Care Home: Lindum Court Residential Care

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What the care home does well The staff at the home are friendly and very open about what they know about each individual living in the home and how they are looking after them. Many positive comments were made from people living in the home and people visiting about the kindness of staff. They ensure that all aspects of a person`s life is accurately documented and that people are kept informed about how they can be looked after and where necessary ask for the assistance of other health professionals. They keep us informed about serious incidents, accidents and events in the home. A varied program of activities is available to ensure peoples needs and expectations can be met and links are maintained with the local community so people do not feel isolated. To ensure that people can make informed choices about staying in the home the owners ensure that all information about what services the home can provide is up to date, to enable them to make informed choices about living there. People told us about the open and transparent form of management in the home and that they had every confidence in the management team that concerns would be dealt with in confidence and promptly. People can live in a clean and safe environment suited to their needs, where regular checks are made to ensure it is safe to live and work in. There are robust recruitment practices in place to ensure staff are safe to work with people prior to their commencement of employment and are then trained and supervised to ensure they can do their jobs. The views of people living in the home are sought on a regular basis to ensure it is meeting their needs and expectations and the home is run for their benefit. What has improved since the last inspection? Since the last visit the management team have ensured that all areas of the home are odour free and it is a pleasant place to live. The manager has achieved some recognizable certificates to enable them to understand how to run the home effectively. All staff files have been audited to ensure they are safe to work with people in the home. A number of good practice guidelines recommended by us had also been implemented. What the care home could do better: No new requirements have been set at this inspection visit, but several good practice recommendations were made. The first was to explore the possibility of having the Statement of Purpose and Service Users Guide available in other formats to ensure people who can not read or understand the written English can make informed decision about using the home. It was also recommended that as the staff in the home spend a lot of one to one time with people living there that this be recorded in more detail. The Company has commenced a thorough quality assurance auditing tool which takes into consideration the views of people living there and ensures the home is a safe place to live. This should also include all necessary safety checks which are made in the kitchen area. It is recommended that this auditing process continues to maintain the high level of observation currently in place. The service does notify us of any incidents, accidents or events in the home, but needs to ensure this is compiled on the most up to date paperwork CQC has asked for so we can make a valued judgment as to whether they have taken the right course of action. Key inspection report Care homes for older people Name: Address: Lindum Court Residential Care 99-101 High Street Owston Ferry Doncaster S Yorkshire DN9 1RL     The quality rating for this care home is:   three star excellent 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: Theresa Bryson     Date: 1 0 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 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: Lindum Court Residential Care 99-101 High Street Owston Ferry Doncaster S Yorkshire DN9 1RL 01427728507 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Lassen Healthcare Limited Name of registered manager (if applicable) Type of registration: Number of places registered: care home 24 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users who may be accommodated is 24 The registered person may provide personal care (excluding nursing) and accommodation to service users of both sexes whose primary care needs on admission to the home are within the following categories: Old Age, not falling within any other category (CodeOP); Dementia (Code DE) Date of last inspection Brief description of the care home 24 0 Over 65 0 24 Care Homes for Older People Page 4 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: three star excellent 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: Prior to the site visit we sent out a number of surveys, we had returned to us fourteen from people who use the service, eight from staff and two from health professionals. We also looked at the records we hold about the service and the recent Registration of new owners of this established home. We also were sent the Annual Quality Assurance Assessment (AQAA) which was sent by the service and which gave us a lot of detail about how they owners are planning for the future and where they see themselves now. It also gave us a lot of statistical details. On the site visit day we were able to speak to six people who use the service, three relatives and six staff. We also looked at a number of records and other documents. Care Homes for Older People Page 5 of 25 What the care home does well: What has improved since the last inspection? What they could do better: No new requirements have been set at this inspection visit, but several good practice recommendations were made. The first was to explore the possibility of having the Statement of Purpose and Service Users Guide available in other formats to ensure people who can not read or understand the written English can make informed decision about using the home. It was also recommended that as the staff in the home spend a lot of one to one time with people living there that this be recorded in more detail. The Company has commenced a thorough quality assurance auditing tool which takes into consideration the views of people living there and ensures the home is a safe place to live. This should also include all necessary safety checks which are made in the kitchen area. It is recommended that this auditing process continues to maintain the high level of observation currently in place. The service does notify us of any incidents, accidents or events in the home, but needs Care Homes for Older People Page 6 of 25 to ensure this is compiled on the most up to date paperwork CQC has asked for so we can make a valued judgment as to whether they have taken the right course of action. 