Inspection on 09/11/05 for Gildawood Court

This inspection was carried out on 9th November 2005.

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

Gildawood Court 20/10/09

Gildawood Court 13/07/09

Gildawood Court 23/04/09

Gildawood Court 29/04/08

Gildawood Court 30/04/07

Gildawood Court 17/10/06

Gildawood Court 05/07/05

Gildawood Court 13/01/05

Gildawood Court 05/08/04

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

CARE HOMES FOR OLDER PEOPLE Gildawood Court School Walk Attleborough Nuneaton Warwickshire CV11 4PJ Lead Inspector Mrs Suzette Farrelly Unannounced Inspection 9th November 2005 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Gildawood Court DS0000004236.V264684.R01.S.doc Version 5.0 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. Gildawood Court DS0000004236.V264684.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Gildawood Court Address School Walk Attleborough Nuneaton Warwickshire CV11 4PJ 02476 341222 02476 385791 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) Gildawood Court Residential Homes Ltd Mrs Johann Madejowska Care Home 60 Category(ies) of Dementia - over 65 years of age (60) registration, with number of places Gildawood Court DS0000004236.V264684.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The manager must obtain the Registered Manager Award by 31 December 2006. 5th July 2005 Date of last inspection Brief Description of the Service: Gildawood Court is a purpose-built, 60-bed care home for older people and is registered to provide specialist dementia care. It provides permanent care, short stay accommodation, and day care facilities. The home is situated close to the centre of Attleborough and within a mile of Nuneaton town centre. Local amenities are within reach by foot or wheelchair, and there is parking at the front of the building. The home is divided into five units, which accommodate eleven, twelve or thirteen service users in each. Each unit has a lounge and dining area, which is fitted with a kitchenette. All bedrooms are single and have en-suite lavatories with washbasins. There are sufficient numbers of lavatories and bathrooms situated around the home. There is a large activity room for service users, and a family visiting room, which can also be used as a smoking area by those who choose to do so. The home has a hairdressing room and enclosed gardens. Gildawood Court DS0000004236.V264684.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second inspection of 2005/06 and to gain a full picture of the service provided by this home this report should be read with the report from the inspection undertaken in July 2005. The inspection commenced at 10:30 and was completed by 17:30. The registered manager, deputy manager and registered provider were present throughout the inspection. A tour of the home was undertaken inspecting communal rooms, private bedrooms, bathing facilities and ancillary areas. Records related to residents and staff were examined. Five residents, two relatives, six staff and a visiting therapist were spoken with and their comments are incorporated throughout this report. Time was spent with the training officer discussing training events and supervision of staff. What the service does well: The staff have a good working relationship with the residents, and residents and relatives stated that they were always treated with care and respect. The interaction between staff and residents was noted to be very good demonstrating respect and care. Staff were heard to use the residents’ preferred name and a friendly and caring atmosphere was evident. The environment is clean and tidy with no offensive smells. Each individual lounge is pleasantly decorated and furnished increasing the comfort and quality of the residents’ life. The use of an aroma therapist is excellent and from discussion with the therapist, staff and some residents it was confirmed that this has been a very positive experience for those residents who use this service. The home had a very well run kitchen that is sensitive to the needs of the residents and ensures that they receive a well balanced diet that is present well. The kitchen was seen to be exceptionally clean and the head cook demonstrated a strong commitment to her role. The home has a comprehensive complaints procedure and records demonstrated that all complaints and concerns received are dealt with appropriately ensuring that residents and their families know and feel that their concerns are taken seriously. Gildawood Court DS0000004236.V264684.R01.S.doc Version 5.0 Page 6 The home manages small amounts of residents personal monies enabling them to receive treatments from chiropodists, hairdressers and other therapists. Records are well maintained and receipts are kept up to date. 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. Gildawood Court DS0000004236.V264684.R01.S.doc Version 5.0 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 Gildawood Court DS0000004236.V264684.R01.S.doc Version 5.0 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): Standards 3, 4 and 5 were assessed during this inspection. All residents are full assessed and informed that the home can meet their needs prior to admission increasing their confidence that they will be cared for appropriately. All residents and/ or their relatives visit prior to admission to asses the quality, facilities and suitability of the home before accepting admission enabling them to have a choice about where they live. EVIDENCE: The manager visits all prospective residents in their place of residence prior to admission and a full assessment is conducted. After the assessment which may include the resident, their family and others who are involved in their care a full team assessment is made at the home to decide if the resident’s needs can be met and that they would fit into the environment. Gildawood Court DS0000004236.V264684.R01.S.doc Version 5.0 Page 9 Once this decision is made the resident