Inspection on 04/06/08 for Chatterton Hey

This inspection was carried out on 4th June 2008.

CSCI found this care home to be providing an Adequate service.

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Chatterton Hey 01/09/09

Chatterton Hey 28/05/09

Chatterton Hey 30/08/06

Chatterton Hey 21/02/06

Chatterton Hey 06/09/05

Chatterton Hey 30/11/04

Chatterton Hey 23/06/04

Chatterton Hey 17/02/04

Similar services:

Littledale Hall Therapeutic Community

Padgate House

Westcliffe House

Richards House

Turning Point (Hoole Road)

Stanfield House

Little Acre Care Home

Inward House Projects

Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOME ADULTS 18-65 Chatterton Hey Exchange Street Edenfield Ramsbottom Lancashire BL0 0QH Lead Inspector Mrs Susan Hargreaves Unannounced Inspection 4th June 2008 10:00 Chatterton Hey DS0000009512.V366509.R01.S.doc Version 5.2 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 Chatterton Hey DS0000009512.V366509.R01.S.doc Version 5.2 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 Adults 18-65. 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. Chatterton Hey DS0000009512.V366509.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Chatterton Hey Address Exchange Street Edenfield Ramsbottom Lancashire BL0 0QH 01706 824554 01706 828761 Chatterton@langleyhousetrust.org www.langleyhousetrust.org The Langley House Trust 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) Mrs Eileen Margaret Holcroft Care Home 14 Category(ies) of Past or present drug dependence (14) registration, with number of places Chatterton Hey DS0000009512.V366509.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Male whose primary care needs on admission to the home are within the following categories: Past or present drug dependence - Code D The maximum number of service users who can be accommodated is: 14 Date of last inspection 30th August 2006 Brief Description of the Service: Chatterton Hey is a large detached property in its own grounds and is situated in Edenfield on the outskirts of Rawtenstall. The home provides a programme of rehabilitation and accommodation for up to 14 men recovering from substance misuse. This rehabilitation programme usually lasts from 6 to 12 months. The house is comfortable with domestic style furnishings and fittings. The accommodation reflects normal living as far as possible and both single and twin-bedded rooms are available. Communal rooms are spacious and a television, music centre and snooker table are available for residents to use in their free time. Residents and staff liaise with local educational services to provide for residents educational needs. The current fees charged at Chatterton Hey range from £387 to £500 per week. Additional charges are payable for personal items. A copy of the statement of purpose and service user guide is available to prospective service users and their relatives on request. Chatterton Hey DS0000009512.V366509.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. A key unannounced inspection, which included a visit to the home, was conducted at Chatterton Hey House on the 4th June 2008. An annual service review was carried out in November 2007. This involved reviewing information received about the service since the last inspection including the Annual Quality Assurance Assessment completed by the manager. It was concluded from this information that outcomes for the residents were unchanged from the last inspection and continued to be good. Two completed surveys were received from residents and four from members of staff. At the time of this inspection ten residents were living at the home. A tour of the premises took place and staff files and care records were inspected. Members of staff on duty and residents were spoken to. Discussions also took place with the manager regarding issues raised during the inspection. What the service does well: What has improved since the last inspection? Chatterton Hey DS0000009512.V366509.R01.S.doc Version 5.2 Page 6 Training in first aid has been provided to ensure a member of staff qualified to administer first aid is always on duty. To improve health and safety in the home an up to date electrical installation certificate has been obtained. The testing of small electrical appliances, which needs to be done annually, was carried out in October 2007. 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. The summary of this inspection report can be made available in other formats on request. Chatterton Hey DS0000009512.V366509.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Chatterton Hey DS0000009512.V366509.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A thorough admissions procedure ensured people using the service were suitable for the rehabilitation programme. EVIDENCE: The manager explained that she interviewed and assessed prospective residents prior to admission in order to check their suitability for the rehabilitation programme offered at Chatterton Hey. If possible this interview took place at the home but if necessary the manager would visit a prospective resident in prison. Further information was obtained from drugs workers and other healthcare professionals. This ensured the health, social and drugs related problems of each resident were identified before they were accepted for the programme. A record of the pre-admission interview and assessment was seen in the files of two residents. On admission a group of existing residents welcomed new residents to the home. They explained the house rules to the new resident and gave them a copy of the service user guide. A resident new to the home said he had been welcomed into the home, shown the house rules and was settling in well. Chatterton Hey DS0000009512.V366509.