Care Home: Holly Park

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What the care home does well When we spoke to the representative of someone who had moved in they said, "We looked around other homes but we choose this one because of its nice atmosphere and the friendliness of the staff ". The overall feedback from people, health care professionals and relatives was that the care delivered by staff at Holly Park was very good. Individually: People`s comments included: "The staff are lovely, all of them", "I`m looked after really well here", "It`s nice here I feel really safe". People`s representatives said: "The staff are wonderful, exceptional in fact", "Holly Park is a first class home". We saw staff valued and respected the privacy of people. There was clear and respectful communication between people and staff and staff treated people in a kind manner. People living in the home and their representatives told us the home is always clean and it was clean when we visited. Staff said that they really enjoyed working at the home and got a lot of job satisfaction. All the staff we spoke with were clear about their roles and responsibilities and were very keen to provide a good service for the people of Holly Park. There is evidence that the ethos of the home is open and transparent. The views of both people who use the service and staff are being listened to, and valued. What has improved since the last inspection? The feedback from people, relatives and health care professionals is that there has been an "all round improvement" in levels of care at Holly Park in the last six months. People and their representatives said they thought the amount and type of activities available had improved over the past few months. People said they had started visiting the local pub once a week where a buffet was laid on for them. Other people from the village had also started visiting the pub on this particular afternoon. This positive initiative started by the home has improved the links between the people of Holly Park and the local community. Work is continuing to improve the environment. New furniture has been purchased and some areas have been redecorated. Staff are being provided with more training they need to understand and meet the needs of people living in the home. A number of staff said they had recently completed their National Vocational Qualification (NVQ) level 2 in care. Some staff said they were looking forward to starting their level 3 NVQ within the next month. The management team of Holly Park have improved ways in which to check out the quality of the service that they are providing. A new home newsletter has also been produced. This provides information to people about what is happening in the home. What the care home could do better: People should be involved in drawing up and reviewing their care plans so that they can have more of a say in how they receive care or support. Staff should ensure that people`s choices over daily life can be accommodated. The work on improving the environment should continue and be completed as soon as possible. This will help to ensure the home is comfortable and suitably furnished to meet people`s needs. Key inspection report Care homes for older people Name: Address: Holly Park Clayton Lane Clayton Bradford BD14 6BB     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: Mike ONeil     Date: 0 9 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 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: Holly Park Clayton Lane Clayton Bradford BD14 6BB 01274883480 01274816120 HollyPark@parkhomesuk.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Park Homes (UK) Ltd care home 43 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 43 The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP, maximum number of places 43 Dementia Code DE, maximum number of places 25 Date of last inspection Brief description of the care home Holly Park provides nursing and personal care for a maximum of 43 people. Holly Park is part of Park Homes UK Limited, a registered company with several care homes in the area. Holly Park was converted from a former school property. It is located in the centre of Clayton village and is conveniently placed for shops, library, church and local bus Care Homes for Older People Page 4 of 26 Over 65 0 43 25 0 1 2 1 1 2 0 0 8 Brief description of the care home route. Accommodation is provided on the ground and first floor, predominantly in single bedrooms. The rooms on the first floor and in the reception area have en suite facilities. There a passenger lift, providing access to the first floor. There are three separate communal rooms consisting of two lounges and a dining room. The current fees range from 359.24-616.98 pounds per week with additional charges payable for services like hairdressing, chiropody and newspapers. This information was provided at the November 2009 inspection. The home should be contacted directly for up to date information about charges. 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: The inspection process included looking at the information we have received about the home since the last key inspection in November 2008. Prior to the visit the service had submitted an Annual Quality Assurance Assessment (AQAA) which detailed what the service was doing well, what had improved since the last inspection and any plans for improving the service in the next twelve months. The AQAA also included data as to when utilities and equipment at the home were serviced. Information from the AQAA is included in the main body of the report. Before the visit we sent surveys to the home to distribute to people using the service, visiting health care professionals and staff. Seven surveys were returned to us two from staff, three from people and two from peoples representatives. The information from the surveys is included within this report. We made an unannounced visit to the home. This was carried out on the 9th November Care Homes for Older People Page 6 of 26 2009 over a period of six hours. We talked to 7 staff about their work and the training they have completed. We checked some of the records, policies and procedures the home has to keep. We also looked at some parts of the home and observed staff as they carried out their duties. The training and care standards monitoring manager, Park Homes (UK) Limited was in charge of the home at the time of our visit. We spoke with 7 people who use the service, a visiting health care professional and 3 peoples representatives during our visit, their views are included within this report. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. Care Homes for Older People Page 7 of 26 What the care home does well: What has improved since the last inspection? The feedback from people, relatives and health care professionals is that there has been an all round improvement in levels of care at Holly Park in the last six months. People and their representatives said they thought the amount and type of activities available had improved over the past few months. People said they had started visiting the local pub once a week where a buffet was laid on for them. Other people from the village had also started visiting the pub on this particular afternoon. This positive initiative started by the home has improved the links between the people of Holly Park and the local community. Work is continuing to improve the environment. New furniture has been purchased and some areas have been redecorated. Staff are being provided with more training they need to understand and meet the needs of people living in the home. A number of staff said they had recently completed their National Vocational Qualification (NVQ) level 2 in care. Some staff said they were looking forward to starting their level 3 NVQ within the next month. The management team of Holly Park have improved ways in which to check out the quality of the service that they are providing. A new home newsletter has also been produced. This provides information to people Care Homes for Older People Page 8 of 26 about what is happening in the home. 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 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. Assessments were carried out to ensure that the home could meet peoples needs. This home does not provide intermediate care. Evidence: When we looked at peoples surveys it told us people had received enough information about the home before they moved in so they could decide if the place was right for them one said they couldnt remember. When we spoke to the representative of someone who had moved in they said, We looked around other homes but we choose this one because of its nice atmosphere and the friendliness of the staff . We looked at three peoples files to check that pre admission assessments had been undertaken. This told us that prior to the admission taking place, staff from the home carried out an assessment of peoples needs. This confirmed that the service was appropriate for the person and provided staff with information to formulate an individual plan of care. Care Homes for Older People Page 11 of 26 Evidence: We also saw in two of the files, the home was consulting with and requesting reviews from health care professionals when the persons needs were changing. Care Homes for Older People Page 12 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. People were treated with respect and said they were very happy with the care they received. Peoples health and personal care needs were met and medication procedures ensured that people were protected. Care plans reflected peoples care needs. This will mean that staff know what care and support each person needs. Evidence: We checked three peoples care plans. The care plans contained good detail about the persons biography, personality and their medical and nursing needs. The care plans were detailed, all handwritten and they did focus on the individual person. We did feel that the care plans were very medically based and staff needed to focus more on issues such as peoples choices and social care preferences. This will enable staff to provide more holistic care and support to the person. Risk assessments were included within the documentation and included moving and handling, skin integrity, nutrition and other risk factors. The care plans identified that a range of health care professionals visited the home to assist in maintaining peoples Care Homes for Older People Page 13 of 26 Evidence: health care needs. People said they had regular contact with their GP and other health care professionals such as district nurses. We spoke with a visiting health care professional who said that they visited the home regularly, usually daily, and they and the GP practice where they were based had a good working relationship with the home. These positive links with the local health care professionals will help to ensure people receive specialist intervention and medical attention when they need it. Some people and /or their representative said they were aware of care plans and that they were involved in discussions about their care.This means that most people can have a say in how they receive care or support. However there was no evidence recorded in one care plan to show that the person was involved in drawing up and reviewing their plan. This may mean that this person cannot have a say in how they receive care or support. When we spoke with staff they showed a good knowledge of peoples diagnosis and could verbally describe the health and personal care needs of the people they cared for. People looked well cared for and told us that they are. The overall feedback from people, health care professionals and relatives was that the care delivered by staff at Holly Park was very good. Individually: Peoples comments included: The staff are lovely, all of them, Im looked after really well here, Its nice here I feel really safe. Peoples representatives said: The staff are wonderful, exceptional in fact, Holly Park is a first class home. The feedback from people, relatives and health care professionals is that there has been an all