Inspection on 06/06/08 for The Turrets

This is the latest available inspection report for this service, carried out on 6th June 2008.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Turrets 13/03/06

The Turrets 08/09/05

The Turrets 21/03/05

The Turrets 11/10/04

The Turrets 12/03/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOME ADULTS 18-65 The Turrets 7 - 9 Glebe Road St George Bristol BS5 8JJ Lead Inspector Sarah Webb Unannounced Inspection 6th June 2008 08:45 The Turrets DS0000026618.V365098.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 The Turrets DS0000026618.V365098.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. The Turrets DS0000026618.V365098.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Turrets Address 7 - 9 Glebe Road St George Bristol BS5 8JJ 0117 9554058 0117 9554058 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) Mrs Lorna A Arnold Mrs Lorna A Arnold Care Home 10 Category(ies) of Learning disability (10) registration, with number of places The Turrets DS0000026618.V365098.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate up to 10 persons aged 18 - 64 years with learning disabilities 18th January 2007 Date of last inspection Brief Description of the Service: The Turrets is a home for people with learning disabilities, aged between 18 and 64. Mrs Arnold is the registered provider and manager. The philosophy is that of an extended family offering support and guidance within a secure framework and structured home life. Local shopping and other public amenities are within walking distance. The home is near a bus route accessing Bristol, Hanham, and Kingswood. Respite and Nursing accommodation are not provided. The current fees for this service range from £343.35 to £610.97 per week, depending on the support needs for each individual. The Turrets DS0000026618.V365098.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 carried out over one day. We looked at records including care and support plans, risk management, the administration of medication, and staff recruitment and training. We looked around the premises and also spoke with people using the service, staff, and the manager. A completed Annual Quality Assurance Assessment (AQAA) was received before this visit. Surveys were received from people using the service, relatives, health professional, and staff. Comments from all the surveys were positive about the level of care and support offered and these have been included in this report. We issued four requirements and two recommendation The requirements and recommendations from the last inspection have been met. What the service does well: People are given a full assessment so that the home will know that their needs can be met. Staff are given up to date information so that people are supported consistently. The service provides a comfortable and structured home life for each person who lives at The Turrets. People are supported in their chosen lifestyle; they are involved in meaningful activities and are encouraged and supported to live as a part of the local community. Staff have good working relationships with both families and healthcare professionals. This helps ensure that people are working in the same way to meet peoples’ needs. Comments from families included: ‘We look on the Turrets as a home from home.’ People spoken with and comments from surveys said that they like living at the Turrets and feel well supported by the staff. The Turrets DS0000026618.V365098.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. The Turrets DS0000026618.V365098.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 The Turrets DS0000026618.V365098.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): 1&2 Quality in this outcome area is good. Prospective people and their families are given relevant verbal information about the home. Written information must be reviewed to reflect up to date information. Peoples’ needs are identified through assessment so that the home can plan to meet them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a Statement of Purpose and Service User Guide. The Service User Guide is in a user friendly format helping people to decide if this is the right home for them. The manager is aware that current information must be updated and has started reviewing both documents; both have not been reviewed since being submitted to us. A guide to developing a written Statement of Purpose has been sent by us to help with the process. There has been one person admitted to the home since the last inspection. Written records showed how they came to live at The Turrets; these included information of when they had visited with their social worker and family after their needs had been assessed. The home had also carried out a pre assessment of their needs showing that they could be met. The Turrets DS0000026618.V365098.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): 6, 7, & 9 Quality in this outcome area is good. People benefit from a person centred approach to care planning with detailed information in how to support people individually. Care plans are reviewed regularly. People are consulted with and helped to make decisions about their lifestyle. Risk assessments support people to take risks as part of their lifestyle. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Four care plans were looked at. These provided comprehensive information on the areas of support each person required. They were set out under separate headings including personal care, living skills, risks, mobility, personal safety, emotional needs, and social needs. Staff confirmed that they are given up to date information to help meet people’s needs. Since the last inspection; people have been involved in developing care planning with photographs and user friendly formats. It is evident that the home has improved in taking a person centred approach by supporting people with accessible information. The Turrets DS0000026618.V365098.R01.S.doc Version 5.2 Page 10 Care plans are reviewed by the home six monthly, and care files showed that some placing authorities had also reviewed peoples placements. People spoken with confirmed they were involved with reviewing their care at both meetings and on a daily basis. The home keeps daily written records of individuals’ activities and wellbeing. Records held detailed information and any necessary action taken. This showed that peoples’ welfare is monitored well. People are involved in making decisions about their lives. People told me they decide what they want to do during the day and evenings; they said they also had regular meetings to talk about things they want to do. This was also confirmed by staff who said the majority of people were independent in their lifestyle and that they made decisions on a regular basis. Staff are aware of those people who may need support in helping to make decisions. Returned surveys from people using the service confirmed they make decisions about what they want to do each day. Where a risk had been identified, an assessment had been made to minimise risk to people. These assessments had been regularly reviewed to include any changes to individuals needs. The Turrets DS0000026618.V365098.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): 12, 13, 14, 15, 16, & 17 Quality in this outcome area is good. People are supported in making choices about their lifestyle and are helped to take responsibility in their daily lives. People benefit from taking part in social, and recreational activities in the local community, and in keeping in contact with family and friends. The menu is varied, and they are able to choose the food they prefer and like. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care files showed that people are supported through a structured day that meets their individual needs. There are opportunities to be involved in a wide range of meaningful activities. Some people who live in the home are currently in paid employment. Other individuals attend a variety of drop-in centres/project, day services, Disabled Christian Fellowship services, and college courses. The Turrets DS0000026618.V365098.R01.S.doc Version 5.2 Page 12 Many people who live in the home are able to access the community independently. People enjoy going to the library, shopping, clubs, swimming, bowling, to the pub and out for meals amongst other activities. One person told us they loved living at the Turrets and that “staff are the best.” Staff interaction was observed with people that showed good working relationships. People are involved in choosing their holidays. Two people said they were going on holiday together to Torquay, while another two people are going to Spain later in the year with their friends. Some people will also be going on holiday with their families. People are supported in having regular contact with their families and see them often, sometimes staying overnight. Family members are also invited to attend review meetings, if the individual wishes. Some people have friendships outside of the home and invite their friends to the home. Some people are involved in the routines of the home, loading the dishwasher and vacuuming. However part of the staff role is to clean and cook and historically people have not been fully involved in these areas. People can choose to make snacks and refreshments independently. An individual approach is taken to cleaning bedrooms; some people have their rooms cleaned by staff whilst others may be supported or clean them independently. We asked the manager how people progressed and maintained skills in these areas of independence. The manager said that if this is an area that is identified with either the placing authority, day services or other professionals then relevant funding would need to be agreed to follow this through. Menus were seen and these showed that a choice of food is offered that is varied, well-balanced with healthy eating options. Comments received from families included ‘provides a comfortable secure base from which people can live and work’ and ‘provides a secure very comfortable home with good food’ The Turrets DS0000026618.V365098.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): 18, 19 & 20 Quality in this outcome area is good. People benefit from being supported in the way they want with their physical, emotional and healthcare needs well met. People are treated in a respectful manner by staff. People are supported safely with taking medication This judgement has been made using available evidence including a visit to this service. EVIDENCE: The majority of people are independent regarding their personal support needs. There are a few people who need to be helped in this area and care plans showed how staff should be supporting them. People are registered with a local general practitioner (GP), dentist and other relevant professionals such as an optician. Staff accompany individuals if needed to attend appointments. It was evident that the home respects each individual’s privacy; the manager knocked on peoples’ doors before entering individual’s rooms. From observation during the visit we saw people often choose the privacy of their room and that each person who lives in the home is treated with respect and The Turrets DS0000026618.V365098.R01.S.doc Version 5.2 Page 14 dignity. Both people using the service and staff confirmed people are seen as an individual and treated as such. Surveys received from healthcare professionals showed that staff work well with other agencies. Comments about what the service does well included ‘communicates well with other teams, welcoming to professionals and takes on board new information.’ The home uses a monitored dosage system of medication administration, which is provided by a local pharmacy. Medication is stored securely in the home’s office. New staff are shown how medication is administered, and are ‘shadowed’ by the manager until both feel they are confident to administer on their own. Since the last inspection medication records now include individuals photographs to help ensure medication is given to the right people. Records seen were well maintained and up to date. All staff barring the two last recruited staff have attended first aid training. One of these staff is a nursing student leaving just one who will need to be booked on a course. Since the inspection the manager has sent copies of first aid training certificates for the remaining staff. The Turrets DS0000026618.V365098.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): 22 & 23 Quality in this outcome area is good. People are supported to make complaints and express concerns about the service. Staff are aware of procedures for safeguarding people but would benefit from formal training to further ensure people are kept safe This judgement has been made using available evidence including a visit to this service. EVIDENCE: A complaint procedure including our contact details is available and is given to each person who signs to say that they understand the procedure. There have been no recorded complaints since the last inspection. Surveys received from people confirmed that ‘they are treated well by staff’ and that ‘staff listen and act on what they say’. People said they knew how to make a complaint and said they would go to the manager if they were unhappy. Survey received from families stated that they had ‘never had cause to be concerned about their relatives care’. The home has a policy and procedure for the protection and safeguarding of people. However this must be developed further to reflect local agencies safeguarding procedures and that staff are aware of action to take. Staff have not been trained in safeguarding, but explained they would contact the manager immediately if an incident of abuse was reported to them. A recommendation is made for staff to attend training in safeguarding to keep staff informed and updated with current practice. The Turrets DS0000026618.V365098.R01.S.doc Version 5.2 Page 16 The home has individual arrangements in place to support people with their financial affairs. There are four people who handle their own finances independently, whilst two people need support with budgeting. Three people need to be fully supported in accessing and handling their finances. People are encouraged to sign when accessing monies that are held by the home for safekeeping. The Turrets DS0000026618.V365098.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 28, & 30. Quality in this outcome area is good. The Turrets provides a clean, homely, comfortable and safe environment for people to live in. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Turrets is a large Victorian property, which blends well with the local community. The home consists of two large linked properties providing one spacious home for people to live in. There is a communal lounge and a separate activities room which can be used for table games and playing music. There is a large laundry and also a patio area at the back of the home. During the visit people were making the most of the good weather and sitting outside. Shared spaces were well furnished and in good decorative order. The home is well maintained; records showed that this occurs regularly and when needed. Bedrooms seen were individually decorated, personalised and presented The Turrets DS0000026618.V365098.R01.S.doc Version 5.2 Page 18 individual characteristics. People have a key to their bedrooms if they wish. One person spoken with said they lock their door and feel their independence is respected. There are a few people who do not have keys; this has been risk assessed minimising risks to people. The laundry room has an industrial washing machine and dryer. People sort their laundry and the staff wash for them. The standard of cleaning in the house was good throughout on the day of this visit. . The Turrets DS0000026618.V365098.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, & 35 Quality in this outcome area is adequate. People benefit from an effective and experienced staff team who have a good understanding of their role and responsibilities. They are trained to meet the individual needs of people. Recruitment procedures are not robust and do not ensure the safety of people. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Turrets was described by staff as a ‘family orientated home’; members of the owners family are involved with peoples care and support and were seen on the staff rota. The manager is often in the home when not on duty as she has a flat on the premises. However, since the last inspection she has begun to employ more staff relieving her of some of the care duties. There are always two staff on duty during the day; one member of staff sleeps in at night. Staff spoken with described their role and responsibilities and gave examples of how they supported people. It was evident that staff are experienced and have knowledge to meet peoples needs. The Turrets DS0000026618.V365098.R01.S.doc Version 5.2 Page 20 Since the last inspection a concern has been raised regarding staffing levels. This was looked at through discussion with the manager, staff and