Care Home: Croftwood

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What the care home does well They ensured that people`s needs and wishes were assessed before they moved into Croftwood. This helps ensure that the home has the facilities to meet the person`s needs. Systems were in place to help ensure that people receive the medical support they require. Activities were available for people to participate in at the home and people`s religious and spiritual needs were met. People were supported by a staff team who knew them well. People were confident that there was always somebody to talk to if there were not happy and knew how to make a complaint. Croftwood provides a comfortable environment for people to live in. What has improved since the last inspection? This was the first key inspection under the ownership of Minster Care. What the care home could do better: To help ensure that people always receive the care and support they need, up to date consistent information must be detailed in individual`s care plans and considered when carrying our risk assessments. Appropriate records should be maintained of all personal care delivered. This is to help ensure that people receive the care and support they require. The services recruitment procedures must include obtaining all relevant information prior to a new member of staff starting their role. This is to help ensure that only people suitable for the role are employed. The homes policies and procedures must be reviewed and updated so that they contain up to date information to support the general wellbeing of people. To help ensure that people`s medication is managed appropriately all medication administered should be recorded and stored appropriately. Key inspection report Care homes for older people Name: Address: Croftwood Halton Lodge Whitchurch Way Runcorn Cheshire WA7 5YP     The quality rating for this care home is:   one star adequate 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: Adele Berriman     Date: 2 5 1 1 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 27 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) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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: Croftwood Halton Lodge Whitchurch Way Runcorn Cheshire WA7 5YP 01928576049 01928563398 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Minster Care Management Limited Name of registered manager (if applicable) Type of registration: Number of places registered: care home 41 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: .The registered person may provide the following category of service only: Care home only- Code PC. To people whose primary care needs on admission are within the following categories: Old age not falling within any other categories- Code OP (41), Dementia - Code DE (4) and Physical Disability - (2). The maximum number of people who can be accommodated is: 41. Date of last inspection Brief description of the care home 4 0 2 Over 65 0 41 0 Care Homes for Older People Page 4 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: one star adequate 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 carried out one unannounced and one announced visit to Croftwood. The visits formed part of as key inspection of the home in which all of the key standards were assessed. This was the first key inspection since the new provider, Minster Care purchased the home. During our visit we spent time talking to people living at Croftwood, two members of staff and the acting manager. We looked at all the communal living areas and a selection of bedrooms and bathrooms. We looked at a selection of records, policies and procedures during the visit, these included care plans, staff files, medication records and daily records. As part of the inspection process three people, two with the support of their relatives, and a member of staff completed a survey form to tell us their views on Croftwood. Care Homes for Older People Page 5 of 27 The manager completed an Annual Quality Assurance Assessment (AQAA). This document gave them the opportunity to tell us what they thought they did well, what they thought they could do better and their plans for the next 12 months. The AQAA also contained some numerical information that we asked for. The AQAA contained most of the information we asked for. Care Homes for Older People Page 6 of 27 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 7 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 8 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. People have their needs assessed before they move into Croftwood so that they know their needs can be met. Evidence: We saw that a pre admission assessment was carried out prior to a person moving into Croftwood. The purpose of this assessment was to ensure that the staff were aware of peoples individual needs and to ensure that the home had the facilities to meet these needs. We saw copies of completed pre admission assessments on peoples personal files. They told us that pre admission assessment were generally undertaken by the manager and/or the care team leader. We saw that information gained during the assessment process was recorded on a set format. The document gave the opportunity to record peoples care and health needs within their day to day life. To help identify peoples needs further the assessment format should give the Care Homes for Older People Page 9 of 27 Evidence: opportunity to record further information relating to peoples social interests, hobbies, religious and cultural needs. People were invited to visit the home prior to making the decision to move in. Overnight stays were available and they told us that they also offer short term periods of respite so that people can experience life at Croftwood before they make a decision to move in permanently. All three people who completed a survey form told is