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 7 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 8 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. Detailed information is available to ensure people are aware of the type of services the home can provide and make informed decisions about coming to stay in this home. Evidence: Written evidence was produced in the way of a new Statement of Purpose and Service Users Guide which gave all the information a person would need to ensure they can make an informed decision about the services the home can provide and whether they could meet their needs. This included what they can offer, trial visits, what is included in the fees and how people are protected with how staff are recruited and trained. The management team will be exploring other formats of these documents to ensure those who can not read or understand written English are not compromised. The latest admissions to the homes care plan was tracked and all information appeared to have been completed with in the guidelines set down by the Company. The manager will usually undertake the pre-admission assessment and uses an holistic tool to enable the home to see whether they can meet that persons needs. On the Care Homes for Older People Page 9 of 25 Evidence: documentation seen this included their personal likes and dislikes, when they had their last eye test and detailed information about the people who would need to be contacted in an emergency. This is then used as a basis to form a fuller care plan once the person has been admitted to the home. The home does not provide intermediate care and therefore Standard 6 is not applicable. Care Homes for Older People Page 10 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A robust system is in place to ensure that records are kept of peoples current needs after they have been assessed and advice is sought, where necessary, to ensure people are free from harm. Evidence: Prior to the site visit a number of surveys were sent out by CQC. Fourteen were returned by people using the service, eight by staff and two by social or health care professionals. All made positive comments about how the needs of individuals were being met by the service.Six people were also spoken to on the day of the site visit, who live in the home and two relatives were also seen. Again positive comments were made by each person. They particularly liked the attitude of staff, saying if you are ill they look after you well and every one all the time are so nice and I like all the staff, they go the extra mile all the time. Others remarked about how gentle staff are when assisting with bathing and there are never any raised voices in the home. Four care plans were looked at in depth and were very detailed about the needs of each individual, how those needs were being met and showed regular evaluations of all needs to ensure current problems and concerns were being addressed. Care Homes for Older People Page 11 of 25 Evidence: For example where some one had been assessed as having frequent falls prior to admission a history had been obtained of how and when these were likely to occur. A risk assessment had then been completed alongside a mobility assessment. A falls diary was then commenced and written evidence on file to show this had been shared with the local Falls Coordinator from the hospital. If falls then occurred in the home accident records were in place, if necessary the care plan amended and each event written in the daily diary sheets. The regular evaluations were dated, timed and comments made about events since the last recorded entry. This ensures staff are kept up to date of that persons particular needs and every effort is made to ensure they are as free from harm and risk as possible. In another example where a person was having problems maintaining an adequate diet to maintain their health and well being a nutritional assessment was in place, alongside the care plan. Separate diary notes were also made of what the person eat each meal time to evaluate how balanced a diet the person was consuming. The staff could then see if extra assistance may be required from other health professionals to enable the person to remain well. In another care plan the pre-admission assessment identified a person who had problems with their mobility, both moving from A to B and transferring from a bed to a chair. Once the person had been admitted the staff were able, over a short period of time, to complete assessments around the persons mobility, diet and general risk in using the environment. Individual care plans were then put in place, which had been evaluated regularly to ensure the person was not at further risk. Where necessary the involvement of the persons GP and Community Psychiatric Nurse was recorded and the care plans recorded were treatment and care had been adapted, taking into consideration the health professionals advice. This careful continual evaluation of peoples needs, advice the home has sought from other health care professionals and positive comments made by users of the service, their relatives and other health professionals ensures peoples current needs are being met. A senior member of staff showed the inspector how the medication ordering system works and a medication round was observed during the day. Safe practices appeared to be in place. All records were in place and were clearly written. The training records of staff showed all people administering medication had completed a course in how to give medication safely. When looking at the policy manual there were adequate topics in place to ensure staff had clear direction on how to complete tasks. For example when someone was approaching the end of their life there were policies concerning how to practically attend to someone, plus instructions in an individuals care notes about their particular wishes. The policy also detailed which Statutory bodies needed to be informed about a persons death. Care Homes for Older People Page 12 of 25 Evidence: The management team do ensure that where an incident, accident or death has occurred they do inform us as soon as they can so we can make a valued judgment as to whether they have taken the correct course of action. 