Inspection on 02/10/07 for Deer Lodge

This inspection was carried out on 2nd October 2007.

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

Deer Lodge 01/06/06

Deer Lodge 09/11/05

Deer Lodge 18/05/05

Deer Lodge 10/01/05

Deer Lodge 29/06/04

Deer Lodge 05/02/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Deer Lodge 22 Sandy Lane Teddington Middlesex TW11 0DR Lead Inspector Sharon Newman Unannounced Inspection 07:35 2 October 2007 nd 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 Deer Lodge DS0000017363.V349195.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. Deer Lodge DS0000017363.V349195.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Deer Lodge Address 22 Sandy Lane Teddington Middlesex TW11 0DR 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) 020 8943 3013 020 8943 3013 Mr S N Patel Post Vacant Care Home 14 Category(ies) of Dementia - over 65 years of age (5), Old age, registration, with number not falling within any other category (14) of places Deer Lodge DS0000017363.V349195.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st June 2006 Brief Description of the Service: Deer Lodge is registered to provide residential care to fourteen older people. The home is a three storey building situated on a main road running along the boundary of Bushy Park close to local amenities in both Kingston and Teddington. Accommodation is provided on the ground and first floors. A large, well-kept garden is situated to the rear of the property and there is a patio area with seating, lawns and a variety of mature trees and shrubs. As the home is opposite Bushy Park, a small number of bedrooms have fine views across the nearby parkland. Fees for private clients range from £600 to £670 per week. Fees for residents placed by social services range from £550 to £570 per week. Deer Lodge DS0000017363.V349195.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of this service included an unannounced visit to the home on 2nd October 2007 by one regulation inspector and one regulation manager. The acting manager of the home was present throughout this visit and was available throughout the day for discussions about the service. Two relatives, some staff members and a number of residents were also spoken to. One of the registered providers (owners) visited the home on the day of inspection and was available for discussions about progress at the home. The manager and staff were welcoming and helpful throughout the inspection. Documentation looked at included medication records, staff recruitment information, residents care plans and health and safety documentation. A tour was also taken of the premises. The manager has also completed and returned an Annual Quality Assurance Assessment (AQAA) which is a self assessment survey of the home. Surveys were left at the home for residents, staff, relatives and social care professionals to complete. What the service does well: What has improved since the last inspection? Deer Lodge DS0000017363.V349195.R01.S.doc Version 5.2 Page 6 All residents have contracts to help ensure that they and their relatives are aware of the terms and conditions. Care plans are now reviewed monthly which helps to ensure that changes in need are documented. Residents and their relatives are now given the opportunity to participate in development of their risk assessments. Regular residents meetings are now held to give them an opportunity to air their views and take part in the running of their home. Staff meetings now take place regularly and the minutes are fully recorded. A system is now in place to make sure that all medication received is recorded. The bath in the first floor bathroom has been replaced and the bedroom ceiling beneath this has been repaired. A five yearly electrical installations check has now been obtained to help ensure the safety of residents, staff and visitors. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Deer Lodge DS0000017363.V349195.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 Deer Lodge DS0000017363.V349195.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents are assessed prior to coming to live at the home. This helps to make sure that the home can meet their needs. EVIDENCE: A Statement of Purpose and Service Users Guide were seen in the resident’s bedrooms. These are available in large print to help the residents read them more clearly. Senior staff assess residents before they move to the home to help ensure that the home will meet their needs. In the residents files that were looked at all residents had pre-admission assessments in place. Also, as found at the last inspection they all contained evidence of review at six weeks and six months. This helps to ensure that residents needs continue to be met at the home and that any change in need is discussed and documented. Deer Lodge DS0000017363.V349195.R01.S.doc Version 5.2 Page 9 Two relatives who were visiting the home during the inspection visit reported that they were attending a review of the care of their family member with the acting manager. They said they were very happy with the care provided at this home. Prospective residents are invited to visit the home before making a decision about whether they wish to move to the home. All residents had contracts in place and these had all been signed and dated. A resident commented that they were ‘very happy here.’ Another commented ‘this is a good home.’ Deer Lodge DS0000017363.V349195.