Care Home: Stones Place

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What the care home does well People said that they were happy living at the home. They told us that they liked their accommodation and the home provided a pleasant, clean and homely environment for them to live in. Care is provided by a stable staff team who are knowledgeable about the residents they support and interact with residents in a very positive manner. People told us that the staff respected their wishes and made every effort to meet their needs. One person said, `the staff are wonderful`. Another commented, `very nice and helpful, whatever you ask for you get it`. Residents said that they also enjoyed the varied programme of activities provided by the activities coordinator. The home`s training programme offers staff a variety of courses including the opportunity to complete an N.V.Q. (National Vocational Qualification) in care. What has improved since the last inspection? The redecoration and refurbishment programme has included the redecoration of corridors, new furniture and a carpet being purchased for the lounge as well as some bedrooms and bathing facilities being upgraded. The activities programme has improved so that people have access to a varied programme of stimulation, both in the home and in the local community. The Company have produced additional guidance for staff which includes supporting people with things like urinary tract infections and fractures. They have also provided training for staff about the Mental Capacity Act, which is new legislation designed to protect peoples rights and choices. What the care home could do better: There must be a system in place to make sure that staff receive regular structured supervision and appraisal. This will help to make certain that staff are adequately supported in carrying out their work. Other areas that would benefit from some attention included the following. Care plans should be developed further so that they include more information about how people prefer their care to be delivered and their abilities. This will help staff to understand how to meet peoples individual needs. Care plans should also contain information about recent legislation that is designed to protect people`s rights and choices. This is so the home can show that they have looked at the effects the legislation has on the resident`s lives and planned their care accordingly. The number of staff on duty should be assessed using the dependency levels of the people currently living at the home and the home`s layout . This will enable the manager to demonstrate that that there are sufficient staff are on duty at all times to meet peoples needs. Staff training should be reviewed to make sure that all staff have been provided with training to meet peoples differing needs, including specialist subjects such as conditions affecting older people. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Stones Place Skellingthorpe Road Lincoln Lincs LN6 0PA     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: Dawn Podmore     Date: 2 5 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Stones Place Skellingthorpe Road Lincoln Lincs LN6 0PA 01522684325 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Methodist Homes for the Aged Name of registered manager (if applicable) Mrs Carole Ann Kus Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The home is registered to provide personal care for service users of both sexes whose primary needs fall within the following categories: Old Age, not falling within any other category (OP) (42) The maximum number of service users to be accommodated is 42. Date of last inspection Brief description of the care home Stones Place is situated to the southwest of the City of Lincoln close to a main road where a regular bus service is available. This home is a two storey, purpose built care home offering accommodation in 42 single bedrooms some of which can be converted to double rooms if required. The home has well maintained gardens to the front and rear of the property, with a large car park at the front of the building. There are community facilities in the vicinity. T he home is registered to provide personal care for up to 42 residents. Nursing care is Care Homes for Older People Page 4 of 27 care home 42 Over 65 42 0 Brief description of the care home not provided. The aims and objectives outlined in the Service Users Guide states that the home aims to offer a safe, secure, homely environment and to enhance the quality of life for the residents. There is a Christian ethos to the home but there are people of varying denominations cared for within the home. The home is owned by The Methodist Homes for the Aged. The current scale of charges at this home ranger from four hundred and fifteen pounds to six hundred pounds per week, depending on peoples assessed needs. Information about these charges and how the home intends to operate can be obtained from the managers office. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This key inspection was unannounced and took any previous information held by C.S.C.I about the home into account. Throughout this report the terms we and us refers to the Commission for Social Care Inspection (CSCI). Before the the visit the provider had returned an Annual Quality Assurance Assessment (AQAA). This gave us information about their own assessment of how well they are meeting standards and their plans for improvement over the next twelve months. We also sent out surveys to residents and staff, 8 of which were returned in time to be included in this report. The main method of inspection used was called case tracking. This involved selecting a Care Homes for Older People Page 6 of 27 proportion of residents and tracking the care they received through the checking of records, discussions with them and the staff who care for them, and observation of care practises. A partial tour of the home was also conducted, which included looking at some bedrooms, communal areas and bathing and toilet facilities. Documentation was sampled and the care records of the four people being tracked were examined. We spoke with 11 residents, a relative and four