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. Peoples needs and expectations are being met through a varied program of activities and a balanced menu being on offer. Evidence: The people who live in the home who sent back surveys and were spoken to at the site visit were able to detail all the different types of activities on offer in the home. Saying there is never a dull moment and we dont have time to get bored. When looking at the posters on display and the documentation in place there was a variety of topics on offer to suit peoples different expectations. The staff have ensured that in each individuals care plan an assessment of their social needs have been completed and different events are then recorded on activity record sheets. These also include details of visits from family and friends. People told us how they like to play cards or help with the gardening (one person had been encouraged to develop their own vegetable patch). They also liked the various outings where possible, but also events in the home. For example a lot of discussion took place with us about a recent event of Owston Ferry By The Sea. This is where in the garden a seaside had been created with paddling pools, sand castle competitions, sea side games and the visit of a donkey to pet. Others said how they appreciated the visits of the local Anglican Minister and there was a communion service in progress during our Care Homes for Older People Page 14 of 25 Evidence: visit. This took place in a quiet area and was not intrusive to those who had no wish to attend. Relatives and health professionals told us that the home management team ensures firm links are still made with the local community by taking people out to events such as fetes and charity events, as well as visiting local shops. People visiting told us how welcomed they are into the home. People also told us and we observed staff sitting with individuals and helping them make daily choices. These times were not always recorded in the activities records or mentioned in the daily report and it is recommended that as this is still part of the caring process a method be found to document these important times. A brief tour of the kitchen took place and staff were preparing food in a clean and safe environment. The last Environmental Health Visitors visit had been in October 2008 and no specific recommendations or requirements made. There was ample food in the store rooms, fridges and freezers and staff said they were satisfied with the quality of food.The food standards documentation had not always been completed on a regular basis which could make it difficult to trace any concerns or problems should the need arise. People living in the home told us how much they enjoyed the food saying cannot grumble at all and get enough to eat. Some said they had a choice of meals and we saw the written 4-week cycle of menus, which showed the choices on offer. During the site visit we observed a lunchtime meal and people were mainly sitting in an open and airy dining room and the atmosphere was very relaxed. Staff were observed assisting some people with their meals, which they did in a calm manner. Encouraging people where necessary and ensuring when the meal was completed that those people looked tidy and clean. Peoples needs and expectations were being met by the variety of activities on offer of both a group and individual nature and their nutritional needs satisfied by a balanced menu being on offer. 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. Robust systems are in place to ensure people are protected from abuse and staff are trained to recognize different situations. Evidence: Since the last key inspection there have been no concerns raised to us about the home. When checking the Annual Quality Assurance Assessment the service sent us, none had been received internally by the home. At the site visit we checked the complaints log which was also blank. People told us they had every confidence in approaching any staff member if they had any concerns. And relatives told that because of the open and transparent way the home is run they would have no hesitation to raise issues. The policy manual showed that all relevant topics such as complaints, protection of adults and whistle blowing had been up dated and staff were able to detail how they would deal with a potential abusive situation and who to refer issues to. This ensures that people are safe and free from harm. Since the last inspection staff have been trained to recognize abusive situations and these records were seen by us during the visit. Care Homes for Older People Page 16 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 live in a safe and comfortable environment suited to their needs, which is well maintained. Evidence: During the course of the site visit we were able to tour the home. All toilet, bathroom and communal areas were seen and a selection of peoples individual bedrooms, as well as the outside areas. The home was clean and tidy and the standard of decoration was good. Staff said how pleased they were that the new owners were taking an interest in the home and several areas had already been refurbished. They said they felt our opinions matter. In shared rooms their was adequate curtaining and furniture and ample evidence of how people had been able to personalize their own areas. People told us how this had helped them settle into the home. We saw that a maintenance plan was in place for general up keep of the home and that some new items of furniture had already been purchased. This included garden furniture. There is only on road parking available at the home, but this is ample and the local market square can also be used. The gardens were very varied with lawned area, raised bedded areas, a vegetable plot and lot of seating. People told us that they were a delight to sit in. People are able to live in a safe and comfortable environment suited to their needs. Care Homes for Older People Page 17 