Care Home: St Teresa`s Home for the Elderly

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What the care home does well St Teresa`s Home for the Elderly provides an appropriate, well maintained, comfortable and safe environment which is kept clean and fresh for the people who live there. Comments from people who use the service included `I`m happy here`, `my relatives chose the home for me and it was the right choice`, `the food is good`, `I like my room`, `I attend mass every day` and `the staff are kind and helpful`. Visitors told us they feel welcome, are kept up to date and staff provide the care and support their relative needs. Assessments are completed before someone moves in which are developed into a care plan. Care plans are kept under review and people who use the service or their relatives are involved in the care planning process. The care, support and recording of peoples wishes regarding end of life care is very good and the home is working well towards accreditation with the Gold Standards Framework for End of Life Care. Staff are responsive to peoples needs and we saw some good interactions with staff respecting peoples privacy and dignity and showing detailed knowledge of individual and relatives or friends who are important to them. Staff told us they have enough information to meet the needs of the people who use the service and said they have appropriate training and support to do their job. The home has a high staff retention. The management team work well together to improve the quality of care and support provided. What has improved since the last inspection? We saw that a Criminal Records Bureau check has been completed before new staff start work at the home. This was a requirement at the last inspection in October 2007. The manager and staff have worked with people who use the service and their relatives to develop `treasured memories` boxes which include pictures, photographs, newpaper cuttings and articles to help people remember important events and things in their lives. The Chapel and lounge have been redecorated, new tables and chairs, tablecloths and placemats have been purchased for the dining room, new chairs have been bought for the Chapel and some new comfortable chairs have been bought for the lounge. Relatives sign a receipt when they leave money at the home for people who use the service, giving a clear audit trail of moneys received at the home. The menu for the evening meal has been reviewed and changed taking into account the comments from people who use the service and their requests for egg, beans and cheese on toast. What the care home could do better: The service should continue to seek ways to maintain and improve the quality of the serivces provided. Volunteers who provide support to individuals should have a Criminal Records Bureau check. Key inspection report Care homes for older people Name: Address: St Teresa`s Home for the Elderly 12 Lansdowne Road Wimbledon London SW20 8AN     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Emma Dove     Date: 2 0 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 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: St Teresa`s Home for the Elderly 12 Lansdowne Road Wimbledon London SW20 8AN 02088797366 02088791070 Patriciaheller@btinternet.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: The Congregation of the Sisters of St Ann care home 28 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: 28 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 Date of last inspection Brief description of the care home St Teresas Home for the Elderly provides nursing and residential care for up to 28 people. Twenty-five people are currently living there. Accommodation is provided over three floors that are served by a passenger lift and stair lifts. The ground floor has a lounge, separate dining room, activities room, an assisted bathroom and some bedrooms. On the first floor is a second lounge, more assisted bathrooms and toilets with more bedrooms and the top floor has remaining bedrooms with an assisted bathroom and a separate toilet. Care Homes for Older People Page 4 of 27 Over 65 28 0 Brief description of the care home The home is run by the Congregation of the Sisters of St Anne and is located in a residential area of Wimbledon. The current range of weekly fees are from £666 for residential care, up to £850 for nursing care. A full list of current fees is available from St Teresas. Information about the Commission and a copy of the most recent inspection report are available at the home. 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: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This unannounced inspection was carried out over nine hours on the 20th October 2009, by one regulation inspector who was accompanied by an Expert by Experience for three hours. We looked at records, spoke with people who use the service and their visitors, the registered manager, the registered person and staff. An Expert by Experience is a person, who because of their shared experience of using services and ways of communicating, visits a service with an inspector to help them get a picture of what it is like to live there, they write a report which is incorporated into this report. The manager completed an Annual Quality Assurance Assessment (AQAA), which provided good information that has been included in this report. We looked at other information received from the service since the last inspection in October 2007. 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: The service should continue to seek ways to maintain and improve the quality of the serivces provided. Volunteers who provide support to individuals should have a Care Homes for Older People Page 8 of 27 Criminal Records Bureau check. 