Inspection on 21/06/06 for Florence Grogan House

This inspection was carried out on 21st June 2006.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Florence Grogan House 13/01/06

Florence Grogan House 26/05/05

Florence Grogan House 22/09/04

Florence Grogan House 14/04/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Florence Grogan House Shelley Road Blacon Chester Cheshire CH1 5XA Lead Inspector Mr Val Flannery Key Unannounced Inspection 09:00 21 and 28th June 2006 st 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 Florence Grogan House DS0000006510.V291233.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. Florence Grogan House DS0000006510.V291233.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Florence Grogan House Address Shelley Road Blacon Chester Cheshire CH1 5XA 01244 390177 01244 380173 jenny.jobber@clsgroup.org.uk www.clsgroup.org.uk CLS Care Services Limited 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) Mrs Jennifer Jobber Care Home 40 Category(ies) of Dementia (5), Dementia - over 65 years of age registration, with number (10), Old age, not falling within any other of places category (40), Physical disability (1) Florence Grogan House DS0000006510.V291233.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 40 service users to include:* Up to 30 service users in the category OP (Old age, not falling within any other category) to be accommodated in the main unit * 1 named service user in the category PD (Physical disability under 65 years of age) may be accommodated within the overall number of registered places (in the main unit) * Up to 10 service users in the category DE(E) (Dementia over 65 years of age); can include up to 5 service users in the category DE (Dementia under 65 years of age) to be accommodated in the Eastgate Wing The service should, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection 13th January 2006 2. Date of last inspection Brief Description of the Service: Florence Grogan House offers care to forty older people, ten of whom are cared for in Eastgate Wing that is a separate unit for residents with dementia. Located in a residential area of Chester the home is close to shops and other local amenities. There is a bus route to Chester city centre close to the home. The home is a two-storey building, access between the ground and first floors is via a passenger lift. Residents are accommodated on both floors. There are a variety of aids and adaptations provided in the home for residents with mobility problems. All of the bedrooms are single and contain residents’ personal possessions. There are sufficient toilets and bathrooms located around the home, these are easily accessible to residents. Staff are on duty twenty fours a day to care for residents. The current weekly fees range from £343.64 to £475.00. Further details regarding fees are available from the manager. Florence Grogan House DS0000006510.V291233.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This • • • key inspection report was written using evidence gathered from the Pre-inspection questionnaire Service history for the home Visit to the home on the 21st and 28th June 2006 The visit to the home was carried out over eight and half hours and involved talking with six residents, a district nurse, the home manager and seven staff. A number of resident and home records were seen. A partial tour of the building was carried out. Feedback following the visit to the home was given to the manager on the 28th June 2006. What the service does well: Both the main unit and Eastgate Wing carry out pre-admission assessments and visit prospective residents’ before they make a decision about moving in. Residents’ spoken confirmed that they were given information about the home and that they and /or their relatives were able to visit the home before making a decision about moving in. The health and personal care of residents are well managed and are included in plans of care. Administration of medication procedures are in place that ensure the protection of residents. Relatives and friends are able to maintain contact with residents’ and are able to visit the home as they wish. Residents, within their assessed capabilities, are supported to have control over their daily lives. This includes joining in the activities organised by the activities co-ordinator. Residents commented on the improvement to the quality of the meals. There are complaints, and adult protection, procedures in place within the home. Although the current level of staff sickness was commented on by a resident they still feel the improvements in the staffing over the recent past has improved the care they receive. This, and the positive comments received about the management of the home, showed that the home offers residents a good standard of care. Florence Grogan House DS0000006510.V291233.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Florence Grogan House DS0000006510.V291233.R01.S.doc Version 5.1 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 Florence Grogan House DS0000006510.V291233.