Inspection on 25/04/05 for Church View

This inspection was carried out on 25th April 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

Church View 01/10/07

Church View 22/05/06

Church View 07/09/05

Church View 13/09/04

Church View 11/05/04

Similar services:

22 Sandown Road

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Park View (15)

Craigmore House

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

CARE HOME ADULTS 18-65 Church View Kirkleatham Village Redcar TS10 5NW Lead Inspector Stephen Smith Unannounced 25 April 2005 09:30 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 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 Stationary 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 B51-B01 SN105 Church View VN221240 250405 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Church View Address Kirkleatham Village, Redcar. TS10 5NW Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01642 283320/21 01642 283319 Tees and North East Yorkshire NHS Trust Mrs Marsha Gregson Care Home 8 Category(ies) of LD Learning Disability (8) registration, with number of places Church View B51-B01 SN105 Church View VN221240 250405 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: There are no conditions of registration. Date of last inspection 13th September 2004 Brief Description of the Service: Church View is owned and operated by Tees and North East Yorkshire NHS Trust and is registered under the Care Standards Act 2000 to accommodate 8 people under the age of sixty-five with learning disabilities (LD). It is a large detached property in a rural location in its own large garden. The home is divided into two units, upstairs and downstairs each with four single bedrooms, though this division is not rigidly applied. The bedrooms all meet the size requireemnts of the Care Homes for Adults (18-65) National Minimum Standards and have a hand basin fitted. none are equipped with ensuite bathrrom or toilet facilities. Both upstairs and downstairs areas have own kitchen, bathroom and communal areas. The care needs of the people who live at Church View needs are high and support is provided by the staff team with the support of external professionals and agencies. Church View B51-B01 SN105 Church View VN221240 250405 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and started at 9:30 a.m. The inspection lasted for six hours and concentrated on the Environment, Staffing and Conduct and Management of the Home groups of standards. During the inspection special arrangements were in place in the home as workmen had arrived to fit a new kitchen. Additional staff members were on duty and had taken the people who use the service out for the day. Consequently the manager and one staff member were spoken to and one resident was spoken to briefly. The manager was interviewed during the inspection also and accompanied the inspector on a tour of the premises. The inspector then visited the offices of the NHS Trust that operate the home to examine staff files; the home manager’s line manager was spoken to during this visit. What the service does well: What has improved since the last inspection? Since the last inspection the home has arranged for the two kitchens to be replaced and refurbished. On the day of the inspection contractors had arrived to begin work on the first kitchen. These areas will considerably enhance the environment of the home when complete. The home has also purchased new beds to replace the heavy metal framed beds in current use that are Church View B51-B01 SN105 Church View VN221240 250405 Stage 4.doc Version 1.20 Page 6 institutional and unattractive to look at; the new beds had not arrived on the day of the inspection. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Church View B51-B01 SN105 Church View VN221240 250405 Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection Church View B51-B01 SN105 Church View VN221240 250405 Stage 4.doc Version 1.20 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 standard(s) These five standards were not inspected but it was found that a requirement about the home’s service user guide and a recommendation about the statement of terms and conditions of residence used by the home made at the last inspection had not been addressed. EVIDENCE: Church View B51-B01 SN105 Church View VN221240 250405 Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These five standards were not inspected but it was found that a recommendation about the confidential retention of accident record sheets made at the last inspection had been addressed. The keeping of these records could be improved further by numbering the counterfoils to match the removed sheets. EVIDENCE: Church View B51-B01 SN105 Church View VN221240 250405 Stage 4.doc Version 1.20 Page 10 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 standard(s) These seven standards were not inspected on this occasion. EVIDENCE: Church View B51-B01 SN105 Church View VN221240 250405 Stage 4.doc Version 1.20 Page 11 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 standard(s) These four standards were not inspected but it was found that a recommendation about the development a system of auditing medication stocks made at the last inspection had not been addressed. EVIDENCE: Church View B51-B01 SN105 Church View VN221240 250405 Stage 4.doc Version 1.20 Page 12 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 standard(s) 22 The home has an effective complaints procedure that allows family members to complain on behalf of their relatives living at the home and ensures that complaints are treated seriously. EVIDENCE: The home’s statement of purpose and service users’ guide contain information about how complaints can be made; this information is set out in a pictorial manner in the service users’ guide to try and make it understandable to the people who live at the home. The manager