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 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. The service understands the importance of having sufficient information when choosing a care home. It has developed clear information to help people understand the services provided, facilities available and what to expect while they live there. An holistic assessment is completed before someone moves in, ensuring the home is able to meet the individuals needs. Evidence: The manager told us that they have a Statement of Purpose and Service Users Guide to give people information, to help them decide if the home is appropriate to meet their needs. They plan to update these documents. People who use the service and their relatives or representatives confirmed that they had visited and been given enough information to help them make the decision to move in. We saw detailed assessments in case files, completed before the person moved in. Care Homes for Older People Page 11 of 27 Evidence: The manager told us that they offer people a months trial period, after which the person, their relatives or representatives and the home agree that the service is appropriate and the placement continues. 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 excellent 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 receive personal healthcare and support using a person centred approach, maintaining their privacy and dignity. Personal healthcare needs are recorded in care plans which are kept under review. People who use the service have access to appropriate healthcare professionals. Risk assessments should be more accessible to all staff. Medication is well managed with records up to date and signed. The service is very good at caring for people who are terminally ill and dying. Individuals wishes are discussed in a sensitive and open manner and records ensure these wishes are known and met by staff. Evidence: The manager told us that all people have a care plan, developed from the initial assessment. We saw care plans in place, which are kept up to date and reviewed by staff and the person who uses the service or their representative. People who use the service and relatives confirmed that they meet with staff and keep care plans up to date and any changes in the individuals needs are met. We looked at the care plan for one person who is new to the service, this included a Care Homes for Older People Page 13 of 27 Evidence: detailed assessment which was being developed into a care plan, taking the individuals needs and wishes into account. We saw one care to be very brief and not include all the needs identified in the assessment. This was discussed with staff and the care plan was being updated and all areas of need had a separate care plan. The care plan for one person did not reflect recent changes in need, although staff were very aware of the individuals current needs and how they should be met. Care plans contain information about the individuals life history including their occupation and hobbies, current medication and any health needs, their religion and any support they need to continue to follow their beliefs. People told us they are getting the care and support they need. We saw people who use the service to be well dressed with their hair nicely done. Good records are kept of wounds and how they are being treated. The home continues to have good links with the tissue viability nurse, who visits and advises on treatment plans which we saw being followed by nurses. We didnt see risk assessments in care plans, staff told us they are kept in a separate folder. It would be easier for staff if risk assessments are kept in case files and incorporated into care planning. Medication is appropriately stored and labelled with records up to date and signed by staff. One as required medication could have more detail about when it should be given, to ensure nurses have this information on the medication administration record sheet. The manager told us they are working towards accreditation with the Gold Standards Framework for End of Life Care. This is an area the home has always managed very well for the people who use the service and their relatives and friends. We saw very good, clear records of the needs of an individual coming towards the end of their life, with details of what nursing and care staff need to do to keep the individual comfortable and free from pain. The GP had visited and discontinued any unnecessary medications. Staff were clear about what they needed to do to meet the individuals needs and the needs of their relatives. 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 excellent 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 able to enjoy a full lifestyle, with a variety of options to choose from. The views of the people who use the service are sought to plan activities and outings. Visitors are made welcome. Meals are balanced and cater for religious and medical dietary needs. Evidence: The manager told us they provide a range of activities for people who use the service and that visitors are welcome. We saw people watching television, listening to music, joining in with a quiz, talking with staff, attending Mass and spending time with visitors during our visit. People who use the service said they can choose to join in with planned activities and outings. One person said they really enjoy the quiz. Another person said they had enjoyed the visit from a musician the previous day and that this was a regular event. One person told us they had enjoyed a lovely day at Morden Hall. Staff said that in