Inspection on 07/06/06 for Third Row, 11-12

This inspection was carried out on 7th June 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 11 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Third Row, 11-12 27/06/07

Third Row, 11-12 24/01/06

Third Row, 11-12 07/11/05

Third Row, 11-12 19/03/05

Third Row, 11-12 19/01/05

Third Row, 11-12 16/03/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

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Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 Third Row, 11-12 11-12 Third Row Linton Morpeth Northumberland NE61 5SB Lead Inspector Carole McKay Key Unannounced Inspection 7 and 22nd June 2006 09:30 th Third Row, 11-12 DS0000000652.V290832.R02.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Third Row, 11-12 DS0000000652.V290832.R02.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Third Row, 11-12 DS0000000652.V290832.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Third Row, 11-12 Address 11-12 Third Row Linton Morpeth Northumberland NE61 5SB 01670 861417 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) Mr John Thomas Cole Mrs Delia Cole Mrs Linda Algar Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Third Row, 11-12 DS0000000652.V290832.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th January 2006 Brief Description of the Service: Linton is a small village situated in a rural ex coal mining area of Northumberland. The village is a small close-knit community comprising rows of attractive terrace houses. The village has a small shop, which is run by the local community as a co-operative, and a local pub. 11/12 Third Row, Linton is a four bedroom terraced house created from two converted houses. The house has a large private garden. Three men live at the house. Their ages range from mid 40’s to mid 60’s. Linda Algar manages the home, under the supervision of Mr Cole. A small team of experienced staff are employed. Reports from previous inspections are available at the home. The fees at the home range from… to …. Third Row, 11-12 DS0000000652.V290832.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A tour of the building was carried out. The manager was interviewed. Discussions took place with care staff and two of the service users. The records were examined and the care of two service users was tracked through the service user plans. Service user surveys and relatives and visitors comment cards were sent out. None were returned. What the service does well: What has improved since the last inspection? Medication procedures are better. All medicines are accounted for. The service users now receive direct support from the local community nursing service. Third Row, 11-12 DS0000000652.V290832.R02.S.doc Version 5.2 Page 6 Staff have information to help them protect service users and to understand special needs. The assessments now have headings for social care and risk, This will prompt staff to record the needs of service users in these areas. 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. Third Row, 11-12 DS0000000652.V290832.R02.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Third Row, 11-12 DS0000000652.V290832.R02.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. Service users can expect to have their needs assessed before coming to live at the home so that the staff know they can meet their needs. EVIDENCE: No new service users have been admitted to the home since the last inspection. Service users’ records contain Care Management assessments of needs and care plans. The home has its own assessment and care plan document also. These are also in service users’ records. They are very clear about health needs and problems, but less clear about individual strengths, social care and risk taking. There are assessment headings for these things, however these are not being fully used yet. Third Row, 11-12 DS0000000652.V290832.R02.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. Service users have plans of care. Service users can make decisions. Specialist services are called on when the need arises. Service users are allowed to take risks, but how this is supported is not always clear. EVIDENCE: A Care Management Care Plan is in place for each service user. A service user plan has been developed for each service user based on these documents. Service users said that they knew about these. The plans describe in detail the action to be taken for health needs and problems. The manager of the service works closely with other specialists for positive planned care and this is beginning to be documented. A review of service user plans is carried out routinely every six months or as necessary. The manager is currently actively involved in the review process for one person. This will lead to the person having a personal futures plan. Third Row, 11-12 DS0000000652.V290832.R02.S.doc Version 5.2 Page 10 Service users talked to staff and the inspector about their future hopes and ambitions but in some of the files there is no documented evidence that service users have been involved in producing their service users plans. One file did contain a detailed written assessment of a service user’s social and cultural background. Service users can make decisions and risk taking is supported as part of enjoying a good social life. The aims and objectives of the service are about supporting independence and a full lifestyle. The service users can take part in a day care service run by the provider. One