that they had received enough information to help them decide that the home was the right place for them before they moved in. Croftwood does not provide intermediate care facilities. Care Homes for Older People Page 10 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples care needs are not always clearly identified which may mean that they may not receive the care and support they need. Evidence: We saw that each person had their own file that contained their personal information, pre admission information and their care plan. We looked at four peoples care plans and saw that they contained information about peoples day to day needs. The acting manager told us that they were in the process of updating all of the care plans. We saw that care plans identified peoples needs. However, we saw that several areas of the care plans had not been completed and some information was brief and did not give full details of how care was to be delivered. For example, the elimination care plan for one person stated that they will request toilet and be assisted. There was no information recorded as to what assistance was need and by whom. To help ensure that people receive consistent support, detailed information should be available that states how staff are to assist people with a task. Care Homes for Older People Page 11 of 27 Evidence: We saw that a bathing list was in use. They told us that they had recently introduced the list to record peoples personal care. We looked at the previous bath list that had been in use and it demonstrated that several people had not received a bath or shower for some time. An individual record of all personal care must be maintained to help demonstrate that proper provision for the care of people is in place. We saw that daily records were maintained to record peoples events of the day. Not all of the records that we looked at contained detailed information. For example, one record stated small diet and another stated had full PC this am. To help ensure that peoples needs are met, detailed records should be maintained of all care and support that have been delivered or offered by the staff team. We saw that risk assessments specific to individuals needs formed part of peoples care plans. These assessment included nutrition, falls, the environment and moving and handling. We saw that information in some care plans and risk assessments was contradictory and inconsistent. For example, one risk assessment and the personal cleansing and dressing section of the care plan stated hoist used in transferring - two carers, however, the moving and handling risk assessment and stated one carer and hoist. To help ensure that people receive the care and support they require detailed consistent information should be available to the staff team. None of the care plans that we looked at contained information relating to peoples capacity to make decisions. Where necessary, care plans should contain information about individuals capacity to make decisions under the Mental Capacity Act 2005. They told us that a continence adviser carried out all assessments for people relating to continence products. It is then the role of the link worker to monitor the use of the products. We recommend that the monitoring of the products takes place on a regular basis and records are maintained. Care plan records demonstrated that people had regular access to their GP and other healthcare professionals. During our visit we saw a district nurse and chiropodist visit people living at the Croftwood. All three people who completed a survey form told us that staff always make sure that they get the medical care they need. Throughout our visit we observed people being treated in a friendly, dignified manner by the staff team. We saw that they had a policy for the recording, receipt, administration and disposal of medication. Care Homes for Older People Page 12 of 27 Evidence: We saw that medication was recorded on Medication Administration Records (MARs). We looked at several of the MARs in use and the majority had been completed appropriately. However, we saw that three MARs did not demonstrate that peoples medication had been recorded as being administered at the prescribed time. Detailed records of all medication administered must be maintained. This is to help ensure that people receive their medication when they need it. We saw that medication file containing the MARs also contained photographs of people and information regarding medication prescribed on an as and when basis (PRN). We saw that medication in use was stored in appropriate lockable cabinets and trolleys. A fridge was available to store medication that require keeping cool. We saw that the temperature of the fridge was not being monitored. Regular monitoring of the temperature of the fridge should take place to help ensure that medication that requires keeping cool is stored appropriately. We saw that the fridge contained medication that was out of date. The acting manager dealt with this immediately. We saw that medication that needed to be returned to the pharmacy was being stored in a room that we found unlocked. The acting manager told us that the room was generally locked and locked the door immediately. Care Homes for Older People Page 13 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 are provided with activities and a variety of meals which they enjoy. Evidence: We saw that an activities co ordinator was in post. Activities were available on a regular basis for people to take part in. The activities programme included bingo, baking, dominos, cards, reminiscence and film afternoons. They told us that an entertainer visits the home on a monthly basis. They told us in their AQAA that their plans for the next 12 months included extending and developing the activities programme. At the time of our visit they were in the process of developing a programme of