Inspection on 17/12/05 for Chrissian Residential Home Limited

This inspection was carried out on 17th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Chrissian Residential Home... 24/02/09

Chrissian Residential Home... 03/11/08

Chrissian Residential Home... 29/08/07

Chrissian Residential Home... 29/08/06

Chrissian Residential Home... 10/06/05

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Chrissian Residential Home Limited 526-528 Woodbridge Road Ipswich Suffolk IP4 4PN Lead Inspector Mary Jeffries Unannounced Inspection 17th December 2005 11:30 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 Chrissian Residential Home Limited DS0000058102.V273994.R01.S.doc Version 5.1 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. Chrissian Residential Home Limited DS0000058102.V273994.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Chrissian Residential Home Limited Address 526-528 Woodbridge Road Ipswich Suffolk IP4 4PN 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) 01473 718652 Chrissian Residential Home Limited Mrs Bibi Rookian Molabaccus Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (22) of places Chrissian Residential Home Limited DS0000058102.V273994.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th July 2005 Brief Description of the Service: Chrissian House is situated on a main road into Ipswich town centre. The home comprises two buildings joined together at ground and first floor level. There is a medium sized garden to the rear of the building, with patio area and a small amount of outdoor furniture and seating. The accommodation was developed in early 2002 to meet the standards at that time. The number of double rooms was reduced, and new rooms were created when the development was completed. The garden has had landscaping, and is attractively maintained. The home caters for those with low and medium needs only. The interior of the home is basic in decoration, with stair lifts to aid those with poor mobility. The home would not accept a service user who was a wheelchair user at the time of admission. Chrissian Residential Home Limited DS0000058102.V273994.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place during the weekend prior to Christmas weekend in 2005, on a late morning and afternoon. It lasted five and a half hours. There was one vacancy at the time of the inspection; a service user who had been admitted to hospital the previous day was to be discharged to a home with nursing care. The inspection was facilitated by the owners and the Deputy Manger who took over this role in the later part of the day. Care staff also participated in the inspection. Three service users were tracked, and other service users were observed in both the main lounge and the annex. What the service does well: What has improved since the last inspection? What they could do better: Training has not improved sufficiently, however this is not for want of effort by the home, and the type and level of levels of supervision and the stability of the staff group go some way to compensate for this. Chrissian Residential Home Limited DS0000058102.V273994.R01.S.doc Version 5.1 Page 6 The environment requires some redecoration, standards appeared to have slipped. 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. Chrissian Residential Home Limited DS0000058102.V273994.R01.S.doc Version 5.1 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 Chrissian Residential Home Limited DS0000058102.V273994.R01.S.doc Version 5.1 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): 2,4,6 Service users can expect that this home will have ensured a full assessment has been undertaken and that the home will be able to meet their needs. EVIDENCE: The three most recently admitted service users all had pre-admission assessments on file. One service user who had been quite unhappy when spoken with at the last inspection had been fully reviewed, and professionals involved had the view that the service user was happier in this placement than they had been in others. They were spoken with and were leading a fuller life and presented as more contented. The deputy manager confirmed that the home does not provide Intermediate Treatment. One service user was at the home for a short stay, having recently been bereaved. They were over 65 years of age, and the home had assessed them. There was no room number on the contract on file, although this had been a requirement of the previous inspection. The deputy manager advised that this service user did not mix with the others and they intended to move them to a better room with a view of the garden, and it was for this reason that the number of the room had not been put on the contract. Another Chrissian Residential Home Limited DS0000058102.V273994.R01.S.doc Version 5.1 Page 9 recently admitted service user had a contract on file with the allocated room number specified. Chrissian Residential Home Limited DS0000058102.V273994.R01.S.doc Version 5.1 Page 10 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): 7,9,10 Service users can expect to have a full care plan based on their pre-admission assessment that clearly states their needs, and for staff to have a good understanding of their needs. EVIDENCE: Care plans inspected had a new format and were very clear and well presented. They had defined goals of the care provided in all aspects of health, personal and social care needs and the action that needs to be taken by care staff to ensure identified needs are met. The three service user plans inspected had been reviewed recently. Staff spoken with had a good knowledge of individual service users needs and preferences. Three service users had lunchtime medication, including one service user who had an inhaler 4x per day. Medical record sheets (MARs) showed that this was last given on 14th of December 2005. There was a note on this