of the service users was involved in this on the day of the inspection. This is a positive aspect of the lives of the service users. Other outdoor and social activities are offered in the evenings and at weekends, but not all of these are described in the social care plan. Risk assessments for these are not in place. For example one service user was about to go on holiday abroad with support staff. No risk assessment for this activity was in place. The daily records showed that risks were evident in this person’s life. This was discussed with the provider of the service, Mr Cole, who was able to describe how he had taken the risks in to account, but none of this was documented. There had been an incident on 28.03.06 that should have been notified to the Commission for Social Care Inspection. This had not happened. Third Row, 11-12 DS0000000652.V290832.R02.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,16,17 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Service users can participate in day care, educational and work type activity. Creative pastimes are also provided at home. EVIDENCE: Two of the service users attend other services through the day, which offer vocational training in horticulture. One of the service users attends a local college for part of the week. This gives him opportunities to learn about music and healthy living. Two of the service users regularly spend time with their families. The home has an allotment and two of the men regularly spend time there with support of the staff and the owner of the service. None of the service users are employed, however daytime activities are offered. One service user attends the day care activities arranged by the provider of this service. Third Row, 11-12 DS0000000652.V290832.R02.S.doc Version 5.2 Page 12 An arts project service visits the home on a regular basis. Service users enjoy these activities and one service user proudly showed the inspector the work he has produced. In surveys service users said that they could do what they wanted during the day, in the evenings and at weekends. One of the service users said that this was the case. The home does not have a designated cook. All care staff share the responsibility of preparing and cooking food. The manager said that the menus are planned around service users’ likes and dislikes. Service users are able to make choices and to make their wishes known. Service users who responded to the survey said that they liked the food. The menus show that meals are mainly home cooked and fresh ingredients are used as much as possible. One service user has particular dietary needs and the manager of the service said that a dietician had been consulted about this some time ago. One service user chooses to have his food presented in a certain manner. This choice is respected, though it is a social restriction. The manager said that medical advice had been taken. There is no medical reason for the arrangements that are made. Third Row, 11-12 DS0000000652.V290832.R02.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Service users’ preferences to do with personal care are respected. Regular health checks are kept. Prompt action is taken at signs of ill health. EVIDENCE: The records show that health is monitored and specialists have also been involved. The manager described how care is coordinated between specialists as part of a care programme. The records show that health issues are regularly reviewed. One of the service users is very particular about the way in which certain parts of his care are provided. This is respected by the service and documented in the care plan. Medical advice is taken as necessary. However where care staff undertake heath care tasks the staff have not had their ability to do so reviewed since their initial training was provided. The manager said that this was approximately three years ago. The home’s medication procedures have recently been revised. These now reflect good practice. All three service users are taking medicines on a regular basis, to varying degrees. Records are kept of medicines administered to service users by the care staff. These are up date and accurate. One of the Third Row, 11-12 DS0000000652.V290832.R02.S.doc Version 5.2 Page 14 service users is, in part, self-medicating. A risk assessment and care plan for this arrangement is available. For some service users daytime medications are sent to the day care services to be given to service users by staff at the day services. A record of the name, strength and quantity of medication going out of the home in this way is kept. Third Row, 11-12 DS0000000652.V290832.R02.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Information about how to complain is available to service users. Service users do make use of the complaints procedure and complaints are recorded. The action taken is not always documented. Staff have guidance and training to do with protecting vulnerable adults. Relatives know how to make concerns known to the service. EVIDENCE: The home’s complaints procedure is available in the home and is also included in the Service User Guide. The service users hold copies of this. The home’s procedure includes the contact details of The Commission for Social Care Inspection (CSCI). The complaints record contains complaints by a service user. The manager, Mrs Algar, described how the service had responded to these. These actions are not included in the record. Mrs Algar’s actions show that the home responds to complaints from service users. No complaints about the service have been received by CSCI since the last inspection. Service users and representatives who responded to the survey recorded that they knew who to speak to if they were unhappy with the service and were aware of the home’s complaints procedures. The home has written guidance and procedures for the staff to do with the protection of vulnerable adults (POVA). The manager said that all of the staff have received awareness training in this subject. The manager has copies of the local POVA procedures. Third Row, 11-12 DS0000000652.V290832.R02.S.doc Version 5.2 Page 16 All surveys returned from relatives showed that people were aware of the complaints procedures. Third Row, 11-12 DS0000000652.V290832.R02.