Care Home: Earls Lodge Care Home

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What the care home does well People were observed relaxing in in clean and homely surroundings. Some people were relaxing in the lounges socializing and watching television. others were having breakfast or relaxing in their rooms. Some people living in the home are very poorly and being nursed in their beds. People were comfortable and there was enough staff available to meet peoples care and support needs in a relaxed and unhurried manner. People said they enjoy living in the home.One person says "Its like home from home", another said "Its lovely and the staff are very kind and helpful". Two visitors said there "relatives are very well cared for" the "staff are very good". Discussion with carers found they have a good understanding of the needs of people living in the home. Discussion with the Nurses found they have the qualifications and training they require to meet the needs of poorly people cared for in the home. People are protected by the way staff are recruited and selected as appropriate checks are taken up before they are employed. To make sure people are safe staff training records show they have Health and Safety, Moving and Handling,Infection Control and Food Hygiene. The maintenance records show peoples health, safety and wellbeing is promoted and protected. People living in the home said the meals are very good. One person says they "have plenty to eat" another says they "can choose what they want to eat". A sample of the lunchtime meal found it to be well cooked , well presented and tasty. The record of complaints show that what people say is listened to, taken seriously and acted upon. The homes returned satisfaction surveys show people are generally happy with the care and services provided. People are protected by the way medicines are dealt with as these are checked regularly to make sure they are properly stored and appropriately recorded. Staff training records show people giving medicines are trained to do so properly and safely. Observation of the medicine round found people are treated with dignity and their wishes are respected. Records show that people receive the medical support they need and require with some being supported y the District Nurses, others by the Palliative Care Nurses and Tissue Viability Nurses. What has improved since the last inspection? The Acting Manager and Area Manager said the medical records of people that are poorly have improved since the previous inspection. To make sure people have the support they need and require a better record is kept of referrals made to the Tissue Viability Nurses. Better records are also kept of the progress of those suffering pressure sores. The Area Manager says that there are better communications between the home and other Health care Professionals to make sure peoples care and support needs are appropriately met. The staff training records show that nearly all care staff either have a National Vocational Qualification or are registered on NVQ courses. Following a visit from the Local Authority and Primary Health care Trust more training and update training has been arranged or planned for the coming months and in particular update training in Health and Safety, Moving and Handling, Fire Safety Awareness and Safeguarding Training. The training MATRIX and staff training notice board confirmed this. What the care home could do better: A sample of peoples assessments and care plans show there is a proper record maintained of other health care professionals involvement. The Area Manager said a recent Coroners inquest has highlighted the need to maintain accurate records of referrals made to other health care professionals and in particular the Tissue Viability Nurse. Staff training records show some staff require training and update training in Safeguarding, Moving and Handling and Fire Safety Awareness. The Area Manager says this training was also identified following a recent visit from the Local Authority and Primary Health care Trust and this training has been arranged for the coming months. The training MATRIX shows that nearly 50% of carers have a National Vocational Qualification. A letter from the Local Authority Contracts Department asks the service providers about the amount of staff available in the home. The Area Manager said the staffing levels are continually reviewed and amended to reflect the personal care and support needs of the current population. The home has a new manager who should make an application to be registered by the Care Quality Commission as soon as is practicable. The information gathered through satisfaction surveys has not been collated or a report published to reflect the views of people living in the home, their relatives, other visiting healthcare professionals on the quality of services provided. Key inspection report Care homes for older people Name: Address: Earls Lodge Care Home Queen Elizabeth Road Wakefield Yorkshire WF1 4AA     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: Tony Railton     Date: 1 4 0 8 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 26 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 26 Information about the care home Name of care home: Address: Earls Lodge Care Home Queen Elizabeth Road Wakefield Yorkshire WF1 4AA 01924372005 01924372011 earls.lodge@fshc.co.uk www.fshc.co.uk Tamaris Healthcare (England) Ltd care home 50 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 50 The registered person may provide the following category of service only: Care Home with Nursing, Code N. To service users of the following gender: Either. Whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category, Code OP, maximum number of places 50 Date of last inspection Brief description of the care home Earls Lodge Care Home was purpose built to provide personal and nursing care for 50 older people. The home is situated in close proximity to Pinderfields Hospital on Queen Elizabeth Road, Wakefield, close to main bus routes from Wakefield town centre. The home is surrounded by gardens that provide a pleasant environment for service users to sit in. It is a two storey building with nursing care provided