Inspection on 08/03/07 for Shivam Nursing Home

This inspection was carried out on 8th March 2007.

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

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

Other inspections for this house

Shivam Nursing Home 23/02/06

Shivam Nursing Home 27/09/05

Shivam Nursing Home 25/10/04

Shivam Nursing Home 17/07/04

Shivam Nursing Home 05/02/04

Similar services:

Ashlong House

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Shivam Nursing Home 12 Chaplin Road Wembley Middx HA0 4TX Lead Inspector Julie Schofield Key Unannounced Inspection 10:30 8 and 20th March 2007 th 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 DS0000022943.V325214.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. DS0000022943.V325214.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Shivam Nursing Home Address 12 Chaplin Road Wembley Middx HA0 4TX 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) 020 8903 6878 020 8795 3738 Chaplin Care Home Limited Mrs Maria Theresia De Silva Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15), Physical disability (0) of places DS0000022943.V325214.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of 15 Adults over the age of 40 in need of nursing care Date of last inspection 23rd February 2006 Brief Description of the Service: Shivam Nursing Home is a care home providing both personal and nursing care, and accommodation, for up to 15 people over the age of 40. The home is one of several care homes owned by the proprietors. Shivam Nursing Home accommodates Asian residents. The home is situated in a residential area of Wembley and is a few minutes walk from the shops and facilities on Ealing Road. It is within easy reach of public transport links and the nearest underground stations are Wembley Central and Alperton. Parking restrictions apply on the roads outside the home but there is a car park, which provides spaces for approximately 8 cars. The building consists of ground and first floors and has a passenger lift. Bedrooms are situated on both floors. Two bedrooms have ensuite facilities and 2 bedrooms are shared rooms. There are bathing and toilet facilities on both floors. The communal space is situated on the ground floor and there is a small garden to the rear of the property. Information regarding the fees charged is available, on request, from the manager. DS0000022943.V325214.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out over 2 days in March. The visit on the 8th March started at 10.30am and finished at 2.30pm. On the second visit Ms Kalyani, an interpreter, accompanied the Inspector. This visit started at 12.15pm and finished at 2pm. The Inspector would like to thank the manager, proprietor, members of staff and residents that took part in the inspection. During the visits a site visit took place, the preparation of a meal was observed, records were examined and discussions took place. What the service does well: What has improved since the last inspection? Five statutory requirements were identified during the previous key inspection and there is now compliance: A discussion took place with residents about their wishes to go out of the home either for a walk or for an outing and a resident confirmed that a carer took her out for a walk. Staff have received training in infection control procedures. The timescale for 50 of carers achieving an NVQ level 2 qualification in care has been extended as the home has terminated its contract with the previous training provider and has now registered staff with a new training provider. Staff files contained evidence of 2 satisfactory references being obtained, prior to employment. DS0000022943.V325214.R01.S.doc Version 5.2 Page 6 The home now seeks written feedback from funding authorities on the quality of the service provided by sending out an annual quality assurance questionnaire and using any information received to help develop the service. 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. DS0000022943.V325214.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 DS0000022943.V325214.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): 3,6 Carrying out an assessment of the resident, prior to admission, ensures that the needs of the resident are identified and that the home is able to determine whether these can be met. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standard 6 was not inspected, as the home does not offer an intermediate care service. EVIDENCE: Three residents have been admitted to the home since the last inspection and their case files were examined. Each contained a copy of the pre-admission DS0000022943.V325214.R01.S.doc Version 5.2 Page 9 assessment, completed by the manager. This covered aspects of the medical and social history of the prospective resident. There was a nursing needs assessment on each file, which had been completed on admission. There were also copies of the discharge summary from the hospital. One file contained a copy of the continuing care assessment and another file contained a copy of the physiotherapy and occupational therapy discharge report. DS0000022943.V325214.