Care Home: Wellfield

Similar services:

• Chirnside House
• Keer Sands Residential Home
• Ruskin Lodge
• Bushell House
• Langrigg House
• Parkside
• Dystlegh Grange
• Thornton Lodge

What the care home does well What has improved since the last inspection? Prior to people moving into the home, their needs were assessed. This meant that staff would be able to meet the persons needs. Staff have received, or were in the process of receiving, training in respect of the Protection Of Vulnerable Adults (POVA). This meant that residents were protected from harm or abuse or of being placed at risk of harm or abuse. Facilities at the home were odour free and safe. This ensured that both residents and staff were living and working in both a pleasant and safe environment. A robust and thorough recruitment process was in place. This ensured that residents were protected from unsuitable staff being employed. Staff received training appropriate to the work they performed. that staff were more confident to carry out their roles. This meantRisks to the health and safety of the residents were identified and as far as possible eliminated. This ensured that residents live in a safe environment. What the care home could do better: Reports in resident`s files should be completed on a daily basis. This will ensure that all staff have "up to date" information available at all times. The cleaning records already provided in the kitchen should be completed as equipment is cleaned. This will ensure that if kitchen staff are absent, covering staff will be aware of what is required. Room passports should be completed as the rooms are cleaned. This will ensure that in the absence of domestic staff, covering staff will be aware of what is required. CARE HOMES FOR OLDER PEOPLE Wellfield 200 Whalley Road Accrington Lancashire BB5 5AA Lead Inspector Mrs Jennifer M Turner Key Unannounced Inspection 10:30 5 and 7th December 2007 th 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 Wellfield DS0000009425.V351593.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. Wellfield DS0000009425.V351593.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wellfield Address 200 Whalley Road Accrington Lancashire BB5 5AA 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) 01254 235386 01254 237022 wellfield200@tiscali.co.uk Wellfield & Henley House Ltd vacant post Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29) of places Wellfield DS0000009425.V351593.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service shall, at all times employ a suitably qualified manager who is registered with the Commission For Social Care Inspection. 20th February 2007 Date of last inspection Brief Description of the Service: Wellfield is registered to provide accommodation and personal care for twentynine older people. The property is Victorian and set in well maintained gardens with outdoor seating areas. The home is located on the main Whalley Road and is close to local shops, and is on a main bus route to all areas of Hyndburn. Accommodation is provided on three floors in twenty-seven single rooms and one double room. Fourteen of the single rooms have en-suite facilities. There are four communal lounges and a dining room/conservatory. Smoking is permitted in a specially designated area. Fees for the cost of a weeks care at Wellfield ranges from £342.50 - £386.00. Additional charges are made for hairdressing and extra personal newspapers above those provided. Information is available in a Statement of Purpose and Service Users Guide. Wellfield DS0000009425.V351593.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A key unannounced inspection, which included a visit to the home, was conducted at Wellfield on the 5th and 7th December 2007 over a ten and a quarter hour period. During the course of the inspection, the proprietors, the care supervisor, two senior care staff, one care assistant, the cook, a number of residents and relatives were spoken to. A number of residents and staff files were examined, procedures and records were also examined, lunch was taken with the residents, activities were observed and the premises were viewed. Feedback was offered to the proprietors at the end of the inspection. Information from an Annual Quality Assurance Assessment document, three questionnaires received from residents, two questionnaires received from health professionals and six questionnaires received from relatives contributed towards the findings. Requirements and recommendations made following the previous inspection were looked at for progress made. The home was assessed against the National Minimum Standards for Older People. A questionnaire was completed relating to a CSCI NW Equality and Diversity legal booklet. A review of the conditions of registration also took place. What the service does well: Prior to people moving into the home, their needs were assessed. They were consulted about the level and type of care they required and could visit the home to look for themselves at the facilities offered. Important information needed to support people in every day living was recorded and used to plan the care they required. This helped to personalise care and show staff what they should do to achieve this. The diverse healthcare needs of the residents were monitored. Staff worked with visiting health professionals for the benefit of residents who felt that they received the care and support they needed. Comments made in surveys indicated that medical support was available if it were needed. One General Practitioner commented, in a questionnaire, “Staff at Wellfield care appropriately and extremely well for residents.