Care Home: Pax Care Home

What the care home does well The two people live in a family home and benefit from being part of a family household. Comments on surveys include `xxx likes the serenity of the house` and `xxx likes this home very much`. The family and small staff team that support the two people know them well and understand their needs and how to meet them. The appointment of staff who can speak the peoples` first language means that they can use their first language at home and be understood. The two people have lived at the home for over thirteen years and have been settled and kept well whilst living at the home. There have been no complaints at the home since the last inspection. Staff at the home are provided with training so that they know how to report any suspicions of abuse or any concerns they may have about the running of the home. The manager has ensured that the complaints policy is available in a format suitable for both people living in the home. What has improved since the last inspection? Any chemical products used at the home are safely locked away. The ground floor bedroom windows have been risk assessed. New carpet has been fitted in communal areas of the home. CARE HOME ADULTS 18-65 Pax Care Home 132-134 Pytchley Road Rugby Warwickshire CV22 5NG Lead Inspector Jo Johnson Key Unannounced Inspection 23rd April 2008 9:00 Pax Care Home DS0000004354.V363026.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Pax Care Home DS0000004354.V363026.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Pax Care Home DS0000004354.V363026.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Pax Care Home Address 132-134 Pytchley Road Rugby Warwickshire CV22 5NG 01788 575009 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) Mrs A H Ribeiro Alvin Anthony Ribeiro Care Home 2 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (2) of places Pax Care Home DS0000004354.V363026.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The Registration The registration relates to being the registered manager for Pax Care Home accommodating two service users only. Hours worked per week That the registered manager, Alvin Ribeiro, works no more than twenty one hours per week as a medical practitioner and one day per week at Minster Care Home in Coventry. Training That Alvin Ribeiro undertakes training in the following subjects within 12 months from the date of registration: Mental health awareness Management and supervision Person-centred care Evidence of the training must be provided to the Commission for Social Care Inspection. Service User Category Registration is for a maximum of two service users in the category mental disorder, excluding learning disability or dementia. Service users may be of either gender. 18th May 2007 3. 4. Date of last inspection Brief Description of the Service: Pax Care Home provides accommodation for 2 service users who have enduring mental health needs. The accommodation is half of the ground floor of a detached house offering single bedrooms, a dining room and small lounge area, as well as access to a large lawned garden. This is part of providers family home where they live. A majority of the care is provided by family members and by three care staff who are employed Monday to Friday 8 am to 5 pm and on weekend afternoons. The property is within walking distance of Rugby town centre, as well as situated on a bus route. Pax Care Home DS0000004354.V363026.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 star. This means the people who use this service experience good quality outcomes. The focus of inspections undertaken by us is upon outcomes for people who live at the home and their views of the service provided. This process considers the home’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provisions that need further development. This report uses information and evidence gathered during the key inspection process, which involves a visit to the home and looking at a range of information. This includes the service history for the home and inspection activity, notifications made by the home, information shared from other agencies and the general public and a number of case files. The manager/owner supplied the commission with an AQAA (Annual Quality Assurance Assessment). Information from this has been used to make judgements about the service, and have been included in this report. Surveys were sent to the two people who live at the home in their first languages of Gujarati and Punjabi. Both of these surveys were returned and translated and the findings have been included in the report. This was the home’s first key inspection of 2008/2009. The inspection visit was unannounced (we did not let the home know that we were coming) and took place on 23rd April between 9am and 2pm. The inspection involved; • • Observations of and talking with the people who live at the home and the staff on duty and the manager/owner. Two people were identified for close examination by reading their care plan, risk assessments, daily records and other relevant information. This is part of a process known as ‘case tracking’, where evidence is matched to outcomes for people. A tour of the environment was undertaken, and home records were sampled, including staff training and recruitment, health and safety, and staff rotas. • The inspector would like to thank the people who live at the home, the manager/owner and staff for their hospitality and cooperation during the inspection visit. Pax Care Home DS0000004354.V363026.