Care Home: Holmfield Court

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What the care home does well The home is well managed and the manager shows good leadership to the staff. She has a great rapport with people and a good knowledge of their individual needs. One person said, "Nothing is any trouble for her, she is great". Staff comments included, "She is approachable and part of the team" and "She is very supportive". There is a warm and welcoming atmosphere in the home. Staff and people living in the home have good relationships; lots of positive interactions were noted and time was spent sitting and chatting. One person said, "Everyone is so happy here it is a very good home". A visitor to the home said, "I always recommend this home to anyone looking for a care home". A relative said, "Staff are very friendly and cheerful and obviously love the work they do" and "People look very well cared for". There is a varied and interesting activity programme which people are involved in. People spoke highly of the activities and comments included, There is always plenty to do if you want to", "We have outside visitors who come along to get us involved in things" and "There is no pressure to attend if you don`t want to". The home has established close working relationships with other health-care professionals to make sure people`s health care needs are met and they have access to the full range of NHS services. What has improved since the last inspection? Staff training has improved, the home has 100% achievement in NVQ (National Vocational Qualification) in care at level 2 or above. Many staff have been working on distance learning courses covering Dementia, Medications, Palliative Care, Equality and Diversity. The home has new carpet in the lounge and hallway. There are new bright paintings throughout the lower ground floor and these seem to have triggered a lot of discussion. The conservatory has been built and this should create extra space for people living there once the finishing touches are complete. The home involves people and their relatives in decision making regarding their care as well as facilities within the home. The home also provids stimulation and motivation to people through the appointment of an activity organiser. A new cleaning and recording system has been implemented in the kitchen hence the higher Hygiene star rating. There has also been a reduction of offensive odours within the home. What the care home could do better: A few care plans need some more detail in order that the information on how care needs are to be met is more clear. Care plans need to be more explicit so that the ways in which people are assisted are known. Some people`s files need more information on their social needs or personal history.The damage caused by water leaks needs attention as these are clearly visible in the corridors and toilet. An ongoing programme of redecoration is needed. The wooden flooring in several areas of the home needs checking as if not attended to this could lead to a potential safety hazard with regard to people moving around the home. The conservatory need to be furnished and the area outside the exit needs to be made secure so the people living there can make use of it. The provider/company must ensure the manager is registered with the Care Quality Commission. They must write to us within six weeks of receiving this report giving details of when this will be done. The manager should make sure that all members of staff have regular formal one- toone supervision sessions. This will ensure that staff are supported and supervised to carry out their role. Key inspection report Care homes for older people Name: Address: Holmfield Court 58 Devonshire Avenue Leeds West Yorkshire LS8 1AY     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: Frederick Rawlins     Date: 0 5 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: Holmfield Court 58 Devonshire Avenue Leeds West Yorkshire LS8 1AY 01132664610 01132665118 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Wharfedale Care Limited care home 25 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Holmfield Court is a detached property located in Roundhay on the outskirts of Leeds and car parking facilities are available at the front of the property. It is within easy access to local shops and recreational facilities which some people use independently. The nearby park and garden are also used for trips out. The home is registered as a care home for up to 25 older people. The accommodation consists of 21 single rooms, 19 of which have en suite facilities, and two double rooms with en suite. There is a large communal lounge, a large dining room, and a central kitchen. There are communal bathrooms, shower rooms and eight communal toilets. The building has had several adaptations with accommodation being mainly provided on two floors with just one bedroom on the ground floor. The lounge and dining room, laundry and kitchen are also on the ground floor. The weekly charges for care and accommodation do not include services such as Care Homes for Older People Page 4 of 26 Over 65 8 25 0 0 Brief description of the care home hairdressing and private chiropody. 