Care Home: White Lodge

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What the care home does well The needs of the people who live at the home are assessed before and after they move into the home. This means that their care needs can be planned and properly met. Information about the home is available to help people decide if it is the right home for them to move in to. Accurate and up to date information is kept in the care plans so staff know how to meet the needs of the people who live at the home. Health care needs are met by using a multi agency approach. This helps the people who live at the home to stay healthy. The home has medication systems for the staff to follow to make sure that the people who live at the home are not put at risk. The people have opportunities to take part in a variety of leisure pursuits and interests which provides them with a stimulating environment and helps them to gain confidence,self esteem and social skills. The staff team at the home value the differing needs of the people who live there and make sure that they are aware of each person`s preferences. They treat the people who live at the home as individuals and support them to live the life they choose as much as possible so they know they are valued. There are procedures in place at the home that make sure that the people who live there are protected and kept safe from abuse. The staff are supervised and receive training so they know how to provide the people with good care. What has improved since the last inspection? Staff recruitment records were available for inspection which included copies of staff references. Staff are now receiving formal supervision. There is now a full time manager at the home and staff are receiving training. What the care home could do better: If liquid soap and disposable hand towels were provided in communal bathrooms and toilets this would reduce the risk of cross infection and therefore protect peoples health. If all of the care plans and risk assessments were completed, signed and the date written on, staff would know that the information in them was up to date and correct. This would mean that they would be sure they were providing the people at the home with the support and care they need. If staff recruitment records showed that any gaps in peoples work history had been explored this would demonstrate that the organisation have made sure that they only employ suitable people to work at the home and therefore safeguard the people who use the service. A record of when staff receive fire instruction will mean that the manager can make sure staff are up to date with their training and therefore clear about what they must do in the case of a fire to keep the people at the home as safe as possible. Key inspection report Care homes for adults (18-65 years) Name: Address: White Lodge 1 Mowbray Road South Shields Tyne And Wear NE33 3DH     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: Hilary Stewart     Date: 2 2 1 2 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 27 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for 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) 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 Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: White Lodge 1 Mowbray Road South Shields Tyne And Wear NE33 3DH 01914553108 F/P01914553108 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: www.sjog.co.uk Saint John of God Hospitaller Services care home 7 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Date of last inspection Brief description of the care home White Lodge is a home run by a national charity. Six people can live here. It is a large house, set in its own garden. There are stairs to some parts of the home. Bathrooms and toilets are easy to get in and out of. Everyone has there own bedroom. Nobody has to share. There is a car here for people to use. This means people can get out and about. The cost of the home was unavailable. 1 9 1 2 2 0 0 8 7 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home 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: How the inspection was carried out. Before the visit we looked at. Information we have received since the last visit on 19th December 2008. How the service dealt with any complaints and concerns since the last visit. Any changes to how the home is run. The providers view of how well they care for people. The views of people who use the service and the staff. The Visit. An unannounced visit was made on 11th December 2009 and another to speak with the Deputy Manager on 22nd December 2009. Care Homes for Adults (18-65 years) Page 5 of 27 During the visit we. Talked with people who use the service, however communication issues during the visit have limited the amount of quotes from them. We also talked to the staff and the deputy manager. Looked at information about the people who use the service and how well their needs are met. Looked at other records which must be kept. Checked that staff had the knowledge, skills and training to meet the needs of the people they care for. Looked around the building to make sure it was clean, safe and comfortable. Checked what improvements had been made since the last visit. We told the Deputy Manager what we found. