Inspection on 03/11/09 for Church View (Residential Home) Limited

This inspection was carried out on 3rd November 2009.

CQC found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Church View (Residential Home)... 05/08/08

Church View (Residential Home)... 21/08/07

Church View (Residential Home)... 20/06/06

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 16/02/2010.

Key inspection report CARE HOMES FOR OLDER PEOPLE Church View (Residential Home) Limited Church Street Oswaldtwistle Lancashire BB5 3QA Lead Inspector Mrs Susan Hargreaves Key Unannounced Inspection 10:30 3rd November 2009 DS0000066410.V377579.R01.S.do c Version 5.3 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Church View (Residential Home) Limited DS0000066410.V377579.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Church View (Residential Home) Limited DS0000066410.V377579.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Church View (Residential Home) Limited Address Church Street Oswaldtwistle Lancashire BB5 3QA 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) 01254 381652 01254 239863 Church View (Residential Home) Limited Manager post vacant Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32) of places Church View (Residential Home) Limited DS0000066410.V377579.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 32 Date of last inspection 5th August 2008 Brief Description of the Service: Church View Care Home Oswaldtwistle was purpose built in 1988. It is a single storey building, with level access, situated in its own well-kept grounds. The home is in the centre of the town of Oswaldtwistle, close to all local amenities. Church View Care Home is registered to provide 24-hour personal care for up to 32 people. Accommodation is offered in single en-suite bedrooms. Communal rooms include 3 lounges and 2 dining rooms. The garden is easily accessible to all residents. The current fees charged at Church View range from £360 to £435 per week. Additional charges are payable for hairdressing, newspapers and toiletries. A fee is also charged should people require a staff escort to attend appointments. The statement of purpose and service user’s guide were on display in the home. Church View (Residential Home) Limited DS0000066410.V377579.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. A key or main unannounced inspection, which included a visit to the home, was conducted at Church View Residential Home on 3 November 2009. As part of the inspection process we looked at all the information we have received about Church View Residential Home since the last key which took place on 5 August 2008. Information about the last key inspection can be obtained from Church View Residential Home or www.cqc.org.uk The manager completed an annual quality assurance assessment several weeks before this visit to the home. This document is a self-assessment that focuses on how well outcomes are being met for people who use the service. It also gives us some numerical information about the service. Eight completed surveys were returned from people using the service and six from members of staff. At the time of this visit eighteen people were living at the home. A tour of the premises took place and we looked at staff files and care records. We also spoke to members of staff on duty and people who use the service. Discussions also took place with the manager and the area manager regarding issues raised during the inspection. What the service does well: People who use the service were treated with respect and personal care was carried out in private. One person said, “I like it here, the staff are pretty good with me.” Another person said, “The staff are great, they’re always with me when I walk.” One visitor explained how staff had spent a lot of time with his relative in order to improve her confidence. He said, “She loves it here.” Training for all members of staff was encouraged. Most of the care workers had National Vocational Qualifications in health and social care at level 2 or above. The members of staff who completed the survey stated that they were given training which kept them up to date and enabled them to meet the individual needs of people using the service. The daily routine was flexible in order to meet the needs and preferences of people using the service. One person said, “You can please yourself when to get up and go to bed.” Church View (Residential Home) Limited DS0000066410.V377579.R01.S.doc Version 5.2 Page 6 All the people asked said the meals were good. What has improved since the last inspection? The manager has taken action to comply with the requirements and good practice recommendations made at the last key inspection and the following improvements have been made. The manager or deputy manager carries out a detailed assessment before anyone considering using the service is admitted to the home. This ensures their health and personal care needs can be met at Church View Residential Home. Care plans provided information about the individual likes and dislikes of people using the service. They were also up dated when the needs of the person changed so that members of staff knew how to care for them. Risk assessments for falls, nutrition and the development of pressure sores were in place along with care plans about how any identified risks were to be managed. The management of medication has improved and ensured that people were given their medication as prescribed by the doctor. In order to reduce the risk of making mistakes all handwritten instructions on the medication administration records were signed and witnessed. When a variable dose of medication was prescribed for example one or two tablets the actual amount given was recorded. An activities co-ordinator has been employed to organise suitable leisure activities for people living at the home. In order to minimise the risk of spread of infection members of staff had received training in infection control. A system had been put in place to audit the quality of care provided and obtain the views of people using the service. This ensures the home is run in the best interests of the people living there. In order to safeguard people using the service accurate and complete records of money looked after on their behalf are kept. Detailed records of fire drills were kept which ensured that all members of staff received this training. Church View (Residential Home) Limited DS0000066410.V377579.R01.S.doc Version 5.2 Page 7 What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Church View (Residential Home) Limited DS0000066410.V377579.