Care Home: Carisbrooke

Similar services:

• Larch Avenue
• Alderson Road 12
• Cranworth Close Registered Care Home
• Pennine Camphill
• Muston Road (70)
• Grayling
• The Cornerstone
• John Street Nursing Home

What the care home does well The home had a very friendly feel with an emphasis on providing a homely environment for the people who lived there. The home provided a comfortable environment that was clean and hygienic. People were assessed before they went to live in the home and information about their needs was put into a plan which described how care was to be provided. People were able to make choices about their lives and care requirements and were provided with the support necessary to make those choices. People were supported to manage risks as part of their independent lifestyle. They said that they were well cared for and they were able to make decisions about their daily routine. Peoples views and complaints were listened to and acted on if possible, and they were protected from self-harm or abuse. People living in the home knew how to respond if they were unhappy. Competent and well-trained staff were provided. The staff group had opportunity to access NVQ qualifications in care and the majority of staff had either achieved a qualification or were working towards one. There had been a very low turnover of staff working in the home which is very beneficial for the people living there as staff had developed in-depth knowledge of people living in the home and how care was to be delivered to meet their needs. People living the home benefited from a service that considers their interests, their views and their wishes as part of the monitoring, reviewing and development of the home. There was open communication observed between staff and people living in the home and residents were clearly comfortable expressing themselves and offering their opinions. Staff took their time to understand people where they had communication difficulties. What has improved since the last inspection? They had made sure that they obtain all the checks required to ensure that staff are fit to work with vulnerable people. They had made sure that the people in the home are protected from the risk of fire by completing checks of escape routes and related equipment. What the care home could do better: The home should decide how many staff they need on duty at any one time by looking at the needs of the individuals living in the home. They should provide evidence that they have used a specific calculation called the Residential Forum guidance to make sure that they have enough staff on duty. Key inspection report Care homes for adults (18-65 years) Name: Address: Carisbrooke 35 Welholme Road Grimsby North East Lincs DN32 0DR     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: Kate Emmerson     Date: 1 5 1 2 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 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 Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: Carisbrooke 35 Welholme Road Grimsby North East Lincs DN32 0DR 01472354434 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Diamond Care (2000) Limited care home 12 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Date of last inspection Brief description of the care home Carisbrooke is a residential care home situated close to the centre of Grimsby overlooking Peoples Park. The property is a large Victorian house with the accommodation set over three levels. Fees per week are £350.02. 1 5 0 9 2 0 0 8 12 Over 65 12 Care Homes for Adults (18-65 years) Page 4 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This inspection was unannounced and was conducted over one day in December 2009. The manager had completed an Annual Quality Assurance Assessment (AQAA) form for the Commission prior to the inspection, which gave detailed information on how the home was managed. Prior to the inspection the Commission had sent questionnaires to staff and people who lived in the home to enable them to give their views. One staff survey was received and five surveys were received from people who lived in the home. All gave very positive comments about the home and the management. During the visit to the home we spoke to the staff on duty and the manager. Some of the people who lived in the home were spoken with to establish their views on the care they received. Some of the people who lived in the home were at day services during Care Homes for Adults (18-65 years) Page 5 of 29 the inspection. The interaction between staff and residents was observed throughout the inspection. A selection of records relating to the care provided, staff recruitment and training and health and safety in the home were examined. A tour of the building and garden was also completed. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. Care Homes for Adults (18-65 years) Page 6 of 29 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. Care Homes for Adults (18-65 years) Page 7 of 29 The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 29 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs were assessed before they moved into the home and they were provided with detailed information about the services provided. Evidence: The Annual Quality Assurance Assessment (AQAA) received by the Commission prior to the inspection stated that the Service User Guide and Statement of Purpose are on view and updated at least annually. It also stated the documents are now available in audio format and other languages/braille/large print and are available upon request, although these are ordered and would be sent out in the post. It also advised that the documents were available on the web site www.carisbrookecarehome.co.uk. A new assessment format had been developed but had not been used in practice as the home had not had any new admissions since the last inspection. The new format will allow for a very detailed assessment of peoples needs and preferences for care delivery to be recorded. Assessments held on file for people living in the home were examined and these Care Homes for Adults (18-65 years) Page 10 of 29 Evidence: detailed peoples needs and the way they liked to live their lives. They had been completed together with the person using the service and, where appropriate, families and specialist teams such as the Community Team for Learning Disabilities. Care Homes for Adults (18-65 years) Page 11 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. All the people who lived in the home had a detailed care plan which set out their needs and preferences. People were consulted on all aspects of their lives and were supported to be as independent as possible. Evidence: A random selection of care plans was examined. These had been developed from the information collected at assessment and with the involvement of people living in the home or their representative and relevant health specialists. The format for care planning had been significantly improved. There was a wealth of information recorded which detailed needs and how these should be met. Care plans were evaluated regularly and there was evidence the care plans had been updated as needs had changed. The care plans included risk assessments where appropriate. There had been Care Homes for Adults (18-65 years) Page 12 of 29 Evidence: continued improvements to care planning to manage challenging behaviour. Systems of monitoring and recording challenging behaviour had been maintained in detail with actions taken in response also recorded. Staff