Care Home: Polonia

Similar services:

• Chirnside House
• Keer Sands Residential Home
• Ruskin Lodge
• Bushell House
• Langrigg House
• Parkside
• Dystlegh Grange
• Thornton Lodge

What the care home does well The home continues to provide a specialist service to people living there in a way which reflects their personal and cultural preferences. Information from documentation and from comments by relatives and people living there was that a stable and committed staff team support people in a way which respects their care needs with staff responding appropriately to personal and cultural preferences. A clear objective of the home is to continue to provide residents with a comfortable place to live and to participate in things that are important to them as part of the Polish culture. The home was well maintained, homely and offered people a secure place to live. What has improved since the last inspection? Improvements had been made in the way information was recorded. Staff were working towards a more person centred care planning process. Care plans had been revised and are now written in both English and Polish translation. Programmes of maintenance and refurbishment are ongoing. What the care home could do better: Refresher training should be provided for all staff, with specific reference to manual handling and abuse awareness to ensure staff knowledge is current. A hoist used to support a named person had been taken out of use as it failed its last service. There was documented evidence of a request to have the hoist repaired. In the interim the person was being supported by staff to mobilise. This persons risk assessment should be reviewed whilst the hoist was out of operation. Records should also be maintained of the outcomes of one to one supervision to evidence topics discussed, this also related to staff meetings. The information gathered through use of surveys, as part of quality assurance and monitoring process should be used to support the work the home does and improve areas identified as a result of the consultation process. CARE HOMES FOR OLDER PEOPLE Polonia 17 Demesne Road Whalley Range Manchester M16 8HG Lead Inspector Joe Kenny Unannounced Inspection 6 February 2008 10:45 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 Polonia DS0000021576.V349178.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. Polonia DS0000021576.V349178.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Polonia Address 17 Demesne Road Whalley Range Manchester M16 8HG 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) 0161 232 0719 Dr Andrzej Rozycki Dr Andrzej Rozycki Care Home 9 Category(ies) of Old age, not falling within any other category registration, with number (9) of places Polonia DS0000021576.V349178.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th December 2006 Brief Description of the Service: Polonia is a residential care home registered for 9 places providing personal care. The home specialises in providing residential care to older people who are Polish, Ukrainian and Russian. Polonia is a semi-detached, three storey brick built house on a corner plot, with gardens to the front and one side. It is in the Whalley Range area of Manchester, which is a multicultural residential area within easy reach of the City Centre. The home is located on the corner of Demesne Rd and Alness Rd. Bedroom accommodation is provided on the ground and first floors. There are 7 single and 1 double bedroom. None have en-suite facilities. There is a lounge on the ground floor and the dining room is located in the basement. Access to the basement and first floor is via a passenger lift. The range of accommodation fees charged was between: £358.09 and £375.54. Polonia DS0000021576.V349178.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 inspection of Polonia was carried out unannounced on the 6 February 2008. The inspection was carried out over a period of six and a half hours during which, time was spent talking to the deputy manager and several people living in the home and a number of visitors, to the home on that day. Documents relating to staff files, complaints, medication, health and safety and peoples finances were examined. The home provided a completed Annual Quality Assurance Assessment (AQAA) which was received by the Commission in September 2007. A number of comment cards were forwarded to people living in the home and staff working there. Their comments are included in the findings of this report. A tour of the building was conducted and observations were made throughout the visit in relation to staff interaction with residents, social care and meal and menu arrangements. Records relating to ongoing maintenance and servicing of equipment were also examined. Requirements and recommendation made at the last inspection had been addressed by the home. What the service does well: The home continues to provide a specialist service to people living there in a way which reflects their personal and cultural preferences. Information from documentation and from comments by relatives and people living there was that a stable and committed staff team support people in a way which respects their care needs with staff responding appropriately to personal and cultural preferences. A clear objective of the home is to continue to provide residents with a comfortable place to live and to participate in things that are important to them as part of the Polish culture. The home was well maintained, homely and offered people a secure place to live. Polonia DS0000021576.V349178.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Polonia DS0000021576.V349178.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 Polonia DS0000021576.V349178.