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Inspection on 26/07/06 for Kingshill

Also see our care home review for Kingshill for more information

This inspection was carried out on 26th 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Several of the staff at Kingshill had worked at the home for a number of years; this helps provide good, consistent and reliable care for the residents living at the home. Residents felt comfortable living at Kingshill and enjoyed positive relationships with staff. There is a homely atmosphere, which was evident on entering the building. Staff and visitors are respectfully reminded that the home is the resident`s home and that they are guests in that home. All bedrooms are single and have been decorated to the individual tastes of the resident. A healthy diet is encouraged, however residents have the choice and selection of the meals provided. Staff at the home encourage and support residents to develop new life experiences, for example one resident attends college, two residents go out to a local aerobics classes and one residents attends a gardening/allotment group. Staff assist residents with cookery sessions in the residents kitchen, which residents confirmed that they enjoy planning, shopping for and cooking their own food. Staff also assist residents to use the washing machine for their own laundry and help with some domestic tasks.

What has improved since the last inspection?

Staffing levels have been increased to ensure that residents needs can be fully met.

CARE HOME ADULTS 18-65 Kingshill Kingshill Court Standish Wigan Greater Manchester WN6 0AR Lead Inspector Judith Stanley Unannounced Inspection 26th July 2006 08:45 Kingshill DS0000005742.V298063.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 Kingshill DS0000005742.V298063.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. Kingshill DS0000005742.V298063.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kingshill Address Kingshill Court Standish Wigan Greater Manchester WN6 0AR 01257 421332 01257 427681 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) Making Space Care Home 15 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (15), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (15) Kingshill DS0000005742.V298063.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Home is registered for a maximum of 15 service users to include:up to 15 service users in the category of Mental Disorder (MD) aged 18 - 65 years up to 15 service users in the category of Mental Disorder over 65 years (MD(E)) The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. The Registered Person must ensure that all staff working in the home have mental health training, which equips them to meet the assessed needs of the service users over the age of 65, as defined in the individual plans of care. 9th March 2006 2. 3. Date of last inspection Brief Description of the Service: The company Making Space privately owns Kingshill Care Home. The Home is purpose built and provides accommodation and personal care and support for up to 15 adults, who have been diagnosed with a mental disorder. The home provides 15 single rooms, a lounge, conservatory, dining room, communal toilets and bathing facilities. There is a residents kitchen and laundry facilities. There is a large private garden at the rear of the home. Kingshill is set in its own grounds in a residential area of Standish. Wigan and Standish town centres are easily accessible by public transport. There is car parking to the front of the home. At the time of the inspection the weekly fee charged is £292.98 per week. Additional charges were made for hairdressing, holidays and continence products. Kingshill DS0000005742.V298063.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report has been written using information held on CSCI records and information provided by people who use the service, their relatives, staff at the home, social workers and GPs. A site visit to Kingshill on 26 July 2006 took place over 5¾ hours. The home had not been told beforehand on what day the Inspector would visit. The deputy manager was available to assist with the inspection. The Inspector looked at some records the home holds on residents (care plans) and other paperwork that has to be kept to show that the home is being run properly. To find out more about the home the Inspector spoke with seven residents, three members of staff, the cook and the acting manager who had been away from the home in the morning but was available to speak with the Inspector after lunch. Comment cards asking residents, relatives and professional visitors what they thought about the care at Kingshill had been given out a few weeks before the inspection. Two relatives, ten residents and two health professionals filled in the cards and returned them to the CSCI. One relative stated, “ my relative has been at the home for 17 years, I have no worries or complaints and I am always made to feel like a member of the family when I visit”. One resident said, “I like being here, I like the people”. What the service does well: Several of the staff at Kingshill had worked at the home for a number of years; this helps provide good, consistent and reliable care for the residents living at the home. Residents felt comfortable living at Kingshill and enjoyed positive relationships with staff. There is a homely atmosphere, which was evident on entering the building. Staff and visitors are respectfully reminded that the home is the resident’s home and that they are guests in that home. All bedrooms are single and have been decorated to the individual tastes of the resident. A healthy diet is encouraged, however residents have the choice and selection of the meals provided. Staff at the home encourage and support residents to develop new life experiences, for example one resident attends college, two residents go out to a local aerobics classes and one residents attends a gardening/allotment group. Staff assist residents with cookery sessions in the residents kitchen, which residents confirmed that they enjoy planning, shopping for and cooking their own food. Staff also assist residents to use the washing machine for their own laundry and help with some domestic tasks. Kingshill DS0000005742.V298063.