Inspection on 07/02/07 for The Willows

This inspection was carried out on 7th February 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

The Willows 24/06/09

The Willows 21/10/08

The Willows 24/10/07

The Willows 22/02/06

The Willows 17/10/05

The Willows 28/01/05

The Willows 11/08/04

The Willows 19/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE The Willows 1 Murray Street Salford Manchester M7 2DX Lead Inspector Sue Jennings Key Unannounced Inspection 7th February 2007 11:00 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 The Willows DS0000006730.V301975.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. The Willows DS0000006730.V301975.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Willows Address 1 Murray Street Salford Manchester M7 2DX 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 792 4809 0161 708 9481 Unity Homes Limited Mrs Mary Tennant Lunnie Smith Care Home 108 Category(ies) of Old age, not falling within any other category registration, with number (107), Physical disability (1) of places The Willows DS0000006730.V301975.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Up to 43 service users requiring nursing care or personal care only may be accommodated within the original premises. Of these, one named individual is under 65 years of age. When this person leaves or reaches the age of 65, the category will revert to OP. Up to 14 service users requiring personal care only may be accommodated within the newly built extension. Up to 51 service users requiring personal care only due to dementia may be accommodated in Bluebell Court. The care staffing levels on the units providing accommodation for service users requiring personal care only shall not fall below the minimum levels as specified in the Residential Forum Guidance for Staffing in Care Homes for Older People. Minimum nursing staffing levels as specified in the Notice issued in accordance with Section 25(3) of the Registered Homes Act 1984 on 12 April 2001 shall be maintained within the original premises regardless of whether some service users are accommodated who do not require nursing care. The service must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 22nd February 2006 2. 3. 4. 5. 6. Date of last inspection Brief Description of the Service: The Willows is a detached property providing accommodation for up to 57 older people of whom 14 may receive personal care only and 43 may receive nursing or personal care. In addition, up to 51 service users requiring personal care only due to dementia may be accommodated in Bluebell Court. Unity Homes Limited owns the property. The responsible individual is the proprietor, Mr Sandher, and the registered manager is Mrs Mary Smith. The home is situated in a residential area of Broughton on the major bus routes and within ten minutes drive of Manchester City Centre. Accommodation and facilities are on three floors, including the basement area. All service users receiving personal care are located in the new extension with all nursing clients in the older part of the building. The Willows DS0000006730.V301975.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit was undertaken as part of a key inspection, which includes an analysis of any information received by the Commission for Social Care Inspection in relation to this home prior to the site visit. The visit was unannounced and took place over the course of 10.5 hours on Friday 19th January 2007 and Wednesday 7th February 2007. During the course of the site visits time was spent talking to the manager, the residents a visitor and 5 members of staff to find out their views of the home. Two inspectors carried out the site visit due to the size of the home. Time was spent examining records and the residents and staff files. A tour of the building was also made. During the site visit to this home we used a new in depth method of gathering information about the quality of care provided. SOFI (Short Observational Framework for Inspection) has been designed for inspectors to record their observations during an inspection of a care home. It is used in homes where people have dementia or severe learning disabilities. The inspector sits with residents for part of the day in one of the lounges. SOFI gives the inspector an insight into the general state of wellbeing and an opportunity to observe staff interactions with residents. This is an important part of the inspection process and helps inspectors to collect information get a picture of what it is like to live in the home. Fees for accommodation are £355-52 per week. The requirements from the previous inspection had been addressed and there was evidence that the home was continuing to work hard to develop the service. During this inspection the key National Minimum Standards were assessed What the service does well: The home carried out a pre-admission assessment of need. The home has an activity programme in place. The Willows DS0000006730.V301975.R01.S.doc Version 5.2 Page 6 The home provides regular in-house training sessions for staff. Access to ministers of various faiths is available. The home has a list of residents with their religion noted. The home has a complaint procedure and information about how to make a complaint is included in the home’s statement of purpose and function. 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 Willows DS0000006730.V301975.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 The Willows DS0000006730.V301975.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 at least once during a 12 month period. 