Inspection on 08/12/05 for Carlton House

This inspection was carried out on 8th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Carlton House 04/07/08

Carlton House 05/07/07

Carlton House 13/07/06

Carlton House 11/07/05

Carlton House 12/01/05

Carlton House 04/06/04

Carlton House 12/01/04

Carlton House 17/11/03

Carlton House 24/06/02

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Carlton House 267 Hainton Avenue Grimsby North East Lincs DN32 OLA Lead Inspector Mrs Jane Lyons Unannounced Inspection 8th December 2005 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Carlton House DS0000002911.V273988.R01.S.doc Version 5.1 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. Carlton House DS0000002911.V273988.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Carlton House Address 267 Hainton Avenue Grimsby North East Lincs DN32 OLA 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) 01472 360878 Mrs Katrina Peerbux Position Vacant Care Home 10 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (10) of places Carlton House DS0000002911.V273988.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th July 2005 Brief Description of the Service: Carlton House is registered to take10 service users with residential care needs; these beds are also registered for service users with needs associated with dementia. The home is a detached house situated in a busy residential area of the town; it is close to the town centre and on local bus routes. Accommodation is provided on two floors; there is a stair lift to provide access to the first floor. There are four single rooms and three shared rooms; one bedroom is provided on the ground floor. The home has one lounge, one dining room and an outside courtyard. The home has a pleasant, homely, inclusive atmosphere. The home is owned by Mrs Katrina Peerbux. The acting manager is Mr A Peerbux. Carlton House DS0000002911.V273988.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out with the registered provider; the inspection took 7 hours and included a tour of the premises, examination of resident files and records relating to the service. Three of the staff on duty were spoken to during the inspection. There were no visitors to the home during the inspection. Most of the people who live at Carlton House have memory problems; the inspector spoke with four of the service users. The inspector observed how staff and service users worked together throughout the day. The views of people spoken to have been included in this report. What the service does well: What has improved since the last inspection? The staff have ensured the residents access regular and varied activities to provide a more stimulating and meaningful occupation of their time. Residents commented that they enjoyed these sessions. The management had ensured that the hot water systems in the home were safer to prevent the risk of scalding to residents. Maintenance in the home had improved with areas having been redecorated and refurbished. Equipment such as the stair lift and bath hoist had been replaced to promote the residents safety and support their mobility needs. Carlton House DS0000002911.V273988.R01.S.doc Version 5.1 Page 6 The recruitment processes in the home have improved with the management ensuring all the necessary checks on new staff are in place before they start work at the home. 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 Carlton House DS0000002911.V273988.R01.S.doc Version 5.1 Page 7 contacting your local CSCI office. Carlton House DS0000002911.V273988.R01.S.doc Version 5.1 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Carlton House DS0000002911.V273988.R01.S.doc Version 5.1 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: Standard 3 was assessed and met at the previous inspection visit; there have been no new admissions since that time. The home does not provide intermediate care support. Carlton House DS0000002911.V273988.R01.S.doc Version 5.1 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 and 9 Although care plans did not always detail the current needs regarding support with behaviours associated with dementia which could leave the service user at risk of inadequate care, there was sufficient evidence that health and care needs of the service users were met. Deficiencies in the recording of medication administered, although minor, could put service users at risk of being administered the incorrect dose of medication and potentially cause delay in accessing support for non- compliance. EVIDENCE: The care programme format remains unchanged; it is comprehensive and user- friendly. The inspector case tracked two care programmes and the majority of needs had been identified from assessment. However daily records for the two programmes detailed frequent entries regarding support provided with confusional behaviours e.g. restlessness, wandering, mood swings, being upset etc and there were no plans in place to identify these problems and associated care interventions. The programmes were generally well evaluated and the quality of the recording had improved with more detailed review notes in place. Carlton House DS0000002911.V273988.R01.S.doc Version 5.1 Page 11 Risk assessment documentation was in place for mobility, falls, tissue viability, nutrition and general issues; one of the programmes contained risk assessment documentation which identified scores for falls and tissue viability which were inaccurate and required review. There was good evidence in the programmes that regular formal reviews had been held; and the plans had been signed by the service user or family to demonstrate agreement. There was also good evidence that the home sought support from the health care professionals such as Community Psychiatric Nurses and District nurses when necessary; one of the programmes examined detailed that the service user had accessed support from the pain clinic at the hospital and new more effective treatment had been provided. The systems for