Care Home: Colindale Care Home

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What the care home does well Prospective residents have their needs assessed prior to being offered a place at the home. This ensures that the home can meet the needs of people it admits. Residents social and health needs are met through the care plans developed from the assessment process. Residents at the home are treated with repect and dignity. Medication records were being completed with no gaps within the records. Medicines are stored correctly and safely. The home is very welcoming of visitors. Residents` dietary needs are assessed and provided for with a good standard of food provided. The home has a well publicised complaints procedure and there was evidence that complaints are investigated and responded to. The home provides a suitable environment for residents. Infection control measures and procedures are in place to reduce the risks of infection. Staffing levels met the needs of the residents accommodated. Staff receive training commensurate with their role. The home is well-managed and run in the interest of the residents. What has improved since the last inspection? The home has purchased new medication cabinets that comply with new Regulations for the storage of controlled medications. Staff recruitment has improved with new staff being recruited in line with the Regulations. The exterior of the home has been re-rendered and painted and the kitchen has been refurbished. What the care home could do better: Information gained from the pre-admission assessment of need could be better evidenced by being recorded on a pre-admission assessment form. Senior staff should ensure that staff who administer medication follow the correct procedures of the home. Where a variable dose of medication is prescibed, staff who adminster should record the dose administered in all cases.We recommended that body maps are used to record any injury sustained by a resident. There could be better recording of activities undertaken with residents. The temperatures of the radiators should be monitored to ensure that they do not pose a risk of burns to residents. The home must ensure that incidents are reported as required under Regulation 37. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Colindale Care Home 1 Richmond Park Avenue Charminster Bournemouth Dorset BH8 9DL     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: Martin Bayne     Date: 0 2 0 4 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: Colindale Care Home 1 Richmond Park Avenue Charminster Bournemouth Dorset BH8 9DL 01202514733 01202258817 ian@colindalecarehome.wanadoo.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mrs Jane Hart care home 14 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia Additional conditions: The home may accommodate up to four residents above the age of 55 at any time. Date of last inspection Brief description of the care home Colindale Care Home is a large 1920s detached house that has been converted for use as a residential home. It is located in a quiet residential area of Charminster, within easy walking distance of a local park with a bowling green and cricket pitch. Local amenities include shops, a post office, restaurants, cafes and places of worship. A bus route to Bournemouth town centre is readily accessible. The home until recently was known as Four Seasons and provided care for up to 10 people. The home now has a registration for 14 people after substantial redevelopment and the name changed to 0 0 Over 65 14 14 Care Homes for Older People Page 4 of 27 Brief description of the care home Colindale (following the closure of the sister home formerly known as Colindale). Bedrooms are located on the lower ground, ground, first and second floors of the home. All service users have single rooms. Some have en suite facilities. The premises are centrally heated. Communal facilities consist of a separate lounge and dining room and a quiet room on the first floor. Outside there is a large patio area at the rear of the building with a raised grassy area. The summerhouse is used as an office for the Business Manager and Head of Human Resources. The home has a policy of being family friendly and staff often bring their children into the premises adding to the feeling of being in a family home. 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: We, the Commission, carried out a key inspection of Colindale Care Home between 9am and 2pm on the 2nd April 2009. The inspection was carried out by one inspector, but throughout the report the term we is used, to show that the report is the view of the Commission for Social Care Inspection. The aim of the inspection was to evaluate the home against key National Minimum Standards for older persons, and to follow up on the one requirement and one recommendation made at the last key inspection on 3rd April 2008. We were assisted throughout the inspection by the homes business manager and the senior carer who provided us with records and information about how the home is run. Throughout the inspection we looked at the personal care files for two residents. We used these documents to track the records that the home is required to keep up to date under the Care Homes Regulations 2001. We also looked at other care plans Care Homes for Older People Page 6 of 27 where these provided evidence of the home meeting other National Minimum Standards. We carried out a tour of the premises and spent time observing interactions between staff and residents in the main lounge and dining room area. Due to the mental frailty of the residents accommodated at home, they were unable to inform us about their experience of living at the home. We spoke with one relative who spends a lot of time at the home and also with two members of staff. Additional information that helped form to the judgements contained within this report was obtained from the Annual Quality Assurance Assessment document (AQAA) completed by the home. The fees for the home range from 500 to 560 pounds per week. Information about additional costs and charges are contained within the homes terms and conditions of residence. What the care home does well: What has improved since the last inspection? What they could do better: Information gained from the pre-admission assessment of need could be better evidenced by being recorded on a pre-admission assessment form. Senior staff should ensure that staff who administer medication follow the correct procedures of the home. Where a variable dose of medication is prescibed, staff who adminster should record the dose administered in all cases. Care Homes for Older People Page 8 of 27 We recommended that body maps are used to record any injury sustained by a resident. There could be better recording of activities undertaken with residents. The temperatures of the radiators should be monitored to ensure that they do not pose a risk of burns to residents. The home must ensure that incidents are reported as required under Regulation 37. 