Care Home: Cloverdale Care Home

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What the care home does well The atmosphere in the home is relaxed and welcoming and people said that they were made to feel welcome by staff.The home is purpose built and provides clean, comfortable, well maintained accommodation for the people living there. People living in the home said that the staff were kind and caring and nothing was too much trouble for them. Medication is well managed within the home. the concerns of people living in the home are taken seriously and appropriate training is provided to to ensure that staff can do their jobs and safeguard people from potential harm. The health and personal needs of people living in the home are supported by staff to ensure that individual wishes and feelings about these are respected. What has improved since the last inspection? The information in the statement of Purpose and Service User Guide have been updated to provide current information about the home and its facilities. More accurate records have been developed to ensure that peoples individual needs can be met effectively by staff in their preferred manner. People living in the home have been consulted about their views of the service and systems are in place to ensure that the home can demonstrate how well it is meeting its objectives. Staff are in receipt of regular supervision, so they are supported within their roles. A range of structured activities is now available within the home. What the care home could do better: The home needs to appoint a registered manager. Activities provided within the home, could be extended to provide a better choice of appropriate social activities for people with dementia or those with sensory impairments. Key inspection report Care homes for older people Name: Address: Cloverdale Care Home 68 Butt Lane Laceby Grimsby North East Lincs DN37 7AH     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: Wilma Crawford     Date: 1 3 1 0 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 Older People Page 2 of 25 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: Cloverdale Care Home 68 Butt Lane Laceby Grimsby North East Lincs DN37 7AH 01472877000 01472877010 surinder.khurana@ntlworld.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Dryband One Ltd care home 40 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Cloverdale Care Home is registered for the care of forty people with residential care needs. The home is situated on the outskirts of Laceby village, in North East Lincolnshire, about six miles south of the town of Grimsby. The home is purpose built, with accommodation being provided at ground level. All forty bedrooms are single and thirty-nine have en-suite facilities. The home has four bathrooms with toilets and an assisted shower room. There are also four single toilets throughout the home strategically placed for ease of access. The home has two lounges, a spacious conservatory and a dining room; since the nosmoking regulations came into force in July 2007 the home provides people with a specific smoking area. Cloverdale Care Home is set in its own grounds and enjoys a pleasant aspect of open countryside. A paved walkway surrounds the home and there are ample parking Care Homes for Older People Page 4 of 25 Over 65 15 40 0 0 2 0 1 0 2 0 0 8 Brief description of the care home spaces to the front of the building. The home is well maintained, clean and has a homely feel. Information about the home and its service can be found in the statement of purpose and service user guide, both these documents are available from the manager of the home. A copy of the latest inspection report for the home is also available from the manager. Information given 13/10/09 indicates the home charges a fee from 375 pounds to 419 pounds per week and that there are no additional charges other that those for hairdressing, private chiropody treatment, toiletries and newspapers/magazines. A full list of prices for these additional services is available from the manager. Care Homes for Older People Page 5 of 25 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 quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. 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 recommendation, but only when it is considered people who use the service 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. This inspection report is based on information received by the Care Quality Commission since its last key inspection, which took place on Th October 2008 and includes information gathered during a visit to the home. The site visit was unannounced and took place over seven hours. The main method of inspection used was called case tracking involved selecting four people living in the home and tracking the care they receive through the checking of their records, discussion with them, the care staff and observation of care practices. Care Homes for Older People Page 6 of 25 The premises were looked at and records of four people living in the home and four staff were inspected. Four staff and three people living in the home were also spoken with. The comments and views of people spoken with are included in this report. An AQAA document asking for information about the home was sent out before the visit and information from this was included as part of the inspection process of this service.Surveys were sent out, completed and returned by five staff and ten people living in the home. the comments from these are also included within the report. Care Homes for Older People Page 7 of 25 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 8 of 25 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are provided with enough information about the home to assist the to make an informed choice about the service. Evidence: The home, has a detailed statement of purpose and service user guide which gives clear information about the