Care Home: Wellcroft House

What the care home does well People have all the information they need about the service the home provides before they move in. Each person can be confident their needs will be assessed in full before they move in. People have the opportunity to spend time at the home before they make a decision about living there. People are encouraged to lead active lives and take part in education, social and recreational activities. There are good systems in place to make sure people have their health care needs met. Staff are recruited in a safe manner that protects the people living in the home. Staff training is also provided. The home is well managed and run in the best interests of the people who live there. What has improved since the last inspection? This is the home`s first inspection report since it`s registration with the Commission. What the care home could do better: We have only made good practice recommendations as a result of this inspection. The service offered to people living in the home is of a good standard. Key inspection report Care homes for adults (18-65 years) Name: Address: Wellcroft House 11 Wellcroft Street Wednesbury West Midlands WS10 7HU     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: Mandy Beck     Date: 0 8 0 4 2 0 1 0 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 Adults (18-65 years) Page 2 of 28 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 Adults (18-65 years) 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) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: Wellcroft House 11 Wellcroft Street Wednesbury West Midlands WS10 7HU 01215025032 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): chill@progresschildrensservices.co.uk www.progresscaresolutions.co.uk Progress Adult Living Services LLP Name of registered manager (if applicable) Miss Carol Hill Type of registration: Number of places registered: care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The age range is to be 16 - 25 years The maximum number of service users to be accommodated is 6 The registered person may provide the following categories of service only: Care Home only - code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Learning Disability - Code LD Date of last inspection Brief description of the care home Wellcroft House is a purpose built home for younger people who have a learning and/or a physical disability. The home is situated close to the centre of Wednesbury. It is accessible via public transport and is located close to the M6 motorway. The home has spacious living accommodation. There is a well equipped kitchen, dining room, communal lounge and sensory room on the ground floor. There is also a large garden to the rear of the property. Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 6 Brief description of the care home Each person will have their own bedroom with en suite facilites. In addition to this there is also an assisted bathroom on the first floor. All levels of the home are accessible either by stairs or passenger lift. The range of fees the home charges for residency are not included in the Service User Guide, readers of this report are asked to contact the home directly for this information. Care Homes for Adults (18-65 years) 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 Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This was an unannounced inspection of the home. They were given no prior notice of our visit. One inspector spent one day completing this inspection. We looked at all of the information we have been sent, or asked for. This included the Annual Quality Assurance Assessment (AQAA). The AQAA is a self assessment 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 looked at the information we had about how the home has managed any complaints or safeguarding issues. We looked at what the home has told us about things that have happened in the home, these are called notifications and are a legal requirement. Care Homes for Adults (18-65 years) Page 6 of 28 We have taken into consideration information from other organisations. We looked at the care of one person in depth. This is part of our case tracking process and helps us make judgements about the homes ability to meet peoples needs. Care Homes for Adults (18-65 years) Page 7 of 28 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details 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 Adults (18-65 years) Page 8 of 28 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 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, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. 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 the person 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 provides good sources of information to people in order for them to make a choice about living at the home. Each person can be confident their needs will be assessed in full prior to admission. Evidence: We looked at all of the information the home gives to people about the service they provide. The information is clear and gives a good description of what people can expect to find should they choose to live in this home. Each person who lives at the home will be given a copy of the Statement of Purpose and the Service User Guide in a format they can understand, such as pictorial or large print. We found that significant time and effort is spent planning to make admission to the home personal and well managed. People are only admitted to Wellcroft House once a comprehensive assessment of their needs has taken place. We looked at the care records of one person who had come to home at the home. They had a comprehensive assessment of their needs undertaken both by the home alongside the persons social worker and other professionals who may support them. The assessment of their needs Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: is used to form the basis for care planning alongside appropriate and robust risk assessments. We saw from care records people are involved in their care planning including any restrictions of their freedom and choice that may be necessary. People have the opportunity to visit Wellcroft House before they and the service decide that the home is an appropriate place for them to live. We saw records of one person who has had a number of visits to the service starting with short visits progressing to overnight and weekend stays. The visits enable the person to make a decision whether the home is right for them. Care Homes for Adults (18-65 years) Page 11 of 28 Individual needs and choices 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 needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. 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 living in the home are supported to make choices about their lives. Risks to the care and support people need are appropriately managed. Evidence: The key principle of the home is that people living at the home are enabled to be in control of the lives. Support plans alongside risk assessments support this principle but with actions to ensure that the safety of people is always the main consideration. People have their own individual plan that comprehensively details all of their care and support needs. We found that support plans are person centred this means that they identify all the persons needs, capabilities and choices. It was also positive that support plans identified all levels of needs giving staff instructions on care that people will need if their health deteriorates. The support plan is drawn up with the persons involvement and is agreed by them, wherever possible. Support plans when appropriate identified the persons goals for example, going on holiday with friends and being supported to carry out daily tasks such as visiting the shops. Support plans are all reviewed at least Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: monthly or when needs