Care Home: 81-83 Crofters Close

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What the care home does well People are given information about the home, and the chance to stay before they come to live at Crofters Close. People are given help and support to do the activities they choose. Everyone leads an active and interesting life. People who live at Crofters Close are supported to keep in touch with their families and friends. People can choose what they want to eat from the healthy menu that is available. Crofters Close looks after people well and writes down what help everyone needs. People are supported in their medical appointments. Crofters Close makes sure that all staff are trained to give medication safely. Staff are trained to help them understand how to meet all needs and give people the support they want. Crofters Close makes sure that suitable staff are employed and that all checks are made to keep people safe. The manager has the skills and experience to make sure the home is well run. The management team supports staff. What has improved since the last inspection? Information about the service has been updated to show the changes within the staff team and the new care manager. A newsletter has been produced which tells people what is happening in the home. Risk assessments have been reviewed as needed.Dietary advice has been obtained from health professionals and fresh fruit and vegetables are now available for everyone. A review of the service Crofters Close provides has been completed. This has included asking for comments from other people such as medical professionals and families. All staff now have their own training plan and all training that is done is recorded and the plan is kept up to date. What the care home could do better: The service should say how often people are to have their weights checked on the weight monitoring forms. This will make sure checks are done regularly. CARE HOME ADULTS 18-65 Crofters Close, 81-83 81-83 Crofters Close Droitwich Worcs WR9 9HT Lead Inspector Dianne Thompson Key Unannounced Inspection 29 November 2007 10:00 th Crofters Close, 81-83 DS0000037500.V347762.R01.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 Crofters Close, 81-83 DS0000037500.V347762.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 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. Crofters Close, 81-83 DS0000037500.V347762.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Crofters Close, 81-83 Address 81-83 Crofters Close Droitwich Worcs WR9 9HT 01905 773993 01905 773993 jedwards1@worcestershire.gov.uk www.worcestershire.gov.uk Worcestershire County Council 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) Simon Roderick Edwards Care Home 6 Category(ies) of Learning disability (6), Physical disability (6) registration, with number of places Crofters Close, 81-83 DS0000037500.V347762.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th November 2006 Brief Description of the Service: The home is situated in a quiet cul-de-sac on a residential estate, approximately one and a half miles from Droitwich town centre. There are shops on the estate and a park nearby. Worcestershire County Council operates the home and the responsible individual is Stephen Chandler. Mr Simon Edwards is the registered manager. The communal rooms and two single bedrooms are on the ground floor with four single bedrooms on the first floor. The home has a two-person passenger lift. Crofters Close provides permanent accommodation and personal care for a maximum of six, highly dependent adults with learning and physical disabilities. Some people have lived in the home since they were children. The home has its own unmarked minibus. The aim of the service is to provide a caring and safe home ensuring the privacy, dignity and comfort of each service user. The fees for the service are subject to individual assessment. Charges, which are additional to the fee, include: Personal toiletries, clothing and electrical items (TV and music centre). Activities not covered by the allowance made by the provider include holidays, major extra outings and Hairdressing. Crofters Close, 81-83 DS0000037500.V347762.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection visit to see what it was like for people who live at Crofters Close. Time was spent talking with some of the people who live at Crofters Close and some of the staff working there. We looked at some of the policies and procedures in the office. Policies are rules about how to do things. We spent some time looking at records in the office. We sent out surveys to get views about the service from other people. The registered manager completed an Annual Quality Assurance Assessment (AQAA) and sent this to the Commission for Social Care Inspection (CSCI). Information from the regular monthly visit reports and notifications sent to CSCI have been included in this report. What the service does well: What has improved since the last inspection? Information about the service has been updated to show the changes within the staff team and the new care manager. A newsletter has been produced which tells people what is happening in the home. Risk assessments have been reviewed as needed. Crofters Close, 81-83 DS0000037500.V347762.R01.S.doc Version 5.2 Page 6 Dietary advice has been obtained from health professionals and fresh fruit and vegetables are now available for everyone. A review of the service Crofters Close provides has been completed. This has included asking for comments from other people such as medical professionals and families. All staff now have their own training plan and all training that is done is recorded and the plan is kept up to date. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Crofters Close, 81-83 DS0000037500.V347762.R01.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 Crofters Close, 81-83 DS0000037500.V347762.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Information about the service provided at Crofters Close is made available in different formats so people can understand it. Assessments are completed before people move into Crofters Close, to make sure that individual needs can be met. EVIDENCE: Information about the home, a Statement of Purpose and Service User guide are available. Information is available in different formats such as pictures and symbols, large print and audio to make it is easier for people to understand. Crofters Close has policies and procedures in place for assessing potential people to live at the home. Surveys confirmed that information about the home is shared, and that people are kept up to date with important issues. Evidence was seen to show that full Community Care Assessments have been received and that in addition Crofters Close completes their own assessment. When a person comes to live at Crofters Close care plans are written based on the information from the assessments, visits and discussions with families and other interested parties. Crofters Close, 81-83 DS0000037500.V347762.R01.S.doc Version 5.2 Page 9 Although there have been no new admissions to Crofters Close, there are admission procedures in place that would be followed for a new admission. Crofters Close, 81-83 DS0000037500.V347762.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Individual needs are being well met by the staff at Crofters Close. Care plans are completed and they are reviewed regularly. This makes sure that information is available so staff can provide consistent support. Risk assessments show how risks are to be reduced and how independence is promoted and maintained. EVIDENCE: Care plans for three people were examined. Case tracking provides a view of how the home responds to the diversity of needs and how this is being managed and supported. This is particularly evident where health needs and disability requires greater input and support from all staff within the home. From the plans examined it was evident that support is being provided in an individual way to make sure each person’s needs are being met. Information provided in care plans includes details of likes and dislikes, diet, Crofters Close, 81-83 DS0000037500.V347762.R01.S.doc Version 5.2 Page 11 communication and personal care. Evidence includes information about the methods of communication people use or understand, such as signs and symbols, makaton, audiotapes, and objects of reference. There is evidence to show that personal support plans are reviewed regularly and that follow up dates are arranged in advance. The manager states in the AQAA that ‘care plans have been updated to include pictures to be more service user friendly’. Each person is allocated a key worker to oversee his or her care. Each key worker builds a closer relationship so they gain more understanding and knowledge of individual needs, goals and wishes. Staff said they are fully aware of the plans and follow them to guide their practice. Risk assessments are completed to keep people safe, with suitable guidelines for assistance as necessary. Completed risk assessments have dates for planned reviews and explore ways to make sure that people are able to be as independent as possible. All risk assessments have been transferred to the new Worcestershire County Council (WCC) format and have been reviewed as part of this process. Family surveys confirmed that care given is what they expected or agreed with the home. Survey comments include ‘the staff are very committed’ and ‘the staff are all devoted to the care of the people who live at Crofters Close’. Crofters Close, 81-83 DS0000037500.V347762.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People receive help and encouragement to lead active and interesting lives. Everyone is encouraged and supported to maintain links with their families and to develop friendships. Dietary needs are generally well catered for with a varied and healthy menu provided. EVIDENCE: A range of activities is promoted for people who use the service, both in-house and within the local community. The manager states in the AQAA that ‘people attend local day services at least three days a week’. Each service user as part of a care plan has a set of activities that are identified, recorded and monitored on a daily basis’. Activities include horse riding, shopping, food shopping, going to the local pub and day trips, Outreach at Worcester College, sensory group, swimming, ball games at the local sports centre, skittles, music at Newlandhurst, and playing Crofters Close, 81-83 DS0000037500.V347762.R01.S.doc Version 5.2 Page 13 musical instruments. Everyone is given the opportunity to take part with events arranged to each person’s abilities. Staff said that opportunities are discussed regularly with people who use the service and the planning of more activities is being developed. A newsletter has been produced which tells people what is happening in the home. The manager said this has been well received and plans to produce these newsletters regularly. Evidence shows that regular contact with friends and family is supported. Survey responses show that families visit their relative at Crofters Close on a regular basis. Records show that varied and nutritional meals are provided and alternative meals where these have been chosen. Dietary advice has been sought. Advice and information is recorded in individual health action plans. Fruit and vegetables are freely available and used regularly. Hot foods are regularly temperature tested. Crofters Close, 81-83 DS0000037500.V347762.