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Care home inspections and reviews  - how do they work?

In the UK, all care providers have to be inspected by an independent regulatory body, in order to ensure they are maintaining national standards and delivering quality care. 

Who inspects care providers?

In the UK, each country has its own regulatory body. For England, this is the Care Quality Commission (CQC), in Scotland the Care Inspectorate, in Wales the Care and Social Services Inspectorate Wales (CSSIW) and in Northern Ireland it’s the Regulation and Quality Improvement Authority (RQIA). 

How are Majesticare care homes regulated?

Majesticare care homes are monitored by the CQC via regular inspections – with at least one “review” every two years. The CQC will also gather feedback and concerns from residents and those who have loved ones in the care home. 

The CQC will take action if it believes there is a problem or that standards aren’t being met. In an emergency situation, the CQC can also mandate that a home is closed until the provider meets its requirements, and it can take a service off the register completely if necessary.

What happens during an inspection?

The CQC inspector or inspection team will usually meet with the care home manager or another member of the team right at the start of an inspection. It’s at this point that they will explain things like who will be carrying out the inspection and what the of the review will cover.

The CQC inspection team will then use information from their own research, as well as feedback they’ve received, to structure their visit and focus on areas of concern or areas where the service is performing particularly well.

The CQC will collect evidence by:

• Gathering the views of people who use the home

• Gathering information from staff

• Observing care

• Looking at individual care pathways

• Reviewing records

• Inspecting the individual facilities where people are cared for

• Looking at documents and policies.

Reports and ratings

Evidence collected is used to form a verdict about the quality of care, which is then published as a report on the CQC website. In most cases the reports include ratings, which show the overall judgement of the quality of care.

There are four ratings that are given to care homes: outstanding, good, requires improvement and inadequate.

To find the rating of Blenheim House of our care homes, simply scroll to the bottom of our home page where you’ll find our rating and link to our full inspection report. 

Why older people in Cornwall don’t miss their younger years

If you’re under the impression that older people lament the loss of their youth, you could be in for a shock! In a recent survey by Westcountry retirement housebuilders McCarthy and Stone, late generation Cornish residents revealed more than 30 things they didn’t miss at all about their younger days, and reasons they love being more mature.

From the hassles of a working life to the trials of raising kids, the survey responses give some amusing insight into what we sometimes don’t realise to be the benefits of aging. Here are some of our favourites:

Things they don’t miss about working

We all have moments when we wish it was our time to retire. From the daily grind of traffic on the commute to our workplace to being forced to spend time with colleagues we probably wouldn’t choose as our friends, working full time is no walk in the park. Here are some of the most irritating things these Cornish retirees picked on, which they are more than happy to see the back of now:

• Being woken up by an alarm clock

• Having to be up and out at a certain time

• Spending five days a week at work

• Having to dress up for work

• Waiting for pay day

• Never having a lie-in

• Spending all day staring at a screen

• Enduring the commute

• Spending the week with people you don’t like

• Coping with a boss looking over your shoulder

If there’s one thing most people of working age could wish for, it would be more time, and that’s a given when retirement comes our way. Time, freedom and choices; things that are severely lacking during our hard-working middle years.

Things they don’t miss about family

We all love our kids, but sometimes they really do try our patience too. Even if it’s not the kids themselves, the hectic lifestyle that comes with them can be enough to wear you out. Here are some of the things these older people don’t miss about family life: 

• Tidying up after the kids all day long

• Getting the children out of bed for school

• Ironing school uniforms

• Cooking big family meals every night

• Doing the weekly food shop

• Socialising with other parents

• Being the kid’s taxi / emergency break down service

• Juggling after school activities

• Packing for family holidays

• Balancing work and family commitments

It’s always sad when the day comes for our children to leave the nest, but at the same time, it’s the start of a new chapter for us too. As much as we’ll miss being hands on parents, we should also look forward to the prospect of a more selfish lifestyle where we don’t have to always put others first.

Things they don’t miss about life

Life in general can be tough, particularly when you’re young. From going on a disastrous date to nerve racking job interviews, life can be hard when you’re young and inexperienced. Here are some of the things this group of retirees in Cornwall definitely won’t miss about being younger.

• Sitting exams

• Financial worries

• Awkward first dates

• Not being confident in themselves

• Struggling to get on the property ladder

• Worrying about looks

• Worrying about what the scales say

• Doing DIY at the weekend

• Competitiveness among friends

As you can see, although aging has its own set of worries that come with it, there are things to look forward too. Here at Blenheim House, we want to reinforce the positive aspects of growing older, helping older people to see the good things that are left in life and helping them to enjoy the freedom and flexibility that comes with our later years.

Staying Active in Older Life
Every week there seems to be a new viral photo or video depicting the amazing feats of older athletes and keep-fit enthusiasts. From an 85 year-old who recently set an age-group world record at the Toronto Marathon, running it in under four hours, to a 67-year-old completing the hardy Ironman challenge, rebelling doctor’s advice that he should refrain from tough exercise altogether. 

Of course, these are extraordinary accomplishments, but it’s no secret that staying active throughout your life and into older age has numerous benefits and can help to reduce the risk of age-related illness and conditions. Combine it with eating well, regular exercise can keep you feeling fit, healthy and independent for many years. 

