Inspection on 16/03/07 for Clarendon Manor

This inspection was carried out on 16th March 2007.

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

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

Other inspections for this house

Clarendon Manor 23/02/09

Clarendon Manor 13/03/06

Clarendon Manor 14/09/05

Clarendon Manor 14/09/04

Clarendon Manor 28/04/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Clarendon Manor 37 Golf Lane Whitnash Leamington Spa Warwickshire CV31 2PZ Lead Inspector Patricia Flanaghan Key Unannounced Inspection 16 March 2007 10:00 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 Clarendon Manor DS0000004310.V336390.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. Clarendon Manor DS0000004310.V336390.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Clarendon Manor Address 37 Golf Lane Whitnash Leamington Spa Warwickshire CV31 2PZ 01926 426758 01926 426758 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) Greentree Enterprises Ms Emma Clayton Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Clarendon Manor DS0000004310.V336390.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th March 2006 Brief Description of the Service: Clarendon Manor provides residential care accommodation for 30 older people aged 65 years and over. It does not offer specialist services for dementia care or any other provision apart from its registration category. Clarendon Manor is on a quiet residential road in Whitnash, on the outskirts of Leamington Spa. Shops and a post office are accessible to any service user who was able to walk to these facilities, otherwise a bus route is nearby. The forecourt of the home has parking for cars. The home consists of a period house, which has been extended by joining it through a ground floor corridor to a more modern house next door. A further extension has added 4 bedrooms to the third floor of the house; these are accessible by use of a lift. The home has two passenger lifts and a stair lift. Clarendon Manor DS0000004310.V336390.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for service users and their views of the service provided. This process considers the care home’s capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provisions that need further development. The inspection visit was unannounced and took place on Friday, 16 March 2007 and started at 10:00 am and finished at 6.00pm. The inspection process reviews the home’s ability to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provision where improvements may be required. During the inspection, the care of three residents who live in the home was examined. This included reading care plans and documentation, observing care offered to them and that staff have the necessary skills to care for them. This is part of a process known as ‘case tracking’ where evidence is matched to outcomes for service users. The inspector had the opportunity to meet most of the residents and talked to four of them about their experience of the home. The residents were able to express their opinion of the service they received. General conversation was held with other residents along with observation of working practices and staff interaction with residents. The inspector also spoke with three visitors about their experience of the home. The registered manager has received an internal promotion and a new manager has been appointed to the home. She had not taken up her position at the time of this inspection visit. Two senior team leaders assisted the inspector and the registered person was available for part of the day. An inspection of the environment was undertaken, and records were sampled, including staff employment and training, health and safety, staff rotas, complaints and fire records. Three staff were spoken with concerning their experience of working at this service and their understanding of their role. Observation of working practices and staff interaction with residents was undertaken. Information from the Pre-Inspection Questionnaire, completed by the manager, has also been incorporated into this report. Clarendon Manor DS0000004310.V336390.R01.S.doc Version 5.2 Page 6 The inspector would like to thank staff and service users’ for their cooperation. What the service does well: Clarendon Manor has a homely and friendly atmosphere. Overall, the home is clean and comfortable and provides good wheelchair access throughout the building, including ramps at the doorways, lift and lifting equipment. Residents are able to personalise their rooms to their choosing. There are good systems in place for assessing the needs of prospective residents to the home so the staff were able to decide if they could meet any identified needs. All residents spoken with were satisfied with the meals they were served and the menus evidenced a varied and nutritious diet with choices available for the residents. Residents are consulted prior to meals about their preferences. Suitable procedures are in place for dealing with complaints. Systems in place are well established, work well and staff have a good understanding of them and their role within the home. Residents were complimentary about the Home. Some of the comments made are recorded below: “I am happy here. I have a lovely room.” “Nothing is too much trouble for the staff, they always ask if I’m alright” Visitors made the following comments:“I am always made welcome when I visit. The staff work incredibly hard and are very kind to the residents.” “My relative has blossomed since she has been here.” Throughout the inspection staff were observed to be caring and supportive to residents who reacted positively towards the staff. Health and safety systems are in place at the home. Mandatory staff training on health and safety