Care Home: Essendene

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What the care home does well The home is very well maintained, clean and inviting so that people live in safe, homely and comfortable surroundings. The assessments of people`s needs, care plans and reviews are completed thoroughly to make sure staff know how to meet people`s care needs and ensure their well being. Individualised care and attention is provided and there is a welcoming, cheerful family type environment so that people who are cared for feel comfortable and at home. Staffing levels are generous and staff members have time to spend with individuals to build positive relationships so they can get to know the people who live at the home well. Staff members are encouraged to train and gain qualifications to help build confidence and competence so they can provide good quality care for people who live at the home. People being cared for and their supporters are encouraged to express their views about the care and accommodation provided and any suggestions for improvement are acted upon, so people know that what they think is important to the providers. The management and staff work well as a team to provide suitable activities for people and to encourage the people so they can maintain their skills and interests. What has improved since the last inspection? The premises are continuously refurbished to provide a very well maintained environment. A range of activities and outings have taken place to help people to remain involved in the local community, to socialise and keep their interests. A greater number of staff members have achieved National Vocational Qualifications and the home has retained its Investors in People status for a further term. Following a suggestion from a person being cared for, staff members now wear name badges to aid recognition. Some people have been helped to identify their own rooms by having their name or a familiar picture placed on their bedroom door. New signs have been fitted in front of the building to help promote the service. What the care home could do better: To aid positive identification it would be helpful if care files contained a photograph of the person being cared for. CARE HOMES FOR OLDER PEOPLE Essendene 199 Runcorn Road Barnton Northwich Cheshire CW8 4HR Lead Inspector Sue Dolley Key Unannounced Inspection 09:45 22nd May 2008 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 DS0000006662.V362651.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. DS0000006662.V362651.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Essendene Address 199 Runcorn Road Barnton Northwich Cheshire CW8 4HR 01606 781182 01606 871323 carol@essendene.co.uk www.essendene.co.uk Mr Peter Brocklehurst Mrs Carol Brocklehurst Mrs Carol Brocklehurst Care Home 13 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) Category(ies) of Dementia - over 65 years of age (5), Old age, registration, with number not falling within any other category (13) of places DS0000006662.V362651.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of thirteen service users to include: * Up to 13 service users in the category of OP (Old age not falling within any other category) * Up to 5 service users in the category of DE(E) (Dementia, over the age of 65) The care plans and placements of service users in the category of DE(E) must be subject to at least quarterly review 2 March 2007 2. Date of last inspection Brief Description of the Service: Essendene is situated in the village of Barnton approximately three miles from Northwich on Runcorn Road just off the A49 and close to the M56 and M6 motorways. The mature detached residence is set in half an acre of grounds and at the rear it overlooks the Weaver valley. It is close to the village centre and to amenities such as doctors, a chemist, and post office and is on the main bus routes to Northwich and Warrington. The home provides residential care to 13 older people. Within this number up to five service users with dementia and over the age of sixty-five may be accommodated. The home offers well-maintained and equipped accommodation in nine single bedrooms and two shared bedrooms. People who live at the home receive individual, prompt and attentive care, in a friendly environment from a courteous staff team. The fees for Essendene are currently £368 lower rate, £413 medium rate and £446 per week higher rate for a single room, depending on assessment of care needs and the room. DS0000006662.V362651.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The overall quality rating for this service is 3 stars. This means that people who use the service experience excellent quality outcomes. This unannounced inspection took place on 22 May 2008 over a period of six hours. This was to assess if people’s needs were being met at the home. A tour of the premises took place and included the kitchen and laundry, four of the bedrooms and all shared areas such as the lounge and dining room, shared bathrooms and toilets. The owners, several staff and people cared for were spoken with and their views contributed to the inspection of the home. What the service does well: The home is very well maintained, clean and inviting so that people live in safe, homely and comfortable surroundings. The assessments of people’s needs, care plans and reviews are completed thoroughly to make sure staff know how to meet people’s care needs and ensure their well being. Individualised care and attention is provided and there is a welcoming, cheerful family type environment so that people who are cared for feel comfortable and at home. Staffing levels are generous and staff members have time to spend with individuals to build positive relationships so they can get to know the people who live at the home well. Staff members are encouraged to train and gain qualifications to help build confidence and competence so they can provide good quality care for people who live at the home. People being cared for and their supporters are encouraged to express their views about the care and accommodation provided and any suggestions for improvement are acted upon, so people know that what they think is important to the providers. The management and staff work well as a team to provide suitable activities for people and to encourage the people so they can maintain their skills and interests. DS0000006662.V362651.