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. The home undertakes an assessment of prospective residents care needs prior to their admission. EVIDENCE: The home carries out a pre-admission assessment of need before admission to the home. Care manager’s assessments are also provided to the home where the placement is arranged by the local authority. Assessments were present on all of the resident’s files that were inspected. However, not all of the assessments were signed and dated by the person carrying out the assessment. The pre-admission assessments were completed with the most basic information and would benefit from being more detailed. The Willows DS0000006730.V301975.R01.S.doc Version 5.2 Page 9 An example of this was that under the heading of hobbies and interests the assessor had recorded “watches some TV”. It was recommended that these documents be used to obtain and record as much information as possible about the person’s needs so that an informed decision can be made regarding admission. Where possible, prospective residents and their family/representatives were encouraged to view the home prior to making a decision about admission. All residents were reviewed after 6 weeks as a matter of course. This home did not provide intermediate care. The Willows DS0000006730.V301975.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 at least once during a 12 month period. 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. The health and personal care needs of the residents were being met at the home, however improvements were needed to the medication procedures. EVIDENCE: A sample of resident’s files was examined and found to contain a pre admission assessment. The information on this document was not sufficient to develop a care plan. For example where mobility difficulties had been identified for one resident indicating the need for a frame. The form did not identify if the person used the frame and the risks of not doing so. Each resident was registered with a General Practitioner (GP) and were able to see their GP in the privacy of their own room. The Willows DS0000006730.V301975.R01.S.doc Version 5.2 Page 11 Evidence was seen of referrals to other specialised services according to residents assessed needs for example District Nurses, Dentist, Dietician and Chiropodists. Medication was signed for when delivered to the home. Medication was stored in metal trolleys that were securely stored when not in use. A ‘blister pack’ monitored dosage system was being used. Medication Administration Sheets were up to date with no gaps in recording. Where medication has not been taken, the reason is recorded on the reverse of the sheet. This was good practice. The date of birth on one resident’s medication sheet was different from the rest of the resident’s records. This posed a potential risk of the wrong medication being administered. The home should develop a system of checking the information against resident’s records. This is to make sure that residents receive the correct medication. A selection of medication and MAR sheets currently in use was assessed in the Bluebell unit during the visit on 07.02.07 The majority of the records were completed appropriately. However, on some MAR sheets staff had not recorded the number/amount of medication that had been dispensed from the pharmacy and therefore there was no clear audit trail for medication coming in to the building. Hand written alterations to the dose and times of medication had been made to MAR sheets. The alterations had not been signed or dated and no information was recorded relating to the changes made on the records. The home used pharmacy printed sticky labels when additional medication had been dispensed for people. The labels were stuck to MAR sheets. More information is needed on how and when medication prescribed to be administered as and when required (PRN) should be given. The home should liaise with the pharmacy to improve practice in this area for the health and safety of residents. An immediate requirement was made that the home carried out a full audit of medication. The recording in daily records had improved since the last inspection and gave detail about the actual care provided showing that residents were receiving the appropriate level of care. Some care plans did not contain a photograph to identify the resident. The Willows DS0000006730.V301975.R01.S.doc Version 5.2 Page 12 It was recommended that care plans contain detailed information relating to the requirements of various religions/cultures on death. It would be good practice for staff to be aware of who to contact and the procedures/rites to be followed. During the observation in the lounge staff were observed addressing residents in a respectful manner. It was evident that staff were caring and offered reassurance to residents. Staff appeared to provide care and information at a rate that was comfortable for residents. It was evident that staff knew the importance of creating a relaxed atmosphere and did not rush residents in any way. Five residents were observed over a period of two hours. From discussions with staff they had a good understanding of the five residents’ needs. It was good practice that staff knew some details about the resident’s life history. The carers recognised residents’ differences, they worked with the residents individually and showed an awareness of assessed needs. This was evident in the care planning process. During the observation one resident started shouting and hitting out at another resident who they believed was an uninvited visitor in their house. Staff were observed to calm the situation down and encourage the distressed resident to leave the room with them and go for a walk. Staff were able to demonstrate an awareness of the reasons why this happened and handled the situation well by diverting the residents attention away from the lounge area. This showed staff were aware of the possible risk of harm to other residents if the situation had not been calmed effectively. In discussion with a member of staff it was evident that the management approach of the home had achieved an open, positive and inclusive atmosphere. Staff were playing audiotapes and singing along to the music. It was good to see that staff took time to speak to residents and ask if they were enjoying the music and encouraging residents to stand and move to the music. The Willows DS0000006730.V301975.R01.S.doc Version 5.2 Page 13 The residents identified, as part of the observation did not need any lifting equipment and staff showed an awareness of safe moving and handling techniques. One resident needed a footstool to rest their feet on and staff were observed moving this if the resident moved from the chair. This showed staff were aware of the risks this might pose to other residents in the room. The Willows DS0000006730.V301975.