round improvement in levels of care at Holly Park in the last six months. Medication was securely stored in locked cupboards in a locked room. Medication Administration Records (MAR) were up to date with no gaps. The Controlled Drugs Register was checked and this had been completed correctly with two signatures and a diminishing total. Qualified nursing staff dispense all medication. Guidance from the Care Homes for Older People Page 14 of 26 Evidence: Nursing and Midwifery Council on the administration of medication is available to staff at the home.These systems and procedures will help to protect people. We saw staff valued and respected the privacy of people. There was clear and respectful communication between people and staff and staff treated people in a kind manner. Staff spoke clearly and at a steady pace with people. Staff showed genuine empathy and concern when one person became upset. Staff used touch and spoke to the person in a calm manner and tried to reassure them. Care Homes for Older People Page 15 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. People have a choice of lifestyle within the home and are able to maintain contact with family and friends ensuring that they continue to be involved in community life. In the main people are able to make choices about daily living and be involved in social activities. Meals served at the home are of a good quality and offer choice to ensure people receive a balanced diet. Evidence: People said they are able to get up and go to bed when they chose and generally how they spend their day and evenings. They said they often went out with their families. Relatives said they were able to visit at any time and were made to feel very welcome. People and their representatives said that the home is a friendly and lively place this was very evident on the day of our visit. However some people said they felt that at times they were encouraged to retire to bed too early in the evening. We spoke with the training and care standards monitoring manager about these concerns,people were happy for us to do this. She said she would look into, and address this issue as she said there should be no Care Homes for Older People Page 16 of 26 Evidence: restrictions placed on peoples choice over times they retire to bed. Peoples choices should be accommodated and specific choices should be recorded in their care plan this will enable people to have choices in their care and daily life at the home. Some people said they enjoyed the activities available at the home, whilst other people said that they chose not to join in with the activities arranged. Activities were advertised around the home. The home provides a range of activities including quizzes, arts and crafts and bingo. Singers had recently visited the home to entertain people and a Halloween party had been held which people said they really enjoyed. People said they visited the local pub once a week where a buffet was laid on for them. Other people from the village had also started visiting the pub on this particular afternoon. This positive initiative started by the home has improved the links between the people of Holly Park and the local community. People and their representatives said they thought the amount and type of activities available had improved over the past few months. A new activities coordinator has been employed at the home and people spoke very highly of her. We observed the meal service at lunch time. The tables were nicely set, the meal service was well organised and people were given plenty of time to enjoy their food. People told us they had enjoyed their lunch. Staff were supporting people, who needed help with their meal, in a sensitive and discreet way. People also said they always enjoy the food and were offered a choice of meal. Care Homes for Older People Page 17 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. There are appropriate systems in place to make sure that peoples concerns/complaints are taken seriously and acted on and to make sure that people are protected from abuse. Evidence: Information about the complaints procedure is available in the home. People told us they know how to make a complaint if they need to and know who to speak to if they are unhappy. A persons representative told us they had been unhappy with certain aspects of their relatives care. However after making a complaint earlier in the year the issues were addressed and they are now much happier with things. The home told us they have had one complaint in the last year, no complaints have been referred directly to us. Records are kept of complaints made and action taken to resolve concerns. There are procedures in place to make sure that people are protected from abuse. Staff said they are aware of protection polices and procedures. Records were seen of recent adult safeguarding training staff had undertaken. This ensures people who use the service are safe and protected. Care Homes for Older People Page 18 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. The home is clean, pleasant and hygienic although some areas of the home are in need of redecorating and refurbishing. Evidence: People living in the home and their representatives told us the home is always clean and it was clean when we visited. Refurbishment of the home is required as an ongoing project. Some parts of the home look tired and in need of brightening up. Some paintwork around the home is chipped and some walls damaged. However work is continuing to improve the environment. New furniture has been purchased and some areas have been redecorated. The training and care standards monitoring manager was able to provide us with a refurbishment plan for the home which is ongoing. This refurbishment should continue so that people can live in improved surroundings. Care Homes for Older People Page 19 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. There are enough staff to meet peoples needs. Staff get the training they need to help them understand and meet the needs of people living in the home. People are protected because