Inspection on 30/10/06 for Thornton House

This inspection was carried out on 30th October 2006.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Thornton House 08/11/05

Thornton House 13/07/05

Thornton House 17/01/05

Thornton House 04/08/04

Thornton House 20/01/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Thornton House 94 Chester Road Childer Thornton South Wirral Cheshire CH66 1QL Lead Inspector A Gillian Matthewson Key Unannounced Inspection 30th October 2006 09:30 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 Thornton House DS0000006545.V309877.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. Thornton House DS0000006545.V309877.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Thornton House Address 94 Chester Road Childer Thornton South Wirral Cheshire CH66 1QL 0151 339 0737 F/P 0151 339 0737 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 Andrew Henry Blomfield Beryl Tidbury Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (22) of places Thornton House DS0000006545.V309877.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th November 2005 Brief Description of the Service: Thornton House is registered as a care home for older people who may need assistance with a range of personal care tasks. The home is run as a private enterprise with the registered provider having an active participation in the daily management of the home. The home is located on the outskirts of Ellesmere Port in a small community within reach of local services, community facilities and public transport. The facilities offered by the home include single bedroom accommodation, a separate dining room and three lounge areas, one of which is a conservatory extension to the building. There is a large and wellmaintained garden to the rear of the property. The home is staffed 24 hours a day including two waking night staff. The staffing complement also includes kitchen and domestic staff. A stair lift is available to transfer residents between the ground and first floors. Thornton House DS0000006545.V309877.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit took place on 30th October 2006 and took eight and a half hours. It was carried out by an inspector of the Commission and Mrs. June Trumble, an ‘expert by experience’. CSCI are trying to improve the way we engage with people who use services so we gain a real understanding of their views and experiences of social care services. We are currently testing a method of working where ‘experts by experience’ are an important part of the inspection team and help inspectors get a picture of what it is like to live in or use a social care service. The term ‘experts by experience’ used in this report describes people who have been appointed by Help the Aged, under the direction of the Commission for Social care inspection, to take part in the inspection of services for older people. The visit was just one part of the inspection. The home was not informed of the date the visit was to take place, but a few weeks prior to the visit the manager was asked to complete a questionnaire to provide the inspector with some information about the service. The manager was also asked to distribute questionnaires to residents, relatives and health and social care professionals to help the inspector find out what they think of the home. Responses were received from eleven residents, eleven relatives, two health professionals and eleven general practitioners. All were positive about the standard of care in the home. “ I am very happy here and well cared for.” “ I have been very happy with mother’s care in the two years she has been at Thornton House and would recommend this home.” “ The staff are always willing to listen and respond very well to requests and suggestions.” “ I always find the staff very caring, helpful and approachable whenever I visit my clients in the home.” During the visit the inspector and ‘expert by experience’ spoke with the manager, staff, residents and visitors. They looked around the premises and the inspector looked at various records held by the home. Most residents expressed pleasure in the home. One said “ I like the home, it’s very comfortable here”. Another resident who had previously been a temporary resident had returned as a permanent resident because he was satisfied with the service. Feedback was given to the registered manager at the end of the inspection. What the service does well: Thornton House DS0000006545.V309877.R01.S.doc Version 5.2 Page 6 All prospective residents’ needs are assessed prior to admission and the manager discusses with them or their relatives how the home will be able to meet their needs. They are also provided with detailed written information about the home. This enables them to make an informed choice about whether to take up residence. The home provides a very high standard of care and residents are treated with respect. A resident commented that ‘ I was ill recently and the staff really looked after me well.’ Another said ‘ Staff are very accommodating, nothing seems too much trouble.’ Residents are able to maintain autonomy and exercise personal choice in all aspects of their daily lives. The home has good systems in place to reduce the risk to residents of harm or abuse. The home is clean, well furnished and nicely decorated. Staffing levels and staff training ensure that residents’ needs can be met. What has improved since the last inspection? The registered provider has implemented a system to measure the home’s success in meeting the aims, objectives and statement of purpose of the home. The system is based on seeking the views of residents and their representatives. The home now employs an activity coordinator to provide more social activities for the residents. A thirty inch wide screen TV and large print newspapers have been provided for residents with failing eyesight. A new special bath has been installed to allow the more able residents to have a bath without assistance. Some redecoration has been carried out and some new furniture provided. Thornton House DS0000006545.V309877.R01.S.doc Version 5.2 Page 7 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. Thornton House DS0000006545.V309877.R01.S.doc Version 5.2 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 Thornton House DS0000006545.V309877.R01.S.doc Version 5.2 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): 1, 3 & 5 Quality in this area is good. This judgment is based on the evidence available at the time of the inspection. The home provides prospective residents with the information they need to help them make a decision about whether they want to live there and assessments are carried out to ensure that the home has the resources to meet their needs. EVIDENCE: The home had a statement of purpose containing all the information required by Schedule 1 of the Care Homes Regulations. It was last reviewed and updated in June 2006. The home also supplied each resident with a residents’ handbook for easy reference, which contained all the information they needed about the home. The care of three residents was reviewed as part of the case tracking exercise. The registered manager had carried out pre admission assessments on all three and where appropriate there were supporting assessments from health and social care professionals. She said it was normal practice for a representative from the home to visit the prospective resident in his or her Thornton House DS0000006545.V309877.R01.S.doc Version 5.2 Page 10 own home or in their current health or social care setting prior to admission. Two residents confirmed that the manager had visited them and that they had been able to visit Thornton House prior to their admission. Thornton House DS0000006545.V309877.R01.S.doc Version 5.2 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): Quality in this area is good. This judgment was made using the available evidence at the time of the inspection. Residents’ needs are set out in an individual plan of care to ensure that all their personal and health care needs are met. Their privacy and dignity is maintained in accordance with their wishes. EVIDENCE: Case tracking was carried out for three residents. This included talking with the residents and staff and reviewing their care records. Care plans were drawn up to provide staff with details of what action they needed to take to ensure that the residents’ needs were met. These care plans were reviewed on a regular basis and updated as needs changed. Residents and relatives said they were consulted about the care plans, but they were not requested to sign them to indicate their agreement. Also, the care plans had not been signed by the member of staff who had devised them and alterations were frequently not signed or dated. These are legal documents and must be signed and dated in order to demonstrate who has completed them and when changes to care programmes have been made. Thornton House DS0000006545.V309877.R01.S.doc Version 5.2 Page 12 Residents confirmed that staff assisted them to maintain their personal hygiene as necessary. Examination of care files evidenced that staff are clearly guided towards maintaining and promoting personal health as a significant aspect of the care offered. Residents were assessed as to their risk of developing pressure sores and appropriate pressure relieving equipment was provided. Residents were referred to a continence adviser if necessary and appropriate aids were obtained. Adequate arrangements were in place for residents to obtain hearing and sight tests and access to health care professionals as required. Care files contained evidence of referrals to GPs, district nurses, dentist, optician and chiropodist. Residents were also enabled to attend hospital appointments. The arrangements for receipt and storage of medicines were satisfactory and medication records demonstrated that residents received the medication prescribed by their GP. Residents confirmed that staff treated them with respect and maintained their dignity when attending to personal care needs. Residents had access to a telephone in a quiet area of the home and received their mail unopened. Residents also had a telephone in their own room. Staff used a formal term of address, such as Mrs Smith or Mr Jones, unless the resident requested otherwise. Thornton House DS0000006545.V309877.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15. Quality in this area is adequate. This judgment was made based on the available evidence at the time of the inspection. Residents are able to choose their lifestyle and social activity and keep in contact with family and friends. They receive a healthy, varied diet but there is a limited choice of snacks. EVIDENCE: Discussion with residents confirmed that the range of activities had continued to improve. An activity organiser had been employed for three afternoons a week since the last inspection. Activities included bingo, word games, sing a longs, discussions, gentle exercises, visits from a mobile library, visiting singers every other month, a visiting hairdresser twice a week and an occasional visit to the theatre. Quizzes were very popular and were held in the conservatory. Croquet had been played in the garden in the summer and chair hockey inside. One visitor, who had been encouraged to join in, said this was “great fun”. Staff were also willing to spend time with residents on an individual basis playing board games, doing manicures and assisting with crosswords or letter writing. One resident liked reading and there was a bookcase with a selection of books in a quiet sitting area. One gentleman expressed a desire to play bridge and the