Care Home: Station Road (1)

Similar services:

• Coopers Mill Ltd
• Bramley Avenue (73)
• Paradise Lodge
• Grangewood
• Upaya Ananda
• Newton Court (1-2)
• Kings Lane (32)
• Pemdale

What the care home does well The Annual Quality Assurance Assessment (AQAA) states: "What our service does well is to support all the individuals through all aspects of their life to the highest possible standard and show them dignity and respect. The staff listen to the individuals and work with them to try and fulfil what they would like to do on a daily basis. The staff promote and encourage as much independence and involvement as possible with the individuals." Most of the people who live in the home have lived there for many years, and some have been there since the home first opened. For them it is truly their home, and the staff assist them to make choices about their daily lives. The staff have a good relationship with the residents, and provide a good quality of personal care for those who need it. One person who completed survey for the inspection said that what the home does well is, "Everything." Another person said, "I am happy here at this home." One of the staff surveys included the comment, "I wouldn`t mind living here myself." What has improved since the last inspection? The registered manager was dismissed following a safeguarding investigation. The manager of another Macintyre service is acting as manager of the home until a new manager is employed, and she spends two to three days in the home. The acting manager has made several changes, including bringing care plans and risk assessments up to date. The care plans and reviews showed that the staff have good information on each person`s healthcare needs, and that they are proactive in ensuring that people maintain good health. What the care home could do better: In the AQAA the manager acknowledged the need to continue to develop the new person centred care plans, and to review and update them. This process has already started, and it is planned to be completed by the end of September. We found one concern that needs to be addressed, that appropriate actions may not be taken when someone is losing weight unexpectedly. The Statement of Purpose and Service Users` Guide were not available when we visited the home, and were not sent to us following the inspection. These need to be available to provide information about the home for people who may consider moving in. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Station Road (1) 1 Station Road Wheathampstead Hertfordshire AL4 8BU     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Claire Farrier     Date: 2 8 0 8 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Station Road (1) 1 Station Road Wheathampstead Hertfordshire AL4 8BU 01582833957 01582833969 mark.hooper@macintyrecharity.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Macintyre Care Type of registration: Number of places registered: care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is 6 The registered person may provide the following categories of service only: Care Home only - Code PC, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following categories: Learning Disability - Code LD Date of last inspection Brief description of the care home 1 Station Road is a care home providing personal care and accommodation for six people with a learning disability, who may also be aged over 65. It is owned by Macintyre Care, which is a voluntary organisation. 6 Over 65 0 Care Homes for Older People Page 4 of 26 Brief description of the care home Station Road is a two storey, Victorian house, standing in large grounds in the village of Wheathampstead, close to local shops and amenities. The accommodation comprises six single bedrooms, one of which is ensuite, dining room, lounge, large kitchen, utility room, two bathrooms plus a shower room. The first floor is served by a passenger lift. The home has a riverside garden with seating area and has car parking to the rear. For further information and up to date fees, please contact the manager direct. Information regarding the service is available in the Statement of Purpose & Service Users Guide. A copy of the CQC inspection report will be available from the manager. 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: The last inspection on this service was completed on 28th August 2007. On 15th September 2008 we carried out an annual serviced review (ASR). We looked at all the information that we had received about the home, and our judgement was that the home was still providing a good service and that they knew what further improvements they needed to make. On this occasion we spent one afternoon at 1 Station Road, and the people who live there and work there did not know that we were coming. The focus of the inspection was to assess all the key standards. Some additional standards were also assessed. Two people completed Have Your Say surveys before the inspection. Three members of staff also completed Have Your Say surveys, and we have used the information from these in this report. During our visit to the home we talked to all the people who live in Care Homes for Older People Page 6 of 26 the home. Several members of staff also gave their views about the home, and some time was also spent looking at records, care plans and staff files. We talked to the acting manager about what we had seen during our visit. The manager sent some information (the Annual Quality Assurance Assessment, or AQAA) about the home to CQC before the inspection, and her assessment of what the service does in each area. Evidence from the AQAA has been included in this report. 