Care Home: Ty Gwyn Residential Care Home

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What the care home does well The home provides good written information and is developing it further to make it more accessible to the resident group. Residents benefit from receiving good care and support. The home supports individuals in managing their medicines. The Inspector observed staff supporting residents in a dignified and caring way during the morning routine, whilst at the same time bringing a sense of humour. Residents are always consulted about the meal choice and their wishes met. Special diets are catered for such as pureed meals, and a high fat diet. Residents can take part in activities that are appropriate to their needs and abilities. A complaints and comments book is held in the home`s hallway and they tell us they welcome all positive and negative comments to improve the home for residents. Resident are consulted about the room choose and how they would like the bedroom decorated when arriving. Other bedrooms viewed, were personalised with residents belongings. The home has a range of personal aids and assistance for the lack of capacity for self care and sensory loss. These were seen in use during our visit and provide residents with the equipment they need to take part in daily living. Residents are supported by consistent carers that understand their needs well and are trained and competent to do their jobs. What has improved since the last inspection? Risk assessments are in place and safeguard residents from harm healthcare records are largely up to date and ensures residents health care needs are met Residents are involved in meal choices and preparing and cooking meals with staff support were possible The home is now notifying us of any serious incidents affecting the welfare of people who live in the home are reported to us Staff working in the home now have the required checks for example references and clear Criminal Records Bureau checks. What the care home could do better: The home needs to improve their hygiene practises, plan for decor, refurbish and set up maintenance programmes. This will ensure residents live in a home that is clean, safe, homely and comfortable. Resident would benefit from better staffing levels for domestic duties, in order to maintain the home in a clean and hygienic state. Staff Criminal Record Bureau checks should be repeated every three years for all staff in line with current good practise. This will ensure staff continue to be safe to work with residents.Quality assurance systems must be established with plans, action and review in order to promote residents welfare and continuously improve the service. Overall the homes poor attention to the environment and lack of quality checks and processes have contributed to the homes current Adequate rating. Key inspection report Care homes for older people Name: Address: Ty Gwyn Residential Care Home 2 Hall Walk Enderby Leicester LE19 4AH     The quality rating for this care home is:   one star adequate 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: Helen Abel     Date: 2 2 0 6 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 26 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 26 Information about the care home Name of care home: Address: Ty Gwyn Residential Care Home 2 Hall Walk Enderby Leicester LE19 4AH 01162864271 01162866077 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Sun Care Homes Ltd care home 12 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 12 The registered provider may provide the following category 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 is within the following category: Learning Disability Code LD Date of last inspection Brief description of the care home Ty Gwyn is a registered home for adults with learning disabilities. The house is a listed building, set back from the road, in its own plot. The home has a large garden which people who live in the home can use. The home is in the village of Enderby. The village offers local amenities including a post office, restaurants, supermarket, and retail outlets. At the time of this inspection the range of fees charged was £346- £800 per week. Extra charges are made for chiropody, hairdresser, optician (when someone chooses private service), college courses, pub lunches, newspapers and magazines and other day care services. The current inspection report is available at the home to view. Care Homes for Older People Page 4 of 26 Over 65 0 12 1 8 0 2 2 0 0 9 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: one star adequate 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 the inspections undertaken by the Care Quality Commission is upon outcomes for residents and their views of the service provided. The primary method of inspection used was case tracking which involved selecting two people and tracking the care they received through looking at their care records, discussion where possible with the people who use the service, the care staff and observation of care practises. Planning for the visit included assessment of the notifications of significant events, service history, the last Inspection Report, and the homes development plan, and the Annual Quality Assurance Assessment (AQAA). At the time of our visit the Inspector was not able to communicate with the residents about their experience of the service. Instead relied on observation of care practises and discussion with staff. Care Homes for Older People Page 5 of 26 The visit was unannounced on a Monday morning at 8.15 am until 1.30pm. The registered manager assisted the Inspector during our