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Church View (Residential Home) Limited DS0000066410.V377579.R01.S.doc Version 5.3 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 3 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A thorough admission procedure ensured the health and personal care needs of people using the service were identified and met. EVIDENCE: A copy of the statement of purpose and service user guide is available to people who are considering using the service and their relatives on request. These supply information about the care and facilities provided at the home. The manager or deputy manager visited people who were considering using the service in hospital or their own home before admission. The purpose of this visit is to assess the persons health and personal care needs to ensure they can be met at the home. Church View (Residential Home) Limited DS0000066410.V377579.R01.S.doc Version 5.3 Page 10 We looked at the care records of two people using the service. Pre-admission assessments were seen in both files. These assessments provided important information for the development of their care plans. People considering using the service or their relatives received a letter confirming that their needs could be met at the home. Standard 6 is not applicable to this service. Intermediate care is not provided at Church View residential Care Home. Church View (Residential Home) Limited DS0000066410.V377579.R01.S.doc Version 5.3 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service were cared for in a manner which promoted their privacy and dignity. Medication was managed safely. EVIDENCE: We looked at the care plans of two people who use the service. These plans identified the health and personal care needs of each person and provided directions for staff to follow to ensure their individual needs were met. One care plan advised staff to reassure the person and sit with them during the night if they woke up and became confused. Another care plan told staff that the person preferred a bath and directed them to ask everyday if they wanted one. Church View (Residential Home) Limited DS0000066410.V377579.R01.S.doc Version 5.3 Page 12 Care plans also included information about peoples likes and dislikes and their preferred daily routine. For example one care plan stated that the person liked to go to bed at different times and slept with the bedside lamp on. This information helped to ensure that people were being cared for in the way they wanted. Appropriate risk assessments including ones for falls, nutrition and the development of pressure sores were in place. Guidance for staff to follow about how to manage identified risks was also included in the care plans. However, a risk assessment was not in place for a person who was identified as being at risk of falling out of bed. Although crash mats were in use to prevent injury the manager was advised to carry out a risk assessment in order to determine if this was the best way to manage this problem. A written report about the care given to each person using the service was written during each shift. This ensured that all staff had up to date information about the condition of each person in order to ensure continuity of their care. Care plans and risk assessments were reviewed monthly and updated when the needs of the person changed. The manager explained that she sat with the person and discussed their care needs when writing the care plan. When care staff reviewed the care plans they too sat with the person to discuss their care in order to ensure all their needs were being fully met. There were records of the involvement of GPs and other healthcare professionals including the chiropodist and district nurse in the care of people who use the service. Medication was stored correctly and administered by members of staff who had received training in the management of medication. We looked at the records for the management of medication. These included a record of medication received into the home. The record of unused medication returned to the pharmacy was currently with the pharmacist who checked and signed this to indicate that medication had actually been received. We checked a sample of medication records and stock but found it difficult to account for some medication. This was because medication was not always dated on opening and the amount of medication left over from the previous month was not always recorded on the new medication administration record. Keeping detailed and accurate records help prevent the mishandling of medication. A number of people were prescribed medication such as pain killers to be taken ‘when required’. Written instructions for staff to follow stating if the person was able to tell them when they needed pain killers or what signs and symptoms they displayed if they could not. This information ensures that people are given their medication when they need it. Church View (Residential Home) Limited DS0000066410.V377579.R01.S.doc Version 5.3 Page 13 We checked how controlled drugs were handled; these are medicines that can be misused. A special register was used for record keeping and was seen to have been completed correctly. We looked at the records of how medication was checked by the manager. These were done every month and involved checking all aspects of the management of medication including staff competence. The deputy manager said the manager had observed her giving out medication two weeks ago. This makes sure members of staff are following correct procedure. Personal care was carried out in the privacy of the persons own room or the bathroom. Members