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. 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. The home provided a good environment with a range of activities for the residents who live there. Meals served at the home appeared to be nutritious, well balanced and offered a healthy and varied diet for residents. EVIDENCE: Records showed that residents meetings were held at approximately three monthly intervals. There was a list of residents and their religions displayed in the second floor office, this was good practice. Residents are able to attend religious services either in the local community or a minister of their chosen faith can visit them in the home if preferred. Photographic evidence was seen of activities organised by the home. Entertainers visit the home and some residents were able to go into the community for trips and shopping. Relatives and friends were welcomed at any time and were encouraged to escort residents outside the home and are also included in celebrations and parties within the home. The Willows DS0000006730.V301975.R01.S.doc Version 5.2 Page 15 A sensory type room was available in the Bluebell unit. The room contained lights and a music facility. Many items were seen around the unit that related to the past, for example, shopping trolleys, older-style telephones etc. A well-equipped arts and crafts room was available for use and several paintings, drawings and crafts created by residents were on view around the room. Staff were observed to sit and talk to residents and the atmosphere in the home was relaxed and friendly and staff were observed listen to residents questions and to take time to respond appropriately. Breakfast was a choice of grapefruit and fresh fruit, cereals, porridge and toast. The meal served on the second site visit was lamb chops, creamed potatoes and broccoli with gravy and mint sauce. Staff were playing audiotapes and singing along to the music. It was good to see that staff took time to speak to residents and ask if they were enjoying the music and encouraging residents to stand and move to the music. The residents identified, as part of the observation did not need any lifting equipment and staff showed an awareness of safe moving and handling techniques. One resident needed a footstool to rest their feet on and staff were observed moving this if the resident moved from the chair. This showed staff were aware of the risks this might pose to other residents in the room. The Willows DS0000006730.V301975.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home’s Adult Protection policy and procedure and did not fully protect residents. EVIDENCE: The home had a complaints procedure in place that was located in the entrance foyer. Residents received a copy, which is included in the Service User Guide. The home kept a log of all complaints made the record detailed the complaint, any action taken and the outcomes. The home displayed a large number of thank you cards and letters in albums. The Adult Protection policy gave misleading guidance on the action to be taken in the event of an allegation of abuse being made. The document informed staff that an investigation should be carried out immediately by the home. All allegations of abuse must be referred to the Social Services who take the lead in all Adult Protection investigations. Should the Police be involved any initial investigations made by the home may contaminate evidence. This document must be reviewed in line with the Salford Adult Protection Policy and Procedure. The Willows DS0000006730.V301975.R01.S.doc Version 5.2 Page 17 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 at least once during a 12 month period. 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 premises are safe and the homes environment, including the standard of hygiene, was well maintained both internally and externally. EVIDENCE: Aids and adaptations had been provided for residents. Residents who had identified needs in the area of mobility were referred to the physiotherapist via their general practitioner for a professional assessment. There were sufficient toilets situated around the home. They were clearly marked and close to the communal areas and bedrooms so that residents could access them easily. The Willows DS0000006730.V301975.R01.S.doc Version 5.2 Page 18 The home was clean and tidy and odour free. The communal areas were furnished to meet the needs of the residents. Several bedrooms were visited and found to be appropriately furnished and same were very personalised to the individual. Several bedrooms were seen to have their doors ‘propped’ open by pieces of furniture and a resident was seen propping her door open. Staff explained that residents did this as sometimes they found the doors heavy. This needs to be risk assessed for the individual resident. Aids and adaptations had been provided for residents. Residents who had identified needs in the area of mobility were referred to the physiotherapist via their general practitioner for a professional assessment. There were sufficient toilets situated around the home. They were clearly marked and close to the communal areas and bedrooms so that residents could access them easily. The Willows DS0000006730.V301975.R01.S.doc Version 5.2 Page 19 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 at least once during a 12 month period. 