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Kingshill DS0000005742.V298063.R01.S.doc Version 5.2 Page 7 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 Kingshill DS0000005742.V298063.R01.S.doc Version 5.2 Page 8 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 and 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents receive satisfactory information about the home empowering them to make an informed choice prior to admission; the necessary procedures and paperwork are in place to support this process. EVIDENCE: A Statement of Purpose and Service User Guide is available which clearly details the home’s function. A supplementary information pack is also offered to prospective residents and their relatives. This offers further information about some of the different types of mental health illnesses and their symptoms that some residents who suffer from a particular condition may be admitted into Kingshill. Two care plans were examined and they both contained detailed assessments, which had been carried out prior to admission. The care plan of a recent admission was available for inspection and was seen to contain a full assessment of the residents care needs, capabilities and expectations. Feedback from a residents GP indicted satisfaction of the overall care provided to residents within the home and that the staff can demonstrate a clear Kingshill DS0000005742.V298063.R01.S.doc Version 5.2 Page 9 understanding of the care needs of the residents. Discussion with one new resident who had recently moved from another home indicated that she had visited the home prior to moving in to ensure the home was suitable and had been given enough detail about the home and the opportunity to meet residents and staff. Kingshill DS0000005742.V298063.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 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Care plans clearly identified the needs, goals and required action to ensure that staff were consistent in their approach and addressed the residents needs. Residents were involved in making decisions about their lives with support as needed. Risk assessments were in place to enable residents to take responsible risks as part of an independent lifestyle. EVIDENCE: Two care plans were looked at in detail. The care plans included all the necessary information to ensure that resident’s needs were planned for and were met. Plans covered a personal profile, assessment of social, leisure, physical and mental health needs and related risk assessments. Staff had completed and updated the plans as required and as and when any changes to the proposed plans occurred. Preferred daily routines and how much assistance and support the individual needed in these areas were clearly identified. There was evidence of individual goal planning with residents and action relating to Kingshill DS0000005742.V298063.R01.S.doc Version 5.2 Page 11 residents’ involvement in making decisions, for example going into and becoming part of the local community, their leisure needs and development of relationships. There is evidence in the care plans to demonstrate that other health professionals, for example social workers and the Mental Health team had been involved with the residents in the drawing up of the care plans and in residents reviews. Both care plans inspected had been agreed and signed by the residents. Residents spoken with said they were able to make decisions and it was apparent from observation and listening to staff speaking with residents that staff motivated them to do so. Four residents attended different activity groups within the local community and others regularly go out on their own shopping or out to the local pub. Residents are fully involved in the planning and arranging of organised trips and holidays. Kingshill DS0000005742.V298063.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 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents were involved in appropriate activities both in-house and in the community. Personal relationships were encouraged and developed and basic rights assessed in order to provide residents with fuller, more enriched lives. The dietary needs of the residents are well catered for with a balanced and varied selection of foods available that meets the residents’ taste and choices. EVIDENCE: Activities and community contact is good. It is the resident’s choice to join in any of the activities provided by the home. Activities include mobile cinema, shopping trips, cooking, gardening, bowls and dominoes. The home has a separate, quiet room for beauty therapy and Reiki treatment; which is performed by a qualified person who is also a member of staff. Residents had recently been on a trip to Southport and a holiday to Blackpool is planned. Kingshill DS0000005742.V298063.R01.S.doc Version 5.2 Page 13 One residents spoken with said that she went to aerobics with another