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. Residents benefit from theri needs being asessed prior to being offered a place at the home. Evidence: On the day of our visit there were 12 residents accommodated in the home. The senior carer had an appointment to visit a prospective resident in hospital on the day of the inspection to carry out a pre-admission assessment of needs, following up on a referral that had been made to the home. We looked at the personal care files for the two residents we tracked through the inspection, both of whom had been admitted to the home since the last key inspection. We found that the registered provider had carried out the preadmission assessment of both peoples needs prior to their being offered a place at the home. We found however that this information had been partly recorded on the assessment form completed when a person moves into the home and partly within the daily recording notes. It was therefore difficult to ascertain at what point the information had been recorded. We discussed the need for clearer evidence Care Homes for Older People Page 11 of 27 Evidence: of a preadmission assessment being carried out and the business manager agreed to making a preadmission assessment recording form, for reporting on the preadmission assessment of need. This will be followed up at the next key inspection. We also saw that the home had obtained copies of care management assessments that forms part of their assessment procedures. Prospective residents or their realtives are given a copy of the homes Statement of Purpose and are therefore informed of the services provided by the home. 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 benefit from health care needs being met through the care planning arrangements and thir privacy and dignity is maintained. Some changes regarding medication administration should ensure risks concerning medicines are reduced. Evidence: We looked at the care plans for the residents we tracked through the inspection that had been developed from the assessments of need. Care plans were found to be concise and provided sufficient information for a new member of staff to meet the care needs of the person concerned. There was evidence of monthly reviews being recorded and some were signed by relatives, indicating that they had been involved in their development. A summary care plan, the residents daliy routine, is kept within each residents bedroom, ensuring that staff have easy access to information on how to care for each individual. A photograph of the resident concerned was attached to the front of the care plan so that the person could be easily identified by a new member of staff. We saw that residents weight was being regularly recorded, as well as visits from health professionals. Care plans linked to risk assessments, developed to ensure that risk of harm to residents when carrying out personal care needs were Care Homes for Older People Page 13 of 27 Evidence: minimised. We saw evidence that residents health needs were being met with action taken when problems when identified. We saw that injuries were recorded in the accident book and appropriate action taken, however we recommend that staff use body maps to record any injuries. The relative we spoke with said that health needs of their relaive were met at the home. The care staff we spoke with told us that care plans were readily available and informed them of how to care for the residents of the home. We observed the care staff interacting with the residents and there appeared to be good relationships between the two. The relative we spoke with said that staff treated residents with respect and dignity. We looked at the medication administration records for all of the residents. At the beginning of the inspection we found that there were no photographs of residents at the front of their medication records. This is good practice as it ensures that medication is administered to the right person. During the inspection the business manager printed out photographs of residents and attached them to the medication records. We saw that known allergies were recorded at the front of medication records, also good practice. The medication records were completed in full with no gaps within records. The recommendation made at the last inspection that hand entires be checked and signed by a second person to ensure that the entry has been made correctly, was being complied with. We saw that when a variable dose for a medication prescribed PRN, (as required), staff were not always recording the amount given. We recommend that this procedure is adopted in all instances. We saw that all staff who administer medication have received training on safe medication administration. When we arrived at the beginning of the inspection, one of the staff was in the process of administering medication. It was evident that medication had been administered to all the residents, with the staff member then completing the records. Best practice is administer medication to an individual and then complete their records, before going on to the next person. This procedure should reduce the risk of errors being made or recorded. We spoke with the busines manager, who was able to show that the procedure should be to administer medicines individually and we saw a recent memo to all staff reminding them of this procedure. We recommend that senior staff monitor staff who administer medication and ensure that the procedure is followed. We looked at the storage arrangements for medicines. Since the last inspection, the home has purchased new medication cabinets and medication is no longer kept in the kitchen. The new facilty for storing controlled medicines meets new Regulations. The home has a controlled drugs register, although at the time of the inspection, no residents were prescibed controlled drugs. 