visit. Residents were seen finishing breakfast. Some people were busy getting ready to go out for the day, other people had left earlier to go to college and day centres. People who lives at the home are referred to in this report as residents. The quality rating for this service is 1 Star. This means the people who use this service experience Adequate quality outcomes. Care Homes for Older People Page 6 of 26 What the care home does well: What has improved since the last inspection? What they could do better: The home needs to improve their hygiene practises, plan for decor, refurbish and set up maintenance programmes. This will ensure residents live in a home that is clean, safe, homely and comfortable. Resident would benefit from better staffing levels for domestic duties, in order to maintain the home in a clean and hygienic state. Staff Criminal Record Bureau checks should be repeated every three years for all staff in line with current good practise. This will ensure staff continue to be safe to work with residents. Care Homes for Older People Page 7 of 26 Quality assurance systems must be established with plans, action and review in order to promote residents welfare and continuously improve the service. Overall the homes poor attention to the environment and lack of quality checks and processes have contributed to the homes current Adequate rating. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 8 of 26 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has good admission process and a range of written information available to help people decide about living in the home. Evidence: The home has a range of written information setting out the aims, objectives, philosophy of care, services and facilities, and terms and conditions of the home. These written documents are called the Statement of Purpose and Service User Guide. A colour brochure is also being developed. Written information has been updated in March 2009 and continues to be reviewed to ensure they are available in formats suitable for the residents living in the home. The assessment process is included in the written information, and where there any enquiries people are given the written information. This will help prospective residents make an informed choice about where to live. Care Homes for Older People Page 10 of 26 Evidence: The current inspection report is held in the office and is available to view. Care Homes for Older People Page 11 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from receiving good care and support.The home supports individuals in managing their medicines. Evidence: The home has detailed care plans that are regularly reviewed.They contain all the guidance that staff need to deliver care. Some of the residents receive a lot of support from a range of health professionals and their input and guidance has been used to form a care plan that best meets the individual residents needs. Residents receive regular hearing and sights test, dentist and foot care, and appropriate support were a resident is at risk of falling. The acting manager spoke about encouraging all health and medical professionals to take time to come into the home and spend time with the residents. This helps for a better understanding of the individuals health care needs. The Inspector observed staff supporting residents in a dignified and caring way during the morning routine, whilst at the same time bringing a sense of humour. Care Homes for Older People Page 12 of 26 Evidence: Medication records and medication was checked and found to be in good order. The acting manager should check with the community pharmacist around obtaining a suitable controlled drugs cupboard. Staff who administer medication have received safe handling medication training. This ensures residents and their medicines are kept safe. Care Homes for Older People Page 13 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents can take part in activities that are appropriate to their wishes, needs and abilities. Residents can have healthy meals and snacks that meet their individual needs. Evidence: Residents choices around leisure and social activities and interests, and food have been sought and recorded on their care plans. Residents were observed singing and relaxing to music and joining in a group activity. Textured hand held materials and sensory lights were also used to make the activity beneficial and meet individuals preferences and capacities. The Inspector saw some residents preparing to leave to day centres, and other people had left earlier to go to day centres and attend college courses. Residents are always consulted about the meal choice and their wishes met. Special diets are catered for such as pureed meals, and a high fat diet. Advise is sought from dietitians and their guidance displayed in the kitchen area for the staff to follow. Special diets were seen prepared for individual during our visit and ensure residents receive meals appropriate to their choice and needs. One resident enjoys preparing Care Homes for Older People Page 14 of 26 Evidence: their own snacks. A day care service is available and at extra cost and is tailored to the expressed needs of the individual. A separate day care unit with conservatory attached is set at the rear of the home. Residents and staff are planning a sensory garden and vegetable garden and considering having chickens and ducks in the grounds to provide different jobs and stimulation for the residents. Staff provide social interaction evenings for example prize bingo, quiz evenings, film and popcorn evenings, and tuck shops. Regular and varied entertainment is