Inspection on 16/07/08 for Selkirk Wing

This inspection was carried out on 16th July 2008.

CSCI found this care home to be providing an Adequate service.

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

Selkirk Wing 17/07/07

Selkirk Wing 27/11/06

Selkirk Wing 25/01/06

Selkirk Wing 22/09/05

Selkirk Wing 14/03/05

Selkirk Wing 10/05/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/11/2008.

CARE HOMES FOR OLDER PEOPLE Selkirk Wing Woodcote Grove House Woodcote Park Meadow Hill Coulsdon CR5 2XL Lead Inspector Mohammad Peerbux Unannounced Inspection 09:10 16th, 17th and 22nd July 2008 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 Selkirk Wing DS0000019120.V368267.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. Selkirk Wing DS0000019120.V368267.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Selkirk Wing Address Woodcote Grove House Woodcote Park Meadow Hill Coulsdon CR5 2XL 020 8660 7656 020 8668 6411 manager@selkirk.fote.org.uk 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) Friends of the Elderly Ms Susan Guyon Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Selkirk Wing DS0000019120.V368267.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home with nursing (CRH - N) to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: 2. Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 20 17th July 2007 Date of last inspection Brief Description of the Service: Selkirk Wing is the nursing wing of Woodcote House and is situated in Coulsdon and owned by the registered charity Friends of the Elderly. It is registered by The Commission for Social Care Inspection to provide nursing care for up to twenty elderly people. It is part of a large property set in secluded wellmaintained grounds and surrounded by paddocks and woods. The grounds are over forty-five acres and include flowerbeds, lawns and patio areas. Adjacent to the home is a golf club with a clubhouse. The home is accessed by a private road and there is ample car parking. Accommodation is provided on the ground floor and communal facilities include a lounge with a dining area, hairdressing room and a chapel. The home is situated a few miles from local transport and shopping facilities. The weekly fee is around £776. Selkirk Wing DS0000019120.V368267.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is one star. This means the people who use this service experience adequate quality outcomes. This unannounced visit to the home was undertaken as a part of the inspection process for the year 2008/2009 and conducted over three days. In writing the report, consideration has also been given to information received throughout the year such as comments from people who use the service, reports of incidents and complaints. Some of the residents were spoken to and they commented positively on the care they are receiving. One resident stated, “Staff are very nice and treat you very good here ”. They are all thanked for their time and all of those who provided feedback for their support in the inspection process. A tour of the building was also carried out. What the service does well: Comments from residents were generally positive, with indication that staff is kind and helpful in meeting their care needs. Residents were observed to be treated with respect by staff and to have their privacy and dignity respected. They are actively encouraged to keep in contact with family and friends living in the community. Visitors are welcome at any time and facilities are available for them. The service actively supports people to be independent and involved in all areas of daily living in the home. Good practice may include individuals being supported to be independent in the process following training and support. Residents are actively encouraged to keep in contact with family and friends living in the community. Visitors are welcome at any time and facilities are available for them. The home has a training plan and intends to train its staff in health care to achieve accreditation. Selkirk Wing DS0000019120.V368267.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. The summary of this inspection report can be made available in other formats on request. Selkirk Wing DS0000019120.V368267.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Selkirk Wing DS0000019120.V368267.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home undertakes an assessment of the healthcare needs of residents prior to their admission however the assessment is not always completed fully so it would be difficult to ensure that all the residents’ needs would be met. EVIDENCE: The home considers the needs assessment for each prospective resident before agreeing admission to the home. Three residents’ files were sampled at random and they all had a pre-admission assessment carried out. However it was noted that two of the assessments had not been completed fully. One example is the allergies of two residents were not identified. If the assessor is unable to gather information about a resident during the pre admission assessment process, this must be noted on the assessment. Without a comprehensive assessment, an initial care plan would be difficult to develop and without such staff would be unable to provide the care required. It would Selkirk Wing DS0000019120.V368267.R01.S.doc Version 5.2 Page 9 also impact on the home’s ability to offer a placement, if they were not fully aware of the presenting needs of the resident. A full needs assessment must be undertaken to ensure that the home is able to meet the assessed needs of the prospective resident. It is also recommended that a date is included on the assessment, as two of the assessments were not dated. Intermediate care for rehabilitation and return to the community is not provided by this home. Selkirk Wing DS0000019120.V368267.