Care Home: Queensbridge House

Similar services:

• The Vicarage
• Fairfields Country Rest Home
• 7 Hyde Road
• 5 Seafield Road
• Queensmount
• Poldhu
• Trevaylor Manor
• Didsbury Court Rest Home

What the care home does well The home has a good system in place for assessing the needs of potential residents, planning their care and working to meet their health and personal care needs. The home produces detailed and individualised care plans to guide staff in meeting residents needs. Care is delivered in such a way as to uphold residents` privacy and dignity. The home provides a range of suitable activities and residents maintain some links with the local community. The home has worked with residents` relatives to provide information about dementia and how this may effect residents. The home has a good approach to adult protection training ensuring that all staff receive this. The environment of the home is well maintained and clean. There are a high percentage of staff with a National Vocational Qualification (NVQ) and the home also ensures that a variety of training is offered to staff to enable them to develop skills and knowledge in caring for people with dementia. What has improved since the last inspection? There has been an improvement to care planning with the introduction of `daily care plans`. A medication auditing system has been introduced. There has been further development of the environment with the needs of residents in mind. Improvements have also been made to the garden at the side of the home. The registered manager has attended the `Enhanced` training in adult protection provided by the local authority. What the care home could do better: Attention needs to be given to some medication storage and recording practices. More regular auditing of medication records should be adopted. Staff recruitment procedures must be robust with all required information being obtained prior to employment and required checks made in order to protect residents. Induction training should be provided for new staff in line with the Common Induction Standards. Storage of some cleaning materials needs improvement in the interests of safety. Key inspection report Care homes for older people Name: Address: Queensbridge House 63 Queens Road Cheltenham Glos GL50 2NF     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: Adam Parker     Date: 1 9 0 1 2 0 1 0 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 27 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 27 Information about the care home Name of care home: Address: Queensbridge House 63 Queens Road Cheltenham Glos GL50 2NF 01242519690 01242539059 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Queensbridge Care Limited care home 27 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: Four (4) beds to accommodate service users between the ages of 50 and 65 years. Date of last inspection Brief description of the care home Queensbridge House is a large detached house, which has been extended and refurbished to provide residential accommodation for twenty-seven residents. It is situated in a residential street close to Cheltenham Railway Station. The Home is on a bus route and is within easy reach of Cheltenham town centre. The accommodation consists of twenty-five single bedrooms, twenty-three of which have en suite facilities, plus one double room. Access is gained to the upper floors with the aid of the shaft lift, stair-lifts or stairs. Comfortable communal rooms are provided throughout the building. The Statement of Purpose and Service User Guide are available at the home. The residents have the benefit of an enclosed private garden, which may be enjoyed in Care Homes for Older People Page 4 of 27 Over 65 26 27 1 0 0 0 Brief description of the care home Summer months. 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: One inspector carried out the inspection on one day in January 2010. The responsible individual and the registered manager were present during the inspection visit which consisted of a tour of the premises and examination of residents care files. In addition training was looked at as well as medication storage and administration and documents relating to the management and safe running of the home. One resident was spoken with to gain their views of the service and a number of survey forms were received from residents in the home. An Annual Quality Assurance Assessment (AQAA) form was received from the home prior to the inspection visit. This gave us the information that we asked for. The judgements contained in this report have been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. Care Homes for Older People Page 6 of 27 Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? What they could do better: 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 8 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 9 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The homes assessment procedures ensure that all residents move into the home following a full assessment of their needs, so that they can receive the care that they require. Evidence: The assessment documentation for a number of residents recently admitted to the home was looked at. These had been completed following an assessment of the persons needs recorded on a comprehensive pre-admission assessment document and carried out by the registered manager. One resident had moved into the home from Scotland. An assessment visit would not have been practical although the home had spoken to the persons social worker and obtained relevant documents. The persons family had also visited Queensbridge House before the person moved from Scotland. One person who had recently moved into the home had been having input from mental health services and relevant information had been obtained about this before they moved in. Care Homes for