Care Home: Holmdale Care Home

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What the care home does well The service users guide which tells people how the home works is a clear and detailed document and people had their needs assessed before moving into the home. This means that people moving into the home and the staff team have the necessary information to make a decision about whether the person`s needs can be met by the home. The staff team is well established and staff are keen for high standards to be maintained, so that the people that live at Holmdale received good quality care. Day to day supervision of staff is good and they received regular support from their line manager to make sure they provide good quality care for the people at Holmdale. Plans of care and individual records for the people who live at Holmdale are well documented so that the staff know what they should do to meet people`s needs. Referrals to the appropriate health care professionals take place when necessary to make sure that people stay as healthy as possible. Meals were varied and reflected people`s preferences. They are offered a range of choice and variety so that people who are living at the home were able to enjoy a varied diet to keep them healthy. Four staff surveys were returned. They commented, "There are always enough staff on to meet people`s needs. I always have enough support to meet people`s needs", "There are usually enough staff to meet the needs of the people who live at Holmdale. I see my manager regularly", "I know what to do if someone has concerns about the home" and "My manager meets with me often. The way we share information about the people who live at Holmdale works very well". What has improved since the last inspection? Changes made to the menu are now recorded on the menu plans and menu sheets are completed regularly to show that people who live at Holmdale have received appropriate meals. Information in the complaints procedure has been updated so that people have the correct information about who to contact if they have a complaint. Annual appraisals for the staff team had been brought up to date so that well supervised staff support the people who live at the home. People who live at the home and staff have separate meetings. This means that people who live at Holmdale have the opportunity to voice their opinions within their own meeting. What the care home could do better: We have recommended developing the records so that it is easy to see what activities each person had taken part in and how they are each day so it is easier to see how anindividual person was over a particular period. It was suggested that all policies, procedures and other documents should be checked to ensure that the commission`s details up to date so that people had access to correct information. It was suggested that surveys with people who live at Holmdale should be completed annually and that an analysis of the results is produced and shared with the people who live at the home, the staff team, other interested parties and the commission. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Holmdale Care Home 2a Companys Close Weston Village Runcorn Cheshire WA7 4NA     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Maureen Brown     Date: 2 1 0 7 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: Holmdale Care Home 2a Companys Close Weston Village Runcorn Cheshire WA7 4NA 01928581448 01928589946 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) : Community Integrated Care care home 6 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: 6 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: Learning Disability - Code LD The maximum number of service users who can be accommodated is: 6 Date of last inspection Brief description of the care home Holmdale is a residential care home providing personal care for six adults with learning disabilities. At the time of this visit five adults were living at Holmdale. Holmdale is owned and managed by Community Integrated Care, a not for profit organisation. The home is located in the Weston Point area of Runcorn, near to a local shop and pub. Car parking is available to the front and side of the building. A small garden and patio area to the rear are fully accessible to the service users. The home is a purpose built dormer bungalow with only staff facilities upstairs. Residents accommodation is on the ground floor. All the bedrooms are single with fitted bedroom furniture. There are no en-suite facilities. There are two assisted bathrooms plus a separate assisted toilet within easy reach of bedrooms and Care Homes for Adults (18-65 years) Page 4 of 28 Brief description of the care home communal areas. There is a large lounge/dining room, a kitchen and a utility room. The fees at Holmdale are 1145.37 pounds per week. Fees are calculated on individual assessment. Optional extras include CDs, Videos, DVDs, holidays, magazines, clothing, toiletries and hairdressing. Care Homes for Adults (18-65 years) Page 5 of 28 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 Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: We carried out an unannounced visit to the home on 21 July 2009 and this lasted seven hours fifteen minutes. It was done by one inspector. The report will say we when referring to what was done and found at the visit, as it is written on behalf of the Care Quality Commission. The visit was just one part of the inspection. Before the visit the manager was asked to complete a questionnaire to provide up to date information about the home. We sent out questionnaires to all the people living at the home and staff to find out their views about the home and service provided. Other information received about the home was also reviewed. Care Homes for Adults (18-65 years) Page 6 of 28 During our visit we looked at various records and the premises. We looked at all the care plans and care records of the people who live in the home, to see how their needs were being met. We looked at a sample of three staff files to ensure that robust recruitment processes had been used by the home. We spoke to the people who live at the home, the staff on duty and the manager and deputy. They all gave their views about the home. What the care home does well: What has improved since the last inspection? What they could do better: We have recommended developing the records so that it is easy to see what activities each person had taken part in and how they are each day so it is easier to see how an Care Homes for Adults (18-65 years) Page 8 of 28 individual person was over a particular period. It was suggested that all policies, procedures and other documents should be checked to ensure that the commissions details up to date so that people had access to correct information. It was suggested that surveys with people who live at Holmdale should be completed annually and that an analysis of the results is produced and shared with the people who live at the home, the staff team, other interested parties and the commission. