Care Home: Red Brick House

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What the care home does well People living at the home had their needs assessed before admission to enable staff to prepare an initial care plan. This ensures that staff can meet the identified needs immediately. Care plans were good. They were up to date, clear and comprehensive. We thought the actual care of people was very good. Residents told us in questionnaires and on the day of inspection that they received good attention from staff. They said staff were kind and caring when attending to them. Residents thought the staff were one of the best things about the home. The communication with relatives appeared to be very good. Visitors and relatives could come and go as they pleased and seemed relaxed within the home. Residents told us they had choices about their daily routines. Some residents were having a lie in bed on the day of inspection. We observed staff showing respect for people`s privacy in their own rooms. Residents told us that the food was usually good. They said they receive home made cakes and scones and had a choice of menu. We thought the social activities were very good. There was a varied programme of activities. The staff member in charge of this was very enthusiastic. She made good attempts to get to know individuals and provide something they would enjoy. Medication administration, ordering and recording was well managed. The home was clean enough and warm enough. We spoke to a member of the domestic staff and were impressed by her efforts to ensure that the home looked it`s best. We also noted that she spent some time chatting with residents as she worked and appeared to know them well. Some of the residents` bedrooms were very attractive and well personalised. The employment history and backgrounds of staff are thoroughly checked before they are employed at the home. They are then offered adequate training to enable them to carry out their role. Staff were keen to discuss things with the inspector and open to suggestions for improvement. Health and safety checks, tests and maintenance were all up to date. There were good systems in place for consulting with people and improving the service. What has improved since the last inspection? The management of the service has improved in the past year. The manager has established good systems of review and audit which have lead to improvements in all areas. There is now a clear sense of direction within the home. The most apparent improvement was within the staff team. The staff appear happy and relaxed. They recognise the improvements they have made to the care for residents. Staff told the inspector that they now thought they gave good care and were well supported to do so. Some redecoration of the building has taken place. This has resulted in an improvement in the appearance of the environment. Staff training has improved and is now mostly up to date. What the care home could do better: Although the premises have improved, and the handyman is constantly redecorating and repairing, some investment is required to upgrade the environment. Some carpets, curtains and chairs need to be replaced. Bathrooms need to be refurbished with new wall covering and flooring. The cupboard used for controlled drugs was too small to fit all of the drugs in. Another cupboard needs to be provided. The laundry walls had holes in them and there were rough areas that required repair and redecoration. This should be done so that the laundry can be washed down in the event of an outbreak. This was required at the last inspection, the requirement has been repeated because work was due to start the week after the inspection. This will be checked and enforcement action taken if the work is not done. The press in the laundry needed some minor attention as staff were burning their fingers on it. Staff training in infection control has not yet happened because they have been doing other training. This should now be done. Key inspection report Care homes for older people Name: Address: Red Brick House Victoria Terrace Prudhoe Northumberland NE42 5AE     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: Janet Thompson     Date: 0 6 1 0 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 26 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Red Brick House Victoria Terrace Prudhoe Northumberland NE42 5AE 01661830677 01661830681 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): www.southerncrosshealthcare.co.uk Southern Cross BC OpCo Ltd Name of registered manager (if applicable) Mrs Susan Elizabeth Nelson Type of registration: Number of places registered: care home 50 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 50 The registered person may provide the following category of service only: Care Home with Nursing - Code N To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following categories: Old Age, not falling within any other category, Code OP - maximum number of places 50 Date of last inspection Brief description of the care home Red Brick House is a purpose built care home that provides nursing and personal care for up to 50 older people. This includes 14 NHS/GP beds for rehabilitation/short stay care. The home is in a residential area of Prudhoe in Northumberland and is close to the local shopping area and other amenities. It is a three-storey building with a passenger Care Homes for Older People Page 4 of 26 Over 65 50 0 2 0 1 0 2 0 0 8 Brief description of the care home lift. Good size communal lounge and dining areas are available. There are 46 single bedrooms and 2 doubles. 