Older People Page 10 of 27 Evidence: Intermediate care is not provided and so standard six does not apply. Care Homes for Older People Page 11 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. The home works well to meet residents health and personal care needs whilst upholding their privacy and dignity. However some further development of medication systems would ensure that residents medication needs are fully met. Evidence: The home has a system of using two types of care plans for recording action taken to meet a residents needs. One type of care plan is used to record and evaluate ongoing areas of need and there are additional daily care plans. The daily care plans were very detailed and individualised and it was reported that they are evaluated with the involvement of staff who carry out personal care with the resident. One resident had a daily care plan that gave clear interventions for staff to manage mental health issues and the home had obtained a copy of the Care Programme Approach plan produced by the local Mental Health Trust. Also in use is a dementia mapping tool which records levels of well-being or ill-being with residents. This is used when required to make a further assessment of a resident. Care Homes for Older People Page 12 of 27 Evidence: Residents had general risk assessments completed as well as for moving and handling. There were records of input and visits by general practitioners, community nurses and chiropodists. Medication administration and storage arrangements were looked at. Although there was no record of temperature monitoring for the medication storage room this felt quite cool and so it is most likely that residents medication was being stored at the correct temperature. However some temperature monitoring and recording would be worth considering during any spell of hot weather. Storage temperatures for the medication refrigerator were being monitored and recorded. The cupboard for storing controlled drugs was looked at, it was unclear if this completely met with current specifications for storage under the Misuse of Drugs (Safe Custody) Regulations 1973 and this should be checked. The wall fixings would certainly need to be changed from the existing type to a Rag Rawl bolt type. Bottles of liquid medication had not been dated on opening and this should be carried out as an aid to indicating the expiry date. Handwritten entries on medication administration records did not have a signature for the person making the entry or a second signature to indicate that the entry has been checked by another member of staff. this practice should be introduced to ensure the accuracy of any handwritten directions. Although the majority of medication administration was signed for when it was given or a code used to indicate an omission there some gaps found on the records. A change from monthly to weekly auditing of the medication charts would pick up any gaps at an earlier stage. Two residents had been prescribed medication for anxiety and agitation to be given on an as required basis. There was no mention of when this medication should be given in their care plans and there were no separate protocols in place to guide staff in when to give the residents the medication. A clear plan or protocol would ensure that a consistent approach is followed by all staff in giving the medication. All staff had completed accredited training in the safe handling of medication. Staff were observed knocking on doors to residents rooms before entering and one resident spoken to confirmed that staff always did this and were polite to her. Care Homes for Older People Page 13 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from a varied and appropriate activities programme, good social contact and a selection of meals Evidence: The home has an activities coordinator working three afternoons a week including a Sunday and a range of activities were on offer to residents. These included an exercise group, skittles, bingo and card games. A musical entertainer also visits the home. Reminiscence activities are also organised and the home had recently borrowed various items for reminiscence from a local museum. A comprehensive record of the activities provided to residents was kept by the activities coordinator who had completed training in providing activities in a care setting. The home also keeps a record of individual residents life histories and personal interests on personal history forms that are completed by residents relatives. A Church of England Holy Communion service is held in the home once a month. The home enables residents to maintain contact with family, friends and representatives through a policy of open visiting which also takes into consideration showing respect to residents with regard to visiting times. The home maintains links with a local college who visit to provide various craft activities to the residents such as Care Homes for Older People Page 14 of 27 Evidence: silk painting. Visits to the town and to local shops are also organised for residents. The registered provider spoke of the work that the home had done to engage with the relatives of residents and help them to understand more about dementia. Meetings with groups of relatives was also reported to have also led to more contact between relatives when visiting the home. Evidence was seen of residents having their own personal possessions including some furniture in the home. This is seen as beneficial to familiarising residents with their environment. Information about advocacy services is available. The home uses a system of chilled meals that are provided by an outside contractor and heated up in the home. Examination of a menu showed that a different main dish is provided for lunch each day of the month. Alternative main dishes are also available. Supper involves a choice of