Care Home: Low Furlong

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What the care home does well People who are considering moving into the home benefit from having their care needs assessed so that they can be sure the home can meet their needs. People living in the home are treated respectfully. Each person has a plan of care and access to health care services so that their health and personal care needs are met. There is a clear and accessible complaints procedure in place. People who use the service and their relatives are encouraged to raise their concerns, complaints and compliments. People are able to bring personal items such as pictures, ornaments and small items of furniture into the home so that that their personal tastes and interest are reflected and a homely atmosphere is created. The health safety and welfare of people living at the home is promoted by regular safety checks and maintenance of equipment. The home is managed by an experienced and competent person to ensure the service is run in the best interests of people living there. A person who lives a the home told us, "I love it here, I am very happy." A relative commented, "We find the home and staff very good, we are always made welcome when we visit." What has improved since the last inspection? The manager has taken steps to address all of the requirements from the last inspection. This demonstrates her commitment to ensuring people live in a safe and well run home. Care plans have improved so that staff are provided with detailed information about how people should be assisted to meet their needs People have benefited from the ongoing refurbishment plan which is providing a clean and comfortable place for them to live in and enjoy. The home are implementing recommendations and guidance from a dementia care audit that was undertaken in the dementia unit since the last inspection visit. All staff have undertaken dementia care training which will ensure they are equipped with the skills necessary to meet the specialist needs of people who use the service. What the care home could do better: The manager should identify staff that need up to date mandatory training in moving and handling and arrange for those staff to receive this training. This is to ensure that people in the home are protected from the risk of harm. The manager has advised in the AQAA that the home would like to liaise with the local community even more so they obtain a better understanding of the services provided at Low Furlong, to follow up new links with the new Community Support Officer and also with the newly appointed volunteer co-ordinator. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Low Furlong Darlingscote Road Shipston on Stour Warwickshire CV36 4DY     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Patricia Flanaghan     Date: 1 7 0 3 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for 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 Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Low Furlong Darlingscote Road Shipston on Stour Warwickshire CV36 4DY 01608662005 01608664090 deniserawlings@warwickshire.gov.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Warwickshire County Council, Adult Health & Community Services care home 35 Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: Service users assessed as requiring dementia care to be admitted only to the dedicated unit identified as `Stanbury` The entrance and exit doors to the dementia unit must have a discreet alarm system fitted so that staff are aware when service users leave the unit. (1st January 2006) The garden to be used for service users admitted to the dementia unit should be made safely accessible and stimulating for service uses with dementia. (31st July 2006) The total number of residents accommodated will be 35 to include up to 11 service users assessed as requiring dementia care. Date of last inspection 1 0 Over 65 11 35 Care Homes for Older People Page 4 of 27 Brief description of the care home Low Furlong is a home for twenty-four older people, and 11 people requiring specialist dementia care. The home is owned and managed by Warwickshire County Council. It is about half a mile from Shipston town centre, where all community and health facilities offered in the town are sited. There is no bus service up to the home from the town centre. There is parking to the front and side of the building. Low Furlong was refurbished in 1996 and has recently undergone an extension and some further refurbishment including the provision of a new laundry and large conservatory in the dementia care unit. The home provides long stay care, short stay and day care. All thirty-five bedrooms have en-suite facilities, one with a shower. One unit on the ground floor provides care for eleven older people with either a dementia or other cognitive illness. Within this area there are two lounges, one of which has a dining area and a conservatory. The other unit on the ground floor provides two long stay bedrooms, while the rest are used for short stays or respite care. All the first floor accommodation is for long stay residents. There are two units, each with a lounge/diner. The home has a shaft lift. The fees are as per council arrangements; additional charges are made for private chiropody, hairdressing and sundries such as newspapers. A copy of the most recent inspection report is displayed in the reception area of the home and is therefore readily available. Care Homes for Older People Page 5 of 27 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 that people who use this service experience good quality outcomes. One inspector carried out this unannounced inspection over one day between 10:30am and 6:00pm. The last key inspection visit to Low Furlong was on 20th March 2007. Before the inspection, we looked at all the information we have about this service, such as information about concerns, complaints or allegations, incidents and previous inspection reports. We do this to see how well the service has performed in the past and how it has improved. We looked at the Annual Quality Assurance Audit (AQAA) which the manager completed and returned to us before our visit. This is the Care Homes for Older