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, 10 Assessing the needs of a resident and identifying these in a care plan enables the resident to receive a service tailored to meet their needs. Monthly evaluations of the plan need to be supplemented by a system of review meetings, either convened by the funding authority or by the home so that the home can respond to changes in need. The health and well being of residents is promoted through regular health care checks and appointments. Residents are supported in taking their medication, as prescribed by their GP, in order to maintain their general health. Discreet and caring support is given to residents by staff so that the privacy and dignity of the resident is respected. Overall quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: DS0000022943.V325214.R01.S.doc Version 5.2 Page 11 Five case files were examined. Each contained a care plan that identified social, health and personal care needs. Monthly evaluations had been carried out for each individual need identified in the care plan. There was only 1 copy of the minutes of a review meeting, either convened by the funding authority or by the home, on the files examined. This was in respect of continuing care funding. Each of the case files examined contained a nursing assessment, which had been completed on admission. Carers help residents with personal care and oral hygiene, as required. There was evidence of access to dental and optical services. Referrals had been made to the dietician and to the speech and language therapist. Copies of guidelines were on file to assist staff in caring for residents. There were risk assessments for manual handling and pressure sores. A relative confirmed that pressure relieving equipment e.g. special mattresses were provided. Residents had chiropody appointments. One of the residents said that the staff team has helped her to rehabilitate after serious problems with her mobility. She talked about how the staff had “trained me with patience and encouragement”. A physiotherapist works with residents in the home on a regular basis. The storage of medication was safe and secure. The persons administering medication are appropriately trained. A resident confirmed that the nurses gave him his medication at regular times, as prescribed. It was noted that staff knocked on the door when they wanted to speak with a resident that was in their room. Residents confirmed that this was the practice in the home. Residents also said that they were able to use their rooms during the day, as they wished, and were able to receive visitors in private. Screening is provided in rooms, which are occupied on a shared basis. A resident said that carers respect the residents and when they give assistance with personal care they preserve the privacy of the resident by making sure that curtains are closed etc. DS0000022943.V325214.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 An activities programme provides residents with opportunities for stimulation and enjoyment. Residents said that they enjoyed visits from their relatives, who were made welcome by the staff when they visited the home. Residents were able to exercise choice in their daily lives and they enjoyed spiritual fulfilment. Residents’ nutritional needs are met through the provision of a diet that is wholesome and varied and which meets their religious and cultural needs. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: One of the carers has responsibility for co-ordinating activities and has discussed with residents what they enjoy, both inside and outside the home. The activities programme was on display. It included prayers, crafts, exercises and physiotherapy sessions. The prayer sessions were very important to residents as they met the spiritual needs of the residents. One resident said DS0000022943.V325214.R01.S.doc Version 5.2 Page 13 that she liked singing prayers and had a leading role, as she was able to remember the words. Another resident confirmed that a carer took her out for a walk. Residents confirmed that their relatives made visits to the home and that they could receive visitors at any time. They said that their relatives were made welcome by the staff on duty and that the visits could take place in the privacy of their rooms, if they wished. The manager confirmed that the resident was able to choose whether they wished to see a visitor and has respected the right of the resident to decline a visit. A resident confirmed that she had a nice room and had made it her home by having things of her own choice in the room. The proprietor said that relatives were encouraged to bring small personal items to make the resident feel more comfortable in their room. Residents confirmed that they were able to make choices in their day-to-day lives. They confirmed that they were able to practice their religious observances in the home. The manager said that all staff have undertaken food hygiene training in 2006 and that she had updated her knowledge in light of the new EU requirements. The proprietor said that she hold regular meetings with the cooks to discuss the menus and to agree any necessary changes. Meals reflect the religious and cultural needs of residents. The home provides a vegetarian diet for residents and the ingredients are varied and wholesome. A resident praised the variety in the vegetables used. The proprietor brings fresh supplies of fruit and vegetables on a regular basis. The cook said that she also caters for residents that are diabetic and those that need pureed food. A meal was being prepared during the inspection. It consisted of popadoms, rice, lentil dhal, curried vegetables, chapattis, salad, pickles, yoghurt and buttermilk. Residents were satisfied with the meals and one resident said that she had put some weight on since living in the home, as the food was very good. Other residents praised the variety and freshness of the food. DS0000022943.V325214.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 A complaints procedure was in place and residents and relatives said that they were able to bring any concerns to the attention of the manager or the proprietor. Protection of vulnerable adults training for staff and familiarity with the home’s procedure and the interagency guidelines contribute towards the safety of residents. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A complaints procedure is in place in the home and was on display. The procedure informs the complainant of their right to contact other agencies i.e. the Commission for Social Care Inspection. It includes information regarding the involvement of senior members of the company in the event of a complaint not being resolved within the home. No complaints had been recorded since the last inspection. Residents said that if there was a problem or if they had any concerns they could speak to someone in the home i.e. the manager or one of the nurses or the proprietor. They said that when the proprietor visited she spoke with them. Two relatives visiting the home during the inspection also confirmed that they could always speak to someone in the home if they DS0000022943.V325214.R01.S.doc Version 5.2 Page 15 had any concerns. Relatives confirm receipt of a copy of the complaints procedure during the admission process. There is an adult protection policy in place, which includes whistle-blowing procedures. The manager said that no allegations or incidents of abuse have been recorded since the last inspection and confirmed that staff have received training in adult protection procedures from an external trainer. The home does not practice restraint. The home has a copy of the local authority policy and procedures in the event of abuse and there is a copy of the flow chart in respect of making a referral to the local authority, on the board in the office. DS0000022943.V325214.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, 22, 26 Residents live in a home, which is decorated and maintained to a good standard although some minor redecoration is needed. Adaptations made to the home and equipment provided enables residents to access all the facilities in the home. Residents live in a home where standards of cleanliness are good. Overall quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A site visit took place. The ground floor is accessible to all residents and there is a passenger lift in the home to enable the residents to move around the DS0000022943.V325214.R01.S.doc Version 5.2 Page 17 home. It was noted that the maintenance of the home was good and that furnishings and fittings were of a good quality. The décor of the home reflects the culture and religion of the residents. Residents said that they were satisfied with their rooms. It was noted that there was a crack on the ceiling of Room 8 and scuffing on the wall in Room 11, where the back of a chair has rubbed against the wall. The temperature in the home was suitable for the time of the year. During the site visit it was noted that there was level access to all facilities on the ground floor and that the home has a passenger lift to assist residents moving between the ground and first floors. Aids to help with mobility included wheelchairs, hoists and frames. Bathing facilities included an assisted bath and a walk in shower, which was wheelchair accessible. Grab rails were appropriately sited in respect of baths and toilets. Handrails are provided along corridors and staircases. Pressure relieving mattresses and cushions were in use. There is a call alarm in each bedroom and in bathing and toilet facilities. An OT assessment of the home has been undertaken as part of the registration process. It was noted during the inspection of the home that all areas inspected were clean and tidy and free from offensive odours. Laundry facilities are situated on the ground floor and do not involve carrying laundry through areas used for food storage, preparation or consumption. There is a commercial washing machine, which includes a sluicing cycle, and a commercial drier. Basic training is provided for staff in respect of infection control procedures and 6 members of staff have enrolled for an intensive distance-learning course in respect of infection control procedures. DS0000022943.V325214.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Staffing levels were sufficient to meet the needs of residents. The home continues to support staff undertaking NVQ training, as residents benefit from staff that have developed their understanding and awareness of the needs of the residents. However the target of 50 of carers trained to NVQ standards or equivalent has still to be reached. Recruitment procedures that include obtaining all the necessary documents promote the safety and welfare of residents. A comprehensive programme of training for staff encourages good working practices. Overall quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The rota was examined. There is an RGN working in the home on each shift. During the day there are 3 carers on duty during the early shift and 2 carers on duty during the late shift. At night there is 1 nurse on duty and 1 carer. The staffing levels were the same throughout the week. In addition there is a domestic on duty each day and a cook on duty each day from 9 am to 2 pm and from 5 pm to 7 pm. A resident said “there was always someone on duty that could speak with residents in the same language”. DS0000022943.V325214.R01.S.doc Version 5.2 Page 19 A discussion took place with the manager and the proprietor regarding NVQ training for carers. Although 4 carers were undertaking training the home was not satisfied with the support being given or the progress being made and have registered 6 carers with a new training provider, which provides a service for carers that do not speak English as a first language. Other carers are currently studying English as a Second Language courses. Although a statutory