of staff were observed attending to people in a polite and friendly manner. One person said, “The staff are great.” The eight people using the service who completed a survey indicated that they always or usually received the care and support they needed. Care plans also directed care staff to be respectful and maintain privacy and dignity. Church View (Residential Home) Limited DS0000066410.V377579.R01.S.doc Version 5.3 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples choices were respected and they were supported by members of staff to have a fulfilling lifestyle. Meals were wholesome and appetising and people enjoyed them. EVIDENCE: A member of staff was employed for five afternoons a week to organise leisure activities and social events at the home. After lunch on the day of this visit people sitting in the lounge were joining in and enjoying a karaoke session. The activities co-ordinator told us that he organised quizzes and games such as bingo, cards and skittles and craft activities. When the weather permitted he took people to the local shop. A number of people said they had enjoyed a recent trip to Blackpool illuminations and a fish and chip supper. Special occasions were also celebrated. The relative of a person using the service said, “They made a lovely birthday party last Sunday and a big birthday cake.” Church View (Residential Home) Limited DS0000066410.V377579.R01.S.doc Version 5.3 Page 15 Local clergy regularly visited the home and a church service was held every month for people who wished to practice their faith in that way. People using the service and members of staff said that visitors were welcomed into the home at anytime and offered refreshments. One visitor said, “They always offer me a brew or a cold drink.” The manager explained that visitors were allowed to bring their pets. One visitor brought their dog during this visit and it was obvious that other people at the home were happy with this arrangement. The daily routine was flexible in order to meet the needs and preferences of people using the service. One person said, “You can please yourself when to get up and go to bed.” The meal served at lunchtime looked wholesome and appetising. Although a choice of meal was not offered the cook said that alternatives were available to cater for peoples individual likes and dislikes. The cook had prepared two different meals for two people who did not want fish. Lunch was unhurried allowing people time to socialise and enjoy their meal. Bowls of fresh fruit were seen in the lounge and dining room so that people could help themselves when they wanted. All the people asked said the meals were good. One person said, “I like it here, the meals are good.” Church View (Residential Home) Limited DS0000066410.V377579.R01.S.doc Version 5.3 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Complaints were taken seriously and investigated. Members of staff had the training necessary to ensure people who use the service were protected from abuse. EVIDENCE: A copy of the complaints procedure was included in the statement of purpose and service user guide and displayed in the home. The six members of staff who completed the survey indicated that they knew what to do if a person using the service or their relatives expressed any concerns to them. The relative of a person using the service said that they would feel confident to make a complaint should it become necessary. The manager stated in the AQAA that she had dealt with two complaints. Records of these complaints were available for inspection. No complaints have been made directly to the Commission. We looked at the policies and procedures for safeguarding vulnerable adults. The procedure stated the action that members of staff must take if allegations of abuse are made. Discussion with two members of staff confirmed that they had received training in safeguarding vulnerable adults. They both said they Church View (Residential Home) Limited DS0000066410.V377579.R01.S.doc Version 5.3 Page 17 would report any concerns immediately and knew the procedure they must follow. Church View (Residential Home) Limited DS0000066410.V377579.R01.S.doc Version 5.3 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The premises provided a comfortable and homely environment for people who use the service. EVIDENCE: A tour of the premises confirmed that the home was clean, tidy and generally well maintained. This provided a homely and comfortable environment for people using the service. Surveys completed by people using the service stated that the home was always or usually clean and fresh. There were three comfortably furnished lounges, which meant that people could choose where to sit. Church View (Residential Home) Limited DS0000066410.V377579.R01.S.doc Version 5.3 Page 19 Despite a previous recommendation most of the windows in the bedrooms were ‘fogged’ because the seals on the double glazing units had not been replaced. This meant that people could not see out of the windows properly. However, the manager explained that estimates to replace the windows had been obtained. They would be replaced gradually and work was due to start within the next few months. People using the service were encouraged to bring personal items for their bedrooms to make them more homely. These included ornaments, photographs and pictures for the walls. The grounds and gardens were well kept and accessible to people using the service if they wished to sit outside when the weather permitted. All the laundry was done at the home. A suitable equipped and staffed laundry room ensures clothes are washed promptly and returned to people using the service. Gloves and plastic aprons were available throughout the home for members of staff to use in order to protect themselves and people using the service from infection. Church View (Residential Home) Limited DS0000066410.V377579.R01.S.doc Version 5.3 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Members of staff are encouraged to acquire the skills and knowledge necessary in order to meet the needs of people using the service. Recruitment procedures