Care Home: The Hollies

Similar services:

• Byars Care Home
• St Marys Nursing Home
• Bramble Lodge
• Parkmanor Residential Home
• Thornham Grove
• Hunter`s Lodge
• London Road Neurological and Specialist Care Unit
• Carlton Care Home

What the care home does well People have their needs assessed before they move into the home to make sure they can be met. A person who was admitted to the home recently told us, "I have been here a week, everyone has been so nice to me. They talked to me about how they will be able to help me and told me about having a bath". Staff ensure people`s health is looked after and that they receive appropriate support. One person commented, "I have only got to say can I see a doctor and they arrange it for me, that`s not very often thank goodness". Staff were seen treating people with respect and one person told us, `They call me by my first name, I hate people to call me Mr`. Visitors to the home are welcome and vists can take place in a communal lounge or the person`s bedroom. People are able to go to a local shop, some on their own and others with a member of staff. One person told us, "If I want to go out to the shops I just say I am going". People said they have sufficient to eat and enjoy their meals. Assistance is provided to anyone who needs help with eating their food. People who were asked if they had enjoyed their lunch said they did and one person said, "I was surprised at how much there is to eat, we can eat a lot". There is a complaints procedure which people have used to raise any problems that arise through communal living and staff have had training on safeguarding adults. One person told us, "Everyone is very nice" and another person said when asked if he had ever seen anyone being treated badly replied, "No no no, nothing like that at all. All very gentle with people". The building is kept in good condition and is pleasantly decorated. People living in the home are involved in choosing the decor and furnishings, and one person told us, "I like the smaller rooms, you don`t feel so distant" and another person said, "This is more like home this place, I was glad to get back here when we had to move out after the church next door had been on fire". There are sufficient staff on duty to attend to people in good time and all staff have had the required recruitment checks carried out. Staff are either working towards or have completed a professional qualification. A programme of training is in place. One person told us, "When I came here I was down and out, the staff made me back what I am` and `as far as I know they have the training they are meant to, they will do anything for you". There is a long standing manager who is suitably qualified. The home has suitable management arrangements in place and people can express their views on the service provided. What has improved since the last inspection? A new system of care plans is being used which staff thought was a big improvement. People told us, "They have talked with me about how they can help me" and "They help us all they can, they help me how I want". There is a designated activities area where people can choose any activity they would like to take part in. An exercise class is popular among people living in the home and a barbecue held recently had been enjoyed. One person told us, "I enjoy the exercises" and another person said, "I would like to have less television." What the care home could do better: Ensure staff have recent training in the safe storage, handling and administration of medicines to ensure they follow safe practices when administering it. Inspecting for better lives Key inspection report Care homes for older people Name: Address: The Hollies 19/23 London Rd Retford Nottingham DN22 6AT     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: Stephen Benson     Date: 1 3 0 7 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 28 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 28 Information about the care home Name of care home: Address: The Hollies 19/23 London Rd Retford Nottingham DN22 6AT 01777707750 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : nicola@rklventures.com RKL Care Ltd care home 22 Number of places (if applicable): Under 65 Over 65 0 22 dementia old age, not falling within any other category Additional conditions: 22 0 The Registered Person may provide the following category/ies 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: Old age, not falling within any other category - Code OP (maximum number of places 22) Dementia - Code DE (maximum number of places 22) The maximum number of service users that can be accommodated is 22. Date of last inspection Brief description of the care home The Hollies is a care home providing personal care and accommodation for 22 older people. The home provides short and long term care and will consider emergency admissions.. The home is owned by RKL Care Limited, which is run as a family business. The home is located in Retford close to shops, pubs, the post office and other amenities. The home was opened in 1985 and consists of 3 converted domestic dwellings. The home was purchased by the current provider in February 2006. Care Homes for Older People Page 4 of 28 Brief description of the care home 14 of the homes bedrooms are single, and 1 of the bedrooms has en-suite facilities. Bedrooms are located on 2 floors and there is a passenger lift. The home has a well-tended front garden which is easily accessible and a car park to the rear is available for 8 cars The manager said on 03/07/09 that the fees for the service range from £379 - £425 per week depending on dependency needs. There are additional charges for hairdressing and chiropody. A copy of the last inspection report is kept in the office and available on request. Care Homes for Older People Page 5 of 28 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 focus of inspections undertaken by the Care Quality Commission is upon outcomes for people accommodated and their views on the service provided. This process considers the providers capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. This was our first visit to the