Inspection on 12/12/05 for Church View

This inspection was carried out on 12th December 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Church View 19/01/09

Church View 15/01/08

Church View 02/07/07

Church View 05/07/06

Church View 21/06/05

Church View 30/11/04

Church View 01/06/04

Similar services:

Whiteley House

Tyndale Avenue

2-10 Norfolk Road

Bennfield House Nursing Home

Eastfield Residential Home

Sign Health

Springwood

Fairburn Mews

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

CARE HOME ADULTS 18-65 Church View Church Street Kimberworth Rotherham South Yorkshire S61 1EW Lead Inspector Mike Hamstead Unannounced Inspection 12th December 2005 08:00 Church View DS0000003120.V269312.R01.S.doc Version 5.0 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 View DS0000003120.V269312.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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 View DS0000003120.V269312.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Church View Address Church Street Kimberworth Rotherham South Yorkshire S61 1EW 01709 557658 01709 550541 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) Parkcare Homes (No. 2) Limited Dawn Wilkins Care Home 22 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (22) of places Church View DS0000003120.V269312.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. To admit one named resident over the age of 65 Date of last inspection 21st June 2005 Brief Description of the Service: Church View is a care home registered to provide care for 22 residents with a diagnosis of mental illness. The home provides 24 hour care for residents with enduring mental health needs, and encourages self sufficiency and self reliance where possible via a combination of staff support, and the teaching of independent living skills. i.e. budgeting skills, meal planning and preparation, and general life skills. The aim is to combine this with appropriate day care education and work experience, to encourage and foster social and community skills. Church View is organised into 3 separate houses, Vicarage, Canterbury, and York, all self contained, with single bedroom accommodation, bathroom/ wc facilities, and separate kitchen, dining room and lounge facilities in all of them. The resident group is predominantly male, there are only two female resident, and the age range is between 25 - 77 years of age, with the majority of residents being in the 35 - 50 age range category. Church View DS0000003120.V269312.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection methodology consisted of interviews with the care manager deputy care manager and all staff on duty, and included an examination of the progress made since the last inspection and observation of the homes records. It also included a tour of the building to observe the accommodation. Additional information of the overall situation had been gained from previous inspection visits. The inspection was commenced at 08 :00 and finished at 16:00 and included talking to all members of staff and residents. What the service does well: Continues to undertake a thorough assessment of residents needs. Promotes the residents personal and healthcare needs and liaises with specialist services when required. Enables residents to be involved in the day to day running of the home, and to be involved in decision making to the level of their interest and capability. Provides a flexible approach to daily living activities and proceeds at the residents own pace with opportunities for residents to become involved in the local community. A range of both vocational opportunities and leisure pursuits are available for residents to choose from, including an annual holiday. Encourages relatives and friends to visit the home and maintain important links with residents. Provides a variety of wholesome and nutritious food to meet the differing tastes of residents. Provides sufficient staff to meet residents needs, and has a comprehensive staff training programme. Ensures that residents views are listened to, and where necessary acts to safeguard their safety at all times. Church View DS0000003120.V269312.R01.S.doc Version 5.0 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. Church View DS0000003120.V269312.R01.S.doc Version 5.0 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 View DS0000003120.V269312.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, & 3. Potential residents/representatives continue to have all the information about the home available to them to enable them to understand and decide whether the services the home provides meets their needs. EVIDENCE: There is a Statement of Purpose, that now indicates that the focus has shifted from the home being primarily a rehabilitation unit, to providing care to younger adults who have chronic mental health needs. The Service User Guide is available and residents views are available separately and are placed in the reception area to be seen by prospective residents or their representatives. New residents are only admitted following an assessment of needs by both the placing authority and the home, which also usually includes a Care Programme Approach assessment, and all residents receive specialised input for their mental health needs. There has been 1 new resident admitted since the last inspection. The care manager is aware of the assessment requirements