Care Home: Chase Mental Nursing Home

Similar services:

• The Lodge Nursing Home
• Bracken House
• Sunnycroft
• Field Farm House
• Edgeview Nursing Home
• Church Terrace Nursing & Residential Home
• The Forbury

What the care home does well The home offers support for the people who live there. People told us "I like living here the staff are very good". People are encouraged to use the local community and take part in activities. There are trips outside of the home to local beauty spots, pubs and theatres. One person told us they had recently been to Lichfield Cathedral "I really enjoyed it, the Cathedral is a beautiful place to visit I didn`t realise it was so old". People told us the receive the care they want and in a way they want it. One person said "the staff are good and are kind to me". The home has good systems in place for managing and dealing with concerns that people may have about the service they are receiving What has improved since the last inspection? Since our last inspection the home has introduced a key worker system. This means that people have a nominated worker who is responsible for making sure their needs are met. The home has also replaced some of the carpets for laminate flooring in the corridors. This makes the home feel fresher and looks more appealing. What the care home could do better: The home needs to improve upon the environment for people`s comfort. There are areas of the home that require redecoration and refurbishment. The home also needs to develop the person centred approach to care planning. This will help the home offer more individualised care for people. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Chase Mental Nursing Home 70 Vicarage Road Brownhills Walsall West Midlands WS8 6AR     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Mandy Beck     Date: 1 4 0 5 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for 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 Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: Chase Mental Nursing Home 70 Vicarage Road Brownhills Walsall West Midlands WS8 6AR 01543360611 01213088007 agunputh@aol.com 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) : Heritage Healthcare (Midlands) Limited care home 22 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Additional conditions: 22 The maximum number of service users who can be accommodated is: 22 The registered person may provide the following category of service only: Care Home with Nursing (Code N) To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Mental disorder, excluding learning disability or dementia (MD) 22 Date of last inspection Brief description of the care home The Chase is a care home providing nursing, personal care and accommodation for up to 22 adults with mental health difficulties. Owned by Heritage Healthcare (Midlands) Limited The Chase Care Home is situated in a residential part of Brownhills close to the town centre. Formerly the vicarage of St. James church it is constructed of brick with a tiled roof and has been extensively extended and modified. Care Homes for Adults (18-65 years) Page 4 of 28 Brief description of the care home The accommodation consists of single and double bedrooms, which are situated on both the ground and first floors of the building. The laundry, storage and staff room are in the basement. It has three lounge areas and separate dining room. One small lounge is designated for smoking. Information about the home and the provision of the service are available in the statement of purpose and service user guide. Information about fees charged are available from the home. Care Homes for Adults (18-65 years) Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: One inspector carried out this unannounced key inspection on one day. We looked at all the information we have received, or asked for, since the last key inspection May 2007. This included information about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we have made to the service in the last twelve months and relevant information from other agencies We spent time talking to some of the people who use the service and to the staff who support them. We looked in depth at the care of three people who use the service. This is part of our case tracking process and helps us to make judgements about the homes abilities to Care Homes for Adults (18-65 years) Page 6 of 28 meet peoples needs. We sent surveys to the home and to the people who live there. We did not receive any responses. We have also asked the home to provide us with an Annual Quality Assurance Assessment (AQAA). The AQAA is a self assessment that focuses on how well outcomes are being met for people using the service. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 28 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who choose to live at this home will have their needs assessed in full prior to their admission Evidence: We looked at the care of two people in depth during this inspection. We saw that there is a wealth of information available to the home in relation to each person. One person had been assessed by the local authority and the Primary Care Trust (PCT) using the Single Assessment Process (SAP) and the Care Programme Approach (CPA). The home itself also completed their own assessment using a model of nursing that is based upon peoples ability to meet their daily needs. This means the home is very clear about what support people need when they are admitted. We spoke to one person who told us I have no concerns about the home the staff are good and I get good care. Care Homes for Adults (18-65 years) Page 10 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are being supported to take risks and lead an active life. The home could however make improvements to the record keeping systems so that peoples support needs are clearly indicated. Evidence: Each person has an individual care plan that details some of their needs. These plans are reviewed on a monthly basis by the home. Each person is assessed for their risk of developing pressure sores, being malnourished and falls. There is also a mental health risk assessment completed by the home that would highlight any specific risks relating to a persons mental wellbeing. The home has introduced a key worker system that appears to be working well. We spoke to people and their key workers both had a good understanding of the support they needed and how it was to be given. One person told us they do talk to me about what I want and if I dont want to do something I dont. We saw that people are supported by the advocacy service to help them make choices Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: about their care and the way they live their lives. The home does support people to manage their money where appropriate. At this time there are not many people doing this. We looked at the care plan for one person in relation to this we saw the home had recognised a specific issue, it said cannot manage money would misuse it or give it away to others, what the care plan did not say was how the home was going to support the person with this. This is what the home will need to develop so that people can be clear about the level of support they are receiving. Care Homes for Adults (18-65 years) Page 12 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in this home are supported by staff in a way that enables them to do the things they want to do. Evidence: The home is supporting people in leading an active