someone of their liberty. The manager should ensure that records relating to the people living in the home are up to date. This will ensures staff have the information to care for people. 3 28 4 29 5 37 Care Homes for Older People Page 28 of 29 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. Care Homes for Older People Page 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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