31 bedrooms have en-suite facilities. Separate bathrooms, shower and toilets are provided. The home has a garden and conservatory, and car parking space at the front of the building. Fees for the home vary. Details are available from the home on request. Further information about the home can be found in the service users guide. This is available in the main entrance. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This is an overview of what the inspector found during the inspection. The quality rating for this service is two stars. This means the people who use this service experience good quality outcomes. We have reviewed our practice when making requirements. Some requirements from previous inspection reports may have been deleted or carried forward to this report as recommendations. This will only happen when it is considered that people who use the service are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. Before the visit we looked at information we received since the last visit to the home. This includes how the service dealt with any complaints, changes to how the home is run, the views of people who use the service and the managers views of how well they Care Homes for Older People Page 6 of 26 care for people. We sent questionnaires to people who use the service and some of the staff at the service. Seven completed staff questionnaires and 19 completed resident questionnaires were returned to us. An unannounced visit was made on 6th October 2009. During the visit we talked with people who use the service, some staff and the manager. We looked at information about people who use the service and other records which must be kept. We checked that staff had the knowledge, skills and training to meet the needs of the people they care for and we looked around the building to make sure it was clean, safe and comfortable. The service had a new manager who started the day before the inspection. Following the inspection feedback was given to the manager who has been at the service for the past year and the manager who is taking over from her. Care Homes for Older People Page 7 of 26 What the care home does well: What has improved since the last inspection? The management of the service has improved in the past year. The manager has established good systems of review and audit which have lead to improvements in all areas. There is now a clear sense of direction within the home. Care Homes for Older People Page 8 of 26 The most apparent improvement was within the staff team. The staff appear happy and relaxed. They recognise the improvements they have made to the care for residents. Staff told the inspector that they now thought they gave good care and were well supported to do so. Some redecoration of the building has taken place. This has resulted in an improvement in the appearance of the environment. Staff training has improved and is now mostly up to date. 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 9 of 26 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are properly assessed, taking account of their needs and wishes, so that they can be assured this is a suitable home and receive an individual care service. Evidence: Residents spoken to could not remember receiving information about the home before admission. In questionnaires residents said they did not have information or did not know if they had received information. The information about the home is available in the form of the service users guide. This should be redistributed to residents. Three pre-admission assessments were seen. They contained enough information to enable staff to assess if they could meet the individual needs of people before admission. Information from other health professionals and carers was included in the assessment. Care Homes for Older People Page 11 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive personal care that is well planned and takes account of their diverse needs. Evidence: Three care plans were examined and two were case tracked. This means that we spoke to the individual residents or observed their care then matched our observations to what was written in the care plan. Both case tracked care plans did reflect the actual care needed by the residents. Care plans took account of peoples diverse and differing needs. People were supported to achieve independence and meet individual goals. Other health professionals contributed to the planning of care. These contributions were clearly recorded. Two care plans were not signed by residents or relatives but notes were in place to state that relatives had been asked to review the care plan at their next visit. There were records indicating that communication with relatives took place regularly and people were fully informed when health care needs changed. The actual care people received appeared to be very good. We spoke to residents who Care Homes for Older People Page 12 of 26 Evidence: told us that they were well cared for. They said staff responded quickly if they rang the call bell and were attentive to their needs. We noted that everyone was well dressed and looked clean and cared for. We observed staff supporting residents to wash their hands and change clothes where needed. Staff were knowledgeable about individual needs. In questionnaires all 19 residents and seven staff felt that the individual care given was good. Medication ordering, administration, storage and disposal were examined. All medicines were accounted for and all those administered were signed for. Three amounts of controlled drug were checked and were correct. Not all of the controlled drugs could fit in the cupboard as it was very small. This makes stock checking more difficult and could lead to errors or misuse of the system. Medication was checked by staff weekly and by the manager monthly. Staff were seen to treat residents politely