Inspection on 19/07/06 for Glenholme

This inspection was carried out on 19th July 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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Glenholme 13/07/07

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Glenholme 94 Green Lane West Vale Halifax HX4 8BL Lead Inspector Liz Cuddington Unannounced Inspection 19th July 2006 12:00 Glenholme DS0000067105.V294327.R01.S.doc Version 5.2 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 Glenholme DS0000067105.V294327.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 Adults 18-65. 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. Glenholme DS0000067105.V294327.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Glenholme Address 94 Green Lane West Vale Halifax HX4 8BL 01422 372985 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) St Anne`s Community Services Karen Parrish Care Home 14 Category(ies) of Learning disability (14) registration, with number of places Glenholme DS0000067105.V294327.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection New Service Brief Description of the Service: Glenholme is a respite care centre offering short term breaks for younger adults with a learning difficulty. It is a large house providing single bedroom accommodation for fourteen men and women. Ten of the bedrooms have en suite facilities. There are two large lounges and a comfortable seating area in the hallway. There is a separate kitchen for guests to use if they wish. The house is on a bus route and there is ample parking at the rear of the building. From the outside there is level access into the house and passenger lifts inside make all the rooms accessible. The fees are paid through Social Services. There is a charge of 55p per mile for use of the centre’s vehicle. Glenholme DS0000067105.V294327.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. In April 2006 the Commission for Social Care Inspection (CSCI) made some changes to the way in which care services are inspected. Care services are now judged against outcome groups. The inspection report is divided into separate sections for each outcome group, for example ‘Choice of Home’, ‘Personal and Healthcare Support’. An overall judgement is made for each outcome group based on the findings of the inspection. The judgements reflect how well the service delivers these outcomes to the people who use the service. The judgement categories are “excellent”, “good”, “adequate” and “poor”. The judgements are recorded in the main body of this report. More detailed information about these changes is available on our website – www.csci.org.uk Over an inspection year care homes usually have one or two inspections; these may be announced or unannounced. Glenholme is a newly registered service and this was the first unannounced inspection. One inspector carried out the site visit, which lasted six and a half hours. The methods I used to gather information included conversations with guests and staff, case tracking, examining records and touring the house. As this service only started in April 2006 I did not send out questionnaires for guests and their relatives to complete, on this occasion. This purpose of the inspection was to assess a selection of the National Minimum Standards for Younger Adults. I looked at thirty-two of the fortythree standards. Two requirements and eight good practice recommendations have been made. Although there are a number of areas for improvement, the outcomes for guests in seven of the eight outcome groups were judged to be “good”. Just one group was judged as “adequate”. I would like to thank everyone at Glenholme for their welcome and hospitality during the inspection. What the service does well: The ladies and gentlemen who stay at Glenholme make their own decisions about how they prefer to spend their time. Each guest’s file contained a chart showing what the individual had chosen to do each day. The menus are varied and any assistance needed at mealtimes is offered discreetly. The staff are aware of each person’s dietary requirements. Staff spent time with the people staying at Glenholme and the interaction between them was friendly and natural. Staff were aware of the needs of each guest Glenholme DS0000067105.V294327.R01.S.doc Version 5.2 Page 6 and how these were to be met. Guests’ privacy and dignity was respected at all times. The staff were clear about their role and what was expected of them. The guests I spoke with said they were satisfied with the care and support they receive. The medicines are securely kept and the tablets and records I checked showed that administration and recording is accurate. The organisation’s policies and procedures and staff training support the adult protection and complaints procedures. Most of the house has been re-decorated and the lounges, bedrooms and hallways are fresh and attractive. The house is safe, clean and hygienic throughout. All parts of the house are accessible and there are handrails, lifts and level access showers fitted, as well as more specialised equipment. The lounges and bedrooms are spacious, and there are plenty of bathrooms and toilets near to all the rooms. The staff training programme is comprehensive and designed to equip staff to understand and meet the needs of the guests. Individual staff supervision is taking place. There was evidence of good leadership within the home and all staff appeared to be aware of their role and responsibilities. Staff