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1/2/3/4/5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Pre-admission assessments are carried out by senior staff from the home. The findings combined with information provided by the local authority (where appropriate) ensures the home is made aware of the needs of prospective residents. This information also determines if the home can meet these needs EVIDENCE: The pre-admission records of four residents who have recently come to live in the home were seen during the visit. This included two from the main unit and two from Eastgate Wing. These showed that the care needs of residents are identified prior to them moving into the home. Included in the assessment information were assessments covering risk of falling and risk of developing pressure ulcers. One of the residents spoken with said staff from the home had visited them in their previous care home before they decided to move in. Also that they had visited the home prior to making a decision about moving in. Two of the residents spoken with about the pre-admission procedures had restricted communication capabilities. Florence Grogan House DS0000006510.V291233.R01.S.doc Version 5.1 Page 9 The manager said prospective residents’ are given information about the level of service offered by the home. During the visit to the home a copy of the statement of purpose/service user guide was seen in residents’ bedrooms. Two residents’ spoken with said they found the information ‘useful’ and that their relatives read the ‘like to read it’ when they are visiting. A copy of the statement of purpose/service user guide was on display in the entrance area as was copies of previous inspection reports. The copy seen during the visit contained a range of information about the home. Contracts covering the level of service to be provided by the home are available. For those residents who are funded by the local authority service specific contracts are provided in addition to the organisations residency agreements. The assessments seen during the visit were not signed by the staff that had carried out the assessments (See Recommendation Number 1) Florence Grogan House DS0000006510.V291233.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): 7/8/9/10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents’ health and personal care needs are set out in their care plans. This gives staff the information they need to ensure residents’ care needs are met. EVIDENCE: Five residents’ in the main unit and one resident in Eastgate Wing were spoken with during the visit to the home. They said they are treated ‘very well’ by staff and they are ‘satisfied with the help they receive from staff’ with personal care tasks. Three of the residents’ said staff talk to them about their care needs and ask them ‘if they are happy with the care they receive’. One resident said she will see the manager if she is ‘unhappy about anything’. She also said some staff are’ better carers then others’. One resident said he was ‘not sure if staff talk to him about care plans’. Records seen on three residents in the main unit and two residents in Eastgate Wing showed that plans of care have been developed that set out how they wished to be cared for. Included were details on visit by doctors, district nurses and other healthcare professionals. Letters were seen that showed that Florence Grogan House DS0000006510.V291233.R01.S.doc Version 5.1 Page 11 residents were supported by relatives or staff from the home to attend hospital appointments. During the visit a district nurse was spoken with, she said the staff are ‘very good’ at seeking advice from doctors and nurse on residents’ healthcare issues. The care plans for one of the residents in Eastgate Wing were not available as the care team leader for that unit was in the process of writing the up. CLS have provided a policy and procedure for staff on the administration of medication to residents. The pre-inspection questionnaire included a list of staff responsible for administering medication. During the visit to the home satisfactory arrangements were seen for staff administering medication to residents in the main unit and in Eastgate Wing. Staff in Eastgate Wing have further developed their skills for administering medication to the residents’ who have been diagnosed with dementia. For example, staff were seen sitting with a resident and gentle encouraging them to take their medication. The manager confirmed that one resident in the main unit partial self-medicates. Two residents spoken with said they prefer the home to look after their medication. Two residents have been assessed as requiring bedrails to ensure their safety when in bed. Florence Grogan House DS0000006510.V291233.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): 12/13/14/15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents are offered choice and are enabled to have control over their daily lives. They are also able to maintain contact with family and friends. EVIDENCE: Four of the residents spoken with said they are generally ‘happy with the way the home helps them’ with their daily living and that ‘they are able to come and go as they please’. They also said that it makes them felt safe ‘having staff around all the time’. One resident said she ‘doesn’t like it here anymore and is going to move’. One resident, who has moved into the home in the last week and is accommodated in Eastgate Wing, said she likes it in the home and that staff are ‘very nice’ Three residents plans of care were seen during the visit. Two residents said their key-worker does speak to them and asks them if they are ‘happy in the home’ and if ‘there are things they want but are not getting’. One resident said, although they are asked about their care needs, some carers have more experience and are more confident when helping residents. Residents’ said activities have improved since the activity co-ordinator was appointed. There is a notice board located in the entrance area that lists the activities on offer. During the visit to the home the activities co-ordinator was spoken with. He said that, as part of the activity programme, he has started doing ‘My