Inspection on 08/08/07 for Church Street Care Home

This inspection was carried out on 8th August 2007.

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 no outstanding requirements from the previous inspection report, but made 11 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Church Street Care Home 20/02/08

Church Street Care Home 18/10/06

Church Street Care Home 26/07/05

Church Street Care Home 15/03/05

Church Street Care Home 11/05/04

Church Street Care Home 23/01/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Church Street Care Home 53 Church Street Eastwood Nottingham NG16 3HR Lead Inspector Joanna Carrington Unannounced Inspection 8th August 2007 10:00 Church Street Care Home DS0000008651.V340635.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 Church Street Care Home DS0000008651.V340635.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. Church Street Care Home DS0000008651.V340635.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Church Street Care Home Address 53 Church Street Eastwood Nottingham NG16 3HR 01773 787446 01159 104267 mjuliaw@ncha.org.uk 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) N.C.H.A. Julia Faith Watkinson Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Church Street Care Home DS0000008651.V340635.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users shall be within category LD Date of last inspection 18th October 2006 Brief Description of the Service: 53 Church Street is a detached property standing in its own grounds close to the centre of Eastwood and its amenities. The home is registered to provide support and accommodation for up to five adults with a learning disability. There are currently four residents living at the home and one vacancy. There is a large open plan dining room and living room and the kitchen is domestic in scale. There is no lift to the first floor, however there is an adapted bathroom on the ground floor for a wheelchair user and residents with some mobility needs. There is a wheelchair user that has a bedroom on the ground floor. The home would not be suitable for other wheelchair users because all other bedrooms are on the first floor. The home is not of a size that could accommodate a lift. Nottinghamshire Community Housing Association own and run the care home. At the time of writing this report the basic fee for living at the home is £361 per week but this varies upon the benefits a resident is entitled to and prices are available when applying for a place. Copies of inspection reports and results of their own quality monitoring are available to residents and other stakeholders by request. Church Street Care Home DS0000008651.V340635.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site visit, as part of the home’s key inspection took place on 8th August 2007. Inspections focus on outcomes for people that use the service. In order to do this the main method of inspection used at the site visit was ‘case tracking’ which meant two residents were selected and their support was tracked through discussion with staff, checking their care records and observing practice. Two staff members were spoken with. The inspector did not have the tools and skills to be able to communicate with people that use this service, therefore staff members were observed in this area. The registered manager was available throughout the inspection for discussion and feedback. A sample of staff records were also looked at to make sure staff members are checked before commencing employment and are trained to meet tenants needs. Information about a home that is collected before the site visit is also used as evidence to inspect and make judgements. This information could include notifications, information from other professionals and users of the service or their relatives, and also from any surveys that are sent out. Services are now required to fill in a document called an AQAA (Annual Quality Assurance Assessment) in which the registered manager identifies from their own quality monitoring what the service does well at and what they need to improve on. The AQAA was returned a week before the site visit. Easy read surveys were sent out to residents and two relative surveys were also sent out but the short timescale means these will return after this inspection. The AQAA document was used to plan the site visit and used as evidence to support judgements in this report. What the service does well: The staff team are committed to making sure residents have a fulfilling quality of life by enabling them to participate in their chosen activities and pastimes. Residents have regular opportunities to go out for walks and to visit country parks and get to go on holiday with staff and other residents they get on with. Residents are supported to maintain contact and relationships with their family and friends. The staff team understand that the residents should have the same rights as people that do not live in a care home. Staff members were observed interacting with residents in a respectable and inclusive manner, rather than staff just interacting with each other. Residents can be assured that the staff team are skilled and equipped to meet their needs because they attend regular training courses and are either already qualified in social care or in the process of getting their qualification. Church Street Care Home DS0000008651.V340635.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. Church Street Care Home DS0000008651.V340635.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 Church Street Care Home DS0000008651.V340635.