CARE HOMES FOR OLDER PEOPLE
Trevern 72 Melville Road Falmouth Cornwall TR11 4DD Lead Inspector
Lynda Kirtland Unannounced Inspection 11th January 2006 11:30 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 Trevern DS0000008922.V267533.R01.S.doc Version 5.1 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. Trevern DS0000008922.V267533.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Trevern Address 72 Melville Road Falmouth Cornwall TR11 4DD 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) 01326 312833 01326 210196 Cornwall Care Limited Mrs Bridget Irene Varney Care Home 40 Category(ies) of Dementia - over 65 years of age (21), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (11), Old age, not falling within any other category (13) Trevern DS0000008922.V267533.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. 3. 4. 5. Service users to include up to 13 adults of old age (OP) Service users to include up to 21 adults over 65 with dementia (DE{E}) Service users to include up to 11 adults over 65 with a mental disorder (MD{E}) Service users to include one named person only outside of the normal age category of the Home Total number of service users not to exceed a maximum of 40 Date of last inspection 4th July 2005 Brief Description of the Service: Trevern is one of eighteen care homes owned by Cornwall Care Ltd. It is situated on the outskirts of Falmouth. The home offers residential care for up to forty older people, twenty one of whom may be suffering from a degree of dementia. Admissions are on a planned bases and emergency admissions are avoided whenever possible. A recent extension to the home has enabled Treveren to expand its service provision to forty service users. This new extension meets all the spatial requirements with 16 individual bedrooms that have en suite facilities plus communal areas that are required in line with the national minimum standards. The remaining premises have been adapted and offer a number of flatlets for the more able and independent resident. Accomodation is also provided in the main ‘house’. Bedrooms in the flatlets and ‘house’ are on the ground and first floors with a lift at each end of the building. Both units have sufficent communal and toileting facilities. All rooms have call bells. There is a day care facility provided with a maximum of two service users attending each day. Meals are prepared in a equipped kitchen on the ground floor and served in three dining rooms, accessible to all residents. A hair dressing service is provded on site. The grounds are kept tidy and there is a patio with seating and tables, easily accessed by residents. A secure garden area has also been developed next to the new extension of the home. Limited car parking space is provided at the front of the home. Suitably qualified care staff provides personal care within a relaxed, friendly atmosphere. There are opportunities for socialising and visitors are openly encouraged.
Trevern DS0000008922.V267533.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspector visited Trevern Residential Home on the 11 January 2006 and spent six hours at the home. This was an unannounced visit. The purpose of the inspection was to gain an update on the progress of compliance to the requirements that were identified in the last inspection report dated 4 July 2005. In addition the inspector focused on the following key areas of care: choice of home, care planning, health care, leisure, complaints, staffing and some management areas. On the day of inspection 31 service users were resident in the home. The methods used to undertake the inspection are to meet with a number of residents, their representatives, staff and the registered manager to gain their views on the services that Trevern offer. Trevern records, policies and procedures were examined and the inspector toured the building. This report summarises the findings of this inspection. What the service does well:
Residents commented that Trevern provides good quality care and accommodation. Residents made various comments about staff such as; they are ‘kind’ and ‘caring’. The majority of residents felt that they knew staff well and that this assisted them in their care. All residents said that they felt that they were consulted about their care needs which staff met. Residents commented that they have access to health care and felt that all their health needs were met to a ‘good’ standard. Residents confirmed that there was ‘enough to do’ during the day. Whilst on one day there is a planned activity, the remaining time residents are free to choose their own activities. It was observed during the inspection some residents playing a board game with staff, some residents socialising and receiving visitors, reading, listening to music and the hairdresser was on site. Residents were ‘very satisfied’ with the quality and provision of food. Cornwall Care prioritises staff training and is keen to continue to develop staff skills. Staff are positive about the training that they have received and how it is relevant to their every day work. Cornwall Care Ltd is keen to continue to provide good quality training to its entire staff. The majority of residents and staff stated that if there were any issues they felt able to approach the management team directly and that their ideas would be listened too and where appropriate acted on. Trevern DS0000008922.V267533.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? What they could do better:
Residents and staff could not think of any improvements that Trevern could make. From this inspection five recommendations were identified in the following areas of care. In respect of medication staff should ensure that when they transcribe medication on to MAR sheets that two staff members witness this. In addition daily temperatures of the medication stored in the fridge should be recorded. A recommendation to ensure that fridge and freezer temperatures, plus probing of foods should be taken on a dily bases and recorded. Trevern DS0000008922.V267533.R01.S.doc Version 5.1 Page 7 Cornwall Care Ltd is in discussion with CSCI regarding the adult protection policy. Due to the delay in CSCI receiving this information a recommendation has been identified to this effect. All staff should have a photograph taken and placed on their personnel files as specified in the national minimum standards. Two requirements were identified. Firstly it was observed on this visit that there must be physical improvements to the kitchen area. On speaking with the registered manager she stated that it is planned for work to commence on the kitchen area in February 2006. A requirement to this effect to ensure that this occurs has been identified. In addition a requirement has been identified to review the management of infection control risk both in the kitchen and external areas. This inspection highlighted that Trevern provides a good standard of care to residents. Updated training to staff ensures that this level of care is provided in a professional manner. The inspector would like to thanks the residents, visitors, staff and registered manager for their kind assistance during this visit. 