Care Home: Chiltern Court Care Home

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What the care home does well There is information available and the opportunity to visit the home to help people decide whether they wish to move to the home. People`s health and social care needs are assessed before they move to the home, to ensure they can be met. The manager visits all prospective residents and they or their families are welcome to visit at any time. One family member spoken to said they had visited four homes and chose this one because `when we came in we were struck by the laughter, everyone seemed happy`. Resident`s personal, health and medication needs are met. Their care need are recorded in a care plan, which is updated regularly with the residents or their family. Family members commented ` `Dad is comfortable now, thank you for his care` and `I am happy with the care Mum is receiving`. People`s privacy and dignity is respected. The home is introducing a Department of Health initiative by appointing dignity champions to help promote improvements and ensure people`s dignity is protected. Residents told us that they received the care and support they needed. People can choose how they spend their day and are supported to take part in activities in the home if they wish. The standard of food is good meeting residents` social and nutritional needs. An activities coordinator plans a schedule of daily activities and some outings. The manager is introducing pets to the home and there are fish tanks and birds in the lounges. Two residents have hamsters for company. Families said that they were made welcome at any time. People who live at the home are protected from harm and their concerns are listened to and in most cases addressed. There are complaints policies and procedures in place and information is available to people about local advocacy services. Staff have received training in safeguarding older people and were clear that they would report concerns. The facilities and decor in the home are gradually being upgraded to provide a clean, safe and homely environment for residents. The hallways and communal areas have been redecorated and bathrooms upgraded to provide access for people with disabilities. Measures to minimise the risk to residents of acquired infection are in place. People receive care from kind, well trained staff who can meet their diverse health and care needs in a timely way. In the main, recruitment procedures are thorough, protecting residents from unsuitable carers. The home is well managed in the interest of the residents. There is an experienced manager and senior nursing team in post. There is a quality assurance programme in place which seeks to involve residents and to seek their views. What has improved since the last inspection? Medication management has improved in that medicines are received quickly and people can usually start a new medication on the same day that it is prescribed.Bathrooms have been upgraded and brought back into use and there has been an ongoing programme of redecoration in the home. The manager has remained in post since the last inspection and the management arrangements have stabilised, giving residents and their families consistency and a known point of contact. The requirements of the previous inspection and some of the recommendations have been implemented. What the care home could do better: More details as to how prospective residents wish their cultural needs to be met should be ascertained at the initial assessment to ensure that they can be met if the person moves to the home. Activities should be promoted and tailored to individual`s wishes where they do not wish to join in group activities. Some people told us they would like to go out more. The programme to upgrade residents` ensuite bathrooms to make them accessible to people with disabilities should be continued. The home should review the infection control procedures to ensure that they are in line with the latest Department of Health`s (DH) guidance. Hand washing facilities for staff should be available at the point of care and residents should not share hoist slings. Further information about infection control is available on our website www.cqc.org.uk and the DH website www.dh.gov.uk Inspecting for better lives Key inspection report Care homes for older people Name: Address: Chiltern Court Care Home Wendover Road Aylesbury Buckinghamshire HP22 6BD     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: Chris Sidwell     Date: 0 2 0 6 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Chiltern Court Care Home Wendover Road Aylesbury Buckinghamshire HP22 6BD 01296625503 01296624482 chilterncourt@schealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Ashbourne (Eton) Limited The registered provider is responsible for running the service care home 53 Name of registered manager (if applicable): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 53 old age, not falling within any other category Additional conditions: 0 The maximum number of service users who can be accommodated is: 53 The registered person may provide the following category/ies of service only: Care home with nursing - N to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - OP Date of last inspection Brief description of the care home Chiltern Court is a care home which provides nursing care for up to fifty-three older people. The home is located on the outskirts of Wendover, adjacent to a large garden centre with a coffee shop and a variety of shopping outlets. Public transport is not easily accessible. The home is a large detached property consisting of a Victorian house with a more recent extension to the rear and has two floors. There is a passenger lift to the first floor and a stair lift to a mezzanine area. There are single and double rooms. Some rooms have en suite facilities, although these are not in all cases Care Homes for Older People Page 4 of 27 1 2 0 6 2 0 0 8 Brief description of the care home adapted to meet the needs of people with disabilities. The home has a pleasant garden, which is well maintained. There are qualified nurses on duty at all times,supported by a team of carers and ancillary staff. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The home was last inspected on the 12th June 2008. This inspection was conducted over three days and included a review of the information we hold about the service and an unannounced visit to the home of six hours. The key standards for older peoples services were assessed. Information received about the home since the last inspection was taken into account in the planning of the visit. The manager completed an annual quality assurance assessment and questionnaires were sent to the home for distribution to residents, families and staff. Residents were spoken to on the day of the unannounced visit. Discussions took place with the manager, nursing, care and ancillary staff. Care Homes for Older People Page 6 of 27 Care practice was observed and the care of a small number of residents was followed through in detail. A tour of the building and examination of records was also undertaken. The homes approach to equality and diversity was considered throughout. At the time of the inspection the fees ranged from £540 to £750 What the care home does well: What has improved since the last inspection? Medication management has improved in that medicines are received quickly and people can usually start a new medication on the same day that it is prescribed. Care Homes for Older People Page 8 of 27 Bathrooms have been upgraded and brought back into use and there has been an ongoing programme of redecoration in the home. The manager has remained in post since the last inspection and the management arrangements have stabilised, giving residents and their families consistency and a known point of contact. The requirements of the previous inspection and some of the recommendations have been implemented. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 27 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is information available and the opportunity to visit the home to help people decide whether they wish to move to the home. Peoples health and social care needs are assessed before they move to the home, to ensure they can be met. Peoples religion is identified but more details as to how they wish their cultural needs to be met should be ascertained at the initial assessment to ensure that they could be met. Evidence: There is information available to prospective residents in the form of a statement of purpose, which describes the services provided by the home and a home brochure. Prospective residents and their families are welcome to visit the home and stay for a trial period before deciding whether the home is for them. The care files of four residents who have moved to the home since the last inspection were checked. Their needs had been assessed by the manager to identify with them their needs and wishes for care. The assessment documentation prompts staff to take note of peoples health Care Homes for Older People Page 11 of 27 Evidence: and social care needs. Their religion is noted although specific cultural wishes which might arise from this were not noted in the files seen. One family member was spoken to. She said that they had received sufficient information and the staff were helpful. They had visited four homes and chose this one because when we came in we were struck by the laughter, everyone seemed happy. Care Homes for Older People Page 12 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents diverse personal, health and medication needs are met in a manner which protects their dignity, promoting their wellbeing. Evidence: The care of four residents was followed through. All had comprehensive care plans which had been updated regularly with them and with their families. Residents diverse healthcare needs were recognised and recorded. Their risk of developing pressure damage due to frailty had been assessed and appropriate action taken to prevent this. Residents risk of malnutrition was assessed and action taken. Residents see the dietician if necessary. There was evidence in all the files to show that residents see a general practitioner and other members of the local primary healthcare team regularly and are supported to visit hospital outpatient departments when necessary. There are medication policies and procedures in place and the staff spoken to were aware of these. The storage facilities were satisfactory. Records are kept of medication Care Homes for Older People Page 13 of 27 Evidence: delivered and disposed of by the home. Residents individual medication administration records were completed in full and appropriate steps were taken to ensure that supplies were received regularly. Appropriate procedures were in place to deal with variable dose medication such as warfarin. All dose changes are faxed to the home to ensure that mistakes are not made. None of the residents managed their own medication at the moment although there are policies and procedures in place to support this if residents wish. The staff spoken to said that medication was never given covertly. If a resident did not want to take their medication, this would be recorded. If the medication was essential and the resident lacked capacity, the doctor and family would be told and a way forward agreed. Eleven people returned the surveys and all said that they usually or always received the care and support they needed. They all said that they received the medical support they needed. Residents said that care staff were discrete and that all care is given in residents rooms. They are addressed by their preferred name and had been supported to maintain their personal hygiene, to wear their own clothes and to have their hair dressed as they wished. Care Homes for Older People Page 14 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can choose how they spend their day and are supported to take part in activities in the home if they wish. The standard of food is good meeting residents social and nutritional needs. Evidence: Residents