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s involvement in care planning ensured they received the support necessary to progress through the rehabilitation programme. Appropriate risk assessments were in place. EVIDENCE: The care plans of two residents were inspected. These plans provided detailed information about the care and support needed by each resident to help them progress through the twelve steps of the rehabilitation programme. Residents attended group therapy and individual counselling sessions. Information about these sessions including the goals set and the action needed to achieve the goals was recorded in the individual care plan of each resident. Each resident reviewed his care plan with a counsellor or key worker every three months. This ensured the care plans were kept up to date with the Chatterton Hey DS0000009512.V366509.R01.S.doc Version 5.2 Page 10 changing needs of the residents as they progressed through the programme. Key workers and counsellors also supported residents to make decisions about changes in lifestyle, which would aid their recovery and help to prevent a relapse. Appropriate risk assessments and risk management plans were in place. These addressed the risks associated mental health problems, addictive behaviour and group activities. On admission to the home residents signed a contract agreeing to keep the house rules and the restrictions these imposed as part of the rehabilitation programme. These included not going out alone for the first few weeks, receiving visitors only by prior arrangement and taking part in individual and group therapy sessions. One resident said, “I’m so grateful to this place, it’s done so much to change me and be comfortable with who I am.” Chatterton Hey DS0000009512.V366509.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The rehabilitation programme ensured residents had structured routines, which included therapeutic and recreational activities. Meals were wholesome and appetising. EVIDENCE: The rehabilitation programme involved a structured routine, which was compulsory for all residents. This routine helped and supported residents through the twelve steps rehabilitation programme. A meeting was held daily after breakfast when any problems were discussed. Residents were also asked how they were feeling and if anyone needed an appointment to see the doctor or dentist. Four group therapy sessions took place during the day. A variety of issues were covered in these group sessions including, the individual experiences of residents, meditation, relapse prevention, setting goals and housing. In addition to this residents also attended alcoholics and narcotic anonymous meetings on three evenings each week. Household tasks and Chatterton Hey DS0000009512.V366509.R01.S.doc Version 5.2 Page 12 leisure activities were included in the daily routine. Residents worked in teams to do the cleaning, cooking and gardening. Each resident was given the responsibility of being team leader. One resident explained the structured programme was beneficial and helped them all to develop life skills. It was not appropriate for residents to seek employment during the rehabilitation programme. However, voluntary work locally and further education was encouraged for residents who were making good progress and had been at the home for more than three months. One resident did voluntary work at a cricket club and another at a furniture warehouse. One resident was studying drug awareness and counselling at a nearby college. Residents said in their free time they played snooker, football, table tennis and computer games. They also watched television, DVD’s and visited the local shops. Group activities included regular visits to the sports centre; walks and the occasional day trip to tourist attractions e.g. Chester Zoo. Several residents regularly attended a local church. Visiting was by prior arrangement and usually at the weekend in order to fit in with the rehabilitation programme. However, the manager said they were always sensitive to the needs and circumstances of individual residents. On the day of the inspection the meal served at lunchtime was wholesome and appetising and appropriate for the lifestyle of the residents. Lunch was unhurried allowing time for residents and staff to chat and enjoy their meal. Menus were varied and offered choice. Residents were responsible for preparing and cooking the meals and clearing up afterwards. All the residents asked said the meals were good. Chatterton Hey DS0000009512.V366509.