outlined in this standard, and ensures that these are followed for all new admissions. Church View DS0000003120.V269312.R01.S.doc Version 5.0 Page 9 All residents have had revised assessments this year to date, and the 3 - 4 residents that were formerly assessed as not having their needs met, have now all received input from external agencies that has meant their needs are now being met. Efforts this year by the care manager and her staff has resulted in the availability of additional care co-ordinators/social workers and CPN’s and assertive outreach workers, that has led to an increased level of contact with residents generally, and for many residents this has meant opportunities to have their needs and aspirations met at day care, consideration of back to work courses, and college courses. Church View DS0000003120.V269312.R01.S.doc Version 5.0 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, & 9. An accurate and ongoing assessment of all residents enables their individual needs and choices to be met. Residents are consulted with and enabled to pursue their lives within a framework of risk assessment and confidentiality of information. EVIDENCE: The systematic re-assessment of residents needs by the care manager and line management using their own assessment tool, has enabled them to identify residents needs and include these in plans of care. All residents are considered to be appropriately placed, and plans of care are still being reviewed via the CPA programme, on a 6 monthly basis and residents are consequently seen and reviewed by consultants on a regular basis that usually takes place at Cornerstones in Rotherham. One exception refers to an out of authority placement where responsibility for the residents specialist needs must be resolved as soon as possible in the particular interests of the resident. Church View DS0000003120.V269312.R01.S.doc Version 5.0 Page 11 The care manager has requested a full reassessment on one long stay resident because of his deterioration, and although none of the residents has a visiting advocate, but rely on advice from staff, and visits from professionals, who visit amongst other reasons to give depot injections, the care manager is considering advocacy services for 2 residents that have little/no contact with relatives or family. All residents have risk assessments for responsible risk taking whilst in the home, and also for leaving the premises and for holidays. One resident is risk assessed for visits home to his family, another for his excessive drinking. Staff request the assistance of CPN’s in the risk assessment process and risk assessments are included in the plans of care, and are reviewed by care staff. Staff continue to have risk assessments for smoking and there is a notice warning of the dangers in every bedroom. In addition, staff have drawn up a smoking “contract” with residents which states that all damage has to be paid for, and that residents may be asked to leave the home if they are found to be smoking in their bedrooms or communal lounges. Two units have a smoking room, but despite regular room checks by staff there is still evidence that some residents smoke in most areas including the communal lounges and the kitchen that endangers other residents and staff and must cease. A loose cigarette was found on the bathroom floor by the inspector shortly after a resident had taken a bath. At the care managers request, the Fire officer has given a talk to all residents about the dangers of them smoking in inappropriate places, and it is clear that the homes management is acting to prevent a potential serious fire situation in the home. This situation is a continual battle but must continue and the smoking contract must be enforced because of its obvious effect on the health and safety of all residents and staff in the home. Church View DS0000003120.V269312.R01.S.doc Version 5.0 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16, & 17. Most residents are able to maintain appropriate and fulfilling lifestyles both in and outside the home. There are continuing opportunities for personal development, education and occupation, and community links are promoted. Regular communal and leisure activities are available, and contact with family and friends is encouraged and maintained to enable residents to engage in appropriate relationships. EVIDENCE: Opportunities for residents personal development is continuing now that care co-ordinators and assertive outreach workers have become interested and involved in this aspect of resident welfare, and there is evidence to this effect. It has now become possible to co-ordinate a wider range of planned activities by staff in the home alongside the official/agency arranged facilities to provide a package of outcome based activities based upon residents leading ordinary and meaningful lives appropriate to their peer group. All residents are encouraged to become involved in training days to improve their independent living skills and some residents assist with gardening, and have made bird Church View DS0000003120.V269312.R01.S.doc Version 5.0 Page 13 tables supervised by the maintenance man since the last inspection. One resident is currently involved in doing individual jobs around the home to increase his confidence before moving on to other things. There appears to be more of an interest in residents wanting some form of employment or