home since 1st April 2009. This inspection involved one inspector; it was unannounced and took place in the daytime, including lunchtime. Prior to the visit an analysis of the home was undertaken from information gathered over the last year including that from the Annual Quality Assurance Assessment they completed. We sent survey forms entitled Have your say about... to a sample of Care Homes for Older People Page 6 of 28 service users, however the manager said these never arrived at the home. The main method of inspection used is called case tracking which involved looking at the quality of the care received by a number of people living at the home. We also used evidence from our observations; we spoke with them about their experience of living at the home; we looked at records and talked with staff about their understanding of the peoples needs who they support. The premises were not inspected in detail but various areas of the home were visited as part of the inspection. What the care home does well: People have their needs assessed before they move into the home to make sure they can be met. A person who was admitted to the home recently told us, I have been here a week, everyone has been so nice to me. They talked to me about how they will be able to help me and told me about having a bath. Staff ensure peoples health is looked after and that they receive appropriate support. One person commented, I have only got to say can I see a doctor and they arrange it for me, thats not very often thank goodness. Staff were seen treating people with respect and one person told us, They call me by my first name, I hate people to call me Mr. Visitors to the home are welcome and vists can take place in a communal lounge or the persons bedroom. People are able to go to a local shop, some on their own and others with a member of staff. One person told us, If I want to go out to the shops I just say I am going. People said they have sufficient to eat and enjoy their meals. Assistance is provided to anyone who needs help with eating their food. People who were asked if they had enjoyed their lunch said they did and one person said, I was surprised at how much there is to eat, we can eat a lot. There is a complaints procedure which people have used to raise any problems that arise through communal living and staff have had training on safeguarding adults. One person told us, Everyone is very nice and another person said when asked if he had ever seen anyone being treated badly replied, No no no, nothing like that at all. All very gentle with people. The building is kept in good condition and is pleasantly decorated. People living in the home are involved in choosing the decor and furnishings, and one person told us, I like the smaller rooms, you dont feel so distant and another person said, This is more like home this place, I was glad to get back here when we had to move out after the church next door had been on fire. There are sufficient staff on duty to attend to people in good time and all staff have had the required recruitment checks carried out. Staff are either working towards or have completed a professional qualification. A programme of training is in place. One person told us, When I came here I was down and out, the staff made me back what I am and as far as I know they have the training they are meant to, they will do anything for you. There is a long standing manager who is suitably qualified. The home has suitable management arrangements in place and people can express their views on the service provided. Care Homes for Older People Page 8 of 28 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 9 of 28 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 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assessed prior to moving into the home to ensure their needs can be met. Evidence: We were told in the assessment they completed that, All residents are encouraged to view the home before admission. They are all assessed by the manager before any placement offer is made. The first month is considered a trial period. A new person was admitted to the home in the last week, when the manager was on holiday. The person had been assessed using the homes pre assessment documentation prior to them moving into the home, and care plans had been prepared. The person did not require an assessment from the Local Authority due to the funding arrangements, but there was information provided by the hospital she had been discharged from. Other files seen had assessments provided by the Local Authority where required. Care Homes for Older People Page 11 of 28 Evidence: The manager said anyone wanting to come to the home will be assessed irrespective of their funding arrangements. A relative of the person recently admitted said she knew information from the hospital was faxed to the home. The person admitted told us, I have been here a week, everyone has been so nice to me. They talked to me about how they will be able to help me and told me about having a bath. Care Homes for Older People Page 12 of 28 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. There is now an effective care planning system in place and peoples health, personal and social needs are being met in a dignified manner, although people are being given medication by people who need to be updated on how they administer medication. Evidence: We were told in the assessment they completed that, We have completely redesigned our care plans and made them more person centred and less task orientated. A sample of four care files were seen and these contained a new style of care plan. These consist of typed descriptions of how a persons needs are to be met. These are reviewed regularly and if there are any changes, these are made and a new set of plans are printed. The manager said she will include the date these are prepared or changed on the care plan to show when they were last changed. The manager and staff all felt the new care planning system is a big improvement. The manager said she intends to increase the amount of information they contain. Care Homes for Older People Page 13 of 28 Evidence: There was