Inspection on 28/10/05 for The Cherries

This inspection was carried out on 28th October 2005.

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

The Cherries 19/06/07

The Cherries 31/10/06

The Cherries 01/02/06

The Cherries 24/11/04

The Cherries 29/04/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE The Cherries 2b Beechcroft Road Kingswinford West Midlands DY6 0HJ Lead Inspector Mr Patrick Wright Unannounced Inspection 28th October 2005 08:45 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 The Cherries DS0000025046.V260542.R01.S.doc Version 5.0 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. The Cherries DS0000025046.V260542.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Cherries Address 2b Beechcroft Road Kingswinford West Midlands DY6 0HJ 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) 01384 291100 01384 291100 Mr Ngonidzedenga James Chitima Mrs Daveda Joy Chitima Care Home 8 Category(ies) of Old age, not falling within any other category registration, with number (7), Physical disability over 65 years of age (1) of places The Cherries DS0000025046.V260542.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th November 2004 Brief Description of the Service: The Cherries is a converted, detached domestic property situated on a residential housing estate just outside the small village of Wall Heath, and adjacent to a green belt area. The home was originally registered in 1986 but was purchased by the present owners in 1989. Access to the front of the home is via a small parking area. The home has installed electronic gates to improve security and safety for service users. There is a large, secluded garden to the rear of the property, which has well established flowerbeds, trees and a lawn. There are four single bedrooms and two double bedrooms situated on the first and ground floors. There is a bathroom and toilet on the first floor and two toilets on the ground floor. A separate laundry is located on the first floor. The home has a chair lift for access to the first floor. There is a lounge/dining area on the ground floor. The decoration and furnishings reflect a homely domestic environment. The service is registered to care for eight elderly persons one of whom also has a physical disability. The Cherries provides a range of organised and spontaneous leisure activities for residents, and has an active relatives and friends committee called ‘The Friends of the Cherries’ which meets regularly and assists with organising outings and events. The Cherries DS0000025046.V260542.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was conducted over five and a half hours, and was a statutory unannounced inspection. The purpose of the inspection was to assess progress and compliance in meeting the National Minimum Standards and towards addressing items identified at previous inspection visits. A range of inspection methods was used to make judgements and obtain evidence. The inspection included time spent examining documentation and records, looking at how some of the care packages had been arranged and were being delivered, and having discussions with the residents, the proprietors and staff. There was also a brief tour of the premises. The inspection was conducted with the full co-operation of the residents, proprietors and staff. The discussions and atmosphere throughout the inspection was positive and constructive. The Cherries is a unique service, which aims and succeeds in providing an extended family type environment. The proprietors, who also live on the premises, play a key role in the provision of the service. There are eight residents currently living at The Cherries. The home is registered to provide personal care for older people one of whom may also have a physical disability. All of the residents were present during the inspection. General discussion was held about life at the home rather than formal interviews and the residents were welcoming and contributed to the process. Residents appeared comfortable in their surroundings and the home presented a relaxed atmosphere. All of the occupants confirmed they are very satisfied with the quality of care provided. The inspector would like to thank the residents, the proprietors and staff for their co-operation and hospitality during this visit. What the service does well: The home provides personal care through a group of staff that collectively and individually have the skills and experience needed, and through this inspection process it was identified, communicated with residents in a positive and friendly manner. Each resident’s file provides individual plans of care incorporating specialist requirements and procedures designed to meet the needs of the person. All residents are risk assessed in a variety of activities and topics according to their individual requirements. The home uses a generic risk assessment system with guidelines for staff clearly identified. Residents are provided with a positive lifestyle, which strives to promote a comfortable, caring and stimulating environment. Observations of staff and review of documentation showed that staff had identified clear working relationships with each other, and this transcribed into The Cherries DS0000025046.V260542.R01.S.doc Version 5.0 Page 6 continuity of care in terms of meeting individuals needs. At the time of the inspection staff at the home had the capacity to meet residents assessed needs. Residents all offered positive comments about the service. Residents said they liked living at the home, were well cared for and the staff treated them well. They also said they chose what they eat, could have visitors, and felt safe at the home. One person said “ Its lovely here, we couldn’t ask for anything better”. Another person said, “ The owners are lovely and are part of the furniture”. What has improved since the last inspection? What they could do better: The proprietor/manager was told to