the safe handling of medication were examined. Procedures were in place which supported the management of the medication systems; the self- medication policy now included details of assessment of capability of the service user to self- medicate and staff monitoring procedures. There were no service users self-medicating. Examination of the medication administration records revealed a small number of gaps where the staff had not signed or used a code to account for the omission. A requirement was made at the previous inspection to monitor the room temperature where the medications are stored to ensure the room temperature does not exceed the manufacturers recommendations which had not been actioned. Another issue identified at the previous inspection regarding the home needing to gain authorisation from social and health care professionals to sanction the practice of covert administration of medication with one service user had not been fully addressed. The senior care assistant confirmed that she had contacted the G.P regarding this matter however there were no records to support this. Carlton House DS0000002911.V273988.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 and 14 The service users were seen to experience a full life with opportunities to take part in varied activities and supported to make decisions. EVIDENCE: Activity provision in the home had improved since the previous inspection. A weekly programme was in place which included manicures, exercises, Christmas card making, dominoes, games, recall sessions, films, music etc and the staff completed detailed participation and satisfaction evaluations after each session. The service users commented that they enjoyed the activities. A number of service users visited the sister home during the visit to enjoy a local schoolchildren singing carols; on their return, the service users said how much they had enjoyed the visit. The registered providers regularly take out a number of service users from both homes to a local restaurant for lunch; which service users said they enjoyed. There was evidence from observation and interview that service users have the opportunity to speak to staff and management on a one –to –one basis; advice was given to arrange residents meetings which would provide an opportunity for residents to discuss issues collectively. Carlton House DS0000002911.V273988.R01.S.doc Version 5.1 Page 13 Service users commented that they could rise and retire to bed at times to suit themselves, choose where to have their meals and what clothes they wanted to wear. They also commented that they could spend time in their rooms if they wanted to but usually preferred to sit during the day in the lounge. One of the service users told the inspector at the previous visit that he would like to move to a home in the Skegness area near to his relative; subsequently the acting manager had arranged for care management to visit the service user to discuss this decision and arrange for visits to an alternative placement however the service user has decided to stay at Carlton House. There was evidence that the home had arranged advocacy services to support the management of a service users finances. Leaflets and information for local advocacy services were available in the entrance hall. Carlton House DS0000002911.V273988.R01.S.doc Version 5.1 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Although there was evidence that complaints are taken seriously and issues are investigated appropriately the registered provider needs to ensure that she documents all stages of complaint management to fully demonstrate this. Recruitment and selection practices have improved and now better protect service users from abuse. EVIDENCE: The home had received one recent complaint regarding a staff member’s attitude. There was evidence that a meeting had taken place with the staff member, the acting manager and the registered provider, disciplinary action taken and further action such as a review of the staff members hours however there were no detailed records of the meeting and no records of the disciplinary action or further supervision sessions in the staff member’s records. The commission had recently received an anonymous concern regarding poor moving and handling practices at the home. From discussions with staff and service users and observation during the visit, there were no current service users receiving support with their mobility other than staff ensuring mobility equipment was in place and observing service users safety when mobilising around the home. During the visit staff were observed to support and interact Carlton House DS0000002911.V273988.R01.S.doc Version 5.1 Page 15 with service users in an appropriate and kind manner. Records and staff interviews confirmed that the majority of staff were up to date with moving and handling training and were competent in supporting residents with these needs. The home has policies and procedures to cover adult protection and prevention of abuse, whistle blowing, aggression, physical intervention and restraint in place. There was evidence that the staff had now accessed training in adult abuse and management of challenging behaviour. When asked about abuse, what it was and what they would do if they saw a service user being abused, the staff answered correctly. Following a complaint earlier in the year investigated under POVA procedures the staff have now received training in effective communication skills and treating service users with dignity and respect. The inspector found that recruitment practices had improved; examination of staff files demonstrated that CRB checks/ POVA First checks had been obtained for new staff prior to employment. Carlton House DS0000002911.V273988.