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): 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information about the home and its objectives are clearly set out to inform prospective residents about the home. People’s needs were assessed before a service is offered. EVIDENCE: Polonia is a residential care home registered for 9 places providing personal care to older people who are Polish, Ukrainian and Russian. Information about the home is available in English and Polish. Current and prospective residents are provided with a completed Statement of Purpose and Service User Guide, specific to the home. The documents were last reviewed in January 2006. Documents should be reviewed annually to ensure information is current and up to date. Polonia DS0000021576.V349178.R01.S.doc Version 5.2 Page 9 Prior to admission, the home will meet with the person considering moving to Polonia to discuss information about their care needs and how the home can meet their needs. A record is completed of information gathered about the person. This information along with information from the placing social worker is used by the home to develop a plan of support and care. People considering moving are also encouraged to visit the home before making a decision about moving there. Discussions were held with relatives and some people living there. Relatives spoke about looking at other care homes before deciding to move to the home. One relative spoke highly of the care and support offered by staff and the homely environment provided by virtue of the size of the home. The deputy manager said people who are self funded are provided with a contract and those people funded by the local authority receive a statement of the terms and conditions of their placement. The home does not provide intermediate care. Polonia DS0000021576.V349178.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are supported on health and personal care needs in a way which respects their wishes and identified care needs. Medication procedures protected people and were being adhered to. EVIDENCE: Care plans are developed using information received at the time of admission. The information is recorded in both English and Polish. The manager had reviewed all care plans through the introduction of revised care plans. Plans are reviewed in consultation people living there and staff supported them to ensure the information reflected the person’s own wishes and preferences as to how they are supported. During discussions with relatives and people living there, each person said they were happy living there or were very happy with the care and support offered Polonia DS0000021576.V349178.R01.S.doc Version 5.2 Page 11 by staff. Staff were observed to interact well with people and spend time speaking to people as they offered them support and assistance. Plans of support also recorded how people were supported where there was an identified risk, such as falls. The plan of support identified the action and support to be taken to minimise the potential harm to people. A hoist used to support a named person had been taken out of use as it failed its last service. There was documented evidence of a request to have the hoist repaired. In the interim the person was being supported by staff to mobilise. This persons risk assessment should be reviewed whilst the hoist was out of operation. Each person has a detailed plan in relation to health care. This covers information in relation to general practitioner support and support by other health professionals. On the day of the visit the dentist was in attendance and was observed in conversation with people about the support being offered and future appointments. None of the people residing in the home required the support of a district nurse at the time of this visit. Medication procedures, records and storage arrangements were examined on the day and found to be in order. All senior staff have responsibility for administration of medication. Records were well maintained and signed by staff on a daily basis, however staff use only one initial when signing the medication administration record. Staff are advised to use both initials. The use of one initial could be mistaken for codes used to indicate where medication may not be given. One person’s medication required reviewing by the general practitioner as they were prescribed two medications for the same condition. Procedures relating to administration of medication prescribed “as and when required” should be reviewed in consultation with the person’s general practitioner. Discussions were held with the manager on this issue. Medication was stored securely and the senior when on duty holds the key to the storage area. Medication is received in four weekly blister packs One week of supplies is held in the medication cabinet and the remaining blister sheets are held securely in the registered managers dwelling area of the house. Polonia DS0000021576.V349178.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home are supported in a way which respects their social, cultural, religious and personal preferences and identified care needs. EVIDENCE: There was ample evidence that Polish culture and traditions are respected and promoted. Daily living arrangements enable people to choose when they get up and how they spend their day. People have unrestricted access to their rooms and received support, where required, from a committed staff team. Informal discussions were held with people living there and a number of visitors. All indicated they were happy with the support and care offered by staff. Relatives were complementary of the cultural aspect of care, which enabled people to be cared for in a setting which respected many aspects of Polish life. People have access to Polish television, papers and Polish resources in the local community. Polonia DS0000021576.V349178.R01.S.doc Version 5.2 Page 13 Activities such as board games, bingo and colouring activities are held. One lady remains active and goes out to the local Polish club, where social and religious services are held. One other person also goes out but chooses not to when the weather is cold. A range of CDs of Polish traditional music are available and played throughout the day. Some movement to exercise activities are held using these discs. People are encouraged to bring personal belongings to the home and have unrestricted access to