contact the Fire Safety officer about the storage arrangements under the stairs. The stairwell is being used to hold some of the cleaning equipment and substances, which may be combustible and present a fire safety hazard. Clarification is needed as to whether this area can be used without being linked to the fire alarm system. The proprietors and the inspector discussed the issue of Quality Assurance and the need to progress with this outstanding requirement from a previous report. A number of areas are already being evidenced with regard to quality assurance such as regular care plan reviews, residents and relatives meetings, reviewing policies and procedures and staff development. However the need to develop this further and implement a recognised quality assurance system/tool was explained and the proprietors agreed to explore the options currently available. The Cherries is a unique style of service provision. The inspector recommends that the proprietors consider implementing a system for visitors, relatives and professionals to make compliments about the home. A file of thank you cards is held, but the service should offer and encourage people to make comments and share the good practice on which the home is based. This will also assist with the services quality assurance evidence. Please contact the provider for advice of actions taken in response to this The Cherries DS0000025046.V260542.R01.S.doc Version 5.0 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Cherries DS0000025046.V260542.R01.S.doc Version 5.0 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Cherries DS0000025046.V260542.R01.S.doc Version 5.0 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3,4 and 6 Prospective residents of the home are assessed appropriately to determine whether the home is suitable for them, and whether it can meet their needs. The home is able to demonstrate it has the capacity to meet the needs of residents. EVIDENCE: There have been no new admissions to the home since the last inspection. However, the home uses a needs assessment system, which is detailed and contains relevant the points to determine if the home is suitable for the individual and can meet his/her needs. This was examined on three residents files. Care Management documentation is also secured for new admissions from the placing authority, and was available. New residents are admitted only on the basis of a full assessment, (using the tool above which covers the areas in Standard 3.3 National Minimum Standards/Older People). For existing residents who have lived at the home for some time, assessments are regularly reviewed/updated. Based on the information available at the time of this inspection, and through discussion with the residents, it can be confirmed that the home is meeting the The Cherries DS0000025046.V260542.R01.S.doc Version 5.0 Page 10 needs of the resident group. Case files contained evidence that the home accesses specialised services as and when required by residents. There was very positive feedback from residents who confirmed that they felt well cared for. One resident said, “ I am very happy, we are looked after very well thank you” The home does not provide an intermediate care service. The Cherries DS0000025046.V260542.R01.S.doc Version 5.0 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8 and 9 The home has a detailed care planning system in place to provide staff with the information they need to satisfactorily meet the resident’s needs. The health needs of residents are being met with evidence of multi disciplinary working taking place. The systems for the administration of medication are good and ensure residents medication needs are met. EVIDENCE: The Cherries DS0000025046.V260542.R01.S.doc Version 5.0 Page 12 Each residents’ file contains a series of care plans, which varied in number and content dependent upon the needs of the individual. Through case tracking it was identified that care plans were available for each area of identified need. The care plans are being reviewed in the home at least once a month. Reviews of the plans offered sufficient detail to suggest the changing needs were being monitored. There is ample evidence that The Cherries promotes and maintains service users’ health care needs, both Proprietors/Manager have nursing qualifications which are beneficial in identifying any potential health care problems. On examination of three residents files there are detailed records with regard to the individuals personal and health care needs. All residents receive nutritional screening, monthly weight checks, and moving and handling, falls, and continence risk assessments. There are also records of G.P. appointments and outcomes. Case files contain evidence of appointments with ophthalmologists and other specialists. All service users receive annual health care checks and medication reviews by their G.P.s. Equipment for the promotion of tissue viability is being utilised, and risk assessments with regard to pressure area care are maintained. The Cherries has very efficient and thorough procedures relating to the control and administration of medication. Procedures and practices with the home in relation to medicines and controlled drugs were found to be satisfactory. It is however recommended, that the homes medication policy makes reference to the non-availability of invasive medication and treatments as the service is not registered to provide nursing care. Medication in the custody of the home is handled according to the requirements of legislation and records are held of medicines received, administered and leaving the home. The Registered Provider/Manager uses her professional experience and skills to ensure that administration and record keeping is of a high standard. Medication is kept in a locked trolley. The home receives regular visits from the community pharmacist who provides computerised medication administration sheets as part of the agreed contract. The Registered Provider/Manager and relevant staff are currently undergoing accredited training in the `Safe Handling of Medication`. The Cherries DS0000025046.V260542.