service users’ file to state that a replacement was coming in on the 17th December. This was discussed with the manager, who explained that it was not possible top see when an inhaler runs out. The home had requested that they be allowed to keep a spare, but had not been allowed to as it should contain a set number of Chrissian Residential Home Limited DS0000058102.V273994.R01.S.doc Version 5.1 Page 11 puffs. The manager said that this was the first time that the service user had run out. One of the other service users had eye drops, and the carer administering medicine explained that they would wait until after the meal to administer these, and would not do it in the dining room. The MAR sheets of seven service users who reside in the annex were all inspected, and no errors were found. Service users spoken with were asked how the felt staff treated them. One service user said: “They are good, they know exactly what to do for everybody and say to everybody. I sit and I listen and I watch.” Another service user said, “ some are alright” they did not want to be drawn on this. A member on staff who was spoken to thought this might be because the service user in question has let it be known that they do not like black carers, but there was no other supporting evidence to show that this was what the service user meant. Interactions between staff and service users witnesses on the day of the inspection were good, and respectful. Another service user said, “ I’ve been here several years now, its very nice. They are good, very good.” When asked to say more about this, they expanded, “ The way you are treated.” Another service user said, “I like everything”. Chrissian Residential Home Limited DS0000058102.V273994.R01.S.doc Version 5.1 Page 12 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): 12,15 Service users can expect to enjoy good home cooked meals in a comfortable atmosphere. They can expect daily life to be quiet, but for there to be a range of activities available. EVIDENCE: There was a good atmosphere in the home on the afternoon of the inspection. Staff and service users advised that earlier the same morning they had been Visited by members of the local Baptist Church who had sang carols, and that the homes Christmas party had been held the previous night. During the afternoon some service users were playing snakes and ladders with a carer, and they said that they had been playing cards earlier in the day. The deputy manager advised that they were gathering information on activities that they could draw into a revised programme, but had not yet got any further with this. Staff spoken with said that if they would like to see any improvement they would like to see more service users moving round and being more active. Daily notes were inspected, and in some instances recording was not done for more than a week. Chrissian Residential Home Limited DS0000058102.V273994.R01.S.doc Version 5.1 Page 13 A service user who had been met at previous inspections and who had felt that the home did not offer as much life and entertainment as they would like, had started to go to the Caribbean Club, and a friend was calling on a weekly basis to take them. This service user was more content than previously, and indicated that they had very much enjoyed the Christmas party the night before; “ I had a couple of whiskies, I was singing carols and talking about old times.” The service user advised that they were also going to the Caribbean Club Christmas dinner. Service users lunch was served. The atmosphere at lunchtime in the annex was quiet, but relaxed and comfortable, with some conversation occurring between service users. Two service users had specifically asked if they could have chicken again, having had this the previous day. The meat was reheated in the microwave, and a record was made of the temperature of the cooked meat. The other service users had ham salad or fish cakes, peas and potatoes followed by a pudding. One service user who was not otherwise very happy, and had explained, “this is a hard part of my life”, said that “ the food is good here, I can say that.” Another service user said, “ I do enjoy my food, you can have something else if you don’t want the main meal.” Meat temperatures are taken with a probe thermometer, and there was an entry in the meat temperature log for chicken on the day of the inspection. Fridge and freezer temperatures were properly maintained. Food in the refrigerator was appropriately covered. The home had colour coded chopping boards. Copies of menus were provided, and these showed good healthy meals, with a choice each day, the main meal served at lunch time, and a warm supper dish available most days except Sunday when the supper was sandwiches (after a roast dinner mid day). Chrissian Residential Home Limited DS0000058102.V273994.R01.S.doc Version 5.1 Page 14 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 The home cannot evidence that all complaints have been appropriately dealt with. EVIDENCE: One service user said that they weren’t sure who they would complain to, but that “I wouldn’t be worried, I would complain” Another service user interjected – “ there’s not much to complain about.” Two others service users were reluctant to express concerns to the inspector, see standard 32. The complaints log was inspected and did not have any entries after 2002. A complaint had been received since then, which the CSCI had been involved in, and it was evident therefore that the log was not up to date. Chrissian Residential Home Limited DS0000058102.V273994.R01.S.doc Version 5.1 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): 19,23,24,25,26 The environment whilst homely presents as “tired”. The home’s on-going internal decoration had fallen behind, and there were a number of small jobs that needed attending to. No occupational therapist report was