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. DS0000006662.V362651.R01.S.doc Version 5.2 Page 7 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 DS0000006662.V362651.R01.S.doc Version 5.2 Page 8 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. The process of moving people into the home is well managed to ensure that they know what to expect and that their needs will be met. EVIDENCE: The home has a service user guide and statement of purpose to provide people with information about the care and facilities available at Essendene. There is also an attractive home brochure and a web site enabling prospective service users and their supporters to make an informed choice about the home. The statement of purpose and service user guide need updating with the latest contact details for the Commission for Social Care Inspection, which have changed recently. The process of moving a person into the home involves a full assessment of their needs and assurance that they can be met. When residential care is being considered, prospective service users and their supporters are DS0000006662.V362651.R01.S.doc Version 5.2 Page 9 encouraged to visit the home to assess the quality, facilities and suitability of the home. The pre-admission documentation and initial assessments for five people who had recently moved into the home were checked and were thoroughly completed. All care needs had been identified and addressed and the reason for the person needing to move to Essendene was identified. The manager had visited the people considering the home, had liaised closely with them and gathered information from their supporters, and their social and health care professionals to determine individual needs and the level of support necessary. DS0000006662.V362651.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 People who use this service experience excellent outcomes in this area. We have made this judgement using available evidence including a visit to this service. People cared for at the home are well looked after in respect of their health and personal needs. Staff members are attentive and respectful and they monitor and support people to make sure they receive all the care they need. EVIDENCE: Five recently developed plans of care were checked. They detailed action to be taken by staff to ensure that appropriate levels of care and support were provided for each person, and to ensure that all aspects of health and personal care needs were met. Risk assessments had been carried out to help identify and minimise risks. The daily notes of care were extremely informative and provided evidence of prompt attentive care, support and continuity of care. DS0000006662.V362651.R01.S.doc Version 5.2 Page 11 Discussion with people living at the home, review notes and comments from the quality assurance surveys confirmed that there was a high level of satisfaction from them and their supporters about the quality of care and facilities provided. Health care notes gave ongoing accounts of the prompt action taken to manage changing health care needs and showed that people were referred to specialist health care services as necessary. The people being cared for felt that their health needs were well met by the home staff and visiting health care professionals. The detailed records kept ensured staff members knew of people’s changing needs and the action to be taken to provide appropriate care and support. Caring relatives had been involved in information gathering, in providing social histories and had been kept informed about changes in care. From the examples of care notes seen it was clear how people had gradually settled into their new home environment over a period of several weeks, how individual care routines had been established and what action had been taken to address any difficulties. The care files showed a holistic approach to care provision, and emotional wellbeing was given great consideration. One care file contained a particularly good account of staff members noticing that a person being cared for was experiencing an adverse reaction to a prescribed medication and of the action taken to alert medical professionals and resolve the situation. Several of the care files seen did not contain a photograph of the person being cared for although photographs were available alongside medication administration records. It would be useful particularly to new staff members to have photographs within the care files to aid positive identification. At a previous inspection a person being cared for had suggested that staff wore name badges to aid recognition and memory. Name badges have since been provided for staff and are a considerable help to people being cared for and to visitors. In addition staff have helped some people being cared for to identify their own rooms by placing the person’s name or a familiar photograph or symbol on their bedroom door. During the visit, the administration, recording and storage of medication, was checked. A local pharmacy supplies medication and provides good liaison, advice and support to the staff at the home. The medication procedures are comprehensive and are available alongside the medication administration records so that staff can refer to them. The medication was well managed and records were clearly kept. Discussion took place regarding two unexplained gaps in the recording of medication and about another medication, which was not given as frequently as prescribed. Immediate action was taken to rectify these matters. DS0000006662.V362651.R01.S.doc Version 5.2 Page 12 Throughout the site visit staff members were observed to have the skills and experience to provide the services and care which the home offers to provide. Staff members were attentive, respectful and courteous and were seen to anticipate people’s needs effectively. There is a small and stable staff team and staff members are trained and experienced which enables them to offer high quality care and support. This is recognised and appreciated by the people being cared for and their relatives. DS0000006662.V362651.