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 28 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 28 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, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. 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 the person 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 receive enough information about Holmdale for them to make an informed decision about moving in and their needs are checked before they move in so they know that these can be met at the home. Evidence: Information that tells people who the service is for and how it works (the statement of purpose and service users guide) was available and had been updated in March 2009. There was information about where the home is, who it is for, regular services used, complaints procedure, philosophy of the home and clients charter. There were also details of the company that runs the home, the manager and the staff. Much of the information was produced in large print with photographs and was easy to read, to help people who might be interested in moving into the home understand it more easily. There was a document available for staff to use with people before they move into the home, to check on what their needs are. The document covers all personal care and Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: daily living needs and provides personal information about the person. This enables staff to ensure that they are able to meet the persons needs at the home. There have been no new people moving into the home since our last visit there and most people had lived at Holmdale for many years. Care Homes for Adults (18-65 years) Page 12 of 28 Individual needs and choices 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 needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. 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 personal care needs of the people living at Holmdale are met effectively by the staff and support is provided in a way that ensures peoples privacy, dignity and respect. Evidence: We looked at the care files of the five people living at Holmdale, to check on the care they were receiving. Each person had their own folder and these showed the areas of support that was needed and how this was going to be provided by the staff. There was good, well documented information available and many photographs were included in the files. Daily record sheets are completed and these were signed by staff to confirm who had written them. They showed the day to day activities and changes in peoples health and wellbeing were also noted. People who live at Holmdale are helped to make their own decisions about their daily lives. Individual choices are recorded in the care records so that staff know what Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: peoples preferences are and how they would like the support to be provided. People who live at Holmdale are supported in managing their own finances and appropriate records are kept regarding this to show it is completed correctly. Staff encouraged the people who live at Holmdale to do whatever they wanted to do. Risks are assessed and assessments are produced to make sure that people are safe in what they do. A range of assessments were available and these were up to date with reviews held to make sure they are still appropriate. Care Homes for Adults (18-65 years) Page 14 of 28 Lifestyle 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 can take part in activities that are appropriate to their age and culture and 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 and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. 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 who live at Holmdale were able to take part in a range of activities so they can stay active and staff help people to stay in touch with their families and friends. Evidence: The activities provided for the people who live at Holmdale included visits to local shops, weekly food shopping, shopping city, going out for lunch, to the cinema, for a walk, to the pub. Other activities included visits to Walton Gardens, local garden centres, Chester Zoo, Stapeley Water Gardens, Space and boat trips. Two people had been on holiday to the Isle of Wight in July and two others have a planned holiday in October to Blackpool. Indoor activities included watching DVDs, listening to books and music, pampering sessions and one to one time with key workers. We could see that the range of activities had improved since our last visit to the home. People who live at the home and the staff agreed that activities had improved. An activities sheet is Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: completed for each person each week which details the activity undertaken, how long this took, whether or not the person enjoyed it and the staff members involved. This information could then be used in planning future activities for that person. We suggested that a monthly key worker sheet be developed to provide an easy and quick reference to peoples well being and activities over each monthly period. This would help staff, relatives, friends and other people to easily see what has happened with an individual over the last month. The