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13 and 15 Links with the community are promoted and support and enrich the residents social and recreational opportunities. The meals in this home are good, and service users are offered choices and a balanced diet. EVIDENCE: The range of social and community activities provided by the home is very much tailored towards residents individual needs and wants. Some residents stated that they enjoy the range of activities provided. Others said they were did not like watching television, particularly `the soaps`, for example Eastenders. There are plenty of in-house activities such as twice monthly exercise to music sessions, quiz games and bingo. The residents were enjoying a quiz during this visit and it was encouraging the see everyone being supported to participate. The home holds barbeques and seasonal celebrations such as a bonfire night party. The residents stated they were looking forward to a planned bonfire and fireworks event on November 5th. A Christmas party is also planned for the festive season. The home actively encourages family contact and has a relatives committee run by families/friends to help with residents’ outings and events. The Cherries DS0000025046.V260542.R01.S.doc Version 5.0 Page 14 Residents at The Cherries continue to be offered a variety of meals taken from a menu produced in consultation with residents, and based on their likes/dislikes. Menus are produced on a rotational basis through consultation with the occupants of the home. Regular meals, snacks and hot/cold drinks are available. Meal planning is flexible, and can be changed, as needed/requested. On examination of the menu plan, the home provides a well balanced and nutritious diet. The focus is upon traditional home cooking. All food is freshly prepared. Residents are given the choice of a full cooked breakfast and lunch consists of a cooked hot meal followed by dessert. The evening meal is a choice of a hot or cold snack followed by cake or a pudding. On the day of the inspection lunch consisted of fish, chips and peas. Some of the residents had alternatives served such as creamed potatoes and mixed vegetables. Care staff ask residents to choose from the daily menu that is displayed on a chalk board in the dining room. The home employs catering staff seven days a week. Records are kept of any changes to the daily menu and if service users choose a different option, plus with regards to temperatures of cooked foods and fridge/freezers. The Cherries DS0000025046.V260542.R01.S.doc Version 5.0 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): No standards form this section were assessed as part of this inspection EVIDENCE: Not applicable The Cherries DS0000025046.V260542.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 The premises offer a homely and comfortable environment with a good standard of décor and furnishings. The premises are kept clean and hygienic, and systems are in place to prevent the spread of infection. EVIDENCE: The Cherries is a two storey detached family residence, which has been tastefully extended to provide residential care. The home is located in a quiet residential area, close to the small village of Wall Heath which is within walking distance. There are ramps and level access to the main entrance and rear of the property leading to the garden. The garden is attractive and secluded. The Cherries is comfortably furnished and decorated to a good standard and provides a homely environment for service users. A brief tour of the building was undertaken at this inspection. The premises were seen to be comfortable, clean and airy. The environment is pleasant and well maintained. There were no offensive odours and the premises offered adequate light and ventilation. The Cherries DS0000025046.V260542.R01.S.doc Version 5.0 Page 17 The furniture and fittings are of a good quality and are domestic in style and appearance. During this visit one of the residents rooms was viewed. Laundry facilities are appropriate and are located on the first floor in a separate area designated for the purpose. Equipment provided ensures foul laundry is washed at appropriate temperatures, although the washing machine does not have a sluicing facility. The washing machine does provide a pre-wash hot cycle, which currently meets the existing needs of the service, due to the low level of incontinence managed at the home. However, this needs to be kept under regular review. Laundry facilities do not intrude on residents routines, and walls and floors are washable. On inspection, the premises were clean and free from offensive odours. The home follows good infection control practices, for example there is a supply of liquid soap and paper towels throughout. A supply of protective clothing is available for staff to use. There are appropriate laundry bags for dirty and soiled laundry as is good practice. Laundry procedures and guidelines following good infection control practice are displayed. The Cherries DS0000025046.V260542.