information about the Mental Capacity act and Deprivation of Liberty in the entrance. The manager said they are due to attend training this week which will then be passed on to the rest of the staff. One person told us, They (staff) have talked with me about how they can help me and another person said, They help us all they can, they help me how I want. We were told in the assessment they completed that, Care plans address needs with regard to personal hygiene, pressure area care, moving and handling, continence care, nutrition, therapeutic activity, access to GP, dentist, optician and chiropodist, citizenship, culture, personal beliefs and preferences. Staff were seen contacting the district nurse to come to attend to one person. There is information about what healthcare appointments people have attended in the care file and staff said they try to keep people as active as possible. One person told us, I have only got to say can I see a doctor and they arrange it for me, thats not very often thank goodness. The pharmacist provides printed Medicine Administration Records for staff to record when people have received their medication on. When someone is admitted or there is a change of medication staff have to handwrite the record. This is then checked and signed by another member of staff to make sure there is not a mistake. We were told in the assessment they completed that, Medications are only administered by senior carers trained to do so. During a period of observation it was noted that staff giving out medication were not fully adhering to the required practices. This was also seen by the proivder who spoke to the member of staff concerned. On checking staff training records it was found that medication training had just reached the time when further training is required to refresh practice. The provider has taken on the role of dignity champion within the home, and said this has been a very useful initiative as it has prompted discussions about how to further promote peoples privacy and dignity. Staff were seen treating people in a respectful manner and said they encourage people to do as much for themselves as they can. One person told us, They call me by my first name, I hate people to call me Mr. Care Homes for Older People Page 14 of 28 Care Homes for Older People Page 15 of 28 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. People have opportunities to choose and take part in activities in the home. There are opportunities for people to exercise choice in their lives and they are provided with a varied and wholesome diet. Evidence: We were told in the assessment they completed that, 85 of the residents stated the activities offered by the home were either good or excellent with 83 stating they did not want the home to offer any more activities. The provider showed an area in one of the lounges they have made into an activities corner. This has a regular changing display and the idea is people choose an activity they would like to do. The provider said this provides a more informal approach to activities and allows for people to have more individual time. The manager said they had held a barbecue in the recent good weather, which despite some reluctance initially, people had joined in and thoroughly enjoyed. There were photographs seen of people sat in the garden joining in. Care Homes for Older People Page 16 of 28 Evidence: There were other photographs seen of recent events including some where staff had come to work dressed up to recognise particular events such as Children in Need. There were also photographs of a pantomime at Christmas. One person told us, I enjoy the exercises and another person said, I would like to have less television. Visitors are welcome at the home and some were seen at the home during the inspection. One took their relative to her bedroom for some privacy. One person told us, My family spread out when they come so I dont get overtired. We were told in the assessment they completed that, We encourage families to participate in activities hence providing more reason for their visit and Individuals have choice and input into how they spend their time. One person told us, If I want to go out to the shops I just say I am going. There is a four week menu which provides a choice at each meal. There was a choice of minced beef cobbler or mint lamb pie for lunch. People were asked during the morning which they would like, and were seen having both options. One person said he did not want anything and staff made several offers to him, and he eventually said yes to some ice cream. People who were asked if they had enjoyed their lunch said they did and one person said, I was surprised at how much there is to eat, we can eat a lot. Care Homes for Older People Page 17 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People will raise any complaints they have knowing they will be investigated. People feel safe in the home. Evidence: We were told in the assessment they completed that, Our keyworker system gives all families and service users an initial point of reference and staff are encouraged to report back all issues of dissatisfaction, even if only mentioned in passing conversation, in order that we can learn from them. It was also stated that there have been 14 complaints in the last 12 months. The complaints log was seen and this showed that matters that arise through everyday living are picked up and acted upon. Examples of complaints made include; television being too loud, cigarette ends being left outside the home and a meal being served on a chipped plate. In all cases appropriate action was taken to resolve complaints made. We were told in the assessment they completed that, 93 of service users stated the homes responses to their complaints were handled to their satisfaction. There were complaints forms available in the entrance for anyone who wishes to make a complaint. One person told us, I would mention anything to the manager, but Ive never had any complaints at all. There have not been any safeguarding investigations and no safeguarding concerns Care Homes for Older People Page 18 of 28 Evidence: have been reported. We