addition to these activities, they have a pianist, there is a regular art session and someone visits to do massage sessions for individuals. The manager told us they have worked with people who use the service and their relatives or representatives and are developing a treasured memories box with photographs, pictures and other articles to help with reminiscence, to keep memories Care Homes for Older People Page 15 of 27 Evidence: live and will ensure all staff have information about individuals history. This is good and will help staff continue to meet peoples social needs. There is a Friends Group, made up of volunteers who visit the home, help with outings, attend medical appointments and put on a number of fund raising events during the year, including a garden party and a Christmas Fair. The home has links with local schools in the community and has recently provided a work experience place for one pupil. Visitors confirmed that they are made welcome, offered drinks, given an update on their relative or friend and are able to visit in the lounge, activities room, the persons room and during the summer months they spend time in the garden. We saw mealtimes to be a pleasant, social and unhurried occassion, tables are laid with tablecloths, placemats, napkins and salt and pepper. People have a choice of main course including a vegetarian option, both meals can be pureed if individuals need, to meet their medical needs. There is a sweet trolley with a choice of three or four desserts after the main meal at lunchtime. People told us they can have fruit or yoghurts for pudding if they wish. The evening meal is a lighter meal consisting of soup and sandwiches or toast and sausage rolls or something similar. There is a choice of fruit squash or water with meals and tea or coffee is served after meals. Staff told us they ask people one day their meal preference for the following day. People who use the service confirmed they choose their meal. Comments from people who use the service included the food is always good, its usually this good, I enjoyed lunch, we get a choice of main course and you saw the sweet trolley, what a choice. We saw some people wearing bibs this practice was discussed with staff who said the people who use these choose to. People confirmed that this is their choice. We saw staff provide discreet and appropriate support to people with eating. 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. The home has an open culture that allows the people who use the service and their representatives to express their views and concerns in an understanding environment. People who use the service and their relatives are aware of how to make a complaint and feel that the service responds and addresses any issues. The complaints procedure is accessible to the people who use the service and any visitors to the home. The service has a policy for safeguarding adults and staff complete training and are aware of their responsibilities. Evidence: The manager told us that new staff are informed of the complaints policy and how to respond to complaints as a part of their induction. Staff confirmed that they know how to deal with concerns and complaints. People who use the service and visitors we spoke with confirmed that they know who to speak with and how to make a complaint. The manager told us they have not recieved any complaints since the last inspection. The Commission has not received any concerns or complaints in the last year. Staff complete training in safeguarding adults as a part of their induction and complete training sessions to keep them up to date with changes. The service holds some money for some people who use the service and appropriate Care Homes for Older People Page 17 of 27 Evidence: records are kept. 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. The home has been developed over the years and provides an appropriate environment for the people who live there. It is well maintained and has the necessary specialist aids and adaptations to meet peoples needs. There are three communal areas where people can watch television, join in with activities, listen to music and meet with visitors. There are eighteen single and five shared bedrooms, all have a wash hand basin and some have ensuite facilities. There are sufficient bathrooms and toilets for the number of people who use the service. All areas of the home were clean and fresh. Evidence: The manager told us they keep the building to a good standard and have beautiful gardens for people to sit in during the summer months and look out across during the autumn and winter months. We saw some areas of the home have been redecorated, including the front lounge and Chapel. One bedroom was being redecorated and the manager said they have an ongoing redecoration schedule to ensure all bedrooms are kept in good decorative order. New tables, chairs, table cloths and placemats have been purchased for the dining room, making the room brighter and improving the environment for the people who live there. Six new comfortable chairs have been bought for the lounge and the chairs in the Chapel have been replaced. People have access to a lounge, Chapel, dining room and activities room on the Care Homes for Older People Page 19 of 27 Evidence: ground floor with a second lounge on the first floor. The lounges have comfortable chairs, some with foot rests to enable people to have their legs up when required. We saw all the bedrooms to be attractive and well-cared-for, with pictures, books, many photographs and personal effects. Many of the rooms had some furniture brought by the individual. There is a photograph of the person as well as their name on the bedroom