requirement was identified during the previous inspection that the target of 50 of carers achieving an NVQ level 2 qualification in care must be reached the timescale for compliance has been extended. Although a sample of 3 staff records was examined no new carers have been employed since the last inspection. It was noted that each staff file contained passport details and evidence of right to work, if required. They each contained evidence of an enhanced CRB disclosure, contract and 2 satisfactory references. An annual staff appraisal, for each member of staff, had taken place in 2006. Training records are kept and the programme for 2006 included details of training undertaken in respect of strokes, manual handling, food hygiene, the role of a team leader, palliative care, protection of vulnerable adults procedures, continence, first aid, infection control and fire safety. Most of the staff team have also undertaken dementia care training. No staff have been employed since the last inspection so there no induction training records to inspect. DS0000022943.V325214.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 By continuing her personal development, through further training, the manager is promoting the efficient and effective running of the home. There are quality assurance systems in place to enable the future development of the service to reflect the views and needs of the residents (or persons acting on their behalf). Training for staff in safe working practice topics promotes the health and safety of residents, staff and visitors to the home. The testing/servicing of equipment in the home demonstrates that it continues to be safe to use although the home needs to attend to the minor deficiencies identified by the LFEPA. Overall quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. DS0000022943.V325214.R01.S.doc Version 5.2 Page 21 EVIDENCE: The manager is a registered nurse and has had many years experience of working at and managing nursing homes. She has successfully completed her RMA training. She is currently undertaking training towards gaining an Assessor’s Award and is also doing an IT training course. Since the last inspection she has undertaken training in respect of the protection of vulnerable adults procedures, understanding challenging behaviour, first aid, food hygiene and fire safety. The manager said that residents have the opportunity to give feedback on the quality of the service on a day-to-day basis by discussing matters with the activities co-ordinator, or the manager or the proprietor. The proprietor said that changes to the content of the menu are often made following feedback from residents. In addition questionnaires had been sent to the relatives and to the funding authorities. Approximately 25 of the relatives had returned a completed questionnaire but no responses had been received from the funding authorities. The completed questionnaires were available and the home will use any comments made to help develop the service. The proprietor has consulted with relatives about setting up a relatives committee. There were no financial records to examine, as the home does not support any resident with financial matters. No one connected with the home or the company is an appointee for any of the residents. The proprietor said that in regard to financial matters, each resident is supported by a member of his or her family. The family member purchases items for the resident by using the resident’s personal allowance. No money is left with the home for purchasing items on behalf of the resident’s behalf. All staff have recently undertaken fire safety training and first aid training, which includes resuscitation. There were valid certificates for the testing/servicing of the lifts, hoists, wheelchairs, the assisted bath, the fire extinguishers, the fire precautionary system, the Landlords Gas Safety Record, the chlorination of the water, the portable electrical appliances and the electrical installation. The visit by the Environmental Health Officer in 2006 had recorded that “the standard of food hygiene noted at the time of the inspection was found to be good”. The letter sent by the LFEPA to the home, following their visit in February 2007, noted 2 minor deficiencies. The accident book was available for inspection and appropriate recording was noted. DS0000022943.V325214.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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X 3 X X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 DS0000022943.V325214.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 OP7 Regulation Requirement Timescale for action 01/09/07 2 OP19 3 4 OP28 OP38 14.2&15.2 That review meetings are held at least every 6 months, convened either by the home or the funding authority, and that a copy of the minutes of the meeting are kept on the resident’s case file. 23.2 That the crack on the ceiling of Room 8 and scuffing on the wall in Room 11 are made good and redecorated. 18.1 That 50 of carers achieve an NVQ level 2 qualification. 23.4 That the home notifies the CSCI when the minor deficiencies identified by the LFEPA have been addressed. 01/06/07 31/12/07 01/07/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations DS0000022943.V325214.R01.S.doc Version 5.2 Page 24 1 OP33 That the home distributes a quality assurance questionnaire to all professional visitors, before they leave the home. DS0000022943.V325214.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Harrow Area office Fourth Floor Aspect Gate 166 College Road Harrow HA1 1BH 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 DS0000022943.V325214.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!