and respectfully. Residents told us that staff do try to protect their privacy when carrying out personal care tasks. We noted staff showed respect for residents privacy when entering their bedrooms. This included the domestic staff who spent some time chatting with residents and asked permission before coming in to clean rooms. Care Homes for Older People Page 13 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to lead a healthy and fulfilling personal lifestyle. This takes account of their wishes and diverse abilities. Evidence: There is a staff member in charge of activities. She supports residents to use a range of services within the local community. Residents are encouraged to be in control of their own lives as far as possible. There is a broad plan of activities which showed that residents are offered things such as bingo, music, crafts and card games. Two entertainers per month are arranged as well as two minibus outings per month. A PAT dog visits the home every week and themed nights are organised. The next themed night is Geordie Scran Night. A representative from Beamish museum visits regularly to bring articles from the past for discussion. All activities were advertised around the home and summarised in a monthly newsletter. The activities co-ordinator sees each resident every day for a chat as she fills in their menu preferences and tries to spend one day per week with people who are unable to join in group activities. Social history and life stories were in place for residents in care plans. The activities co-ordinator writes these, she explained that she finds this useful as she can then try to plan things to suit individuals. Daily records are also kept of each residents involvement in activities or social life. Care Homes for Older People Page 14 of 26 Evidence: Residents told us they could choose exactly how to spend their day. Residents could choose to spend all of their time in the rooms if they wished, including taking their meals there. Visitors are free to come and go as they please. The activities coordinator said she plans to involve some local groups to try to get visits for people who do not have many visitors. Residents also said they liked the food. We ate the food at the home. It was well presented. The food was hot enough and tasty. The standard of the cooking was good. The menus are devised to be nutritionally balanced using an electronic menu tool. Individual preferences can be catered for within this. Dining tables were attractively set as were trays for people eating in their own rooms. At coffee time some people were served a cup without a saucer and we noted that people were not offered biscuits with morning coffee. Residents did tell us that they got cakes and scones in the afternoon and that these were usually home baked. Care Homes for Older People Page 15 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are protected from harm through thorough policies, procedures and staff training. Evidence: Staff follow the homes policies and procedures relating to the management of complaints and allegations of abuse. Staff have received training in the protection of vulnerable adults. Residents are told how to complain through the complaints procedure. This was clearly visible within the home. Residents spoken to said they would complain if they needed to but none of them had any current complaints. We spoke to three residents who assured us that all small issues were dealt with immediately. Care Homes for Older People Page 16 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a safe comfortable home that is generally pleasant and clean but not properly maintained. Evidence: The home was generally clean and free from odours. The furniture and general decor provides residents with a comfortable homely environment. Some redecoration has taken place but more needs to be done to upgrade bedroom carpets, furniture, linen and curtains. Some bedrooms were very nice, they were well personalised, had bright matching linen and had been redecorated. Other bedrooms still had the original carpet and curtains from when the home was opened. Although clean, the curtains and bedlinen were faded and carpets had marks on them that could not be removed. Some carpets were starting to fray at the edges. One resident told us she was embarrassed by her bedroom carpet. The domestic staff told us that they regularly wash the carpet in the residents room but were unable to remove discoloured areas. Some chairs that residents sit on in their bedrooms were older, the arms were faded or worn and some of the cushions were no longer supportive. Bathrooms and toilets also need to be refurbished. They have been repaired over the years and are constantly being repainted by the handyman. Better bathing facilities have been provided since the last inspection but the appearance of the bathrooms Care Homes for Older People Page 17 of 26 Evidence: detracts from this. Residents told us that the home was warm enough, clean enough and comfortable. When we spoke to domestic staff we were impressed by their commitment to keeping the home looking as well as they could. The laundry was not clean enough. It has not been redecorated since the last inspection. The laundry walls and floor should be impermeable and staff should be able to wash them down in the case of an outbreak of infectious disease. This could not be done as there were holes in the walls, flaking paint and rough areas. This was required at the last inspection. As it has not been met enforcement action could be taken. However, the manager stated that this redecoration was planned for the week following the inspection. We have therefore repeated the requirement with a new timescale. The laundry