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Care plans should be completed so that staff know what care and support people need. The handle on the medicine cabinet should be repaired so that medicines are stored in a locked cupboard. New bedroom furniture should be purchased for both people who live at the home. This is so that they have comfortable and personalised bedrooms. Criminal Record Bureau (CRB) and Protection of Vulnerable Adults (POVA) checks and written references should be in place before staff work alone with the people who live at the home. This is to make sure that staff are suitable and safe to work with people. Pax Care Home DS0000004354.V363026.R01.S.doc Version 5.2 Page 7 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. Pax Care Home DS0000004354.V363026.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Pax Care Home DS0000004354.V363026.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good People’s basic needs are assessed so that they can be sure the home can meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: No new people have moved into the home since the last inspection in May 2007. The two people have lived at the home for over thirteen years. Basic assessments are place in peoples’ care records. Both peoples’ surveys show that they were asked about moving into the home. One person’s survey included the comment ‘xxx likes this home very much’. Pax Care Home DS0000004354.V363026.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area good The people living in this home are involved in decisions about their lives and the support they receive. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There are care plans in place for both people who live at the home. The plan for the person who has complex mental health needs was more detailed and covered all aspects of their personal care and life. The other person’s plan had some sections not completed. These sections were nutrition, medication and social interaction. From discussion with the individual, these needs are met and they said, “don’t want to know what’s written in book”. All identified areas of need should be planned for in the care plan. This is so that staff know what care and support people need. The manager/owner took immediate action and agreed to complete the care plan with the individual. A copy of this plan was faxed to us the following week. Pax Care Home DS0000004354.V363026.R01.S.doc Version 5.2 Page 11 Both people have section 117 mental health reviews on a six monthly basis with someone from the mental health team and one person has an advocate. Interpreters are used for theses reviews. Peoples’ care plans and risk assessments are reviewed at this time. Risk assessments are in place for most aspects of daily living. A specific assessment has been completed for one person who is at risk from falls. The approach to risk management makes sure that there is a balance between enabling the individual to retain their levels of independence within a safe framework. Pax Care Home DS0000004354.V363026.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17 Quality in this outcome area is good The people living in this home are supported to make choices about their lifestyle and to develop life skills and participate in their local community. This judgement has been made using available evidence including a visit to this service. EVIDENCE: One of the people goes to the Sikh community centre two days a week and a local authority day service another two days a week. This person enjoys socialising and going to the day centres. The other person prefers to remain in the home watching Asian programmes on satellite television and talking with staff. This person does not wish to leave the house and this is kept under regular review by staff, the manager/owner and health professionals involved with them. Pax Care Home DS0000004354.V363026.R01.S.doc Version 5.2 Page 13 From discussion with the staff on duty, this person has periods where they do not wish to interact with other people. We observed them attempting to interact with the individual throughout the visit. They knew when to leave them alone and when to intervene and encourage them to accept personal care. The staff spoken with has worked at the home for over two years and was very knowledgeable about the people who live at the home and their mental health difficulties. One person told us that one of the staff speaks Gujarati and said “talk to XXX, all staff are nice”. We observed that this person is more communicative that at previous inspections and actively sought out a conversation with us. This person said, “ We have got new TV and Sky I can watch Indian movies”. There is also a selection of Asian magazines for the two people that live there to look at. Both peoples’ surveys show that they make decisions about their daily routine and that they are able to do what they want during the day, evenings and the weekends. One survey included the comment; ‘XXX said that he could do his own work at any time he wishes’. The home encourages people to maintain contact with friends and relatives. One person’s relatives regularly phone from Canada to speak to them. They phone on a day when the staff who speaks their first language is on duty. This is so that they can speak to them if the person chooses not to speak to their relatives. Records of when they ring are kept. One person has an advocate appointed by their funding authority and the other person has the support of health and social care professionals via their day services. People choose what they like to eat and a record of this is kept. One person said, “I like chapattis and Gobi Sag Aloo, XXX (manager/owner) cooks at night, it’s good”. There was a bowl of fresh fruit available in the kitchen. Staff spoken with were knowledgeable about what the person who stays at home likes to eat and depending on their mental health whether they are able to vary their diet. Pax Care Home DS0000004354.V363026.