“ Wellfield DS0000009425.V351593.R01.S.doc Version 5.2 Page 6 The service offered a range of activities that met most peoples’ needs and meant that people could enjoy a variety of options to choose from. They were able to have some say in what activities were provided through the forum of the residents meetings. A variety of activities took place both in the home and within the community. One relative commented, “I think they could improve by keeping residents occupied or stimulated, but some residents wont participate as they are set in their ways”. Residents commented, “Things are available to do if we want. Outside entertainers visit every month. We are having a “do” tonight and our families have been invited”. The service was good at making visitors feel welcome. Relatives commented, “They make visitors welcome, we can make a drink, they like you to treat the home like your own” and “I visit my mum very often and find that her every need is met.” Residents said that their visitors were “made welcome” and they could “speak with them in private”. There was a clear complaints procedure outlining how a complaint would be dealt with. The procedure was clearly displayed. The general layout and décor of the home provided comfortable surroundings, and was warm, tidy and clean. State of the art laundry facilities were in place. The attitude of the staff and management was to run the home around the needs and choices of the residents. Mealtimes were a social occasion. Meals were well balanced and nutritional, catering for a wide variety of dietary needs of the residents. Those spoken to said, “the food is good and they give you a choice”, “the food’s fine” and “there is always a choice at mealtimes”. There were sufficient staff on duty to meet resident’s needs. Quality Assurance processes were continually used. The views of residents and visitors about the running of the home were being sought. The development plan outlined future plans for the service. What has improved since the last inspection? Prior to people moving into the home, their needs were assessed. This meant that staff would be able to meet the persons needs. Staff have received, or were in the process of receiving, training in respect of the Protection Of Vulnerable Adults (POVA). This meant that residents were protected from harm or abuse or of being placed at risk of harm or abuse. Facilities at the home were odour free and safe. This ensured that both residents and staff were living and working in both a pleasant and safe environment. Wellfield DS0000009425.V351593.R01.S.doc Version 5.2 Page 7 A robust and thorough recruitment process was in place. This ensured that residents were protected from unsuitable staff being employed. Staff received training appropriate to the work they performed. that staff were more confident to carry out their roles. This meant Risks to the health and safety of the residents were identified and as far as possible eliminated. This ensured that residents live in a safe environment. 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. Wellfield DS0000009425.V351593.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Wellfield DS0000009425.V351593.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3;6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A comprehensive assessment procedure was carried out prior to people moving into the home. This meant that their diverse needs were known and met. EVIDENCE: Information written on a pre assessment form, completed by the proprietor, included all the required details and included various health and social care needs and abilities. This information was obtained during a pre admission visit to Wellfield or when people were visited either in their own home or in hospital. Prospective residents and/or their relatives were encouraged to sign the assessments. People were actively encouraged to spend some time in the home prior to making the decision to move in. Copies of letters, confirming that staff could meet people’s needs, were sent following the trial period and were seen on files examined. The home does not provide Intermediate Care. Wellfield DS0000009425.V351593.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;10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ diverse healthcare needs were identified and met. Personal care was delivered in a way that promoted residents’ privacy and dignity. EVIDENCE: Three people’s care plans were examined. A variety of risk assessments were completed in response to individual needs and circumstances, and information was included in the care plan. Records showed that care plans were reviewed on a monthly basis or more frequently if required. Relatives were invited to attend reviews and records showed that residents, relatives and staff signed the documentation. Daily records were not completed each day; just when staff felt an occurrence worthy of note had happened. Wellfield DS0000009425.V351593.R01.S.doc Version 5.2 Page 11 Residents, relatives and staff spoken with indicated that people received appropriate medical and health support when required. Comments made in a questionnaire stated, “Doctors come as soon as you ask for them”. Records showed that a variety of risk assessments were carried out as appropriate and that people received attention from a variety of health care professionals. All contact was recorded in residents’ files. Various health care policies and procedures were available. The medication and records were checked for six residents. All were correct. A monitored dosage system was used for the administration of medication. Policies and procedures were available to cover all aspects of managing medication in the home, including Homely Remedies. The medication policy had been reviewed during November 2007. Appropriate records were in place to record the receipt, administration and disposal of medication. Systems were in place for the management of controlled drugs. Records showed that all the staff designated to administer medication had received, or were undertaking accredited training. People completed and signed an agreement upon admission stating who they wished to be responsible for administering their medication. The Medical Device Alert relating to Lancing Devices was discussed. According to staff, District Nurses would carry out such practices. Any accidents that occurred were appropriately recorded in people’s files. Personal care was carried out in private. Members of staff were observed attending to residents in a friendly and professional manner. A GP commented, “All aspects of care done well. Staff at Wellfield care appropriately and extremely well for residents.