on the first floor of the home. There are pleasant lounges and dining areas on both floors. All rooms are single and most have en suite facilities. A team of qualified nurses, care assistants and ancillary staff work at the home and the local doctors and their Primary Health Teams support them. The proprietor is Tamaris Healthcare (England) Limited (wholly owned Care Homes for Older People Page 4 of 26 Over 65 50 0 Brief description of the care home subsidiary of Four Seasons Health Care Limited). The manager informed the Commission for Social Care Inspection on 21/8/07 that fees range from #370 to #420 per week. Additional charges include hairdressing, private chiropody and newspapers. A small charge is made for some activities such as Bingo and trips out. Information about the home is available to people via the Statement of Purpose, Service User Guide and the last inspection report, all of which are available in the home?s reception and are given to both people who enquire about living at the home, and those who currently live at Earls Lodge. Care Homes for Older People Page 5 of 26 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: Following this key standard inspection visit the service has been given a Two Star rating which means people living in the home experience good quality outcomes. This visit started at 08.30 and ended at 15.00.During this visit there was the opportunity to meet and speak to most people living in the home. The service was also discussed with two visiting relatives. There was also the opportunity to speak to the Acting Manager,Area Manager, Deputy Manager, Nurses,Carers, Administrator, Cook, Kitchen Assistants, Domestics, and Activities Coordinator. A sample of peoples records were seen and included assessments, care plans, daily and medical records.A sample of staff records including applications, references, Police and POVA (Protection of Vulnerable Adults List) checks and training records. Other information considered includes information sent to the Care Quality Commission by the providers and in particular the Annual Quality Assurance Assessment,(AQAA). The previous inspection reports were also considered along with a report following a visit from the Local Authority and Primary Health care Trust. The homes record of complaints was seen and discussed Care Homes for Older People Page 6 of 26 along with Safeguarding Referrals made since the previous inspection visit. Some peoples medicines and finances were checked. Care Homes for Older People Page 7 of 26 What the care home does well: What has improved since the last inspection? What they could do better: A sample of peoples assessments and care plans show there is a proper record maintained of other health care professionals involvement. The Area Manager said a recent Coroners inquest has highlighted the need to maintain accurate records of referrals made to other health care professionals and in particular the Tissue Viability Care Homes for Older People Page 8 of 26 Nurse. Staff training records show some staff require training and update training in Safeguarding, Moving and Handling and Fire Safety Awareness. The Area Manager says this training was also identified following a recent visit from the Local Authority and Primary Health care Trust and this training has been arranged for the coming months. The training MATRIX shows that nearly 50 of carers have a National Vocational Qualification. A letter from the Local Authority Contracts Department asks the service providers about the amount of staff available in the home. The Area Manager said the staffing levels are continually reviewed and amended to reflect the personal care and support needs of the current population. The home has a new manager who should make an application to be registered by the Care Quality Commission as soon as is practicable. The information gathered through satisfaction surveys has not been collated or a report published to reflect the views of people living in the home, their relatives, other visiting healthcare professionals on the quality of services provided. 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 9 of 26 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 26 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. To make sure the service can meet peoples personal and health care needs these are assessed before coming to live in the home. Evidence: To make sure the service can meet peoples personal and health care needs these are assessed before coming to live in the home. To make sure peoples needs are properly identified a qualified nurse completes the assessment form. To make sure nothing is missed the assessments are very comprehensive and include peoples personal care and physical well-being, diet and weight, sight hearing and communication, oral health, foot care, mobility, risk of falls, continence and skin integrity, medications, and mental health. The assessments show people and their relatives are involved in the assessment process and have a say in how they are supported and cared for. The assessments also include peoples choices and preferences, likes and dislikes and social history. The manager confirmed that the home does not provide a specialist intermediate care service. Care Homes for Older People Page 11 of 26 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 person and health care needs are set out in a plan of care that is looked at regularly and amended to reflect peoples changing care and support needs. People are protected by the way medicines are dealt with in the home. Evidence: People are protected by the way medicines are dealt with as a sample of some peoples medicines were checked and found to be stored and recorded properly. People were observed being offered and taking their medicines and being treated with dignity and having their wishes respected. To make sure people are protected the records show the medicines are checked regularly. To make sure the medicine administration systems are safe they are also checked by a Pharmacist every year. Some people living in the home are very poorly and require nursing care. One such persons records were checked and it was found that daily and medical records were up to date