showed the inspector the records of a complaint made by a relative and the response made to it by her line managers in the NHS Trust that operates the home. This evidence showed that the complaint was treated seriously and received a full, detailed response setting out the actions being taken. Church View B51-B01 SN105 Church View VN221240 250405 Stage 4.doc Version 1.20 Page 13 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 standard(s) 24, 25, 26, 27, 28, 29 and 30 The home has failed to respond to previous requirements and has allowed the home’s interior to fall into a poor state of repair and decor that does not provide the people who live at the home with a homely, comfortable and safe environment. EVIDENCE: During the inspection visit the inspector toured the home and discussed environmental issues with the manager. The home is large and spacious and has attractive, large and safe gardens that provide opportunity for residents to spend time outside in a pleasant environment. The home’s driveway and pedestrian areas at the front of the home are uneven and pitted, with areas that the manager said, form deep puddles when it rains. This area has been patched and has holes filled by gravel. The area mars the appearance of the home and its uneven nature makes walking difficult for people with mobility difficulties or in the dark; this issue was the subject of a complaint by a relative. The paint on the handrail to the ramp to the front door to the upstairs part of the home is flaking and this rail needs to be sanded and repainted. Church View B51-B01 SN105 Church View VN221240 250405 Stage 4.doc Version 1.20 Page 14 Internally, the home provides large airy rooms and appropriate numbers of toilet and bathroom facilities and three bedrooms are pleasant, well decorated and personalised to the taste of their occupants. Elsewhere, the environment is marred by its poor state of décor and some issues where repairs are necessary. Although all bedrooms show that individual preferences and needs have been taken into account, maintenance issues and poor quality decoration spoil these rooms and devalue their occupants; this is also the case in the communal areas. At the time of the inspection visit, contractors had just arrived to fit a new ground floor kitchen. This was planned to take two weeks and on completion of this a new kitchen was to be fitted upstairs as well. This work will be a great improvement and will address requirements made at a previous inspection. The manager also explained that new beds have been purchased in response to a previous requirement and that the delivery of these was due to take place soon. It was disappointing however to note that a great many requirements made at the last inspection about the home’s environment had not been addressed; these are set out within the requirements section at the end of this report. In addition to these the following issues were noted at this inspection. • The wardrobe and chest of drawers in bedroom 1 are damaged and need to be replaced. Cardboard boxes were stacked on top of the wardrobe; these are unsightly and should be moved. The window-sill in this room also is badly chipped and in need of repainting. Both bedroom 1 and 2 have areas of missing skirting board that need to be replaced. Bedroom 4 has damaged plasterwork where the door handle has hit it. This had been poorly repaired and the repair was falling out. This needs attention and to be painted. The downstairs bathroom has damaged plaster and paintwork above the bath that requires attention. The downstairs dining room wall near the kitchen door was patched with filler which had not been smoothed or painted. The manager said that this repair had been carried out about two weeks ago. This wall repair requires finishing. One ceiling light fitting in the downstairs dining room had a missing light shade that needs replacing. In the upstairs lounge a wall light was missing. The manager said that this cannot be replaced as the design is discontinued but plans exist to move all that design of lights onto one floor and replace all the lights on the other with a different design. Some action is needed as the blanked off section of wall looks unsightly. Old fixings for a curtain rail that has been removed are fastened on the window frame in Bedroom 6; these should be removed. The carpets in both offices are worn and stained and in need of replacement. • • • • • • • • Church View B51-B01 SN105 Church View VN221240 250405 Stage 4.doc Version 1.20 Page 15 Throughout the home the quality of the workmanship of the decoration is very poor, light fittings have been covered in paint, paint edges are poor and walls have been painted without the necessary preparation. In one room a wallpaper border has been painted over and is beginning to peel off in one corner. It is essential that the quality of this work improves in order to promote a homely and positive environment for the people who live at the home. The home provides the necessary equipment and adaptations for the needs of the people who use the service and was seen, during the inspection, to be clean. Church View B51-B01 SN105 Church View VN221240 250405 Stage 4.doc Version 1.20 Page 16 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 34, 35 and 36 Residents benefit from being supported by a qualified, well trained and effective staff team but are placed at potential risk by a recruitment procedure that does not provide evidence that required checks are carried out on new staff members. EVIDENCE: The home provides six staff members for the eight residents during the day and a team of three overnight. On the day of the inspection additional staff members were working in order to meet the needs of the people who live at the home, whilst work was being undertaken on the kitchen. The staff team is made up of qualified nurses and care assistants with support