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The personal and healthcare needs of each resident were identified and met. Deficiencies in the management of medication and a lack of staff training could affect the health and wellbeing of some residents. EVIDENCE: Although residents had to comply with the house rules they were treated with respect. Members of staff were observed speaking to residents in a polite and friendly manner. One resident said staff were helpful. Care records included detailed information about the healthcare needs of each resident. To ensure these needs were met residents were registered with a local GP and dentist. To prevent the misuse of medication all drugs were stored in locked cupboards in the office and administered by members of staff. Residents were responsible for going to the office for their medication at the correct time. Records for the management of medication were in place. These included a record of medication received into the home and an administration record Chatterton Hey DS0000009512.V366509.R01.S.doc Version 5.2 Page 14 which residents and staff signed when medication was given. The administration record was handwritten and listed the different medications given at the time of administration. This made it difficult to check if individual medicines had been given at the correct time or omitted for any reason. The manager was advised to use a separate administration record for each medication. Medication for one resident was recorded using the generic name on the list of current medication and the trade name on the administration record. To avoid any confusion the name of the medication printed on the label by the pharmacist must always be used. One resident was prescribed antibiotics but on a number of occasions they were given at teatime when the instructions clearly stated they had to be taken before food. Giving medicines at the wrong time can stop them from working properly. It was also evident that packets of this antibiotic were not being used in date order because several packets had been opened. It is important to ensure medication is used in date order and before the expiry date. Four members of staff who were responsible for the administration of medication said they had been shown what to do but had not received any formal training in the management of medication. This increases the possibility of errors being made which could seriously affect the health and wellbeing of the residents. Chatterton Hey DS0000009512.V366509.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents felt able to express their concerns. Some care workers had not been given the training necessary to ensure they understood the principles of safeguarding of vulnerable adults form abuse. EVIDENCE: A copy of the complaints procedure was displayed in the home and included in the service user guide. No complaints have been made to the manager or directly to the Commission in the last year. Residents were given the opportunity to discuss any concerns at their daily meeting. The residents who completed the survey indicated that they knew how to make a complaint. The four members of staff who completed surveys stated that they knew what to do if a resident expressed concerns about the home. Policies and procedures for the safeguarding of vulnerable adults and whistle blowing were available. However, these were corporate policies from the Langley House Trust and did not clearly state what action must be taken if allegations of abuse were made at Chatterton Hey. This issue was discussed with one member of staff who said he would report any concerns to the manager immediately. The manager explained that training in safeguarding was arranged annually from head office but not all staff had received this training. The manager said she had told all members of staff to report any concerns to her but when asked she was unsure of the correct action to take. Chatterton Hey DS0000009512.V366509.R01.S.doc Version 5.2 Page 16 Not having a clear procedure for staff to follow and a lack of training means allegations of abuse may not be dealt with correctly. Chatterton Hey DS0000009512.V366509.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The premises were well maintained and provided a comfortable and ‘homely’ environment for the residents. EVIDENCE: At the time of the inspection the home was clean, tidy and well maintained. Residents were given responsibility for all household tasks to help them develop the skills they would need to live independently when they had completed the rehabilitation programme. This included, cooking, cleaning, decorating, small maintenance jobs and gardening. Residents said they had recently repainted the television lounge to make it look cleaner and fresher. Furnishings and fittings were domestic in style and met the needs of individual residents. The extensive grounds and gardens were well kept. Residents said they grew vegetables in the garden and there was also a greenhouse. One resident said, “It’s nice and calm here and out of the way of everything.” Chatterton Hey DS0000009512.V366509.R01.S.doc Version 5.2 Page 18 Residents were also responsible for doing their own laundry. A suitably equipped laundry room was available for this purpose. Chatterton Hey DS0000009512.V366509.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Members of staff had the skills and knowledge necessary in order to support residents through the rehabilitation programme. Recruitment procedures were thorough. EVIDENCE: Discussion with members of staff and the manager confirmed that training was encouraged. This included induction training for new employees, first aid, health and safety, fire awareness, equality and diversity, level two in food safety. The manager explained that one residential drug’s worker was working towards NVQ level 3 in social care, this includes units about substance misuse, and another three were to enrol on this course in September. Four members of staff completed the survey and in answer to the question ‘Did your induction cover everything you needed to know to do the job’, two responded ‘very well’ and two ‘mostly’. Three trained counsellors were also employed at the