Care Home: The Beeches Residential Care Home

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What the care home does well The people and relatives spoken to tell us that the home is very clean and homely. One relative spoken to said that they would recommend the home to other people. We were told that their family member was very happy at the home. One person spoken to told us that `we all know each other` and `we get treated too well`. Another person told us that `I am happy here, and would not want to be any where else` The people say that the food is very good and they have choices. The people and their relatives like the staff because they are friendly and very helpful to every one. We also observed staff talking to the people in a kind and respectful manner. The home has an activity staff and they play quizzes, bingo, board games, do gentle exercises, and manicures and have music and singing sessions and the people in the home enjoy this. The staff spoken to tell us that they enjoy working at the home and with the people. It was said that they do lots of training to help them meet the people`s needs. They say the new manager is very good and has made lots of good changes in the home. They say they are now able to spend more time with the people. What has improved since the last inspection? The home had met all the requirements from the last inspection. The home had a new manager to ensure every thing that needed to happen in the home was happening to meet the people`s needs. The lounge and conservatory had been re decorated and had new furniture , chairs and carpet. The home had a new fire alarm system and the staff tell us that this is much better. A key worker system was introduced to ensure the member of staff allocated to a person living in the home had quality time on a one to one basis with them. The home had an activity organiser to ensure the people had stimulating activities that they enjoyed doing. What the care home could do better: Ensure all the care plans are updated when a person`s care needs change. This is so the staff have up to date information about the person`s needs. Ensure all staff receives at least six supervisions per year. This is so their practice can be monitored to find out how they are meeting the needs of the people. Key inspection report Care homes for older people Name: Address: The Beeches Residential Care Home 12 Higham Road Rushden Northamptonshire NN10 6DZ     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Ansuya Chudasama     Date: 3 0 1 2 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: The Beeches Residential Care Home 12 Higham Road Rushden Northamptonshire NN10 6DZ 01933318498 01933386811 beeches.care@btconnect.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mrs Manonmany Wragg care home 24 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: No service user with dementia may be admitted to the home when there are already 24 such service users within the home No service users with a physical disability may be admitted to the home when there are already 4 such service users in the home The total numbers of service useres must not exceed 24 Date of last inspection Brief description of the care home The Beeches is situated in the Village of Rushden, Northants, approximately half a mile from the town centre and has good access to local facilities and public transport. The home is a converted older property with character and has a large pleasant landscaped garden area in the grounds of the building for the people to use and enjoy, which is secure and well maintained. There is ample parking at the front of the home One wing of the home was built after the original building and is more modern. The home Care Homes for Older People Page 4 of 27 Over 65 24 24 4 0 0 0 1 4 1 0 2 0 0 8 Brief description of the care home cares for older people and some have a physical disability and a large number who suffer from confusion, or diagnosed Dementia conditions. The home has 21 bedrooms and 3 of which are double rooms. 13 rooms have en suite toilet and bathroom. Two assisted bath and shower rooms and 3 toilets are located on the ground floor with I assisted bath and shower room and 2 toilets located on the first floor. All rooms are fitted with TV and phone points and a Nurse-call system. All rooms are centrally heated and fitted with their own thermostatic controls. On the ground floor there is a large dining area and three lounges. The home has been adapted to meet the needs of people with a physical disability. Adaptations and equipment include bath hoists, mobile hoists, hand rails, and a stair-lift. At the time of the inspection, the fees charged at the home ranged from £350 - £500 per week with extra charges for hairdressing, chiropody and newspapers. Further information is available from the home in the form of the Statement of Purpose and Service Users Guide and the most recent key inspection report is displayed on the homes notice board. 