Inspection on 14/12/05 for Charing Court

This inspection was carried out on 14th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Charing Court 22/11/06

Charing Court 20/07/05

Charing Court 29/09/04

Charing Court 11/05/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Charing Court Pluckley Road Charing Ashford Kent TN27 0AQ Lead Inspector Marion Weller Announced Inspection 14th December 2005 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Charing Court DS0000043997.V263577.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Charing Court DS0000043997.V263577.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Charing Court Address Pluckley Road Charing Ashford Kent TN27 0AQ 01233 712491 01233 712776 amanda.demezieres@tesco.net Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Songbird Hearing Limited Mrs Amanda Ruth De Mezieres Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (33) of places Charing Court DS0000043997.V263577.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Residents under the age of 65 to be restricted to one whose DOB is 25/02/1944. 20th July 2005 Date of last inspection Brief Description of the Service: Charing Court is a Residential Care Home registered to provide accommodation, care and support for up to 33 adults over 65 years of age. The extended Victorian property is located on the edge of a rural village, 6 miles from Ashford town. The main line station is a 5-minute walk away. Local amenities and public transport are also nearby. The Home has 33 single rooms, 26 of which have en-suite facilities. Accommodation is on two levels with access via stairs and 2 passenger lifts. All bedrooms are fitted with TV points and emergency call alarm, several are fitted with telephone points. Some residents have their own private telephones. There are adequate toilet and bathing facilities. There are 2 large lounges and several other seating areas throughout the Home. There is a separate dining room. The Home is furnished and maintained to a good standard. Externally the landscaped grounds are laid to lawn and well maintained. There is a semi-enclosed patio to the rear of the building and a conservatory to the front with a decked sitting area.. Maintenance and repairs are in good order. There is parking for several vehicles to the side and rear of the building. The home employs care staff, working a roster, which gives 24 - hour cover. Charing Court DS0000043997.V263577.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Regulatory Inspector Marion Weller carried out an announced inspection of Charing Court between 10:00 and 15:50. During that time staff on duty, the manager, the owner and clients spoke with the inspector. The owner showed the inspector round the home. The home was clean and well maintained. Additional information was obtained by looking at records together with some policy and procedure documents. Clients care plans; staff files and duty rosters were also seen. The last inspection report together with progress and achievements made by the home since the last inspection were discussed. The number of staff on duty was meeting the individual and collective needs of those in residence. Statements on comment cards included. • “They look after me very well.” • “My relative is very happy and speaks highly of the care given from the staff” • “Staff always have a smile on their face, a happy greeting and all requests have been actioned without delay” The manager and staff gave their full cooperation throughout the inspection What the service does well: What has improved since the last inspection? The home has benefited from a visit by the CSCI Pharmacy inspector. Some recommendations to improve practice in relation to medication management at the home have been addressed. Clients have benefited from improvements to their living environment. Work on a new conservatory is complete. Decking to provide a pleasant sitting area to the front of the conservatory is nearing completion. Laundry and catering facilities have been improved. The installation of two new boilers will ensure a consistent supply of hot water and heating to the home. Client’s health and safety has been improved by the Charing Court DS0000043997.V263577.R01.S.doc Version 5.0 Page 6 provision of radiator covers to most of the areas to which they have access. Clients now benefit from the provision of footplates fitted on their wheelchairs. Client’s confidentiality is better maintained by the provision of lockable facilities to secure information held by the home. Visitors to the home have improved signage to show them where to park and how to gain access. Plans are actively taking place to further improve the environment, resources and equipment at the home to the benefit of clients. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Charing Court DS0000043997.V263577.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Charing Court DS0000043997.V263577.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12345 Sound systems are in place for prospective clients to decide whether Charing Court is the right home for them EVIDENCE: The home has a revised Statement of Purpose and Service User Guide, which contain the information, required by Regulation. The manager undertakes a comprehensive assessment of care needs prior to a new client moving in. The information gained by the home during the pre admission assessment forms part of the care planning process. The manager stated that prospective clients are able to visit the home before making a decision to move in. The home provides a written contract for each client that is informative and includes all the items required. The manager demonstrated a clear understanding regarding the category and needs of the clients that the home could meet. Clients spoke of staff assisting them to settle in. Intermediate care is not offered at Charing Court. Charing Court DS0000043997.V263577.