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 information we have received about the service since the last key inspection, as well as this unannounced visit to the home, which was carried out between 09:00 and 17:30 hrs. The purpose of the visit was to assess what progress the home had made and the impact of any changes in the quality of life experienced by people using the service. Before the inspection evidence about the home was reviewed. This included looking at any reported incidents, accidents and complaints. This information was used to plan the visit. An Annual Quality Assurance Assessment (AQAA) had been completed by the home before the visit to provide additional information. During the visit a number of documents were looked at and areas of the home were visited. A good proportion of time was spent talking with people who live at the home as well as their relatives and visitors.The manager and staff were also spoken with. Care Homes for Older People Page 6 of 26 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 the 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. Feedback was given to the manager at the end of the visit. The fees for the service currently range from 450 to 475 pounds per week. Details of the exact charge can be obtained by contacting the manager 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 few care plans need some more detail in order that the information on how care needs are to be met is more clear. Care plans need to be more explicit so that the ways in which people are assisted are known. Some peoples files need more information on their social needs or personal history. Care Homes for Older People Page 8 of 26 The damage caused by water leaks needs attention as these are clearly visible in the corridors and toilet. An ongoing programme of redecoration is needed. The wooden flooring in several areas of the home needs checking as if not attended to this could lead to a potential safety hazard with regard to people moving around the home. The conservatory need to be furnished and the area outside the exit needs to be made secure so the people living there can make use of it. The provider/company must ensure the manager is registered with the Care Quality Commission. They must write to us within six weeks of receiving this report giving details of when this will be done. The manager should make sure that all members of staff have regular formal one- toone supervision sessions. This will ensure that staff are supported and supervised to carry out their role. 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. People and their carers can be sure that the home will meet their needs following assessment before moving into the home. In addition to this the homes written and verbal information is comprehensive and provides enough information for them to decide whether the home will meet their needs. Evidence: The Statement of Purpose and Service User Guide are documents that give information on what the home can provide. Two relatives confirmed they had received a copy. The Care Quality Commission inspection reports are available for people living at the home and visitors to read. Pre-admission assessments take place for people before they move into the home. The homes manager or senior staff undertake these. The level of detail is good and a preliminary care plan is developed from the assessment so that staff have some information on peoples needs as soon as they move in. People and their relatives are Care Homes for Older People Page 11 of 26 Evidence: involved in the assessment. The manager also involves other professionals such as care managers and community nurses if people are involved with them. People and their relatives are given an opportunity to visit the home prior to moving in. A number of people said they had been to visit before they moved in. Comments included I came to look around and decided to stay straight away, The information was good and with a visit to the home I decided it was the right place for me. A relative spoken with said The manager and staff thoroughly discuss all issues and are very informative. 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. Overall, peoples health and personal care needs are met and their dignity and privacy is respected. However, the absence of some detail in the care plans could create the opportunity for peoples needs to be missed. Evidence: People have care plans and risk assessments which have been developed from their pre-admission assessment information. The care plans focus on peoples strengths and abilities while providing information on what they need help with. The plans include life history work which makes them person centred and individual. A few care plans need some more detail in order that the information on how care needs are to be met is more clear. Some people did not have much information on their social needs or personal history. Staff were able to accurately describe the care they give as detailed in the care plans and it is evident that staff have a good knowledge of peoples needs. People look well cared for. One person said, You get everything you need, nothing is any trouble. Another said, Its a lovely place to be in and the staff are so kind. Care Homes for Older People Page 13 of 26 Evidence: Support was given in a quiet discreet and dignified manner. Staff talked of the importance of maintaining dignity. Staff were seen to be patient and kind when interacting with people. They chatted and told people what they were doing whilst carrying out any task. Staff said they feel it is important to give people their independence as this gives them choices and purpose in life. People have their own choice of health practitioners such as GP, chiropodist or optician. The care plans have details of any health professionals that people see. These include, GP, dentist, specialist nurse, and optician. Records are kept of any health appointments and their outcome. A relative visiting the home said, They always respond well to medical needs and always keep you informed. The home uses a monitored dosage, pre-packed system for