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Good or Outstanding Rating ?

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Putting all this together can help with a great inspection

To work towards a Good or Outstanding  rating, a service provider needs to fully understand what kind of evidence the CQC is looking for, it is important to understand how much enforcement power the CQC now has.  A Poor rating also reflects badly on your reputation, as we know reputations are hard won, but easily lost. The State of Care Report 2015-2016 states that those organisations which  received a Good or Outstanding had a strong visible leadership and the management team was  aware of the organisations areas of strength but also the areas where improvements were needed. In the  businesses which achieved an Outstanding or Good  staff were more engaged and involved in decision making.  The best providers had a focus on how to improve services.  and collaborated with others to make this happen.  The Well Led KLOE is consistently  the one that is marked as inadequate or requires improvement.  Poor safety means that probably there are poor processes and systems in place,which are the remit of management.  If staff do not have the right tools to do their  job they will fail in their responsibility to  the service user. If you want to not only understand how to meet the Fundamental standards but to understand the innovative ways in which to achieve  Good  or Outstanding rating  than you have to book  my Meeting The Fundamental standards  course at your premises so all your staff  can learn   what is expected of them and how they can achieve it.  For more details on this course go to the training page and complete  the booking form.

Gardening For People living with Dementia



Gardening is a great therapy for anyone. I know I’m a novice gardener myself growing sweetcorn, spinach, peas, green beans, lettuce. I enjoy it and find it relaxes me, it makes sure I get enough vitamin D. We only need to be outside for 30 minutes to top up our vitamin D.

Are you making the most of your outdoor space?

Even a small space outside can become a place where residents can go enjoy gardening tasks.  It about making the space safe and have enough tasks for the residents to do or enjoy themselves.

You can make use of raised beds if that’s too much expense use large pots which are raised.  Planting items such as mixed lettuce and spinach we grow easily can be rewarding and the produce can be used in dishes.

Why not speak to your garden centre they may be happy to donate equipment  and plants, most companies have a mission statement which included helping the local community.

Gardening has been found to be beneficial for those with mild cognitive impairment and dementia.

If you do not have an appropriate outdoor space you could try to convert a space indoors which is not being utilised for anything.   This is exactly what Wynford Locks Care Home in Glasgow did they converted a little used space into an indoor garden. Some of the things they used are; astro turf, sky blue ceiling with clouds, garden furniture, and stoneware wall paper and indoor plants.  Add some outdoor music and you have a enjoyable space for both your residents and staff to enjoy.

Kim Groves has written that ; “ The presence of plants, flowers, water and wildlife has a healing effect, even when viewed from indoors. Gardens can also provide peace and quiet which can help to ease stress, anxiety, agitation, aggressive behaviour and pain.

‘People can be diverted from gates and exits by having paths that lead them around the garden instead. A series of cleverly placed planters or hiding the exit behind trees and shrubs can also help.’”

She also says it’s important to think about the experience your creating so think about; colour, scent and whether your creating a stimulating or calming area

Here are links for further information and to help you in a practical way.


Its important to provide feedback

Are you providing feedback to your employees?

Do they know they did a task well?

Are you doing this consistently?
Did you know that performance is improved by consistent feedback?
“Feedback motivates, and is an essential part of every high performance business system.” Ron Carroll

Feedback is important for performance management and appraisal.  Employees need to be told  during induction that their performance will be managed .  That  set criteria, or key performance indicators will be used for each job role. When an  employee knows from the outset what level of work is expected from them they will be better placed to meet the standards expected of them.  They will also know if they have fallen short or excelled, best practice can be used consistently meaning that the organisation as a whole excels and is more likely to achieve a good overall rating.

Next steps:
Look at your core business systems and processes. Do the people in your business know how they are performing in relation to their goals?
Do they know when they have excelled, equally do they know when they haven’t?
Do they continually strive to improve the system and themselves? If they don’t get feedback they won’t know if improvement is wanted or required the culture will be one of “ we have always done it this way”

Frequency of feedback improves performance.


Care worker reading with service user

The Care Act – A Whistle Stop Tour

The Care Act is a long document to read so here I have introduced key areas, so make yourself a coffee or whatever is your favorite beverage and have a read!

The Implementation of the Care Act brings the greatest change for a long time.  This is a whistle stop tour of the key elements of the act. Why not make yourself a cuppa whilst your reading this!