Story’ Florence Grogan House DS0000006510.V291233.R01.S.doc Version 5.1 Page 13 with individual residents. This involves creating a folder where residents can put pictures and other personal items from their past lives. During the visit the activities co-ordinator was seen taking two residents out to the pub for lunch. Residents said they are able to receive visitors in their bedrooms or in the communal lounges. Plans of care contained family histories and information on residents’ next of kin. The staff spoken with said relatives/friends are able to visit the home at any reasonable time and would be made to feel welcome. All the residents said the quality of the food offered had improved since a new cook had been appointed. They said they are offered choices at mealtimes and that staff do help those residents’ who may need assistance with their meal. The mealtime observed during the visit was relaxed and residents were able to eat their meal at their own pace. Staff were seen helping residents with their meal. Copies of the menu were provided as part of the inspection process. These showed that choices of meals are offered to residents on a daily basis and that menus are changed on a weekly basis. Florence Grogan House DS0000006510.V291233.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): 16/18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents, and other visitors to the home, have access to a complaints procedure that enables them to raise issues of concern. EVIDENCE: Four residents were spoken with during the visit to the home. They said they, or their relative, know who to complain to and that their concerns are taken seriously and acted upon. They also said the manager’ will sort out their problems’. A copy of the complaints procedure, including details on how to contact the Commission for Social Care Inspection, was on display in the entrance area. The manager, and staff spoken with, said the home have not received any complaints since the last inspection visit. CSCI have not received any complaints about the home. Staff spoken with said they would refer any complaints to senior staff in the home. Staff spoken with in Eastgate wing said they were not aware of that any complaints have been made about the dementia unit. The home had made one referral to Social Services under the adult protection procedure. This concerned one resident hitting another resident. The manager said that Social Services were satisfied with the action taken by the home to protect both residents involved in the incident. Florence Grogan House DS0000006510.V291233.R01.S.doc Version 5.1 Page 15 Discussion took place with the registered manager and the homes service manager on what action has been taken to ensure residents’ monies are protected. A number of residents’ have reported monies going missing from their bedrooms/purses/wallets in the last year. The manager confirmed that the following action/procedures have been implemented: • Police have been informed and will continue to be informed in the event of further incidents. Advice has also been sought from the Police on increasing security in the home • Residents have been advised in meetings, and individually, to keep their finances in the lockable cupboard their bedrooms. They have also been advised that valuables, including money, can be kept in the safe. • The need for security has been reinforced with staff. • Senior staff discuss the need for continuous monitoring and vigilance in order to maintain residents’ security. Florence Grogan House DS0000006510.V291233.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): 19/20/21/22/23/24/26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Sufficient private and communal space is provided to meet the needs of residents. EVIDENCE: On the day of the visit the home was free from unpleasant smells. The residents spoken with said the ‘home is tidy and clean’ and that the domestic staff work’ very hard’. Communal lounges are provided on both floors. These are close to resident’s bedrooms and were seen being used by residents’ during the visit. A large dining room is located on the ground floor next to the kitchen. This is also used for group activities such as bingo. All the bedrooms are single, the rooms seen contained residents’ personal possessions, for example, pieces of furniture, televisions and family photographs. A number of bedrooms have en-suite toilet facilities. Residents Florence Grogan House DS0000006510.V291233.R01.S.doc Version 5.1 Page 17 confirmed that they were offered a key to their bedrooms. Lockable cupboards are provided in the residents’ bedrooms. Bathrooms and toilets are located around the home and within reach of bedrooms and communal areas. A number of residents have been assessed as requiring staff help when using these areas. Hoists, bath-lifting aids, grab rails and wheelchairs are provided for residents with mobility problems. Care call points are located in bedrooms, bathrooms, toilets and communal areas. Residents have access to a secure garden area to the rear of the building. A partial tour of Eastgate Wing was also carried out. This was well maintained and free from unpleasant odours. Three bedrooms were seen these were individually decorated and furnished. Florence Grogan House DS0000006510.V291233.