manager said she was in negotiation with some local people to teach the residents how to play. On the afternoon of the inspection residents were making soup for a Hallowe’en party they were Thornton House DS0000006545.V309877.R01.S.doc Version 5.2 Page 14 having the following night. One of the residents, on being asked about the nearby garden centre, said “they never visit”, although this was well within walking distance of the home. The manager said that occasionally residents have been accompanied there in the summer. Residents confirmed that they could receive visitors whenever they wanted. Several relatives were seen visiting during the day. Residents were able to bring personal possessions into the home with them, and most bedrooms were well personalised with small items of furniture, pictures, photographs and ornaments. The notice board displayed details of an advocacy service provided by Age Concern, who would act in residents’ interests if required. The manager had recently referred a resident with no relatives to this service. The home offers cereal and toast for breakfast, a light lunch at midday, a main meal at 5pm and toast, sandwiches or cake for supper. Menus demonstrated that residents are offered one of two choices at every mealtime, apart from Sunday lunch, which is always a roast dinner. In the lounge, on lunch being announced, one lady exclaimed “they take us into meals half an hour before, it’s too long to wait and it’s crammed in there.” Residents said that the main meals were good and one resident said that when they hadn’t been well they were able to ask for more or less anything they wanted and it was provided. Tables were set attractively for lunch with a centre piece of flowers and place names. Each resident had their own teapot, but there was no evidence of cold drinks being available. The manager confirmed that she consulted with residents about the menus on a regular basis to determine those foods they enjoyed and those (if any) they didn’t enjoy. She also asked residents for suggestions for meals and provided a list of meals that had been added to the menu since the last inspection. The expert by experience had lunch with the residents. The choices offered were soup, potted beef sandwiches or spaghetti on toast. One resident said “I’m fed up with beef paste, we’re having too much” and was offered bread and butter instead. The manager and a senior carer said there were other sandwich fillings available. The manager said that potted beef sandwiches are only on the menu twice a month but in future she would have two choices of sandwiches on the menu, as well as a hot choice. Dessert was a choice of chocolate shortcake or a pear. No other fruit was offered. Residents are not offered any food in between meals, apart from during activities on three afternoons a week, when they are offered biscuits with their tea. One resident had suggested that the home should offer biscuits with afternoon tea, but this hadn’t been acted upon. Another resident, when asked what did they get at suppertime, said “a cup of tea”. The manager said that Ovaltine, hot chocolate, Horlicks, coffee, milk, sherry and whisky are also available. During the lunch a resident who couldn’t feed themselves was being attended by a member of staff. This was done very well, unobtrusively and quietly. Thornton House DS0000006545.V309877.R01.S.doc Version 5.2 Page 15 Thornton House DS0000006545.V309877.R01.S.doc Version 5.2 Page 16 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): 16 & 18. Quality in this area is good. This judgment was made based on the available evidence at the time of the inspection. Residents have access to a robust, effective complaints procedure and are protected from abuse. EVIDENCE: The home had a satisfactory complaints procedure included in the statement of purpose and residents’ handbook. Residents said they would know who to complain to if they weren’t satisfied with the service. The home had received one complaint since the last inspection, which had been resolved to the satisfaction of the complainant. The home had satisfactory policies on the protection of individuals from abuse, whistle blowing and the management of aggression and restraint. A copy of Cheshire County Council’s adult protection protocol was available in the home and staff received training on how to recognise and respond to abuse and neglect during their induction. Residents were also made aware of their right to live free from fear of abuse, and what to do if they were concerned, in the written information supplied to them. Thornton House DS0000006545.V309877.R01.S.doc Version 5.2 Page 17 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, 21, 22 & 26. Quality in this area is good. This judgment was made based on the available evidence at the time of the inspection. The home provides a clean, well equipped and pleasant environment for residents to live in. EVIDENCE: The home was very pleasant and clean, and maintained in good decorative order. There was a well kept garden to the rear of the property. Residents had access to all parts of communal and private space through the provision of ramps and a chair lift. Aids, hoists and assisted toilets and baths were installed. A new bath had been provided to enable residents who were more able to have a bath without assistance. A call system was provided in every room. Case tracking revealed that residents were assessed as to their need for any equipment, such as mobility aids and/or pressure relieving equipment and these were provided. Thornton House DS0000006545.V309877.R01.S.doc Version 5.2 Page 18 Tablets of soap and cloth towels were provided in communal bathrooms. It is recommended that liquid soap and paper towels are provided to minimise any risk of cross infection. Thornton House DS0000006545.V309877.R01.S.doc Version 