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 set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 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 9 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has sufficient information on the needs of the people who live in the home, and access to appropriate services to enable their needs to be met. But there is a lack of information about the home for people who may be considering moving in. Evidence: Six people live in the home, and no one has moved into the home for over two years. As no one has moved in recently, during this inspection we did not see any assessments that were carried out before people came to the home. However we saw a re-assessment that was carried out for one person, and this contained all the information about their needs, so that a decision could be made on whether the home can still meet their needs. Previous reports have shown that there was a satisfactory assessment process when new people did move into the home. The Service Users Guide and Statement of Purpose were not available during our visit to the home, and have not been sent to the Commission as requested following the Care Homes for Older People Page 10 of 26 Evidence: inspection. We have now not seen these documents during our inspections for the last four years. Both the Service Users Guide and the Statement of Purpose need to be available to provide information about the home for people who may consider moving in. The Statement of Purpose should set out the aims and objectives of the home, including who the service is provided for, and any needs that the service cannot meet. The staff who we spoke to and the surveys that we received from staff all said that they have sufficient information and training to enable them to meet the needs of the people who live in the home. The Annual Quality Assurance Assessment (AQAA) stated, What we do well is to listen to the individuals in the service to ensure they remain the centre of the support we offer them and support them to meet their goals and activities. We communicate with individuals in a way that is specific to them. 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. The people who live in the home are confident that they will receive a good quality of personal care and healthcare. Evidence: The Annual Quality Assurance Assessment (AQAA) stated that what the service does well is, The personal care given to the individuals in the service. Time to each individual. The assessment of changes needed to support any individual within the service. We communicate with individuals in a way that is specific to them. Health Action plans and appointments. Good relationship with local professionals. During the inspection we saw evidence that mostly confirmed this self assessment. The staff who we spoke to said that the care plans provide them with good information on each persons needs, so that they are able to provide a good quality of care in the way that each person wishes. We looked at the care plans for two people, and we used these to track the care and support that they receive. The care plans contain good details of each persons personal care and health care needs. They were written in a person centred format that provides clearly written details of each persons needs Care Homes for Older People Page 12 of 26 Evidence: and the procedures for supporting them. Each person has a My Health booklet in an easy read, pictorial format. This describes their health care needs, and how each person wishes to be supported to meet these needs. The AQAA stated that all the residents have specialist communication needs, and My health shows how each person communicates and indicates, for example, when they are happy, unhappy, in pain. However the care plans and My Health booklets had been updated since they were written. There were current reviews for each person in their files. These are written in a person centred format and both give a very clear picture of current situation. But the care plans have not been reviewed and updated to provide information on each persons current needs and wishes. This is a work in progress, and we saw a new updated care plan for one person that is currently being completed. This includes information on how the person likes to do things, and their aims and objectives. The new format also includes a bereavement plan for each person, with their wishes for who to liaise with at the end of their life, and a discussion of funeral plans. The acting manager said that they aim to complete all the care plans within the next month. The care plans and reviews showed that the staff have good information on each persons healthcare needs, and that in most instances they are proactive in ensuring that people maintain good health. Referrals have been made where appropriate for professional assessments, such as psychiatrist and occupational therapist. One person has recently been admitted to the CSU (Community Support Unit) for a further assessment. The anticoagulant nurse visits regularly to monitor one persons Warfarin therapy. Both the staff who we spoke to were very aware of the risks associated with taking Warfarin, and when the person concerned fell recently they called the anticoagulant nurse for advice. The only concern we have about healthcare is that appropriate actions may not be taken when someone is losing weight unexpectedly. The AQAA indicated that nutritional screening is not carried out to assess people at risk of malnutrition. The monthly weight record for one person showed a large weight loss of 4.9 kg in one month, but there was no indication on the weight record or in the day book that the weight loss had been noted and appropriate actions taken. The weight record showed that the person was not weighed again for three months, and that they had then regained 4.8 kg. This may indicate that the weight was not recorded properly in the first instance. But it should have been noted, the weight remeasured, and professional advice sought in case the weight loss indicated a health concern. The home has good procedures for the administration and recording of medication. Medication is provided in the individual blister