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): 1 and 2 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The admissions procedure ensures that prospective service users do not move to the home unless their needs have been assessed but inadequate information about the home means people cannot make an informed decision about moving there. EVIDENCE: The Statement of Purpose is dated March 2004 and the information contained is out of date. There is no information about the age range and sex of the existing service users and mentions nothing about the needs that can be met in the home. It does not state who the registered manager is and what are the skills and qualifications of the staff team. There have been no new admissions to the home since the last key inspection. There was evidence on the care files seen that the placing authority have been involved in the assessment and review of service users needs and care provided at the home. Church Street Care Home DS0000008651.V340635.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 poor. This judgement has been made using available evidence including a visit to this service. Care planning arrangements are placing residents at risk of not getting their needs met safely. EVIDENCE: On one of the care files there contained two support plans in the current part of the file for assisting the resident in using their walking frame. One of the support plans was the up to date one while the other was a previous plan, containing information that is not relevant. A staff member spoken with explained that two staff members assist the resident but it states only one staff member in the current support plan. Both these points mean the wrong support could be provided to this resident. On one of the care files there is evidence indicating that their mum has been consulted on the support plans and care given. Church Street Care Home DS0000008651.V340635.R01.S.doc Version 5.2 Page 10 A support plan for going on outings highlights that the resident has ‘no road sense’ but there is no accompanying risk assessment. There are support plans for bathing which state that the resident must be supervised while bathing but it does not state why and there are no accompanying risk assessments. Both case tracked residents have support plans for eating and drinking which identify a risk of choking but there are no accompanying risk assessments. Where there are risk assessments in place these are not being used for the purpose of identifying risks and how these risks can be minimised. The majority of risk assessments state under action to be taken, refer to support plan. Staff spoken with gave examples of how they support residents to make choices and decisions, for example, showing to a resident three outfits that are weather-appropriate. Daily notes also indicated that residents have control of their lives such as when to get up and when to eat. The support plans seen for communication do not contain information on how residents’ communicate and express themselves. This information should be included in the additional person-centred plans (PCP) which contain information specific to individuals and their chosen goals and lifestyle. However, one case tracked resident does not have a PCP while the other case tracked resident’s PCP was not on the premises. Church Street Care Home DS0000008651.V340635.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. Residents experience a fulfilling quality lifestyle that meets personal expectations and respects their rights. EVIDENCE: On the day of the inspection all of the residents were out at their day centre. A case tracked resident that has a visual and hearing impairment attends a sensory skills class in computers and literacy. This resident is getting older and as a result of this now enjoys a day off per week and stays at home for rest and relaxation. Residents are supported to go to church every Sunday if they choose to go. There are entries in daily records that show residents have regular opportunities to go out for walks and to country parks. Key workers arrange with the resident where they would like to go on holiday. There have been recent holidays to Norfolk and Scarborough. Staff members spoken with Church Street Care Home DS0000008651.V340635.R01.S.doc Version 5.2 Page 12 talked about residents’ interests and how they support residents to pursue these interests. For example, one resident loves going on trains while there are plans to take another resident to the airport to watch aeroplanes. Staff members spoken with reported that they keep in contact with residents’ families and relatives mainly by telephone and relatives are always invited to their relative-in-care’s birthday party and at Christmas. Relatives are welcome to visit anytime and one resident sees his mum and goes out with her every week. When residents returned from day centre staff members were observed interacting with residents in a respectful and meaningful manner. Staff members spoken with demonstrated an understanding of the rights of people with learning disabilities. When asked, a staff member explained how he would maintain residents’ privacy and dignity when assisting them with personal care. The menu records show a good variety of healthy, nutritious meals are provided to residents, with a good range of seasonal vegetables. Yesterday’s meal was pasta carbonara with salad. The records show that there is always a choice and alternative meals given if residents do not like what is served. Church Street Care Home DS0000008651.V340635.