educational training, partly as a result of new residents being admitted to the home, and one resident is awaiting a placement on a ”back to work” course for bricklaying Three other residents are on courses, one a computer course at Swallownest another an English course also at Swallownest, and this resident has had a selection of his own poems published, whilst another resident is on a music course at Rotherham College of Arts and Technology, and showed the inspector his music skills on the computer in the Vicarage lounge. One resident recently won a sculpture competition at Swallownest building a structure out of tin cans, and is also interested in a computer course, and another resident has applied for a Music and English course, and staff have arranged for him to make a disc at a studio in Wellgate Rotherham. Three other residents continue to attend day centres/rehabilitation centres in Rotherham, providing valued and fulfilling activities for them and the care manager continues to seek additional places for suitable residents. Other residents are proceeding at their own pace in liaison with staff and agencies whilst a small nucleus of longer stay residents are still proving difficult to motivate but this does not deter staff from continuing to try. Social activities generally continues to be affected by the wide disparity in financial support received by different residents, and many of them still have insufficient money from their income support and DLA to enable them to pursue any reasonable kind of personal event/activities even if they wanted to. This discrepancy is difficult to understand, and the care manager is still pursuing this aspect with the residents CPN/Social workers, and it is hoped that all residents will receive a financial reassessment to hopefully rectify the matter. One resident attends the local St Thomas’s church, and another resident attends church with his mother on occasions to meet his spiritual needs. Residents are encouraged to broaden their horizons, and some go out of the home on their own to the post office, library, the supermarket, the pub, and on organised outings by the home to the coast. Visits have been made to Thrybergh Park and Carsington Water for scenic walks. All residents have a bus pass, that enables them to ride more cheaply, but not for free, and the home has a saloon car and hopefully will shortly have its own exclusive mini-bus. Church View DS0000003120.V269312.R01.S.doc Version 5.0 Page 14 The activity co-ordinator recently organised a “games” competition for residents in York House involving pool, table tennis and air hockey competitions with a prize for the winner. Ten residents have enjoyed a 5 day holiday in Blackpool this year in two separate trips, and other residents that did not want to go have been on day trips, and have benefited from the holiday fund in other ways that is recorded. One resident continues to travel independently on the train to various places that he chooses. Residents are encouraged to maintain family links, and there was clear evidence of peer relationships within the home. A visiting relative spoken to felt that his son was settled at Church View after a number of different placements. Residents have been to see “Fame” at the Civic Theatre, and have many Xmas activities arranged including a Christmas lunch at the “Manor Barn”, a Christmas eve party with a disco with relatives and friends invited, Christmas lunch in the home, a boxing day party with disco, and a new years eve party and disco. Generally speaking relationships with the local community are good, and four residents voted at the general election in May 2005 demonstrating their community involvement. All residents are expected to make their own beds and keep their rooms as clean as possible, but there is some reluctance by some residents to become involved . Staff mentioned that the teaching of independent living skills, especially cooking and washing is problematic for most residents, but staff encourage them to participate. All residents bedrooms have lockable doors, and are free to plan their day to suit themselves in terms of rising or retiring. Residents use the communal areas, within their own house, and can, and do visit other residents in other houses, as well as making visits to the office, for information, money, or simply social contact. Staff try to encourage residents to eat a healthy diet, which is proving difficult with some of them, and residents are now involved in menu preparation which is based upon a 4 weekly cycle, where residents from one house take turns to plan the menu for all the houses. There was evidence that birthdays and special occasions are celebrated at mealtimes and this is appreciated by residents. Church View DS0000003120.V269312.