members of staff. They shared their views about how the home operated on a day to day basis and the care and facilities provided. The manager was available during the visit and the general outcomes of the visit were discussed with her. On the day of the visit 39 people were living at the home. What the care home does well: What has improved since the last inspection? What they could do better: There must be a system in place to make sure that staff receive regular structured supervision and appraisal. This will help to make certain that staff are adequately supported in carrying out their work. Other areas that would benefit from some attention included the following. Care plans should be developed further so that they include more information about how people prefer their care to be delivered and their abilities. This will help staff to understand how to meet peoples individual needs. Care plans should also contain information about recent legislation that is designed to protect peoples rights and choices. This is so the home can show that they have looked at the effects the legislation has on the residents lives and planned their care accordingly. The number of staff on duty should be assessed using the dependency levels of the people currently living at the home and the homes layout . This will enable the manager to demonstrate that that there are sufficient staff are on duty at all times to meet peoples needs. Staff training should be reviewed to make sure that all staff have been provided with training to meet peoples differing needs, including specialist subjects such as conditions affecting older people. Care Homes for Older People Page 8 of 27 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 27 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The admissions procedure includes an initial assessment, which helps to make sure that the home can meet the needs of the people admitted. Evidence: A review of all information available prior to the visit to the home, and the content of peoples care records, showed that the home does not admit residents without an assessment of their needs being completed. We spoke to 3 new residents and some of the staff on duty, all confirmed that a satisfactory process was being followed. One person said, when we moved in we were supported well. The acting manager said that the home does not provide intermediate care. Care Homes for Older People Page 11 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs are being met by staff who understand their needs and deliver care in a respectful manner. However some care plans do not contain enough information about residents individual needs and preferences. There are systems in place to make sure that medications are administered safely. Evidence: We looked at the care records of 4 people living a the home choosing people with different needs. In the main they contained information about peoples main care needs. However the evaluation of one plan identified that the resident had cream applied, but this was not discussed in the care plan. The home is introducing a new care plan format and we looked at one of the new files. It was easy to access specific information and the care plans were clearer and more detailed. Although this plan contained good details of peoples likes, dislikes and preferences other peoples plans lacked detail about their individual preferences and abilities. For example one plan said that the resident needed assistance with all their hygiene needs, but did not tell staff about their dental care or specific information about bathing arrangements. Care Homes for Older People Page 12 of 27 Evidence: One staff member said that they thought that the care plans were okay but said that they could be improved if they contained more information. Another said that they had received care planning training from the deputy manager and it was brilliant. A daily record of how people were progressing had been maintained and care plans had been evaluated regularly. Assessment for potential risk areas, such as manual handling, falls and pressure damage had been carried out. However the information highlighted in the assessments about how to manage and minimise identified risks had not always been incorporated into care plans in sufficient detail. The home has not yet included the content of the Mental Capacity Act into the care planning process. This is new legislation that is aimed at protecting peoples rights and choices. Records and peoples comments indicated that residents had access to outside health professionals such as doctors and district nurses. Peoples health care was being monitored and specialist equipment, such as pressure relieving mattresses were in use. Periodic reviews had taken place, but records only discussed the changes needed to the care plan and not the residents overall opinion of the care and support they were receiving. Staff were very knowledgeable about the people they supported and how they preferred their care delivering. During a tour of the home, and at lunchtime, they supported people in a cheerful manner and were responsive to peoples needs and preferences, as well as respecting their privacy and dignity. The residents we spoke to, and people who returned surveys to us, said that they were happy with the level of care and support provided. One person said, I always receive the care and support I need, very pleased. Records and observations demonstrated that the home has satisfactory policies and procedures concerning the receipt, storage, administration and disposal of medications. The pharmacist had undertaken an audit of the homes systems the day before the visit, they reported that all areas checked were satisfactory. Staff who are responsible for administering medications had received training in this subject. Care Homes for Older People Page 13 of 27 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. The home provides a varied activities programme which people enjoy. Residents are enabled to maintain and develop links in the local community and relationships of their choice. People receive a nutritious and varied diet that meets their individual preferences and health requirements. Evidence: The home has a very enthusiastic activities coordinator who works 25 hours a week over 5 days. She provides a very good programme of activities each week which was displayed in the home and given to each resident so they could easily see what was happening and when. People told us that they could join in things like art classes, keep fit, knit and natter, games, bingo, crosswords, skittles and hand massages. On the day of the visit some residents were playing hangman in a group and said that they really enjoyed it. Jigsaws and books are available around the home and a hairdresser visits weekly. The home also holds regular church services which people can attend if they want to. Care Homes for Older People Page 15 of 27 Evidence: Records and peoples comments showed that other things had also taken place such as themed reminiscence meetings, tea parties, trips to Whisby garden centre, Doddington Hall, Rand farm and shopping outings. Some residents also go to carpet bowling at the local leisure centre along with service users from other homes. A Valentines Day event had taken place where residents were given a heart shaped box with a chocolate in it and a singing group entertained them. The home also has a group of volunteers who help with trips and come into the home to do activities such as keep fit. They also take a trolley shop round once a week. People we spoke with and those who returned surveys told us that they were happy with the activities that took place and said that they could choose not to join in if they preferred not to. One resident told us, she sat and asked me what Id like to do and a letter comes round every week telling us what is happening. Another person said, she is wonderful (the activities organiser). Residents and a relative said that visitors could visit at anytime and that they were always made welcome by the staff and freely joined in the life of the home. At lunchtime the atmosphere in the dining room was calm and relaxed, with staff serving the lunch and assisting some people to eat. The cook and her assistant were serving the food and two care staff took it round to people asking them what they wanted first. There was some delay in people receiving their food as the other staff on duty were busy elsewhere, so some residents had to wait for their lunch to be served. This was discussed with the manager who said that this was not usually a problem. Alternatives to the main menu and special diets were also available. People commented, they do well with 2 choices at lunchtime, hot or cold choices at tea and breakfast is good, good food and always enjoy the menu. 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. Residents are protected by clear policies and procedures for handling complaints and allegations of abuse. Evidence: The home has a complaints procedure, this is displayed in the home and included in the Service User Guide, which is given to people when they come to live at the home. The AQAA said that 3 areas of concern had been raised over the past year, these had been investigated but none had been upheld. People said that they knew how to make a complaint and would be comfortable highlighting any issues. Residents and relatives who completed surveys or spoke to us during the visit said overall they were happy and that they had no complaints. The home has procedures concerning the protection of vulnerable adults. The home had appropriately alerted social services about one concern that they had over the last year. Staff demonstrated a good knowledge of what to do if they suspected abuse could be occurring and had received training in this subject. Care Homes for Older People Page 17 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a well maintained, clean, comfortable and homely environment, which offers a satisfactory standard of decor and furnishing. Evidence: We took a tour of the home looking at the bedrooms of the people being case tracked, communal areas and bathing facilities. The general atmosphere of the home was welcoming and homely. Bedrooms had been personalised by the resident or their relatives with photographs, mementos and small items of furniture. The corridors had been recently redecorated and the manager told us that the grey carpets that showed signs of wear were to be replaced shortly. The AQAA says that the chairs in the lounge have been replaced and some bedrooms have been redecorated. A relative commented that they she would like her mothers bedroom redecorating, this was passed on to the manager. The manager is currently looking at developing the large lounge so that residents have access to a bigger space for communal activities. This is one of the areas that residents told us could be improved. Other areas currently being developed include a sensory room and bathroom. Apart from the main lounge areas on the ground floor there is a large dining room and Care Homes for Older People Page 18 of 27 Evidence: several small areas throughout the home where people sit quietly or have visitors. One section of the upstairs corridor has been developed into a jigsaw area. Residents said that they left a jigsaw on the table so that people could do a bit. when they wanted to. There are also kitchenettes where people can make a hot drink. Some bedrooms have en suite facilities but others do not. People told us that they were happy with their rooms and had been encouraged to bring in their own bits and pieces. The garden and car park were well maintained and seating was available. Ramps are in place to enable easy access to all areas. Care Homes for Older People Page 19 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are safeguarded by the homes recruitment procedure, which helps to ensure that staff are suitable to work with vulnerable people. Residents receive care from staff who are knowledgeable about the people they support and have access to essential training. Evidence: The acting manager said that she monitors the number of staff on duty at all times of the day and night against the current dependency levels of the people who live at the home. The rota showed that on some days there were five staff on during the day, but on others only four. Some