and or the family are informed and invited to visit staying for a meal and joining in activities. If after this visit the home and the resident agree that a placement would be suitable and the needs can be met a place is offered. One relative spoken to stated that her and her relative undertook a preadmission visit and that the final decision was made after this event. Training records and observation of staff and residents demonstrated that the needs of the residents living at the home are fully met. Gildawood Court DS0000004236.V264684.R01.S.doc Version 5.0 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): Standard 9 and 10 were assessed, and standards 7 and 8 were partly assessed. The residents’ health, personal and social care needs are not completely set out in suitable care plans which may result in an oversight of care. Full risk assessments and other health care needs are fully met ensuring that the residents’ well-being is maintained. Residents’ are protected by the policies and procedures for dealing with medications. Residents feel they are treated with respect and their dignity and privacy is upheld ensuring that they have a positive experience of being cared for. EVIDENCE: A full assessment of the care profiles was not undertaken during this inspection. Gildawood Court DS0000004236.V264684.R01.S.doc Version 5.0 Page 11 The registered manager informed that she was in the process of changing all the profiles to meet with the requirements of the Care Home Regulations 2001 and to ensure that all staff are aware of the care needs of all the residents. As the last inspection took place in June 2005 it was agreed that the care profiles would be fully assessed at the next inspection. No residents at the home have pressure damage and from discussion with staff, residents and observation throughout the inspection it was noted that the residents appeared well cared for and the staff were aware of their needs. Medication is appropriately managed throughout the home. Each unit has its own medication storage cupboard and is administered by trained staff in each unit. The requirement from the last inspection related to the correct labelling of bottled medication has been met. The residents, relatives and therapist spoken with stated that privacy and dignity is respected at all times. It was noted during the inspection that residents were appropriately dressed and assisted to wear their coats to go outside into the autumn sunshine. All residents have the use of a portable pay phone that can be plugged into sockets available in every room of the home. Residents may also use the home phone if required. The registered manager also stated that a number of relatives bring mobile phones when visiting and residents speak to relatives at this time too. Gildawood Court DS0000004236.V264684.R01.S.doc Version 5.0 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): Standards 12, 13, 14 and 15 were assessed. The residents find that the life style experience in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs ensuring a positive experience of living in the home. Residents are assisted to maintain contact with family and friends ensuring that their sense of belonging and being part of a family continues. Residents are assisted to continue to make life choices and have control over their daily life increasing their well-being. Residents receive a wholesome and appealing diet in pleasing surroundings at times convenient to them ensuring a positive experience. EVIDENCE: There are five units in the home and a separate lounge for a small number of day care residents. It was noted during the inspection that some permanent residents join in the activities with the day centre. Each unit has a variety of activities such as walks in the garden, music, outside entertainment and individual activities. Gildawood Court DS0000004236.V264684.R01.S.doc Version 5.0 Page 13 An aroma therapist also visits and from discussion with the therapist and staff it was confirmed that those residents who had agreed to this were finding enormous benefit and the therapist was enthusiastic and showed a high level of understanding and competence toward the needs of residents with dementia. It is suggested that the home develop a program demonstrating the activities that are planned and take place. There are no restrictions on visiting and relatives may call at any time. Residents can meet their relatives in the communal rooms throughout the home, their own bedroom or in a variety of small areas that are away from the main communal areas. Staff ensure that relatives are made welcome and included in the activities of the home. Two relatives spoken to stated that they were delighted with the home and always made welcome. The home ensure that the relatives and residents are aware of the advocacy services available in the area, no resident at present is using this service. Where feasible residents will control their own finances, some residents carry a small amount of personal monies with them and pay for extra services direct. Bedrooms seen demonstrated that the residents are encouraged to personalise their own rooms and the door to their bedrooms, which had a variety of photographs and pictures. The home serves three main meals a day, and drinks and snacks are available at regular intervals and when requested. The main kitchen supplies all cook meals and the units ensure that breakfast, snacks and drinks are available at the times to suit the residents. The kitchen was very clean and well organised and the cook in charge demonstrated a good comprehensive knowledge of the needs of the residents and special diets. There was evidence of fresh fruit and vegetables and home backed cakes. There is a choice each day and the residents are asked in the morning and again when the meal is served on the units. There was no evidence of weight loss and residents and staff spoken to stated that the meals were very nice and there was