5.2 Page 19 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, 28, 29 & 30. Quality in this area is good. This judgment was based on the evidence available at the time of the inspection. Staff in the home are trained, skilled and in sufficient numbers to fulfil the aims of the home and meet the residents’ needs. EVIDENCE: There were twenty one people resident at the time of the inspection. The home provided four care staff on duty from 8am to 2pm, three from 2pm to 6pm, and two from 6pm to 8am. These numbers were sufficient to meet residents’ needs. The manager was supernumerary. The home also employed domestic and catering staff. Three staff files were checked. These demonstrated that robust recruitment procedures were followed, including obtaining references from previous employers and Criminal Records Bureau disclosures for all staff prior to employment. However, the files did not contain a recent photograph of the staff member other than a photocopy of the passport or driving licence photo. All staff undergo an induction on commencement of employment. The home now provides all new staff with a Skills for Care induction workbook to be completed within the first three months of employment. The staff had also received training in dementia care, promotion of continence and catheter care in the last year. Twelve (55 ) of the care staff had achieved an NVQ Level 2 in Care and two were working towards it. Thornton House DS0000006545.V309877.R01.S.doc Version 5.2 Page 20 The staff, in particular one male carer, were very pleasant, helpful and caring to the residents. Thornton House DS0000006545.V309877.R01.S.doc Version 5.2 Page 21 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, 32, 33, 35, 36 & 38. Quality in this area is good. This judgment was made based on the available evidence at the time of the inspection. The management and administration of the home is based on openness and respect and effective quality assurance systems are in place. EVIDENCE: The manager of this service is an experienced and qualified professional. During this inspection it was evident that the registered manager had a positive relationship and a good knowledge and awareness of the various needs and preferences of the residents. There was also evidence that residents were both familiar with and comfortable with the registered manager, as witnessed in their conversations and interactions observed throughout the inspection. Residents and relatives spoke very highly of her. Thornton House DS0000006545.V309877.R01.S.doc Version 5.2 Page 22 The home only retained small amounts of personal spending money for residents. This was kept in individual wallets in a safe place, together with a record of all receipts and withdrawals and a running balance for each resident. Two signatures were obtained for each transaction. A random sample were audited and found to be correct. The home had a set of user satisfaction questionnaires that could be distributed to residents, relatives and other key stakeholders to seek feedback. The last survey was carried out in spring 2006 and as a result the menus had been amended and the new bath was provided. The manager said that she had meetings with residents and relatives at least four times a year, and minutes of these meetings were seen. The last meeting had been in August 2006 and one was planned for a few days after the inspection to consult with residents about the time breakfast was served. There was also a suggestions box in the dining room. The manager and senior care staff had attended training in carrying out supervision. Discussions with the manager and staff revealed that staff receive regular supervision and are able to raise any issues of concern, including training needs. However, none of these observations or discussions were documented. Staff received training in safe working practices and suitable equipment was provided and maintained. However, it was noted that fire drills were only carried out twice a year and only included the staff on duty at the time, although all staff received regular instruction on fire safety. The fire drills were never carried out during the night shift. A fire risk assessment had been completed and reviewed in February 2006. New smoke seals had been fitted to fire doors and magnetic self closers to the doors of bedrooms for those residents who liked to keep the door open. These would ensure that the door would close automatically if the fire alarm was activated. Thornton House DS0000006545.V309877.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 3 X 3 X 3 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 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X 3 3 X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 X X 2 Thornton House DS0000006545.V309877.R01.S.doc Version 5.2 Page 24 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 OP15 Regulation 16(2)(i) Requirement The registered person must provide any food requested by residents at such time as may be reasonably required. Timescale for action 30/11/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 3 4 Refer to Standard OP7 OP7 OP12 OP15 OP29 OP36 Good Practice Recommendations Care plans should be signed by residents or their representatives to demonstrate that they agree with them. Care plans and any amendments should be signed and dated by the person completing them. Residents should be consulted on whether there are any local places they would like to visit. Residents should be made aware of the range of food and drinks available to them. Staff files should contain a recent photograph of the staff member. Any staff supervision should be documented. Thornton House DS0000006545.V309877.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Thornton House DS0000006545.V309877.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!