People Page 6 of 27 managers review of the service and gives us information about how the service has progressed in the last 12 months. We used a range of methods to gather evidence about how well the service meets the needs of people who use it. We talked to people who use the service and observed their interaction with staff. We looked at the environment and facilities provided and checked records such as care plans and risk assessments. We also looked at staff duty rotas, training and recruitment records. We talked to the manager, three care staff and the homes administrator. Three people using the service were identified for case tracking. This is a way of inspecting that helps us to look at services from the point of view of some of the people who use them. We track peoples care to see whether the service meets their individual needs. We chatted informally with about twelve of the people living in the home and three visitors. Our assessment of the quality of the service is based on all this information, plus our own observations during our visit. What the care home does well: What has improved since the last inspection? What they could do better: The manager should identify staff that need up to date mandatory training in moving and handling and arrange for those staff to receive this training. This is to ensure that people in the home are protected from the risk of harm. The manager has advised in the AQAA that the home would like to liaise with the local community even more so they obtain a better understanding of the services provided Care Homes for Older People Page 8 of 27 at Low Furlong, to follow up new links with the new Community Support Officer and also with the newly appointed volunteer co-ordinator. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 27 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 27 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 who are considering moving into the home have their care needs assessed so that they can be sure the home can meet their needs. Evidence: The case files of two people admitted since the last inspection were examined to assess the pre admission assessment process. The manager said that it was usual practice for two senior staff, or management to visit people who are considering moving into the home to undertake an assessment of their needs and abilities. Information is initially received from the care management assessment. Both files examined contained details of an assessment of the persons needs and abilities that was undertaken before the person moved into the home. This means that sufficient information was available so that the home could confirm they could meet Care Homes for Older People Page 11 of 27 Evidence: each persons needs and develop plans of care. Care Homes for Older People Page 12 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in this home can be confident their needs will be recognised and met and they will be treated with respect at all times. Evidence: We saw a very high level of personal care and attention to clothing, nail and hair care, that enabled people to maintain their dignity and individual identity. It was evident from observation that the personal care needs of people living in the home are met. People spending time in bed because of their frailty, all looked comfortable and well supported with drinks and call bells to hand, if applicable. The case files of three people identified for case tracking were examined. We saw that each person had care plans and risk assessments that detailed the care they needed. The presentation of care files had been changed and new care plans devised. A new section entitled All About Me had been added to the care file. Care plans are kept under regular review and changes to care are recorded. Care plans were personalised, for example we saw information for staff on how to reassure a Care Homes for Older People Page 13 of 27 Evidence: person who may become agitated about their health needs. People had been involved in developing their care plans and had signed to say they agreed with them. Risk assessment had been reviewed and completed in all care plans examined. These include risks related to pressure areas, falls, mobility and nutrition. The home makes sure that risk assessments and kept under review. This will mean that any person considered to be at risk will be known to staff and a risk management plan drawn up. Entries in each persons health records and comments by people living in the home confirmed that they are supported in getting access to relevant health care professionals when needed. This includes access to GP, Chiropodist, Community Psychiatric Nurse and Optician. This should mean that people receive specialist advice about their healthcare needs. Written daily reports in care files provided information on peoples day-to-day life in the home and provides details on their health and well being. We examined systems for the management of medication. A monitored dosage (blister packed) system is used. Medication was safely stored in a locked trolley in a locked medication room. The facility for storing controlled drugs was satisfactory and complies with legislation. The contents of the controlled drug cabinet were audited against the controlled drug register and the quantities were correct. Medication Administration Record sheets maintained an accurate record of medicines administered to people. Care Homes for Older People Page 14 of 27 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. Opportunities to participate in varied activities has improved ensuring people living at the home are involved in daytime activities of their own choice and according to their interests and capabilities. People are supported by the home in maintaining contact with their families and friends. Meals are well balanced and nutritious. Evidence: During our visit we spoke with people about their daily life and activities at the service. People told us they were able to rise and retire as they wished, see their family and friends when they chose and to take part in the activities that are available at the home if they wish. A programme of activities and other social events are displayed in the home. The home