packs, to ensure that the correct dosage Care Homes for Older People Page 13 of 26 Evidence: is given each time. We checked the medication records of the two people whose care we were tracking. The MAR (medication administration record) charts are colour coded for the morning and evening medication to match the colours of the blister packs. Warfarin is in the original packaging, as the dosage may vary. This is recorded in the anticoagulant record book, which the anticoagulant nurse monitors and checks when they visit. A weekly audit is carried out to make sure that the medication has been administered properly, and that the stocks of medication reconcile with the records. One person had eye drops recently that needed to be refrigerated. These were stored in labelled tupperware box in the homes fridge. Appropriate storage is available for controlled drugs, if these should be required, and the staff who we spoke to were aware of the procedures for recording and administering these. There is a risk assessment check list in each care plan file, to indicate when a full risk assessment should be in place. The risk assessments are filed separately in the homes office. Each persons check list has many possible risks checked, but many of these are general safety issues in the home that are not necessarily relevant for each person, for example, personal hygiene, diet, cooking, using public transport. Risk assessments that may be needed to support each person to manage any risks so that they can take part in their choice of activities, for example for making hot drinks and for exploitation, are not personalised for each person. The risk assessments are currently being reviewed and updated to ensure that they are relevant for each individual. Care Homes for Older People Page 14 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live in the home are supported to live full and active lifestyles. Evidence: Everyone is supported to take part in their choice of activities in the home and in the community. The Annual Quality Assurance Assessment (AQAA) stated that many more activities are taking place on a daily basis with individuals. One person who completed a survey said that that they would like to go to the pubs more often as they like to eat out. The home has a good relationship with the local community in Wheathamstead, especially with the local Church. Most of the residents attend a day centre for two or three days a week, and one goes to a local club once a week. Holidays are organised individually for one or two people, and everyone is involved in planning their holidays. Two people told us about their holidays and showed us their photographs. One had a trip on Eurostar to Euro Disney in Paris. Two people went to Cornwall, and one of them also talked about previous trips to Butlins and to Spain. Another two people had a holiday together in Weston Super Mare. Two or three staff accompanied them to provide the support that they needed on these holidays. Each person has regular meetings with their link worker when they discuss the things that they would like to do, and any concerns that they may have. One person is Care Homes for Older People Page 15 of 26 Evidence: supported to carry out the regular health and safety monitoring in the home, including testing water temperatures and checking that fire alarms and equipment are in order. Others help in the home with laying and clearing the table. The menus looked varied and nutritious, and they reflect each persons individual choices. The menu is drawn up each week with the involvement of the people in the home using pictures of meals to help them to choose, and there is a choice of meals each mealtime. The staff who are on duty eat with the residents, so that there is a relaxed and social atmosphere at meal times. Care Homes for Older People Page 16 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. The people who live in the home are confident that their concerns are listened to, and that they are safeguarded from the risks of abuse. Evidence: The people who live in the home are encouraged to make their concerns and complaints known. The record of complaints shows that in the last year people have made nine complaints, mostly about the disruptive behaviour of another person. The staff have supported the people with their concerns, and the person concerned has been referred for reassessment (See Health and Personal Care). The home has appropriate procedures for safeguarding vulnerable people and whistle blowing. All the staff have had training in the prevention of abuse, and the training includes the responsibility for whistle blowing and for reporting any concerns to the manager of the service. There have been two safeguarding investigations as a result of whistle blowing. The result of one was that the allegation was unfounded, but the other investigation resulted in the dismissal of the manager of the home (see Management and Administration). Care Homes for Older People Page 17 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well maintained and provides a safe and comfortable environment for the people who live there. Evidence: 1 Station Road is a two storey Victorian house, standing in large grounds in the village of Wheathamstead. It is furnished and decorated in a domestic styles that produces a homely, comfortable environment and that allows the residents to relax and feel very much at home. Each person has their own room, arranged and decorated to reflect their particular interests and tastes. The lounge, dining room and kitchen are domestic in style and are comfortably furnished and well equipped. The home appeared to be clean and generally well maintained. The staff follow appropriate procedures to maintain hygiene and prevent the risk of infection. The information in Annual Quality Assurance Assessment (AQAA) indicated that no one is incontinent. But the staff reported that there are sometimes incidents of incontinence. The washing machine does not have a sluice cycle. The home should consider the use of red alginate bags to minimise the handling of soiled laundry. 