services provided. The Operations Manager and staff were able to confirm that people living in the home are given copies of these documents when they are considering moving into the home. The home provides a service to people from different ethnic backgrounds, the documents are not provided or available in other formats. Four care plans were examined and each contained a copy of individual community care assessments, a pre asessment and a copy of a letter from the home confirming that their needs could be met. People who completed our surveys, said that they had received enough information prior to moving into the home. Staff spoken with, confirmed that people considering a Care Homes for Older People Page 10 of 25 Evidence: move to the home and their relatives are invited to visit, before making a decision about the home before they moved in. Evidence from training records and discussion with the staff team identified that the majority of staff have completed mandatory training and more specialised training,so they have the skills and knowledge to deliver the specific care needs associated with the ageing process. Care Homes for Older People Page 11 of 25 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. Peoples personal and health care needs are met and they are protected by the way medicines are dealt with. Evidence: People living in the home indicated that their individual health and personal care needs were being met and case files contained care plans for these, to support their individual wishes being respected. Four care plans were examined and found to contain personal information about identified needs and instructions on how staff should support people with these. Care plans included charts and assessments relevant to the individuals care and records to demonstrate how needs were being met. Individual files seen showed that reviews are carried out regularly with the individual and their relatives, giving them the opportunity to input into their care plans. Evidence of continuing review to ensure that the information reflected the individuals current needs,was also in place. People living in the home and their relatives confirmed that they were involved in reviews. At the last inspection visit a care plan was examined for an individual from an ethnic Care Homes for Older People Page 12 of 25 Evidence: background which did not use English as their first language, none of their care plan was available to them in their first language or signed by the individual. The care plan has now been signed and agreed by the individual, who has a key worker who is able to translate on their behalf as well as the owners of the home. The key worker has also introduced key words in the individuals first language in order that care staff can communicate verbally with them.All care plans seen had been signed by the individual or their representative. There is good evidence that regular evaluation of the care plans takes place, the majority of records seen contain a good standard of information relating to peoples preferences to their care support and this information has now been incorporated into the plans themselves. Daily records of care were well maintained and up to date. The overall quality of documentation was good,entries were detailed and explicit, fully describing the care delivered. However one care plan was found to contain limited information where the care plan had been reviewed and the rationale behind this. There is a need for staff to be clear about the level of information to be recorded in line with the individuals support plan. Risk assessments are carried out to identify any risks to the individual. Identified risks are documented within the care plan and a risk assessment is produced to minimise the risk. Nutritional screening records are in place and these are completed on admission to the home. Records of individuals weights gain or loss and food charts are completed for staff to monitor peoples nutritional intake. There was evidence to confirm that any concerns relating to this are referred to the G.P. Tissue viability assessments are also in place to identify peoples individual needs and how they were managed. Professionals stated that their instructions were followed, and were see visiting service users in the home at different times of the day. Staff were seen to respect the privacy and dignity of people in the home, and were seen to respond to individual requests.Observations on the day were that staff were mindful of peoples needs and supported people in a respectful manner at all times. The medication was checked and found, the home uses an approved Monitored Dosage System for the administration of drugs. Medication records showed that all drugs administered were recorded on the individuals records sheet. There were no gaps in recording seen. Procedures are in place for the appropriate storage , disposal and recording of all medicines. The senior staff have responsibility for the administration of all medicines in the home and use a monitored dosage system. Transcribed medicines are signed for by two staff members. Controlled medicines were found to be appropriately stored and stock levels checked corresponded to the records maintained by the home Care Homes for Older People Page 13 of 25 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. Peoples lifestyles match their experience and people enjoy their meals. Evidence: The Operations Manager said activities are arranged and people join in if they choose. An activities coordinator is available for an hour each day, other activities are made available by the care staff or by visiting entertainers, hairdresser, church groups etc alongside the planned activities. A plan of activities was displayed in the entrance hall and daily records confirmed that activities take place on a regular basis. The range of available activities has been planned with input from the people