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The home is clean throughout and well presented. It provides a comfortable and homely place to live. Bedrooms are personalized. EVIDENCE: The home is in good order throughout. The service users’ bedrooms are on the small side, however the people living at the home have a choice of using two large living rooms, a conservatory and a large kitchen/ diner on the ground floor. Toilet and washing facilities are located on both floors. This provides for spacious accommodation for three persons. Each service user has their own bedroom and these have been decorated to individual wishes. Toilets and bathrooms are clean, tidy and suited to the needs of service users. All areas of the home are clean. The home does not have an office, but there is enough shared space to allow for visits and meetings to take place in private. The manager said that the improvement plan for the home included redecoration of the kitchen. Third Row, 11-12 DS0000000652.V290832.R02.S.doc Version 5.2 Page 18 The home has a small laundry in an area off from the kitchen. This is domestic in style. The manager said that she does not have infection control and good hygiene guidance, though the staff support service users with maintaining continence. Third Row, 11-12 DS0000000652.V290832.R02.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 Quality in this outcome area is poor. This judgement has been made from evidence gathered both during and before the visit to this service. The home has a well established staff team. Staff receive mandatory training and most staff have had NVQ level training in working with people with learning disabilities. There is no comprehensive training plan linked to the needs of individual service users. The staff recruitment process is not robust. EVIDENCE: A team of seven long – serving staff support service users. Service users have special needs that have not been identified as training needs for the staff team. For example, understanding behaviour that is challenging and special needs to do with eating and diet. Staff records are not kept at the home. This has been accepted under arrangement with the Commission for Social Care Inspection and is reviewed at each inspection. The records were examined during the second date of the inspection at another premises. Staff are required to complete an application form and to provide a work history. The application form does not request names and addresses of referees. Some files include written references but it is not possible in every case to link the source of the references to the application. Some of the files do Third Row, 11-12 DS0000000652.V290832.R02.S.doc Version 5.2 Page 20 not contain references taken from the workers’ most recent employer and no explanation or statement to do with this is made. None of the files contain evidence of the outcome of criminal record checks. Without this information it is not possible to be sure that staff are suitable to work with vulnerable adults. The provider of the service, Mr Cole, said that because most of his staff had been recruited from Linton, which is a small community, his recruitment procedures had at one time been very informal. He said the he was moving towards more formal processes. The file for those staff most recently employed contained improved application forms, though there were some of the shortfalls identified above. The staff listed for this service have undertaken mandatory training in moving and handling, First Aid, Health and Safety and Food Hygiene. The certificates on file show this. The information provided by the manager does not indicate that all of the staff hold National Vocational Qualifications in the care of people with learning disabilities. The staff files do not show that staff training needs have been assessed by linking these with service users’ needs. Some staff have had specialised training such as awareness training in protecting vulnerable adults. There is no evidence of a staff training and development plan. The manager said that this matter is in hand. All new staff are enrolled to begin induction training to do with learning disability and existing staff are enrolled to begin the foundation training in September 2006. Third Row, 11-12 DS0000000652.V290832.R02.