resident and another goes to a gardening club, this resident is a keen gardener and works in the home’s garden and is currently growing grapes in the greenhouse. There is no resident at the home who is in paid employment, however staff are looking into this with a possibility of this happening. Residents are encouraged to maintain contact with family and friends and family involvement is activity promoted by staff. One completed relatives comment card stated how happy they were with the care their relative receives and that they were always made welcome whenever they visited the home. Resident’s rights were respected in that they were asked for their opinions and involvement in the day-to-day running of the home. They were consulted when care plans were written and reviewed. When restrictions to lifestyle were introduced they were discussed and agreed with residents and recorded. A healthy, balanced diet is planned, however changes to the planned menu may occur depending on residents choices and what they would like to eat that day. Residents said they can have what they want to eat. Residents, in the main were seen to dine together in the dining room; one resident prefers to eat in the conservatory on his own. Residents were seen to assist one another in serving food and with the use of condiments. Some residents have joined in the cookery group and with supervision plan, shop and cook their own meal. One resident told the Inspector that she enjoyed this activity and enjoyed her own cooked food. Kingshill DS0000005742.V298063.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 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Staff provide sensitive and flexible personal support to maximise residents privacy, dignity, independence and control over their lives. The health care needs of the residents are assessed and recognised and procedures are in place to address them. Appropriate systems are in place with regard to the administration and storage of medication to ensure that resident’s medication is properly administered. EVIDENCE: Staff had the necessary knowledge and skill to identify all needs and always work independently and appropriately with residents. Staff on duty acted in the residents’ best interests to meet the identified needs of the residents. Staff were observed encouraging residents to take responsibility for personal hygiene and appearance, for example, one resident was going out to the pub and looked a little dishevelled, the deputy manager discreetly spoke to the resident who agreed with her comments regarding his attire and went to Kingshill DS0000005742.V298063.R01.S.doc Version 5.2 Page 15 change his soiled clothing and then went out of the home appropriately dressed. Staff confirmed they accompanied residents as and when required to health and social appointments and encouraged them to participate in activities both in and outside Kingshill. Residents were happy with the approach staff took and observation indicated they enjoyed good relationships with staff. Resident’s physical and healthcare needs are constantly assessed to ensure the resident’s needs are being met. Medication storage, administration and recording were checked. Storage of medication including controlled drugs were seen to be secure. Staff administering medication had received appropriate training and a list of signatures provided confirmed which staff could administer medication. Medication records were checked and no discrepancies were found. Kingshill DS0000005742.V298063.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 and 23 Quality in this outcome area is good. This judgement was made using available evidence including a visit to the service. The home had a good complaints system, which residents can use if they are unhappy. Systems are in place to protect residents from abuse in any of its forms. EVIDENCE: The home has a complaints procedure in place. Two residents spoken with said they had no complaints about the home or the staff. When asked what they would do if they were unhappy both said they would tell a member of staff, they felt confident that any problems would be dealt with. There have been no complaints made to the management of the home and none to CSCI since the last inspection. The home has policies and procedures in place regarding the protection of vulnerable adults. Some staff had completed training in Protection of Vulnerable Adults. Further dates have been booked for all staff to undertake training in this area. Kingshill DS0000005742.V298063.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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The standard of furnishings and fittings within the home are good, providing residents with a homely, safe, clean and comfortable environment for residents to live in. Infection control procedures are good, making this a clean environment for residents. EVIDENCE: A homely environment was provided and all residents had single rooms. A tour of the premises showed that the home is spacious, well decorated and well equipped. There was evidence of some refurbishment and one resident invited the Inspector to look at her bedroom, which had recently been decorated to her choice and with lots of her own personal possessions brought with her when she moved in. The communal areas were comfortable and tastefully decorated. There is a programme of routine maintenance to keep the home in good order both inside and outside. The home is clean and free Kingshill DS0000005742.V298063.R01.S.doc Version 5.2 Page 18 from any adverse odours making it a pleasant home for residents and their visitors. There is a large private garden to the rear of the home, which is accessible and provides residents with a safe area for residents to walk around or sit in. There are tables and chairs to sit out at the front of the home. The home’s laundry is well equipped and there is also a washing machine in the resident’s kitchen where some residents can do their own washing if they wish. Kingshill DS0000005742.V298063.