“ Wellfield DS0000009425.V351593.R01.S.doc Version 5.2 Page 12 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;15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Dietary, social, cultural and religious needs of residents were met and residents were able to make choices about their lifestyle in respect of their preferences. Social and family contacts were maintained. EVIDENCE: There were some very good details in the care plans about residents’ individual routines and social activity. Although there was a diverse selection of “in house” activities available one resident commented, “ I am sometimes able to take part in activities”. One relative commented, “Think they could improve by keeping residents occupied or stimulated, but some residents wont participate as they are set in their ways”. People were seen to use their rooms as and when they liked. People’s interests were included in their case notes. One lady looked after and kept her budgerigar in her room. Wellfield DS0000009425.V351593.R01.S.doc Version 5.2 Page 13 The activities book showed what had taken place and who had been involved. Some people would go out themselves, with relatives or with staff locally or on country drives. Activities to be undertaken were discussed at the residents meeting. It was evident from the daily records that residents were offered the opportunity to go out whenever they wished. Spiritual Leaders visited the home on a regular basis to offer the Sacrament. Visitors spoken with said that they were made welcome at any reasonable time. One relative commented, “They make visitors welcome, we can make a drink, they like you to treat the home like your own”. Visitors could see people in private in their room or in the lounge areas. Information relating to the visiting policy was written in the Statement of Purpose and Service Users Guide. Residents’ finances were dealt with by either themselves or their family/advocate. Information relating to advocacy was available. People had access to their personal records through their involvement with care plans and the review process. Menus and records of meals served, showed that a balanced diet was being offered. Alternatives to the menu were also specified. Residents could have their meals in their rooms if they wished but were encouraged to eat in the dining room for the social interaction. Drinks were served with every meal and also in-between times. The meal on the day of inspection was nicely presented and looked appetising. The atmosphere in the dining room was pleasant and unhurried. Staff were observed to encourage people to be independent when eating their meals, but offered assistance when it was required. Specialised equipment was seen to be in use. People commented that they liked the meals and that they were of a good standard. Although the chef said that kitchen cleaning was carried out as shown on the cleaning schedules, the records showed that not all kitchen staff were completing them. Wellfield DS0000009425.V351593.R01.S.doc Version 5.2 Page 14 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;18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents lived in a safe environment and were protected from abuse. EVIDENCE: The complaints procedure was included in the Service Users Guide and was seen displayed in the entrance hall. The procedure contained the necessary information should a person wish to raise a concern with the home or the Commission. The complaints book showed that there had been one internal complaint since the last inspection and this had been dealt with satisfactorily. Two complaints that had recently been referred from the Commission were discussed with both the registered person and staff members. The registered person said that she displayed complaints on the notice board and invited staff and relatives for their comments. A relative commented, “I can talk to the owner with ease if there are any problems. She is always eager to help”. She also commented that she would be “putting her (positive) comments forward in respect of the two recent complaints”. Residents tended to, “Know who to speak to if not happy”. Wellfield DS0000009425.V351593.R01.S.doc Version 5.2 Page 15 A copy of the Department of Health document “No Secrets” and “No Secrets in Lancashire” were readily available along with the homes “Whistle Blowing” policy that had been reviewed on 1/10/07. Staff spoken with were aware of their responsibilities toward residents and said that appropriate training was available. Records showed that “Protection Of Vulnerable Adult” training had recently taken place “in house” on 04/09/07 and further training was planned. The registered person understood the referral system for the Protection Of Vulnerable Adults register. Wellfield DS0000009425.V351593.