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 inspection was carried out in accordance with the Care Quality Commission (CQC) policy and methodologies which require review of key standards for the provision of a care home for older people that takes account of the peoples views and information received about the service since the last inspection. Evidence used and judgements made within the main body of the report include information from this visit. We looked at the Annual Quality Assurance Assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment tool that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. We also looked at the information from the last key inspection and the records of any other visits that we have made to the home in the last 12 months. Information we have about how the home has managed any complaints and things that have Care Homes for Older People Page 6 of 27 happened in the home, which are reported under notifications and are a legal requirement are also looked at. The report refers to we this is because the report is written on behalf of the Quality Care Commission. This key inspection was carried out on the 30th December 09. The manager of the home helped out with the inspection process. During this inspection we tracked the care of two people who use this service. This involved reading their care records and also talking to them to obtain their views on the service provided. We also spoke to all of the other people who live in the home. Documentation relating to staff recruitment, training and supervision, medication administration, complaints and health and safety were also examined. We had the opportunity to talk to some of the staff who were on duty. Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking Care Homes for Older People Page 8 of 27 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. Peoples needs assessments are carried out prior to admission to ensure their needs can be met at the home. Evidence: The home has a Statement of Purpose and a Service User Guide. Both documents were reviewed to ensure all the information stated in the standards is recorded about the services provided by the home. The Statement of Purpose says that an assessment of needs will be carried out by the home manager. If the needs identified by the assessment can be met by the facilities and services on offer at the home, a placement will be offered. The peoples files looked at had assessments of needs carried out by the home before a person is admitted to the home. The people spoken to stated that their families had visited and chosen this home for Care Homes for Older People Page 11 of 27 Evidence: them to stay. It was also said that they were recommended the home by other people. One family told us that they had visited the home and recognized the staff and liked the home. It was said that their family member had been at the home for a long time and they were happy. Another family member told us that their relative had come for respite care and they wanted to stay because they are very happy at the home. The families informed us that they have a contract with the home which gives them information about their rights and responsibilities. We were told that they were given information about the home when they visited and they would recommend the home to other people. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. All the people have care plans to ensure that the staff have the information needed to meet their needs. Evidence: The AQAA says that we have completely redesigned the care plans and reviewed care needs, each service user has risk assessments set in place in their care plans. The care planning documents of three people were inspected in detail. Evidence showed that all the people had care planning documents, and risk assessments. The care plans had information on personal, health, physical care. There was information on me and my family, activities. There was also a day and night care plan. The plans were being reviewed but information was not always being updated in the care plan. This was discussed with the manager and we were told that they would make sure that this would be done. Records of appointments with health professionals were being recorded and showed that health professionals were being involved in the care of the people living at the home. Care Homes for Older People Page 13 of 27 Evidence: The AQAA says that we now have a key worker system in place, and in each service users care plan there is a key worker diary, when each key worker has spent one to one time with their named service user they enter what they have talked about or if the service user has any concerns in the diary. There was information recorded to show that the key workers appointed to each person had a one to one with the person on a monthly basis. The staff were also writing in the daily notes of what the person did each day. The AQAA also says We now have a daily handover sheet, and the senior In charge will write down all information about every service user and what they have done that day ,this is then read out when handovers are done at the start of every new shift, this ensures that the correct information is passed on. A family member spoken to told us that there is a care plan in their room and they read this. The plans we saw were signed by the person or their family. We spoke to some of the people in the home and they told us that the staff knocked on their doors before entering their room. It was said that the staff were nice and help me get washed and dressed. We observed staff talking to the people in a respectful manner. The staff told us that the team leaders and seniors gave out medication and they had received the accredited training in administering medication. We were told of a medication error that was made in the home. The manager put an action plan in place by having two staff to check and sign the medication form. The medication records inspected showed that these were being completed satisfactory. We saw temperatures of the medication fridge being undertaken regularly. The home has a medication cupboard and a controlled drugs cupboard that meets the regulation. The AQAA says for our plan for improvements in the next 12 months is to monitor improvements that have recently been made. and see if there is room for more improvement, to continue reviewing care plans monthly and assessing risk assessments, and amending where and when necessary. 