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. Care Homes for Adults (18-65 years) Page 6 of 27 What the care home does well: What has improved since the last inspection? What they could do better: If liquid soap and disposable hand towels were provided in communal bathrooms and toilets this would reduce the risk of cross infection and therefore protect peoples health. If all of the care plans and risk assessments were completed, signed and the date written on, staff would know that the information in them was up to date and correct. Care Homes for Adults (18-65 years) Page 7 of 27 This would mean that they would be sure they were providing the people at the home with the support and care they need. If staff recruitment records showed that any gaps in peoples work history had been explored this would demonstrate that the organisation have made sure that they only employ suitable people to work at the home and therefore safeguard the people who use the service. A record of when staff receive fire instruction will mean that the manager can make sure staff are up to date with their training and therefore clear about what they must do in the case of a fire to keep the people at the home as safe as possible. 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 27 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 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, 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. A person is offered a place at the home if the manager is sure that their needs can be met by the service. They then carry their own assessment so they can use this information for each persons care plan. People can visit the home before they make a decision. Evidence: The deputy manager said that the people who live at the home have had their needs assessed before and after they move in. A person can only move into the home if they are certain that their needs can be met there. The deputy manager said that each person has an Independent Learning Plan which contains information for staff about how the person needs are to be met. If a person is referred to the home they can visit and have a trial stay to help them decide if they want to move in permanently. This process also gradually introduces them to the other people who live there. Care Homes for Adults (18-65 years) Page 10 of 27 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. The home has care plans for each person who lives there so staff have the information they need to meet their needs. Some of the documents need to be completed in full. People are supported to become more independent but at the same time staff look at the risks to keep them as safe as possible. Some of the recording in residents meeting minutes contained confidential information about individuals Evidence: The manager said that the people who live at the home are consulted as much as possible about their care plans. Records showed that each person has a care plan. Any significant events are recorded in each individuals daily recording sheets. Each persons care plan contained information for staff about areas such as the persons physical health personal care needs social skills and employment timetable. The care plans contained an Individual Life Plan which has information about the persons service plan, risk assessments and personal development plans. They described how each person was supported on a daily basis. For example living skills such as cooking and cleaning and support with personal care. Each person had risk assessments both Care Homes for Adults (18-65 years) Page 11 of 27 Evidence: general and personal however some were not signed or dated so it was not clear if they were up to date and accurate. The staff could describe how they work consistently with the people. Records showed that the care plans are monitored regularly and updated. They are also in pictorial format to make them more accessible to people with a disability. Staff said that the people who live at the home are given choices as much as possible.They take part in planning the activities.Their weekly plans showed that they had different individual activities. The manager and staff said that they consult the people who live at the home as much as possible. They have been supported to make decisions about holidays, trips out and the decor in the home. People are informed of any issues that may have some impact on them and they are supported to communicate their opinions in residents meetings, reviews and group discussions. Records are kept of the residents meeting of the areas of discussion and the action to be taken . However it was found that personal information about individuals behaviour and health issues were being recorded as well. This means that anyone who wants to read the residents meeting minutes would have access to this information and therefore this would breach the homes procedures on confidentiality. This was discussed with the deputy manager during the inspection who agreed to rectify this. Care Homes for Adults (18-65 years) Page 12 of 27 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. The people who use the service experience healthy stimulating activities, supported by staff who value them, while maintaining links with their families and friends. This means they can have new experiences and interests and do not become isolated. Evidence: The manager and staff said that they arrange a variety of outings for the people who live at the home. Records showed that some people had been involved in a variety of activities such as going out shopping, to restaurants, theatres and for walks. Some people go to a disco every week. The manager said that they decide where they would like to go on their annual holiday. On the day of the visit one person had been shopping and another was going out. Two people were going to the theatre that night and another person was at an art and drama class. One member of staff said they are all out all of the time they have a Care Homes for Adults (18-65 years) Page 13 of 27 Evidence: great social life. The daily routines within the home are structured around the people who live at the home. Staff and the deputy manager said that relatives and visitors are welcome and encouraged to visit at any reasonable time throughout