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 and 29 The home provides a team of appropriately recruited staff, that are well experienced and offer consistency of care to the residents. EVIDENCE: The home operates a duty rota and includes any shifts worked by the Proprietors/Manager. The home has two vacancies for care staff but is currently exploring the long term use of a core group of agency staff and in the meantime if needed, the proprietors are covering the shortfalls on the duty rota themselves. The Proprietors/Manager, due to the size of the home (and because they live on the premises), are directly involved in hands on care and provide a sleeping in night shift. There have been no changes in staffing levels since the last inspection. The duty rota confirms that there are two carers on duty per shift from 7.30 a.m. to 2.00 p.m. and from 2.00 p.m. to 9.00 p.m, plus a cook between 9.00 a.m. and 2.00 p.m. The proprietors have a copy of the Residential Forum’s staffing tool as recommended by the Department of Health for reference and in order to determine dependency levels of service users and calculating staffing ratios. Staffing levels were seen to be appropriate at the time of inspection. The manager continues to monitor the staffing levels at the home against the assessed needs of the service users. The home does not employ anyone under the age of eighteen years. No staff under the age of twenty one years are left in sole charge of the premises. The Cherries DS0000025046.V260542.R01.S.doc Version 5.0 Page 19 Examination of three staff files found the records required, including references, statements of health and declaration of convictions, criminal record bureau checks etc. Files examined were well organised and meet the requirements of the Care Homes Regulations 2001. The Cherries DS0000025046.V260542.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,35, and 38 The registered proprietors/manager is qualified, competent and experienced to run the home and meet its stated aims and objectives. The home does not hold any money for service users. The management of the home was seen to ensure as far as reasonably practicable, the health, safety and welfare of service users and staff. EVIDENCE: Mrs. Chitima is the Manager of The Cherries and runs the home along with her husband as Registered Providers. The home has been open since 1989. Mrs. Chitima is a qualified nurse who maintains her registration status by undertaking regular training updates and mandatory training with her staff. This is also in order to motivate and support her care staff, which is an excellent initiative She is highly experienced and has worked in a variety of settings including the community as a Marie Curie nurse. During the The Cherries DS0000025046.V260542.R01.S.doc Version 5.0 Page 21 Inspection Mr and Mrs Chitima conveyed a professional and committed attitude to their role and responsibilities. Mrs Chitima is currently working toward the Registered Managers award. The inspector recommends that the proprietors consider implementing a system for visitors, relatives and professionals to make compliments about the home. A file of thank you cards is held, but the service should offer and encourage people to make comments and share the good practice on which the home is based. This will also assist with the services quality assurance evidence. The home does not hold or manage any money for residents and the Inspector was told that none of the residents manage their own finances. Generally, this is addressed by residents families or through the Local Authority who act as appointee to assist service users with the management of their finances. The home has appropriate policies for this topic and has secure facilities for the holding of money and valuable on behalf of residents. A random sample of maintenance and service records was examined, and were found to be available and well maintained. Overall the standards were good. The management and staff spoken with showed an awareness regarding safe working practices. Through examination of maintenance/service checks it can be confirmed that the Registered Providers ensure as far as reasonably practicable the health, safety and welfare of service users and staff. Attention was drawn to the following: The proprietor/manager was told to contact the Fire Safety officer about the storage arrangements under the stairs. The stairwell is being used to hold some of the cleaning equipment and substances, which may be combustible and present a fire safety hazard. Clarification is needed as to whether this area can be used without being linked to the fire alarm system. The Cherries DS0000025046.V260542.R01.S.doc Version 5.0 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 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X 2 The Cherries DS0000025046.V260542.R01.S.doc Version 5.0 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 OP33 Regulation 24 Requirement The home must identify and implement an effective quality assurance and monitoring system, based on the outcomes for service users, in which standards and indicators to be achieved are clearly defined and monitored on a continuous basis. This system should cover all areas identified in Standard 33 of National Minimum Standards for Older People. The management of the home must consult with the Fire Safety officer about the storage of cleaning equipment and substances, under the stairwell. Timescale for action 31/03/06 2 OP38 23 (4) 30/11/05 The Cherries DS0000025046.V260542.R01.S.doc Version 5.0 Page 24 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 OP9OP8 Good Practice Recommendations It is recommended, that the homes medication policy makes reference to the non-availability of invasive medication and treatments, as the service is not registered to provide nursing care. The provision of a washing machine with a sluicing facility should be kept under regular review in connection with the dependency levels of the residents, i.e. incontinence needs. The inspector recommends that the proprietors consider implementing a system for visitors, relatives and professionals to make compliments about the home. 2 OP26OP38 3 OP33 The Cherries DS0000025046.V260542.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Halesowen Record Management Unit Mucklow Office Park, West Point, Ground Floor Mucklow Hill Halesowen West Midlands B62 8DA 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 The Cherries DS0000025046.V260542.R01.S.doc Version 5.0 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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