Care Home: Ingestre Road (12)

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What the care home does well The service provides a welcoming and caring staff team. The home is clean, fresh and airy with fresh flowers displayed in various areas. People living in the care home made positive comments about the staff describing them as "very caring", "staff were kind". Comments outlined in the surveys returned to us from people using the service were, "if you are going to be sick, this is the place to be". One other person commented, "They do everything well here, it couldn`t be better". The expert by experience person said, "staff appeared to be kind and attentive to the people using the service". The views of two nurses about what the service does well were, "the home is generally good with the service it`s providing"; another specialist nurse from Camden PCT referred to "patient care" "respect patient dignity "joint working with professionals from health care" People with whom the expert by experience person spoke confirmed that they liked their individual rooms and the food provided at the service was praised by the majority of people using the service. Fresh baked bread rolls were served each day. What has improved since the last inspection? There were no requirements made at the last key inspection. Though information outlined in the AQAA and noted at this inspection was the transference of a room now turned into a cinema; In the room is a large flat screen television with surround sound and the room is used as a quiet room for music theraphy and such like. The has filled ten vacant posts in the last twelve months and there has been a decrease in sick absences. There is a consistent staff team. Improvements have also occurred in respect to the decoration of the bathrooms and toilets, bringing them to a higher standard. The manager has registered to do the Registered Managers Award and NVQ level 4. There is a proposal for senior staff to work towards the Gold Standard Framework in End of Life Care. What the care home could do better: The service should continue developing and reviewing the activities programme and to consider investing in an activities officer, to improve this area for everyone living there. The home should consider the comments and suggestions made by staff and health professionals outlined in the report. The Public Liability Insurance Certificate must be in date at all times. Risk assessments needs to be more holistically drawn up and take account of the activities to enable participation of people with mobility and any other disabilities. Key inspection report Care homes for older people Name: Address: Ingestre Road (12) 12 Ingestre Road 12 Ingestre Road Tufnell Park London NW5 1UX     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: Pearlet Storrod     Date: 0 8 1 0 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 25 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 25 Information about the care home Name of care home: Address: Ingestre Road (12) 12 Ingestre Road 12 Ingestre Road Tufnell Park London NW5 1UX 02072674713 02072670769 paula.peake@camden.gov.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): London Borough of Camden Name of registered manager (if applicable) Type of registration: Number of places registered: care home 48 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 12 Ingestre Road is a care home provided by London Borough of Camden. The home is located in Tufnell Park and that is the nearest underground station (Northern Line). The home can be accessed by car via Burghley Road and there is a frequent bus service either to Highgate Road (214, C2) or Tufnell Park (4, 10, 134). The home is sited within a council housing complex and it is sign posted. The home caters for older persons and is able to accommodate 48 people. The home provides full personal care only. Health care needs are met by the community health services. The current level of fees is #866 per week. The fees are calculated according to income following a financial assessment. The accommodation for service users is on two floors, at lower Care Homes for Older People Page 4 of 25 Over 65 48 48 0 0 Brief description of the care home ground andd ground floor level; there is an annexe, which is used for staff sleeping-in accommodation and an office. There is level access into the building and a shaft lift allows access between floors. The facilities are arranged around a large landscaped courtyard. At basement level there is a seating area to the front of the building. Since the last inspection the home has varied their registration to include people with Dementia. The home is divided into six units. Each unit is self-contained with bedrooms, a small kitchenette, and a sitting-cum-dining room and served by toilets and bathrooms. There is a quiet lounge on the lower floor. Five of the units are home to older persons with long-term care needs, the sixth unit provides specialist intermediate care (rehabilitation). The units are staffed separately with each one having its own dedicated staff. Care Homes for Older People Page 5 of 25 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 quality rating for this service is 2 star. This means that the people who use this service experience good quality outcomes. This unannounced inspection took 8 hours to complete over a period of two days and additional visit occurred at the providers headquarters to examine a sample of staff files in respect to the recruitment policy and operational practice. An expert by experience person assisted me with the in section at the initial visit to the home. Information they gathered from the inspection are included in this report. Records such as care plans, assessments of needs, menus, complaints register, health and safety matters, accidents and incident records were cross-referenced where necessary. The inspection process also included perusing reports sent to us such as notifications and reports relating to the monthly monitoring visit