spoken to said that they had a choice as to when they got up and when they went they went to bed. There is an activities coordinator in post and she arranges a programme of activities and 1:1 sessions with residents. Most people, although not all, said that there were activities on offer and that they had a choice as to whether they joined in. One commented I would like more outings and another said have not been made aware of activities and would like to get out of my room more often. On the day of the unannounced visit the monthly church service was taking place in one of the lounges. The activities are posted on a notice board on each floor but it is clear that not all residents are aware of them. Residents are supported to continue with their own hobbies if they wish. One resident enjoys gardening and has access to a garden shed and goes to the garden centre which is next door. She is supported by staff to get there and risk assessments are in place for her to stay there and return on her Care Homes for Older People Page 15 of 27 Evidence: own, which she enjoys. A number of family members were spoken to and all said that they could visit at any time and were made to feel welcome. They said that they were kept up to date with the relatives needs and were told of any untoward event. The chef is knowledgeable about residents likes and dislikes and said that she can provide menus to meet residents cultural wishes. There is a varied menu and all food is home cooked. There is a choice of menus at each meal. Some residents eat in the dining room. This was pleasantly laid with tablecloths, cutlery and glasses and was a sociable occasion. Carers were observed to be supporting residents, who could not eat unaided, discretely. Eleven people returned the questionnaires, of whom three said they always liked the food, seven said that they usually liked it and one only sometimes. The home has introduced a new computerised menu system which can calculate the nutritional value of menus, which were found to be nutritionally sound. The chef was knowledgeable as to whether residents needed special menus on health grounds and provided soft and pureed food for those who had difficulty swallowing. Care Homes for Older People Page 16 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at the home are protected from harm and their concerns are listened to and in most cases addressed. Evidence: People in the home know who to complain to. There is a copy of the complaints procedures in the home and information about local advocacy services. Everyone who returned the questionnaires said that they knew how to make a complaint. The complaints records were checked and showed that verbal and written complaints are recorded. There were four written complaints since the last inspection, all of which had been responded to within the timescales set by the companies policy. The response showed that action, had in most cases, been taken. There was one verbal complaint about the clothing not being ironed which has not yet been addressed as the iron is still not working. We received an anonymous complaint which was referred to the company and investigated and action taken. The home has a copy of the local multi agency safeguarding policies and procedures and staff have a received training in safeguarding vulnerable people. There are whistle blowing policies and procedures in place and the staff spoken to said that they would have no hesitation in reporting any concerns. The manager said in the annual quality assurance assessment that they have not made any safeguarding referrals since the last inspection. We have not been notified of any safeguarding referrals made to the Care Homes for Older People Page 17 of 27 Evidence: local authority, which is the lead agency in these matters, since the last inspection. Care Homes for Older People Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The facilities and decor in the home are gradually being upgraded to provide a clean, safe and homely environment for residents. Measures to minimise the risk to residents of acquired infection are in place although they should be improved if they are to meet the latest guidance from the Department of Health. Evidence: There is an ongoing programme of maintenance and redecoration. Corridors and communal areas have been redecorated and the kitchenettes on each floor are being replaced following a recent Environmental Health Officer inspection. The bathrooms have been repaired and brought back into use since the last inspection and there is now a shower room and adapted bathroom on each floor. Some rooms have ensuite facilities which have been upgraded to provide accessible shower rooms for people with disabilities. Most ensuite rooms however have not been upgraded and have baths which are not accessible to people with disabilities. There were no immediate plans to upgrade these rooms and the manager said that this would considered on an annual basis at budget planning. Residents are supported to personalise their rooms with small items of furniture and personal mementos. Many had chosen to do so. The home has recently had an outbreak of infection following one residents discharge from hospital. They implemented their infection control outbreak plan and contained Care Homes for Older People Page 19 of 27 Evidence: the outbreak. Additional steam cleaners and carpet cleaners have been bought to deep clean rooms following the outbreak. Laundry is washed at a neighbouring home and the manager said that the homes laundry was segregated to minimise the risk of cross infection. Staff have received training in infection control and were observed to wearing gloves and protective clothing correctly when necessary. Not all residents rooms have soap dispensers, paper handtowels and alcohol hand sanitizer for the use of staff when giving care. The manager said that residents had their own sliding sheets where needed to help them move in bed but that they still shared hoist slings. The home should review the infection control procedures to ensure that they are in