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. The numbers and skill mix of staff were sufficient to meet the needs of the residents accommodated and appropriate training is provided to staff EVIDENCE: The home had two training rooms for use by the staff team. One was situated in The Willows and the other in the Bluebell unit. Each employee had a separate file that recorded what training they had attended, an induction/foundation checklist, which was signed and dated by the staff member and their manager. Regular short training sessions conducted by the registered manager are held for staff in the training room. Staff sign to say that they have attended the training. Recent training had included food handling and hygiene, effective written communication, managing challenging behaviour, “listen to what I’m saying” person-centered care and effective communication. The Willows DS0000006730.V301975.R01.S.doc Version 5.2 Page 20 The manager has introduced a training evaluation sheet to ask staff for 3 comments on the training. These forms are useful in assessing the level of learning for staff. Twelve staff were qualified to NVQ level 2 and a further ten staff were working towards their award. The home is a facility for nursing adaptation training for Manchester Metropolitan University. Interactions were very positive and residents were very comfortable in their communicating with the manager. The staff demonstrated they had knowledge of peoples care needs and wishes. The assistant manager had attended a course on activities for both older and younger people with dementia and a team leader/management course. Staff spoken to said that they felt very well supported by the nursing director/registered manager of the home and had regular three monthly formal supervisions with the manager. The home generally demonstrated good recruitment practices with ensuring that Criminal Record Bureau checks are carried out and two appropriate written references are sought. However, two references viewed were addressed to whom it may concern. Such testimonials should be followed up by references being applied for from the persons previous employer. The home did not have a recruitment procedure. This was discussed with the manager of the home who demonstrated a commitment to devising a procedure. The Willows DS0000006730.V301975.R01.S.doc Version 5.2 Page 21 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s quality monitoring systems protected residents and the home had systems and procedures in place, which safeguarded and protected resident’s financial interests. EVIDENCE: The manager is a registered general nurse and has 16 years management experience and is a mentor for the overseas nurses programme. She has achieved the registered managers award and the NVQ assessor award. The Willows DS0000006730.V301975.R01.S.doc Version 5.2 Page 22 In discussion with a member of staff it was evident that the management approach of the home had achieved an open, positive and inclusive atmosphere. Staff said that they received supervision about every three months and on the job supervision on a day-to-day basis and an annual appraisal. The homes certificates of registration and public liability insurance had been displayed in the entrance hall. These were accurate and up to date. Fire equipment had been regularly maintained and staff had received fire awareness training. Fire alarm systems are tested on a weekly basis by staff in the home and annually by the local Fire Officer. Relevant certificates were on file to show that appropriate servicing of equipment used by residents in the home had been carried out. The home had health and safety policies and procedures in place and risk assessments of the premises and safe working practices had been carried out. This was to ensure that both residents and staff had relevant information to enable them to live and work in relative safety. These included Health and Safety, COSHH, Accident reporting and Infection control. There was evidence to show that Willows had achieved the Investors in People Award. Bluebell unit was due for assessment in March 2007. The Willows DS0000006730.V301975.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 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 2 3 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 The Willows DS0000006730.V301975.R01.S.doc Version 5.2 Page 24 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. 2. Standard OP9 OP18 Regulation 13 13 Requirement Timescale for action 07/02/07 A full audit of the medication systems must be carried out. The Adult Protection policy needs 30/04/07 to be reviewed in line with local Adult Protection procedures. 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 OP29 OP29 OP29 OP38 Good Practice Recommendations It is recommended that references are requested by the home and where applicants bring references with them these are followed up by the manager. It is recommended that pre-admission assessments are signed and dated and identify the assessor. It is recommended that the home do not keep copies of CRB applications once the disclosure is received. It is recommended that policies and procedures be dated to evidence that they are being reviewed. The Willows DS0000006730.V301975.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection CSCI, Local office 11th Floor Westpoint 501 Chester Road Old Trafford, Manchester M16 9HU National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Willows DS0000006730.V301975.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. 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