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, & 20. The promotion of personal healthcare and specialist support to residents is taken seriously and acted upon to safeguard their interests at all times. EVIDENCE: Personal and emotional support is offered to residents from staff in the home as required via a key-worker system, and there is nobody with a physical disability at the present time. Intimate care if required is carried out in privacy. Whilst the majority of residents can rise or retire to suit themselves, some residents require prompting to get up, otherwise according to staff some would stop in bed all day if allowed to. One resident continues to be attended by the District Nurse because of a continuing episode of self - injurious behaviour and this is brought up at reviews to keep everybody informed. Most residents will inform staff if they are not well in the physical sense, and staff try to remain vigilant in order to recognise subtle changes in residents behaviour which may be the early warning signs of something more serious approaching resulting from their mental ill - health. Any such concerns are recorded and monitored, and include the prompt referral to an appropriate specialist if considered necessary. Church View DS0000003120.V269312.R01.S.doc Version 5.0 Page 16 The majority of residents are registered with the local GP Practice, and arrangements are in place for Chiropody Ophthalmic and Dental services. There are 4 diabetic residents that is diet controlled, and one resident visits the clinic for his asthma. The nurse from the general practice visits to do an annual health check on all residents. None of the service users are self–medicating, but the care manager has arranged it that all residents visit the Vicarage in a morning to have their medication administered, which provides a motivation for them to get out of bed, and then breakfast is served for them all in the Vicarage dining room, where they are able to socialise with other residents. Four residents are on Depot injections, which are given by a visiting CPN. There is a medication profile for every service user explaining the likely side effects of their medication, and all staff administering medication have now received accredited training, A sample of MAR sheets were examined and found to be satisfactory. The Controlled drugs register was examined and stock levels checked that also proved to be satisfactory, and these are being witnessed by another member of staff as per the procedure. Church View DS0000003120.V269312.R01.S.doc Version 5.0 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, & 23. Staff now have a greater knowledge and an understanding of how to identify and record residents complaints to ensure that their concerns receive attention and are dealt with appropriately. EVIDENCE: There is a complaints policy and procedure and a complaints record, and every resident has a copy, together with a copy of the Whistle Blowing policy. There have been no complaints recorded since the last inspection . The care manager has addressed the issue of complaints at a staff meeting to ensure that all staff are vigilant in recognising and recording when actual complaints are being made by residents in order that their concerns can be dealt with. There is a policy and procedure on Adult Protection and, and there have been no Adult Protection incidents since the last inspection. The residents financial affairs are promoted via a policy and procedure, and the monies of two residents were checked and found to be accurate. Church View DS0000003120.V269312.R01.S.doc Version 5.0 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, & 30. There is an urgent need for ongoing maintenance and replacement of fixtures and fittings to maintain the home in good order. EVIDENCE: The home is split into 3 separate units, in separate buildings, and meets the spatial requirements of this standard having been measured prior to the 1st April 2002. The premises appear safe apart from the danger posed by some residents continuing to smoke in the home. The premises are close to shops and local transport. Each house has its own lounge/dining room and separate kitchen facilities. Any private consultations are usually carried out in the residents own bedroom, or the office. There is an ongoing development in Vicarage House to convert a former office into an additional bedroom, and further developments in both Canterbury and York houses to install separate laundry areas. Although there has been a general refurbishment of all 3 houses in recent years it was surprising to see the general deterioration in the current standard Church View DS0000003120.V269312.R01.S.doc Version 5.0 Page 19 of the décor and some fixtures and fittings as follows: 1. The seals in many double glazed units in the have “blown” making it difficult to see out of some windows. 2. The stair and landing carpet in York house is filthy and the upstairs needs redecorating. 3. The kitchen floor surface in Canterbury House is pitted with cigarette burns as is the lounge carpet in Canterbury lounge. 4. The ground floor bathroom floor in Canterbury House is cigarette stained, and the WC flush is broken. 5. The first floor bathroom floor in Canterbury House is cigarette marked. 