and signed to show that they receive the care they need and require. There are charts making sure people have enough to drink. There are charts showing when staff should place people into a different position to make sure they are comfortable. There are charts showing when people have a pressure sore telling staff where the sore is and Care Homes for Older People Page 12 of 26 Evidence: what they need to do to stop it from getting any worse. Records show some people are supported by the Tissue Viability Nurse. However, following a recent Coroners inquest it was found that on one occasion the home could not find any record of the Tissue Viability Nurse being contacted. The Area Manager for the home says following this oversight there is now system in place to make sure proper records are maintained. Records seen showed that there is now a proper record maintained in peoples records of any contact with other Health care Professionals. People living in the home say they are comfortable and are happy with the care and support provided.Two visiting relatives agreed and said they are very happy with the staff and the support provided. One says their relative is happy , comfortable and well cared for. Care Homes for Older People Page 13 of 26 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 lifestyle matches their expectations and they are offered and enjoy a choice of a varied and balanced menu. Evidence: People said they enjoy their meals and they have a choice of menu. To make sure people have a choice the menu checklist shows they are asked on a daily basis which menu they prefer. The lunchtime meal was sampled and found to be well presented, well cooked and tasty. The records seen show people have a nutritional screening assessment to make sure people have the diet they need and require. The manager confirmed everyone coming to live in the home has a nutritional screening assessment. The records also show some people living in the home are very poorly and a record is kept of how much they have to drink. These records were checked and found to be up to date, signed and well recorded. Records show some people have to be fed by way of a tube and to make sure this is done safely records show staff are trained how to do this. The photographs displayed around the home show people enjoying trips to the coast and other seasonal celebrations. One person said they enjoyed going to Scarborough another said they had a party when it was their birthday and a cake made specially for them. The daily records and record of activities show people are offered a range of activities to join in if they want. On the day of the Care Homes for Older People Page 14 of 26 Evidence: visit a group people were observed enjoying talking about what they did when they were growing up. People were observed throughout the visit being treated with dignity and having their wishes respected. Care Homes for Older People Page 15 of 26 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. What people say is taken seriously, recorded and acted upon, and people are protected from any kind of abuse. Evidence: To make sure people are protected from abuse there is a Safeguarding Policy and Procedure for staff to follow. To make sure this is done properly the Policy and Procedure includes the Local Authority Safeguarding Protocols. The records show the home has had to make two Safeguarding Referrals to the local Authority since the previous inspection report.The records show the referrals were reported and dealt with properly by the home and local authority. To make peoples concerns are listened to and acted upon there is a complaints policy and procedure showing people how to make a complaint. There is a copy of the complaints policy displayed in the home and it is included in the Service User Guide given to people coming to live in the home. The record of complaints show there have been three complaints received by the home and these have been appropriately recorded and dealt with. The service history shows the CQC has not received any complaints about the service. A recent report following a visit from the Local Authority Contracts Department and Primary Health care Trust showed that not all staff working in the home had received Safeguarding training or update training. Records seen on the day of the visit showed nearly all staff had now received this training and there is more training planned for the future. Discussion with the care staff and Nurses found they had a good understanding of what constituted abuse and how to report it. Staff training records and in particular Care Homes for Older People Page 16 of 26 Evidence: staff training MATRIX confirmed that most staff have now had Safeguarding training. People living in the home said they feel safe and had no complaints about the staff or services provided. Two visitors to the home said they are very happy with the support provided and never had to complain about anything. Care Homes for Older People Page 17 of 26 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. People live in a well maintained, well decorated home that is clean and comfortable and safe. Evidence: A tour of the premises found all areas of the home to be well decorated, well maintained , homely and clean. Discussion with people living in the home found they are very happy with their bedrooms and feel they have everything they need. Two visiting relatives said they are very happy with the home as it is always homely and kept very clean. Discussion with the domestics found they have all the equipment they need to keep the home clean and free from any unpleasant odors. The manager said there is one room currently unoccupied that has an unpleasant odor but there are plans to decorated and provide a new carpet. The area manager says to make sure people live in a comfortable home the environment forms part of the monthly visit and a report is provided highlighting any work that needs doing. To make sure people live in a safe environment the records show the emergency equipment is checked regularly. To make sure people are safe the specialist equipment such as pressure care mattresses, hoists and oxygen therapy equipment is also checked regularly. Staff