have taken basic health and safety training, including moving and handling and first aid. Fire drills and equipment tests have taken place. Infection control measures were in place and I saw plenty of disposable gloves and aprons, as well as disinfecting hand rub for staff to use. What has improved since the last inspection? What they could do better: The Statement of Purpose and Service Users’ Guide need development in order to reflect the services available. The complaints leaflet could be made more ‘user-friendly’. All guests’ personal files need to include detailed pre-admission assessments. The quantity of all liquid medication received into the home needs to be recorded. Chairs and tables would be a useful addition to the bedrooms and the en suite toilets need to be decorated. Glenholme DS0000067105.V294327.R01.S.doc Version 5.2 Page 7 The staff training files should be kept up to date to reflect the training which has taken place and show future, planned training. The quality assurance system needs to be further developed. A better sluicing system for soiled laundry, such as a washing machine with an integral sluice programme, would support the existing infection control measures. Refrigerator, deep freezer and hot food temperatures need to be taken and recorded daily. 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. Glenholme DS0000067105.V294327.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Glenholme DS0000067105.V294327.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 Quality in this outcome area is adequate. This judgement has been made using the available evidence, including a visit to the service. The Statement of Purpose and Service Users’ Guide do not contain all the necessary information. The personal files did not all include a pre-admission assessment. EVIDENCE: The Statement of Purpose needs further development to include all the information listed in Schedule 1 of the Care Homes Regulations 2001. The Service Users’ Guide needs to be re-written to include the information outlined in Regulation 5 of the Care Homes Regulations 2001. At present neither document reflects the range of services offered at Glenholme. Each guest has an individual care plan. At present these are under review, following the transfer of the respite service from other establishments. One of the four files I examined did not include a pre-admission assessment of the person’s needs. Glenholme DS0000067105.V294327.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is good. This judgement has been made using the available evidence, including a visit to the service. The individual care plan files are still being completed. Guests choose how to spend each day and staff offer the level of support needed. Risk assessments are carried out for each person. EVIDENCE: At present most of the guests’ files contain documents transferred from the previous service providers and the information varies in quality and depth. A new pro-forma has been produced which is to be used for the care plans. It appears to be comprehensive and includes illustrations making the plan easier to follow. The staff were working hard to complete these for each guest. Standard 6 will be assessed in more detail at the next inspection. During the day I saw evidence that the ladies and gentlemen who stay at Glenholme make their own decisions about how they prefer to spend their time. Each file contained a chart showing what the individual had chosen to do each day. There were risk assessments in each file showing how individual Glenholme DS0000067105.V294327.R01.S.doc Version 5.2 Page 11 risks had been assessed and acted upon and daily records are kept for each person. On the day of the inspection there was a birthday celebration for one of the guests and everyone enjoyed a special buffet meal and birthday cake. Glenholme DS0000067105.V294327.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the 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, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using the available evidence, including a visit to the service. Individual needs and preferences are respected and supported. The meals are good and varied and any assistance needed is offered discreetly. Privacy and dignity is respected. EVIDENCE: The guests at Glenholme use the local community facilities if they wish. Conversations with staff confirmed that cultural diversity is recognised and understood. For example, Halall meat is purchased when required. The staff escort guests to their outside activities, if needed. Glenholme has its own minibus for guests to use, or people may prefer to use public transport. Guests’ families and visitors are made welcome and staff told me that guests choose where, and how to receive their visitors. Friendships are supported and people are able to follow their individual preferences. If they choose, guests continue to follow their usual pursuits while staying at Glenholme. Glenholme DS0000067105.V294327.R01.S.doc Version 5.2 Page 13 The guests have a key for their own bedroom, if they wish. Some of the rooms were locked when I toured the house, but there were no lockable storage spaces in the bedrooms. During the inspection I observed that staff spent time with the people staying at Glenholme and the interaction between them was friendly and natural. Guests’ privacy and dignity was seen to be respected at all times. Guests do not have any housekeeping responsibilities but are supported to prepare meals, bake, wash up and make drinks if they wish. The menus are varied and records are kept of the meals each guest has eaten. The main meal of the day is in the evening and the guests usually eat together, unless they prefer to make other arrangements. I saw evidence that the staff are aware of each person’s dietary requirements and that these needs are catered for. The care and support plans detail any assistance that is needed at mealtimes. I saw staff supporting guests during a meal discreetly and in ways which were appropriate to their needs. Glenholme DS0000067105.V294327.