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 10 Client’s health and welfare needs are met by care plans, which offer clear guidance for staff and daily records, which are comprehensively maintained. Client’s needs are met in part by the homes current policy and procedures for dealing with medication administration. EVIDENCE: Each client has a comprehensive and detailed care plan that is regularly reviewed. Care plans provide clear guidance for staff on how they should meet client’s needs. Any change in a clients needs are recorded and appropriate action taken. The client had signed care plans seen. Client’s health care needs and access to health care professionals was being maintained and recorded. One client was receiving treatment from a community nurse for a pressure area. A comprehensive record of visits, appropriate treatment plans and actions taken were clearly recorded. The home benefits from a very positive relationship with community nurses and the local surgery. Comments received from health care professionals who have Charing Court DS0000043997.V263577.R01.S.doc Version 5.0 Page 10 regular involvement with the home included “I enjoy a very functional professional relationship with the staff of Charing Court who I consider to provide an excellent standard of care.” and “ The home provides an extremely supportive and caring environment, they communicate any concerns appropriately and have a good understanding of our patients needs.” The home has recently benefited from a visit by the CSCI Pharmacy Inspector. Some items of good practice in relation to medication management at the home still require address. Some timescales awarded by the Pharmacy Inspector for the home to meet regulatory requirements and good practice recommendations have yet to expire. The manager discussed the homes intention to meet all the pharmaceutical standards required. Medication administration was discussed and a medication storage area was viewed. Some medication administration records were also seen. Due to the limitations regarding unexpired timescales, this standard was not comprehensively inspected on this occasion. Client’s privacy and dignity was seen to be promoted. Clients could meet with visitors and make phone calls in private. Bathrooms and toilets were lockable. Following redecoration the engaged/ vacant indicators have still not been replaced on some toilet doors on the ground floor. During the last inspection the owner had stated his intention to address this issue. . Charing Court DS0000043997.V263577.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 15 Clients benefited from routines of daily living which are flexible. Their quality of life would be further improved if they had opportunities for interesting activities and were supported by sufficient staff available to offer support. EVIDENCE: Since the last inspection activities offered to residents within and outside of the home have been reviewed by the manager to ensure that individual clients preferences are met. It is the homes policy to encourage clients, but never compel them to be as active as possible. The home has a programme of recreational activities on offer. The manager spoke of the difficulty in identifying and providing activities that meet all of the client’s expectations. An activity was taking place during the afternoon of the inspection. There was limited involvement by the client group. The home would benefit from additional staff designated to support clients and enable them to take part in planned group or individual activities of their choice. Clients said they could have visitors whenever they wish and spoke of how relatives and friends visited them regularly. Charing Court DS0000043997.V263577.R01.S.doc Version 5.0 Page 12 The homes menu plans were seen. The items included were varied and alternatives were offered. A number of comments received prior to the inspection raised issues about the portion size offered on occasions and general dissatisfaction with some items included on the menu. The manager spoke of the homes intention to review the menu plans with the client group. Lunch was taken in a relaxed atmosphere and staff offered assistance in a discreet and sensitive manner. Charing Court DS0000043997.V263577.R01.S.doc Version 5.0 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 17 18 Clients and their relatives can be confident that complaints or concerns are taken seriously and responded to quickly. Client’s legal right were promoted and there were systems to ensure they were protected from abuse. EVIDENCE: Clients and their representatives had a complaint procedure, which gave contact details and explained the process of investigating the complaint with timescales. The manager strives to create an environment that is open and encourages clients, staff and visitors to discuss any concerns on a daily basis so that issues can be dealt with quickly. The manager does not currently record verbal complaints or the outcomes achieved. The manager said they used complaints to improve practice, where it was necessary. The manager described how permanent clients were enabled to be on the electoral role and that voting would be facilitated where requested. The manager confirmed that where clients lacked capacity they were given access to advocacy services. The homes service user guide lists the advocacy services available locally. The home has procedures for responding to suspicion or evidence of abuse or neglect to ensure the safety and protection of clients. The manager demonstrated a sound understanding of adult protection procedures and stated Charing Court DS0000043997.V263577.R01.S.doc Version 5.0 Page 14 that any allegation of abuse would be referred to the concerned agencies without delay Charing Court DS0000043997.V263577.