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 25 and 26 The standard of the décor and furnishings within the home provides residents with an attractive and homely place to live. The management have made progress in ensuring areas were maintained and safer although repairs to the units in the kitchen were required. EVIDENCE: The management have developed a programme of routine maintenance and renewal for the home. Since the previous inspection improvements such as decorating the bathroom, fire escape and kitchen, replacing a sink unit, providing a radiator cover and garden maintenance have been carried out. All areas seen were found to be clean and tidy; there were no odour issues. The home was very comfortable; decorated and furbished to a good standard. Service users rooms were personalised to the extent chosen by the individuals. The communal areas were all well utilised during the visit; service users commented on how happy and settled they were at the home. The staff had Carlton House DS0000002911.V273988.R01.S.doc Version 5.1 Page 17 begun to decorate the home for Christmas; the sitting room was looking very festive with the tree and trimmings; one of the service users said how nice the room looked and how much she liked Christmas. New equipment such as a tumble drier, bath hoist and stair lift had been replaced since the previous inspection visit. Although the kitchen area had been redecorated and looked much cleaner; the inspector noted that areas of the work surfaces and a number of the unit drawers and cupboards were broken and in need of repair/ replacement. Staff carry out weekly checks of the hot water temperatures at all outlets accessible to service users; records and random checks during the visit evidenced that the hot water systems are managed more effectively and safely. Thermostatic valves have now been fitted to all outlets and regular calibration by the contractors has ensured that the temperatures do not exceed 43degC. Carlton House DS0000002911.V273988.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,29 and 30 Service users are cared for by staff in sufficient numbers and improved recruitment practices now afford better protection for service users. More induction training and moving/ handling training needs to be provided to new staff to ensure the health and safety of staff and residents. EVIDENCE: The staffing levels in place were in line with the previous registration authority; care staff at the home also undertook housekeeping and catering duties. There were seven service users residing at the home; there had been no new admissions since the previous visit and the overall dependency was stable. The acting manager and a senior care assistant had left the home the previous week; the registered provider confirmed that her husband, the joint owner of the home, was now at Carlton House working as the acting manager. The registered provider also confirmed that she was in the process of recruiting two more care staff. The staff confirmed that they were currently covering the shifts in – house, which was working well although they were unable to manage the domestic duties. The registered provider confirmed that she had identified this issue and would be providing staff cover for domestic duties the following week. The staff confirmed that they were still able to effectively manage the meal provision and this did not distract from the care support required. Carlton House DS0000002911.V273988.R01.S.doc Version 5.1 Page 19 Examination of the rotas confirmed that 3 staff were usually rostered for the morning shift which included the acting manager, two staff for the afternoon shift and one waking/ one sleeping staff on night duty. One of the staff who is regularly rostered on the sleep duty confirmed at interview that the needs of service users at night remained stable and the staffing arrangements were satisfactory. The inspector examined two staff files; both staff had been recruited this year. The recruitment records contained all the required documentation to comply with Schedule 2 with the exception of photographs. Both files contained CRB checks and two written references. The manager confirmed that she had obtained POVA First check for the recently recruited staff member and advice was given to provide written evidence of this in the file. A training programme had been developed in January for the year, which identified mandatory, general and service specific courses. Of the files examined and from staff interviews there was evidence that staff were up to date with the majority of mandatory and general courses however a number of the course were provided in – house and not all the records evidenced the dates of the training nor assessment of knowledge/ competence following the session. The training files were examined for the two most recently recruited staff members; one staff member did not have any induction training records and the other induction training records were not complete. There was no evidence of either staff member receiving moving and handling training since they joined the home, however courses on fire prevention, vulnerable adults, continence, dementia, medication, infection control, first aid, health/ safety and privacy/ dignity had been accessed . Carlton House DS0000002911.V273988.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,36 and 38. The service users were satisfied that they lived in a home that was well managed and they were provided with appropriate opportunities however the inconsistent management and deficiencies in record keeping is placing the service users at risk. The management was proactive in ensuring that the health and safety of staff and service users was promoted and protected with regard to systems and equipment safety checks and risk management however the gaps in moving/ handling training and HACCP records provided a potential risk. EVIDENCE: Carlton House DS0000002911.V273988.R01.S.doc Version 5.1 Page 21 The home continues to experience significant management instability; the acting manager had resigned from the home the previous week; her registration with the commission had not been completed. The registered provider confirmed that her husband, Mr A