Inspection on 30/10/07 for White Rose Court

This inspection was carried out on 30th October 2007.

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 but made no statutory requirements on the home.

Other inspections for this house

White Rose Court 20/10/08

White Rose Court 08/02/07

White Rose Court 15/03/06

White Rose Court 01/02/05

White Rose Court 06/08/04

White Rose Court 02/03/04

Similar services:

Abbey The

Snydale Care Home

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE White Rose Court 40-42 Clifton Avenue Sheffield South Yorkshire S9 4BA Lead Inspector Valerie Hoyle Key Unannounced Inspection 30th October 2007 08:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address White Rose Court DS0000003027.V350090.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. White Rose Court DS0000003027.V350090.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service White Rose Court Address 40-42 Clifton Avenue Sheffield South Yorkshire S9 4BA 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) 0114 244 2310 0114 261 9410 DES2@hotmail.co.uk None Fisherbell Limited Post Vacant Care Home 21 Category(ies) of Old age, not falling within any other category registration, with number (21) of places White Rose Court DS0000003027.V350090.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th February 2007 Brief Description of the Service: White Rose court is an older adapted building with a modern extensions providing accommodation on two floors accessible by stairs and lift. The home provides both single and double bedrooms and comfortable lounge and dining areas. The home is registered to provide care for 21 older people over the age of 65, for both short term and long term stays. The home is situated in a residential area close to amenities and public transport. Information gained on the 30th October 2007 indicate the current fees range from £318; to £351; there are additional charges for hairdressing, chiropody, bingo, toiletries and pub lunches. The home provides information to people and their relatives prior to admission into the home. Service Users Guides are available in all bedrooms or on request from the manager. The last published inspection report is available on request and a copy is available in the entrance for visitors to read. White Rose Court DS0000003027.V350090.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection took place over 7 hours, this included a partial inspection of the home. Two peoples care plans and supporting documentation were examined. Six people who use the service, one relative and four staff were spoken to during the visit; their views are included throughout the report. Occupancy at the home remains high at both units with 19 of the 21 beds occupied. Five CSCI service users questionnaires were sent to the home and four were returned. Four relatives questionnaires were sent and returned. The information has been collated and their views are contained within this report. Two peoples care plans were examined and policies relating to medication, complaints, protection of vulnerable adults and handling of people’s monies were looked at. Three staff recruitment and training records were examined to ensure people who use the service are protected. Christopher Cousins was appointed as manager in September 2006. He has not yet submitted an application to Commission for Social Care Inspection to be the registered manager. He was present throughout this visit and assisted with the inspection process. He had completed and returned the Annual Quality Assurance Assessment (AQAA is a document completed by the manager which describes there assessment of how well the service performs against the National Minimum Standards) dated October 2007, and the information gained is included in this report. What the service does well: The home had a stable staff group who had worked at the home for a number of years. They were motivated, enthusiastic and well trained, and people who use the service spoke highly of the staff. A manager, who encourages staff to be involved in promoting an good service, leads the team. The home provides excellent activities, which keep people who use the service stimulated and involved. People say they enjoyed the outings and the entertainment provided at the home. One relative said “there is always a ‘buzz’ in the home when they visit, with lots of laughter between residents and staff”. People said “ they were looking forward to the Halloween party”, they said trips to the local supermarket and watching old movies were their favourite past times. Relatives praised the manager and staff who provide a homely environment for people to spend their time. White Rose Court DS0000003027.V350090.R01.S.doc Version 5.2 Page 6 People said they enjoyed the food at the home, which was of good quality and plentiful. Staff spent time finding out what they liked to eat and there was always a choice of the main meal. Purchasing specific foods such as halal meat and Asian curries catered for people from different cultural backgrounds. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. White Rose Court DS0000003027.V350090.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection White Rose Court DS0000003027.V350090.