the day and evening. Records showed that people who live at the home had received visits from friends and other people involved with their care. The manager said that they enthusiastically support people at the home to maintain relationships with their friends and family. The manager said that the residents have been asked for their opinions about the food provided as much as possible and the menus are based on their likes and dislikes. Special diets can be catered for. One member of staff said they can choose what they want and another they have good food. Drinks and snacks are always available throughout the day and evening although some people need support from staff for their safety. The deputy manager that this has been risk assessed, if people can not independently use the kitchen, the reasons for them needing support are written in their care plan. The kitchen was had adequate stock of food and there was fresh fruit and vegetables. Staff were observed supporting people with their meals by talking with and prompting them.The manager said that a record of meals served is kept for each person so they can check that they are having a well balanced diet. A nutritionist has recently spent time with the staff team to guide them on how to ensure the people at the home have a healthily lifestyle. Care Homes for Adults (18-65 years) Page 14 of 27 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 have personal support when they need it so they can be as independent as possible. Health care needs are met, which ensures that people stay healthy. Evidence: The care plans identify the personal support that each person needs with everyday tasks. Specialist support is available from psychologist psychiatric services when required. Records showed that people attended appointments with their GP, dentists and optician. Records are in use to monitor the administration of prescribed medicines. The administration sheets that are in use are known as a monitored dosage system. Staff that are authorised to administer medicines are listed in the file. In addition to this there is also a list of the medicines in use and the possible side effects. Some of the instructions recorded on the sheet had been handwritten and not signed by two staff to confirm that they were correct. This was raised with the deputy manager who agreed to rectify this issue. Records showed that this had been corrected on the secound visit. The deputy manager said that the medicines are audited every month. Some of the medications were audited during the inspection and found to be correct. Care Homes for Adults (18-65 years) Page 15 of 27 Evidence: Home remedies were available and had been authorised by a GP. Care Homes for Adults (18-65 years) Page 16 of 27 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. Complaints are dealt with so any problems are taken care of quickly which helps good relationships to be maintained. Staff know about and most have had training in how to protect people from harm, so the people who live at the home are kept safe. Evidence: Copies of the homes complaints procedure are in the information about the home. It is also kept in each persons care plan. The deputy manager and staff said that how to make a complaint is discussed with the people who live at the home and their relatives. The manager said and records showed that there have not been any complaints made to the home since the last inspection. The deputy manager said that there is a complaints record which is kept up to date. Surveys returned showed people had been made aware of the complaints process. The manager said that all staff have had training in how to safeguard the people they care for. There is a copy of the Local Authority procedures and the home has copies of their own adult protection procedures for staff. Staff said that they have had the training and they could describe what they needed to do if someone disclosed abuse to them. All staff have had training on the homes whistle blowing policy and procedure. The deputy manager and staff said that they have received training in the Mental Capacity Act and some in the Deprivation of Liberty Safeguards. However one member Care Homes for Adults (18-65 years) Page 17 of 27 Evidence: of staff said that were not sure what this was. Another said that they were not familiar with how the Deprivation of Liberty Safeguards would affect the people who live at the home. The manager said that staff training in these subjects is planned in the near future. A copy of the Mental Capacity Act is kept in the office so staff can access it. The home has procedures for staff when they deal with the peoples money so it is kept safe. Records showed that staff sign records when any of the residents money is used and the manager checks them regularly. An audit of some of the peoples money kept was carried out during the visit at the home and was found to be correct. Care Homes for Adults (18-65 years) Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, 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 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 safe and clean home, although some small improvements to hand washing facilities are necessary. Evidence: The home is comfortable, warm and clean. There are enough bathrooms and showers for the people who live at the home. In the communal toilets and bathroom there wasnt any liquid soap or disposable hand towels so this could be a cause of cross infection. Each person has their own bedroom and they looked comfortable and clean. They were all personalised and made very individual. They all been decorated and furnished to a high standard. The laundry is organised and clean. Care Homes for Adults (18-65 years) Page 19 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, 