Peerbux, had been employed as the acting manager until a permanent manager was recruited. Mr Peerbux is a qualified nurse and has considerable experience caring for this service user group and working at the home. Staff at interview confirmed that they had felt unsettled when they learnt that the acting manager was leaving however the registered provider had kept them informed of the changes and they had already worked with Mr Peerbux at the home and felt confident with his management style and his knowledge of the service users and their needs. There was no evidence that any progress had been made towards the implementation of a formal quality assurance programme at the home. The management of service users finances was examined; the system remains largely unchanged. Two service users personal accounts were checked and receipts corresponded with expenditure. There was evidence that the acting manager had audited the accounts on the 1/12/05. Staff supervision records were examined for the two care staff employed this year; one staff member had accessed supervision in June 05 and a further session in July following concerns raised regarding her care practises, although further concerns had been raised in October, the staff member had not received any further supervision. The remaining file revealed that the staff member had accessed her first supervision session in July and no further sessions. Supervision records for one of the senior care staff were examined and there was evidence that the staff member had accessed supervision six times in the past twelve months. The management need to ensure that there is consistency in the implementation of the programme, all care staff must receive formal supervision sessions two monthly and issues of poor care practice should be followed up in this programme. Records showed that regular testing of the fire equipment was taking place and staff were accessing more regular drills. There were no improvements in the maintenance of records to support HACCP control in the kitchen area; examination of the records revealed a significant number of gaps in the records for the temperature of food cooked and fridge/ freezer temperatures. The senior care assistant on duty during the visit confirmed that she had problems using the temperature probe, which the registered provider dealt with. The management of hot water in the home was much improved; as discussed earlier in the report. Carlton House DS0000002911.V273988.R01.S.doc Version 5.1 Page 22 The registered provider confirmed that since the previous inspection visit she had continued to carry out unannounced visits to the home however she had not forwarded the report to the commission. Carlton House DS0000002911.V273988.R01.S.doc Version 5.1 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 2 X X X X X 3 3 STAFFING Standard No Score 27 3 28 X 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 1 1 X 3 2 X 2 Carlton House DS0000002911.V273988.R01.S.doc Version 5.1 Page 24 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 15 Requirement The registered person must ensure that all care programmes detail all service users needs and associated care interventions. The registered person must ensure that all risk assessment documentation regarding falls and tissue viability is completed accurately to reflect the service users current risks. The registered person must ensure that staff complete the medication administration charts in accordance with CSCI guidance. The registered person must ensure that all medications are stored within temperatures which do not exceed the manufacturers guidance. Timescale 16/09/05 not met. The registered person must ensure that agreement is sought from health and social care professionals to support the practise of covert administration of medications. Timescale 01/09/05 Not met. The registered person must DS0000002911.V273988.R01.S.doc Timescale for action 20/12/05 2 OP8 13(4) 20/12/05 3 OP9 13(2) 08/12/05 4 OP9 13(2) 08/12/05 5 OP9 13(2) 15/01/06 6 OP16 22 08/12/05 Page 25 Carlton House Version 5.1 7 OP19 16(2)g 8 9 OP29 OP30 19 18(1)a and (c) (i) 10 OP30 13(5) and 18(1)c 8 (2) 11 OP31 12 OP33 24 13 OP36 18(2) 14 OP37 26 ensure that records are clearly maintained of all complaints investigations, outcomes The registered person must ensure that the kitchen units and work surfaces are repaired/ replaced. The registered person must ensure that all a photograph of the staff member is held on file. The registered person must ensure that new staff receive adequate induction training and this complies with NTO standard. Timescale 20/08/05 not met. The registered person must ensure that all staff receive annual mandatory training in moving/ handling. The registered person must provide the commission with written confirmation of how she will ensure that the home is effectively managed. The registered person must establish and maintain an effective quality assurance programme. Timescale 11/07/05 not met. The registered person must ensure that all care staff receive regular documented supervision at least six times in a year. All supervision records to be audited and sessions provided for staff who have not recently been provided with formal supervision. The registered person must ensure that reports are completed to support the formal visits undertaken to the home. These reports must be forwarded to the CSCI. Timescale 11/07/05 not met. 28/02/06 31/12/05 31/01/06 31/01/06 15/01/06 31/03/06 31/12/05 08/12/05 Carlton House DS0000002911.V273988.R01.S.doc Version 5.1 Page 26 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 OP38 Good Practice Recommendations The registered person should ensure that staff working in the kitchen maintain the records to support HACCP procedures. Carlton House DS0000002911.V273988.R01.S.doc Version 5.1 Page 27 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Carlton House DS0000002911.V273988.R01.S.doc Version 5.1 Page 28 - 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!