does not employ an activities organiser, however people can make use of the activities arranged in the day care unit. Activities provided specifically for people who live in the home include outside entertainers, mobility exercise, dominoes, board games and bingo. A knitting and crochet club has recently been started. We saw photographs of people enjoying a recent strawberries and cream tea event held at the home. Care Homes for Older People Page 15 of 27 Evidence: There is an open policy for visiting and relatives are always made welcome and included in the lives of those who live there. Several people go out with their family and friends, and we saw people visiting during our visit, all of whom were very complimentary about the home. One visitor described the service as very good and another person said I cant praise the staff enough. People are encouraged to personalise their own rooms with their own possessions. Some of the rooms we saw had been decorated in this way and were homely and welcoming. The home recognises the importance of supporting people with making choices about their lives. Peoples preferences regarding their religion are supported and respected and church services and Holy Communion are held at the home regularly. This ensures that people can continue to follow their religious needs if they choose to. A hairdresser visits weekly so that people can have their hair styled in a way that they prefer. There is a four-week menu in place at the home. The manager explained that they have recently implemented an initiative called Focus on Mealtimes. The aim is to improve food and mealtime experience and nutritional status of older people within care homes in Warwickshire. This means that meals are nutritionally balanced to ensure people have a healthy well balanced, varied diet. Special diets were seen to be well catered for. We observed the lunch time meal on the top floor. Tables were nicely laid with clean linen cloths, condiments and flowers. Comments received from people living at the home indicate satisfaction with the meals provided at the home. One person told us, We get jolly good food here, you only have to look at it to see it is good. There are drinks and snacks available on request and at regular intervals throughout the day. The staff have access to the kitchen and food at all times and the people who live there are encouraged to drink plenty of fluids at all times to maintain their well being. The kitchen was clean and tidy on the day of the visit. The home have recently been awarded a Gold Star from the Environmental Health Office, which means that the kitchen staff practice excellent standards of food hygiene. Care Homes for Older People Page 16 of 27 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 living in the home can be confident that their concerns will be listened to and acted upon. There are systems in place to respond to suspicion or allegations of abuse to make sure people living in the home are protected from the risk of harm. Evidence: The home has a formal complaints policy which is accessible to people living in the home and their families. People are encouraged to raise their concerns with the manager or senior staff on duty. People told us that they would initially raise concerns with their relatives or representatives who would speak to the manager on their behalf, but they said they felt they could go to the manager or a care officer and they would be listened to. People and relatives spoken with said that they were aware of how to complain and whom to complain to. Comments made include, I would tell my family, but Im sure if I said anything to any of the girls they would sort it out. I can talk to any of the staff. Evidence was available that the manager makes a timely and objective response to concerns made directly to the home. A record of complaints received by the home is Care Homes for Older People Page 17 of 27 Evidence: maintained along with the action taken by the home regarding each issue raised. The home has an adult protection policy to give staff direction in how to respond to suspicion, allegations or incidences of abuse. Staff were able to confirm that they had received training related to the protection of vulnerable adults. Two members of staff were able to explain the action they would take if they saw abuse. It was evident through discussions with the manager that she is aware of local Social Services and Police procedures and her responsibilities for responding to allegations of abuse, this was further evidenced by the appropriate referral of allegations. Care Homes for Older People Page 18 of 27 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 have benefited from the ongoing refurbishment plan which is providing a clean and comfortable place for them to live in and enjoy. Evidence: The AQAA states, Low Furlong operates in four separate units each providing an individual unit style living. All bedrooms are single and offer en suite facilities. Service users are encouraged to personalise their rooms by bringing in items from home. We toured the home and looked at several bedrooms including the rooms of those people involved in case tracking. The environment was clean and fresh throughout. The service provides a good environment for people with areas where people can mix together in small groups, if they choose to do so. Clutter and excess equipment has been removed from communal areas and a conservatory, which was previously unused, in the dementia unit is now regularly used by people and their visitors. People spoken with during the inspection indicated that they enjoy living at the home and that their rooms are comfortable. Rooms seen were personalised with family photos and ornaments. Staff felt that people living at the home have benefited from the redecoration of a number of rooms and replacement of some floor coverings and furniture. Care Homes for Older People Page 19 of 27 Evidence: There in an infection policy in place and there was evidence that the clinical waste was disposed of correctly and there was equipment available to staff to reduce the risk of infection and included anti bacterial soap, disposable gloves and aprons. The home has systems in place