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. Sufficient numbers of staff are in post to meet the diverse needs of the people who live at the home and they have opportunities for training so they know how to give them good care and meet their needs. Furthermore the home has recruitment procedures in place, which help to prevent risk of harm to the people who live there. Some records did not show that all checks had been carried out. Evidence: Staff said that they receive training, which helps them with their work. The deputy manager said that all staff receive the training and support they need. Staff said and records showed that they all have mandatory training such as first aid food hygiene and safeguarding adults training. One person was about to receive training in how to safeguard adults. A list of mandatory training for staff is kept on the office wall. The deputy manager said that only two staff do not have vocational qualifications. It is planned that they will start their training in the near future. Sufficient staff were on duty at the time of the visit. Staff said and records showed that sufficient staff had been on duty in the home the previous week. The deputy manager said that there are enough staff at the home now. One member of staff said yes there are enough staff and another said we have enough staff to cover the Care Homes for Adults (18-65 years) Page 20 of 27 Evidence: shifts. No concerns were raised in the surveys returned to the Commission from the people who use the service. The manager said that all staff have been CRB Criminal Records Bureau checked at an enhanced level to make sure they are suitable people to work at the home. All staff go through a recruitment process and they cannot not start to work at the home until this is completed. They are interviewed and are only successful when they have two satisfactory references. Copies of staff records showed that checks had been carried out. Some records showed gaps in staff work history which had not been explored during the recruitment process. Care Homes for Adults (18-65 years) Page 21 of 27 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 registered person is qualified and experienced and runs the home in the best interests of the people who live there and there are procedures in place that make sure they are protected as much as possible. Monitoring visits are not taking place as often as they should. Evidence: The manager said in their self assessment that they are qualified and experienced to run the home effectively. It was observed that there was a friendly atmosphere at the home and a pleasant rapport between the people who live at the home and the staff. The staff said that they could approach the manager with any concerns. Staff said that they liked working at the home. The deputy manager said that staff receive individual supervision six times a years and they have regular staff meetings. Records showed that individual formal supervision takes place. The manager said that the people who live at the home and their families are asked their views about the running of the home as much as possible. Staff said and records showed that the people have key workers who monitor their care at the home. One Care Homes for Adults (18-65 years) Page 22 of 27 Evidence: person who lived at the home said when asked if they liked living there they said yes its nice. Safety checks have been carried out on the equipment in the home such as testing electrical equipment and the servicing the central heating boiler. Fire safety risk assessments had been completed. Fire records showed that fire drills take place but fire instruction was not as regular as it should be. The deputy manager said that this has taken place but had not been recorded. Staff said that they have fire drills and have had fire instruction. Records showed that regular training is provided for staff in fire safety and first aid. Copies of monitoring visits are kept in the office. Records indicated that the monitoring visits were not taking place at the required intervals. Care Homes for Adults (18-65 years) Page 23 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 24 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 30 23 Liquid soap and disposable paper towels should be provided in all communal toilets and bathrooms. This will reduce the risk of cross infection in the home. 26/02/2010 2 39 26 An unannounced visit should 26/02/2010 be carried out every month at the home. A written report must be made of the visit and a copy lodged at the home. This is to make sure the welfare of the people at the home is being monitored. 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 6 The documents in peoples care plans should be signed and the date written on so staff can be sure that they are accurate and up to date. Care Homes for Adults (18-65 years) Page 25 of 27 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 2 10 Personal details about people who live at the home should not be recorded in the residents meeting minutes or any other documents where people other than those with the authority to do so may have access. Staff should be trained and understand how the Mental Capacity Act and Deprivation of Liberty Safeguards will affect the people who live at the home. Any gaps in an applicants work history should be explored during the recruitment process and a record kept on their staff file. A list should be kept which shows when each member of staff completed fire instruction so the manager can be sure they have all completed it at the required intervals. 3 23 4 34 5 42 Care Homes for Adults (18-65 years) Page 26 of 27 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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