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents’ health, personal and social care needs are not being appropriately met as their care plans are not being reviewed and updated to reflect their changing needs. The practices for administration of medications are not always consistent and could potentially place residents at risk. EVIDENCE: Three residents’ care plans were sampled at random and it was noted they generally included information necessary to deliver the resident’s care but did not cover all the residents’ needs. For example one resident suffers from high blood pressure and angina, these were not covered in her care plan. This was discussed with the manager. She stated that because the resident did not suffer from high blood pressure anymore that is why there was no care plan in place. She also stated that the General Practioner has discontinued the Selkirk Wing DS0000019120.V368267.R01.S.doc Version 5.2 Page 11 resident medication regarding her blood pressure. The resident also suffers from angina and again there was no care plan related to this diagnosis. While checking through the resident’s file it was also noted that the staff had recorded that the resident suffers from low blood pressure. Residents’ care plans must include all aspects of their health, personal and social care needs to ensure that all their needs are met. From the three care plans, which were sampled at random, it was noted that two of them had not been reviewed recently. For one of the resident some of her care plans were reviewed however the review dates on three of them were 23/05/08.The manager stated that may be the staff who was carrying out the reviews got disturbed during the process, that is why not all of them had been reviewed. On the first day of inspection when this was identified, we advised the home to ensure that the care plans are reviewed however on the following day, it was noted that the staff had reviewed the care plans in retrospect that is they were dated as 25/06/08 instead of 16th or 17th July 2008 depending on which day they were reviewed. The second care plan was last reviewed on 06/06/08.The manager informed that the named nurse was on annual leave and that was the reason why the care plans had not be reviewed and updated. Residents’ care plans must be reviewed by care staff in the home at least once a month, updated to reflect changing needs and current objectives for health and personal care, and actioned. This will ensure that all their needs are being met. In the absence of the named nurse, another staff must be delegated that responsibility. The home actively promotes the residents’ right of access to the health and remedial services that they need, both within the home and in the community. However as mentioned above residents’ needs are not always identified and covered in their assessments and care plans so it would difficult for staff to meet them fully. There was evidence in the care plans of health care treatment and intervention, and a record of visiting professionals. The medication administration records were audited. There were several instances where prescribed medication had been omitted or administered but signed or not signed for. While it transpired that there were acceptable explanations for this, these explanations had not been recorded. In all cases where medication is not given as prescribed, staff must ensure that they record the reason for this. The administration/non-administration of all medication must be recorded accurately at all times for the health and safety of residents. The Commission is concerned that despite medication audits being carried out on a daily basis to check if staff had signed the MAR sheets, those missing signatures were not identified. Selkirk Wing DS0000019120.V368267.R01.S.doc Version 5.2 Page 12 While checking the MAR sheets for one resident, it was observed that there were 4 missing signatures for Calcium Ergocal Tabs 400IU for the 10,11,12 and 13 of July 2008 and 2 missing signatures for Salbutamol Inhaler CFC Free for 12 and 13 of July 2008.On the second visit it was noted that one member of staff had signed in retrospect for the 12th July 2008 for both medication mentioned above. This service is a care home (nursing), which employs registered nurses. The Nursing and Midwifery Council (NMC) Code of Professional Conduct requires each nurse to be individually accountable for making sure that all medicines are administered correctly. All staff must make an accurate record, immediately after observing a resident taking or refusing their medicines. It was previously required that the home must ensure that all item of medication are within their use by date so that residents are not put at risk. During this inspection again a number of items of medication were out of date. The staff on duty stated that there are regular audits being carried out to check the expiry dates of medication. This requirement has not been met and the Commission might consider enforcement action for repeated failure. It was positively noted that residents’ medications are reviewed on a six monthly basis by the General Practioner. Staff in the home are aware of the need to treat residents with respect and to consider dignity when delivering personal care. The home arranges for residents to enjoy the privacy of their own rooms. Residents who were spoken to stated that they are happy with the way that the staff deliver their care and respect their dignity. One resident stated, “Staff are very nice and treat you very good here ”. Another resident stated, “I am happy here”. Observation of the staff team interacting with the residents showed that the carers were mindful how they addressed residents, and they were seen to be polite and friendly. Selkirk Wing DS0000019120.V368267.