medication. A record is kept in the home of medication ordered. This is checked against medication delivered and recorded as correct before any medicines are dispensed. Photographs had been taken of people, which made sure they are clearly identified on the medication records. The medication administration records (MAR) sheets were checked and showed no errors in administration. Care Homes for Older People Page 14 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 living at the home are supported to make choices about their lifestyle. Appropriate and stimulating activities are arranged and a good, healthy, varied diet is offered. Evidence: Activity and social care is seen as very important to peoples well being, by the manager and staff. There is a programme of activity developed by the staff and the people living there. The home has an activity organiser who helps people choose what they would like to do. Activities include, a visiting motivation person twice a week who does exercise, stimulation, quizzes and reminiscence. During the visit, a number of people were seen taking part and enjoying the session. Other activities that take place in the home include bingo, trips out and live music with singers and musicians. There are links to local churches and regular communion services. During the visit, a number of people went out for walks in the local area or were sitting out in the garden. Staff interacted well with people and were prompt in response to requests for assistance. People spoke highly of the activities and comments included, Mr motivator gets us all going, keeps us thinking, Lots of people from outside come along You get involved Care Homes for Older People Page 15 of 26 Evidence: if you want to, there is no pressure. Relatives also commented on the activities provided, saying, People can say and do what they want, I take my Mum out often but there are things to do in the home, There is a good atmosphere in this home. Comments made during the visit and from surveys received show that family and friends are welcome to visit at any time. They said staff are approachable, friendly and welcoming and they are offered refreshments when they visit. People are encouraged to keep in touch with family and friends. People looked well cared for and were happy with the arrangement for hair care and foot care. Menus are varied and nutritionally balanced. Meals are served in the dining area and drinks are offered every few hours. On the day of the visit a new cook had started and the manager indicated she would meet with people to ask their opinions on the food and menus. The cook will also monitor which dishes are popular and adjust the menus accordingly. People spoken with said, The food is great, theres plenty and we have a choice. People also said, The meals are nicely presented. During the visit, staff were seen supporting people with their meal, by cutting up their food and helping those who needed additional assistance. Care Homes for Older People Page 16 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. People and their relatives have their views listened to, taken seriously and acted upon. There are good systems in place to protect people from abuse. Evidence: The home has a clear complaints procedure that is made available to people and relatives. It is also referred to in the Service User Guide and a copy is enclosed in the welcome pack to the home. It is also verbally explained to people and relatives on admission. Relatives of people living in the home confirmed they had received a copy of the complaints procedure. A notice is clearly displayed in the hallway informing people on how to make a complaint. All those spoken with said they knew how to complain. A number of people said they were aware of the procedure and who to complain to. Many of them wanted to stress that they had no complaints though. Any complaints the home has received have been thoroughly investigated and a proper response given to the complainant. The manager said she welcomes comments and complaints and sees them as helping to improve the service. Staff were able to say what action they would take if they suspected abuse or had an allegation of abuse made to them. The organisation has adult protection policies and information in place and the home has got copies of the local authority adult protection procedures. 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. The home offers a homely and clean environment for people to live in. However some requirements on safe environment is made. Evidence: All areas of the home were visited. The manager said there has been an increase in staff which has improved the cleanliness of the home. People are encouraged to personalise their rooms and to bring familiar pieces of furniture in with them. People commented on how happy they were with their rooms. One said she enjoyed being able to look out onto the garden and watch the birds while another said she liked how she has been able to bring her own things in with her. People and their relatives spoken with said they were happy with the standard of cleanliness. During the tour of the building it was noticed that there had been a water leak which caused damage that need attention in the corridors and toilet. An ongoing programme of redecoration is also needed as in addition to the above wooden floor in several areas of the home need checking, as if not attended to this could lead to a potential safety hazard with regard to people moving around the home. At the time of the visit the floor on the ground level had given way and a joiner had to be called to make it safe. There is an attractive garden, with furniture that is well used in the summer months. Care Homes for Older People Page 18 of 26 Evidence: There are umbrellas to provide shade when people sit out. Many people said they loved to be out in the garden. During the visit, staff accompanied people in the garden. The home has had a conservatory built. However it is not yet in use because it needs to be furnished and the area outside the exit also needs to be made secure for the people living there. Clinical waste is properly managed and staff wear protective clothing when attending to peoples personal care needs. People spoke highly of the laundry service at the home. One person said They do things very nicely here. 