a cooked snack or sandwiches with a desert. The home also keeps a stock of food items to prepare snacks for residents outside of normal meal times. The home is able to provide special diets such as vegetarian but was not doing so at the time of the inspection visit. One resident spoken to during the inspection visit described the meals as very good although stated that some were mediocre. Care Homes for Older People Page 15 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. Information is available if any resident or their representative should wish to make a complaint and the homes approach to training staff should ensure that residents are protected from abuse. Evidence: The homes AQAA document told us that the home had received one complaint in the twelve months prior to December 2009. Examination of the homes response to the complainant showed how this had been investigated. The complaints procedure was on display in the home. One resident who completed a survey form indicated that they did not know how to make a complaint. A resident spoken to during the inspection visit stated that they would approach the registered manager with any complaint. We also received two complaints from relatives of residents largely to do with fee payments. These were both referred to the home for a response and following this the complainants were referred to the Community and Adult Care Directorate of Gloucestershire County Council for any further queries about fee payments. In relation to residents legal rights, the home has information available on the Mental Capacity Act 2005 and the associated Deprivation of Liberty safeguards. The registered manager and some of the staff have received training in these subjects. The home has a policy for protecting residents from abuse as well as a whistle blowing policy. Training in protecting residents from abuse has been given to all staff Care Homes for Older People Page 16 of 27 Evidence: employed in the home using a trainer from outside of the home. In addition the registered manager had completed the enhanced training provided by the local authority. Care Homes for Older People Page 17 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. Residents have the benefit of living in a well-maintained and clean environment that is being further adapted to suit their needs. Evidence: A tour of the premises was undertaken. All areas of the home inspected were found to be clean, well maintained and decorated and smelt fresh throughout. One resident who completed a survey form described the home as Spotless, in good decorative order. There were two communal lounges with a main dining room on the ground floor with a further small dining and seating area on the first floor. There were well kept gardens at both sides of the home. On the one side paving had recently been relaid and as well as tables and seating there were some raised planting beds.The responsible individual described plans for an extension on the side of the home with improved toilet facilities. At the front of the home there is a small car park. Residents rooms were comfortable and contained various degrees of personalisation. The home had arranged for one persons room to be furnished with personal items before they moved in so that the environment of their room would be less unfamiliar to them. The home had started the process of repainting walls and doors in line with the needs of residents with dementia, pictorial signage was also being used on toilet doors and there were further plans to adapt the home for residents with dementia. Care Homes for Older People Page 18 of 27 Evidence: The laundry had washable floor and wall surfaces and arrangements for hand washing. One resident commented positively on a survey form that we received about the laundry service provided in the home. Care Homes for Older People Page 19 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from a well trained staff group although recruitment practices need some improvement to ensure that residents are fully protected. Evidence: Staffing in the home is arranged so that on a typical weekday there are five carers on the morning shift with the registered manager. In the afternoon there are three carers with the registered manager working until four or five oclock in the afternoon. At night there are two waking night staff. In addition to care staff there are two housekeepers and a laundry assistant. Based on information supplied in the homes AQAA document the home had 18 out of 22 care staff trained to NVQ level 2 or above. Records for recently recruited members of staff were examined. Examination of the recruitment files showed that all of the required information had not been obtained prior to employment including checks against the Protection of Vulnerable Adults register (PoVA) or as it is now known the Independent Safeguarding Authority (ISA) adult first check. The home had started staff working without a Criminal Records Bureau (CRB) disclosure and so were required to carry out an initial check against the PoVA or ISA register before the person started work in the home. This had not been carried out for three staff and written references had also not been obtained for staff Care Homes for Older People Page 20 of 27 Evidence: in some cases. One member of staff had been working in the home for over two months without a PoVA first check (and so no CRB). The registered manager explained that some referees given by applicants were deemed unsuitable because they were working at Queensbridge House however no other references were sought despite one applicant providing a employment history. Where references were obtained there was no record of the date that they were received by the home. A record should be kept of when references are received to provide an audit trail for recruitment practices. The homes