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The residents have access to a range of health and social care services. Residents were seen to be treated with respect by staff. Staff have a good rapport with residents. No issues were seen regarding the storage, recording or administration of medication. EVIDENCE: Five of the residents care plans were looked at and were found to be regularly reviewed on an monthly basis and well organised with a clear index indicating where to find relevant information. Information is obtained using an adapted activated of daily living model of assessment which includes: maintaining a safe environment, mobility, medical history, medication, communication, continence, mental state, diet, social Deer Lodge DS0000017363.V349195.R01.S.doc Version 5.2 Page 11 needs and family, religion, wishes following death. All were seen to have been signed by the residents and their relatives indicating their involvement in their care plan. A relative reported that they are regularly given the opportunity to participate in the development of the care plan and to sign this document. Risk assessments had been carried out including Waterlow assessments for pressure areas, health needs assessments, moving and handling assessment and falls risk assessments. Also further risk assessments were in place for issues including bed rail equipment. Those seen were up-to-date and had been signed by the resident and a relative/representative. This helps to demonstrate the involvement of the residents and their relatives indicating that their wishes have been taken into account and that they are aware of any risks. Some information in the care plans had been altered and crossed through making the information difficult to follow. It was discussed with the manager that theses care plans need to be re-written so that they are more clear and easier for staff to follow. The acting manager reported that she would address this. Two of the residents files looked at did not contain photographs of them. It is recommended that they do so. Some of the entries in the daily notes were quite brief and included statements such as ‘fine’ or ‘ok’. These notes would benefit from being expanded upon to demonstrate in more detail how residents needs are being met. It was seen that this issue was raised in a recent staff meeting indicating that the home is aware of this and addressing it. There was evidence in the care plans looked at of input from health and social care professionals. The acting manager showed us evidence of a recent visit by the chiropodist who visited all the residents to attend to their foot care. A community nurse was observed to be visiting a resident at the home during the morning of the inspection visit. Relatives commented that the home would contact them immediately if there are any issues or concerns about their family member. The medication cabinet was locked securely at the time of inspection. The medication administration records (MAR) were seen to be fully completed in terms of administration of medication. All of the allergies sections were also observed to be completed. This helps to ensure that residents are not placed at risk. Where there are no allergies known then this was also documented. There is now a system in place to ensure that all medication received into the home is fully recorded. Medication audits are carried out as part of the quality assurance process. Deer Lodge DS0000017363.V349195.R01.S.doc Version 5.2 Page 12 Three of the MAR sheets did not have colour photos of the residents attached to them. We discussed with the acting manager that colour photos should be attached to all the MAR sheets to aid identification when giving out the medication and ensure the safety of the residents. Deer Lodge DS0000017363.V349195.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Relatives are encouraged to visit and to participate in life at the home. Residents are offered nutritious food in pleasant surroundings. EVIDENCE: The residents recently went on a trip to Kew Gardens and those spoken to said that they enjoyed this very much. Photographs of this visit were displayed in the lounge area. The home employs an activity co-ordinator who is responsible for organising the activities for the residents. Residents were seen taking part in an armchair exercise with a ball and then participating in a quiz. Newspapers were given to those residents who wished to read them in the morning and residents were seen to read them throughout the day. Deer Lodge DS0000017363.V349195.R01.S.doc Version 5.2 Page 14 Two residents were observed to go out for the morning with a staff member for a coffee and were seen to be excited about this outing. They reported that they go out frequently. Relatives were seen to be welcomed into the home and offered refreshments. They reported that they are always given refreshments. They said that activity provision at the home ‘has improved’ and that that care provided ‘is good.’ Two mealtimes were observed. Breakfast was seen to be eaten in a relaxed atmosphere with quiet background music playing. Residents were seen to have breakfast when they wished and at times that suited them. Some residents like to have a late breakfast. Tea and coffee pots and condiments were brought to the table so that residents could serve themselves. Lunch looked appetising and residents were given a choice of two main meals one of which was vegetarian. Cold refreshments were offered. Tea, coffee and biscuits were offered to residents throughout the day. Fresh fruit is available for residents in the lounge area. A menu board in the lounge indicates the choices of lunch on offer each day. Menus are rotated on a four-weekly basis. A resident commented that the food was ‘lovely.’ Another said the food is ‘good – I thoroughly enjoy it.’ Regular residents meetings are held to enable residents to voice their opinions and have a say in the running of their home. Relatives meetings are also held. A relative reported that they are often unable to attend these meetings but are always sent the minutes of the meetings and remain in close contact with the home. Deer Lodge DS0000017363.V349195.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. There are appropriate procedures for complaints and protection of vulnerable adults. Staff have received training in the protection of vulnerable adults. EVIDENCE: A copy of the complaints policy was seen to be displayed in the dining area so that visitors and residents can read this and are aware of the procedure to follow. A complaints log is kept at the home to monitor any issues raised. One complaint was seen to be documented and contained details of the action taken and the outcome. An organisational abuse policy has been drawn up and the home has adopted the London Borough of Richmond Protection of Vulnerable Adults Policy and Procedure. The London Borough of Richmond has investigated an issue which was referred to them this year. We were informed that the Police are investigating a further allegation. A whistle blowing policy was seen to be available in the home. This is for staff to follow if they wish to report any issues or poor practice. The registered Deer Lodge DS0000017363.V349195.R01.S.doc Version 5.2 Page 16 provider reported that they attach great importance to staff feeling able to raise any concerns so that they can be addressed. This was seen to have been discussed at a recent staff meeting. There is a staff training programme in place at the home and the training log indicates that staff are receiving training in the area of abuse awareness. Deer Lodge DS0000017363.V349195.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The environment at the home is attractive and homely. It is well decorated and presents as a pleasant place for people to live. Residents can personalise their bedrooms to their own taste. The home is clean and hygienic. EVIDENCE: As reported in the previous inspection report the lounge/dining area remains comfortable and bright and has a pleasant atmosphere. Pictures, ornaments and fresh flowers help the area appear more homely. However, we felt that some of the furniture is making the room appear cluttered and this was discussed with the registered provider. He said that he would look at ways rearrange the furniture. Also, as reported in previous inspection reports, there Deer Lodge DS0000017363.V349195.R01.S.doc Version 5.2 Page 18 is limited communal space available at the home. There is still no alternative quiet room and residents must use their bedrooms if they wish to see visitors privately. We discussed this issue with the provider who reported that he has tried to get planning permission for additional space at the home but has so far been unsuccessful. The acting manager said that new flooring is going to be provided throughout the ground floor of the home. The large garden is very attractive and well maintained. A maintenance person is responsible for this and obviously taken pride in their work. They reported that they have worked at the home for nine years and enjoy their work very much. They were seen to have a very good rapport with the residents. As found at previous inspection visits the bedrooms were observed to be comfortable, personalised to individual taste and well decorated. Repairs have taken place to the bedroom ceiling that was marked by water stains and a new bath has been installed in the first floor bathroom. The home was clean, tidy and hygienic on the day of inspection. A relative said that the home was also clean and smelt fresh. Deer Lodge DS0000017363.V349195.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Staff have a good rapport with residents, they are caring and considerate. Not all staff have appropriate safety checks carried out before they start to work at the home. There is a good training programme in place to help staff to carry out their roles more effectively. EVIDENCE: Staff were observed to have a good rapport with residents and to support them in a respectful manner and with dignity. Sufficient staff numbers were seen on the day of inspection and staff rotas indicate that staffing levels currently meet the needs of the residents. Separate staff are employed for cooking duties and also for cleaning this enables care staff to concentrate on providing care. Five staff files were examined and found to contain information including two references, application forms, contracts and proof of identity to help ensure the safety of the residents. All contained evidence of Criminal Records Bureau (CRB) disclosure checks and ‘POVA (Protection of Vulnerable Adults) First’ Deer Lodge DS0000017363.V349195.R01.S.doc Version 5.2 Page 20 checks. However in two files the information indicated that staff had started to work at the home before the necessary checks had been received. This was discussed with the registered provider and he reported that a POVA First check is now obtained before anyone can start work at the home and that CRB checks are carried out on all staff. Two staff files did not contain colour photographs of the individuals and these must be obtained for identification