supplied within the home. Events are organised to reflect residents choice and preference, and with the feedback from family and friends. The acting manager confirmed her commitment to ensuring residents family and supporters are involved in the life of the resident were possible. A resident enjoys using the computer for games and another resident has requested regular trips out into the local community. These activities were seen recorded in the residents activity book and daily records and confirm residents are experiencing daily living and their chosen activities. The acting manager told us a staff member regularly meets with individual residents as part of a residents meeting and seeks their choices and views. This is feedback to managers who makes changes in the delivery of care to ensure a residents expectations and preferences are acted upon and met. Care Homes for Older People Page 15 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home safeguards resident from abuse, neglect and harm. Evidence: The complaints procedure is held in the written information and is being reviewed and updated. The acting manager confirmed this is an area the home wants to improve upon. They want to make sure all information around making complaints is clear and simple and accessible to the resident group. The home has a complaints and comments book held in the hallway and told us they welcome all positive and negative comments. Staff have received safeguarding adults training and the acting manager told us they have improved their staff safe recruitment practise. There are facilities for residents to keep their valuables but are advised of finding alternative arrangements for high value goods. Residents are protected from harm and abuse. Care Homes for Older People Page 16 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The physical environment does not fully meet the needs of the residents. The home needs to improve their hygiene practises, plan for decor, refurbish and set up maintenance programmes. This will ensure residents will live in a home that is clean, safe, homely and comfortable. Evidence: The home is set in a Georgian Grade 2 listed building and provides spacious accommodation on two floors. A large garden is at the rear. All prospective residents and their families are shown around the home and can choose which vacant room they would like. The acting manager confirmed a resident had been consulted about the decor and had chosen the colours and soft furnishings for their bedroom. Other bedrooms were seen to be personalised with residents belongings. The Inspector found the home to smell musty throughout our visit, although a number of windows were open for ventilation. Surfaces around the home were found to be dusty and grimy, many areas were untidy and carpets needed cleaning including residents bedrooms. The only exception was the kitchen area that was found to be very clean, and tidy. A communal upstairs toilet had no soap, and smelt of stale urine. A communal bathroom upstairs was grubby and found to have a bath with the surface chipping Care Homes for Older People Page 17 of 26 Evidence: away, the hoist next to the bath had recently been checked by a contractor for compliance but paint was flaking off. The paper towel dispenser was sited over the toilet and not near to the sink for residents to access easily. Cleaning rotas were viewed and found not always completed particularly in the afternoons. (See also Staffing section). The poor upkeep and inadequate level of cleanliness does not provide a good quality of life for residents. The home had an institutional feel. There were some corridors and hallways that were dimly lit with no natural light, dark and plain old decoration providing a clinical drab appearance. Another example was some of the bedrooms had large curtain fixtures left on the ceiling, although the curtains had been removed some time ago. All parts of the home except the lounges need attention. Other communal areas, bedrooms and bathrooms the decor and woodwork need upgrading. There was no evidence of an ongoing maintenance plan. Work is only done when a problem arises. Good maintenance of the home is important to the comfort of the residents. The home must establish a decor and upgrading plan and provide ongoing maintenance programmes. Such improvements will ensure residents benefit from living in a clean, safe, homely and comfortable environment. The homes Annual Quality Assurance Assessment (AQAA) confirmed some redecoration had taken place in the last 12 months but accepted the home could do better and will continue to redecorate and refurbish all areas. A Plan of Action is referred to but was not evident. The poor upkeep of the environment reflects on the quality of the environment for residents (See section Management and Administration). The home has a range of personal aids and assistance for the lack of capacity for self care and sensory loss.These were seen in use during our visit and provide residents with the equipment they need to take part in daily living. Care Homes for Older People Page 18 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are improvements in staff recruitment procedures and provide better protection for residents. Resident would benefit from better staffing levels for domestic duties, in order to maintain the home in a clean and hygienic state. Evidence: Staff undertake a range of cleaning and cooking duties on a daily basis together with their care duties. This reduces the numbers of care staff available to provide care with residents. It was noticed that cleaning duties were not being carried out