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The menu is varied and nutritious with choices to meet the peoples dietary needs. Evidence: Information on menus is displayed in the dining room and on each table there is a menu stand so the people know what is for lunch. The people told us that they enjoy the food and they have two choices for meals. We were told that the cook is very good. This was also confirmed by talking to one relative who had sampled the food at the home. One person told us that I like the dinner, they feed us well, if they dont they will soon know about it. We observed the people having lunch and staff being kind and supportive to the people. The people were observed enjoying their meal and those people who needed more time to eat their food were supported by staff. There were small jugs of drinks on the table for people who were able to pour their own drinks and maintain their independence. Relatives spoken to said that they were happy with the care provided for their family member. One relative told us that their mum is very happy and they like the food and it was said that the cook comes and talks to their relative about meals. It was Care Homes for Older People Page 15 of 27 Evidence: said that the staff always have time for the people and when a new staff start, they are introduced to the people and families. We were told that they are invited to social functions taking place in the home and they attended one recently and enjoyed this. The AQAA says that we now have an activity coordinator who has set up a weekly activity plan, each service user has a activity sheet where the coordinator records daily what each individual service user has done that day, this allows other staff to know why a service user is more tired, or how they have spent their day, or if anything is out of the ordinary with them. The activity book read showed that the games played are bingo, dominoes, board games, scrabble, reading letters, magazines, and newspapers to the people, and doing armchair exercises. It was said that sing a longs are conducted on a regular basis, and entertainers from the community come to the home twice a month. We were told that the people go for walks in the nice weather. On the day of the inspection a staff member was doing manicures and other staff were observed talking to other people in a relaxed manner. The people were also observed talking to each other and in the lounge. One person spoken to told us that we all know each other and we get treated too well. Another person told us that I am happy here, and would not want to be any where else. The people spoken to told us that they liked their bedrooms. One person spoken to in bed said I like my room and they were going to have a game of scrabble with a staff member. It was also said staff they are good really; I know I grumble but they are lovely. The AQQA says that our plan for improvement in the next 12 months is to continue to introduce new ideas and improve it further, and also maintain the improvements we have already done. 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. Staff are provided training in safe guarding procedures to ensure the people are protected from any harm. Evidence: The statement of Purpose has a complaints procedure and has information about how to make a complaint to the home. A copy of this document is given to all the people or their family when they come to the home. Relatives spoken to stated that that they knew who speak to if they had any concerns about the home. However it was said that they had no complaints about the home. The manager told us that they had one complaint from a person living in the home and another from a staff member. Both concerns were dealt with satisfactory. The Care Quality Commission had received a complaint about the home and this was discussed in detail with the proprietor and the manager. The proprietor had investigated the concerns and the outcome was not substantiated. The AQAA says we always follow complaints up effectively and efficiently keep accurate records and maintain confidentiality at all times. Any protection issues are followed up promptly and again accurate records are maintained. The staff told us that they had undertaken training on safe guarding of vulnerable adults (SOVA) procedures. The staff spoken to have very good understanding of the Care Homes for Older People Page 17 of 27 Evidence: peoples behaviours to understand if they were not feeling well or if they were unhappy. The staff also knew how to report safeguarding concerns to the relevant people. The home has not made any safe guarding referrals to the SOVA team of social services. However concerns were raised to SOVA team when one of the people returned back to the home with pressure sores from hospital. We were told that the staff had received the deprivation of liberty safeguards (DOLS) training. An application was made to the DOLS team by a community psychiatric nurse for one of the people living in the home. A visit was carried out by a representative of DOLS team and it was concluded that this was not needed as the persons circumstances changed and their liberty was not being deprived. We spoke to some of the people living in the home, and they informed us that if they were not happy, they would tell the staff or the manager. One person told us that their motto was not like it tell them to their face. It was said that they had no complaints to make. The staff informed us that most of the people were able to tell staff if they were not happy about any thing. The AQAA says that our plan for the 12 months is to monitor the system and train the team leaders to take on a little more responsibility to deal with the minor complaints, to improve the service in general. 