is ongoing. The home has a garden area, which is used in the summer months, and provides a pleasant outlook. The garden is safe for residents to use independently. Clarendon Manor DS0000004310.V336390.R01.S.doc Version 5.2 Page 7 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. Clarendon Manor DS0000004310.V336390.R01.S.doc Version 5.2 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 Clarendon Manor DS0000004310.V336390.R01.S.doc Version 5.2 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): 3 Quality in this outcome area is good. The pre-admission process provides staff with the information needed to meet the health and social care needs of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care file of a recently admitted resident was reviewed to evidence whether pre-admission assessments are undertaken and to review the documentation used during this process. Standardised documentation is used and that seen was fully completed and easy to read and understand. Additional notes made by the manager were also available. Care plans provided by Social Services form part of the pre-admission process when applicable. Sufficient information is gathered before agreeing a placement at Clarendon Manor. Information obtained during the pre-admission process is then transferred onto initial care plans. Clarendon Manor DS0000004310.V336390.R01.S.doc Version 5.2 Page 10 The senior carer on duty confirmed that potential residents and their relatives are invited to look around the home, stay for a meal and meet staff and other residents. During conversation, the resident said that someone from the home had been to visit her before she was admitted and said a relative had also visited the home to “see what it was like.” Clarendon Manor DS0000004310.V336390.R01.S.doc Version 5.2 Page 11 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. Resident’s needs are documented in a care plan which guides staff in how to meet their health care needs, and assesses risks, but could be further developed to identify individual care needs. Systems for the safe storage and administration of medication are robust. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans indicate that residents and their families are consulted in their personal care needs, and residents are encouraged to be as independent as possible. More could be documented to show personal care tasks are being delivered in a way that residents prefer and are person centred in their approach. Clarendon Manor DS0000004310.V336390.R01.S.doc Version 5.2 Page 12 Risk assessments in some areas of care are inadequate and do not give clear indication of the action staff should undertake to minimise risk, or demonstrate where residents could be involved in positive risk taking. Daily records read should be more detailed to show what actions have been taken in response to certain circumstances or behaviours, so that outcomes and follow up actions can be assessed. One example of this was: “…….noticed soreness in middle of back, have put sudocrem on to ease the soreness…” There was no further entries to evidence if this soreness had been cleared or remained ongoing. Another example in a different resident file was: “….(resident) mood cheerful and chatty.” This resident was sitting in nightwear in the lounge when the inspection started at 10am. The resident was resistant to staff attempts to encourage them to wash and dress. The resident eventually was dressed, but the inspector noted that, throughout the day, the resident constantly asked to leave the home to return to their home town. None of this had been documented in the daily records read by the inspector. There was nothing to indicate what may have contributed to this behaviour, what actions the staff had tried to alleviate behaviour to show a continuity of approach, or how this resident was in the afternoon. Care plans read also lack sufficient detail to demonstrate a real ‘person centred’ approach to care. For example some care plans stated ‘encourage independence’ without detailing how this was achieved, or identifying in some instances what ‘distractional techniques’ were best for a resident when “(resident) is anxious.” It was also noted in a care plan that “resident can be restrained by staff (Dr. A. instruction).” There was no further information detailing what restraint would be considered appropriate. These findings were discussed with the senior carer during the inspection, who demonstrated an understanding of where care plans could be improved. Evidence was seen in care files that professional health workers are involved in monitoring the health outcomes. Clarendon Manor DS0000004310.V336390.R01.S.doc Version 5.2 Page 13 Systems to ensure the safe administration, storage and receipt of medications are robust. The manager closely monitors staff in administration procedures to ensure accuracy. This could further be improved by a record being maintained of these audits. The storage and administration of controlled drugs was checked and found to be accurate. One relative said that he felt that the care provided is good. “My mother receives a lot of care and attention.” Health care needs are monitored and well met in this home, and residents in the home have access to a dentist, optician, chiropodist and a physiotherapist assesses residents on admission to the home. The management of medicines in the home was examined. The requirements made at the last inspection visit relating to management of medicines have been met. The weekly stock of medicines is safely stored in a locked cupboard. The home also has a medication trolley which is secured within the locked cupboard when not in use. Staff receive training in the safe administration of medicines. Administration records are well maintained and up to date. The home uses a monitored dosage system (‘blister pack’) for the administration of medicines. All residents spoken with were positive about the care they receive in the home. Throughout the inspection staff were observed to be caring and supportive towards residents. Residents’ personal care needs are carried out behind closed doors demonstrating that staff show a suitable regard for people’s privacy and dignity. Clarendon Manor DS0000004310.V336390.