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 20 21 22 23 24 25 26 Clients enjoy a clean and comfortable environment where they could have familiar belongings to help them feel at home. EVIDENCE: The building was found to be in very good decorative order and was well maintained, clean and free from unpleasant odours. The owner spoke of plans to extend the clients dinning room to allow for additional space and improved lighting. Improvements required to the main kitchen and the sluices were to be included in the work. A conservatory for clients use had recently been completed. Commercial size fridges and freezers had been purchased for the kitchen. New boilers had been installed to improve the homes water and heating systems. Radiator covers have been fitted to the majority of areas to which service user have access. The work continues to a set programme. The exterior grounds were accessible to clients; well-maintained and very pleasant Signage to the car park and the entrance to the home had been purchased and were displayed to the benefit of visitors and clients. Charing Court DS0000043997.V263577.R01.S.doc Version 5.0 Page 16 Apart from the clients dinning room, most of the communal areas of the home ensure that clients have sufficient space for normal daily living and activities. There were sufficient toilets and bathrooms available to clients with equipment to maximise independence. All were clean and personal toiletries were being kept hygienically. Toilet frames are not fixed to the floor. This should be addressed as a priority. Clients have their own single bedrooms. 22 have en-suite toilet and hand wash basin facilities. 2 rooms have en-suite baths and 2 have showers. All bedrooms seen met with individual clients needs and were very well decorated, personalised and furnished to their wishes. It is the homes policy that all new clients are admitted to bedrooms that have been redecorated and with new carpet laid. Charing Court DS0000043997.V263577.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 30 Clients would benefit from the availability of additional staff at key times and in relation to supporting them with social activities. EVIDENCE: The home employs care staff working a roster, which gives 24-hour cover. Domestic, catering staff and a handyman are also employed. Staff duty rosters were inspected. Records seen comply with the demands of regulation. The home cares for 33 clients, two of which are bed fast and two have additional mental health needs. Accommodation is arranged over two floors. In relation to the increased dependency levels found in the home and the demands that the geography of the building places on staff, the importance of regular review and maintenance of staffing levels was discussed with the manager. The owner had recently reviewed staffing numbers in line with the Dept of Health’s staffing formula for care homes and found them to be satisfactory. The manager stated that the home would benefit from increased staffing levels, particularly at busy times. Additional availability of staff would also allow the home to offer greater flexibility in supporting clients with meaningful activities, allow dedicated time for care planning review and undertake regular supervision of staff. It was suggested that current staffing levels are not consistently conducive to client’s health and welfare. A number of comments received prior to the inspection spoke of staff being under pressure in their attempts to meet all the demands placed upon them. Charing Court DS0000043997.V263577.R01.S.doc Version 5.0 Page 18 The manager confirmed that CRB and POVA register checks are made for all new staff before they commence employment to ensure the home employs only staff that have been properly vetted. The homes staff application form requires revision to accurately reflect regulation. There was ongoing training available for staff. 46 of staff have achieved or are working towards NVQ in Care. Some staff had recently completed medication administration courses. The home had individual staff training analysis sheets to record training courses attended. The manager could evidence a staff-training matrix, which gives a clear view of what training and updates staff require. Charing Court DS0000043997.V263577.R01.S.doc Version 5.0 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 32 33 35 37 38 The home benefited from a manager who is accessible and had high expectations of the service to be delivered. Current arrangements are not sufficient to fully protect and promote the health, safety and welfare of clients. EVIDENCE: The manager has a number of years experience working with an older client group, holds a professional health qualification and has recently achieved the Registered Managers Award. The Owner, who is often present and involved in the home on a day-to-day basis, is currently proving competence at R M A level. The manager described an open and inclusive approach to the management of the home and had high expectations of the service to be delivered. Charing Court DS0000043997.V263577.R01.S.doc Version 5.0 Page 20 The Owner undertakes formal monthly visits and sends copies of the written report to the CSCI. The information provided in the report is limited and does not fully meet the demands of regulation. The home regularly reviewed aspects of its performance through a programme of self-review and consultation, which included the opinions of residents and relatives. Clients records and information stored in the open plan lobby office are now appropriately stored in lockable facilities and preserves confidentiality. Client’s financial interests were protected. The manager deals with the clients amenity fund. Accounts are not currently audited annually. The owner discussed the intention to undertake the audit. Client’s relatives did not express any concerns about the homes management