manager and deputy agreed that this would be a good document to develop. People who live at Holmdale are supported by the staff to keep in touch with family and friends. Birthdays and other special occasions are remembered and cards and gifts are sent by the person living at the home. An individual record for each person is completed after each meal. A variety of meals are offered which includes meat, fish, eggs, cheese, fresh fruit and vegetables. Since our last visit a four weekly plan of menus had been created and this ensures that a balanced diet is offered. The lunch time meal tended to be a snack meal with each person often having something different; the main meal of the day was usually in the evening. Our previous recommendation with regard to changes in menus being recorded and menu sheets being kept up to date had been implemented so that accurate records showing what food had been provided were available. The manager has looked at the local education centres to find appropriate courses for the people who live at Holmdale but nothing suitable had been found at the time of our visit to the home. None of the people who live in the home is in employment. Care Homes for Adults (18-65 years) Page 16 of 28 Personal and healthcare support 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 receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people 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. If people are approaching the end of their life, the care home will respect their choices and help them to 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. The health care needs of the people who live at Holmdale are met by the staff team in a way that promotes the persons independence, privacy and respect. Evidence: The medicines for people who live at the home are supplied by a local pharmacy. Most of the medication is supplied in liquid form to make it easier for people to take. We looked at a sample of the records and these were completed correctly to show that no errors had been made in giving out the medicines. All staff had received medication awareness training so they know who to give medication to and are able to do this safely without making mistakes. A range of policies and procedures were available for the staff so that they were aware of what they are expected to do. No controlled drugs are kept at the home. Visits from health care professionals were recorded and we saw from the records that visits to the GP, dentist, chiropodist, optician, district nurse and well man and well women clinics were attended by the people who live in the home. Each person also has an annual medication and continence review. It was confirmed that health care Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: professionals would also visit people at the home if required to make sure that they remain well. From discussions with the people who live at the home and the staff team it was clear that personal support is carried out as each person prefers, so that choice and respect are maintained. Care Homes for Adults (18-65 years) Page 18 of 28 Concerns, 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. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. 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. The homes procedures for complaints and safeguarding adults are effective so that the concerns of the people who live at Holmdale are listened to and they are protected from abuse and harm. Evidence: We looked at some of the staff files and saw that they had completed training on safeguarding adults. The manager confirmed this and show that she was aware of the policy, procedure and guidance on safeguarding. Other policies were available regarding the protection of vulnerable adults including management of challenging behaviour, risk taking and risk assessment, aggression and violence, use of restraint, dealing with abuse and whistle blowing. No safeguarding referrals had been made under the local authoritys safeguarding procedures by the home since our last visit. The complaints procedure was satisfactory and contained details of how to contact the commission. The home had not received any complaints since our last visit and we had not received any about this home either. People who live at the home said they would speak to a member of staff or the manager if they had any problems. A previous recommendation with regard to updating the responsible individuals information in this policy had been met. A range of thank you cards and letters were seen in the service users guide. These Care Homes for Adults (18-65 years) Page 19 of 28 Evidence: thanked the staff team for all the care and support people had been given. Care Homes for Adults (18-65 years) Page 20 of 28 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, comfortable, 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. People have enough privacy when using toilets and bathrooms. 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 well maintained so that people who live at Holmdale live in clean, comfortable and safe surroundings. Evidence: We had a look around the home during our visit and saw all the shared (communal) areas and some of the bedrooms. All the bedrooms are single and the standard of decor is very good. People who live at the home explained that they had chosen the decorations within their own bedrooms and this reflected their own personal tastes. They had made their rooms more homely by using pictures, furniture, photographs and by having TVs, DVDs and other equipment that they either brought with them or have purchased since moving into the home. The home was clean and had no unpleasant odours. Care Homes for Adults (18-65 years) Page 21 of 28 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, qualified 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. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. 