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 People who use this service experience excellent outcomes in this area. We have made this judgement using available evidence including a visit to this service. Staff members arrange a wide variety of social activities so people who live at the home can keep active and stimulated. Meals are of a high standard, imaginative and varied so people can eat food that they prefer. EVIDENCE: Since the last inspection visit people living in the home have participated in a wide variety of activities. Around Christmas 2007 musical entertainers visited the home on several different occasions and people being cared for went to see a play at a local school. Since then, they have enjoyed a mystery coach trip and a sing a long with a visiting entertainer and there are plans to go on another trip to have a strawberry tea. There is weekly entertainment schedule for the home including games, exercising, craft, beauty care and there is contact by a local member of clergy. Throughout our visit people being cared for moved freely around the home, chatting with each other, staff and visitors whilst some people were quietly engaged in reading and watching television. A visiting hairdresser provided DS0000006662.V362651.R01.S.doc Version 5.2 Page 14 hair care. Two school students on work placement experience chatted with people and facilitated a ball game, which helped hand and eye co-ordination and the competition was much enjoyed by all involved. Also during the visit an existing member of staff called in with her grandchild. People enjoyed this contact, which promoted much conversation. The visitors to the home were warmly welcomed into the relaxed environment. Tea and coffee making facilities are available in the rear porch of the home, to enable people who live there and their visitors to make additional drinks when required. A cordless phone is available to enable people to make and receive telephone calls at their convenience and in private. The minutes of the last residents’ meeting were read and people reported that they had enjoyed previous outings and visiting entertainers and suggested other future activities. Every effort is made to ensure people cared for keep contact with family and friends, keep their interests and remain involved in activities important to them. Family involvement is encouraged and appreciated and staff members make efforts in organising activities and keeping people informed and aware of events locally and generally. The senior staff members on duty, including the registered manager take responsibility for the catering. All staff members involved have completed training in food hygiene. The manager ensures that individual requests and preferences are accommodated and alternative meals are always available. People being cared for provided positive comments about the meals provided. Care is taken to compile menus with nutritionally balanced meal choices. Special therapeutic diets are provided when advised by health care professionals. Lunch is the main meal of the day and was seen to be an unrushed and social event enjoyed by all. The daily menu was prominently displayed in the dining room and people cared for were reminded of the fresh fruit available to them for snacks throughout the day. DS0000006662.V362651.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. There is a clear, effective complaints procedure in place so people living at the home and their supporters can express their views and concerns and gain responses. Staff members are appropriately trained so they can protect people who live at the home from abuse. EVIDENCE: The statement of purpose for the home clearly states people’s rights and there is a clear and accessible complaints policy and procedure through which people cared for and their supporters can address any issues important to them. The annual quality assurance assessment document stated that there had been no complaints during the last twelve months. The home managers are committed to ensuring that people cared for are consulted about matters regarding the running of the home and about matters which might affect their wellbeing and quality of life. Management and staff are always available to listen to and respond to the views of people who live in the home and to provide advice, reassurance and support. When people cared for lack capacity and are vulnerable, Essendene can direct them and their relatives to advisory services from which they can gain support. DS0000006662.V362651.R01.S.doc Version 5.2 Page 16 All staff members help to safeguard people they care for, take any concerns that are raised seriously and act on them. All staff members receive training in adult protection and learn how to identify and report abuse. Staff members watch training videos and complete written work to support their learning to ensure they have sufficient understanding to help protect the people living at the home. DS0000006662.V362651.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 People who use this service experience excellent outcomes in this area. We have made this judgement using available evidence including a visit to this service. Essendene is very well decorated, cleaned and maintained to a high standard so the people who live there live in pleasant, comfortable and homely surroundings. EVIDENCE: People being cared for are accommodated on the ground floor and first floors; the proprietors use the floor above. Access between the ground floor and first floors, is by stairs or lift. Each room is well furnished and decorated and fitted with a call bell, wash basin and television point. There is one lounge and dining room to the front of the property. DS0000006662.V362651.R01.S.doc Version 5.2 Page 18 The house is a non-smoking environment except for the rear porch area. There are two bathrooms and five toilets within the house. Grab rails and handrails are provided in corridors, bathrooms and toilets. There is a hydraulic bath hoist, personal hoists and various other items of equipment to aid independence and mobility. In each bathroom and toilet, staff members complete a record of cleaning to ensure rooms are frequently checked and cleaned. During the course of our visit all communal areas, communal bathrooms and toilets, the kitchen and laundry and four bedrooms were checked. Cleaning schedules were also seen for the communal areas, kitchen and other areas. As on previous inspection visits, the home was cleaned and maintained to a high standard. It was pleasant, bright and welcoming, providing a comfortable and homely environment for people to live in. Comments from people living at the home and the quality assurance surveys confirmed that high standards of maintenance and cleanliness are always evident throughout the home. The grounds and gardens of the home were also immaculately kept and included garden furniture to enable people living at the home to sit out in warm weather. DS0000006662.V362651.