activities for over the festive holiday period. These activities included a Christmas lunch at a Liverpool hotel, Church services and Christmas bingo. People who completed a survey form told us that the home always arranged activities that they can take part in. They told us that peoples religious and spiritual needs are met by regular visits by Care Homes for Older People Page 14 of 27 Evidence: representatives from local Catholic, Church of England and Methodist churches. In addition a Lay Preacher also visits on a regular basis. People who we spoke to during the visit told us that they were able to receive visitors whenever they wished. They told us that they had a choice of whether they attended the activities. One of the care plans that we looked at stated that the individual liked to go to bed around 11pm. People told us during the visit that they were able to go to bed and get up when they wished. Meals were served in small dining areas around the building. During our visit we saw a visiting family were having tea in a small lounge area with their relative celebrating a birthday. We saw a sample of the homes five week menu. The menu was varied and contained nutritious meals. We saw that alternative meals were available in the event of people not wishing to eat the prepared meals of the day. We saw that no menu was being displayed to inform people of the planned meals for the day. A menu should be made available to all in a suitable format to assist people with making a choice of what they wish to eat and help with individuals orientation througout the their day. People who we spoke to during our visit and the people who completed survey forms all told us that they always liked the meals served at the home. Care Homes for Older People Page 15 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 knew who to speak to if they were not happy and were aware of the complaints procedure. Evidence: We saw information titled what to do if you are not happy in the foyer for everybody to access. The information told people about how they could make a complaint. However, the information did not contain any contact address for people to send their concerns. They told us that the complaints procedure was currently under review. A complaints form and complaints register were available for staff to record any complaints or concerns raised about the service. People we spoke to during the visit and people who completed a survey form all told us that there was someone to speak to informally at the home if they were not happy. People told us that they knew how to make a complaint about the service. They told us in their AQAA that they had received one complaint which was upheld and resolved within 28 days. We saw that they had a policy for the safeguarding of vulnerable adults and the prevention of abuse. In addition, information relating to Halton Councils joint agency safeguarding procedures were available. Care Homes for Older People Page 16 of 27 Evidence: At the time of the visit one safeguarding investigation was taking place. Training records demonstrated that approximately 35 of staff had completed training in the Protection of Vulnerable Adults (POVA). They told us that the training involved watching a film and using a note book. They told us that none of the safeguarding training currently available at the home considered the Mental Capacity Act 2005. To help ensure that peoples rights are protected staff should receive awareness on safeguarding people and the Mental Capacity Act 2005. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A clean comfortable environment is provided for people to live in. Evidence: Croftwood is situated close to local bus routes and local shops. A large car park is available to the front of the building. Records demonstrated that they had a regular maintenance programme. They told us that their plans for the next 12 months included a rolling programme of decoration within the home. We looked at a selection of dining areas, lounges, bathrooms that were for communal use. We saw that they were clean and tidy and contained furniture and equipment to meet peoples needs. We looked at several peoples bedrooms and saw that they had been personalised with peoples personal effects. All three people who completed a survey form told us that the home was always fresh and clean. Care Homes for Older People Page 18 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The procedures for the recruitment of staff need to be more thorough to ensure suitable staff are employed to safeguard people who live at Croftwood. Evidence: We saw that five carers, the acting manager, a cook and a domestic worker were on duty to meet the needs of the 35 people in residence. People told us positive things about the staff team. Comments included always do their best and care is good. We looked at the recruitment files of the six most recently recruited staff. We saw that not all of the files contained the information required. For example, three files only contained one written reference and two application forms were not completed fully. We saw that Criminal Record Bureau disclosures had been applied for as part of the recruitment process. However, we saw no evidence that appropriate Criminal Record Bureau disclosures had been obtained prior to two people starting their employment. To help ensure that only people suitable for the role are employed all required recruitment checks must be carried out prior to the person commencing their role. The majority of staff had an individual training record. The information contained on Care Homes for Older People Page 19 of 27 Evidence: these records did not fully demonstrate what training staff had participated in. Detailed records should be maintained of all training delivered within the home. This will help to demonstrate that staff are receiving appropriate on-going training