all the required checks are done before new staff start work. Evidence: People spoke highly of the staff team and said staff always listened and acted on what they said. People said that staff were always available when needed. Staff and the training and care standards monitoring manager confirmed that staffing levels were adequate. We saw that staff were available to attend to peoples needs when needed. This will help to ensure that people receive consistent care from sufficient numbers of well trained staff. The home told us that all the required checks are carried out before new staff start work. Three staff files were checked. The files contained a range of information including two references and a declaration of health and identification. The staff had undertaken a criminal record bureau check (CRB), at the enhanced level. This confirmed thorough recruitment practices were in place, which was sufficient to safeguard people. Staff told us they received induction training when they started work and this covered most of what they needed to know. All staff said they get the training they need to Care Homes for Older People Page 20 of 26 Evidence: keep them up to date and to help them meet peoples needs. Over the past 12 months training has taken place on a variety of subjects including nutrition, palliative care and dementia care .Training has also been provided on safe working practices for example fire safety, moving and handling and infection control. Staff said they had recently completed their National Vocational Qualification (NVQ) level 2 in care. Some staff they were looking forward to starting their level 3 NVQ within the next month. Staff said there were lots of training opportunities available at the home. Staff said that they really enjoyed working at the home and got a lot of job satisfaction. All the staff we spoke with were clear about their roles and responsibilities and were very keen to provide a good service for the people of Holly Park. Care Homes for Older People Page 21 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. Overall the management of the home is good, with policies and procedures in place to protect and safeguard people who use the service. Evidence: On the day we visited we were informed by the training and care standards monitoring manager that the home manager was off work and that she had been managing the home for the past few weeks. She will let us know the future arrangements for the running of the home within the next two weeks. People, relatives and staff were all aware of the current management arrangements. They said the training and care standards monitoring manager is always about and she listens and tries to resolve any problems. Prior to the visit the service had submitted an Annual Quality Assurance Assessment (AQAA). The AQAA was received on time. This shows that the service works in a cooperative manner with us. The management team of Holly Park have ways in which to check out the quality of the service that they are providing. Regular staff meetings Care Homes for Older People Page 22 of 26 Evidence: are arranged. Minutes of these meetings were seen. People who use the service and their representatives meet with the management of the home on a regular basis. Minutes of meetings held were seen. Satisfaction surveys are regularly conducted. A home newsletter has been produced. This provides information to people about what is happening in the home. The representative of the registered provider visits the home on a regular basis, a report is written following the visits and any identified actions taken. There is evidence of internal auditing of the homes environment, services and records. There is evidence that the ethos of the home is open and transparent. The views of both people who use the service and staff are being listened to, and valued. Two members of staff said they have attended training on the Mental Capacity Act and the deprivation of liberty legislation. Other staff however had little knowledge of the legislation and needed training. All people have had a deprivation of liberty assessment carried out by the homes staff on a form that has been developed for Holly Park. This assessment form is a positive initiative and will help to protect peoples rights. No one in the home was being deprived of their liberty when we visited. In the main the homes systems and some staffs knowledge will help to ensure that peoples rights are protected and promoted. A sample of monies that was looked after on behalf of people living at the home was checked. Records and receipts are kept and money tallied with the records. The AQAA completed by the home indicated that the required maintenance and servicing of equipment is up to date, a sample of records we looked at confirmed this. Staff said they had received recent fire safety and other health and safety training. These measures will promote the safety and welfare of the people. Care Homes for Older People Page 23 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 24 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 7 Documentation should show that people and/or their representatives have been involved in drawing up and reviewing the care plans. This will mean that people can have a say in how they receive care or support. More information about peoples choices and social care preferences should be recorded in their care plan.This will enable staff to provide more holistic care and support to the person. People should have the opportunity to exercise their choice in relation to the routines of daily living. This will mean that peoples preferences can be accommodated. The programme of renewal of the fabric and decoration to improve the environment should continue. To protect peoples rights and choices staff should receive training on the Mental Capacity Act and deprivation of liberty legislation and guidance. 2 7 3 12 4 5 19 33 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. 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. 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