Care Home: Magnolia House

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What the care home does well Staff enable people to make choices and treat them with respect. The weekday activities provided are varied and suited to people`s individual needs. The house is clean and homely and people are able to personalise their rooms. The home is well managed and there is an experienced and trained staff team. The information that is given to people about the service is well written and is very informative. What has improved since the last inspection? A new manager has taken up post and has just completed our registration process that checks whether someone is a fit person to run a care home. The home has introduced person centred planning and health action plans since the last inspection and they have bought a new people carrier so that people can get out and about more. The manager tells us in the AQAA that the induction of new staff has been improved so that they can quickly become effective staff members when they start working at the home. The kitchen had been improved and the washing facilities moved to stop people taking washing through the cooking area of the kitchen. What the care home could do better: Community Care Solutions has made arrangements with us to keep their staff personnel files centrally to make sure that staff confidentially is maintained. To enable us to check that the proper recruitment procedures are followed they have devised a form that is completed by the personnel officer and is kept in the home. It lists the information we require with the date it was received. This arrangement nearly meets our requirement but a few changes need to be made to make it more robust. CARE HOME ADULTS 18-65 Magnolia House 11 Station Road Biggleswade Bedfordshire SG18 8AL Lead Inspector Ann Wiseman Unannounced Inspection 11th September 2008 10:00 Magnolia House DS0000014934.V371842.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 Magnolia House DS0000014934.V371842.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. Magnolia House DS0000014934.V371842.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Magnolia House Address 11 Station Road Biggleswade Bedfordshire SG18 8AL 01767 315562 01767 317586 vendersby@hotmail.com www.communitycaresolutions.com Community Care Solutions Limited 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) Samantha Mason Care Home 7 Category(ies) of Learning disability (7), Mental disorder, registration, with number excluding learning disability or dementia (2) of places Magnolia House DS0000014934.V371842.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The home can accommodate a maximum of 7 people, 5 in the main house and 2 in the bungalow. The home can accommodate a maximum of 7 people in the category learning disability (LD) The home may accommodate up to 1 person who has a physical disability or sensory impairment if their primary assessed need is a learning disability. This person must be accommodated in the ground floor bedroom of the main house. The bungalow must only be used for those service users that are working towards more independent living as part of their agreed plan of care. The home may accommodate up to 2 persons with Mental Disorder (MD). 3rd September 2007 4. 5. Date of last inspection Brief Description of the Service: Magnolia house provides care to seven people, five in the main house and two in an adjoining bungalow. The home is a family house which has been extended to provide five single bedrooms, one of which is on the ground floor, a large kitchen/diner, lounge and conservatory. There are bathing and toilet facilities on both floors and a small office/sleep-in room on the first floor. The home is within walking distance of Biggleswade town centre, with its shops, library, pubs and places of worship. The current group of people living in the house are all between 25 and 50 years and have a learning disability. They also need varying degrees of support with behaviour that may be challenging. The home aims to enable people to live as independently as possible whilst receiving care and support to enable them to access the local community. The fee was in the range of £946 to £1,628 a week. Magnolia House DS0000014934.V371842.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This was an unannounced inspection; we arrived at 10.30 in the morning and stayed for six hours. The manager was out with people from the house when we arrived but a staff member interrupted her NVQ session with her assessor to make sure that we had what we needed and we started to check the care plans until the manager returned. When she took over helping us with the inspection, she did it in an open and helpful manner. Whatever files and documents we asked to see were quickly produced and were well ordered. During the day we had a look around the home and talked to some of the staff. Most of the people who live in the home were out but we were able to talk to two of them who had stayed at home. We looked at information belonging to two people and the available information of two of the staff. We also assessed some of the homes policies and procedures and sampled a random selection of the health and safety records. Before the inspection the manager has sent us the Annual Quality Assurance Assessment (AQAA) she had completed. The AQAA is a self-assessment that focuses on how well outcomes are being met for people living in the home. It also gave us some numerical information about the service. The AQAA was sent to us within our set timescales and showed that the home recognised areas that need further improvement. We had sent surveys to the home for distribution amongst the people in the home, their relatives and the staff. We had a good response, all of the people replied and so did five staff members. Two people were able to complete the survey on their own; staff helped the others to complete them. The response was positive. The house was clean and tidy and the atmosphere was friendly and congenial. The interaction between the staff and the people living in the home was observed to be friendly and open. When staff talked about the people they did so in a supportive and respectful manner and written notes were also written appropriately. The program of redecoration and maintenance is ongoing and the house is well maintained. Magnolia House DS0000014934.V371842.R01.S.doc Version 5.2 Page 6 What the service does well: 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. Magnolia House DS0000014934.V371842.