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. There is a well-chosen, loyal and well-trained staff group available to make sure the needs of the people who live in the home are met and to ensure their well-being. EVIDENCE: Staffing is generous to try to ensure that staff members have time to spend with people cared for. There is a well -selected, stable staff team who are experienced and committed to providing good quality care to people. Minutes of residents’ meetings provided evidence of high levels of satisfaction with the care and support provided from the friendly staff team. Of fourteen staff members 3 are unqualified but very well experienced, nine have achieved National Vocational Qualification in care at level 2 and two have achieved National Vocational Qualification at Level 3. Staff members continue to train and to gain further qualifications and competence. During our visit four staff recruitment files were checked and showed that recruitment and selection procedures used by the home are thorough in order to safeguard people living at the home. DS0000006662.V362651.R01.S.doc Version 5.2 Page 20 The agenda and minutes of the last staff meeting on 15 May 2008 were read and provided evidence of planned training, staff reviews and appraisals. They also included an explanation about the role of the key worker. The notes provided a good indicator of two-way communication between management and staff for the benefit of people living at the home. Staff members have their own induction/training packs, which provide evidence of training undertaken and qualification achieved. The packs also provide comprehensive information about the running of the home, health and safety guidance, policies and procedures to be followed and the philosophy of care adopted at Essendene. Each member of staff has a training and development plan. Seven staff members so far have undertaken training in the care of people with dementia, and additional training regarding this area of work is being planned. There was well-recorded evidence of continual training for staff. In addition there was much evidence of video based training, and of competence being assessed by oral questioning, observation and written work. DS0000006662.V362651.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. The proprietors/managers are competent and experienced and know people cared for and staff members well. Consequently everyone living and working at Essendene feel supported and valued. EVIDENCE: Both proprietors have successfully run care homes for older people for over eighteen years and hold a range of qualifications. Both maintain a high profile in the home, are approachable and work alongside staff getting to know the people who live in the home and their supporters well. They both communicate a clear sense of direction and leadership. Feedback is encouraged from all involved in the home so that the home can be run in the best interests of the people who live there. DS0000006662.V362651.R01.S.doc Version 5.2 Page 22 Comments from people cared for and their supporters indicate that the processes of managing the home are open and transparent and people have said they feel well cared for, happy, content and protected. Records are kept of all transactions entered into by the registered person and suitable accounting and financial procedures are adopted to ensure there is effective, efficient management of the business. Appropriate insurance cover was in place. Four examples of records and balances were checked of money held for safekeeping for people living in the home. These were accurate. The proprietors ensure so far as reasonably practical the health and safety and welfare of residents and staff. A number of records were checked to confirm this. The Fire Precautions Record Book was up to date and detailed frequent staff training, checks of the fire alarm and fire safety equipment. The Accident Record Book provided a clear account of all accidents within the premises. The manager was reminded to initial or sign the records to show she had seen them. Evidence of service contract engineers visits were available to show that equipment in the home had been regularly serviced and maintained. A record of Events of Importance was kept in the home. This gave details of all inspections, including inspections by Environmental Health Officers, Fire Officers and the Smoke Free Compliance Officer and provided evidence of their positive feedback. In April 2008 the home’s Investors in People status was reviewed and was successful. Both management and staff were very proud of this achievement. DS0000006662.V362651.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 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 4 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 X 3 X 3 X X 3 DS0000006662.V362651.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 OP7 Good Practice Recommendations Including photographs of each person who lives in the home in their care files would help to aid accurate identification, particularly by new staff members. DS0000006662.V362651.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North West Region CSCI Preston Unit 1 Tustin Court Port Way Preston PR2 2YQ 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 DS0000006662.V362651.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. 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