Inspection on 27/06/07 for Glengarry Court

This inspection was carried out on 27th June 2007.

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

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

Other inspections for this house

Glengarry Court 24/03/06

Glengarry Court 18/08/05

Glengarry Court 21/12/04

Glengarry Court 06/07/04

Glengarry Court 19/02/04

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

CARE HOMES FOR OLDER PEOPLE Glengarry 16 Victoria Road Poulton Le Fylde Lancashire FY6 7JA Lead Inspector Mrs Gwen Miller Unannounced Inspection 27th June 2007 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Glengarry DS0000009677.V338226.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. Glengarry DS0000009677.V338226.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Glengarry Address 16 Victoria Road Poulton Le Fylde Lancashire FY6 7JA 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) 01253 883387 01253 883387 chepwood@aol.com Mrs Christine Hepwood Mr Ronald George Hepwood Ms Susan Anne Cottell Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places Glengarry DS0000009677.V338226.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered provider must at all times employ a suitably experienced and qualified manager who is registered with the NCSC 24th March 2006 Date of last inspection Brief Description of the Service: Glengarry Court is a care home providing personal care and accommodation for 15 older people of both sexes and offers a homely environment in an informal atmosphere. Glengarry Court is located in Poulton le Fylde, close to the shops, other local amenities, and bus and train routes. In the home, there are two communal lounges, one facing the front of the home and one with views across the rear garden. The dining room is spacious and allows all residents to eat at the same sitting. Glengarry Court has 15 single bedrooms, all have en-suite facilities. A passenger lift provides access to the first floor. All rooms are well maintained, in good decorative order and tastefully furnished throughout the home. The home has a no smoking commitment. The home has a philosophy of care which includes encouragement of independence whilst providing personal care where needed. Activities are offered within the home and outings are arranged. Information about the home includes an invitation to visit for a meal or for a day or stay on a trial basis. The home is owned by Mr and Mrs Hepwood and managed by Ms Susan Anne Cottell. Glengarry DS0000009677.V338226.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 home has been carried out over the period since the previous inspection in March 2006. This is to give an overall picture of Glengarry Court using evidence and information gathering, in the form of a pre inspection questionnaire, now referred to as an AQAA (Annual Quality Assurance Assessment) letters to and from the home during that period and comment cards from residents, and relatives. The inspection also included a site visit to the home, on 27th June 2007, this was unnanounced, which means that the manager, staff and residents did not know it was to take place until the inspector arrived. A further visit was made to the home on 9th July 2007 to discuss the findings of this inspection with the manager. On 27th June 2007 (the day of this visit), 15 residents were accommodated at Glengarry Court. The inspector spoke with residents and staff members. 9 comment cards were received from residents and 5 from relatives, carers or advocates. Case tracking (whereby the inspector focuses on a small number of residents and examines their care, from admission to the present time) of three residents, was carried out. Part of the visit included looking at daily notes and information about the home and residents. Time was spent observing the workings of the home and how staff members supported residents. The inspection included a tour of the premises. At the time of the visit, (27th June 2007) the information given to the Commission for Social Care Inspection, showed that the fees for care at the home were £405 per week. Residents pay for their hairdressing and newspapers. What the service does well: In line with the home’s policies and procedures, Glengarry Court tries to make sure that there is equal care given to all residents, considering their individual choices and preferences and giving equal support to all irrespective of their race, gender, disability, sexuality, age, religion or beliefs. Glengarry DS0000009677.V338226.R01.S.doc Version 5.2 Page 6 Information provided by the home states that Glengarry Court promotes privacy, dignity, rights and responsibilities and ensures staff are aware of different cultures and beliefs. There is equal consideration given to all employees, the age range of current staff is between 55 and 74 years, training and development programmes are offered to all. Staff training is ongoing and designed to keep up with changing needs of both residents and in service provision. Many of the staff have been employed at the home for a long time, which means they have got to know the residents very well. Glengarry Court uses a ‘key worker system’, this means that named staff are allocated to individual residents. The key worker has added responsibility to ensure their residents needs are met at all times. The home ensures that all residents have equal access to different parts of the home via a lift, aids and adaptations are in toilets and bathrooms and throughout the home and in individual rooms wherever residents need them. All comment cards from residents confirmed their satisfaction with the home, those spoken with said they were very happy with their rooms, food, activities and the staff. Relatives expressed their views in the following comments: “Very clean, pleasant atmosphere, homely, good management, good food – freshly cooked” Others included “other relatives I have met agree with me that the standard of care is good” and “we have been very satisfied with the care given to my Mother – would recommend without hesitation”. What has improved since the last inspection? What they could do better: All staff files need to contain Criminal Records Bureau checks, two written references and work histories for each staff member, these will further ensure that new staff are suitable for the job they apply for. Comments from relatives suggested “perhaps more outings” and “a bit more entertainment.” Glengarry DS0000009677.V338226.R01.S.doc Version 5.2 Page 7 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. Glengarry DS0000009677.V338226.