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): 27/28/29/30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Staff are aware of the needs of residents and how they wished to be cared for. The delivery of care will be further improved when all care staff have achieved an NVQ. EVIDENCE: The staffing rota seen during the visit showed the following: Main Unit There is normally one care team leader and two care assistants on duty during the day/afternoon/evening. One care team leader and one care assistant provide night-time cover. Staff can transfer between the main unit and Eastgate Unit as required. Support staff, to cover main unit and Eastgate Wing, included domestic staff, cook, kitchen assistant, maintenance assistant and office staff and are employed in sufficient numbers. Eastgate Wing There is normally two staff on duty during the day/afternoon/evening. There is one member of staff on duty during the night. Six residents were spoken with during the visit to the home. They said staff are ‘kind and caring’. Two residents said they have favourite staff who they Florence Grogan House DS0000006510.V291233.R01.S.doc Version 5.1 Page 19 prefer to ‘help’ them. Comments were also made by residents about the level of staff sickness and how they feel this affects the overall running of the home. During the visit staff were seen helping residents with a number of tasks including personal care such as using the bathroom, having their meal and moving from the communal lounges to the dining room. They were seen talking to residents’ and spending time with them. Staff spoken with said they receive support, supervision and guidance from senior staff in the home. One member of staff said its’ great working here’ and that residents’ are offered choices’. They also said they are able to attend a range of training courses provided by the organisation. Information in the preinspection questionnaire on the training available to staff included adult protection, dementia, falls prevention and medication workshops. The preinspection questionnaire also showed that ten of the twenty-nine care staff have achieved an NVQ qualification. Also included was a list of staff responsible for administering medication. Three staff personnel files were seen duding the visit to the home. These showed that satisfactory staff recruitment procedures, including Criminal Record Bureau checks, are in place. A list of staff information was provided as part of the inspection process. The information showed the position of all staff employed by the home and that all staff have had Criminal Record Bureau checks. Florence Grogan House DS0000006510.V291233.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): 31/33/35/36/38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The registered manager has the skills necessary to manage a care home. She is continuing to improve the service offered to residents and the support and guidance given to staff. EVIDENCE: Five residents and four staff were spoken with during the visit. They were positive in their comments about the management of the home. Residents said the manager ‘will get things done’ and that ‘you can go to her if you have any worries’. Staff said the manager is ‘very supportive’ and has ‘a lot of experience in caring for older people’. The manager has successfully completed the NVQ Level 4 and Registered Managers Award and is currently completing further managing training. Florence Grogan House DS0000006510.V291233.R01.S.doc Version 5.1 Page 21 During the visit the following records were seen: • Dates for forthcoming staff supervision • Minutes of Care Team Leaders meeting • Agenda for full staff team meet • Record of managers night visit to the home. A number of residents’ have requested that the home keep their monies in the safe. During the visit three of the residents’ monies were checked against the homes records. These were satisfactory. The following health and safety and service records were seen: • Fire Safety Record including fire risk assessment • Record of services carried out on the boiler • Record of services carried out on the passenger lift • Gas equipment service record • Record of services carried out on the lifting equipment These were satisfactory. One resident said the home was’ very good at carrying out fire checks’ and addressing maintenance issues. The home carries out annual surveys whereby residents and relatives are asked to complete questionnaires about the quality of the service offered. The records of the last survey carried out showed that, on the whole, residents’ and relatives are satisfied with the level of service offered by the home. During the visit discussion took place with the registered manager on the conditions of registration from the home. The manager confirmed that the needs of residents’ are monitored to ensure they can be met by the home. She also confirmed that two residents have been referred to Social Services as she feels the home can no longer meet their needs. The current conditions of registration are, according to the manager, been met. The manager confirmed that, in the absence of family/others, she acts as appointee for three residents that live in the main unit. Florence Grogan House DS0000006510.V291233.R01.S.doc Version 5.1 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 2 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Florence Grogan House DS0000006510.V291233.R01.S.doc Version 5.1 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action 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 YA3 Good Practice Recommendations The pre-admission assessments should be signed by the staff who have carried out the assessment. Florence Grogan House DS0000006510.V291233.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Florence Grogan House DS0000006510.V291233.R01.S.doc Version 5.1 Page 25 - 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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