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. Residents are able to participate in social activities and are given choices in how their care is delivered including choices of meals provided to maintain their quality of life. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a varied programme of activities and entertainment taking place in the home for the benefit of residents. Activities are planned around the likes and interests of residents. A programme of activities is displayed weekly to make residents aware of what is planned and helping them to make a choice as to whether they want to attend. Activities include word games, reminiscence, flower arranging, bingo and one to one sessions. Observations during the inspection showed that staff allowed residents time to undertake their preferred daily living routines. Residents confirmed that they were given choices concerning their day to day lifestyle. Most residents continue to have good contact with their relatives and take part in family events outside of the home. Three lots of visitors were seen to visit their Clarendon Manor DS0000004310.V336390.R01.S.doc Version 5.2 Page 15 relatives in their bedrooms and in the lounge areas. All relatives confirmed that they were made to feel welcome in the home and were able to visit whenever they chose to do so. During the inspection, a conversation was held with one of the cooks in the home. A list of homemade food recipes is available and the cook enjoys cooking a wide range of home cooked food. The residents spoken with said they enjoyed their meals and that there was plenty of choice. The midday meal was observed and residents said they had enjoyed it. The dining room is a pleasant area separate to the kitchen. Tables were set appropriately with place settings and condiments. One resident commented “the food is always good and there is plenty of it”. Clarendon Manor DS0000004310.V336390.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 good. The home has appropriate policies and procedures for the protection of residents and complaints are listened to and taken seriously. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A detailed complaints procedure is available and accessible to residents, staff and visitors in the home. Neither the home nor the Commission for Social Care Inspection have received any complaints since the last inspection visit. A record of compliments and complaints is maintained in the home. In practice, people living in the home talk to care staff or the manager if they have any concerns. Several residents commented that the manager and staff were approachable, always listened to their concerns and always “sorted things out” One visitor said “I have never had to complaint about anything”, but said if they had a complaint they were confident it would be dealt with. Staff training records were seen to demonstrate that most of the staff had received training in recognising and responding to signs of abuse. The manager has arranged appropriate training for the remainder of the staff. Discussions with staff show that they are aware of how to respond to an allegation of abuse in the care home. Clarendon Manor DS0000004310.V336390.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. The standard of the environment within Clarendon Manor is well maintained providing an attractive, hygienic and homely place to live therefore improving the quality of life for residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Clarendon Manor is a purpose built care home building designed to meet the needs of elderly residents. The home looked in a good state of repair and the décor was of a high standard. There are pleasant grounds at the rear of the home, which residents have ease of access to, especially in warmer weather. Clarendon Manor DS0000004310.V336390.R01.S.doc Version 5.2 Page 18 A tour of the premises took place; communal rooms and some bedrooms were viewed. Bedrooms are located on two floors, those on the first floor can be accessed via a shaft lift. Those bedrooms seen had been personalised with pictures and ornaments and residents are able to bring pieces of their own furniture if space and fire regulations allow. A resident said she was “very happy” with her room and also that the staff “can’t do enough for me.” An ongoing programme of routine maintenance and decoration ensures that the home is maintained to a good standard. The laundry was clean and tidy and procedures were well managed. A number of health and safety procedures were displayed in the laundry. The home was clean and there were no unpleasant odours present on the day of inspection. One visitor commented: “The home is always clean and tidy.” Clarendon Manor DS0000004310.V336390.