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. Trevern DS0000008922.V267533.R01.S.doc Version 5.1 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 Trevern DS0000008922.V267533.R01.S.doc Version 5.1 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 Trevern have detailed information, which informs service users and their representatives about the services that they provide. Prior to admission, residents and their representatives participate in a pre admission assessment with members from the management team to identify individual care needs. Service users commented that the moving in period to Trevern was undertaken with sensitivity. EVIDENCE: Trevern Statement of Purpose and Residents Guide detail the service that the home provides. These documents have been updated to reflect the changes that Trevern have made. The inspector advised that the statement of purpose records how many residents the home can accommodate are incorporated in this document. These documents are shared with all prospective and current residents and their representatives. Some resident’s representatives confirmed that they had seen these documents and found the information in them to be useful. From discussion with recently admitted residents they confirmed that they were consulted about their care needs prior to admission to the home, and in
Trevern DS0000008922.V267533.R01.S.doc Version 5.1 Page 10 some their involvement was recorded. From inspection of resident’s files it was evident that pre admission assessments occur. This assessment identifies the residents individual physical, emotional, social, educational and leisure needs and how the home would aim to address them. A month’s trial period is offered to all new residents after which a review is held with all parties present to consider if the placement is appropriate and if so a long-term placement will be provided. From records inspected and in discussion with residents they commented that the preadmission and ‘moving in period’ are carried out sensitively by staff and could not see how this process could be improved. They also stated that this was undertaken with their participation and that their care needs were identified accurately. The inspector observed during this visit staff who are experienced and competent to meet resident’s needs. Trevern DS0000008922.V267533.R01.S.doc Version 5.1 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): 7,8,9,10 Residents and their representatives are consulted in the implementation and subsequent reviews of their individual care plans. Health care needs are met to a good standard. Medication is administered by trained staff and stored securely. The staff at the home builds positive relationships with residents that are based upon the residents dignity and privacy. EVIDENCE: From discussion with residents, staff and inspection of documentation it was evident that individual care needs are identified appropriately. From inspection of three residents files, and in discussions it is evident that Trevern encourage residents and their representatives to express their views in the formation of their care plans. The care plans are detailed documents, which clearly identify resident’s skills and where assistance is needed. From this the care plan specifies what actions staff should take to ensure that the care need is approached in a consistent manner. Monthly reviews of the care plans were evident. Trevern DS0000008922.V267533.R01.S.doc Version 5.1 Page 12 Residents commented that health needs are met by the staff at the home and by external professionals to a satisfactory standard. Detailed records of all health professional visits to individual residents further evidenced this i.e. CPN, chiropodist, dentist and optician. Cornwall Care Ltd has produced a detailed corporate policy in the ordering, administration, storage and disposal of medication. Designated staff attends annual training in this area of care. In addition the home has a contract with the local pharmacist to ensure that medications are ordered, administered, stored, disposed of correctly, and will provide a audit of their practice. This was undertaken on the 12 October 2005. Permission from residents is sought in the administration and storage of their medication. Medication sheets were in the main completed correctly. The inspector advised that when medication is transcribed on the MAR sheet that two staff members witness this. The registered manager and assistant manager agreed to implement this immediately. A count of medication tallied with the MAR sheets. The controlled drugs were not inspected on this occasion as access to the CD book was not possible due to the flooring where this document is located was being undertaken. Medication kept in the fridge was inspected. Prior to the 5 January 2006 fridge temperatures were taken on a daily bases, this practice seems to have recently stopped with the exception of one entry on the 8 January. Therefore the inspector recommends that this practice be resumed. The inspector was made aware that one resident on respite provision had oxygen in her room, the registered manager was informed that signage to this affect must be placed on her door for fire purposes. This was done immediately. Trevern outlines in its statement of purpose and service users guide its philosophy on promoting resident’s rights, privacy and dignity. Inspectors noted that the atmosphere of the home and residents appeared to be relaxed. Residents commented staff ’ were ‘kind’. From inspectors observations of staff throughout the inspection it was noted that staff approached and interacted with residents in a professional yet sensitive manner. Trevern DS0000008922.V267533.R01.S.doc Version 5.1 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 Residents were satisfied with the level of activities at the home, which promote and encourage the pursuit of residents social, educational and leisure needs. Flexible visiting arrangements are in place and visitors are welcomed at the home. A varied and nutritious diet is provided to all residents in a relaxing atmosphere. EVIDENCE: From discussions with residents the majority commented that there is ‘enough to do’ during the day. There is a planned activity one day of the week residents felt this was sufficient. The inspector noted on the day of inspection a variety of activities taking place, playing board games, socialising, music and receiving visitors. Trevern keep a record of individual pursuits in their service user care plan, daily records and their ‘life story book’. There is a flexible visiting policy and residents determine where they meet with their guests. Residents felt their visitors were welcomed to the home positively and could not think of improvements in this area. All residents are encouraged to participate in the electoral process and have access to advocacy services via solicitors, age concern or family representation.