records show that staff using specialist equipment are trained to do so safely and correctly. Care Homes for Older People Page 18 of 26 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. Peoples personal and health care needs are met by the numbers and skill mix of staff in the home, and the are protected by the way staff are recruited and selected. Evidence: On the day of the visit there appeared to be enough staff available to meet peoples care and support needs in a relaxed and unhurried manner. People living in the home say they like the people caring for them and there appeared to be a good positive relationship fostered. The report from a recent Local Authority and Primary Health care Trust monitoring visit says its very much a hands on home and the evidence on the day of the visit confirmed this. Two visiting relatives say they are very happy with the staff and the support they provide. People are protected by the way staff are recruited and selected as a sample of three staff records show two references, police check, health check and PO VA (Protection of Vulnerable Adult List) checks are taken up before they are employed. To make sure people are safe staff records show they have Health and Safety, Moving and Handling, Infection Control and Fire Safety Awareness training. However, the training records show that some staff need update training as it was some years since they have had this training. A letter from Wakefield Social Services shows they have had concerns about the amount of staff available in the home, and they have asked for the staffing levels to be reviewed. The area manager says to make sure peoples needs are met the level of support provided in the home is constantly under view to reflect the changing needs of people living in Care Homes for Older People Page 19 of 26 Evidence: the home. The staff training MATRIX shows that nearly 50 of care staff now have a National Vocational Qualification Level 2 or above. The Annual Quality Assurance Assessment confirmed this. Records show that Nurses receive the specialist training they need and require to meet peoples nursing needs. Discussion with one Level 1 Nurse found they receive the support and the training they need and require to maintain their nursing qualification. Discussion with nearly all the staff working on the day of the visit found they feel supported in the work they do and are happy working in the home. The minutes of the staff meetings and supervision records show they have the opportunity to comment on the running of the home. The inspector was impressed with the positive attitude staff awards their work and the people living in the home. Care Homes for Older People Page 20 of 26 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. People live in a well managed and well maintained home that is run in their best interests and where they have a say in what happens to them. However, the information gathered through quality assurance surveys has not been collated or a report provided reflecting the views of people living in the home. Evidence: The home is currently without a registered manager. However, records show the care management systems in the home are generally good and peoples personal and health care needs are met by the home. Records also show that people living in the home have the opportunity to make choices and have a say in what happens to them and how they are supported. The minutes of the residents meetings show people have the opportunity to comment on the way the home runs and what they do. The menu choice lists, daily records and record of activities show people have a say in what they do and what happens to them. The Annual Quality Assurance Assessment says that peoples views are sought through satisfaction surveys, however on the day of the visit this information was not available or a report provided reflecting and showing what Care Homes for Older People Page 21 of 26 Evidence: people say about the home and the quality of the services provided. Peoples health , safety and wellbeing is promoted and protected as the records show regular maintenance checks are completed and a health and safety audit carried out monthly. However, some staff do require training and update training in Health and Safety and Infection Control and recommendations have been made elsewhere in this report. On this occasion no peoples finances were checked. Care Homes for Older People Page 22 of 26 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 26 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 8 To show peoples needs are appropriately met a proper and accurate record should continue to be made of any contact with other health care professionals. To protect people living in the home from abuse all staff should have Safeguarding training or have the update training as planned. The unoccupied bedroom identified as part of the inspection visit should be redecorated and the carpet replaced as planned as soon as is practicable. As a matter of good practice the management of the home should monitor the staffing levels and amend them according to the personal care and health care needs of the current population. To ensure peoples personal care needs are met by qualified staff 50 of care staff should have a National Vocational Qualification Level 2 or above. It is acknowledged that most staff have Moving and Handling, Infection Control, Fire Safety Awareness and Safeguarding Training, however, to further protect those living in the home all those that require training or update Page 24 of 26 2 18 3 23 4 27 5 28 6 30 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 training in these areas should do so as soon as is practicable. 7 8 31 33 The manger should make an application to be registered with the Care Quality Commission as soon as is practicable. The information gathered through satisfaction surveys should be collated and a report provided reflecting and showing peoples views and comments on the quality of the services provided and any changes to the way the home runs as a result of their comments. Care Homes for Older People Page 25 of 26 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. 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