conducted by the person responsible for overseeing how the home is being run. Care Homes for Older People Page 6 of 25 Questionnaires were issued to people using the service, staff and health professionals. Six were returned from people using the service, eight returned from staff and two from health professionals. All surveys commented positively about the services offered by the home; comments regarding improvements were also made and these are included in the body of the report for consideration by the home. The expert by experience person visited people in the six units with the intention of ascertaining their individual or collective views and experience about living in the home. Some information relayed to her was fed back to the manager for immediate action as necessary. The expert by experience person said, my overall impression of the home was that the people using the service were well looked after, all looking clean and were well dressed. The residents enjoyed the varied, well cooked food and the atmosphere was calm. The home was spacious, very clean and bright, with no unpleasant odours, with plenty of places to walk round and an attractive garden to sit in. The staff appeared to be kind and attentive to the people using the service. In my view of observations, I felt the residents are fortunate to live in this particular care home. My main suggestion would be that suitable activities should be planned to include more residents, especially those with dementia. The manager is relatively new to the post and begun work at the home in April of this year. He had completed an Annual Quality Assurance Assessment (AQAA), which gave us information about the people living and working in the home as well as the homes compliance with the key standards. During the visit I spoke with four people using the service and two staff members and a member of (DoL) Deprivation of Liberty team, whose purpose of visiting was to consult with an individual and to look at a variety of ways that the person could be supported. The information gathered were used to reach the judgments made in this report. At the end of the visit we discussed the findings with the manager who agreed to address the issues raised. Care Homes for Older People Page 7 of 25 What the care home does well: What has improved since the last inspection? What they could do better: The service should continue developing and reviewing the activities programme and to consider investing in an activities officer, to improve this area for everyone living there. The home should consider the comments and suggestions made by staff and health professionals outlined in the report. The Public Liability Insurance Certificate must be in date at all times. Care Homes for Older People Page 8 of 25 Risk assessments needs to be more holistically drawn up and take account of the activities to enable participation of people with mobility and any other disabilities. 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 25 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 25 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 using the service can be assured that their needs will be fully assessed and their individual needs and aspirations will be recognized and met. Evidence: A total of four care records were examined. Of the four files seen, each contained preadmission assessments. People are admitted via the care management approach and copies of the community care assessments were available. With regard to the rehabilitation unit, a multidisciplinary approach was noted. People are only admitted if their individual needs can be met. There was evidence of visits for planned admissions and it was evidently clear from people using the service and from information gathered that sufficient information is provided to enable informed decisions to be made about whether to move into the home. Care Homes for Older People Page 11 of 25 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. Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. There is continuous assessment, care planning and review which makes sure that the personal and healthcare needs of the people living in the home meet compliance. Evidence: A sample of four files were examined which included looking at the daily recording for the previous two weeks. The care records observed were taken from four units. The information held related to medical conditions, recent admissions and people with cognitive impairment. A comparison was made between the care recorded in the records and the care received by each resident. Care plans were found to be up to date and reflected the needs and wishes of each individual person using the service. Care records were comprehensive and important health and personal care needs were clearly identified. Deprivation of Liberty documentation were observed in respect to two individuals. Entries in care records showed clear evidence of collaborative care with interventions Care Homes for Older People Page 12 of 25 Evidence: from Occupational Therapist, Chiropodist, Dietician, Dental and Optical needs as necessary. A sample audit only was taken paying particular attention to the medication administration records of the people being case tracked. The audit identified that the staff are accurately recording of the receipt, administration and disposal of medication. As part of the inspection process I examined the risk assessment and noted that these needed to be more robust. All aspects of the individuals needs must be risk assessed including activities to be undertaken and any potential risks to individuals and staff. Observation at the inspection, discussion with staff, information from people using the service with whom I spoke and examination of the care records confirmed that staff respect the privacy and dignity of the people they look after. The expert by experience person that accompanied me said, ....A lady wore a delicate intricate cardigan with beads which had obviously been laundered carefully. It would have