for their role. We looked at the training matrix. It demonstrated that the majority of staff had received moving and handling induction of refresher training and fire training in 2009. Several people had undertaken training in infection control, food hygiene, dementia and medication training. We saw the services training and development plan for 2009 and 2010. It demonstrated that all staff would receive mandatory training in fire, moving and handling, health and safety, first aid and food hygiene. In addition training will also be delivered in person centered care, care of the dying, customer care and dementia. The member of staff who completed a survey form told us that there are always enough staff to meet the individual needs of people. They told us that they felt they had enough support, experience and knowledge to meet peoples needs. They told us in their AQAA that 17 staff had achieved an National Vocational Qualification level two or three. Care Homes for Older People Page 20 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The current health and safety policies and procedures need updating to ensure that peoples health, safety and welfare are promoted. Evidence: At the time of our visit the manager of the service was on sick leave. The care team leader was the acting manager. At the time the manager was in the process of applying to register with the Commission as the registered manager. The acting manager demonstrated a good awareness of the needs of the people living at Croftwood and was clear on what improvements needed to be made to the service. The service completed an Annual Quality Assurance Assessment (AQAA). This document gave them the opportunity to tell us what they thought they did well, what they thought they could do better and their plans for improvement for the next 12 months. The information in these sections was minimal. Care Homes for Older People Page 21 of 27 Evidence: The Dataset section of the AQAA contained information relating to policies and procedures, complaints information and other numerical information that we asked for. They told us that they distributed customer satisfaction forms on a regular basis for people to give their opinions on the service being delivered. We saw that a customer feed back form was available in the foyer for people to record their comments anytime they wished. They told us that the proprietor visits the service on a regular basis and is always contactable by telephone. We saw that systems were in place to protect peoples finances. The information in the AQAA told us that several of the homes policies and procedures were last reviewed several years ago. For example, one policy regarding service users money and financial affairs was last reviewed in 2000. They told us during our visit that all policies and procedures were in the process of being reviewed. All policies and procedures in place to protect the health, safety and welfare of people must be reviewed to ensure that that they contain up to date information relating to current legislation. For example, the Mental Capacity Act 2005. Care Homes for Older People Page 22 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 23 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 7 12 A full record of all personal care offered and delivered must be maintained. This is to help ensure that peoples personal hygiene needs are met at all times. 17/05/2010 2 9 13 All medication must be stored in a secure appropriate environment. 17/05/2010 This is to help ensure that medication is not able to cause unnecessary harm 3 9 13 Records of all medication administered must be completed. This is to help ensure that people receive the medication when they need it. 4 29 19 Recruitment procedures must ensure that all of the information detailed in 17/05/2010 17/05/2010 Care Homes for Older People Page 24 of 27 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 schedule 2 of the Care Homes Regulations 2001 is obtained as part of the recruitment process This is to help ensure that only people suitable for the role are employed. 5 38 13 Policies and procedures to protect peoples health, safety and wellbeing must contain up to date information. This is to ensure that people are aware of who is accountable for the health and safety of people within the building. 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 17/05/2010 1 3 The pre admission assessment should give the opportunity to record peoples needs and wishes relating to their social interests, hobbies, religious and cultural preferences. Where necessary, care plans should contain information relating to peoples capacity to make decisions. Daily records should contain detailed information about individuals daily activities and record all care and support that has been offered and delivered. Care plans and individual risk assessments should contain consistent information. This is to ensure that people receive the care and support they require. Regular monitoring of the use of continence products Page 25 of 27 2 3 7 7 4 7 5 8 Care Homes for Older People 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 should take place and records maintained. 6 9 The temperature of the medicine fridge should be monitored on a regular basis to ensure that medicines requiring refrigerated storage are stored appropriately. A menu should be made available to all in a suitable format to assist people with making a choice of what they wish to eat and help with individuals orientation of their day. To help ensure that peoples rights are protected staff should receive awareness on safeguarding people and the Mental Capacity Act 2005. Detailed records should be maintained of all training delivered within the home. 7 15 8 18 9 30 Care Homes for Older People Page 26 of 27 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. 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