for the management of dirty laundry and the disposal of waste. Care Homes for Older People Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are sufficient staff on duty to meet the needs of people living in the home. People are protected by robust recruitment procedures. Evidence: The manager said there were 32 people living at Low Furlong on the day of our inspection visit. We saw from duty rotas and the numbers of staff on duty at the time of inspection that there were sufficient staff to meet the needs of people accommodated in the home. The manager confirmed that the usual staffing complement for the home are seven carers from 7:45 am to 3pm and six carers from 3pm to 10pm. There are three carers on duty at night. The carers are supported by administrative, kitchen and housekeeping staff. The AQAA tells us that home employs 27 care staff and 60 of them have achieved their National Vocational Qualification (NVQ) level 2 in Health and Social Care. This means that staff will have gained the knowledge they need to build on their skills and provide care to the people living in the home. A review of two staff files, for carers recruited since our last inspection visit, confirmed that recruitment practices for the home are good. Staff files contained evidence of protection of vulnerable adults (PoVA) checks and Criminal Records (CRB) checks. These were completed before staff commenced working in the home. References Care Homes for Older People Page 21 of 27 Evidence: obtained were appropriate for the peoples files we reviewed. Records of interviews are maintained to support equal opportunity practices within the home. Robust recruitment practices will support the safety of people living in the home. It could not be evidenced exactly what the training needs were for all the staff in the home as the staff member who monitored training was on sick leave and an up to date training matrix was not available. All staff have had dementia care training since our last inspection visit. The manager said that the homes training programme is organised within the Warwickshire County Council workforce development. She said that it is sometimes difficult to obtain training places for staff as such places are limited. She is aware of gaps in mandatory training, for example not all staff are up to date on moving and handling training. We saw that a number of staff would shortly undertake training about caring for people with Parkinsons Disease. Care Homes for Older People Page 22 of 27 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 by an experienced and competent person to ensure the service is run in the best interests of people living in the home. Evidence: The registered manager of the home has a social work qualification and is appropriately experienced to manage the home. She has continued to ensure her knowledge and skills is up to date by attending training course, for example, leadership in dementia, safeguarding vulnerable adults, better outcomes through care planning and person centre care planning. The people living in the home were very comfortable in the presence of the manager and could speak to her at any time. One of the visitors spoken with said the manager was very approachable and kept them up to date on their relatives life in the home. The staff spoken with during the inspection spoke highly of the manager and felt that they could approach her for help in any area. Care Homes for Older People Page 23 of 27 Evidence: The home works to a quality assurance programme provided by the Local Authority. The registered manager routinely undertakes audits of systems and practices carried out in the home. A representative of the registered provider visits the home unannounced each month and carries out a quality audit inspection and a report of this visit is given to the manager of the home. The manager develops a plan to address any issues that have been raised by this audit. The home therefore can show that it is monitoring the service in order to enable growth and improvement. People are supported to manage their own money where possible. Where the home is responsible for peoples money it works to a safe system and maintains clear records. A random selection of transactions recorded for two people with their cash balances were checked and were found to be in good order with appropriate receipts kept with the records. The AQAA tells us that all members of the management team supervise a certain number of staff to ensure staff have regular supervision. All staff have had an appraisal in the last twelve months. The staff files we reviewed showed us that staff supervision takes place on a regular basis. Staff supervision is important as it allows the management to meet with staff on a one to one basis to discuss practice, personal development and the homes statement of purpose. It is also an opportunity for staff to contribute to the way that the service is delivered. The home has effective systems for maintaining equipment and services to the home to promote the safety of people in the home. The home confirmed in the AQAA forwarded to us that health and safety checks had been completed. A random check was carried out on maintenance, servicing and health and safety checks, which included fire safety checks. As detailed previously, mandatory training for some staff in moving and handling is not up to date. The manager undertook to arrange appropriate training for those staff identified as requiring this. Care Homes for Older People Page 24 of 27 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 25 of 27 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 28 All staff must be appropriately trained in all areas related to safe working practices including moving and handling. This will ensure that people who use the services have their health safety and welfare protected. The home should develop an at a glance training record which shows dates of training for all staff and training due to ensure all staff are kept up-to-date with necessary training to support people who live in the home. 2 28 Care Homes for Older People Page 26 of 27 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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