showed good knowledge of individuals care needs and previous history. They had a clear understanding of individuals preferences, likes and dislikes and daily routines. They confirmed that they had up to date information about the people they were caring for. Staff provided information on community life and offered choices for individual activties such as shopping with a key worker. Many of the people living in the home attended day services where they interact with friends and acquaintances or engage in activities. One person loved gardening and helped the manager attend to the homes garden. The manager had developed additional detailed support plans for the key workers to work with people to improve their life skills. These included working in areas such as cooking, financial management and road safety. These were to be implemented following staff training. During the inspection one person went out with their key worker to the bank and then shopping. Care Homes for Adults (18-65 years) Page 13 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People enjoyed satisfying lifestyles of their choosing, with support from staff where necessary. Evidence: People spoken to were very satisfied with the lifestyles they lead. Some people attend day care services at different establishments belonging to the social services or voluntary groups. They use arranged transport and have set days to attend. The new key working system and support plans will provide a more planned approach within the home for people to learn and use practical life skills. There was evidence that staff encouraged people to maintain contact with their family. One person who was visiting the home said there is always good communication and stated that the manager puts a lot of effort in. Staff showed a good understanding of peoples communication needs and those without speech were understood by staff Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: when they were indicating their needs. People were supported to take part in community activities appropriate to their mobility. Usually they went out in twos or threes to the pub, to go shopping, or to visit the cinema. The menus for the week were decided by the people who lived in the home at a meeting held on a Sunday. People were assisted to make choices through the use of pictures of the food displayed on the wall in the dining room. Records of food served were available. The records showed a variety of different meals was provided and indicated that there was flexibility to meet individuals preferences. Comments about the provision and the quality of the meals included my favorite food is Cornish pasties, the food is good, we all help to decide what to have, we have a meeting once a week and its put up on the board. Special events such as birthdays were celebrated and on the day of the inspection one person was celebrating their birthday. They stated we are having a birthday tea tonight and a Grimsby Town birthday cake and we will sing happy birthday. Care Homes for Adults (18-65 years) Page 15 of 29 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People had their health care needs met and medication was well managed. Evidence: The manager and staff provided detailed information about individuals health needs and how they were met. Health action plans had been completed by the community learning disability team and these were held in each care file. Improved and detailed care records evidenced how peoples health needs were met. Records were completed when a person had seen a health professional and these indicated that staff interventions to arrange these visits were appropriate and timely. The home had an up to date policy and procedure for the safe handling of medication. Staff training records showed staff were trained to administer drugs. Records seen on medication receipt and administration were well maintained. Records to show what medication had been returned to the pharmacy were available. A medication profile had been included as part of each persons care plan and this included possible side effects. A full homely remedy procedure had been developed Care Homes for Adults (18-65 years) Page 16 of 29 Evidence: with input from each persons G.P. Where people required medication to be administered on an as required basis, detailed care plans had been developed to support this practice. Care Homes for Adults (18-65 years) Page 17 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People had access to complaint procedures within the home and were confident their concerns would be dealt with appropriately. There were procedures in place to protect people from abuse. Evidence: People living in the home said in surveys they knew what to do to if they were unhappy with the care at the home. One said I would go to Dean (the manager) and a visitor said they also go to Dean if they were not happy but had no complaints or concerns about the service. There was open communication observed between staff and people living in the home and residents were clearly comfortable expressing themselves and offering their opinions. Staff took their time to understand people where they had communication difficulties. There was a complaints policy and procedure displayed in the home, and staff understood the action they must take if anyone does have a complaint to make. There had been no complaints made to the Commission and one recorded in the home in the last twelve months. The manager was advised at the last inspection that the format for recording concerns did not protect confidentiality and should be reviewed. These records had been improved. Care Homes for Adults (18-65 years) Page 18 of 29 Evidence: There were policies and procedures in place to protect people from abuse or neglect. It was evident from staff responses and training records that staff had received training in this area. The manager had also completed this training as well as training on equality and diversity. The manager had advised us of an issue involving financial abuse. This had been appropriately referred to the police and safeguarding team and appropriate action had been taken by the manager to protect people living in the home. Care Homes for Adults (18-65 years) Page 19 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People enjoyed a good level of cleanliness and hygiene within the home and the fabric of the building was reasonably well maintained. Evidence: A tour of the building and garden was conducted. The manager and one of the people living in the home had continued working to improve the garden over the summer and had created a much much improved space to ensure that it was a safe environment for all the people living in the home. A vegetable patch had been developed and people living in the home said that they had enjoyed eating the vegetables they had grown. New seating had been provided and a new shed had been built. Bedrooms were personalised and comfortable. Some bedrooms had been redecorated and had had new soft furnishings. The residents were proud of their bedrooms and those that were able enjoyed showing us round. The home was clean and tidy throughout. Although four of the eight rooms were doubles, most were fitted with good partitioning dividers to offer separate areas for each person. One bedroom was not fitted with a Care Homes for Adults (18-65 years) Page 20 of 29 Evidence: partition but portable screening had been provided. The bathroom on the second floor had been refurbished and much improved since the last