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Glengarry DS0000009677.V338226.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,5. Quality in this outcome area is good. Written information is provided by the home, this allows people to make informed choices whether or not the home will meet their needs. Full assessments of needs are carried out for all prospective residents to ensure the home is the right place for them and provide them with the right sort of care. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Home’s Statement of Purpose and Service User Guide contains all the relevant information needed for prospective residents to make an informed choice when they are considering Glengarry Court as their home. These have been given to all residents. If a person considers Glengarry Court as their choice when selecting a care home, the manager carries out an assessment of their needs to make sure that Glengarry DS0000009677.V338226.R01.S.doc Version 5.2 Page 10 the home would be able to care for that person. This can be done at the person’s home or in hospital and can be completed with the help of their family, carers, social worker, or any other person involved with their needs and lifestyle. Case tracking showed that all residents had their needs assessed in this way and they had been actively involved in this process. Once established that Glengarry Court might be a good choice, the prospective resident uses a short period, which is classed as temporary stay, to further decide whether to become a permanent resident at the home. If the decision is to stay, a contract is made between the home and the individual, this applies to both social services funded people and those who fund themselves. These contracts are held in resident’s files and clearly set out the rights of the person, their fees payable whilst living at the home and in the event of admission to hospital. Most residents spoken with on this visit said they had stayed at Glengarry Court for a short period to see if they liked the home, before deciding to live there permanently. Some residents had known others who lived at the home and had been impressed by the staff and the look of the home in general, when they visited their friend or relative. Comments included” I had heard good reports from other people”, and “my friend used to live here, she was always happy when I visited”. Information provided in the AQAA states “more and more people who have heard about the home either by word of mouth or their GP are contacting us with a view to placing their relative with us”. At present Glengarry Court does not offer intermediate care, which is the term used when Social Services or Health Departments contract a number of beds on a permanent basis” Glengarry DS0000009677.V338226.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10. Quality in this outcome area is excellent. Care plans are well detailed which ensures that all carers are aware of the individual’s needs. The health needs of residents are well met and people are treated with dignity and respect. The systems for the administration of medication are clear and comprehensive arrangements are in place to ensure resident’s medication needs are also met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: On admission, each person has their care plan drawn together to establish what the individual needs to be done for them and in which areas they require help. This is done so that their care is right for them but also to encourage their independence. Case tracking showed that good care plans are in place for each resident, these include individual’s likes and dislikes and are reviewed regularly. Residents spoken with, confirmed these were completed with their help and Glengarry DS0000009677.V338226.R01.S.doc Version 5.2 Page 12 were agreed with them. Care plans were based on the person’s individual needs including their religious and cultural needs. Case tracking showed that some residents needed assistance in getting washed and dressed, whilst others needed more help in such tasks. Whilst observing the care given by staff, it was clear that care plans reflected the care needs of the individual. Relatives comments were “the home provides appropriate levels of support” and “most residents appear content”. All residents are registered with a local GP and have access to the same medical services as any person living in the community. District nurse and other medical agencies visit the home when needed, case tracking showed that specialist help is sought appropriately. The different healthcare needs of people are met and the staff and manager do all they can to help people manage their own health needs if they are able to do so. Resident’s may choose to administer their own medication, a locked facility is provided for this. The systems used to administer, store and record medications are good, staff are trained to be competent before they can handle resident’s medication. A local pharmacist visits the home regularly to ensure procedures are correct. Information provided by the home, in the form of an AQAA, includes that residents are treated with the upmost respect, their right to privacy is respected at all times. Any resident wishing assistance with bathing or the use of a commode will be treated with full dignity and privacy. All bedrooms are en suite to ensure personal privacy. Residents may choose to have their own telephone or may use the telephones in the home in private. Information about the home also includes that all laundry is done during the day and ironed at night then returned the next morning or earlier if requested. Glengarry DS0000009677.V338226.