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, 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Sufficient staff with adequate experience and training were on duty to meet the needs of the residents. The home’s recruitment and selection procedures are good with appropriate checks being carried out to safeguard the residents living at the home. EVIDENCE: The home has a staff -training programme offering staff access to mandatory training and specialist training as and when necessary. On the day of the Inspection all staff attended the home for up to fire training. Information sent to CSCI prior to the inspection indicated that 2 staff had completed NVQ level 4, 3 staff had completed NVQ level 3, all staff had NVQ level 2, further training includes first aid, safeguarding adults, challenging behaviour, and understanding schizophrenia. One member of staff spoken with confirmed that the training opportunities provided by the company was good and relevant to their work. Kingshill DS0000005742.V298063.R01.S.doc Version 5.2 Page 20 The home has comprehensive recruitment and selection policies and procedures in place. Two staff files were examined and eventually all the relevant information made available to the Inspector. The staff files are in need of organising so that all the information is kept together. Some information had to be obtained from head office for example Criminal Records checks and references. It would be beneficial if this information were readily available on site. Information regarding staff training and copies of certificates need to be updated in files. There was evidence of staff supervision and appraisals. There has been a recruitment drive and the home is now working with satisfactory staffing levels. The company have now recruited a new manager who is in the process of applying for registration with the CSCI. One new member of staff was spoken with and confirmed that all the necessary checks, had been completed prior to starting work at the home and since starting had worked through a full induction programme. Kingshill DS0000005742.V298063.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 and 42 Quality in this outcome area is good. This judgement was made using available evidence including a visit to the service. In the absence of a registered manager the home has continued to run effectively, efficiently, safely and for the benefit of the residents. Quality assurance systems are in place to ensure the home is run in the best interests of the residents. Policies and practices within the home promote and safeguard the health, safety and welfare of people living and working at the home. EVIDENCE: The home has been without a registered manager for several months. A new manager has been appointed from one of the companies other homes and is currently applying for registration with the CSCI. The home has been well Kingshill DS0000005742.V298063.R01.S.doc Version 5.2 Page 22 managed by the home’s deputy managers who have worked at the home for a number of years and are familiar with the day-to-day running of the home. Systems are in place for auditing and monitoring the quality of the service. This is done through residents and relatives meetings, satisfaction questionnaires and with daily communication with the residents. A representative of the company visits the home at least monthly and provides a written report of his/her findings. Information obtained prior to the inspection indicted that maintenance checks had been completed and were up to date. The deputy manager was able to produce certificates to verify this information was correct. Accidents, injuries and incidents were suitably reported and recorded and the CSCI notified as required. During the inspection safe working practices were observed within the home. Kingshill DS0000005742.V298063.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 3 2 3 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 3 23 2 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 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 x 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 3 x 3 x 3 x x 3 x Kingshill DS0000005742.V298063.R01.S.doc Version 5.2 Page 24 Yes 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 YA23 Regulation 12 Requirement Continued training for all support staff and managers to receive training in the protection of vulnerable adults. (Ongoing from the last inspection) The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. (Currently undergoing registration with CSCI) Timescale for action 29/12/06 3. YA37 8 30/09/06 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 Refer to Standard YA34 Good Practice Recommendations Staff files would benefit from being organised into a suitable format and other relevant information eg. references and evidence of CRB checks being kept in site. Kingshill DS0000005742.V298063.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG 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 Kingshill DS0000005742.V298063.R01.S.doc Version 5.2 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. 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