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3. People who use 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 assessed before moving into the home to ensure their needs could be met. EVIDENCE: The service user guide provides information to people who live at the home. It is also given to people before they move into the home and one relative said she had looked at the information before making a final decision about the home. The information needs updating to ensure the management structure is a true reflecting of the staff working at the home. All new people receive a full comprehensive needs assessment before admission; this was carried out by the manager who had the required skills and competencies. The service was efficient in obtaining a summary of any assessment undertaken by the placing authority, and insists on receiving a copy of the care plan before admission. Staff confirmed that information White Rose Court DS0000003027.V350090.R01.S.doc Version 5.2 Page 9 contained in the assessment was essential to understand what they needed to do to ensure people’s needs were met. Two assessments were examined and they focused on achieving positive outcomes for people who use the service. Before agreeing admission the manager and staff carefully considers the needs assessment for each individual prospective person and the capacity of the home to meet their needs. CSCI ‘Have your say..’ surveys received from relatives and people who use the service said they received sufficient information about the home before they moved into the home. One visitor said she had chosen the home because of the homely atmosphere. White Rose Court DS0000003027.V350090.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans provided staff with sufficient information to meet the needs of people who use the service. Medication policies and procedures were generally well managed ensuring the safe administration of medication. EVIDENCE: Two care plans were examined; these were well-written and provided sufficient information to enable staff to meet the needs of the people who use the service. The care plans include regular evaluations, and daily records assess the individual’s progress. Risk assessments ensure people can maintain their independence, while remaining safe. CSCI surveys received confirmed that people’s needs were nearly always met by staff that was well trained, although one survey received said staff did not always meet the cultural needs of people. One relative said staff always kept them informed about any changes to their relatives care needs. “staff are very kind and always make me feel welcome”. White Rose Court DS0000003027.V350090.R01.S.doc Version 5.2 Page 11 People who use the service said staff always listen to what they say and provide the support they needed. Records examined and discussion with the staff confirmed people’s healthcare needs were met. An audit of medication stocks and records was examined and were found to be correct, although there was a number of hand written entries, which were not clear. Unclear instructions pose risk to people who use the service, who may not receive medication as prescribed. Medication was stored securely, there were separate, locked rooms for storing medication that contain a locked fridge and a controlled drugs cabinet. There was a separate refrigerator in the store but there was no evidence that the temperature was taken at regular intervals, although no medication was stored in it at the moment. One persons controlled drug had not been returned to the pharmacy and the record had been filed away, which means there was no evidence that the medication was still in the home. The drug was not stored safely as required by the homes policy and procedure, and could pose significant risk to people who use the service. Senior carers had responsibility for administering medications although they need to attend training to ensure medicines were administered safely. Throughout this visit staff were seen interacting with people who use the service in a kind manner, they spent time talking to people and were observed knocking on bedroom doors before entering. All people were referred to by their first name and this was agreed in the care plans examined. CSCI service user surveys received confirmed that staff always treated people who use the service with respect and maintain their dignity at all times. White Rose Court DS0000003027.V350090.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Excellent social activities were organised which were appropriate to the needs of the people who use the service. Mealtimes were well managed and people were encouraged to make choices and control over their own lives. People who use the service could maintain contact with family and friends, and have good opportunities to maintain links with the local community. EVIDENCE: There was a warm and friendly atmosphere on entering the home and a sense of wellbeing throughout the home. Staff were commended for creating a pleasant ambiance in the lounges. People who live at the home said activities and outings were very good. One person said they liked going for walks to the local supermarket, while others said games of bingo were their favourite passtime. Activities were arranged to meet the needs of the people who live at the home and staff frequently ask people what they want to do and where they want to go. Staff were preparing to host a Halloween party including decorating the lounge and fancy dress. A visitor said she enjoyed all the social events as it created a family atmosphere. CSCI surveys received confirmed White Rose Court DS0000003027.V350090.R01.S.doc Version 5.2 Page 13 that people who use the service were happy with the activities provided at the home. One relative said resident’s are encouraged to join in the numerous activities provided and there is always plenty of laughter and enjoyment at the events. The home employed a staff member who had responsibility to organise activities, including trips to the theatre, and pub lunches, while movie nights and parties inside the home. A visiting relative said they were always made to feel welcome and staff were very caring. They also said that they were confident in staff’s ability to provide the care needed for their relative. Staff asks people what foods they liked and the meals were included in the menus. The meals were served directly to the dining room from the kitchen. Mealtimes were well managed by staff who have a good understanding of peoples dietary needs. Staff were seen giving assistance in an unobtrusive way, and meals served to people in their bedrooms were accompanied with a drink. People said they had enjoyed their meal steamed fish and stew and dumplings, followed by chocolate pudding and chocolate sauce. The quality was very good and plentiful. People said the food was excellent, one person said they had put on weight in the time they had lived at the home, because they enjoyed the food so much. Menus were displayed, although it did not correspond to the food provided and the size of the printing was not suitable for people with poor vision. White Rose Court DS0000003027.V350090.