living in the home, based on individual choices and preferences. A pictorial record is available in the entrance hall,along with a number of photographs of people engaging in different activities:dancing, gardening, bingo, keep fit. During the day people were seen to be engaged in different activities;out walking, playing bingo, listening to music, watching television, reading newspapers and magazines. The home is currently looking into how the range of activities can be developed further, so that people with more complex needs can be offered suitable activities. A recommendation was made in respect of this, to ensure that all people living in the home have an opportunity to engage in appropriate activities,suited to their individual needs. One person living in the home enjoys a walk into the local village each day and risk assessments are in place to Care Homes for Older People Page 14 of 25 Evidence: support this activity.There is also a range of DVDs that people can choose to watch in in a lounge or in their own rooms. Information from peoples files indicate that there are a number of individuals who follow different spiritual faiths.People living in the home and staff said that there are regular church visitors to the home on a monthly basis.One person has the opportunity to attend church each week. Another had expressed a wish to pursue their faith and an agreement had been made to enable this. The home provides special meals and cakes for birthdays and celebrates the major Christian festivals,e.g Christmas and Easter. Information about individual faiths and how staff needed to support this was available in care plans. A poster with information about a Diwali celebration was also displayed within the home. People spoken with said that overall they are able to choose their daily routines and how care is delivered. They were aware of their rights and many said that they had family members who acted on their behalf and took care of their finances. Visitors were seen visiting the home and made welcome by staff,throughout the day.A number of children were also brought into the home to visit grandparents.People living in the home could either meet with their visitors in the privacy of their own room or in one of the lounges. A range of information is available in the entrance hall offering advice on advocacy and other relevant matters. Menus have recently been reviewed,based on the likes and dislikes of the people living there, as well as nutritional value.There is a four week menu in place in the home, which offers a choice of two hot meals and desserts each day. Breakfast,tea and supper also provide a choice of meals to people living in the home. Additional choices are also available on request. Dietary needs are catered for and documented within individual care plans. The menus show people are offered a varied and balanced diet. Relatives and people living in the home felt that the quality and choice of meals provided were good. Staff records showed that they have completed Food Hygiene training. Care Homes for Older People Page 15 of 25 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. The concerns of people living in the home are taken seriously and staff training has been provided to ensure they can safeguard them from abuse. Evidence: The home has a complaints policy and procedure that is included in the statement of purpose and service user guide. All of the responses from surveys sent out, show that people are aware of how to raise concerns and feel confident that these would be dealt with appropriately. The Care Quality Commission have not received any formal complaints since the last visit on 20th October 2008. The home has received eight complaints, which have been investigated under the homes complaints procedure and to the complainants satisfaction.Details of these complaints were available within the homes complaints record. All of the staff have now received safeguarding training, a requirement had been made at the last inspection requesting this. Staff spoken with said that they would pass any concerns onto the senior staff. They were aware of their roles within both the complaints and safeguarding procedures. Care Homes for Older People Page 16 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home offers a safe, clean and comfortable environment for those people living there. Evidence: The home offers purpose built ground floor accommodation to people living in the home and office accommodation to the first floor.The corridors are wide, giving good access to wheelchair users and have hand rails in place and skirting boards have been replaced with UPVC skirtings to prevent scratches and damage. A variety of seating areas and rooms are available for use, giving people the opportunity to meet with their visitors in private, socialise with other people in the home, or find a quiet area if they so wish.The conservatory is well used by the people living in the home, offering views over the extensive, well maintained gardens and an opportunity to enjoy the wildlife. All areas of the home were found to be clean and well maintained. As rooms become vacant they are redecorated and refurbished in preparation for their new occupant.Bedrooms seen were found to be personalised with photographs, pictures, ornaments and personal belongings.Discussion with the handyman and examination of documents showed that there is a planned rolling programme of maintenance and that regular checks are made of all areas of the home to ensure the environment is safe. Regular surveys are completed on a monthly basis through the homes Quality assurance system for different areas and services within the home.The results of these Care Homes for Older People Page 17 of 25 Evidence: are displayed in the dining room for the people living in the home, alongside any action plan required. Recent surveys of the laundry demonstrated that people were happy with the