been necessary for this garment to be sent to a dry cleaner, which demonstrated the care that is given with the laundering of clothing. The lady seemed bright and chatty. The need for people using the service to be treated with respect and to be given privacy was noted in the homes philosophy of care. We received six comments from people using the service. All six people made positive comments about the service. One person said, he can practice his religion, there are activities such as games, music and dance. He has everything in his room and he gets privacy; another person said, if you are going to be sick, this is the place to be. One other person commented, They do everything well here, it couldnt be better. Care Homes for Older People Page 13 of 25 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to live the life they choose and their choices and individuality are respected. Evidence: Care plans were noted to include the persons wishes and preferences. There was evidence of an activities chart in the large dining room for individuals to participate if they wished. The expert by experience and I both observed that people using the service were of mixed abilities and some people were from different cultural backgrounds. To that end, we evidenced that everyone had the capacity to participate in the activities at hand on the inspection day. For example, preparation of a cake to be cooked for a coffee morning the next day occurred in each unit; we evidenced that some people showed no interest in this particular activity and appeared bored. Some people were concerned about the television being constantly on and one person told to the expert by experience person, there were too many childrens programs. People using the service are supported to maintain contacts with their family and friends in accordance with their wishes and people are invited to visit local theatrical events outside the home. Other activities occur from time to time inside the home and one example, is a drama group putting on interactive sessions at this and other care Care Homes for Older People Page 14 of 25 Evidence: homes. Nonetheless, there was evidence that the existing activities chart required a review as those recorded on the chart did not concur with the activities taking place. This being said, there was evidence that more varied activities were needed for the encouragement of individuals with mobility and other beahvioural traits such as dementia. The garden is a key feature for outside activities when the weather is good; it is maintained by a person using the service and is enjoyed by everyone. The manager confirmed that he was in the process of developing a new activities chart and he showed us what he had done so far; he envisaged completion of the chart within a couple of weeks following consultation and input from people using the service and staff. It was suggested by the expert by experience person that the home allocate a member of staff responsible for the organizing of activities within the home as an area for improvement. This suggestion was considered and embraced by the manager. There was a flexible visiting policy and some people commented that the home is welcoming. Individuals are supported to visit local places of worship as required and this was reflected in the AQAA and confirmed by two people using the service with whom I spoke. The views of two nurses about what the service does well were, the home is generally good with the service its providing; another specialist nurse from Camden PCT referred to patient care respect patient dignity joint working with professionals from health care The menus were noted to be varied and nutritious and it reflected peoples choices. Vegetarians and people with varying cultural tastes were catered for. A number of people using the service said, the food was very good. The surveys returned to us from people using the service also commented favourably about the meals served. This comment was mentioned to me and to the expert by experience person in each of the units that she visited on the inspection day. Care Homes for Older People Page 15 of 25 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 using the service are protected by the approach to complaints, incidents and allegations. Evidence: Complaints, incidents and accidents are recorded by staff. The records were cross -referenced with the care records of the people that were case tracked. The accident reports were compared with the Regulation 37 notifications sent by the service since the previous key inspection. The home has a comprehensive complaint ss policy and procedure and from discussion with people using the service and staff it was evident that operational process is known to staff, people using the service and relatives. Two complaints were noted though these were not recorded in the complaints log book; both were noted to be satisfactorily addressed according to the response received. The manager was advised to record each complaint received in the complaints log book and he immediately actioned this. Staff were said to be responsive to comments and suggestions made and to any concerns raised. People using the service confirmed that they felt safe living at the home. The service gas a robust policy and procedure on adult protection, which is linked to the local authority guidance. Staff have received training on adult protection and showed that they understood their role and responsibilities i this area for the safety Care Homes for Older People Page 16 of 25 Evidence: and protection of people using the service. One referral was made in respect to the safeguarding and protection of vulnerable adults since the last key inspection. Care Homes for Older People Page 17 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home live in comfortable, pleasant and clean surroundings. Evidence: A tour of the home found the home to be in good decorative order, well furnished and maintained. The home provides a safe environment internally and