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People who use 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 could access the complaints procedures and the manager ensures any concerns were recorded and investigated appropriately. Adult protection policies, procedures and training of staff promote the protection of service users from abuse. EVIDENCE: There was a complaints procedure that was available to people who use the service and visitors. The procedure was also referred to in the service users guide, identifying the stages to follow; this included the time scales to respond to complaints. The address and telephone number of the Commission for Social Care Inspection is included in the procedure. Examination of the complaints records showed that there were no complaints recorded since the last visit to the home. People who use the service said that they are confident that the manager or the responsible person would deal with any concerns they may have. Commission for Social Care Inspection surveys received confirmed that people who use the service know what to do if they had any concerns, and relatives said although they had never had to make a complaint they were confident that the manager would deal with any complaints. White Rose Court DS0000003027.V350090.R01.S.doc Version 5.2 Page 15 There was a comprehensive Adult Abuse and Whistleblowing policy and staff follow the procedures to those standards. The registered manager would investigate fully any allegations of abuse and would follow the necessary procedures if any were substantiated. The registered manager holds discussions with staff to talk over issues and how to recognise different forms of abuse. White Rose Court DS0000003027.V350090.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 22 and 26. People who use the service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The registered provider continues their refurbishment of the home to ensure the environment is safe and suitable for service users to spend their time. EVIDENCE: The registered providers continue to refurbish the home to create a homely environment, new carpets have been fitted throughout the communal areas and some bedrooms, and the dining area had been decorated. There remains some outstanding requirements in particular the decoration of the lounge area, and the replacement of some of the chairs. A partial tour of the building found bedrooms to be homely and personalised to individual taste; people said they liked their bedroom and have things around them to remind them of family and friends. The décor in some of the bedrooms and bathrooms looked tired and some wardrobes require securing to the wall White Rose Court DS0000003027.V350090.R01.S.doc Version 5.2 Page 17 to make them safe for people who live in the room. The toilet seat in the upstairs bathroom was not fixed to the seat, which would be uncomfortable for people to use. The boiler had been re-housed but the wall had not been made good. One bedroom had electrical sockets, which were not secured to the wall. One bedroom (shared) did not have a lampshade, and some extractor fans in toilets and bathrooms were not working effectively. The call system throughout the home was not working, which raises serious concerns about the safety of people who live at the home. Immediate attention to the problem was undertaken by the manager, although a check by the inspector two days later found four rooms where the system did not work efficiently. In one bedroom where the window backed up to the extension to the home the windows were dirty and restricted the light into what was already a fairly dark room. White Rose Court DS0000003027.V350090.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. People who use 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. Staff have the skills and knowledge to fulfil their roles within the home, a stable staff group ensures continuity of care by staff that knows the people who use the service. Recruitment policies are followed ensuring the safety and protection of people who live at the home. EVIDENCE: Training records examined show the staff have the required skills and competencies to deliver a good service. Discussion with the manager and staff confirmed that there was a stable staff group who had worked at the home for a good number of years. Staff said they enjoy working at the home, and feel supported. The partnership for older peoples project (POPPS) provide valuable support to the home, through training and advice which helps staff to develop new skills to help them do their job better. There was an adequate induction and probationary package, which is service specific, although it does not meet the ‘Skills for Care’ standard. The manager only confirms permanent employment when satisfied that competence and progress has been shown to be satisfactory against their standards. White Rose Court DS0000003027.V350090.R01.S.doc Version 5.2 Page 19 Staff rotas and observation during this visit showed there