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. Religious and recreational needs are catered for, links with the community are good, these support and enrich resident’s chosen lifestyle. The meals are good offering both choice and variety, whilst catering for special dietary needs. This judgement has been made using available evidence including a visit to this service EVIDENCE: The AQAA states that the home enjoys various trips and outings, in house entertainment, weekly therapy classes, and painting lessons, these are all paid by the home. Manicures and facials are free of charge. The home also takes residents out for meals and to shows. The home holds a Summer Fete and has entertainers visiting on a regular basis. A recent outing of 11 residents to a local pub which hosted party afternoons, was a great success. Information provided by the home included that clergy visit regularly and that residents would be assisted in pursuing their individual religious needs elsewhere in the area. Glengarry DS0000009677.V338226.R01.S.doc Version 5.2 Page 14 By talking with residents, it was clear that they are asked to make choices in what to eat, when to rise and retire, how to spend their time, how to furnish their room, who they wish to keep company with and who they nominate to manage their affairs (if they do not want to manage them themselves). They are also asked if they wish to manage their own medication (as mentioned previously) and given a choice of locking their bedroom doors. All residents spoken with said they chose what to do with their time, although they were encouraged to join in activities in a communal setting, their choice to remain in their own rooms or go out into the community, was acknowledged. The home provides a very good standard of food with a varied menu for all mealtimes, residents spoke well of the choices, quality and quantity. When asked “do you like the meals at the home?” all answered positively. Added comments were “very much so, there is a wide range available and the quality is excellent.” One resident said “the food is of good quality, varied and well presented.” The dining room is set out with matching table linen, crockery and fresh flowers on each table. There is plenty of room for all residents to eat at one sitting and room for their visitors too. Diabetic and vegetarian diets are catered for providing equality of choice for all residents. Glengarry DS0000009677.V338226.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 The home has a satisfactory complaints system with evidence that residents feel their views are listened to and acted upon. The staff’s training in the Protection of Vulnerable Adults protects residents from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Information is clearly provided for residents in the event of them, or their relatives wanting to make a complaint about the home or its staff. All residents were asked if there was anything they were not happy with at the home, all spoke very positively about their care, accommodation and management at the home. Since the previous inspection, there have been no complaints received by the Commission for Social Care Inspection. All comment cards received from residents confirmed they knew who to speak to if they were not happy. The manager carries out quality assurance surveys with the residents and relatives, these always include the level of satisfaction experienced, in all areas of care, including any complaints or areas where practices could be better. Glengarry DS0000009677.V338226.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25,26. Quality in this outcome area is excellent. The residents are provided with a clean and comfortable environment, where bedrooms are well personalised. This means that residents will feel at home with their belongings around them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Information in the AQAA included - The home aims to ensure that residents feel at home in their surroundings, they do this by asking them whether or not anything could be improved. Case tracking showed that on an individual basis, aids and adaptations are in place to meet residents’ needs. A range of other aids and adaptations were seen in communal areas, such as, raised toilet seats and a hoist. There is a passenger lift that accommodates a wheelchair, giving those with mobility Glengarry DS0000009677.V338226.R01.S.doc Version 5.2 Page 17 problems equal access to all parts of the home. Doorways to communal areas and bathrooms are wide enough to enable wheelchairs to pass through and wheelchair storage is available. All rooms used by residents have emergency call bells. The home’s pre inspection questionnaire evidenced that checks made on all equipment are kept up to date. The manager ensures all equipment and areas inside and outside the home, are well maintained. All the radiators throughout the home are fitted with touch cool surfaces, to protect residents from the risk of injury. Fail-safe devices are fitted to all hot water outlets used by residents to ensure water is delivered close to 43ºC. Regular checks of water temperatures are made and recorded to maintain safety, a comprehensive record of all work undertaken throughout the home is kept. The premises were found to be clean and free from offensive odours and visitors commented that the home had a good standard of cleanliness. Both from comment cards received and by speaking to residents, it was clear that all are pleased with their accommodation, especially bedrooms. All bedrooms were well personalised with resident’s own furniture and memorabilia. There is a quality monitoring system for the home, this means that the home is keen to ensure that residents is run in their best interests. Glengarry DS0000009677.V338226.