externally for people who live there. An individual commented in a survey that, his bed isnt comfortable for sleeping, and would like it to be changed as the bed was shaking. It is pertinent to note the comment made by the expert by experience person who accompanied me as follows: the home was spacious, very clean and bright, with no unpleasant odours, with plenty of places to walk round and an attractive garden to sit in. ....I felt the residents are fortunate to live in this particular care home. Care Homes for Older People Page 18 of 25 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. The staff team places great emphasis on recruiting appropriate staff who are in turn provided with the necessary training to meet the needs of people living at the home. Staff assist people to reach their full potential to enable them to return home following a stay in hospital. Evidence: People living in the care home made positive comments about the staff describing them as very caring, staff were kind. The expert by experience person said, staff appeared to be kind and attentive to the people using the service. She commented on her observation in a unit the following, a carer seemed to have a good rapport with the people in her care. She managed a comparatively difficult situation well, with the help of another carer, when one male resident started trying to get hold of the hot kettle and teapot, which was on the kitchen worktop. This resident was loud and slightly aggressive but they calmed him down and persuaded him to sit and eat his sandwich at the table quietly at tea time. There was evidence of a training programme in place and the manager has an ethos of creating a learning environment for staff. He plans to increase the level of in house training to ensure that staff apply their knowledge and skills to their working environment; this comment was also reflected in the AQAA. This would encourage and enable staff to be more creative and to further develop their individual skill in relation Care Homes for Older People Page 19 of 25 Evidence: person centered care. The manager asserted that they had recruited ten care workers fairly recently and that one person was on long term ill health. He explained that they were making strong attempts to fill the vacant posts. Eight surveys were returned from staff working at the home and each person commented that the services provided were excellent or good. Three staff felt that more staff were needed and this comment was reechoed in a survey from a nurse. The specialist nurse felt that, improvement was needed in respect to communication with service users with high level of impairment. The following suggestions were by staff: provision of more access to relevant courses, keep staff informed about any changes or improvements to be carried out within the home; install a shower room for staff; provide an internal link from upstairs for communication to staff downstairs; two staff members felt that their bank holidays should be added to their annual leave. One person suggested that the rota should be reviewed so that staff working late shifts does not work an early one as this was unhealthy. They added, we should not have to do on-call and then work another shift. The issues raised by staff should be considered and discussed at a team meeting. As stated earlier, staff required training to carrying out robust risk assessments, including the activities undertaken by individual people using the service and staff. Recruitment records were looked at. All required documents were in place. Care Homes for Older People Page 20 of 25 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 being managed in the best interests of the people who reside there, though improvement is needed in regard to risk assessments; those evidenced were not sufficiently robust. Evidence: The judgments in preceding sections of this report have contributed to the judgment in this outcome area. The care home has a welcoming environment and promotes an open and transparent style of management. People using the service continues to be protected by the policies and procedures and the quality assurance systems are effective. All incident and concerns are reported fully to the Care Quality Commission. The manager is committed to promoting equality and diversity in the service and meeting the individual needs of people using the service. There are effective systems in place to manage financial arrangements within the home. The homes Public Liability Insurance Certificate displayed was not in date. The Care Homes for Older People Page 21 of 25 Evidence: manager immediately begun to pursue an updated insurance certificate. A sample of health and safety records were looked at. These confirmed that the home is being managed responsibly with essential checks being made. The provider monitors health and safety in the home. There are robust procedures in place to monitor compliance and there was evidence to demonstrate that monthly monitoring visits occur. Risks assessments as mentioned earlier were not sufficiently robust; they need to take account of the holistic needs of individual people using the service and any potential harm to the person using the service or to staff associated with individuals care. Care Homes for Older People Page 22 of 25 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 25 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 2 3 4 12 24 34 38 The manager should consider the suggestion of investing in an activities officer for the home. The registered person should try to locate the bed described as uncomfortable and replace it. The home should ensure that the insurance certificate is in date at all times. The home should ensure that risk assessments are more robust and takes into account the activities for people with mobility problems. Care Homes for Older People Page 24 of 25 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. Care Homes for Older People Page 25 of 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!