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 Magnolia House DS0000014934.V371842.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): Standards 1, 2, 3, 4 and 5 were judged on this occasion. People who use the service receive Good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. People are given excellent information about the home and assessments are carried out to make sure that the home will be able to meet their needs. People are given an opportunity to “test drive” the home and are given a contract when they move in. EVIDENCE: The homes statement of purpose contains all the information anyone needs to know if they are thinking of moving into a care home and it is available in a clear and comprehensive format. People are provided with a contract that sets out the terms and conditions of the placement. We examined two peoples files during this inspection and they contained detailed assessments, written contracts and care plans derived from the assessments. People thinking of moving in are given the opportunity to visit the home before they decide so that they can make an informed decision about the home and whether it will be able to meet their needs. Magnolia House DS0000014934.V371842.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7, 8, 9 and 10 were assessed during this inspection. People who use the service receive Good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. Care plans are in place and people are supported to make decisions about their lives. Risk assessments are done to enable them to take risks as part of an independent lifestyle. Personal information is handled appropriately. EVIDENCE: We examined two care plans during this visit, they have been updated and made more person centred since the last inspection and reflected the needs and aspirations of the person involved. People who live in the home are enabled to make decisions about the home and the things they do. We spoke to one person who told us, “I cook my own lunch, I am going to have beans on toast today” The manager told us that people are supported to chose the menus and take it in turn to prepare and cook the food assisted by the staff. House meetings are held where everyone gets a chance to make suggestions for what they would like to do when they go out. Risk assessments are developed to minimise risk of harm in all of peoples every day activities. They Magnolia House DS0000014934.V371842.R01.S.doc Version 5.2 Page 10 have been audited recently and any that are no longer necessary or relevant have been archived. Induction training includes keeping confidences. When not in use, private information is stored in a locked cupboard and is not left lying around in communal areas. Magnolia House DS0000014934.V371842.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): All of these standards were judged during this inspection. People who use the service receive Good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. People are able to advance personal development by attending a day centre and Adult education classes. A full range of activities is offered in and out of the house that makes people a part of the local community. Friends and family are welcomed in the home and peoples rights and responsibilities are recognized and upheld. Food offered is varied and people take it in turn to help prepare the meal. EVIDENCE: People enjoy reading, cooking and attending classes at the local education centre. They go to a day centre and attend clubs where they are able to mix with their peers. People can attend day centres and adult education. They enjoy eating out as a group or individually, they also visit the local pub and go to the cinema. People are assisted to attend a local church. Magnolia House DS0000014934.V371842.R01.S.doc Version 5.2 Page 12 Friends and family are welcomed in the home and often visit or are invited to help celebrate special events. Some people visit their families at home. The garden is maintained with the help of a gardener once a week. It is relatively small but has a pleasant sitting area. People grow vegetables and enjoy gathering and eating them. When we were at the house we saw potatoes, beans and tomatoes growing well in the garden. People are helped to keep their rooms clean and tidy, the manager says in the AQAA, “People’s rooms are regarded to be their personal space and are decorated to their own personal taste. Staff respect privacy and always adopt a ‘knock on the door’ policy.” People help to choose and prepare the evening meal and take part in keeping the house clean and tidy. The menu is varied and offers a balanced diet; the food cupboards freezers and fridge were well stocked with fresh, tinned and frozen food as well as snacks and treats. Magnolia House DS0000014934.V371842.