are thorough. EVIDENCE: The duty rota provided details about the grades and number of staff on duty for each shift. Completed surveys from people using the service stated that members of staff were always or usually available when needed. We looked at the files of three members of staff appointed since the last inspection. These files indicated that all the required information had been obtained before these members of staff had started working at the home. This included two written references and a Criminal Records Bureau check. These checks ensure people who use the service are protected from the employment of unsuitable staff. However, some of the references had been received by fax and were not dated. The manager was advised to keep a record of the date these documents were received. Church View (Residential Home) Limited DS0000066410.V377579.R01.S.doc Version 5.3 Page 21 Discussion with the manager and members of staff confirmed that training was actively encouraged. This included induction training for new employees, moving and handling, basic food hygiene, first aid, safeguarding, challenging behaviour, infection control, fire and dementia. In addition to this all except four of the care workers had National Vocational Qualifications at level 2 or 3 in health and social care. The four care workers who did not have NVQ qualifications were enrolled on courses and working towards level 2. Church View (Residential Home) Limited DS0000066410.V377579.R01.S.doc Version 5.3 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has a competent manager and the views of people using the service are considered when decisions about the care and facilities provided at the home are made. EVIDENCE: The current manager was appointed seven months ago and is following the correct procedure in applying to the Care Quality Commission to become the registered manager for Church View Residential Home. She is experienced in caring for older people and has achieved the National Vocational Qualification level 4 in health and social care. She is also working towards the leadership Church View (Residential Home) Limited DS0000066410.V377579.R01.S.doc Version 5.3 Page 23 and management in care services qualification. Members of staff who completed a survey indicated that the manager was approachable and supportive. One member of staff interviewed during this visit said, “I can talk to the manager and she asked me how I was doing with my NVQ.” Another member of staff said, “There’s a good atmosphere, we can have a good laugh and there’s a good team of staff.” Discussion with the manager and area manager confirmed that they were committed to running the home in the best interests of the people living there and had achieved the nationally accredited Investors in People Award. The people using the service and their relatives were asked to give their views about the home by completing anonymous satisfaction questionnaires every year. The last one was done in June this year and a chart was available explaining peoples responses, which were mainly positive. An action plan had also been developed in order to ensure the issues raised were addressed. This included employing an activities co-ordinator and reviewing the menus. Both of these have been addressed. Meetings for people using the service were held every three months. Minutes of these meetings stated that leisure activities and a trip to Blackpool had been discussed. The manager has written in the AQAA that as a result of listening to the views of people using the service more social and leisure activities have been organised. The manager explained that action was being taken to comply with the deprivation of liberty safeguards legislation implemented last April. The required forms were available and members of staff had been supplied with an information booklet. Several people using the service had a small amount of money kept at the home to pay for hairdressing, chiropody and other personal needs. To ensure this was managed safely records of all transactions were kept. We checked two of these during the visit and found the records to be up to date and accurate. Policies and procedures for safe working practices were in place. These help to make sure the home is a safe place to live and work. Fire alarms were tested weekly and emergency lighting monthly. A fire risk assessment was in place and fire drills took place every week. We looked at the records of routine servicing of equipment. These included an up to gas safety certificate and evidence that the testing of small electrical appliances was carried out annually. Church View (Residential Home) Limited DS0000066410.V377579.R01.S.doc Version 5.3 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Church View (Residential Home) Limited DS0000066410.V377579.R01.S.doc Version 5.3 Page 25 Are there any outstanding requirements from the last inspection? No 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. Standard Regulation Requirement Timescale for action 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 OP8 Good Practice Recommendations To ensure all risks are managed correctly a risk assessment should be in place for people who are at risk of falling out of bed. 2. OP9 All containers of medication should be dated when they are opened. The amount of medication left over from the previous month should be recorded on the new medication administration record. This will ensure medication is managed correctly and enable accurate checks to be made. 3. OP19 Windows should be repaired or replaced so that residents’ view from these is not obscured. DS0000066410.V377579.R01.S.doc Version 5.3 Page 26 Church View (Residential Home) Limited 4. OP29 A record of the date when references are received should be kept. This will ensure recruitment procedures are thorough and people are protected from the employment of suitable staff. Church View (Residential Home) Limited DS0000066410.V377579.R01.S.doc Version 5.3 Page 27 Care Quality Commission North West Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). 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