life. People are encouraged to maintain their friendships and relationships with family and friends. The home has tried to encourage people to take part in educational activities but at this time there is no interest from people living the home to do this. The home told us in their Annual Quality Assurance Assessment (AQAA) most of the people living there are now older adults who are not interested in education. People are encouraged to use the local community and take part in activities. There are trips outside of the home to local beauty spots, pubs and theatres. One person told us they had recently been to Lichfield Cathedral I really enjoyed it, the Cathedral is a Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: beautiful place to visit I didnt realise it was so old. One member of staff told us they seemed to really enjoy it they do prefer it especially the older ones who are more frail. The home has also told us that they have recently been victim to some very negative attention and taunting by the local community. The home has responded in a very positive way in the interests of the people living in the home. They have installed high fences, closed circuit television (CCTV) and locked gates. The police have also visited the home to give them advice about further security. People we spoke to said it was very scary because they (youths) were banging on my bedroom window and they frightened me. We asked if they were feeling more secure with the changes that had been put in place, we were told yes much better, the staff have been very good. People are encouraged to have key to their own rooms. Some people choose not to do this and this is recorded in their care plan. Meals are of a good quality, there is plenty of choice and always an alternate choice available to people. The menu is based on a four week rolling programme and is displayed in the dining room. People said the food is good I have no complaints about it. Staff are encouraged to take their meals with people living in the home. Mealtimes are at set times but snacks and drinks are available at other times during the day. At this time none of the people living in the home prepare or cook meals for themselves. Care Homes for Adults (18-65 years) Page 14 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported by the home in meeting personal and healthcare needs. Medication practises are generally safe but could be improved to offer further safeguards for people Evidence: People told us they receive the care they want and in a way they want it. One person said the staff are good and are kind to me. Care plans are written to guide staff in meeting peoples needs but the could be more descriptive so that they reflect peoples individual wishes and choices. We spent time talking to peoples individual key workers, they were able to demonstrate a good understanding of peoples needs and the support they need. We saw that people are encouraged to maintain their health, there was evidence to show that appropriate medical support is sought in a timely manner. People attending outpatients appointments, visits to the clinic to see the practise nurses. Again care plans were in place for dealing with both physical and mental health problems. Medication is managed in a satisfactory manner. The home has recently improved the way in which it receives, orders and stores medication. This means that audits of Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: medication are now possible. We checked the medication of the people we case tracked, we found that the records were up to date and medication balanced. This shows us that people are having their medication as required. We have made some good practise recommendations to further improve on the homes current arrangements. The home should record the actual dose administered to people when a variable dose is prescribed. For example one or two tablets, the home should record whether they have given one or two tablets on the Medication Administration Sheet (MAR) sheet. The home should also record on a daily basis the temperature of the room where the medication is stored. This will show that the home is storing medication as recommended by the manufacturers. They will also be able to take action if the temperature rises above 25oC. We have made a requirement about the use of as required or PRN medications. We found that people were prescribed medication in this way but there was no care plan to offer staff clear instruction about the circumstances in which it should be administered. The current storage facilities for controlled drugs are not meeting requirements following a change in legislation. The home has been asked to contact a provider of controlled drugs cabinets for further advice and action. Care Homes for Adults (18-65 years) Page 16 of 28 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home are confident that their concerns will be listened to and acted upon. Improvements in policy guidance in this home will ensure that staff take appropriate action in safeguarding matters. Evidence: The manager and staff appear to have developed good relationships with people at the home, encouraging them to discuss concerns or worries both in the formal and informal settings. We spoke to some people who live at the home they told us they would talk to the manager if they were unhappy with anything. We looked at the homes policy and saw that it does not contain all of the information it should. For example there was no mention in the policy that people could contact the Local Authority or the Care Quality Commission at any time if they were unhappy about any aspect of their care and support whilst living at Chase Home. We have recommended this be included. We looked at the systems in place for the protection of vulnerable people, we call this safeguarding adults. We spoke to staff about training, they told us yes we have had training, we learnt about the different types of abuse and what to do if we suspected something. All of the staff we spoke to said that they would refer any incident or allegation to the manager straight away. We asked the staff if they understood what the whistle blowing policy was for, again all of the staff understood about this. They told us its where we can report things confidentially if we need to, to stop bad things Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: happening. We looked at the homes safeguarding adults guidance and found that the current policy needs to be updated to reflect changes in process and legislation such as the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards. The home will need to do this so that they do not take matters into their own hands and investigate any allegations until all relevant parties have agreed this. Care Homes for Adults (18-65 years) 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, 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 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 that is generally well maintained but there are improvements needed to make the home a better place for people to live. Evidence: The homes environment is generally satisfactory. The home has told us that there is an ongoing programme for redecoration and refurbishment. During this inspection it is apparent this is needed. There have been improvements such as the new flooring in the home and decoration of some peoples bedrooms but more is needed. We saw the smoking room within the dining room is very dirty and in need