There are lots of exercise classes and health referral schemes for older people. If you’re overweight or suffer from particular health conditions, speak to your GP about what you can and can’t do. It’s important to start slowly at first and build your fitness. And, of course; do activities that you enjoy. 

1. Walking 
Walking is an ideal form of exercise for those who want to start exercising a bit more regularly, but don’t want to participate in anything too active. Regular walking of a moderate intensity has been shown to have wider health benefits, reducing the risk of chronic illnesses such as heart disease, stroke, asthma and type 2 diabetes. Keep it social by walking in a group or with a friend.  

2. Table Tennis 
Activities such as table tennis have been proven to improve motor skills and increase blood flow to the brain. It’s is a competitive physical activity but it’s also is sociable and entertaining. Playing table tennis also improves hand-eye co-ordination and balance. It really is a game that can be played by people of any age, and can even be played sitting down. 

3. Yoga 
Many people often start yoga in their seventies, as a result of its health benefits. Research has suggested that regular yoga practice can be hugely beneficial for people with aches and pains, including lower back pain, heart disease, high blood pressure, as well as depression and stress. Yoga is often popular amongst people living with arthritis. 

4. Dancing 
Dancing is an effective way to add aerobic exercise to your weekly routine. There are many dance exercise DVDs that you can use at home or, even better, check out your local community center for dance exercise classes that are specifically for older people. Classes such as low-impact aerobics, salsa, jazz, tap, ballroom and even chair aerobics are easy to join since you can work at your own pace.  

At Blenheim House, we encourage our residents to participate in as much physically activity as they’re able, whether that’s a seated exercise class or a stroll around our beautiful gardens. For more information about our lifestyles and activity programs, contact us today.          

Could an app reverse the early signs of dementia?
New research from the University of Cambridge and the University of East Anglia suggests that Brain training games can boost the memory and may reduce the risk of dementia.   

Researchers used an app called ‘Game Show’ to treat people with amnestic mild cognitive impairment. Participants played the game on an iPad and had to try and win gold coins by putting different patterns in their correct places, with the game becoming increasingly challenging as players succeed, in order to keep them stimulated.   

42 people over-45 living with amnestic mild cognitive impairment participated in the study, which last for one month. Half of the participants played Game Show for two hours a week and the other half played no video games at all.   

The results, published in the International Journal of Neuropsychopharmacology, revealed that players improved their “episodic” memory by about 40 per cent and participants said that they enjoyed playing it, and felt motivated to continue playing. 

This helps with the day-to-day activities such as remembering where we put our car keys, or a joke we shared with friends.   

Dr Carol Routledge from Alzheimer’s Research UK said: “Game Show could hold some benefit for people with mild memory problems. 

“But without more research we can’t tell if the same benefits could be achieved with any other electronic game. 

“The fear of a dementia diagnosis is at an all-time high so there is a lot of interest in cognitive brain training.” 

Larger trials are planned to see how long the benefits last.

Questions to ask when choosing a care home
Finding the right care home for your loved one is a crucial step in helping them live a happy and fulfilled life. Trusting the care of someone you love to someone else is tough, but making a well thought choice at this stage will help you feel confident in your actions. 

Don’t be afraid to ask questions when you visit a care home; the more information you can gather, the more you can feel certain that you’ve made a good choice. Here’s some advice on what to think about, and what to ask, when you visit a potential care home. 

Shortlisting care homes 
Talk to your loved one about what’s important to them in a care home. Would they like a lovely garden, do they want to be close to family or friends, or do they need specialist care of some sort? What do they consider to be ‘essential’ in a care home, and what is just ‘desirable’? Once you’ve understood their needs and requirements, you’ll find it easier to start drawing up a shortlist. 

Questions to ask yourself 
Allow plenty of time at the home, so you can really get a feel for the place. As you’re looking around, ask yourself: 
How does it sound? Listen for how care workers talk to residents. Are they friendly, compassionate and loving?

How does it smell? Care homes can sometimes have an odour – that’s to be expected to an extent. However, if the odours are overwhelming, it might not be getting cleaned as well as it should.

What is the food like? See if you can stay for a meal, so you and your loved one can see and taste the quality of the food. Older people may need encouragement to eat, so food should taste and smell delicious, as well as being visually appealing.

What are residents doing? A good care home will encourage residents to be active, social and busy. Seeing lots of people up and about is a good sign, as is a full calendar of activities and events.

What are the staff like? A busy staff is normal, but stressed and tired looking care workers are not. Listen in to care workers interacting with each other; if they’re being sharp or rude with their co-workers, chances are they’ll be sharp or rude with the residents too. 

Taking all this in will give you a good insight into how the care home performs. Think about your gut feeling about the home, and whether the people living and working there look happy and satisfied. 

Questions to ask the care home 
As well as doing your own investigations, make sure you ask plenty of questions about the care and facilities your loved one will have access to. Chances are you’ve got your own set of questions relating to their specific care needs, but think about some of these issues as well:

Will they have a phone in their room, or access to a phone?
How can they receive post?
How can you submit feedback?
When will you be briefed on how they are doing; are there relatives meetings?
Are there set times that relatives can visit; can children or pets be brought in?
Can guests stay for meals, and what is the cost? 
Can they stay overnight?
What security measures are in place to keep valuables safe?
What activities are on offer for your loved one to take part in?