line with the latest Department of Healths (DH) guidance. Hand washing facilities for staff should be available at the point of care and residents should not share hoist slings. Further information about infection control is available on our website www.cqc.org.uk and the DH website www.dh.gov.uk Care Homes for Older People Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive care from kind, well trained staff who can meet their diverse health and care needs in a timely way. Recruitment procedures are in the main thorough, protecting residents from unsuitable carers. Evidence: There is a consistent staff team. A registered nurse is on duty on each floor at all times. Residents told us, in their survey responses, that staff always listen and act on what they say and that staff are usually available when they need them. One however said staff cannot always understand what I am trying to say and two commented that they may have to wait for the call bell to be answered. The call bells were answered promptly during the unannounced visit. Although English was not their first language those staff members spoken to had a good command of the language. The manager said that staffing levels are set to a ratio of one staff member to five residents. She said that although residency was down at the moment she had not been asked to reduce staffing levels because of the extra care that was needed by residents. There is an ongoing training programme. Training records were in good order and showed that staff training in safe working practices, was up to date. Staff receive training in specialist topics such as caring for people who have dementia and clinical skills training for registered nurses. There are nineteen carers, eight hold Care Homes for Older People Page 21 of 27 Evidence: qualifications in their own country which are deemed to be the equivalent of the National Vocational Qualifications (NVQ) in care at level 3, two have obtained the NVQ in care level 2 and 3 here and one is registered to undertake the course. Fifty two percent of staff therefore hold this qualification or its equivalent. The recruitment files of four members of staff who had started at the home since the last inspection were checked. All but one had the required documents. There was evidence of the staff members identity and work permits were in place where necessary. Criminal Records Bureau disclosures had been sought before the staff member started work. The application form showed the staff members work history and interview records were kept. Two references had been sought for each prospective staff member although in one case the reference received was not from the persons last employer but from a work colleague. The home should have followed this up by seeking a reference from the employer. There was evidence that staff had had an induction programme. Twelve members of staff returned the questionnaires and all said that they always or usually had the support they needed to meet residents diverse needs. Staff told us that they were given the opportunity to attend training and one said that there is good teamwork and we work well together. Care Homes for Older People Page 22 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed in the interest of the residents. Evidence: The manager holds a nursing qualification and the National Vocational Qualifications in Management and Care at level 4. She is supported by two deputies who are registered nurses who take the lead on each floor. The manager has updated her skills and knowledge in the last year by undertaking training in Palliative Care, the Mental Capacity Act and promoting Dignity for Vulnerable People. There is a quality assurance programme in place. There are regular resident, family and staff meetings. A questionnaire was sent from the companys head office to residents and their families to seek their views as to how the home could be improved. The manager said that she had an open door policy and this was confirmed by the relatives and residents spoken to on the day of the unannounced visit. The company has a regular audit programme in place and monthly returns of untoward events are Care Homes for Older People Page 23 of 27 Evidence: made enabling trends to be identified. The home does not manage residents financial affairs. A small amount of personal allowance may be kept at the home. This is banked separately and individual receipts are given and records kept. There are health and safety policies and procedures in place and regular meetings are held. Maintenance records were up to date and there was evidence that essential safety checks of services and equipment are undertaken. Water temperatures are tested regularly and there are window restrictors to upper floors to reduce the risk to residents of falling. The fire risk assessment had been updated and fire safety checks were made. The last Fire Safety Officers visit was on 23rd July 2007 when all matters were considered satisfactory. The last Environmental Health Officers visit was on 9th April 2009 when the standards food hygiene standards were good. The training records showed and staff confirmed that they had had training in safe working practices, including moving and handling, fire safety and infection control. Care Homes for Older People Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 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 Peoples cultural needs should be ascertained at the initial assessment to ensure that they can be met should they move to the home. The programme to upgrade residents ensuite bathrooms to make them accessible to people with disabilities should be maintained. The home should review the infection control procedures to ensure that they are in line with the latest Department of Healths (DH) guidance. Hand washing facilities for staff should be available at the point of care and residents should not share hoist slings. 2 21 3 26 Care Homes for Older People Page 26 of 27 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). 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