were sufficient staff to meet the needs of people who live in the home. People said there was always enough staff. Staff had the required skills to meet the needs of people, and they are commended for meeting the requirement of 50 NVQ level two qualified staff. A number of staff are progressing with NVQ level two. There were robust recruitment and selection procedures that ensure people who use the service are safe and protected. A number of staff recruitment files were examined, and there was evidence that all the required employment checks have been undertaken prior to commencing work at the home. Evidence confirmed all staff had a Criminal Records Bureau (CRB) check. The manager should check the date on all existing CRB’s as good practise suggests that a new CRB check should be carried out every three years, to ensure the information is up to date. White Rose Court DS0000003027.V350090.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. People who use 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 protected by sound management practises, and their views were actively sought to improve the service. The financial interests of people were safeguarded, and good health and safety procedures ensured they are protected. EVIDENCE: The manager has been in post since September 2006, although he has not submitted an application to CSCI to become the registered manager. He has completed the RMA (Registered Managers Award) and also attends training arranged by the organisation. He is respected by staff and liked by relatives and people who use the service. People said “he is very kind and always treats us with respect”. White Rose Court DS0000003027.V350090.R01.S.doc Version 5.2 Page 21 The manager was able to demonstrate how the organisation gains the views of people who use the service. A quality survey is sent to relatives, along with a newsletter, which had been introduced recently. He also spends time speaking to people to find out what they like about living at the home. One relative said she felt that the home always asked if they were satisfied with the service. The quality assurance system could be developed further, by analyzing the information to create an action plan, to identify areas, which need to be improved. People who use the service were able to manage their own finances, although some prefer the manager to assist with dealing with their personal monies. Records were examined and they were accurate, although most entries only had the signature of the manager. It is good practise to have two signatures for all transactions, which assists with auditing and ensures people’s money are protected. Accident reports were analysed by the manager to ensure risk assessments were developed where required to protect people who use the service. Maintenance and service records examined were up to date and current to the services provided. The manager had the required Health and Safety policies and procedures and displays the relevant notices. Fire safety procedures were in place and service records were examined and were current, ensuring the safety of people who use the service. White Rose Court DS0000003027.V350090.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X 2 X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 White Rose Court DS0000003027.V350090.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP9 Regulation 13 Requirement All medication must be administered according to the prescription label, to ensure people receive medication as prescribed. Controlled drugs must be stored and recorded as required by the Misuse of Drugs (safe custody) Regulations 1973 All staff that administers medication must undertake appropriate accredited training, and be deemed competent. The ill-fitting toilet seat must be replaced. All windows must be cleaned regularly to prevent the restriction of natural light entering the room. Extractor fans in toilets and bathrooms must work efficiently to prevent odours permeating throughout the home. Timescale for action 01/12/07 2. OP9 13 01/12/07 3. OP9 13 01/01/08 4. OP19 23 01/02/08 White Rose Court DS0000003027.V350090.R01.S.doc Version 5.2 Page 24 5. OP19 23 Wardrobes must be made safe by securing them to the wall. Electrical sockets must be made safe in room 2. 01/12/07 6. OP19 23 All parts of the home used by service users must be kept reasonably decorated. Previous time scale 02/08/06 and 10/05/07 not met. All furniture in the care home must be in good condition therefore the easy chairs in the lounges must be replaced. (Previous timescale 20/4/05 and 02/08/06 10/05/07 not fully met). People must be able to access a call system for their safety and protection. The manager must submit an application for registration with the Commission for Social Care Inspection. 01/03/08 7. OP19 16 01/03/08 8. OP22 23 01/12/07 9. OP31 8 01/01/08 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. 2. Refer to Standard OP9 OP15 Good Practice Recommendations A record should be made of the temperature of the fridge used to store medication. Menus should be displayed in a place were service users can see them and should be in a large enough print to allow them to read them easily. White Rose Court DS0000003027.V350090.R01.S.doc Version 5.2 Page 25 3. OP29 Good practise suggests that a new CRB check should be carried out every three years, to ensure the information is up to date. The induction programme should meet the ‘Skills for Care’ standards. All people’s financial transactions should be signed by two staff to ensure the safety of peoples money. 4. 5. OP30 OP35 White Rose Court DS0000003027.V350090.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI White Rose Court DS0000003027.V350090.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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