from domestic staff. Staff meetings take place regularly and the home has implemented an end of shift de-brief session in order to reflect on the effectiveness or otherwise of work carried out. The manager has, with staff members, developed an action plan for the home with areas for each staff member to be responsible for. The home has an effective training programme in place and has over 50 of its staff team qualified to at least NVQ level 2 with the majority of these people having a nursing qualification or NVQ 3. Staff members have personal development plans in place and evidence of ongoing training was available. Church View B51-B01 SN105 Church View VN221240 250405 Stage 4.doc Version 1.20 Page 17 The home has an induction programme in place comprising a workplace and an NHS Trust induction. The manager said that she does not know whether this programme is to Skills for Care specification. The organisation should ensure that the induction and foundation training provided to staff is to this specification. A new staff supervision system has been introduced within a clear framework. Supervision records examined showed that supervision takes place within the necessary timescales with records being retained by both parties as a matter of course for senior staff. The manager said that care staff keep their own records and the home only retains a copy where requested by the staff member. The home should keep a copy of supervision records for all staff members. As at previous inspections, information set out in Point 6 of Schedule 4 of the Care Homes Regulations 2001 is not retained at the home so the inspector visited the NHS trust offices to examine staff records. Four staff records were viewed, including two nurses and two care staff. One nurse had been transferred to the home from another NHS Trust facility, the other staff had been recently appointed to the home. None of the records viewed contained proof of the person’s identity though signatures of a recruiting manager in three files stated that documentation had been sighted. Two files showed gaps in the person’s employment history with no record of these gaps being explained. One new staff member’s file did not contain evidence of a Criminal Records Bureau disclosure being received despite a gap in the person’s employment history and a note on file to say that one of the declared previous employers had no record of the person. Records of Criminal Records Bureau disclosures being received did not, as at previous inspections, state whether the check related to working with children or adults. The staff member transferred to the home had been employed by the NHS Trust for some time, nevertheless his file contained no proof of identity, no proof of his nursing qualification, no evidence that a Criminal Records Bureau disclosure had been received and contained a Curriculum Vitae that showed gaps in his employment history that had not been explored. Church View B51-B01 SN105 Church View VN221240 250405 Stage 4.doc Version 1.20 Page 18 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39, 41 and 42 The home tries hard to find out the views of the residents and to consider these in its planning and the way it works. The home’s maintenance and service arrangements generally work well but the maintenance requirements at the home and a lack of some service records mean that the health, safety and welfare of service users are not promoted as well as they could be. EVIDENCE: The home is able to show that it works hard to seek the views of the residents, all of whom find it difficult to express their opinions. Information is available to service users in pictorial form but few residents are able to access even this information because of their disability. Staff members use their knowledge of the residents and the time they spend with them to identify their views and to gauge their reactions to things and these views are taken into account in the home’s development plan, the activities undertaken and in terms of the choice of decoration in their rooms. Records relating to the people who live at the home are detailed and the home maintains effective records of its operation, though some records to confirm the completion of essential health and safety Church View B51-B01 SN105 Church View VN221240 250405 Stage 4.doc Version 1.20 Page 19 maintenance work were not available in the home during the inspection. The manager said that the NHS Trust’s maintenance department holds these centrally. Records of fire drills and instruction and the record of hot water temperature checks were up to date and there was evidence that fire extinguishers are serviced annually. Correspondence with the fire officer was available for inspection and a fire risk assessment is in place. Records of the testing of portable electrical appliances were available. There was no record of gas boiler servicing, the fire alarm system servicing, emergency lighting testing and service or of fixed wire testing. The manager said that these sorts of maintenance records are retained centrally by the organisation. The home must demonstrate that this testing takes place appropriately and retain copies of documentation in the home. Church View B51-B01 SN105 Church View VN221240 250405 Stage 4.doc Version 1.20 Page 20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 x x x x 2 Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x x x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 1 3 1 2 1 3 3 Standard No 11 12 13 14 15 16 17 x x x x x x x Standard No 31 32 33 34 35 36 Score x 3 x 1 2 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Church View Score x x 2 x Standard No 37 38 39 40 41 42 43 Score x x 3 x 2 2 x B51-B01 SN105 Church View VN221240 250405 Stage 4.doc Version 1.20 Page 21 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 1 Regulation 5 Requirement The service user guide must contain information about how to access the last inspection report in the home. (Previous timescale of 15/11/04 not met.) Full decoration of the home’s hallways is required. (Previous timescale of 04/10/04 identified at the last two inspections not met.) The carpets in both upstairs and downstairs hallways and the downstairs lounge are worn and stained and require replacement. (Previous timescale of 23/08/04 identified at the last two inspections not met.) The seating in the downstairs lounge is worn and thin and needs to be replaced. (Previous timescale of 23/08/04 identified at the last two inspections not met.) The upstairs dining room must be redecorated. (Previous timescale of 13/12/04 not met.) The broken furniture in bedroom 4 must be repaired or replaced. (Previous timescale of 21/06/04 Timescale for action 27/05/05 2. 