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19 and 20 were assessed during this visit. People who use the service receive Good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. This home records peoples personal care needs in a way that enables them to be supported as they want to be. People have access to doctors and receive specialist care and medication is managed properly. EVIDENCE: We looked at two care plans and found that, peoples support needs were recorded and they were written in a way that reflected peoples personal preferences. The care plans were reviewed regularly enough to give people an opportunity to change their minds about how they want to receive personal care. We found evidence, in the files we examined, that people have access to medical practitioners as and when they need to, they also get support from specialists such as speech and language therapy, psychology, psychiatric, dentists and opticians. We examined the medication and its records and found that they were as required. There were no mistakes or gaps in the recording sheet. Magnolia House DS0000014934.V371842.R01.S.doc Version 5.2 Page 14 In a previous inspection the home was given a requirement to review PRN medication procedures. PRN medication is one that is given occasionally. They may be as simple as painkillers or they may be psychotic medication given to people to help them get through difficult times, such as challenging behaviour episodes. The review has been carried out, but they would benefit from being more detailed. We discussed the possible improvements with the manager and she has undertaken to make some changes. Magnolia House DS0000014934.V371842.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): We examined both of these standards on this occasion. People who use the service receive Good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. Complaint policies and procedures are available and complaints are investigated. Systems are in place to properly record complaints and concerns. People are protected from abuse by staff being properly trained in safeguarding and managing challenging behaviour. EVIDENCE: The home has complaint and safeguarding policies and the complaints procedure is displayed throughout the home. Complaints and concerns are recorded in a way that makes it possible to follow them from start to finish easily. We have not received any complaints made directly to us since the last inspection. The home has been proactive about reporting possible safeguarding issues to the local authority and us and send us notification of any incidents that may negatively affect the lives of the people living in the home. We examined the way that the home looks after peoples personal money. The money spent is recorded and receipts are kept. Everyone has a separate bank account in his or her own name. A copy of the Multi-Agency Vulnerable Adult Protection document No Secrets is available for staff. Recent training has covered safeguarding adults and managing challenging behaviour. Surveys we received indicated that people would be happy to discuss any concerns with staff. Magnolia House DS0000014934.V371842.R01.S.doc Version 5.2 Page 16 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): Standards 24, 25, 27, 28 and 30 were judged during this inspection. People who use the service receive Good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. This home is safe, comfortable, clean and hygienic. Bedrooms suit peoples needs and lifestyle and there are sufficient bathrooms and toilets. EVIDENCE: The home is in an attractive building, we were shown about the house and found that the it is homely and well decorated. Some new carpets have been laid recently and the communal areas have been decorated. There are pictures and photographs displayed and there are ornaments around the home. There is a small attractive garden that is planted with trees and bushes. There is a vegetable plot tended by the people in the home and there is an area for sitting and relaxing. There have been some changes to the layout of the kitchen since the last inspection. The Landry facilities have been moved so that dirty washing doesn’t need to be taken into the cooking area of the kitchen any more. Magnolia House DS0000014934.V371842.R01.S.doc Version 5.2 Page 17 The conservatory was in use when we were at the home but contained little furniture that was worn and not very well organised, the room could be made more attractive by replacing the furniture and being more imaginative with its layout. All of the communal rooms are clean and hygienic and bedrooms are individual and reflect the personality of the people who occupy them. There are sufficient bathrooms and toilets to meet peoples needs. Magnolia House DS0000014934.V371842.R01.S.doc Version 5.2 Page 18 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): Standards 31, 32, 33, 34, 35 and 36 were inspected during this visit. People who use the service receive Good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. Staff are aware of their roles and responsibilities and are qualified. The home has recruitment policies and procedures in place that are being followed. Appropriate training is being offered and staff receiving supervision. EVIDENCE: Community Care Solutions has made arrangements with us to keep their staff personnel files centrally to make sure that staff confidentially is maintained. To enable us to check that the proper recruitment procedures are followed they have devised a form that is completed by the personnel officer. It lists the information we require with the date it was received. This arrangement would meet our requirement except that the information it records is very basic and the majority of them are signed off with only initials without indicating the person’s full name or position in the company. When the arrangement was made with us we sent a suggested format to be used, which would record all the information an inspector would expect to find in the home. We propose to resend that letter to the company with a recommendation that the provider adopts it for their own use. Magnolia House DS0000014934.V371842.R01.S.doc Version 5.2 Page 19 The form used at present does not make it clear who has taken the responsibility to confirm that all the safeguarding checks are in place and that they have been authenticated. If the staff files aren’t going to be kept at the home to enable us to check that procedures are followed, someone must take responsibility for ensuring