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. People are protected by the homes recruitment procedures and staff are, in the main, trained and skilled to meet the needs of people living at the home. Evidence: All staff spoken with said they felt there was enough staff to adequately meet the needs of people. Peoples comments on staffing included, They always come when you need them and Always someone there if you need help. A relative spoken with said, The care and support from staff is excellent. Recruitment is properly managed by the home; interviews are held, references and CRB (Criminal Record Bureau) checks are obtained before staff start work and checks are made to ensure staff are eligible for work. References are also verified through telephone calls to the people providing them if the manager feels this is necessary. The home has developed a training matrix. Staff are provided with a good variety of training in areas such as infection control, food hygiene and abuse. The manager said in the return (AQAA) Annual Quality Assurance Assessment that investment in staff in the form of training has increased improving morale and all staff have completed their National Vocational Qualification (NVQ) level 2 in care and more than half have achieved level 3. Staff said they were happy with their training. One said, The training is very good. 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. The home is managed in a manner that promotes good service delivery in the best interest of people using the service. Evidence: The manager has many years experience of caring for the elderly as well as in management. She has achieved the Registered Manager Award and has been in post for 18 months. However she has not as yet applied for registration with the Commission. This should be addressed by the registered providers/company. During the visit the manager discussed her commitment to ensuring the home puts the interests of the people in the home first and provides the best possible quality service. She offers good leadership to the staff and has good systems in place to make sure people are supported and cared for properly. She has a great rapport with people in the home and a good knowledge of their individual needs. One person said Nothing is Care Homes for Older People Page 21 of 26 Evidence: any trouble for her, she is great. Staff saidShe is approachable and part of the team and She is very supportive, always got time for you. A number of staff have not received formal supervision because the manager has been away from the home. The manager is aware of this and has plans in place to remedy the situation. The manager holds reguar meetings with people, relatives and staff. Minutes of the meetings were seen and it shows that people are confident to share their views. The manager said she appreciates any comments or suggestions made if it means the service can be improved. Some people hand in money to the home for safekeeping. Records are kept of all transactions. The record of one person was checked and cash reconciliation made. This was correct and receipts supported the running record of transactions. The information provided in the Annual Quality Assurance Assessment showed that safety checks are made of the facilities, equipment and services on a regular basis. The Health and Safety inspection took place in June 2009 and it noted that the homes fire system needs upgrading to British standards Bs 5839-116 to provide a higher level of protection. Accident or incident reports are completed. There is a section for follow up action to be taken after any accident or incident. 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 7 A few care plans need some more detail in order that the information on how care needs are to be met is more clear. Care plans need to be more explicit so that the ways in which people are assisted are known. Some peoples files need more information on their social needs or personal history. The damage caused by water leaks needs attention as these are clearly visible in the corridors and toilet. An ongoing programme of redecoration is needed. The wooden flooring in several areas of the home needs checking as if not attended to this could lead to a potential safety hazard with regard to people moving around the home. The conservatory needs to be furnished and the area outside the exit made secure so the people living there can make use of it. The provider/company must ensure the manager is registered with the Care Quality Commission. They must write to us within six weeks of receiving this report providing details on when this will be done. The manager should ensure all members of staff have Page 24 of 26 2 19 3 20 4 31 5 36 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 regular formal one- to-one supervision sessions. This will make sure that staff are supported and supervised to carry out their role. 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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