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 health care needs of residents are well met but there is risk that personal care will not be given to residents in a way that is required and that takes into account their individual preferences and chosen routines. Medicine management does not promote the safety and wellbeing of residents. EVIDENCE: A staff member spoken with reported that a case tracked resident enjoys having a bath in the morning and in the evening everyday because this helps the resident relax. There are entries in the daily records to indicate that this takes place but there is no record of this preference or anything to do with the residents preferred bathing routine. There is a support plan for bathing but it focuses on the use of the bath chair and nothing else. The resident does not have a support plan for assistance with dressing but this is an identified need. Daily notes make reference to a skin condition for which a GP has been seen and was also reported by a staff member. There is no support plan on how to assist the resident with this condition. Church Street Care Home DS0000008651.V340635.R01.S.doc Version 5.2 Page 14 There was evidence on daily records and support plans that residents have regular healthcare checks such as going to the dentist. The resident with visual and hearing impairments has had regular sight tests and visits to an audiologist for treatment and hearing examinations. The care files seen indicate that specialist healthcare professionals such as speech and language therapists and physiotherapists are involved in residents care when appropriate. The medication administration records used do not state the actual instructions for administration; they only state the name of the drug and dose. Remaining medicines for as required medication are not being carried forward onto current medication administration records which means it is very difficult to trace back if medication goes missing or to assess staff competence in administering medication. Church Street Care Home DS0000008651.V340635.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. Improvements to the use of the Complaints procedures mean that residents are assured their complaints and concerns are being taken seriously and acted on. Not taking relevant action following an investigation into abuse places residents at risk of not being protected. EVIDENCE: There have been seven complaints made since the last key inspection. Complaints records show that the staff team have used the complaints procedure on residents behalf when residents are unable to express concerns themselves. Complaints have been about how the behaviour of other residents has affected them, for example being woken up in the middle of the night or a resident walking into their bedroom without permission. The complaints records also show that recording these incidents under this procedure has prompted appropriate action regarding the support of residents and also on the security and access of bedrooms. A notification was received last November regarding an allegation against a staff member. The placing authority were also contacted at the time in accordance with the Safeguarding Adults procedures. The outcome of this investigation was that the allegations were unfounded. The investigation did however conclude that there were some areas for personal development and Church Street Care Home DS0000008651.V340635.R01.S.doc Version 5.2 Page 16 that staff members would all be re-briefed on adult abuse and procedures. The registered manager reported that this took place in a team meeting. No team meeting minutes could be found that included this as an agenda item. Training records show that this staff member has not had any formal training in safeguarding adults and there are no supervision records relating to support and development around the time when the allegations were made. Both staff members spoken with did demonstrate an understanding of adult abuse and of their responsibility to alert the registered manager of all allegations of abuse and abusive practice witnessed. Church Street Care Home DS0000008651.V340635.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. Residents live in a homely, comfortable and clean environment. EVIDENCE: The home was clean and tidy throughout. There is a homely feel with domestic furnishings and pictures on walls. There have been some changes to the environment since the last inspection. New carpets have been fitted throughout the communal areas and in residents bedrooms. The registered manager reported that they are planning to involve the residents in the planning for the refurbishment of the kitchen. There is one resident that uses a wheelchair; strictly speaking the enviroment is not suitable for wheelchair users due to restricted access in some areas of the ground floor and no access to the first floor. This is not reflected in the Statement of Purpose. Church Street Care Home DS0000008651.V340635.R01.S.doc Version 5.2 Page 18 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 adequate. This judgement has been made using available evidence including a visit to this service. Training and support of staff help ensure the staff team are effective in meeting residents’ needs but recruitment procedures are not robust enough in making sure residents’ are not at risk of harm from unsuitable staff. EVIDENCE: For the three staff members selected there was evidence on their files that they have had the required health and safety training such as moving and handling and food hygiene. Nottingham Community Housing Association provides a range of courses to enable the staff team to carry out their roles effectively and to meet the needs of residents. Courses include, equality and diversity, person-centred planning, sexuality and abuse and continence awareness. For the staff member that has commenced employment since the last inspection there was evidence on their file that they have had an intensive three-week induction. The staff member has not had Learning Disability Award Framework (LDAF) induction, which is recommended. ‘Introduction to Learning Disability’ is a course that NCHA provide as part of the induction and the staff member, who has not worked in care before, did demonstrate an Church Street Care Home DS0000008651.V340635.R01.S.doc Version 5.2 Page 19 understanding of principles of care and the rights and issues faced by people with learning disabilities. The registered manager reported significant progress with getting the staff team qualified with at least National Vocational Qualification(NVQ) level 2 Social Care. All of the staff team, except for two new staff have either commenced or completed their NVQ. Recruitment information