the safeguarding checks are in place and that they are authentic and that person must be properly identified on the form. As it is the registered manager who is responsible for the people employed in the home it is strongly suggested that she should take ownership of the task and personally make sure the checks are done and the information is complete. We have been assured that should we feel it is necessary to inspect the original staff files arrangements would be made. The two staff members we spoke with displayed a good knowledge of the people in the home and understood their needs. Information given to us in the Annual Quality Assurance Assessment (AQAA) completed by the manager tells us that the home has met the minimum of 50 of its staff having attained the NVQ 2 in care or it’s equivalent. On the day of the inspection one staff member was meeting with her NVQ assessor. Levels of staffing is adequate to offer people individual uninterrupted time, continuity of care and to be able to manage emergency situations. The rota shows there is always enough staff members on duty each shift. The home offers a wide range of training; we saw evidence that staff receive the training in their files and the surveys staff returned told us that they felt they are adequately trained. When asked what the service does well, one staff member said, “It gives training that helps you to gain more knowledge about how to deal with people with disabilities.” Another person said, “I have done all the relevant training to help me do my job better and understand the people better.” We also saw the home’s training matrix that individually identifies each staff members training needs, the matrix it is undated on an ongoing basis and an updated copy is sent to the home monthly. We also saw an induction pack carried out by the homes newest employee and when we spoke to them they said that they had been impressed with the induction and the training they had done. They also confirmed that all their safeguarding checks had been done before they started working in the home. Staff we spoke to said that they receive supervision, and we saw the supervision notes on their files. Magnolia House DS0000014934.V371842.R01.S.doc Version 5.2 Page 20 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): Standards 37, 38, 39, 40 and 42 where assessed during this visit. People who use the service receive Good quality in this outcome area. This judgement has been made using available evidence including a visit to this service. This home is well run and the ethos of its management is empowering to the people living in it and their views underpin its running. The policies and procedures protect people’s rights and best interests. Health and safety is promoted and necessary checks are made and records are kept. EVIDENCE: The manager has recently undertaken our registration process, which checks that she is a fit person to run a care home by making sure she has integrity and experience. During the inspection she was able to find everything we asked for and was knowledgeable about the running of the home and the people living in it. Magnolia House DS0000014934.V371842.R01.S.doc Version 5.2 Page 21 The home sends annual surveys to the staff, people living in the home and their relatives. Once they are returned the information is collated and action is taken when shortcomings are highlighted. They have already been sent out this year and we where given a copy of the analysis of those retuned. The response was positive. House meetings are held where people are encouraged to speak their mind about how the home is run and how it can be improved. Records are kept of these meetings and we were able to see them. The organisation’s polices and procedures are comprehensive and are reviewed and updated as legislation dictates. Records are kept up to date and are stored appropriately. Personal details are stored in a locked cupboard and are not left unattended, staff are asked to read and sign the organisations policy on confidentiality when taking up post. A sample of health and safety records were inspected and were found to be in order. Fire points are tested weekly and fire equipment is tested annually. Fridge and freezer temperatures are taken and recorded daily, the fire officer last visited in March 2007 and there were no areas of concern raised. All of the requirements made at our last inspection have been completed. Magnolia House DS0000014934.V371842.R01.S.doc Version 5.2 Page 22 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 3 2 3 3 3 4 3 5 3 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 3 26 X 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 2 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 3 X 3 x Magnolia House DS0000014934.V371842.R01.S.doc Version 5.2 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 YA34 Regulation 19 Requirement If the staff personnel files aren’t going to be kept at the home so we can examine the original documents, someone must take responsibility for ensuring the safeguarding checks are in place and that they are authentic and that person must be properly identified on the form. Timescale for action 12/03/09 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. YA24 2. YA34 Refer to Standard Good Practice Recommendations Consideration should be given to making better use of the conservatory by rearranging the furniture and possibly replacing it. The service should reconsider the format used to record information they leave in the home in replacement of the staff personnel files. It is also strongly recommended that the manager should take responsibility for checking that the information given to her is accurate, sufficient and authenticated. DS0000014934.V371842.R01.S.doc Version 5.2 Page 24 Magnolia House Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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. 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