door. All the beds are new. There were a number with raised sides and/or ripple mattresses (from the control box on the end). Some bedrooms have ensuite facilities and the rest had a wash-hand basin. There were call bells in each room with an indicator board in the nurses station on each floor. The rooms were of varying sizes and all had large windows. There were three floors with a lift to the top floor but there were a further few steps for which there was a stair lift. There was also a stair lift up one of the two flights of stairs which we were told was put in after a period when the lift was out of action. There are sufficient toilets on all floors and there was one accessible bath with different hoists, one for standing to help people get in and out of the bath. There was a further bath with an adjustable seat, again to help people get in and out. There are other baths in a bathroom and in some bedrooms. We were told that all people need support with bathing and none are able to bath on their own. We saw all areas of the home to be clean and fresh. People who use the service and visitors told us that the home is always clean. 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. People who use the service have confidence in the staff who care for them. There are enough staff to meet peoples needs. Staff recruitment is generally in line with regulations and protects the people who use the service from harm. Evidence: There are two nurses on duty during the day, with four care assistants in the morning and three care assistants in the afternoon. At night there is one nurse and two care assistants at the home. We saw these staffing levels to be sufficient to meet the needs of the people who live there. People who use the service said staff come when they call and they have all their needs met. Visitors told us they see enough staff and feel confident that their relatives needs are being met. We saw some good interactions between staff and people who use the service, with staff offering appropriate support and having a good knowledge of the individuals needs. Peoples comments about staff included staff help, staff listen, staff are kind, shes nice, we feel confident that they are giving the right care and support and they help me when I need it. We looked at a sample of three staff files, all contained a copy of a Criminal Records Bureau check, two written references and an application form, two with full employment histories. The administrator said they will get a full employment history Care Homes for Older People Page 21 of 27 Evidence: or reasons for any gaps in employment from the other member of staff. The manager told us they offer a wide range of training courses to ensure nurses and care staff are up to date with new practice and are fully able to do their job and provide appropriate care and support. Staff confirmed that they have access to appropriate training to help them do their work. Staff told us they feel supported and receive regular supervision. 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 manager has the required skills and experience to run the home and has a clear understanding of the key principles and focus of the service. The annual quality assurance assessment included relevant information and is supported by evidence about how the home is meeting peoples needs. Quality assurance systems are in place to seek the opinions of the people who use the service and their representatives about the quality of care and support provided. People also have the opportunity to give ideas and suggestions for improvements to the service. Health and safety is well managed. Evidence: The manager has been at the home as both manager and deputy and is very aware of the needs of the people who use the service and has experience of managing staff. The manager is a registered nurse and has completed NVQ to level 4. The manager told us that she has completed training in the Depravation of Liberties Safeguarding with the local authority and is aware of her responsibilities. She Care Homes for Older People Page 23 of 27 Evidence: confirmed that she knows the contact person in the local authority should they have any issues, concerns or have any occassion where they need to deprive someone of their liberties. We saw the responses in surveys completed by people who use the service and their relatives or representatives in 2008 to be positive about the food, activities and staff, the only areas which had a satisfactory comment were around GP and chiropody services, neither of which are provided by the home. The manager and staff confirmed that they have a good GP who usually responds promptly and that the chiropodist attends although not as often as some people who use the service would like. People who use the service and their visitors told us that they feel listened to and if they have any comments or suggestions they have opportunities to speak to the manager, registered person and attend resident meetings. Appropriate polices and procedures to manage health and safety are in place. We saw records of health and safety checks to be up to date and in good order. 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 1 Consideration should be given to asking people who use the service and their relatives to develop some information to be included in the Service Users Guide, to help people decide if the home is right for them. Consideration should be given to keeping risk assessments with care plans, to ensure staff have easy access to this information and that it is available for inspection. 2 7 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. 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