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30. Quality in this outcome area is adequate. The numbers of staff on duty were satisfactory to meet the needs of the people living at the home. However some staff files did not contain relevant information and documentation to provide safeguards for the protection of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Many of the staff have been at the home for a long time, there is very little turnover so both staff and residents get to know each other well. All residents spoke highly of the staff, comments included “the staff are very caring and look after my Mother very well” and “pleasant care workers who seem to be long term employees“ A relative added “ Glengarry Court is a small friendly home, the staff treat residents with respect and dignity”. Residents said their call bells were answered promptly during the night and that staff were always pleasant to them. When asked the question “Do staff listen and act on what you say?” the response was positive. Glengarry DS0000009677.V338226.R01.S.doc Version 5.2 Page 19 Despite information provided by the home, confirming that all staff had satisfactory pre employment checks, prior to offering employment, some staff files did not contain all the appropriate information to ensure that persons employed are fit to work at the home and competent to do their jobs. A requirement was made and the home was warned that staff must not be employed until appropriate Criminal Records Bureau clearances were obtained. The home agreed to this and took immediate action. The home was also advised that all employees should provide their work histories, including any gaps in employment, to further safeguard residents, the manager said this would be completed by each staff member. Training is set up and National Vocational Training (NVQ) is ongoing, at present 50 of the care staff, have achieved level 2 or above, this is in keeping with the recommended ratio by the Care Homes Regulations 2000. Staff receive mandatory training in moving and handling, fire safety, first aid, food hygiene, and the administration of medication. A good relationship was noted between staff and residents and there was a relaxed atmosphere throughout the home. Glengarry DS0000009677.V338226.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38. Quality in this outcome area is excellent. The home reviews aspects of its performance through consultation, which includes seeking the views of residents, thereby ensuring the home is run in their best interests. Good procedures are in place to safeguard the financial interest of residents and the management ensures up to date maintenance in the home, this is to protect the health, safety and welfare of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Home continues to be well managed and run on a daily basis by Sue Cottell who is well qualified and has good experience and knowledge of many of the problems that older people develop. Residents and staff respect and like her and find her approachable and friendly. Relatives spoke well of the Glengarry DS0000009677.V338226.R01.S.doc Version 5.2 Page 21 manager, comments received were “we as a family are very happy with the care my Mother receives at Glengarry Court. The manager and staff are very competent, caring and attentive to all her needs.” Risk assessments are undertaken to ensure that people living at the home can be as independent as possible. Resident’ views are sought through their meetings which are held on a regular basis. The minutes from the last meeting showed a good attendance and included suggestions to future outings. Comments about the staff and general running of the home were very good and residents were in general happy with the way their home is run. An inventory of personal goods and furniture brought into the home, is completed for each resident and any financial transaction undertaken on behalf of their behalf is recorded, although the home does not act as appointee for anyone. Residents are encouraged to handle their own finances or elect family or a solicitor to do this for them. Glengarry Court has comprehensive Health & Safety Policies, knowledge of these forms part of staff induction. Risk assessments are carried out in relation to health and safety in the home. The building is checked daily and any necessary repairs / maintenance requirements are recorded. The action to rectify the fault is also recorded, thereby ensuring the safety of the home. Fire drills are carried out, maintenance of equipment is completed and relevant certificates are held. The home has acquired Investors in People and ISO 9001 award. Glengarry DS0000009677.V338226.R01.S.doc Version 5.2 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 X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 4 4 4 4 4 4 STAFFING Standard No Score 27 3 28 1 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 4 X 3 X X 3 Glengarry DS0000009677.V338226.R01.S.doc Version 5.2 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 OP29 Regulation 19 Schedule 2 Requirement All staff files must contain Criminal Records Bureau checks and two written references for each staff member, to ensure that new staff are suitable for the job they apply for. Timescale for action 25/07/07 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 OP29 Good Practice Recommendations Gaps in employment records and work histories should be explored to further ensure that new staff are suitable for the job they apply for. Glengarry DS0000009677.V338226.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 Glengarry DS0000009677.V338226.R01.S.doc Version 5.2 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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