always more than enough. Examination of the freezers showed that salmon, white fish and a selection of meat were available and the fridges were well stocked with suitable items of foods. The kitchen staff must ensure that they maintain records related to cleaning schedules, fridge and freezer temperatures and probing of meat on arrival from the supplier and when cooked. Gildawood Court DS0000004236.V264684.R01.S.doc Version 5.0 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): Standards 16, 17 and 18 were assessed. Residents and their relatives are confident that their complaints will be listened to, taken seriously and acted upon increasing their confidence in the service. Residents are protected from abuse through suitable training and employment of staff and their legal rights are protected. The policies and procedures are out of date and this may result in poor action taken in the event of suspected or actual abuse. EVIDENCE: The home has suitable policies and procedures for the management of complaints made to the home. These have recently been up dated. Records of complaints made in the last two years were seen and it was evidenced that appropriate record are maintained and residents and relatives are informed of the outcomes of any investigation. The registered manager stated that concerns are dealt with immediately by the senior staff on the units and believes that this increases the confidence of residents and their relatives and prevents full complaints being made. Two relatives spoken with felt that all their concerns and worries are dealt with appropriately and are happy that the home has the best interest of the resident at heart. All residents are registered with the local electoral role ensuring that they are able to vote if they wish and have capacity. Through discussion with the registered provider and manager it was confirmed that only four residents chose to vote in the last election. Gildawood Court DS0000004236.V264684.R01.S.doc Version 5.0 Page 15 All the staff have received training in the recognition of abuse and how this should be dealt with, this is carried out during the induction period and yearly thereafter. Staff have also attended training through the Nuneaton Training Centre where formal teaching sessions, videos, and role-play are used. The home is in the process of up dating the policies and procedures related to the recognition and actions to be taken in the event of abuse. The Whistle Blowing policy and procedure is acceptable. Gildawood Court DS0000004236.V264684.R01.S.doc Version 5.0 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): All standards in this section were inspected. Residents live in a well-maintained, clean, safe and comfortable communal and individual accommodation with suitable outdoor facilities ensuring a positive experience of living in the home and increasing the positive outcomes of daily living. EVIDENCE: The home was toured and a selection of bedrooms seen, all bathing facilities and the communal areas in all units. It was found that the home is well maintained and clean. There were no offensive odours noted and the registered manager stated that where there were issues with inappropriate urination all staff dealt with this promptly to ensure that smells were kept to a minimum. The home was suitably decorated and each unit was distinctly different. The bedrooms doors have a selection of photographs or pictures selected by the residents to assist them in recognising their own room, one resident has chosen to have a blank door, demonstrating resident choice. Gildawood Court DS0000004236.V264684.R01.S.doc Version 5.0 Page 17 Bedrooms seen were suitably decorated and contained well-maintained furniture, some of which belonged to the resident occupying the room. There were also photographs and other items personal to the occupant. The home has suitable bathing facilities on each unit consisting of a selection of assisted bathing facilities and walk in shower rooms. Each bedroom has an en-suite bathroom with a toilet and hand washbasin, one bedroom has a shower facility. During the tour it was seen that some residents’ toiletries had been left in the bathrooms, this may result in other residents using these, which is not acceptable. The home has suitable facilities to assist with mobility and moving and handling of residents. There is also a shaft lift to the first floor enabling residents to have access to all areas of the home. Residents can go into the garden from patio doors in all ground floor living areas and from various corridors in the home. All doors are alarmed, this informs staff that a resident has exited and increases their safety. Staff do not insist that residents return but check that they are suitably dresses and safe. The home has under floor heating through out and thermostats adjust the temperature in each area individually. All residents’ areas are fitted with thermostatic mixing valves to ensure that the hot water outlets are at 43OC to prevent scalding, these are checked monthly by an outside contractor who will also adjust or replace valves that are faulty. The laundry was seen, this was found to be well organised, tidy and clean. Residents’ clothes are laundered separately to linen. The management of underwear and tights was discussed and the registered manager demonstrated that shared tights do not occur. The home has two washing machines that are suitable and all soiled laundry is washed at 65OC and above. Gildawood Court DS0000004236.V264684.R01.S.doc Version 5.0 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): All areas in this section were inspected. Residents’ needs are met by the number and skill mix of staff and are protected and in safe hands supported by training, and suitable employment procedures ensuring that the residents have a positive outcome while living at the home. EVIDENCE: Staff duty rosters were examined and it was noted that the home employ ample staff ensuring that there