their bedrooms. Social and leisure events are held in the home and people can participate in such events if they wish. Some people wish to remain in their room and said that staff will call to their room on a regular basis to see how they are. Breakfast is served at 08:00, lunch at 12:30, tea at 16:00 and supper at 18:00 with an additional tea and snack serving at 21:00 hours. A range of menus is planned with an alternative offered at each main meal, consisting of a hot and cold dish. People were complementary about the meal arrangements and choice on offer. The kitchen area has been upgraded and ample provisions were available to cater for a range of Polish dishes. The dining area is located in the basement, which can be accessed via a lift. This area is not currently accessed by residents who choose to take their meals in the lounge. Meals are prepared by staff and all staff have received training in basic food hygiene. Routines in the home were very relaxed, informal and, unhurried. One reason people gave for being happy living in the home was its small size, with only 9 residents being accomodated. People also said they were happy with the care provided by staff. Some people’s comments were, “I am happy here” and “well looked after”. Polonia DS0000021576.V349178.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are relevant policies, procedures and systems in place to enable concerns to be raised and to protect people. EVIDENCE: There had been no complaints made to the home since the last inspection The Commission for Social Care Inspection had received no complaints in the same period. People completing the comment cards used as part of the inspection, said they knew who to speak to if they had a concern about any aspect of the care being provided. A number of residents and their visitors were spoken with. All indicated they knew who to speak to if they had a concern about the care they received or were unhappy with any aspect of life in the home. The homes complaints procedure required amending in relation to the contact address of the Commission for Social Care Inspection. The policy and procedure was also available in the Polish language. The home had a copy of Manchester Multi-Agency Adult Protection Procedures and its own Adult Protection Policy. Staff training records confirmed training in abuse awareness had been provided to staff. The deputy manager was advised to access refresher training as some time had elapsed since it was initially Polonia DS0000021576.V349178.R01.S.doc Version 5.2 Page 15 delivered to staff. Staff should also be given time to read and sign up to the Local Authority procedures. Staff demonstrated an understanding of safeguarding procedures. Polonia DS0000021576.V349178.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 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was clean and provided a safe, comfortable environment for residents. EVIDENCE: The grounds to the front and side of the building offer people a secure area to access, weather permitting. There is a canopy area at the rear of the property where garden furniture is put out for people to use in the summer. Some discarded furniture needed removing from the garden and all grip rails and fencing needed securing. The interior of the home was found to be clean, warm and homely. A tour of the building was undertaken. Bedrooms were personalised and could be accessed without restriction by people. Some people choose to remain in their rooms and were seen to be supported by staff to do so. Staff were observed to regularly check on bedrooms and bring people drinks to their room. The lounge Polonia DS0000021576.V349178.R01.S.doc Version 5.2 Page 17 area is used by people throughout the day and meals are taken in the lounge using trays. The lounge was bright and warm and people were watching Polish television or reading. Infection control procedures were well established and protected people. Disposable gloves, aprons and bacterial hand wash were available for all staff. Appropriate procedures were in place for clinical and waste management. Thermostatically controlled valves had been fitted to all hot water outlets accessible to residents and these were checked on a weekly basis in order to minimise risk to people. A number of beds are fitted with bed rails; the deputy manager said they were used in conjunction with a risk assessment. Issues requiring attention related to the following: The fire smoke seal was missing to the inner door at the main entrance; this should be addressed for fire and smoke containment in an emergency. In the bathroom close to bedroom 4 a boiler is located. A risk assessment should be carried out to determine whether the door to the boiler should be fitted with an appropriate locking device, to minimise risk from hot piping and electrical wiring through unauthorised access. There was no privacy screen in the double bedroom. One should be provided to ensure that the privacy and dignity of the two people who use the room are respected. Two bedrooms did not have curtains or nets to the windows. The manager was advised to address this in discussion with people to maintain the privacy and dignity of people using the rooms. Polonia DS0000021576.V349178.