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 and 15 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home tries to be flexible and attempts to provide a service, which is as individual as possible. Dietary needs are well catered for and a well balanced diet is provided, to ensure health and enjoyment of food. EVIDENCE: People using the service are given the opportunity to take part in a variety of activities both within the home and in the community. Where possible, staff gather information on community-based events and try to make individual arrangements for people to attend. The activity coordinator stated that not all residents are willing to take part in activities. They prefer the staff to sit and talk to them. Residents have the opportunity to exercise their choice in relation to leisure and social activities, cultural interests, food, meals, and mealtimes, personal and social relationships, etc. The home has open visiting arrangements and residents know they can entertain their family and friends in their own room. If they prefer they can Selkirk Wing DS0000019120.V368267.R01.S.doc Version 5.2 Page 14 use communal areas of the home to talk to visitors. The home is committed to the principles of inclusion and promotes and fosters good relationships with neighbours and other members of the community. Maintaining independence and enabling residents to make their own decisions about how they wish to live is a key objective of the home. Residents have the choice to bring personal possessions with them on admission to the home and are encouraged to keep personal items, which are important to them in their own room. The “personalisation” of individual bedrooms is encouraged. It was clear from the menus that a wide variety of different food options were available in the home with a lot of consideration given to the nutritional value of the meals provided. Staff are ready to offer assistance in eating where necessary, discreetly, sensitively and individually, while independent eating is encouraged for as long as possible. The chef consults with residents and tries to meet the preferences and suggested dishes when preparing the menu. The home has introduced a system where residents can comment on the quality of food being served in the home. Selkirk Wing DS0000019120.V368267.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 and 18 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Complaints are generally managed well, which should ensure that residents’ and relatives’ concerns are listened to. EVIDENCE: The home has a complaints procedure that generally meets the national minimum standards and regulations. It keeps a full record of complaints and this includes details of the investigation and any actions taken. Unless there are exceptional circumstances the service always responds within the agreed timescale. There are policies and procedures for safeguarding people who use the service. As part of the inspection process the qualified nurse in charge was interviewed on her knowledge for reporting alleged abuse. She stated that she would investigate any incident of alleged abuse. This is very concerning to the Commission as this would contaminate any investigation that would be carried out by the Care Management Team. All staff especially staff who are shift leaders must have refresher training in the prevention of residents from being harmed or suffering abuse or being placed at risk of harm and/or abuse. Their knowledge and understanding in this area must also be constantly checked at team meetings and during supervision sessions. The organisation is currently running this training. Selkirk Wing DS0000019120.V368267.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 and 26 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is generally hygienic and clean, homely and comfortable; this environment therefore facilitates the residents’ health and emotional wellbeing. EVIDENCE: The home is suitable for its stated purpose. It is accessible, meet residents’ individual and collective needs in a comfortable and homely way. Residents’ bedrooms are personalised to reflect their individual needs, and personalities. Overall the home was decorated to a good standard throughout and appeared to be very comfortable, bright and warm. The home has a rolling maintenance programme in place. Selkirk Wing DS0000019120.V368267.R01.S.doc Version 5.2 Page 17 The home is kept clean and hygienic and free from offensive odours throughout. Systems are in place to control infection in accordance with relevant legislation and published professional guidance. Selkirk Wing DS0000019120.V368267.