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 recruitment procedures are thorough and staff had completed a range of training so people who live at Holmdale are protected from poor practices. Evidence: The staff rota showed the staff on duty over the week. The staffing levels appeared to be sufficient to meet peoples needs. People who live in the home confirmed there were usually enough staff around to help them and during the visit we saw that staff were attentive to peoples needs. We checked three staff files to see how they had been recruited. All the necessary preemployment checks had been carried out and these included Criminal Record Bureau checks, health checks, identity checks, references and application forms. The files were in good order and it was easy to access the relevant information required. The training staff had completed included a full induction and courses on moving and handling, first aid, medication awareness, health and safety and basic food hygiene. Other courses included first aid at work, dementia awareness, administration of rectal diazepam, risk assessments and safeguarding adults. Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: Progress has been made with National Vocational Qualification (NVQ) level 2 training in care. Six out of eleven staff have obtained this award and the deputy had NVQ level 3 and is working towards NVQ level 4 in management. This means that a good percentage of staff have a nationally recognised qualification in care to help them provide good quality support for people who live in the home. Day to day supervision of staff was good and annual appraisals had been carried out for the staff team. This means that our previous recommendations regarding this had been met. Formal supervision sessions had been completed and these records were up to date. This supervision enables the staff to have the chance to discuss their work so they can continue to provide good quality care for the people who live in the home. Care Homes for Adults (18-65 years) Page 23 of 28 Conduct and management of the 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 have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because 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. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. 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 procedures within the home are thorough so the health, safety and welfare of the people who live at Holmdale are protected. Staff were supervised and there were processes in place to make sure that the home is run in the best interests of the people who live there. Evidence: The manager has worked for Community Integrated Care (CIC) for thirteen years and has been the manager at Holmdale for two years. She has the Registered Managers Award and a HNC in heath and social care. She updates her knowledge and training as required and this was confirmed on her training record. There is a quality assurance process is place at Holmdale. This includes meetings for the people who live and work in the home, monthly visits by a senior representative of CIC, monthly care plan reviews, annual reviews by social services and surveys completed by the people who live at Holmdale. Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: Monthly visits are made to the home by a representative of the organisation that runs the home, to check how it is running. All the records of these visits were up to date and no issues had been raised recently. Residents meetings are held on a regular basis and this is followed by a staff meeting. During the staff meetings areas discussed include the people who live at the home, the staff team, care planning, activities, training and health and safety. Surveys had been completed by the people who live at Holmdale two years ago and we recommended that these be completed each year with an analysis produced and shared with the people living at Holmdale, families, staff, other interested parties and the commission. This would show that the views of the people living in the home were acted upon. A sample of policies and procedures were seen during this visit. A file was kept with policies and procedures and staff also have access to these through the organisations intranet. It was recommended that all policies, procedures and other documents be checked to ensure that the commissions details have been brought up to date so that people have access to current information. The manager confirmed that some money was kept at the home on behalf of the people who live there. Each person had their own finance file and appropriate records were seen of transactions made on behalf of each person. A sample of monies were checked and found to be correct. Two staff members sign the transaction sheets so that peoples money is protected and secure. We saw that safe working practices were in place within the home. These were up to date safety checks on the homes gas installations, electrical hard wiring and portable appliance tests. The accident book was kept up to date and records were seen. It was suggested that copies are kept in separate files to ensure documents are stored in line with the Data Protection Act 1998. The fire safety equipment test log book was up to date and completed appropriately. A range of policies were available in relation to health and safety and these included dealing with hazardous substances, a variety of risk assessments, health and safety, moving and handling, smoke free, infection control, food hygiene and guidance for responding to pandemic influenza. Care Homes for Adults (18-65 years) Page 25 of 28 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 Adults (18-65 years) Page 26 of 28 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 16 A monthly key worker sheet should be developed to include information about a persons activities and general well being over the month. The satisfaction surveys should be completed on an annual basis and an analysis of the information gained from them should be produced and circulated to people who live at the home, their representatives and other interested parties. Policies, procedures and other documentation should be checked to ensure that the commissions details are up to date so that people have access to current information. 2 39 3 40 Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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