inspection. The lounge had also been redecorated and new furniture had been provided. Wheelchair access was available to the front and the house had an internal ramp to the rear. The laundry was domestic in style and equipment meets the Water Supply (Water Fittings) Regulations 1999. The kitchen had been refitted and home had achieved a four star rating from the environmental health officer. Staff had completed infection control training and practice in maintaining cleanliness and preventing spread of infection was good. Training records, copy certificates and observation evidenced this. Personal protective equipment was seen in use and staff followed good food hygiene procedures. Care Homes for Adults (18-65 years) 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, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living in the home benefited from a stable staff group who had received training and regular supervision in their role. There was no evidence dependency of individuals was used in determining staffing levels. Evidence: The home had a small but stable staff group with very low turnover. This was beneficial for the people who lived in the home as staff had developed in-depth knowledge of people living in the home and how care was to be delivered to meet their needs. The calculations for staff hours should be determined using the Residential Forum Guidelines applicable to the people accommodated. This calculates the staffing hours required in relation to individuals dependency levels and should be checked regularly to ensure staffing levels remain appropriate. The manager was not able to provide evidence that staffing levels were being determined using this tool. The rota showed that two staff were provided twenty four hours per day to care for the ten people accommodated. An additional eight care staff hours were also provided to assist one person to access social activities. Three of the most recently recruited staff files were checked. Two of the files Care Homes for Adults (18-65 years) Page 22 of 29 Evidence: contained the necessary checks to ensure that staff were suitable to work in the home. In one case however where a staff member had been transferred from another of the companies services the manager had not been provided with a copy of the references and a work permit. The manager was advised to obtain copies of these documents for his files. The home was committed to supporting staff to gain qualifications in care. Seven of the eleven staff employed had achieved at least NVQ 2. Three of these staff had also gained NVQ 3 and the manager had achieved NVQ 4. One staff member was working towards NVQ 3 and three were working towards NVQ 2. The manager had developed a detailed overview of the training required by individuals and a training plan to address shortfalls. The staff had completed the mandatory training requirements. The was some evidence that training to meet the specific needs of people accommodated had been provided and staff had received awareness training in new legislation regarding the deprivation of liberty. Care Homes for Adults (18-65 years) Page 23 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager is qualified and registered and maintains consistency within the service. They have use of a quality assurance system, but what provides them with a more effective means of inclusion is the culture within the home. The manager had worked hard to achieve continued improvements in all areas including the management and monitoring of health and safety. This means peoples health, safety and welfare is protected and the home has continued to develop. Evidence: The manager Dean Smith has been in post for three years. He is qualified with NVQ level 4 Registered Managers Award, and experienced having managed and supervised staff for more than two years at another establishment within the company. He was observed to relate very well with staff and people living in the home on the day of the visit and they responded very well in return. The manager stated he now had twenty five supernumerary hours per week in which to attend to management duties. The rest of his hours were spent as one of the two carers on shift. Care Homes for Adults (18-65 years) Page 24 of 29 Evidence: People and staff spoken to were aware of the ways in which people were consulted about their care and the support they receive: reviews and daily consultation being the main ones. People were confident they would be listened to and that any suggestions they have would be considered and adopted if possible. The manager stated additional weekly meetings had been held to decide on meals and activities for the week. The people living in the home confirmed that these meetings were held although there were no records kept. The manager was advised to keep records of meetings. The manager completed regular audits in the home to monitor the quality of the care and the company completed an annual internal audit. Surveys were sent out annually to stake holders and these were audited to identify areas for improvement. The manager stated that he was appointee for nine people living in the home. The records were well maintained and audited annually. A random selection of records relating to health and safety management was checked. There were improved procedures for maintained fire safety in the home. A fire risk assessment had been completed and fire safety checks, staff training and fire drills were completed regularly. An additional staff member was now provided at nights so that in the event of a fire or other incident there would be adequate assistance available. The home had policies and procedures in place to support safe working practice. The staff had received training in health and safety related areas such as food hygiene and infection control. Staff had completed moving and handling training. Records were maintained for any accident or incident within the home. However the Commission had not aways been informed of incidents adversely affecting the health and wellbeing of people living in the home that were reportable under Regulation 37. For example one person had suffered a fracture and there were two incidents recorded of residents being aggressive with each other and we had not been informed of these. Care Homes for Adults (18-65 years) 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 Adults (18-65 years) 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 42 37 The Commission must be informed of incidents adversely affecting the health and wellbeing of people living in the home. To provide evidence that correct procedures have been followed to protect peoples health, safety and welfare. 15/02/2010 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 33 The residential forum tool should be used to determine staffing levels in the home. To make sure that the dependency of the people accommodated is determined in calculating the number of care staff hours required. Copies of the references and work permit should be provided to the manager for the staff member who has transferred within the company. Records of meetings held with people living in the home should maintained to provide further evidence of the consultation processes. Page 27 of 29 2 33 3 39 Care Homes for Adults (18-65 years) 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 Care Homes for Adults (18-65 years) 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 Adults (18-65 years) Page 29 of 29 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!