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Details of all personal and healthcare needs are clearly identified in care plans and health action plans. This detail informs staff how care is preferred and makes sure that support is provided in a consistent way. Crofters Close has a medication policy and procedure for staff to follow to ensure that all medication is administered and stored safely for the protection of everyone who uses the service and staff. EVIDENCE: Individual health action plans are completed for everyone and are included with care plans. These plans sets out how health needs are to be met. Records show that regular checks and monitoring are being carried out. Evidence shows how information is used to make any changes to each persons support if it is needed. It would be good practice to identify the frequency of weight checks for each person on their weight charts, for example weekly or monthly. This will make sure that checks are carried out regularly and consistently. Crofters Close, 81-83 DS0000037500.V347762.R01.S.doc Version 5.2 Page 15 People have good access to medical support through their GP, clinical psychologist, learning disability nurse, speech and language therapist, dentist and chiropodist as required. The manager states in the AQAA that there are plans to ‘engage special physiotherapist/keep fit person to do sessional work with service users’. Staff were observed providing support for people in a respectful way, making sure that each persons’ dignity and self esteem was important. Although people who were at home during the inspection visit were unable to communicate their views of the home, they appeared to be comfortable and at ease in their surroundings. Medication is well managed by the staff at Crofters Close. Medication is stored securely and given to people at the right time and full records are kept which show this. A medication policy and procedure is in place and provide guidelines to follow should any medication error occur. Additionally, procedures advise that errors are to be reported to the CSCI. Administration of medication was observed during the inspection visit and was well managed. Crofters Close, 81-83 DS0000037500.V347762.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who use the service are protected from abuse. They have access to easy to understand information about how to complain and staff support people to express their views and any concerns they may have. There are suitable procedures in place for the management of complaints. EVIDENCE: Procedures are in place that guide responses to any allegations of abuse and in managing any complaints made about the service provided. Staff receive training in abuse awareness. A copy of the local WCC procedures is also available. The complaints procedure is available in different formats so that people who use the service can access the information more easily. Staff support people who live at Crofters Close should they wish to make a complaint. Survey responses show that people are aware of the complaints procedure and that no complaints have been made. The manager said the service has received no complaints. The CSCI has not received any complaints about Crofters Close. The manager states in the AQAA that ‘the home adopts the County Council’s complaints, comments and compliments procedures which is clear and regulated by the Authority’. There are suitable finance procedures in place. Crofters Close, 81-83 DS0000037500.V347762.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who live at Crofters Close enjoy a comfortable and homely living environment. The home is spacious and is kept clean and well maintained. EVIDENCE: A tour of the home was conducted. Crofters Close is in a residential area of Droitwich. There is reasonable access to local services and facilities. The home has a separate kitchen, dining room and three lounge areas. One lounge area has been fitted with sensory equipment and is used as a quiet area. A tour of the home was completed which included one person’s bedroom. Rooms are well equipped and individually decorated. Some areas of the home have been redecorated since the previous inspection visit. The manager states in the AQAA that ‘new furniture in three bedrooms’ and ‘new flooring in the lounge/dining room’ has been completed in the past twelve months. Plans for the next year include a new kitchen and improved laundry facilities. Crofters Close, 81-83 DS0000037500.V347762.R01.S.doc Version 5.2 Page 18 The property has a fully enclosed garden and drive area. The garden has been improved since the previous inspection, and now has a ramp to improve access to the garden for everyone. It is described as a ‘fantastic garden area’ in the WCC Quality Assurance Audit. There is evidence of the use of specialist equipment. Policies and procedures for infection control are in place and staff are provided with disposable gloves and aprons. Paper towels and liquid soap is available in communal bathrooms. All cleaning materials are locked in the laundry room. Staff were seen wearing suitable protective clothing for the work they were doing. Crofters Close, 81-83 DS0000037500.V347762.