are suitable numbers available for each shift to meet the assessed needs of the residents. The home employs three staff below the age of 18, one works part time in the kitchen and the other two assist the residents with activities, eating and enjoying their day. These records were seen and it was found that the home are aware of the European Working Time Directive for younger employees and ensure that they meet with this regulation. The registered manager also ensures that the staff are aware of the roles that they are no allowed to carry out such as personal care. The home also employs ample ancillary staff to maintain the cleanliness of the home and ensure that the laundry is completed. There are always two kitchen staff available each day. There are six waking night staff including a senior carer ensuring that all units are supervised throughout the night shift. Gildawood Court DS0000004236.V264684.R01.S.doc Version 5.0 Page 19 The training records were seen and a discussion with the training officer took place. It was confirmed that 24 staff have completed National Vocational Training to level II or III and a further 17 staff are in the process of this training. This will exceed the required percentage of 50 qualified carers. All staff have a full induction when commencing employment at the home, this covers all areas required by the National Training Organisational Standards. Discussion of changes in the future was undertaken and the training officer stated that further exploration would be conducted to ensure that induction remains up to date. Five staff files were examined and it was noted that all information and checks required were present. The home, however, must retain a photocopy of information supplied for the Criminal Bureau Checks to demonstrate that the identity of individual employees has been checked. Gildawood Court DS0000004236.V264684.R01.S.doc Version 5.0 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): Standards 32, 35 and 36 were assessed. The residents’ benefit from the ethos, leadership and management of the home, thus increasing their individual experience of the positive outcomes of living at the home. The residents’ financial interests are safeguarded by the positive procedures in the home ensuring that abuse does not occur. All care staff are suitably supervised ensuring good working practices and increasing the safety of the residents. EVIDENCE: All staff are informed of the managerial structure in the home during induction and their role in maintaining the independence of the residents. Staff are also given direction on the home’s philosophy in delivering care to the residents. Gildawood Court DS0000004236.V264684.R01.S.doc Version 5.0 Page 21 The registered manager conducts regular meetings for staff and has attempted to hold meeting for relatives and residents, she has found that these are poorly attended and tends to meet face to face with relatives when they visit and discuss changes, up dates and other interesting facts related to the home. The home has a handing over period which all staff attend from both shifts, it is during this time that care is discussed and staff at all levels are encouraged to participate in the process. Residents’ personal money records were examined and it was found that these were up to date and appropriate. Personal monies are kept separate for each resident in a suitably locked facility. It is suggested that where there are multiple receipts such as for hairdressing and chiropody that the therapist is encourage to produce singular receipts for better management. All care staff are supervised every two months, this mainly covers practice and discussion related to the philosophy of the home and career development is not recorded, this may result in training needs of staff being missed. Quality assurance and monitoring was discussed but not assessed. The home is continuing to develop this area and state that it will be in use by the next inspection. Gildawood Court DS0000004236.V264684.R01.S.doc Version 5.0 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 X X 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 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 3 18 2 3 3 2 3 3 3 3 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 3 X X 3 2 X X Gildawood Court DS0000004236.V264684.R01.S.doc Version 5.0 Page 23 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 15 Regulation OP7 Requirement The registered manager must ensure that assessments and care plans are specific to each resident’s personal and care needs and are maintained and up to date. (Old time scale from 30.12.04, 30.04.05 and 05.06.05) The registered manager must ensure that the policies and procedures concerning the Protection and Vulnerable Adults is up to date and reflects the good practices in the home. The registered manager must ensure that all residents’ toiletries are named and for individual use only. The registered manager must ensure that a copy of the information supplied to check identity for the CRB is maintained on file. Timescale for action 28/02/06 2 12, 13 OP18 31/12/05 2 12 OP21 31/12/05 3 19, S.2 OP29 31/12/05 Gildawood Court DS0000004236.V264684.R01.S.doc Version 5.0 Page 24 4 18 OP36 The registered manager must ensure that all areas related to supervision are recorded in the records maintained for each individual member of staff. 31/12/05 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 OP15 Good Practice Recommendations It is recommended that up to date records are maintained related to the cleaning of the kitchen, fridge and freezer temperatures and the probing of cold meat delivered and cooked meat prior to serving. Gildawood Court DS0000004236.V264684.R01.S.doc Version 5.0 Page 25 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 Gildawood Court DS0000004236.V264684.R01.S.doc Version 5.0 Page 26 - 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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