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. There are sufficient numbers of trained, competent staff on duty to meet the needs of service users but recruitment practices need to be improved to ensure the protection of people living in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: At the time of the inspection there were 26 residents living in the home. The registered manager was not available during the inspection and the inspection was therefore carried out with the assistance of the senior lead carers on duty throughout the day. The home provides sufficient numbers of staff to meet the needs of the residents. On the day of the inspection there were three care staff, a team leader, a domestic assistant and a cook on duty. Laundry duties are undertaken by care staff and this is identified on the rota making it clear that these hours are not spent with residents. One relative and all residents spoken with all said there were sufficient numbers of staff available to meet the needs of residents. A comment made by a visitor was that “Staff are very good and do a wonderful job.” Clarendon Manor DS0000004310.V336390.R01.S.doc Version 5.2 Page 20 The recruitment files of three staff were examined. These files contained application forms, written references, employment information and copies of training certificates. One file contained evidence that the results of Criminal Records Bureau (CRB) check had not been received, but there was evidence that POVA first check had been undertaken. This is seen as an acceptable practice so long as staff are suitably supported and supervised. Another file contained only one reference instead of two as required by Schedule 2 of the Care Homes Regulations. These steps are necessary to minimise the risk of inappropriate persons being employed. Information provided by the registered manager on the pre-inspection questionnaire indicated that 212 of the 18 care staff employed at the home have an National Vocational Qualification (NVQ) level 2, or Level 3 in care. New staff have an induction relevant to their role and responsibilities that includes shadowing an experienced worker and training in health and safety, safe moving and handling techniques and the principles of care. Staff are supervised until they have satisfactorily completed the training course. Staff spoken with confirmed that they enjoyed working at the home and had received an induction on starting at the home, as well as some subsequent training, and supervision from senior staff in their role. Information supplied by the deputy manager, records seen and discussion with staff confirmed that some training linked to resident care had been undertaken by some staff such as optical awareness, nutrition, infection control and safe handling of medicines. Further training has been arranged on topics such as dementia awareness and palliative care for staff. Clarendon Manor DS0000004310.V336390.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): 33, 35 and 38 Quality in this outcome area is good. Systems are in place to ensure the health and safety of the residents is protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager of the home has received promotion within the company and a manager has been appointed to this role. The new manager was not starting until the week after this inspection; therefore standard 31 could not be fully assessed on this occasion. Clarendon Manor DS0000004310.V336390.R01.S.doc Version 5.2 Page 22 The quality assurance system in place at Clarendon Manor was discussed with the registered person. An annual satisfaction survey is sent to residents and their relatives. A small number of questions are asked about aspects of life at the home and evidence was seen in one of the resident’s files that a survey was undertaken in January 2007. The analysis of this survey was not yet available. There was no evidence of any recent regulation 26 visits undertaken by the registered person, these must be undertaken on a monthly basis and the reports available for review. Residents’ personal money is securely held for safekeeping in the home if the resident or their relative requests this. Individual receipts are available for all transactions and accurate records are kept of income and expenditure. Financial records of three residents were audited and found to be in order. A review of health and safety was undertaken. The home confirmed in a preinspection questionnaire forwarded to the commission that health and safety checks had been completed. Records examined include maintenance, contracts and servicing documentation for electrical equipment. Fire records and electrical tests are up to date. Hot water ‘hand’ tested in the home on the day of inspection was within safe levels to prevent any risks of scalding to the residents. No health and safety hazards were observed at this inspection. Clarendon Manor DS0000004310.V336390.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 2 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 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 2 X 3 X X 3 Clarendon Manor DS0000004310.V336390.R01.S.doc Version 5.2 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 (1) Requirement The registered manager must ensure that care plans adequately guide staff on how each individual, based on a skills assessment, requires their care to be delivered, and how each resident is supported to retain strengths and abilities. Daily records must contain sufficient detail to accurately report changes and incidents. The registered provider must ensure that visits are made to the home under Regulation 26 specifications and a copy of the report sent to the Commission for Social Care Inspection. The registered persons must ensure two references for prospective employees are obtained prior to employment. Timescale for action 31/05/07 2 OP33 26 31/05/07 3 OP29 19 Sch2 30/04/07 Clarendon Manor DS0000004310.V336390.R01.S.doc Version 5.2 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Clarendon Manor DS0000004310.V336390.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Leamington Spa Office Imperial Court Holly Walk Leamington Spa CV32 4YB 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 Clarendon Manor DS0000004310.V336390.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!