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. Robust systems are in place to ensure staff are safe to work with people prior to their commencement of employment and they are then trained to do their jobs. Evidence: Prior to the site visit we sent out surveys to staff and eight were returned. We also spoke to a further six staff during our site visit. All had made positive comments about working in the home and how the management team and new owners were very approachable. They also felt they could go to any of the senior staff and share topics of a confidential nature. We tracked three staff personal files and there was sufficient evidence to show that adequate safety checks had been made prior to their commencement of employment. New contracts were in the process of being issued and we were able to see that the majority had now been signed. The training matrix was seen, which detailed training completed, training planned and training in progress. All mandatory training had been completed and those who could complete their NVQ at level 2 had done so. Staff told us this had helped them understand how and why they did the tasks for people they were looking after. Some staff had also undertaken other topics to assist them in their work place. This included cross infection, dementia awareness and nutrition and health. This ensures staff have the skills to deal with the needs and problems of people they are looking after. Since the last key inspection the management team had reviewed the staffing levels in Care Homes for Older People Page 18 of 25 Evidence: the home against the dependency levels of the people currently resident. People told us that there always appeared to be sufficient staff on duty to meet their needs and staff told us there are always enough staff on duty. Care Homes for Older People Page 19 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. People are able to live in a safe and comfortable environment, where their views are sought about the running of the home and the management approach is open and transparent, so people can comfortably raise concerns. Evidence: Prior to the site visit a number of surveys were sent out by us to people who use the service, health and social work visitors and staff. We also had opportunity to speak to several people who live in the home, on the day and also to some relatives and staff as detailed else where in this report. Each person had made a comment about the good relationships they have with the manager and also the new owners. Describing them as trust worthy, approachable and kind. The staff stated they felt supported in their roles and the manager felt supported by the owners. There was an open and transparent form of management in the home, with all events documented and followed through according to their own policies and procedures. Since the last visit progress had been made in the Quality Assurance system which was in place and documented evidence was seen that the views of people living there Care Homes for Older People Page 20 of 25 Evidence: are sought through regular care planning sessions, (one relative told us she is approached on a minimum twice a year for reviews) and meetings are also held and minuted. We would recommend that as this system is only currently getting underway that this standard be maintained. Records were also seen to show that people living there can access their own personal allowance accounts and there was well documented evidence on how the finances of one person were being managed, as they had incurred a bad debt with the home. Family members and the local authority care management team were in the process of setting up some guidelines for this occupant and their family to follow. The recorded evidence showed how well the home had kept on top of these issues and it had not compromised the delivery of care to that individual. All records were seen to show that the service is ensuring that the building and all equipment in it is safe to use and the place safe to live and work in. This included records of the regular fire equipment checks and training of staff, risk assessments about the building and that the policy and procedure manual is up to date, so staff have good practice guidelines to follow when delivering care to individuals. The home has been keeping us up to date about incidents in the home, which has allowed us to make a valued judgment as to whether the correct course of action has been taken. The management team need to be mindful that CQC has issued revised guidance last year and that new forms are available so they can record all incidents,events and accidents when they occur to us. Some supervision records of staff were seen and showed that regular sessions occur at least following CQC minimum standards, bu where necessary extra sessions have occurred if the staff members behavior warranted closer supervision. Record keeping appeared to be up to date, ensuring the views of people living there are sought and the home is being run for their benefit. Care Homes for Older People Page 21 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 22 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 1 The service is intending to explore other forms of presenting the Statement of Purpose and Service Users Guide to ensure people who can not read or understand written English can still make informed choices about using the home. It is recommended that the valuable time spent by staff on one-to-one sessions with people living in the home be recorded somewhere to show what quality time staff are spending with people. The records kept in the kitchen area which determine that suitable safety checks have been completed should be accurately maintained to ensure, if required, audit checks can be made and accurate records are in place in case of a problem. The current quality assurance system, which is quite new, should be maintained to ensure peoples views will always be sought about the delivery of care and that the home is safe to live and work in. The management team should ensure that all incidents reportable to CQC is sent on the latest forms, so we can Page 23 of 25 2 12 3 15 4 33 5 37 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 make a valued judgment as to whether they have taken the correct course of action. 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!