Trevern DS0000008922.V267533.R01.S.doc Version 5.1 Page 14 Residents made positive comments to the inspector in the variety and quality of food provided. Some made comments such as ‘the food is excellent’ and commented on the amount of choice. A four weekly menu is on display and residents could choose their preferred dish that day from the menu. They can also choose where to have their meals, either in their room or in the dining areas. The dining areas were observed to be a relaxed and social occasion. Cornwall Care Ltd have implemented the food project’ which ensures that a varied and appealing diet is provided to residents in a relaxed atmosphere. This process has just commenced at Trevern and comments form residents were positive. The majority of residents have their meals in the dining areas that are decorated to a good standard and promote a relaxed social atmosphere. In discussion with the catering staff they felt the food project is going well. Staff have raised with the registered manager reviewing staff levels, as food preparation is now taking longer. Training to catering staff has been provided. Catering staff were aware of individual residents dietary needs and were able to cater for them efficiently. Some issues were raised with the registered manager regarding the kitchen facilities and these are addressed in the Management Section of this report. Trevern DS0000008922.V267533.R01.S.doc Version 5.1 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): 16,18 Trevern has an appropriate complaints and whistle blowing policy. Residents, their representatives and staff are confident to raise any concerns. The adult protection policy needs to be reviewed so that staff are aware of the process of instigating an adult protection referral to ensure safety of residents and staff. EVIDENCE: Cornwall Care Ltd has completed policies in respect of the complaints procedures. Trevern and CSCI have not received any complaints about the home. From the inspectors discussions with residents all stated that they had no concerns about the care or facilities that were provided by the home. Staff likewise commented they had no current concerns. The majority felt able to approach the management team if they had any concerns. CSCI have met with Cornwall Care Ltd management team to discuss Cornwall Cares corporate adult protection policy. CSCI are waiting for a draft version to be forwarded to them for consideration. Therefore this was not inspected further. Trevern DS0000008922.V267533.R01.S.doc Version 5.1 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): Not inspected EVIDENCE: This standard was inspected in detail at the previous inspection and was viewed to offer a safe and comfortable home to all who live, visit or work at the home. From a tour on this occasion this was seen to continue and it was noted that a refurbishment and maintenance programme is ongoing. Trevern DS0000008922.V267533.R01.S.doc Version 5.1 Page 17 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 Trevern ensure that suitable trained staffs are employed in sufficient numbers at all times to meet residents care needs. Robust recruitment procedures are put into practice to ensure that residents are protected in the home. Cornwall Care Ltd ensures that staff have access to and are trained to undertake their work. EVIDENCE: The majority of residents commented that they felt there were sufficient staffing levels on duty at all times. Resident’s representatives and staff stated there were satisfied with the levels of staff on duty at all times. The registered manager stated that staffing levels in the main house and flatlets are on a 1:6 bases. In the extension due to increasing residents dependency needs the staffing levels reflect this and are at a high ratio of 1:5. Since the opening of the extension waking night staff have increased to three members of staff. General assistant hours have also increased by 25 and the registered manager is aiming to increase laundry hours when the home is fully occupied. The catering staff and handypersons hours remain the same but as cited earlier in this report catering hours are being reviewed in light of the ‘appetite for life project’. The registered manager stated that there are 2 care staff vacancies and a member of staff has been appointed as an assistant manager. Residents were complimentary about the care and approach they receive from the staff team.