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 and 30 People using the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has the numbers and skill mix of staff sufficient to meet residents’ needs and ensure their safety however there are some gaps in the training programme. EVIDENCE: People have confidence in the staff who care for them. Copies of staff rotas show well thought out and creative ways of making sure that the home is staffed efficiently, with particular attention given to busy times of the day and changing needs of the residents. The registered manager informed that more than 50 of staff have an NVQ level qualification at level 2. Recruitment procedures seemed appropriate. Two staff files were examined at random and found to contain all the information required by the Care Homes Regulations 2001 including a completed job application, terms and conditions of employment, an enhanced CRB check and proof of their identity. Selkirk Wing DS0000019120.V368267.R01.S.doc Version 5.2 Page 19 The home ensures that all staff within its organisation receives relevant training that is targeted and focussed on improving outcomes for residents. The manager is aware that there are some gaps in the training programme. These are being addressed and further training sessions have been arranged. All staff must be up to date with their mandatory training to ensure residents continue to receive care as is reasonable to meet their needs. Selkirk Wing DS0000019120.V368267.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 and 38 People using the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home generally provides guidance and direction to staff to ensure residents receive consistent quality care. There is a quality monitoring system and this ensures the home is run in a way that is in the best interests of the residents. EVIDENCE: The manager is qualified and has the necessary experience to run the home. She is aware of and works to the basic processes set out in the NMS. She works to continuously improve services and provide an increased quality of life for residents. Selkirk Wing DS0000019120.V368267.R01.S.doc Version 5.2 Page 21 Effective quality assurance and quality monitoring systems, based on seeking the views of residents, are in place to measure success in meeting the aims, objectives and statement of purpose of the home. The staff informed that small amounts of money are kept in separate envelopes for each resident with a running balance sheet appropriately maintained for sundries, such as hairdressing costs. A sample of these was seen and was accurate and well maintained. This is in line with a requirement made at the last inspection. Checks show that records are generally up to date however medication administration records are not being signed immediately when items of medication are being administered by staff. All records in the home must be kept accurate and up to date at all times to ensure that residents’ rights and best interests are being safeguarded. Confidential information relating to residents and staff are now being stored safely and confidentially and access should be limited to only those who need to know. This is in line with a requirement made at the last inspection. Records of routine maintenances of equipment were seen and were up to date. The Commission is also concerned about the lack of security in the home. On the day of the inspection the front door was unlocked. We were able to gain access to the building without being challenged by a member of staff who was in the corridor. The home looks after vulnerable people and the registered provider is failing to ensure that the residents and staff are safe at all times. The security at the entrance of the home must be improved to ensure the safety of residents and staff. This was also a concern during an inspection in November 2006. Selkirk Wing DS0000019120.V368267.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 X X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 1 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X 2 2 Selkirk Wing DS0000019120.V368267.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 OP3 Regulation 14 Schedule 3 1(a) Requirement A full needs assessment must be undertaken to ensure that the home is able to meet the assessed needs of the prospective resident. Residents’ care plans must include all aspects of their health, personal and social care needs to ensure that all their needs are met. Residents’ care plans must be reviewed by care staff in the home at least once a month, updated to reflect changing needs and current objectives for health and personal care, and actioned. This will ensure that all their needs are being met. The administration/nonadministration of all medication must be recorded accurately at all times for the health and safety of residents. Enforcement action is being taken. Timescale for action 22/10/08 2. OP7 15(1) 22/10/08 3. OP7 15 (2)(b)(c) 22/10/08 4. OP9 13(2) 04/09/08 Selkirk Wing DS0000019120.V368267.R01.S.doc Version 5.2 Page 24 5. OP9 13(2) All staff must make an accurate record, immediately after observing a resident taking or refusing their medicines. Enforcement action is being taken. All staff must be up to date with their mandatory training to ensure residents continue to receive care as is reasonable to meet their needs. All records in the home must be kept accurate and up to date at all times to ensure that residents’ rights and best interests are being safeguarded. The security at the entrance of the home must be improved to ensure the safety of residents and staff. 04/09/08 6. OP30 18(1) 22/10/08 7. OP37 17(1)-(3) 22/10/08 8. OP38 13(4) 22/08/08 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 OP3 Good Practice Recommendations It is recommended that a date is included on the residents’ pre admission assessment so that staff are aware when they have been carried out and what the needs of the residents were prior to admission. Selkirk Wing DS0000019120.V368267.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG 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 Selkirk Wing DS0000019120.V368267.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. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!