24, 26 23 24/06/05 3. 24 23 24/06/05 4. 24 23 27/05/05 5. 24 23 24/06/05 6. 26 16, 23 27/05/05 Church View B51-B01 SN105 Church View VN221240 250405 Stage 4.doc Version 1.20 Page 22 not met.) 7. 26, 42 12, 16 The black metal bed frames provided by the home are institutional in appearance and could be potential risk to service users. These beds must be replaced with items that are more safe and domestic in appearance. (Previous timescale of 23/08/04 identified at the last two inspections not met.) The light cover in the downstairs toilet must be replaced. (Previous timescale of 11/10/04 not met.) The home’s driveway and pedestrian areas at the front of the home must receive attention to prevent the risk of falls. The paint on the handrail to the ramp to the front door to the upstairs part of the home must be sanded and repainted. The wardrobe and chest of drawers in bedroom 1 need to be replaced and the cardboard boxes stacked on top of the wardrobe must be moved. The window sill in bedroom 1 must be repaired and repainted. The missing skirting board in bedrooms 1 and 2 must be replaced. The damaged plaster behind the door in bedroom 4 must be repaired and repainted The plaster and paintwork in the downstairs bathroom must receive attention. The partly finished repair to the plaster on the dining room wall must be completed. The missing light shade in the dining room must be replaced. Work must take place to remedy the unsightly area left by the 27/05/05 8. 27 23 27/05/05 9. 24 23 29/07/05 10. 24 23 27/05/05 11. 26 23, 13 27/05/05 12. 13. 14. 15. 16. 17. 18. 26 26 26 27 28 28 28 23 23 23 23 23 23 23 27/05/05 27/05/05 27/05/05 27/05/05 27/05/05 27/05/05 27/05/05 Page 23 Church View B51-B01 SN105 Church View VN221240 250405 Stage 4.doc Version 1.20 19. 20. 21. 26 28 24 23 23 23 22. 23. 34 34 17, 19 17, 19 24. 25. 34 34 17, 19 17, 19 26. 34, 41 17, 19 27. 42 13 missing wall light in the upstairs lounge. The fixings for an old curtain rail that is no longer in place in bedroom 6 must be removed. The carpets in both offices must be replaced. The home must ensure that the decorative and maintenance work carried out is of a suficiently good quality to meet the requirements of Regulation 23 of the Care Homes Regulations 2001. Documentation containing proof of identity must be retained on staff members files. Evidence of Criminal Records Bureau disclosures at Enhanced level being received must be retained on all staff members files. Staff members files must contain proof of any relvant qualification they hold. Full information and documentation with regard to each staff member, as set out in Schedule 4 of the Care Homes Regulations 2001, must be available in the home. (Previous timescale of 21/06/04 not met.) Evidence in staff files that Criminal Records Bureau checks have been undertaken must specify the level of the check and whether it related to working with children or adults. (Previous timescale of 11/10/04 identified at the last inspection not met.) Records of fire alarm system, emergency lighting system, gas boiler and fixed wire servicing maintenance and testing must be retained in the home. 27/05/05 29/07/05 27/05/05 27/05/05 27/05/05 27/05/05 27/05/05 27/05/05 27/05/05 Church View B51-B01 SN105 Church View VN221240 250405 Stage 4.doc Version 1.20 Page 24 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 5 Good Practice Recommendations The service users’ statement of terms and conditions should contain information about the home’s care planning process, the arrangements for reviews of care plans and details of the parts of the care plan delivered internally and those provided by external agencies. (This recommendation remains unaddressed from the last inspection.) The counterfoils of the homes accident/incident record book should be numbered to correspond with the numbers on the sheets removed from the book. The home should consider improving its medication practice further by instituting a system of auditing medication stocks to allow for the rapid detection of any errors or mishandling in medication administration. (This recommendation remains unaddressed from the last two inspections.) Full and fully detailed employment histories that allow any gaps in the employment record to be identified and explored should be received in respect of all staff members prior to their employment. (This recommendation remains unaddressed from the last inspection.) The organisation should ensure that induction and foundation training provided to staff is to TOPS specification. The home should keep a copy of supervision records for all staff members. 2. 3. 10 20 4. 34, 41 5. 6. 35 36 Church View B51-B01 SN105 Church View VN221240 250405 Stage 4.doc Version 1.20 Page 25 Commission for Social Care Inspection Unit B - Advance St Marks Court Teesdale Stockton-on-Tees. TS17 6QX 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 B51-B01 SN105 Church View VN221240 250405 Stage 4.doc Version 1.20 Page 26 - 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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