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. There are sufficient staff on duty with the right skills and knowledge to meet the needs of people who live at Crofters Close. Staff are well supported and work together to provide consistent and good quality care. Staff receive relevant training to help them meet the needs of people who use the service. A recruitment policy and practices make sure that suitable staff are employed. All necessary checks are made to ensure the safety of everyone living at Crofters Close. EVIDENCE: Crofters Close has a committed and stable staff team. Agency staff are not employed. The manager said the staff team are very well motivated and actively seek ways to improve the lives of the people who use the service. Time was spent with three members of staff on duty at the time of the inspection visit. All staff confirmed that they receive regular support and supervision. One person said ‘we have regular team meetings where we can talk about issues – these take place monthly’. Crofters Close, 81-83 DS0000037500.V347762.R01.S.doc Version 5.2 Page 20 WCC provides regular staff training. Staff complete mandatory training such as Health and Safety, Fire Safety, First Aid, Food Hygiene, Moving and Handling, Infection Control and Vulnerable Adults. Staff said that the training provided is very good. The manager states in the AQAA that ‘there is access to good training’ and that ‘all but two members of staff have achieved NVQ level 3 or above’. The service exceeds the required level of NVQ staff. Feedback from surveys was positive, indicating that staff support was ‘very good’ and that the ‘needs of people living at Crofters Close are being met’. Feedback comments from professionals add that the ‘team treat people as individuals and are very good and strong at advocating for them’. Recruitment policy and procedures ensure that everyone completes an appropriate application form and that required references are obtained including one from their most recent employer. Appropriate criminal records and other checks are undertaken before their appointment is confirmed. All staff are required to work a probationary period at the home. Recruitment records were seen for three members of staff. The records are well maintained and contain all the required information and safety checks. All newly employed staff complete the LDAF Induction Course and Service Induction. The Induction process makes sure new staff familiarise themselves with the home, with people who use the service and in safety matters. The manager states in the AQAA that Crofters Close ‘adheres to the County Council’s recruitment procedures and is supported by a dedicated human resources department’. Crofters Close, 81-83 DS0000037500.V347762.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home is well managed and staff receive the leadership and support they need. Worcestershire County Council monitor the service in various ways to make sure that the health and welfare of people using the service is protected. EVIDENCE: The Registered Manager Simon Edwards is well qualified and has many years experience working with people who have learning disabilities. Mr Edwards regularly completes training relevant to his position. Mr Edwards is a qualified Social Worker. He has achieved his Registered Managers Award (RMA) and was successful in his registration with the Commission for Social Care Inspection (CSCI) as the Registered Manager of Crofters Close during the past twelve months. Crofters Close, 81-83 DS0000037500.V347762.R01.S.doc Version 5.2 Page 22 Staff confirmed that the manager is approachable and supportive. One person said that they ‘get regular support from the Manager and the senior’. Another member of staff said that this is ‘a happy home, where the needs of the residents come first’. The Annual Quality Assurance Assessment (AQAA) was completed and submitted prior to the inspection visit. The completed AQAA was discussed with the manager and advice was given on how to develop the information further for future submissions. The provider’s monthly visits are one of the ways to monitor the service and how it is being run. These visits include interviews with staff and people who use the service. The planned audit of the service includes checking records, environment, complaints received, finance and safety. Any actions that may be needed to address shortfalls are specified. The annual quality assurance review of the service identifies area to include in an annual development plan for the service. This review includes views on the service from people who use the service, stakeholders and interested parties. The manager identifies in the AQAA that some areas for improvement have been identified in the service Quality Review and aims to ‘improve on areas below 75 on quality assurance system’. Records show that monthly checks of the fire safety system and equipment, water temperature and storage, fridge, freezers and electrical appliances are completed. Staff undertake all mandatory health and safety training topics. Generic risk assessments are in place. Crofters Close, 81-83 DS0000037500.V347762.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 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 3 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 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Crofters Close, 81-83 DS0000037500.V347762.R01.S.doc Version 5.2 Page 24 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. Standard Regulation Requirement Timescale for action 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 YA19 Good Practice Recommendations The frequency of weight checks should be specified on weight charts for people who use the service. This will make sure that staff know how often checks are to be made. Crofters Close, 81-83 DS0000037500.V347762.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection 1st Floor Chapter House South Abbey Lawn Abbey Foregate Shrewsbury SY2 5DE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Crofters Close, 81-83 DS0000037500.V347762.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. 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