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good The health and personal care that people in this home receive is based on their individual needs. Staff respect the people and promote their dignity and privacy. Medication systems in place are largely safe. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There were positive relationships and interactions observed between staff and the people who live at the home. One person commented that they know and, get on well with the staff, owners and other family members and they treat them well. Since the last inspection one person’s personal care needs has increased and this is detailed in their care plan. The other person has minimal personal care needs and only needs support to bathe. This support is detailed in their care plan. Discussion with one person and staff and entries in individual health records show that people access appropriate healthcare support where required. One Pax Care Home DS0000004354.V363026.R01.S.doc Version 5.2 Page 15 person’s records show that they have been supported to access an extensive range of consultants and health professionals. They have provided them with specialist equipment to meet their changing mental and physical health needs. The person said, “See doctor at hospital can talk to him …all ok” Information was available within both care plans to confirm that their routine and more specialised healthcare needs are met. Visits to the Dentist and Opticians were recorded, as were visits to specialist clinics, the GP and hospital appointments. A chiropodist visits six monthly. People were observed to spend their time where and how they chose. One person chose to lie on their bed after breakfast. Staff encouraged them to get up for drinks and personal care in a sensitive way. The other person spent time chatting in the lounge with us until they went out to the Sikh community Centre mid morning. They said, “ get up when want, go to bed when want sometimes 12”. Records of administration of medication seen were correct and medication was stored in a cabinet in the kitchen. The medication in the cabinet was correctly labelled so that it is clear whom the medication belongs to and was in pharmacy dosage packs. However, the handle on the medication cupboard was broken and this means that it cannot be secured. This should be repaired so that medicines are stored in a locked cupboard. Pax Care Home DS0000004354.V363026.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good Complaints procedures make sure that the peoples and their representatives concerns and complaints are listened to and acted upon. A staff team who have a good knowledge of how to respond to any suspicion of abuse and to keep people safe from harm support the people living at the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a complaints policy, which is in Gujarati and Punjabi and includes information about us. When asked about whom they could talk to if they were unhappy, one person said, “xxx (staff), doctor at hospital or you”. Both peoples’ surveys show that they know whom they can talk to if they are not happy and know how to make a complaint. One survey included the comment, ‘xxx said that if he is not happy, he can complain to Social Security. But he said he is happy’. There have been no complaints or allegations of abuse received by the home or commission since the last inspection. An adult protection procedure is in place at the home so that staff know how and to who they can report any suspicions of abuse. The staff and manager/owner spoken with were confident of how to use these procedures. Pax Care Home DS0000004354.V363026.R01.S.doc Version 5.2 Page 17 The staff spoken with had attended adult protection training in her previous job. They knew under what constituted abuse, the circumstances to report any allegations and to whom they could report it. One person spoken with said that they felt safe at the home and with staff. Observation during the visit showed that both people were relaxed in the environment in which they live. The information and observations tell us that the people who live there are safe and feel secure. One person’s advocate manages their finances and the other’s is managed by the manager/owner. They said “xxx (manager/owner) sorts money, have plenty for fags and clothes”. Pax Care Home DS0000004354.V363026.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is good People live in a homely, clean, comfortable shared environment. Bedroom furnishings are old and worn. This means peoples’ personal space is not comfortable. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service operates from the family home of the manager/owners. The house is detached and is situated in a residential area, reasonably close to the town centre and its amenities, the home is in a quiet location with little traffic. The home is reasonably comfortable and safe environment to live in. New carpets have been fitted in the home. Both peoples’ surveys show that the home is always clean. One person’s surveys included the comment ‘xxx likes the serenity of the house’. Pax Care Home DS0000004354.V363026.R01.S.doc Version 5.2 Page 19 One person gave us a tour of the home including their bedroom. They said “like room to be painted maybe white, yellow or green”. We raised this with the manager who agreed to arrange for this to be done. There are very basic and old furnishings in the bedrooms. The manager/owner has given a commitment over a number of years to replace this furniture but has not yet done so. New bedroom furniture should be purchased for both people who live at the home. This is so that they have comfortable and personalised bedrooms. The ground floor windows have now been risk assessed and restrictors are not needed for the two people who live at the home as they are both accommodated on the ground floor. The laundry facility was clean and tidy and there is a record to show that monthly maintenance checks on the house are taking place. On the day of the inspection, the home was clean and tidy with no offensive odours apparent. Pax Care Home DS0000004354.V363026.