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using the available evidence, including a visit to the service. Staff know and understand how to meet guests’ needs. The care plans include the information required and will improve when transferred to the new format. Medicines are administered and stored correctly. EVIDENCE: I looked at a selection of the care and support plans for guests who were staying at Glenholme. They included information about how individuals prefer to have their care and support provided. Conversations with staff, and my own observations confirmed that the staff are aware of the needs of each guest and how these are to be met. There are adaptations at Glenholme to suit individual requirements. People’s healthcare needs are primarily dealt with from their own homes, but support is available to access healthcare while staying at Glenholme. The new format for the care plans will make them more user-friendly and show clearly how the guests’ needs are to be met. Glenholme DS0000067105.V294327.R01.S.doc Version 5.2 Page 15 I examined the medicine storage and recording systems. The medicines are securely kept and the tablets and records I checked showed that administration and recording is accurate. The quantity of all liquid medicines received should also be recorded. Any bottles that are already started when brought in to the home should have the approximate quantity noted. Glenholme DS0000067105.V294327.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using the available evidence, including a visit to the service. The policies and procedures and staff training support the adult protection and complaints procedures. A new complaints information leaflet for guests needs to be developed. EVIDENCE: There are complaints handling and adult protection policies and procedures in place. The current leaflet explaining how to make a complaint is not suitable for the service user group. The language and layout of the current leaflet makes it inaccessible. The home did have other information, which included illustrations, and which may be more suitable. Some of the staff said they were taking protection of vulnerable adults training and training on managing violence and aggression. Glenholme DS0000067105.V294327.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using the available evidence, including a visit to the service. The house is spacious, clean, well decorated and comfortably furnished throughout. There are no lockable spaces, chairs or tables in the bedrooms. There are plenty of conveniently sited toilets and suitable bathrooms. The home has the equipment and adaptations needed by the guests. EVIDENCE: Most of the house has been re-decorated and the lounges, bedrooms and hallways are fresh and attractive. There is still some work to be done and the en-suite rooms need to be decorated. A walk round the house showed that it is safe, clean, hygienic and odour free. All parts of the house are accessible and there are handrails, lifts and level access showers. The lounges and bedrooms are spacious, with plenty of room for any special equipment which may be needed. The bedrooms are furnished with comfortable beds and good quality, coordinated carpets and soft furnishings. Although there are wardrobes and Glenholme DS0000067105.V294327.R01.S.doc Version 5.2 Page 18 drawers, the rooms do not have armchairs or tables. The bedrooms can be locked but they do not have a separate, lockable storage space in the room. There are plenty of bathrooms and toilets near to all the rooms. There are special beds, hoists and shower chairs for people who need them. The upstairs bedrooms do not have a ‘nurse call’ system. People who have higher support needs use the downstairs bedrooms, where two-way intercom systems are installed. The manager told me that use of the intercom is agreed with the guest’s family. There are waking night staff on duty to make sure everyone is all right. There are three large, comfortable seating areas downstairs and the manager said that they are considering creating a small upstairs sitting room as well. Glenholme DS0000067105.V294327.