available. EVIDENCE: The home was decorated for Christmas. The home was appropriately heated and the ambient temperature in the lounge was 23 degrees. Some parts of the home needed some decoration or maintenance, although one service users room had been rearranged so that a wall light was accessible for the service users from the bed, and a window restrictor was seen to have been fitted to the window in room six, as had been required at the previous inspection. A small landing leading off a main landing upstairs was seen to have a bare bulb, and no lampshade. The deputy manager advised this had been broken and then overlooked. A metal railing on the landing had some badly worn paint. One of three service users rooms seen, whilst otherwise acceptable had marks on the wall where brackets had been moved and this Chrissian Residential Home Limited DS0000058102.V273994.R01.S.doc Version 5.1 Page 16 had not been made good. The risks assessments were seen for two radiators that were not covered, and these identified a need to cover them. One service user had previously expressed a wish for a double bed; the deputy manager advised that this had been discussed with the social worker and it has been agreed that the bed is adequate and the not reasonable for the home to meet this preference. The deputy manager advised that at a review meeting with the family and the social worker, the service user’s ability to purchase this himself was discussed. No notes were on file. The deputy manager advised that he had in fact been able to find an OT to assess the environment, but that they had not yet received the report. No evidence of this was not available. The home had a control of infection policy which had been reviewed in 2005. The policy stresses the importance of good hand washing. It does not specifically address the provision of paper towels and liquid soap in bathrooms, although these were seen to be in place in all shared bathrooms. In two bathrooms, however, in addition to paper towels, fabric towels were seen. Chrissian Residential Home Limited DS0000058102.V273994.R01.S.doc Version 5.1 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 Service users can expect staff to have been properly recruited and therefore they are protected by these procedures. The home has a stable staff group, and although the home has not yet met the workforce training targets, service users can expect to have experienced and well supervised carers. EVIDENCE: Minimum staffing levels are 3 members of staff by day, and 2 by night. There were three carers, a cook, and a manager on duty on the day of the inspection. The deputy manager had a late start on account of the party the previous evening, and the Registered Manager was initially present. Staff were seen to be busy, but managing well on the day of the inspection. The deputy manager advised that a member of staff that had been their “ right hand” had left since the previous inspection. The home has a stable core group of staff who have been there for some time. Three new carers had been recruited since the previous inspection, and these employment files were checked. All of these had appropriate Criminal Bureau Record checks on file, and appropriate proof of identity. One workers file did not contain any references. The home advised immediately after the inspection that these had been found, misfiled, and copies were forwarded by fax to the CSCI. Following the last inspection, adequate proof of identity for one carer who was not a British national had been required; this carer has subsequently left the home. Chrissian Residential Home Limited DS0000058102.V273994.R01.S.doc Version 5.1 Page 18 The home provided documentary evidence to show that they had been let down by a third training provider, and had therefore not got as far as they had hoped in developing staff training. They had continued to work on this and another provider engaged. New induction folders had not been available, and foundation courses would no longer apply. Food Hygiene and Manual Handling training records and a training analysis however, showed that these were on line. The deputy manager advised that he intended to put all staff, new and existing thorough the new induction that was to apply form 2006. The home has not met the workforce target for the number of staff with NVQ2. Of 19 carers, although two are registered nurses, only two others have NVQ2, two more had submitted, and 2 others had been recruited on to the qualification. Chrissian Residential Home Limited DS0000058102.V273994.R01.S.doc Version 5.1 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): 31,32,33,34,36,38 The home’s owners and deputy manager are caring and concerned to provide good standards and staff are appropriately supervised, including observation of their skills. Service users need encouragement to express their views, positive and negative, and service users’ views need to be incorporated in the homes business development plan. EVIDENCE: The Registered Manager is a qualified nurse. A brief business plan had been produced, which stated that it is planned that Mr Faisal Molabaccus, will apply to become Registered Manager in 2006. As deputy manager Faisal is taking much of the day-to-day responsibility for management. He has NVQ 4 in care and has other ongoing training planned which was discussed. The deputy manager had responded to most of the requirements of the previous report in a timely way, and where this had not been achieved, external factors had been a significant hindrance. Chrissian Residential Home Limited DS0000058102.V273994.R01.S.doc Version 5.1 Page 20 The business plan does not provide financial details, and it did not refer to recent service user consultation. It needs developing. The owners were present in the home on the afternoon of the inspection, which was the Saturday before Christmas, and