of monies or valuables held on the client’s behalf. The sluice area is aged and would benefit from updating and refurbishment. Infection control measures to prevent the spread of infection are difficult for staff to maintain in the current environment. The owner discussed plans to improve the situation. Cleaning chemicals in the kitchen and other areas were decanted into unmarked spray bottles. The manager had a firm understanding of the key duties providers must have in relation to COSHH Regulations. Data sheets and COSHH risk assessment records have been completed by the home and were seen. Toilet frames are not fixed to the floor. This issue should be addressed as a matter of priority to safeguard client’s welfare. Charing Court DS0000043997.V263577.R01.S.doc Version 5.0 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 2 2 3 2 3 4 2 2 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 X 3 1 Charing Court DS0000043997.V263577.R01.S.doc Version 5.0 Page 22 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP27 Regulation 18 (1)(a) Requirement The registered person shall, having regard to the size of the care home, the statement of purpose and numbers and needs of service users ensure that at all times suitably qualified and competent and experienced persons are working at the home in such numbers as are appropriate for the health and welfare of service users. In that: Although a review of staffing has taken place. It remains the inspector’s view that staffing numbers should be appropriately increased to reliably and consistently meet the health and welfare needs of service users in the care home at all times. This was a requirement in the previous three inspection reports dated. 31 July 2004, 29 October 2004 and 20th July 2005.) 2 OP9 13(2) The Registered Person shall DS0000043997.V263577.R01.S.doc Timescale for action 31/03/06 28/02/06 Version 5.0 Page 23 Charing Court 3 OP38OP26 12(1)a 13(3)13 (4)c make arrangements for the recording, handling, safe keeping, safe administration and disposal of medicines received into the care home. In that: The requirements of the Pharmacy Inspectors report dated 11/10/05 should continue to be addressed within the timescales awarded. • The home purchases a drugs trolley appropriate to the system in use. • The drug fridge is fitted with a lock. • All staff receive appropriate training and are regularly assessed for competency to administer and manage medicines. • All staff administering medicine requiring specialised techniques should be fully trained and assessed by a nurse. 27/02/06 The Registered Person shall make suitable arrangements to prevent infection, toxic conditions and the spread of infection at the care home. In that: Both sluice rooms must have the provision of impermeable floor coverings and wall finishes that are easily cleaned to maintain adequate levels of hygiene and prevent the spread of infection and communicable diseases. Plans discussed to improve sluice areas must be made in consultation with the Environmental Health Officer to ensure a future environment that protects and makes proper provision for the health and welfare of service users. An action plan should be provided to DS0000043997.V263577.R01.S.doc Version 5.0 Page 24 Charing Court 4 OP19OP38 12(1)13 (4)(a,b,c) the CSCI with clear timescales for completion. This was a requirement in the previous inspection report dated 20th July 2005. The Registered Manager ensures 27/02/06 so far as reasonably practicable the health, safety and welfare of service users. In that: Freestanding support frames that go over the toilet seat be fixed to the floor as a matter of priority. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP12 Good Practice Recommendations It is recommended that the home review the activities offered both within and outside the home, in order to ensure that these are sufficiently regular and appropriate to individuals needs. It is recommended that communal toilets used by service users be fitted with engaged/ vacant indicators. It is recommended that a review be undertaken in regard to the choice of food and drink offered, to ensure that a full range is available and included in the menu for service users. It is further recommended that a record be made of individual’s wishes in regard to portion size. It is recommended that records be made of all complaints. It is recommended that there is sufficient space in the communal dinning room to seat all service users. Plans discussed to address the issue should proceed without delay. It is recommended that the stated intention of guarding all radiators in areas to which service users have access, continue as discussed. DS0000043997.V263577.R01.S.doc Version 5.0 Page 25 2 3 OP10 OP14OP15 4 5 OP16 OP20 6 OP25 Charing Court 7 OP29 8 OP33 9 OP35 The home must seek a statement as to a prospective staff member’s mental and physical fitness to work in the home. The current staff application form should be amended as discussed. It is recommended that the registered providers monthly reports be written with more comprehensive detail. This must include interviews, with the consent of residents, their representatives and staff in order to form an opinion on the standard of care provided, the conduct of the home, inspection of the premises, records of events and complaints received. It is recommended that the registered person arrange to have the service users amenity fund accounts audited annually to protect their interests. Written records should be available for inspection. It is strongly recommended that chemicals are not decanted into unmarked spray bottles. 10 OP38 Charing Court DS0000043997.V263577.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Charing Court DS0000043997.V263577.R01.S.doc Version 5.0 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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