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19;24;26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Equipment provided meant that the diverse needs of the client group were met. The home was warm, clean and comfortable with a good standard of hygiene being achieved and residents lived in a safe environment. EVIDENCE: Wellfield is a mature property set in its own grounds. The residents had access to the garden areas and there was “disabled access” at the rear of the home. Seating was available at both the front and rear of the building. Garden furniture was available. All bedrooms (including the double bedroom) had single occupancy and many had an ensuite facility. All rooms seen contained people’s personal belongings. All bedrooms had door locks fitted and a lockable Wellfield DS0000009425.V351593.R01.S.doc Version 5.2 Page 17 facility was available. All floors were accessible by passenger lift. There was evidence around the home, of aids to assist people with disabilities. The Fire record book was seen and all entries for servicing and testing the fire equipment were up to date. There were room passports in bedrooms, which indicated when each room had last been cleaned, decorated or maintained but not all of these records were up to date. The home provided comfortable and clean surroundings, and was warm, tidy and clean. Equipment in the laundry was sufficient to meet the needs of the home. An Otex ozone system had been installed to the washing machine. From information received prior to the inspection and from documentation seen, policies and procedures were in place in respect of the control of infection. These were being reviewed further, during the inspection, following a recent complaint. Wellfield DS0000009425.V351593.R01.S.doc Version 5.2 Page 18 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;30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The number and skill mix of staff met residents’ needs. Staff were recruited under current guidelines. Staff received training to meet the needs of the residents in the home. EVIDENCE: Records showed that there were sufficient numbers of staff on duty to meet the diverse needs of the residents. Staffing levels were increased if it was felt that residents required more support. There was a duty rota, which showed the names of staff and the hours they worked each day. Ancilliary staff were employed. Many of the care staff team had considerable experience in caring for older people. Of the twenty-two care staff, records showed that sixteen had completed the National Vocational Qualification at level 2 or above (72 ) with a further one care staff undertaking the qualification. Wellfield DS0000009425.V351593.R01.S.doc Version 5.2 Page 19 The files of two staff members were viewed. Records showed that a robust recruiting procedure was in place. One staff member commenced duty following the receipt of a Protection Of Vulnerable Adults (POVA) check and worked under supervision, but had left Wellfield before the Criminal Record Check (CRB) was received. A CRB check was in place for the other member of staff. Staff confirmed that they had received job descriptions and a terms and conditions of employment. The registered person said that Equality and Diversity issues were addressed throughout the recruitment procedure. From reading records and talking with staff, induction training, based on the Skills for Care Standards was offered. Training records were available to examine and showed a diversity of training being offered both “in house” and external. Staff said that training needs were identified during their supervision periods. Wellfield DS0000009425.V351593.R01.S.doc Version 5.2 Page 20 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The welfare of the residents was sufficiently protected. Quality Assurance systems gave the responsible individual valuable feedback in developing the service. EVIDENCE: The registered person was involved on a daily basis with the running of the home. She held a number of nursing qualifications and had worked at Wellfield since it opened in 1966. Training records showed that she continued to undertake further training relevant to her post. The manager had recently resigned and the post was presently being advertised. An administrator was due to commence the following week. Lines of accountability appeared in the Statement of Purpose. Wellfield DS0000009425.V351593.R01.S.doc Version 5.2 Page 21 Records showed that the management team were committed to Quality Assurance. In addition to the Investors In People Award, it was a “Preferred Provider” with Lancashire County Council. From discussion with residents, their comments were sought via Residents meetings and they felt that they “were listened to”. A Business Plan was made available which outlined plans for the period 2007 – 2008. The Statement of Purpose had been reviewed. Questionnaires were made available to residents and relatives on an annual basis around September/October. The results were collated and the results of last years survey had been collated in graph form by the administrator and were displayed in the hallway. Policies and procedures were reviewed in February 2007. The registered person was not an appointee for any resident. Personal financial affairs were dealt with by the residents themselves, their next of kin or advocates. Training records showed that staff members had participated in training relating to safe working practices. Infection control procedures were available. Records showed that regular servicing of equipment takes place by authorised and qualified contractors. Cleaning materials were stored safely. Although accidents were reported, discussion took place with staff in respect of the completion of incident reports. The registered person felt that the home complied with relevant legislation. There was a set of health and safety procedures available. Wellfield DS0000009425.V351593.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 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 Wellfield DS0000009425.V351593.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. 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 2 3 Refer to Standard OP7 OP15 OP19 Good Practice Recommendations Reports in resident’s files should be completed on a daily basis. Kitchen cleaning schedules should be completed as the work is carried out. Room passports should be completed as the rooms are cleaned. Wellfield DS0000009425.V351593.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway 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 Wellfield DS0000009425.V351593.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!