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. The manager Mrs Algar is not qualified to the required level. Safety in and around the home is covered in policies and procedures. There is a policy but no procedure for infection control. The quality assurance system is not developed. Injuries are not fully reported. EVIDENCE: The registered manager does not hold NVQ level 4 in management and care. It has been agreed that this is not essential as other managers in the group do hold relevant qualifications. The Manager said that during the absence of the registered owners, Mr and Mrs Cole, a manager from another service nearby oversees the running of the home and that this arrangement works well for all staff in the organisation. The home has a policies and procedures manual which covers: accident/incidents, health and safety at work, food safety, fire safety, smoking Third Row, 11-12 DS0000000652.V290832.R02.S.doc Version 5.2 Page 22 policy, guidelines for moving and handling, safety of vehicles, assessment of risk and risk management, dealing with aggression and unexplained absences, handling medicines safely. Safety of staff and service users is protected. Information and controls are in place for hazardous substances, such as cleaning materials. The home has a fire evacuation plan and fire safety checks are regularly carried out and recorded. The home has an accident book. No accidents have been recorded. A first aid box is available. The contents are routinely audited. An incident resulting in an injury to a member of staff has not been reported to CSCI. The maintenance records show that three years ago the home had a satisfactory outcome from an inspection by the local environmental health officer. A satisfactory survey was conducted on the electrical installations at the home three years ago. No portable appliance tests have been carried out in the past year. Mr Cole said that his service is exempted from this by the local agency for inspecting health and safety. There is a Quality Assurance policy statement. There is no evidence that a formal quality assurance and monitoring system is in place. For a service of this size it would be sufficient to use the monthly visits by the provider, which are required by law, for this purpose, but reports from these visits are not available in the home. The service provider, Mr Cole, visits the service frequently and is in day-to-day contact with staff, service users and service users’ families and friends. The manager holds service users’ meetings and some questionnaires have been used. Third Row, 11-12 DS0000000652.V290832.R02.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 2 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 2 STAFFING Standard No Score 31 x 32 3 33 x 34 2 35 2 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 2 x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 2 x 2 x x 3 x Third Row, 11-12 DS0000000652.V290832.R02.S.doc Version 5.2 Page 24 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA2 Regulation 14,15 Requirement The homes assessment process must include the social needs of service users and cover those matters described in Standard 2.3 of The National Minimum Standards for Care Homes for Adults. Where service users are supported to take risks the assessment and management plan for the risk must be documented. The local office of the Commission for Social Care Inspection must be notified of events affecting the well being of service users, without delay. The manager must record the action taken in respect of complaints received The manager must provide staff with guidance to do with good hygiene and infection control Staff recruitment procedures must include: The taking up of two written references, one from the most recent employer: where this is DS0000000652.V290832.R02.S.doc Timescale for action 31/12/06 2 YA9 13(4)(b) 31/12/06 3. YA9 37 31/10/06 3. 4. YA22 YA30 22,17 Schedule4, 11 13(3) 31/12/06 30/12/06 5. YA34 19,17, Schedule 4 31/12/06 Third Row, 11-12 Version 5.2 Page 25 6. YA35 YA37 YA42 YA32 18(1)(c)(i) 7. YA39 24,26 not possible an alternative must be obtained and the reasons should be recorded Evidence of full enhanced level CRB checks must be provided for each person employed who works at the home. An assessment of staff training 31/12/06 needs should be carried out for each new and existing member of staff, including the manager, and a staff training and development plan must be devised. This should meet with workforce Sector Skills Council specifications and targets and include training understanding challenging behaviour and other specialist training. The Registered Provider, Mr 31/12/06 Cole, should use the monthly Regulation 26 visit to assess and monitor the quality of the service. Reports from these visits must be produced and copies must be sent to the local Commission for Social Care Inspection office for a period of six months from the date of the inspection 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 YA17 Good Practice Recommendations The service should use a nutritional risk assessment for service users who have special dietary needs or restrictive diets. Staff recruitment application forms should ask the applicant to provide the names and addresses of two referees, one of whom should be the most recent DS0000000652.V290832.R02.S.doc Version 5.2 Page 26 2 YA34 Third Row, 11-12 employer. The form should also ask for a health and criminal declaration. Shortfalls and/ or contradictory information should be explored at interview. As good practice records of interviews and the outcomes of the recruitment process should be kept. Third Row, 11-12 DS0000000652.V290832.R02.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Third Row, 11-12 DS0000000652.V290832.R02.S.doc Version 5.2 Page 28 - 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!