AQAA document indicated that satisfactory pre-employment checks had been carried out on all staff. It was reported that staff were supervised by a senior member of care staff or the registered manager when starting work in the home. Although new staff are given an induction into the working of the home, induction training was not being provided in line with the nationally recognised Common Induction Standards. It was found that the home did have information about these standards but had not yet implemented any training for new staff. Staff have received training in caring for people with dementia and the home has three link workers established under the dementia pathway training scheme. A member of staff spoken to during the inspection visit confirmed the training they had received and that this had given them the knowledge to carry out their role. Care Homes for Older People Page 21 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. Despite good quality assurance work in a number of areas, there is still improvement needed and quality monitoring of recruitment practices to ensure the safety and well being of the residents. Evidence: The registered manager has achieved the Registered Managers award and an NVQ level four. She had also achieved a level two certificate in dementia care and is a member of a local board for dementia training. In addition the registered manager had recently completed training in promoting continence. As part of the homes quality assurance programme, quality questionnaires were in use and these were being distributed on a regular basis to residents, their relatives and representatives. Evidence of this process was included in the most recent regulation 26 report sent to us following the inspection. Responses are measured against the homes Statement of Purpose and reports of the findings are produced. Visits had been made monthly and reports compiled by the registered provider as required under the Care Homes for Older People Page 22 of 27 Evidence: Care Homes Regulations 2001. On examination these reports were good and were being used as a way of checking the situation on a number of areas of the operation of the home such as management, staff and care practice issues. The director visits the home for the regulation 26 report and checks the health and safety monthly. Since the previous inspection the home has achieved an Investors in People award in relation to the development of the staff team. Quality monitoring needs to be extended to include recruitment practices following the findings at the inspection. Following the inspection visit the registered provider has supplied us with a recruitment checklist and drawn up an associated policy for future use. The arrangements for looking after residents money was looked at and satisfactory arrangements were in place with records kept. A check on the money held for one person showed this to be accurate in relation to the records kept. The home has a client account where money is paid for a small number of residents, this account is separate from any other account used by the home. Staff had received training in safe working practices in the areas of fire safety, food hygiene, moving and handling, and first aid. Infection control training was carried out as part of the homes induction for new staff although a training DVD was available for any updates. Central heating boilers had been serviced in November 2009. The electrical wiring and portable electrical appliances had been checked in September 2009. Checks were in place on window restrictors and on hot water temperatures although no records were located during the inspection visit. Work has been carried out in the home by an outside contractor in order to reduce any risk from Legionella. The home had completed a fire risk assessment. A food hygiene inspection had taken place in 2009 and the home was expecting a follow up visit where it was aiming to improve on the four star rating. Cleaning materials were securely stored although one bottle of cleaning fluid was not labelled and another had inadequate labelling. Care Homes for Older People Page 23 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 24 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 1 19 Before a person starts work in the home, all the information and documents specified in Schedule 2 of the Care Homes Regulations must be obtained. This is to ensure that residents are protected through robust recruitment procedures. 31/03/2010 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 9 Hand written directions on the medication records should be signed and dated by the staff member making the entry and checked and signed by a second staff member. Weekly audits of the medication charts should be made to check for any gaps in recording. Some temperature monitoring and recording should take place of the medication storage room during any periods of hot weather to ensure that residents medication is being stored at the correct temperature. 2 3 9 9 Care Homes for Older People Page 25 of 27 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 4 9 Make arrangements so that the storage of controlled drugs meets with the requirements of the Misuse of Drugs (Safe Custody) Regulations 1973. Bottles of liquid medication should be dated on opening as an indication of their expiry date. References for employment should be dated when received. Induction training should be provided for new staff in line with the Common Induction Standards. Quality assurance checks should be made of recruitment practices. Check that all cleaning materials are stored in their original or in correctly labelled containers. 5 6 7 8 9 9 29 30 33 38 Care Homes for Older People Page 26 of 27 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 27 of 27 - 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!