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 people live in a clean and well maintained home. Evidence: The people and families spoken to said that the home is very clean and homely. The house keeper informed us that they take pride in keeping the place clean and tidy and they enjoyed their job. The home has a new alarm system fitted so when the fire alarm was activated, the fire doors in the home would close automatically. The maintenance book showed that repairs and decorations in the home were happening. The television in the main lounge and small lounge were of a very good size so the people in the lounges can see the picture better. New blinds had been bought for the conservatory so the room did not get too hot in the summer months. The Room was also decorated. The Main lounge was decorated and new curtains, chairs, and carpet was replaced. The people and staff told us that room looked very nice and homely. One bedroom seen was decorated and looked very pleasant. The new part of the building was warm and we were told that this side was also being decorated. The walls near the stairways had been painted. We were told by the manager that the whole house was being decorated and this included the laundry Care Homes for Older People Page 19 of 27 Evidence: room and the staff toilet. The AQAA says Our gardens are well maintained, they are always kept safe for the service users as they love to sit out in the garden. Waste is disposed of correctly, rodent traps in place, the general house hold maintenance is dealt with promptly and every where is kept clean and tidy. Every where is safe and secure and outside is well lit. We were told that in the summer months the gazebo is put up so the people can sit in the garden and be protected from the sun. 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. The peoples needs are met by experienced and competent staff. Evidence: The staff recruitment files inspected showed that the home obtains all the relevant documentations, including two written references and criminal record bureau checks to ensure that the people in the home are kept safe. The paper work was organized well because information was easy to find. The AQAA says that we always ensure our shifts are covered by enough staff who are all well trained and given various learning opportunities. Evidence showed that all staff are provided with job descriptions and new staff undertake the skills in care induction. They also shadow a member of staff until they feel confident to work on their own. The AQAA says that there are 22 permanent care staff and 18 staff have NVQ level 2 or 3 in care. We were told that two more staff had signed up to do this training. The staff spoken to said that they get good training and there were enough staff on duty to meet the needs of the people. We were told that they have staff meetings and they get on well together as a team. It was also said the home had a lovely Care Homes for Older People Page 21 of 27 Evidence: atmosphere and the staff enjoyed working with the people. The manager was said to be very supportive and approachable. 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 home is run in the best interest of the people living at the home. Evidence: Since the last inspection the home has employed a new manager. The new manager has 15 years experience working in the care profession. They have experience in management and have NVQ Level 4 in Social Care. They have the Chartered Institute of Environmental Health award in Health and Safety and have also completed the advanced Dementia Care training. The manager has applied to CQC to become the registered manager for the home. The AQAA says that there is now a routine at The Beeches not only for staff but for the Service Users, and both seem to be working well, I have passed my experience I have gained over the years working in the care sector to my staff, from feedback from them they feel that if they are unsure of anything if they come to me I am capable of helping them solve the problem. The knowledge I have gained has reflected in my management skills and administration work. Care Homes for Older People Page 23 of 27 Evidence: We were told by staff spoken to that the new manager has made lots of good changes in the home. They say they are able to talk to her about any problems and they listen. It was said that they were not able to do this before. It was said that the working shifts were better worked out now than they were before and therefore staff are able to spend more time with the people. We were informed by relatives spoken to that the home has come on a lot and the new manager was said to be very good. It was also said that the proprietor of the home were also very supportive to families. The manager informed us that they had sent out satisfaction questionnaires to the people and some were completed with help from their relatives. The outcome of the survey was very positive about the care the people received. We were told that a staff survey was also taking place. The accidents and incidents that occurred at the home were being reported to the CQC under regulation 37 of the Care Standards Act. The Environmental Health Officer had visited the home and had awarded the home 4 stars, which is very good. The staff informed us that they receive fire training and weekly fire alarm testing, monthly emergency testing and fire drills were taking Place. 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 7 Ensure care plans are updated when changes take place in a persons needs. This is to ensure staff have up to date information about the persons care needs. Care Homes for Older People Page 26 of 27 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!