such as application forms, criminal record bureau (CRB) checks and references are held at the organisation’s main office. It has been agreed that an additional unannounced inspection will take place at the main office in order to fully satisfy the Commission that this standard is being met. There was no evidence on the new staff member’s file either in the form of a letter from head office or a pro-forma to satisfy the registered manager that these checks have been obtained before the staff member commences employment. Church Street Care Home DS0000008651.V340635.R01.S.doc Version 5.2 Page 20 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): 39, 41 and 42 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. A lack of quality monitoring at the home does not ensure it is run in the best interest of residents and the health and safety of residents is not adequately protected. EVIDENCE: In accordance with Nottingham Community Housing Association’s (NCHA) own policy and procedures there should be three quality audits that cover difference aspects of the running of the service. According to records found at the home there was an audit in March 07 but the last audit before that was in 2005. There are now easy read surveys, which are presented in pictures so that it is more accessible to residents. There is also a DVD accompanying it that gives suggestions on how residents can be assisted in using the survey. Results of these surveys are included in the Service User Guide. Church Street Care Home DS0000008651.V340635.R01.S.doc Version 5.2 Page 21 Records show that fridge and freezer temperatures are being monitored daily and opened jars and packets seen in the fridge were clearly labelled with the date they were opened. There is a fire risk assessment for the home but this is dated 30/06/06 so needs reviewing. Regular fire drills are carried out at the home; the last one was on 1st August 2007 but the fire alarm and emergency door releases have not been tested since 18th July 2007. There were gaps in records for fire safety tests found at the last key inspection. The bath chair was last serviced in December 2006 when it should be at least every six months. The risk assessment for assisting a resident with transfers and using her frame do not comply with manual handling operations legislation. Church Street Care Home DS0000008651.V340635.R01.S.doc Version 5.2 Page 22 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 2 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 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 1 2 X 1 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 2 3 1 X 3 X 2 X X 1 X Church Street Care Home DS0000008651.V340635.R01.S.doc Version 5.2 Page 23 NO 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 Standard YA1 Regulation 4(1) Requirement The Statement of Purpose must be kept under review, up to date and contain all information as specified in Schedule 1 of the Care Homes Regulations. This is to ensure prospective residents and other stakeholders have enough information about the service. Care plans must contain information on residents’ individual communication needs. This is so that all staff members understand these needs and how they can support residents to express themselves and exercise choice. Care plans must be kept under review and updated to reflect support given. This is to ensure residents’ needs are met. Care plans must be kept in the care home. This is so that all information about a resident’s needs are immediately available otherwise the resident is at risk. Risk assessments must identify measures to minimise risks and ensure the safety and well being of residents. DS0000008651.V340635.R01.S.doc Timescale for action 08/11/07 2 YA6 15(1) 08/10/07 3 YA6 15(2) 01/09/07 4 YA6 17(1) 24/08/07 5 YA9 13(4) 14/09/07 Church Street Care Home Version 5.2 Page 24 6 YA20 13(2) 7 YA23 13(6) 8 YA34 17, 19 9 YA42 12 10 YA42 23(4) 11 YA42 13(4) Medication administration records must include the instructions for administration and remaining medication from the previous cycle should be carried forward onto the current medication administration record. This is to ensure medicines are given as prescribed and so that staff members’ competency can be assessed. Any identified action following an investigation into an allegation of abuse must be taken. This is to ensure measures have been taken to promote the safety and welfare of residents. There must be evidence in the care home that a satisfactory criminal record bureau check and two written references have been obtained for all staff and before a new staff member commences employment. This is to satisfy the Commission at the time of the inspection that this standard is being met and is in line with current CSCI guidance on criminal record bureau checks. Hoists and other moving and handling equipment must be serviced at least every six months. This is to promote and protect both residents’ and staff health and safety. The fire risk assessment must be reviewed and updated and fire alarm and automatic door release tests must be carried out weekly. This is to promote and protect both residents’ and staff health and safety. Residents that require assistance with moving and handling must have a moving and handling risk assessment that complies with DS0000008651.V340635.R01.S.doc 24/08/07 01/09/07 08/10/07 14/09/07 01/09/07 01/09/07 Church Street Care Home Version 5.2 Page 25 manual handling operations legislation. 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 YA18 Good Practice Recommendations Individual residents’ preferences and chosen routines regarding their personal support should be added to care plans so that these are more person-centred. Church Street Care Home DS0000008651.V340635.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Church Street Care Home DS0000008651.V340635.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. 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