consistently or effectively. The manager agreed to review this. The home must provide domestic staff in sufficient numbers to ensure the home is maintained in a clean and hygienic state, free from dirt and unpleasant odours. The Inspector viewed the staff rotas and suggested the rota shows which staff are on duty at any time during the day and night and in what capacity held. This will help ensure residents needs are met by the numbers and skill mix of staff. Staff recruitment procedure meet statutory requirements. One staff members Criminal Record Bureau (CRB) check viewed was taken in 2004. It is recommended CRB checks are carried out every three years in line with CRB guidance to ensure staff remain safe to work with residents. Care Homes for Older People Page 19 of 26 Evidence: There have been no changes in the staff group since our last visit. Residents are supported by consistent carers that understand their needs well. The home has a good training programme in place with National Vocational Qualifications (NVQ) for all staff from level 2 to 4. This training is for care staff and managers working in health and social care. Staff have attended in the last six months training around person centred planning, fire training, and challenging behaviour. Other training due is mental capacity act and deprivation of liberties. During our visits staff appeared very enthusiastic about their work and motivated. Good learning opportunities ensures residents are supported by trained and competent staff. Staff meetings take place regularly, with one planned the week of our visit. The registered manager confirmed these meetings are opportunities for staff development and on improving outcomes for residents. Care Homes for Older People Page 20 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from from an experienced acting manager. The quality assurance systems are ineffective and do not adequately promote residents welfare. Evidence: The acting manager is supported by the registered provider Mr Pancholi. She holds National Vocational Qualifications (NVQ) at levels 2, 3, 4 in care and is studying for her Leadership and Management qualification. Upon completing this training she is looking to be put forward to the Care Quality Commission as the Registered Manager for Ty Gwyn. She undertakes the administration of the home and supervises the work of the management team and all other staff. She works daily alongside staff with the residents and knows them, and their families well. The acting manager and care staff receive range of training to meet the health and safety needs of residents.This training is ongoing, such as first aid, basic food hygiene, Care Homes for Older People Page 21 of 26 Evidence: Understanding epilepsy, understanding and management of anxiety disorders. Residents benefit from receiving care and support from trained and experienced staff. People are supported to manage their own money. Secure facilities are provided for the safe keeping of money and valuables on behalf of the resident. Residents financial interests are safeguarded. The home tell us in their Annual Quality Assurance Assessment (AQAA), the homes records, and health and safety checks are up to date. This will ensure residents health and safety is promoted and protected. In the AQAA around quality monitoring these areas were left blank and does not give us a reliable picture of this aspect of the service. Quality monitoring systems were not seen during our visit although surveys were reported to be sent out each year to residents and their supporters. The results of these were not published or made available to us. Concerns for the environment and the domestic staff were identified as areas for action and review. The registered person should identify and establish a quality monitoring systems and ensure the home is run in the best interests of the residents. Care Homes for Older People Page 22 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 23 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 19 23 The registered person shall 22/08/2009 ensure that the the premises are kept in good state of repair internally and externally. This will ensure residents lives in a safe and well maintained home. 2 19 23 The registered person shall ensure all parts of the care home are kept clean and reasonably decorated. This will ensure residents live in a safe, clean and well decorated home. 01/01/2010 3 27 18 The registered person shall ensure that at all times suitable qualified competent and experienced person are working at the care home in such numbers as appropriate for the health and welfare of residents. 06/07/2009 Care Homes for Older People Page 24 of 26 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Proving sufficient staff for domestic duties will provide residents with a better, cleaner service. 4 33 24 The registered person shall 22/07/2009 establish and maintain a system for reviewing and improving the quality of care provided at the care home. Effective quality monitoring systems will ensure the home is run in the best interests of the residents. 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 9 To safeguard residents and ensure safe systems. The home should consult with the community pharmacist around obtaining a suitable controlled drugs cupboard. It is recommended Criminal Record Bureau (CRB) checks are carried out every three years in line with CRB guidance, to ensure staff remain safe to work with residents. 2 29 Care Homes for Older People Page 25 of 26 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. 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