purposes. We discussed with the registered provider that contracts indicated that staff were required to pay for some training. The Registered Provider must provide mandatory training for staff and he reported that he will ensure that all mandatory training is provided by the organisation. Training logs indicated that staff are receiving mandatory training such as fire safety, moving and handling, first aid and food hygiene. A staff member said they had attended training including moving and handling, food hygiene, health and safety and the protection of vulnerable adults. They said that they enjoyed working at the home and that morale was good. Evidence was seen that staff meetings are taking place regularly to help ensure that staff can raise any issues and they are kept updated with developments at the home. Deer Lodge DS0000017363.V349195.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, 38 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The acting manager has a caring and professional attitude to her work. Quality assurance systems are in place so that residents and relatives views are taken into consideration regarding the running of the home. Appropriate health and safety checks take place to help ensure that residents and staff are not placed at risk. EVIDENCE: The home still does not have a manager that is registered with the Commission for Social Care Inspection (CSCI). This requirement remains outstanding from the previous two inspection reports. Deer Lodge DS0000017363.V349195.R01.S.doc Version 5.2 Page 22 The acting manager has been in post for one year and said that she was enjoying the responsibility. She is educated to degree level and reported that she is also undertaking a masters degree and the Registered Managers Award RMA). Two relatives commented on the ‘good communication’ from the home. It was discussed with the acting manager that staff supervision needs to take place more regularly to help ensure that staff have the direction and support to carry out their roles. Due to a protection of vulnerable adults issue regarding residents finances no money is kept on the premises at present. The resident’s money is kept together in one account. This needs to be addressed as it is good practice for them to have separate bank accounts. We saw that full individual records are kept at the home of all expenditure and transactions. The home has carried out a quality assurance audit this year. Surveys were sent out to residents, relatives and interested parties including health and social care professionals. These surveys are kept in a folder in the home and a list of action points has been drawn up from the responses received. Additionally the organisation conducts monthly quality inspections of the home and reports of these are sent to the Commission for Social Care Inspection (CSCI). Checks relating to safety including: gas safety, portable appliance testing and electrical installations were up-to-date. Fridge and freezer temperatures are checked daily and full records kept. The maintenance person reported that thermostats have been have been attached to all hot water outlets throughout the home. Full records were available of the weekly checks of hot water temperatures. As stated in the previous inspection report consideration should be given to the purchase of a dishwasher to ensure crockery is washed at the correct temperatures to meet health and safety requirements. Deer Lodge DS0000017363.V349195.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 X 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 2 X 3 X 2 2 X 3 Deer Lodge DS0000017363.V349195.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 Requirement Timescale for action 01/12/07 12(1Care plans need to be legible to 3)15(1&2) read so that they are easy to (a-d) follow. Alterations need to be clear. 2 OP29 19 (4) (a) (b) Schedule 2 9(1)12(1a &b) 16 (2) (l) 3 OP31 The daily notes must contain sufficient information to demonstrate that residents needs and goals are being met. Appropriate pre-employment 01/11/07 checks including a POVA first check must be carried out before an individual commences work at the home. The registered person must 31/01/08 submit an application for a Registered Manager to the CSCI. Resident’s finances must not be pooled and the home must look at organising separate accounts for them. All staff must receive one-to-one supervision at least six times a year (pro-rata for part time staff) and this must be fully recorded. 01/12/07 4 OP35 5 OP36 18(2)a 01/12/07 Deer Lodge DS0000017363.V349195.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. 1 2 3 4 Refer to Standard OP9 OP19 OP29 OP33 Good Practice Recommendations The medication administration records should have colour photos of the residents attached to them for identification purposes. Consideration should be given to finding ways to ensure more privacy for residents and their relatives through the provision of a separate lounge. Staff recruitment files should contain colour photos for identification purposes. Consideration should be given to the purchase of a dishwasher to ensure crockery is washed at suitable temperatures. Deer Lodge DS0000017363.V349195.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection West London Local Office 11th Floor, West Wing 26-28 Hammersmith Grove London W6 7SE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Deer Lodge DS0000017363.V349195.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. 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