6. The ground floor carpet in Vicarage House is filthy especially close to the lounge and medication room. Some of the above were requirements at the last inspection, and in any replacement programme the home should carefully consider obtaining more heavy duty and durable floor surfaces bearing in mind the need to maintain residents safety. Any deliberate/wilful damage by residents to the fabric, fixtures and fittings of the premises, should be discussed with the residents and their CPN’s/social workers and an agreed recompense should be arranged and recorded. There is a policy and procedure on infection control, and the home was found to be free from odours on this inspection. During the ongoing installation of separate laundry areas it is essential that any soiled laundry be treated with all the appropriate hygienic measures, to minimise the possibility of infection. Church View DS0000003120.V269312.R01.S.doc Version 5.0 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34, & 35. There is a relatively stable and competent staff team in sufficient numbers who receive regular updated training to meet resident’s needs, but all recruitment and selection information must be available for inspection by anyone authorised to inspect it. EVIDENCE: There is a recruitment policy and procedure, and the files of two staff members employed since the last inspection in June 2005 were checked. One file was complete and satisfactory, but the other file was still at Head Office in Droitwich and although CRB information was e-mailed it was not possible to check the references despite the member of staff commencing work on the 19th November 2005. All information must be available for inspection before the person commences work to safeguard the interests of residents. There is a Training and Development policy and a delegated budget, which is the responsibility of the care manager, and all staff receive induction training within their first week of employment, and also foundation training after 6 months. All staff receive equal opportunities and disability training as well as First Aid, Food Hygiene, COSHH, Moving/handling, and working with difficult clients Church View DS0000003120.V269312.R01.S.doc Version 5.0 Page 21 training, and at least 5 training and development days per year. All staff have received training in mental ill health issues this year from an external trainer, at the home or at Westfield House. Church View DS0000003120.V269312.R01.S.doc Version 5.0 Page 22 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39, & 42. Residents benefit from a home run well and in their best interests, but certain aspects of their health and safety needs to be promoted further to safeguard their overall welfare. EVIDENCE: Resident and relatives questionnaires are used, which are sent to Craegmoor management for analysis, and eventually returned to the home where the original comments are available for any potential resident/representative to look at. Other methods of obtaining residents views are via staff meetings, or by general interaction with residents on an informal basis. There is a policy on safe working practices, and the health, safety, and welfare of residents and staff is promoted at all times by arranging the necessary training for staff, and examples include, the moving and handling of shopping, and any other item of equipment or furniture constituting a potential safety hazard. Church View DS0000003120.V269312.R01.S.doc Version 5.0 Page 23 The fire safety records were in order, and fire safety training is undertaken, and an external trainer does the first aid training for staff. Food hygiene training is done on an annual basis, and infection control is done 2 yearly, via a distance learning course. The gas boilers were serviced on the 5th August 2005 by a corgi registered person, but it was still not possible to verify that the electrical check of the hard wiring had been carried out for once again the certificate was not available for inspection, and this must be rectified and faxed to CSCI in order to safeguard residents and staff alike. Night staff check the water temperatures, and thermostatic valves have been fitted to all baths and hand wash basins to control the risk from hot water. The check for Legionella was carried out on the 1st June 2005, and PAT testing was carried out in February 2005. All first floor windows have window restrictors fitted, and these are checked weekly by the maintenance man. All potential risks from the domestic cookers and microwaves are assessed, and all doors have suitable locks for security purposes. All accidents are recorded, and there are safety procedures outlining the procedure to follow in the event of a fire. There is public liability insurance cover to April 2006, to safeguard all residents staff and visitors to the home. Church View DS0000003120.V269312.R01.S.doc Version 5.0 Page 24 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 x 2 x x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x x x 2 3 x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Church View Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x DS0000003120.V269312.R01.S.doc Version 5.0 Page 25 Yes 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 YA3 Regulation 14 Requirement The registered person must ensure that the home can meet all the residents assessed needs including their specialist needs. The registered person must ensure that the homes premises are suitable for its stated purpose. The registered person must ensure that residents are protected by the homes recruitment policy and practices. Timescale for action 31/12/05 2 YA24 23 31/12/05 3. YA34 19 31/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Church View DS0000003120.V269312.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Doncaster Area Office 1st Floor, Barclay Court Heavens Walk Doncaster Carr Doncaster DN4 5HZ 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 Church View DS0000003120.V269312.R01.S.doc Version 5.0 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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. 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