were told in the assessment they completed that, Staff are trained to understand the signs of and react to all instances of abuse. The action procedure is displayed on the staff office wall for all to use as a reference. Staff were aware of the procedures to follow to safeguard people and have had training in these. One person told us, Everyone is very nice and another person said when asked if he had ever seen anyone being treated badly replied, No no no, nothing like that at all. All very gentle with people. Care Homes for Older People Page 19 of 28 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 comfortable and well maintained environment that provides a homely atmosphere. Evidence: We were told in the assessment they completed that, The Hollies is a converted stately home and whilst it may not have all of the facilities associated with a custom built care home it retains its homely feel which is key reason many of our service users have chosen to come here. We have a permanent maintenance man employed by the home. The ground floor is pleasantly decorated providing a homely feel. The provider said the decor on the ground floor had been designed to create smaller living areas. It was explained in the assessment they completed that people are being encouraged to move between the various lounges depending upon what they want to do. There are some bedrooms that are in need of decoration and the provider said attempts are made to involve the residents in this. Staff said new residents are choosing their decor. One person told us, I like the smaller rooms, you dont feel so distant and another Care Homes for Older People Page 20 of 28 Evidence: person said, This is more like home this place, I was glad to get back here when we had to move out after the church next door had been on fire. We were told in the assessment they completed that. Our QAQ (Quality Assurance Questionnaire) indicated 80 of service users felt the decor and ambiance of the home was either good or excellent standard and 86 felt the same about the laundry service. Staff said they understand the procedures for infection control and they use protective clothing when needed. Care Homes for Older People Page 21 of 28 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. There are sufficient staff available to meet peoples needs and they are provided with the training they require to do this. People are protected by recruitment practices in the home. Evidence: There are three care staff on during the day and two awake at night. Staff and residents said they thought the staffing levels were sufficient. We were told in the assessment they completed that, We are committed to the development and training of our staff, identifying skills and interests through appraisals, in order to offer career development and improve retention. It was also stated that 11 of the care staff have got a professional qualification. Staff spoken with referred to having professional qualifications and certificates were seen in their files. The files for some new staff were seen and these contained the required pre employment checks. It was stated on the assessment they completed that all staff who have started work in the home in the last 12 months had satisfactory pre employment checks carried out. Staff files contained training certificates, but there was not a training matrix which Care Homes for Older People Page 22 of 28 Evidence: showed the training staff had done and when further training was due. The manager said this would be useful and asked the administrator to prepare one. Staff said they have had a lot of training and commented they had found the course about dementia very good which has helped them in their work One person told us, When I came here I was down and out, the staff made me back what I am and as far as I know they have the training they are meant to, they will do anything for you. Care Homes for Older People Page 23 of 28 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. There are suitable management arrangements in the home to ensure the home is run in the best interests of people living there. Evidence: The manager has worked in the home for many years and has a managerial qualification. The manager takes part in routine training that is provided for staff. We were told in the assessment they completed that the manager and provider meet weekly to discuss operational issues. We were told in the assessment they completed that, The home ensures everyone can have their say about the home and how it is being run. Service users, family members and staff have a regular Quality Assurance Questionnaire which they complete and give their opinion on the key aspects of the home. Findings from surveys recently completed were included in the assessment they completed and some have been mentioned in this report. Care Homes for Older People Page 24 of 28 Evidence: The assessment we ask the provider to complete and send back to us was returned on time. The information contained in this was detailed and included the views of people living there. There is a system to help with managing peoples personal allowances if needed. This is kept separately and there are records made of all transactions which are signed and witnessed by to staff. A sample of these were checked and found to be correct. We were told in the assessment they completed that equipment is serviced or tested as recommended by the manufacturer or other regulatory body. A list of dates were provided and certificate showing these to be correct were seen. Care Homes for Older People Page 25 of 28 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 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 9 13 Provide staff with training on 01/09/2009 the safe storage, handling and administration of medicines. This will ensure people receive their medication in a safe manner. 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 Include the date on the care plans when they are prepared or changed. Care Homes for Older People Page 27 of 28 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 28 of 28 - 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!