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Better records should be maintained concerning activities undertaken with residents and the home should develop the scope and range of activities for residents. Residents benefit from being provided with a good standard of food. Evidence: We saw that where possible the home had sought information from relatives on the residents life history with this being recorded. This assists staff in understanding and also meeting social and recreational needs of residents. We were told that both group and communal activites are arranged for the residents with these being recorded as a separate record. We looked at the records of activities and there were no activities recorded for the previous two days and some of the entries before this did not indicate many activities taking place with residents. We spoke with the senior carer, who said that activites had been taking place and that the staff should be recording more information, such as individual time and support spent with residents. On the day of our visit we observed that the staff were attentive to residents, speaking with them and supervising those residents who liked to wander around the home. It is accepted that the majority of the residents accommodated are now mentally very frail, not able to communicate well or concentrate for any significant period and that providing stimulation presents a challenge; however we recommend there is better monitoring Care Homes for Older People Page 15 of 27 Evidence: of activities provided to residents and better recording of such activities. The relative we spoke with told us that they could visit at any time and that the staff at the home were very supportive and welcoming. We saw that spiritual needs of residents were assessed as part of the homes assessment process when a person moves into the home and action taken to meet any identified needs. Concerning the food provided in the home, the relative we spoke with told us that the food was of a good standard. The residents themselves were not able to provide any feedback about the food provided to them. We saw that peoples likes and dislikes were assessed when they moved into the home. On the day of our visit a wholesome and nutritious meal was provided. We looked at the records of food provided and these were very detailed so that it was possible to determine what each person had eaten. Care plans informed how to support residents, some needing their food liquidised and some requirng assistance with eating. We saw that specialist diets are catered for. 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. Residents benefit from a well publicised complaits procedure and through the staff being trained in adult protection. Evidence: We saw that the complaints procedure is displayed in the front reception area. This provided out of date information for contacting the Commission. The business manager rectified this on the day of inspection to report the new contact address for the Commission. The complaints procedure is also detailed within the Service User Guide, so that people are well informed on how to make a complaint. Since the time of the last key inspection there has been one complaint made to the management of the home and we saw that this had been recorded, investigated and reponded to appropriately. The home has all the required policies and procedures for the protection of vulnerable adults and all the staff have received trained in the prevention of abuse. Care Homes for Older People Page 17 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. Residents benefit from a well maintained and clean environment. Monitoring of radiator temperatures to ensure they do not become too hot should ensure that residents are not exposed to a risk of receiving burns. Evidence: Since the last key inspection of the home, the exterior of the premises has been rerendered and decorated and the kitchen re-furbished. There are plans to re-tarmac the area in front of the home. We carried out a tour of the premises and found the home to be clean throughout with no adverse odours evident. Furniture and fittings were found to be in good repair. We saw that residents were able to personalise their rooms with their own furniture and bedrooms were fitted with requisite furniture. At previous inspections we were told that although the radiators were uncovered, they were fitted with thermostatic valves that restricted the temperature of the radiators to below 43C to protect residents from the risk of burns. However, on the morning of our visit the temperature of the radiator in the dining room was above 43c and there is therefore the potential for residents getting burnt. It is recommended that the temperatures of the radiators be monitored and any radiators posing a risk should be covered. Thermostatic mixer valves are fitted to the hot water outlets to prevent residents getting scalded by hot water. Care Homes for Older People Page 18 of 27 Evidence: Owing to the mental frailty of the residents the front door is kept locked with a locking mechanism linked to the fire safety system. Staff have been made aware through training of the requirements of the deprivation of liberties standards. We saw that staff were provided with protective clothing in the interests of infection control and alcohol gel dispensers were strategically placed around the home for hand cleaning. The home has a separate laundry area fitted with washing machines capable of carrying out a disinfection