Trevern DS0000008922.V267533.R01.S.doc Version 5.1 Page 18 The registered manager stated that seventy percent of staff have achieved a minimum of NVQ level 2 or above. Cornwall Care Ltd prioritises staff training and from discussion with staff and inspection of staff files this demonstrated a commitment to staff updating their training From inspection of four recently recruited staff files they evidenced that appropriate employment checks have been completed. All files had a CRB recruitment number and the registered manager stated that clearance had been gained, but due to work on the flooring by the manager’s office this could not be inspected and needs to be checked on the next inspection visit. POVA checks on staff files were evidenced. Of the four newly recruited staff files inspected photographs should be gained. Cornwall care Ltd recruitment policies were not inspected on this occasion. Trevern DS0000008922.V267533.R01.S.doc Version 5.1 Page 19 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, 35,37,38 The registered manager is competent in her role to manage the home. The management approach creates an open, positive and inclusive atmosphere for residents and staff. Treveren ensure that the home is maintained to a safe standard for those who live or visit the home. However improvements are needed in respect of infection control. EVIDENCE: The registered manager has experience in social care setting and has gained the Registered Managers Award. She has undertaken relevant training to update her knowledge in the area of older persons care. The staff team and residents spoke positively regarding the accessibility of the manager to voice any ideas as to how to improve/change the service. During the inspection some staff had a meeting with the registered manager. Staff confirmed that they meet with the management team approximately 3
Trevern DS0000008922.V267533.R01.S.doc Version 5.1 Page 20 monthly. A residents meeting occurred prior to Christmas. Minutes of these meetings were not inspected. Cornwall Care Ltd is reviewing their quality assurance survey. Therefore this was not inspected further on this occasion. Two previous recommendations in respect of auditing resident’s money and an inventory of the safe contents have been complied with. Records held by the home are stored in a confidential manner and in the main are in line with the Data protection Act. Trevern health and safety aspects of the home were inspected in detail at the last inspection and all checks appeared to be in place. However it was observed on this visit that there must be improvements to the kitchen area. It was observed the kitchen needs redecoration as tiles looked worn and dirty, and in one area mould was growing on the tiles. A silver strap attached to the floor had come away and was a tripping as well as infection control hazard. The food mixer had some rust on it and therefore must not be used, again due to infection control. Whilst the inspector acknowledged that staff had been cleaning this area due to the age of the kitchen it had deteriorated. On speaking with the registered manager she stated that it is planned for work to commence on the kitchen area in February 2006. In addition outside the home, the bins were overflowing and rubbish bags and some of the contents were on the ground. The registered manager contacted the council during the inspection to ask if they had missed a rubbish pick up, this could not be confirmed. The inspector advised that another bin is purchased but the registered manager said she would monitor the rubbish collections. The shed next to the bins had vegetables stored on the floor, which must not occur, again due to infection control risks plus this shed is used for staff smokers. The registered manager said she would address these areas immediately. Trevern DS0000008922.V267533.R01.S.doc Version 5.1 Page 21 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 Trevern DS0000008922.V267533.R01.S.doc Version 5.1 Page 22 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 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 x X X X X X X X 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 X X 3 X 3 2 Trevern DS0000008922.V267533.R01.S.doc Version 5.1 Page 23 Are there any outstanding requirements from the last inspection? No 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 OP38 Regulation 23 Requirement The registered manager must send a written plan to inform CSCI of the actions the home intends to take in respect of the kitchen area. The registered manager must ensure that infection control risks inside and outside of Trevern are addressed: in particular the kitchen, shed and bin areas. Timescale for action 30/03/06 2 OP38 16,13 28/02/06 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 Refer to Standard OP9 OP9 OP18 OP29 Good Practice Recommendations Daily fridge temperatures should be monitored and recorded. Transcribing of medicines on MAR sheets should be witnessed by two staff members A flow chart to inform staff of the process to be used in respect of adult protection procedures should be attached to the homes policy. Photographs of staff should be obtained and placed in personnel files
DS0000008922.V267533.R01.S.doc Version 5.1 Page 24 Trevern 5 OP15 The registerd manager should ensure that fridge and freezer temperatures, plus probing of foods should be taken on a dily bases and recorded. Trevern DS0000008922.V267533.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD 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 Trevern DS0000008922.V267533.R01.S.doc Version 5.1 Page 26 Trevern DS0000008922.V267533.R01.S.doc Version 5.1 Page 27 - 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!