service provided. Care Homes for Older People Page 18 of 25 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. Staff have access to sufficient training,and development sessions to ensure that they have the skills and knowledge to meet the needs of the people living in the home. Evidence: Staffing rotas were checked and corresponded to the number of staff on duty on the day. Currently there are four care staff in the morning and four in the afternoon, three staff are on duty during the night. Additional ancillary staff are provided including cooks, kitchen assistants, domestic and administration staff. Comments from relatives and people living in the home indicate that they feel there are adequate staff to meet individual needs at this time. The current occupancy levels are below the homes registration capacity, discussion with the operations manager indicated that as occupancy increases,staffing levels will be reviewed in line with the individual needs of the people living in the home. At the previous inspection visit staff files and training files could not be made available to the inspector in the managers absence.Therefore, a number of requirements were made in relation to staff recruitment and training. The Annual Quality Assurance (AQAA) document submitted by the home stated that new staff receive an induction. Staff records examined evidenced that this was in places. Four staff files were examined, these contained evidence of staff having contracts of employment and confirmed that the home undertakes appropriate checks including Criminal Records Bureau disclosure, POVA Care Homes for Older People Page 19 of 25 Evidence: checks and two written references prior to staff commencing work. Examination of training records evidence that staff have accessed a number training events including;dementia, safeguarding,deprivation of liberty,understanding principles of care,palliative care,Parkinsons awareness, diabetes,tissue viability and nutrition. In addition to this mandatory training has also been completed including: food hygiene,infection control,fire,moving and handling and first aid.Regular supervision is now in place and records of this was available,however the domestic staff appeared to have less records than the other staff. Discussion with one of these staff demonstrated that regular supervision had taken place, but this was sometimes done on a more informal basis.Staff meetings occur regularly and written evidence was available to support this.The previous requirements made at the last visit are now considered to have been met. Five staff returned questionnaires to the Commission, these were all positive in relation to the care of the service users and the management of the home.27 of the staff team have achieved a National Vocational Qualification at level two or above,the remaining staff are working towards this award. Care Homes for Older People Page 20 of 25 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 management systems within the home are robust,ensuring that the health, safety and welfare of the people living in the home and staff are maintained and protected. Evidence: At the last inspection visit, one of the providers Mrs Khurana was managing the home, while a suitable manager could be recruited. During the last year,despite advertising,they have been unable to recruit a manager of the calibre they are looking for. As a result of this situation, Mrs Khurana has submitted an application to become the Registered Manager of the home,until a suitable manager can be appointed. She has extensive experience as a registered nurse and as a home manager. Staff and people living in the home described her as caring and supportive. An Annual Quality Assurance Document was requested by The Care Quality Commission and this was completed and returned on time. On the day of the site visit the acting manager was not available, but the Operations Manager was available throughout the visit and all documents and records requested by the inspector were made available. At the previous inspection visit the acting Care Homes for Older People Page 21 of 25 Evidence: manager was not available and no arrangements had been made to ensure records could be accessed in her absence,which had led to a requirement being made in respect of this.This requirement is now considered to have been met. Staff spoken to said that they attended regular staff meetings and received supervision on a two monthly basis, records seen supported this.People living in the home indicated the service was being well run and we saw evidence of this in the records kept in the home. Quality Assurance systems were in place to enable the service to be monitored against its aims and objectives and people living in the home and their relatives confirmed they were able to contribute ideas to help influence the running of the home. Evidence of questionnaires issued to people living in the home and their relatives,together with actions resulting from these developed centrally by the Provider.Copies of these documents and any action plans required as a result of the findings were available on display in the dining room. There was also evidence of meetings with people living in the home taking place. Maintenance records contained evidence of regular checks of equipment together with a range of up to date certificates to ensure the safety of people of living in the home was promoted. Care Homes for Older People Page 22 of 25 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 23 of 25 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 12 The registered provider should consider how a range of suitable activities may be offered and facilitated, to meet the needs of and choices of the less abled people living in the home. Care Homes for Older People Page 24 of 25 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 25 of 25 - 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!