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. The people who live in the home are supported by a stable staff team who have the experience and training to understand and meet their needs. Evidence: The number of support staff has reduced from three on each shift to two, as it was considered that there is not a high need for one to one staffing since one person was admitted to the Community Support Unit (CSU) (See Health and Personal Care). At night there is one support worker awake in the home, and one sleeps in in case they are needed to assist as one person needs two people to support them is they wake up. The home has a stable staff team. The Annual Quality Assurance Assessment (AQAA) sated that in the last 12 months there has been more consistency in the team with regular staff. In the last 3 months almost 20 of the shifts have been covered by regular agency staff. However three new staff have recently been appointed, which will bring the staff team to its full complement. Staff records are kept at MacIntyre headquarters, and we did not not see them during the inspection. The acting manager described the recruitment process, which includes checking the employment history, a CRB (Criminal Record Bureau) disclosure, and references. the reference with the last employer is followed up by phone. This procedure ensures that people who work in the home are fit to work with and safeguard vulnerable people Care Homes for Older People Page 19 of 26 Evidence: MacIntyre provides a good training programme that covers all the mandatory health and safety training. The induction training for new staff is designed for their work with people with learning disabilities. The training is by elearning. Staff are given a password to access courses they are registered for. The computer logs the time taken, and the person taking the course cannot progress unless the coursework competed correctly. This process shows that staff understand the content of the training, but there is no interaction with others to aid their learning. Training that has practical element, such as moving and handling, and administration of medication, is completed by practical examples and observation. Additional training to meet specific needs can be arranged, and there is currently a request for SCIP (physical intervention technique) training to enable the staff to manage some behaviours effectively. All the support workers either have a NVQ qualification or are waiting to start, and they are encouraged to take a higher qualification when they complete NVQ at level 2. 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. The views of the residents and other involved people are actively sought in order to ensure that a good quality of care is provided. Evidence: The registered manager of the home was dismissed following a safeguarding investigation (see Complaints and Protection). The manager of another Macintyre service is acting as manager of the home until a new manager is employed, and she spends two to three days in the home. The staff who we spoke to said that the acting manager is supportive, and they have regular supervision when they can discuss training needs and any concerns they may have. The acting manager has made several changes, including bringing care plans and risk assessments up to date (See Individual Needs and Choices). Macintyre has a robust system for quality assurance, including an annual audit of the service and regular monitoring visits to the home. These visits include consultation with the people who live in the home, and any issues that are raised are addressed by Care Homes for Older People Page 21 of 26 Evidence: an action plan. The quality assurance process includes an annual development plan for the service. The last development plan recommended that a new boiler was needed. The arrangements for management of residents money ensure that their financial affairs are safeguarded. Money is stored safely and adequate records are maintained in order to protect service users from financial abuse. The home maintains appropriate records for the health and safety of the residents and staff in the home, and staff follow the homes policies and procedures. All the staff have training in moving and handling, fire safety, food hygiene and infection control as part of their induction. Regular fire drills take place in the home, and the home has a comprehensive fire risk assessment that includes good details of each persons needs in case of emergency. Care Homes for Older People Page 22 of 26 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 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 1 6 The Statement of Purpose and Service Users Guide must be made available for the people who live in the home and for prospective residents. 28/11/2009 People who plan to move into the home need accurate information so that they are able to make an informed choice about using the services. 2 8 12 Measures must be put in 28/10/2009 place to ensure that the weight of residents is recorded accurately. Appropriate actions must be taken following a recording of abnormal weight change, and the actions and results must be recorded in the care plan. An abnormal weight loss may indicate poor nutrition 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 or other health concerns, for which professional advice is needed. 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 26 It is recommended that the home should consider the use of red alginate bags to minimise the handling of soiled laundry, in accordance with Department of Health guidance on infection control. Care Homes for Older People Page 25 of 26 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - 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!