home. They were responsible for running the group therapy sessions and for providing Chatterton Hey DS0000009512.V366509.R01.S.doc Version 5.2 Page 20 counselling individually to residents. These sessions formed an important part of the rehabilitation programme. Staffing levels varied in order to meet the needs of the residents and facilitate leisure activities. At night when only one residential drug’s worker was on duty a senior member of staff was on call for emergencies. Three trained counsellors were also employed at the home. They were responsible for running the group therapy sessions and for providing counselling individually to residents. The files of three members of staff appointed since the last inspection were examined. These indicated that all the required pre-employment checks to ensure protection of the residents from unsuitable members of staff had been completed prior to appointment. Chatterton Hey DS0000009512.V366509.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is competently managed in the best interests of people recovering from drug addiction. EVIDENCE: The registered manager is experienced in caring for people recovering from drug abuse. She maintains an up to date knowledge of current practice by attending relevant seminars and conferences and by reading a variety of care journals. Residents were encouraged to express their views about the home and the rehabilitation programme at the meetings held after breakfast everyday. Residents also had a weekly meeting when issues to be raised at the weekly staff meeting were discussed. Minutes of these meetings were available. Chatterton Hey DS0000009512.V366509.R01.S.doc Version 5.2 Page 22 The Langley House Trust arranged three regional conferences and one national conference a year to which three residents and one member of staff were invited to attend. In addition to this Langley House Trust distributed satisfaction questionnaires to the residents annually. The questionnaires were evaluated at head office and the manager then received a report. The manager explained that she also encouraged visiting probation officers to give feedback informally about the home. Policies and procedures relating to safe working practices were available. These help to make the home a safe place for residents to live. Records showed that fire alarms were not tested at regular intervals. The last recorded test was on 15 December 2007. Emergency lighting had been checked monthly until March 2008. Regular testing of fire alarms and emergency lighting helps to ensure they are in full working order in the event of a fire at the home. Fire drills had taken place in November 2007 and February 2008. The manager was advised to ensure these took place at regular intervals and a staff attendance record kept in order to ensure all members of staff received this training. Although a fire risk assessment had been carried out this was undated making it difficult to determine if it was up to date. Records of the routine servicing of equipment were seen. These included an up to date electrical installation certificate and evidence that the testing of small electrical appliances had taken place in October 2007. Records of fridge, freezer and food temperatures to ensure food was stored correctly and handled safely were not kept. Chatterton Hey DS0000009512.V366509.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 2 X Chatterton Hey DS0000009512.V366509.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? 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 YA20 Standard Regulation 13(2) Requirement Medicines must be given to residents as prescribed and at the right time in relation to food intake. Receiving medicines at the wrong time can prevent them from working properly. To ensure medication is managed safely all members of staff responsible for the administration of medication must receive formal training. To ensure all residents are protected from abuse all members of staff must have training in safeguarding vulnerable adults. Timescale for action 11/07/08 2 YA20 13(2) 31/10/08 3 YA23 13(6) 31/10/08 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 YA20 Chatterton Hey Refer to Standard Good Practice Recommendations A separate page should be used for recording the administration of each medication. DS0000009512.V366509.R01.S.doc Version 5.2 Page 25 2 YA20 3 YA20 4 YA23 5 YA42 6 YA42 7 YA42 To prevent any confusion medication should always be recorded using the name printed on the pharmacist’s label. It is important to use medication in date order to ensure it is used before the expiry date. The procedure for safeguarding vulnerable adults should be amended to clearly state the action to take if allegations of abuse are made. Fire alarms and emergency lighting should be tested regularly to ensure it is working properly throughout the home. The fire risk assessment should be dated. Fire drills should take place at regular intervals and a staff attendance record kept to ensure all members of staff receive this training. To ensure food is stored correctly and handled safely fridge, freezer and food temperatures should be checked and recorded daily. Chatterton Hey DS0000009512.V366509.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Manchester Local Office 11th Floor West Point 501 Chester Road Manchester M16 9HU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Chatterton Hey DS0000009512.V366509.R01.S.doc Version 5.2 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!