were very accommodating of the inspection. There was a good atmosphere in the home, and service users spoken with expressed contentment. One of the owners advised that they particularly liked to spend time at the home at Christmas, and that on Christmas day they are both normally present until 3pm. Two users spoken with independently, when asked about anything they weren’t so happy with one said, “I don’t want to get any one into trouble”, another said, “ I don’t want to get in no trouble.” Neither would be drawn. The deputy manager confirmed that as service users have previously advised, they go round the home every morning and enquire of service user’s welfare. Staff supervision was seen to be documented on three existing staff files inspected, at a frequency in line with the standard. The homes supervision policy however, states supervision will be given every 3 months, which does not meet the standard. Staff spoken with confirmed that supervision was based on a mixture of observation of care practice and discussion. The home records on a standard proforma which covers all areas, ticking the areas discussed and adding specific comments as necessary. A tour of the premises was made with one of the owners and all of the measures that had been recommended by the fire officer were seen to have been taken, for example there had been a hook that was sometimes used to hold back the dining room door, which was a fire door. This had been removed, and a door-guard put in place. A lock had been put on the linen cupboard which was on a fire escape route, and a record sheet to show it is kept locked had been put up. Records showed the fire alarm to be tested regularly, and a service user confirmed that they heard this. The fire risk assessment was inspected and was seen not to contain details of the arrangements for the fire door at the front of the building as per the fire officer’s recent advice. The COSHH cupboard was seen to be locked and CoSHH sheets seen. Service records were seen for the Stannah Stair lift, emergency lights and fire alarm. A serving record was seen for the home’s Apollo assisted bath. There was a record of a service of the home’s gas installations carried out in December 2004. The most recent inspection of the home’s fixed electrical installation was seen to be certified as having occurred in 1999. There was no evidence of Portable Electrical appliance testing other than stickers on some appliances dated 2001. Chrissian Residential Home Limited DS0000058102.V273994.R01.S.doc Version 5.1 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 X 3 X 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 X 2 X X X 3 2 2 2 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 2 X 2 X X X 2 Chrissian Residential Home Limited DS0000058102.V273994.R01.S.doc Version 5.1 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 OP7 Regulation 15 Requirement Daily records must be adequate for all service users, and should contain at least one entry every 24 hours. Service users must not run out of prescribed medication. Evidence must be provided that the suitability of a service users bed has been assessed. All lights must have appropriate shades. Two radiators which have risk assessments stating they should be covered, should be covered. Material Towels must not be left in shared bathrooms to reduce the risk of cross infection. The Registered Person must ensure that all staff have received appropriate induction. The fire risk assessment needs to contain details of the arrangements for the fire door at the front of the building as per the fire officer’s advice. The fixed electrical installation should be inspected and tested at a recommended interval of five years and this must now be DS0000058102.V273994.R01.S.doc Timescale for action 31/01/06 2. 3. 4. 5. 6. 7. 8. OP9 OP24 OP25 OP25 OP26 OP30 OP38 13(1)(3) 16(c) 2392)(p) 13(4)(a)& (c) 13(4)(a) 18(1)(c) 13(4)(a)& (c) 18/12/06 14/10/06 18/01/06 08/01/06 17/12/05 30/06/06 17/12/05 9. OP38 13(4)( c) 17/12/05 Chrissian Residential Home Limited Version 5.1 Page 23 10. OP38 23(2)(c ) done. Portable Electrical appliance testing should be undertaken and recorded at appropriate intervals. 31/01/06 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 OP2 Good Practice Recommendations The agreement for Terms and Conditions of residence should include the number of the room to be occupied, and if and when a service user agrees to move room, the contract should then be amended. The recreational and activities programme should be revised in the light of the changing needs of service users. The home must keep a complete and full record of complaints. A redecoration schedule addressing current needs should be provided. The Registered Person is advised to obtain an assessment of the premises and facilities from a suitably qualified person, including a qualified occupational therapist, with a specialist knowledge of the client group catered for, and provide evidence that the recommended disability equipment has been secured or provided and environmental adaptations made to meet the needs of service users. The percentage of care staff with NVQ2 must be developed. The service should find ways to develop service users confidence to express negative and positive opinions and encompass service users views in the business plan in yterms of developing the service. The business plan must be developed and a financial plan included. The supervision policy should be revised to be in line with the standard. 2. 3. 4. 5. OP12 OP16 OP19 OP22 6. 7. OP28 OP32 8. 9. OP34 OP36 Chrissian Residential Home Limited DS0000058102.V273994.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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 Chrissian Residential Home Limited DS0000058102.V273994.R01.S.doc Version 5.1 Page 25 - 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!