cycle. Since the last inspection a separate handwashing sink has been provided as part of infection control measures. Care Homes for Older People Page 19 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. Residents benefit from staffing levels that meet assessed needs of residents and through the staff being well trained and recruited in line with the Regulations. Evidence: We discussed staffing levels with the business manager who told us that between 8am and 8pm there are four members of care staff on duty and that during the night time period there are 2 awake members of staff on duty. The staffing levels have therefore been raised since the last inspection. The business manager said that this level of staffing met the needs of the residents accommodated. During the inspection we spoke with two members of staff who also concurred that this level of staffing was suitable. We saw that there were duty rosters in place that provided a record of who had worked each particular shift. In addition to the care staff, the Registered Manager and business manager work in the home throughout the week. During the morning one of the carers is delegated to do the cooking and comes off the floor as a carer. At the last inspection a requirement was made concerning the recruitment of new staff, in that two written references were not in place for all the staff employed at the home. We looked at the recruitment files for three members of staff who had ben recruited since the last key inspection in April 2008. We found that all of the records and recruitment checks as detailed within Schedule 2 of the Care Homes Regulations 2001 had been complied with, and therefore the requirement had been met. Care Homes for Older People Page 20 of 27 Evidence: We saw that training records were maintained and held within each persons file. The home provides core training to all staff that includes; basic first aid, health and safety, infection cntrol, fire safety, infection control, food hygiene, person centred planning, moving and handling, adult protection and induction training. Some training is also provided in child protection, owing to the home being family friendly with children often in the home. Once staff have completed core training, they can then progress to more specialist training in dementia care and other fields. Staff have received some training in the Mental Capacity Act 2005 and also new the Regulations regarding the deprivation of liberty standards. NVQ training is also provided and the home has achieved a level of 65 of the care staff team trained to NVQ level 2. We spoke to two members of staff who told us that they were satisfied with the level of training provided at the home. They told us that Colindale was a friendly place to work within. Care Homes for Older People Page 21 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. Generally we found that the home was well-managed and run in the interests of the residents. Evidence: Mrs Hart, the Registered Manager is an EN-M registered nurse and has completed the Registered Managers award. The business manager has also completed NVQ level 4 in management. Currently one senior member of staff is also undertaking NVQ level 4 with the aim of them taking over the management of the home. Generally we found that the home is well managed with management systems in place. The standard of record keeping was generally good and we were told by the staff with whom we spoke that management were always available for advice or assistance. We found that the home was run in the interests of the residents. We were told that the home does not safekeep money on behalf of residents with families taking on these responsibilities. Care Homes for Older People Page 22 of 27 Evidence: We looked at the fire log book and saw that test and inspections of the fire safety system were taking place to the required timescales. Information within the AQAA informed that tests and inspections of other equipment in the home was taking place as required. We looked at the accident book and saw that accidents were being recorded and monitored for trends. We checked the accident book against Notifications that the Commission should be informed of and found one case that had not been notified to the Commission. A requirement was made that the Commission is informed of all notifiable incidents in the home. This was discussed with the manager and new systems need to be put in place to ensure that accidents reports are not just filed but senior managers kept informed so that they are aware of incidents that need to be reported. Care Homes for Older People Page 23 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 24 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 1 31 37 We require that incidents 24/04/2009 that fall under the criteria of Regulation 37 are notified to the Commission. To ensure that the Commission is informed of incidents in the home. 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 We recommend that when carrying out a pre-admission assessment of a persons needs, the information is recorded on a separate form, thus providing clear evidence of a pre-admission assessment of need having taken place. We recommend that body maps are used to record any injury sustained by a resident. We recommend that there is better supervision and monitoring of staff who administer medication to ensure that the homes procedures are complied with. We recommend that where a variable dose of medication is prescribed, the actual dose administered is recorded in all cases. 2 3 7 9 Care Homes for Older People Page 25 of 27 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 4 12 We recommend that there is better recording of activities that take place with residents and that the home continues to seek meaningful activities for its residents. We recommend that there is a period of monitoring the temperatures of the radiators to ensure that they do not pose a burns risk to radiators. Should any radiator pose a hazard, they should be covered. 5 19 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. 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