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recruitment and selection procedures were good and on going training was in place for staff to ensure that they are competent. EVIDENCE: At the time of the inspection there was sufficient number of staff on duty to support people. The staff rota for the week was not completed and the manager was planning cover and recording when staff worked. It was therefore difficult to see how the home would be covered for that week. The deputy manager was advised to ensure that rotas were drawn up in advance to ensure all staff were aware of who was on duty each day. Three members of staff are on duty in the mornings and two in the afternoon. The night hours are covered by one member of staff on waking night duty; the registered manager resides on site and is available for on call duty. Staff records evidence that there is a stable staff team, with some people having worked at the home for some years. No new staff had been employed since the last inspection. Files were found to be appropriately maintained and included an enhanced Criminal Record Bureau check, 2 written references, a Home Office employment check and other relevant documentation. Polonia DS0000021576.V349178.R01.S.doc Version 5.2 Page 19 The deputy manager said staff meetings and one to one supervision sessions are held on a regular basis. However, no record is maintained to evidence the outcomes of such meetings and topics discussed. Procedures relating to staff meetings and supervision session should be formalised and records maintained. Discussions were held with staff and comment cards were completed by five staff. Staff comments were positive in relation to their induction, being provided with information about people’s needs, training and dealing with concerns. Comments by staff were “we understand residents needs and keep Polish traditions”, one other commented, “We understand our residents, support families needs, cultural and emotional support”. Staff interaction with people being cared for and their family was very positive and supportive. Polonia DS0000021576.V349178.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Management and administration procedures ensure the home is run in the best interest of people living there. EVIDENCE: Comment cards and questionnaires had been developed to seek the views of people about the service they received. These however, had not been used in the period since the last inspection. Procedures should be put in place to ensure people using the service are consulted on an annual basis. The information gathered through this consultation process should be used to support the work the home does and improve areas identified as a result of the consultation process. Polonia DS0000021576.V349178.R01.S.doc Version 5.2 Page 21 The management of people’s finances continues to be the responsibility of family members whenever possible. Two people were being supported by the home to manage their personal allowances. Records were in order and amounts of cash balanced with records. Where purchases are made on behalf of a person receipts should be held with their records. It is also recommended that people sign the finance records to confirm when they receive money for their own personal use. Residents should be supported to put accumulated balances into their bank accounts. A selection of service records and maintenance reports were examined and found to be in order. These related to lift service, insurance liability cover and tests and checks carried out at regular intervals on fire safety procedures. There was evidence that fire drills were being carried out at regular intervals, the last one being on the 07/12/07. The home is advised to designate a point of assembly as part of the homes fire risk assessment. All documents viewed were in order and up to date. The quality assurance procedures need to be conducted on an annual basis. A number of surveys were seen where people had been consulted on life in the home. The documents were not dated and therefore did not evidence when the survey was conducted. The deputy manager is advised to collate the information as a report on the outcome of information received and what action the home had taken to address any issues raised by people who were consulted. Polonia DS0000021576.V349178.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 X X 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 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 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Polonia DS0000021576.V349178.R01.S.doc Version 5.2 Page 23 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. 1 Standard OP19 Regulation 23 Requirement A fire smoke seal must be provided to the inner door at the main entrance to ensure safety of residents. Timescale for action 02/04/08 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 Refer to Standard OP1 Good Practice Recommendations It is recommended that the Statement of Purpose and Service User Guide be reviewed and updated where required and a copy made available to all residents. General Practitioners should be regularly consulted to review prescribed medication and give instruction on the administration of “as and when required” medication. Records relating to administration of medication should be signed by staff using both initials. A risk assessment should be carried out to determine whether the door to the boiler (at bathroom next to bedroom 4) should be fitted with an appropriate locking device, to minimise risk from hot piping and electrical wiring through unauthorised access. DS0000021576.V349178.R01.S.doc Version 5.2 Page 24 2 3 4 OP9 OP11 OP19 Polonia 3 4 OP19 OP30 Curtains or blinds should be provided at all windows to maintain provacy and dignity. The deputy manager was advised to access refresher training as some time had elapsed since it was initially delivered to staff. Staff should also be given time to read and sign up to the Local Authority procedures. Staff application forms should be reviewed to ensure declarations in relation to convictions and additional information is provided by applicants, relating to work and education history. A record should be maintained to evidence the outcomes of staff meetings and staff supervision. The information gathered through use of surveys, as part of quality assurance and monitoring process should be used to support the work the home does and improve areas identified as a result of the consultation process. Where purchases are made on behalf of a person, receipts should be held with their records. It is also advised the people sign the finance records to confirm when they receive money for their own personal use. 5 OP30 6 7 OP30 OP33 8 OP35 Polonia DS0000021576.V349178.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Polonia DS0000021576.V349178.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!