of a deep clean. The extractor fan was not sufficiently working and there was limited ventilation in the room itself. We have also asked the home to seek further advice from the Environmental Health Department about the suitability of the smoking room being located in the dining room. We are concerned that the door opens directly into the dining room and may affect people whilst they are eating. We spot checked some of the hot water taps in peoples bedrooms and found them to be excessively hot and could potentially pose a scald risk to people using the service. The home did take action to remedy this during the inspection. They need to keep hot water temperatures under review and take action when water is too hot or too cold for people to bathe in. Care Homes for Adults (18-65 years) Page 19 of 28 Evidence: We saw some peoples bedrooms. There are an unusually high number of shared rooms in this home. The privacy curtains that are currently in use do not afford people the privacy they should expect. We have recommended the home addresses this. One persons room was very cold when we went in, the person was lying on the bed with the duvet over them, they told us yes it is cold in here. We also noted the duvet was thinning and the pillows were lumpy. We looked at the bathing facilities for people to use, generally they were satisfactory however the shower on the first floor had inadequate lighting and made the room very dark. This would make bathing difficult given the poor lighting. We saw the sluice on the first floor and found the commode pots were dirty and in need of a deep clean. The laundry is situated in the basement of the premises and has the necessary equipment for dealing with clothing and linen. Care Homes for Adults (18-65 years) 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, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home are supported by staff who have the knowledge and understanding to meet their needs. Evidence: We looked at the information the home has given us in their AQAA and also spoke to staff about the training that staff undertake. Staff confirmed that training is ongoing and they have completed their National Vocational Qualifications (NVQ). Staff also said that there is occasionally in house training about mental health problems. This keeps them up to date with peoples conditions. Staffing levels appear to be meeting peoples needs at this time. There are usually four staff on duty, this includes one trained nurse and three care staff. Staff did comment that at weekends these staffing levels drop by one carer. We have recommended the home should keep this arrangement under consideration. The home should be mindful that people continue to need support regardless of the day of the week. We looked at the recruitment processes in place. We found the home is taking appropriate steps when recruiting people to stop unsuitable people from working with vulnerable adults. There were some minor omissions in peoples files, the home should complete and audit of staff files to address this. New workers are supported in their induction. They receive guidance and support from Care Homes for Adults (18-65 years) Page 21 of 28 Evidence: the care staff. The induction process currently in place meets with the skills for care guidance. Care Homes for Adults (18-65 years) Page 22 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a home that is well managed and run in the best interests of the people living there. Evidence: Janet Morgan has been the registered manager of the home for approximately four years and demonstrated a sound knowledge and understanding of the needs of the people living in the home and the difficulties experienced by some people with mental ill health. Her management style is one of openness and inclusion, supporting and involving people with all aspects of life at the home. She is well supported by the owner of the home. Staff and resident meetings occur on a regular basis with minutes kept of the content of the meetings. People are consulted about the care and support they receive. The home should consider developing the quality assurance system further to include audits of care plans, medication and the environment. This will show the home is working toward improvement and taking steps to address shortfalls in the service Care Homes for Adults (18-65 years) Page 23 of 28 Evidence: provision. The home has also provided information about the imrpovements they intend to make in the AQAA. This document is completed by the home on an annual basis and gives us information about how the home is working for the people living there. The AQAA gives us a reasonable picture of the home and information we were given is generally a reflection of the service people receive. The health and safety of people living in the home is promoted by staff having appropriate training such as health and safety, infection control and moving and handling. Accidents are recorded in a satisfactory manner and the home is aware of its responsibilities in reporting incidents to the Care Quality Commission using regulation 37 notifications. Care Homes for Adults (18-65 years) Page 24 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 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 20 13 People who require as required or PRN medication should have a care plan that clearly details the circumstances of when the medication should be administered. This will make sure that medication is only given when it is needed. 30/09/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 7 Peoples support plans need to include the type of support the home staff will be providing rather than just a description of the problem. This should give people a clear understanding of the support they can expect from the home. The home should record the variable dose given to people on the MAR sheet so that an accurate record of all administration can be made. The home should record the temperature of the room where medication is stored on a daily basis. If the Page 26 of 28 2 20 3 20 Care Homes for Adults (18-65 years) temperature rises above 25oC the home should take action to remedy this. This will mean that peoples medication is not affected by excessive heat or humidty. 4 22 The home should update the complaints policy/procedure to include the details of the Care Quality Commission and the Local Authority customer services department. This will give people more scope for making their concerns known. The home should obtain a copy of the most recent guidance in Safeguarding vulnerable adults from the local authority. This will give staff very clear guidance about what to do if an allegation or incdient is made to them. All staff should have training in the principles of the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards. This will help them understand their role and responsibility in supporting people who do not have capacity to make decisions about aspects of their lives. The home should complete an audit of the staff files to make sure that they comply with the Care Home Regulations 2001 Schedule 2. The home should develop the quality assurance system further to include audits of the environment, infection control, care planning and medication. this will enable them to identify shortfalls in service provision and take appropriate action when needed. 5 23 6 23 7 33 8 39 Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 28 of 28 - 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!