is fitted with machines that cope with soiled and infected linen to control the risk of infection. Care Homes for Older People Page 18 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service are supported and protected through staff numbers, skill and ability. Evidence: The home was adequately staffed on the day of inspection and enough staff were scheduled to be on duty in the near future. The staffing was: Two nurses at all times. Eight care staff in the morning. Six care staff in the evening. Three care staff at night. Records confirmed that over 50 of staff had achieved NVQ level 2. Staff were up to date with essential training though some staff had still to be trained in infection control. This is because both infection control training and adult protection training take twelve weeks to complete. Adult protection training had been given as a priority, this will be followed by infection control. Staff spoken to confirmed that they had received the stated training. There is a training matrix which is used to keep track of updates. Staff also have an individual training file. We checked four training files against the training matrix and confirmed that it was correct. Four staff recruitment files were examined. These were for one new carer, one nurse and two long term employed staff. All contained good information. Thorough Care Homes for Older People Page 19 of 26 Evidence: background checks had been carried out before employment. Residents were protected through checking of criminal records information for all employees. Residents spoke highly of staff. They told us that staff were kind and caring, particularly the nurses and deputy manager. This would indicate that all procedures used to screen and train staff have been effective. Care Homes for Older People Page 20 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using this service are protected through reflective management taking account of the diverse needs of the service. Evidence: The manager for the home has been offered another role within the organisation. She has managed the home for the past year and made a lot of improvements since the last inspection. There are now some very good areas of practice and the atmosphere in the home is much improved. A new manager is in post. At the time of the inspection she had only been at the home for one day. The previous manager was also at the inspection to support her. The new manager has not yet been assessed by CQC as fit to manage, this process will be expected to take place within a few months. Residents told us that the home seems to run well. Staff appeared to be able to communicate well with each other and worked as a team. Systems are in place for communicating between the staff teams and assessing the quality of the care given. Residents and their relatives are given the opportunity to meet on a monthly basis. Care Homes for Older People Page 21 of 26 Evidence: Servicing and maintenance agreements are in place for facilities and equipment. Risks in the environment and tasks, including safe working practices are assessed and reviewed. All fire safety checks, tests and instructions to staff are conducted at the required frequency and recorded. There were no obvious trip hazards in the home. Fire exits were clear of obstruction and all hazardous fluids locked away. The laundry staff reported that the laundry press was causing a hazard to them. The cover was missing resulting in clothes getting snagged in the machine. Whilst trying to release these they were sustaining burns on their fingers. This should be addressed immediately. Residents personal monies are managed, where needed, by the home. The money is held in a central account and electronic records are kept of transactions. Receipts are also kept for all areas of expenditure. Monies are checked regularly by the administrator and manager then randomly by the providers regional administrator. As the money is held in one account we were unable to check individual amounts. Care Homes for Older People Page 22 of 26 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 26 13 Ensure all laundry facilities are in good working order and that the laundry is kept clean. Steps are taken to prevent the spread of infection within the home. 01/12/2009 Care Homes for Older People Page 23 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 9 13 Ensure all controlled drugs are stored in a cupboard that complies with the controlled drug storage regulations. Regulation 13(2) requires you to ensure the safekeeping of medications received into the home. 01/12/2009 2 19 23 Replace carpets, curtains and bed linen in identified bedrooms. Replace old armchairs. Redecorate identified bedrooms. Refurbish bathrooms and toilets with new wallcoverings and flooring. Regulation 23(2) requires the premises to be kept in a good state of decoration and repair for residents. 01/01/2010 Care Homes for Older People Page 24 of 26 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 3 26 13 Repair and repaint the laundry walls. Ensure this area is kept clean at all times. Regulation 13(3) requires the home to make suitable arrangements to prevent the spread of infection. 01/12/2009 4 38 23 Repair the laundry press. Regulation 23(2)(c) requires that all equipment used by people who work at the home is maintained in good working order. 01/12/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 2 3 1 30 31 Provide all prospective residents with information about the home before they are admitted. Train staff in infection control. The manager should seek registration with CQC. Care Homes for Older People Page 25 of 26 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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