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 & 36 Quality in this outcome area is good. This judgement has been made using the available evidence, including a visit to the service. The numbers and skill mix of staff is sufficient to meet the guests’ needs. The staff are clear about their role and what is expected of them. The care and support guests receive is appropriate to their needs. The training programme is comprehensive and designed to equip staff to understand and meet the needs of the guests. The necessary checks on new staff are carried out at recruitment. Individual staff supervision is taking place. EVIDENCE: During the inspection I talked with both new and experienced staff. We discussed how they learn about the guests’ different needs, and the various communication methods used by the people who use the service. At present there are seventy-eight people registered to have respite at Glenholme, which makes it a complex task. The staff explained to me the induction training programme for new recruits and the courses they take. The induction period is followed by the Learning Disability Awards Framework (LDAF) foundation training and then staff can go on to take a suitable National Vocational Qualification (NVQ). New staff also spend time ‘shadowing’ an experienced, senior colleague. Glenholme DS0000067105.V294327.R01.S.doc Version 5.2 Page 20 Each staff member has a training file, which includes a profile of the individual. The files I looked at did not fully reflect the range of training that staff had completed or planned. The home’s recruitment files are kept at the organisation’s head office. The staff files at the home did show that Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) checks had been carried out. New staff have a six month probationary period to be completed satisfactorily, before being confirmed in post. The staff files showed that individual supervision is taking place regularly. At present the manager and deputy manager are doing all the supervision, but there are plans for senior staff to be trained to take over some of this work. Glenholme DS0000067105.V294327.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 41 & 42 Quality in this outcome area is good. This judgement has been made using the available evidence, including a visit to the service. There was good leadership within the home. Staff have taken health and safety training and fire safety has been addressed. The quality assurance system needs development. Confidential information is securely stored. In general infection control and hygiene are maintained, although there are areas for improvement. EVIDENCE: The home’s manager has the qualifications and experience necessary to manage the home effectively. There was evidence of good leadership within the home and all staff appeared to be aware of their role and responsibilities. As this is a new service the quality assurance system has not been fully developed. The home recently invited service users and families to an ‘Open Day’ and the manager plans to send out questionnaires to people who use the Glenholme DS0000067105.V294327.R01.S.doc Version 5.2 Page 22 respite service and their families. There have also been discussions about setting up a carers’ forum. Confidential records are securely stored in an office, which is kept locked when unoccupied. Staff files showed that they have taken basic health and safety training, including moving and handling and first aid. The records show that fire safety training for staff, fire drills and equipment tests have taken place. The Fire Safety Officer has visited to offer advice and check fire safety arrangements. The washbasin bowl in one bedroom was not securely attached to the pedestal. The manager said that the room would not be used until it was made safe. The kitchen was clean and hygienic. The refrigerator, deep freezer and hot food temperatures were not being taken and recorded daily. When I checked the refrigerators the temperatures were 8 degrees Celsius, which is higher than the acceptable range. There was good written information in the kitchen reminding staff to date and wrap all opened food packages. Infection control measures were in place. Throughout the home I saw plenty of disposable gloves, aprons and disinfecting hand rub for staff to use. The laundry is clean and hygienic. As well as the washers and driers, there is an open sink sluice and a separate wash hand basin. Good hygiene practice and infection control would be helped if one of the washing machines were to be replaced with a model that has an integral sluice wash programme. Glenholme DS0000067105.V294327.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 1 2 2 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 2 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 2 X 3 2 X Glenholme DS0000067105.V294327.R01.S.doc Version 5.2 Page 24 N/A Are there any outstanding requirements from the last inspection? 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 YA1 Regulation Schedule 1 4(1) & 5(1) 14(1) Requirement The Statement of Purpose and Service Users’ Guide must contain all the necessary information. Service users files must include a pre-admission assessment. Timescale for action 31/10/06 2. YA2 31/10/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. 6. 7. 8. Refer to Standard YA20 YA22 YA24 YA26 YA35 YA39 YA42 Good Practice Recommendations Quantities of all liquid medicines brought into the home should be recorded. A more suitable complaints leaflet for service users should be developed. The en suite toilets should be decorated. Bedrooms should have a table, chairs and a lockable storage space. Staff training files should reflect the training they have taken and have planned. The quality assurance system needs further development. The home should consider replacing one of the washing machines with a model that includes a sluice wash programme. Refrigerator, deep freezer and hot food temperatures should be taken and recorded daily. DS0000067105.V294327.R01.S.doc Version 5.2 Page 25 YA42 Glenholme Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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. 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