change, senior staff also regularly audit care plans and when needed identify any areas that require further updating. The home told us in the AQAA, Staff are trained in reading and understanding non verbal communication and as a result are able to respect the choices and decisions made by the service user. Staff encourage people living at the home to make decisions about their lives, they do this by offering them choice and giving them information needed to make decisions. A staff member told us, we always give people a choice, its important to remember that verbal communication may not be used so we look at other ways of making sure they get a choice. People have their own individual risk assessments that enables him or her to live as independently as possible. All risk assessments show the potential risk, such as violence to others, self harm and the methods of risk reduction. Care Homes for Adults (18-65 years) Page 13 of 28 Lifestyle 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 can take part in activities that are appropriate to their age and culture and 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 and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. 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 living in this home are supported to lead active lives and to be part of the local community. Evidence: Central to the homes aims and objectives is the promotion of peoples right to live an ordinary and meaningful life both within the home and also within the community. Peoples goals are identified and staff facilitate and support them to meet their goals. Staff told us that people have a choice of how they spend their day and can choose to take part in activities. The homes AQAA tells us Contact with friends and relatives is maintained and supported by the staff team. Contact with friends from peoples previous home is a priority. We also notes that people also regularly go out and visit their family. People living at the home have the opportunity to make suggestions for trips, holidays and other outings that they are interested in. Everyone living at the home has the Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: opportunity to on holiday at least once a year, the home will pay for this but they do have to provide their own spending money. The home is currently helping one person plan their holiday away with their friends. There are no fixed meal times due to the individual nature of the cooking arrangements. People are encouraged to sit with their key worker on a weekly basis and plan their shopping and menu for the week. Staff will prepare and cook their meals as outlined in their individual care plans. Special dietary requirements are also taken note of, for instance one person needs to have a soft diet and thickened fluids, this information is included into the care plan. The home has also developed a pictorial menu to help make it more practical for people to choose which meals they like and want to eat for the week. The home routinely completes risk assessments for each person that looks specifically at their nutritional intake. People are supported to make choices about their diet . Care Homes for Adults (18-65 years) Page 15 of 28 Personal and healthcare support 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 receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people 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. If people are approaching the end of their life, the care home will respect their choices and help them to 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. People living in the home are supported by staff so that their health and personal care needs are met. There are safe systems in place to make sure people have their medication as it has been prescribed. Evidence: There are appropriate arrangements in place to ensure that people have the health and personal care that they need. We saw evidence that people living at Wellcroft House are seen by other professionals such as psychiatrists, community nurses, doctors, chiropodists, dentists and opticians depending on their needs. We also saw support plans for healthy eating with instruction from the Speech and Language Therapist (SALT). We saw that peoples physical and mental health care needs are recorded and regularly monitored. Care plans for the management of psychological needs are in place along with very clear instructions about how challenging behaviours should be managed. We looked at one care plan that gave comprehensive instructions to staff how the persons behaviour was managed. Other care plans we looked at addressed specific issues, which included information on triggers and actions for staff to take to ensure that the person did not become too distressed. Care plans also included the Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: individual preferences of people when receiving personal care from staff, such as a male or female worker to assist them with personal care. Other documentation in relation to health care management viewed includes risk assessments for pressure sores, poor nutritional, falls, self harm and moving and handling. The home has a policy and procedure for the safe handling of medication including homely remedies. All staff receive training prior to taking any responsibility for peoples medication. There is suitable storage for medication. There are very detailed care plans in place for the administration of as required or PRN medication. This enables the home to see whether the administration of this type of medication has been effective. The home has good systems in place for ordering, safe storage and safe administration of peoples medication. Care Homes for Adults (18-65 years) Page 17 of 28 Concerns, 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. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. 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 living in the home can be assured their views will be listened to and acted upon. The home has good systems in place to protect people from harm and abuse. Evidence: The home has a complaints policy that is available to all people. A copy of the complaints policy is in the service user guide and in each persons bedroom. The manager told us that she is always there to talk through any concerns that people have and will always act upon them. We looked at the way in which the home manages and investigates complaints. We have been made aware of no complaints or concerns about this service. The home provides all information in an easy read format for people to use and understand. The home has policies in place for dealing with allegations of abuse and keeping people safe from harm. We call this safeguarding vulnerable adults. We spoke to staff about this. The staff we spoke to were able to tell us what different types of abuse there were and how they would recognise the signs of abuse. The staff knew who to refer to if an allegation was made to them or they had witnessed an act of abuse. The manager of the home understands what is expected of her in relation to reporting of incidents and allegations to the safeguarding team. We also talked to staff about their knowledge of the Mental Capacity Act 2005 and the deprivation of liberty safeguards. We did this because we wanted to know if staff were Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: aware of what the implications for practice this legislation has. Staff need to be able to understand what a deprivation of liberty is so that they can take action to prevent it from happening or to take steps to protect the people in their care. Staff told us they had not had any training in this and were not aware of what it meant. The manager also told us that she had not received any training and was unsure about what her role was in making sure that people did not have their liberty deprived. The home will need to arrange for this training to take place. We looked at recruitment practises and found the home is taking steps to prevent unsuitable people from working with vulnerable adults. This includes required checks against the Independent Safeguarding Authority (ISA) and a Criminal Records Bureau disclosure (CRB). Care Homes for Adults (18-65 years) 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, comfortable, 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. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is purpose built and people can be assured they will have the equipment they need to maintain their independence. The home is bright and airy and offers a welcoming place for people to live. Evidence: The home has been purpose built. This means it is able to provide the right environment for the people living there. We saw most of the home during this inspection. We found it to be bright and airy. There is a large lounge on the ground floor which is pleasantly decorated and offers a nice place for people to sit and relax and watch the television or listen to music. The sensory room is also located on the ground floor, this rooms appears to be the most popular at present. There is equipment in place designed to both stimulate and relax people such as fibreoptics lights, gentle music and comfy seating. Each person living in the home has their own bedroom with en suite facilities. We looked at the bedroom of one person during this visit, we saw they had been supported by staff to decorate the room to their own taste. The room was also equipped with overhead tracking for the hoist and a profiling bed for added comfort. Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: In addition to the en suite facilities in each persons bedroom there are assisted bathing and showering rooms on the first floor. Each of these rooms has appropriate equipment and are also decorated in a way that makes the rooms feel inviting. There is a garden at the back of the home, this is still under development but there is a patio and lawned area for people to enjoy. The home has its own laundry facilities located on the first floor. The laundry was clean and tidy and there were a supply of gloves and aprons for staff to use. The home has other infection control measures in place such as liquid soap and paper towels in all communal toilets and bathrooms. At this time staff have not all received training in infection control but the manager told us this will be arranged. They are also putting forward one of their members of staff to act as an infection control link worker with the local Primary Care Trust (PCT). This person should then be in a position to pass on to other staff information about infection control and current best practice. Care Homes for Adults (18-65 years) 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, qualified 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. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. 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 on duty to meet peoples needs. The home has good recruitment procedures in place that will help stop unsuitable people from working with vulnerable adults. Each member of staff will receive the training they need in order to carry out their duties. Evidence: There are sufficient staff on duty to meet the needs of the people living in the home. Peoples needs in relation to staff numbers are discussed before admission is agreed. This makes sure that people are having the support they need from the home. The home supports all care staff through training in National Vocational Qualifications. Staff we spoke to confirmed that they had completed both their level 2 and 3 NVQ training in Health and Social Care. This means that staff should have the knowledge and understanding to be able to meet the peoples needs who live in the home. We spent time talking to staff during this inspection they demonstrate a good understanding of peoples needs and how to provide the care they needed. We looked at the recruitment processes in the home. We saw the staff files of four people. All of them contained the required information and security checks such as previously mentioned Independent Safeguarding Authority (ISA) adultfirst, and CRBs. Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: This means the home has systems in place to prevent unsuitable people from working with vulnerable adults. Each new member of staff is supported through an induction at the home. This induction meets with the Skills for Care Induction standards, this means that staff will be given an appropriate introduction to social care by the home. We were told I was able to spend time shadowing experienced staff who showed me the right way to do things. Care Homes for Adults (18-65 years) Page 23 of 28 Conduct and management of the 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 have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because 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. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and run in the best interests of the people living there. Evidence: The registered manager of the home is Carol Hill. Ms Hill has the qualifications and the necessary experience in order to manage the home. Throughout this inspection it has been very evident that Ms Hill wants to develop the service in the best interests of the people living there. We were told the manager is very approachable and supportive. The home has developed its own quality assurance system. This is a way of finding out what people want from the service, what the home could do better and how they are going to do this. At this time the home has judged itself to be performing well against the National Minimum Standards (NMS), they have recognised that they could do better with some areas of staff training and also want to develop the person centred planning for each person. We agree with the homes own findings, we have made only one good practice recommendation as a result of this inspection in relation to staff training. We found when looking through peoples care files that they were very person centred and staff were clearly developing this type of care planning in the Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: right direction. Prior to our visit the home was asked to provide us with their Annual Quality Assurance Assessment (AQAA), the AQAA contained clear and relevant information about the service the home provides and of the improvements they still need to make. There are systems in place to support people to manage their own money should they wish to do so. At this time there are no people living in the home independently managing their money. Staff need to have training in the Mental Capacity Act and the deprivation of liberty safeguards. However we found no evidence during this inspection of anyone being deprived of his or her liberty. We looked at how the home manages peoples health and safety. This is done by keeping equipment regularly serviced and inspected and by providing staff with appropriate training so that the risk to people using the service is reduced. We noted from looking through staff files that some of this training has not been completed. We spoke to the manager who told us this had been arranged and would take place in the near future. Care Homes for Adults (18-65 years) 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 Adults (18-65 years) 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 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 37 The manager should make sure that all staff have an understanding of the principles of the Mental Capacity Act 2005 and the deprivation of liberty safeguards. The home should make sure that all staff have training in infection control. This will reduce the risks to the people living in the home. 2 42 Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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