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 Quality in this outcome area is adequate Staff in the home are skilled to support the people who use the service, and to support the smooth running of the service. Recruitment practices need to improve to make that the staff are suitable to work with the people living at the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is the family home of the owners. Three staff members are employed to work from 8.30 to 5pm Monday to Friday and weekend afternoons whilst the owners work at their other care home in Coventry. Both peoples’ surveys show that the staff ‘always’ look after them and that they ‘always’ listen to their views and take action. Since the last inspection, a new member of staff has been employed to work Saturday and Sunday afternoons. This staff member’s recruitment records were seen. There was not a CRB (Criminal Records Bureau) and POVA (Protection of Vulnerable Adults) check undertaken by the manager/owner in Pax Care Home DS0000004354.V363026.R01.S.doc Version 5.2 Page 21 place. There was one from their previous care home employer. The manager/ owner is now aware that a new CRB must be obtained and posted the application on the day of inspection. There were also only two verbal references on record. The manager/owner agreed to seek these and fax copies of the written references to us to show that he had obtained them. At the time of writing the report, the manager/owner had faxed both references and a clear POVA check to us. Staff files included copies of training certificates for mandatory training, which included first aid, moving and handling and food hygiene. Two of the staff have a National Vocational Qualification (NVQ) at Level 2 in Care. From discussion with the staff on duty, they are able to effectively communicate with the two people who live at the home as they both speak some English. Another member of staff speaks both Gujarati and Hindi and the manager/owner said that this has been invaluable for both people who live at the home. Pax Care Home DS0000004354.V363026.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is good People benefit from living in a well maintained and managed home as part of the family and household. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager/owner is a retired medical doctor who has supervisory experience in residential care in his capacity of registered provider of a care home for older people. This home has always been part of the family home. A positive relationship was observed between the people living in the home and the manager/owner and staff member present on the day of the inspection. Pax Care Home DS0000004354.V363026.R01.S.doc Version 5.2 Page 23 Information provided before the inspection, by the manager in the AQAA (Annual Quality Assurance Assessment) indicates that relevant Health and Safety checks and maintenance are being carried out at the home. All COSHH (Control Of Substances Hazardous to Health)(such as cleaning liquids) were stored in a locked cupboard. There is not any need for a formal quality assurance system at the home. One person said, “XXX (owners) talk to me whether I’m happy”. Both people have regular six monthly reviews by health and social care professionals as they are placed at the home under section 117 of the Mental Health Act. One person has an advocate who also contributes to these reviews. Review documentation seen show that professionals are satisfied with the service and that the home is able to safely maintain these two people and their mental health needs. Both peoples’ surveys included the following comments under ‘is there anything else you wish to say’; ‘xxx is very happy and loves living at this home’ and ‘xxx likes this house a lot. She enjoys the environment a lot’. Pax Care Home DS0000004354.V363026.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 2 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x Pax Care Home DS0000004354.V363026.R01.S.doc Version 5.2 Page 25 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 2 3 4 Refer to Standard YA6 YA20 YA24 YA34 Good Practice Recommendations All identified areas of need should be planned for in the care plan. This is so that staff know what care and support people need. The handle on the medicine cabinet should be repaired so that medicines and are stored in a locked cupboard. New bedroom furniture should be purchased for both people who live at the home. This is so that they have comfortable and personalised bedrooms. CRB and POVA checks and written references should be in place before staff work alone with people who live at the home. This is to make sure that staff are suitable and safe to work with people. Pax Care Home DS0000004354.V363026.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection West Midlands Office West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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 Pax Care Home DS0000004354.V363026.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. 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