people who returned surveys and spoke to us said that there was enough staff on duty to meet the needs of the people currently living at the home. However other people said that sometimes more staff were needed. One person said, I am satisfied overall, but I think that more staff are needed, as some people need a lot of help. Examples given included the following, having to wait to go to bed, the lateness they received their night time medication and a delay in getting people into the dining room for their meals. The staff spoken with said that they felt that the current staffing levels were satisfactory when there were 5 on duty as this gave them time to do more with the residents. Care Homes for Older People Page 20 of 27 Evidence: Observation showed that staff supported people in a calm and relaxed manner, but at lunchtime people had to wait for their meal to be served as there were only 2 care staff available. Recruitment of new staff was being carried out correctly with essential checks, such as written references and C.R.B. (Criminal Records Bureau) checks being undertaken. Records and staff comments showed that new staff received an adequate induction to the home, but one induction record had not been fully completed. The home has a training programme which includes essential subjects such as manual handling, protection of vulnerable adults from abuse, fire safety and essential first aid. However not all staff had received training about the conditions affecting older people such as dementia, strokes and diabetes. Training had been provided to staff about the Mental Capacity Act, which is aimed at protecting people rights and choices. The company encourage staff to complete an N.V.Q (National Vocational Qualification) in care. Information provided showed that out of 28 care staff 15 have attained an NVQ and 4 others are currently doing the award. Residents said that they were very happy with the way staff supported them. Their comments included, very capable, some have been here for years, well trained and very helpful and patient. Staff said that they felt well trained and supported and they demonstrated a very good knowledge of the people they were caring for. Care Homes for Older People Page 21 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Leadership and guidance is provided to staff to ensure that care is delivered in a consistent manner, but staff have not received regular support sessions. The home is managed in the best interest of the of the residents. There are systems in place to make sure that the health, safety and welfare needs of the residents are met. Evidence: Currently there is no Registered Manager, but Mrs Anna Golightly is the acting manager. She has previous management experience and she told us that she intends to apply to become the Registered Manager shortly. Comments from residents and relatives indicated that they felt that the home was well run and that the manager was helpful and supportive. They said that the home cared for people well and that they were very happy here. One person told us I am so glad my niece found the home. Care Homes for Older People Page 22 of 27 Evidence: The staff we spoke to said that the manager was approachable and listened to their ideas. When asked what the home did well one said, its a happy home with good management and team work. Another said that the activities provided had improved and that the coordinator was doing a good job. Although staff said that they felt supported in their work, records and staff comments failed to show that they were receiving regular formal supervision and appraisal sessions. The management team confirmed that these had not taken place consistently in the past but they intended to address this shortfall as soon as possible. The home has a quality assurance system so that they can gain the views of the people who use the service. The manager said that this included surveys, meetings and care reviews. Surveys had been sent out in 2008 and the summary of the outcomes showed that the majority of people were happy with the service they received. An action plan had been formulated to address any issues they had raised. The financial records for the personal allowances of three people were examined and found to be accurately documented and included receipts. The new administrator said that she was currently working with the manager to make the recording system even more robust. The home has health and safety polices and procedures to guide and instruct staff. There is also a programme in place to service and maintain equipment in the home on a regular basis. Information provided in the AQAA and sampling on the day of the visit demonstrated that regular checks on equipment, such as portable electrical items and fire equipment, had taken place as scheduled. Care Homes for Older People Page 23 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 7 15 Care plans must fully reflect peoples current needs, as well as telling staff about their individual preferences and abilities. This will help to make sure that staff have access to comprehensive information about the support people need and how they prefer their care to be delivered. 18/05/2009 2 36 18 There must be a system in place for staff to receive regular supervision and appraisal. So that staff have the right level of support to carry out their job. 04/05/2009 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 Care Homes for Older People Page 25 of 27 1 7 Support plans should include reference to the Mental Capacity Act, 2007 and the effects it has on residents lives. This is to help to make sure that their rights and choices are protected. Information about residents dependency levels and the layout of the home should be used to assess the number of staff needed on each shift. This will help to demonstrate that adequate staffing levels are being maintained. The training programme and staff training needs should be reviewed to make sure that all staff have been provided with training to meet peoples differing needs, including conditions affecting older people. 2 27 3 30 Care Homes for Older People Page 26 of 27 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!