relevant records. Staff spoken to said they felt the staffing levels were sufficient with the needs of the people living at the home; that the majority of people did not need close supervision during either the day or night. Staff knew those people that needed to be supported specifically, what to do and who to contact in the case of an emergency if the manager was unavailable. The manager showed us written emergency contact details. From the evidence collected it was seen that there are sufficient staffing levels at the home to meet individuals needs. The recruitment details of three new staff were seen. These had completed application forms; however not all files had written references although the manager has had verbal feedback. A requirement is made for the written references to be kept to help ensure the safety of people living at the home. A recent concern raised, informing us that some staff had not had appropriate checks made through the Criminal Records Bureau (CRB) was confirmed through this inspection. Although the manager has ensured staff have been through the CRB process in their previous employment, people still need to be protected through a current CRB check before they start their employment at the home. The manager is aware of the process she needs to follow and that this is an area to be improved. The home is currently waiting for two CRB’s to be processed for the 2 staff. Both staff have already started working at the home. We advised the manager that they must not support people with their personal support needs until a CRB with a satisfactory outcome has been received; that they must be supervised at all times. Staffing files held induction records showing staff had been inducted in their role including running of the home, medication, policies and procedures. Staff surveys returned confirmed that their induction covered everything they needed to know to do the job when they started. Since this visit, the manager has sent copies of staff food hygiene training certificates. All staff barring the two last recruited attended this training. The manager is in the process of booking them on a training course. Three staff have also attended Dementia training provided by the CLDT. All staff spoken with said they felt well supported by the manager and the staff team. One staff member has an NVQ level 2, whilst another is a nursing student. The Turrets DS0000026618.V365098.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 41 & 42 Quality in this outcome area is good. People using the service and staff benefit from a well run home with good outcomes for people. The views of the people who live in the home are sought and acted upon. There are systems in place designed to promote and protect the health & safety of both individuals and staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager, Mrs Arnold, has been the registered manager since 1995 and has a Bachelor of Education qualification for people with special needs. Since the last inspection, Ms Arnold has not continued in the role of deputy manager but still has some input in the home. She has an NVQ Level 3, has completed the NVQ Level 4 and a degree in social work. The Turrets DS0000026618.V365098.R01.S.doc Version 5.2 Page 22 The service is run as that of an extended family, offering support and guidance within a secure framework and structured home life. Surveys received from people using the service said they are treated well by staff and listened to. Surveys from families said they are happy with the support and care their relatives received. A review of the quality of the care was carried out and completed last year, 2007. This involved sending out questionnaires to include people using the service, relatives, care professionals, and hairdresser. The results of these were not seen at this visit, but the manager said comments were positive. The home has met a requirement for fire safety to be improved. A Fire Risk Assessment has been completed; recording of fire drills now include names of those involved. Evacuation plans are now in place for those people who require support to evacuate the home in an emergency. Generally the recording systems in place to support health and safety in the home are being used consistently. The home has a current Gas Safety Certificate and electrical wiring and portable electrical appliance checks are up to date. However accident/incident records showed that on one occasion the home did not inform us of an admission to hospital. The home must ensure we are notified of any accident/incident that affects people’s wellbeing. The home has a small number of generic Risk Assessments in place. These documents are well written and are regularly reviewed and updated. The Turrets DS0000026618.V365098.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 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 X 3 3 X The Turrets DS0000026618.V365098.R01.S.doc Version 5.2 Page 24 NO Are there any outstanding requirements from the last inspection? 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 YA1 Regulation 6 Requirement Review and update the Statement of Purpose and Service User Guide to update current information. Obtain written references for staff. Carry out appropriate checks on staff before starting work to help ensure people are kept safe. Inform us of any incident that may adversely affect the wellbeing of people Timescale for action 30/09/08 2. 3. 4. YA34 YA34 Sched 4 (6)(c) 19 37 31/07/08 31/07/08 09/06/08 YA41 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. Refer to Standard YA23 YA23 Good Practice Recommendations Review and further develop the homes safeguarding policy and procedures. Train staff in safeguarding to help keep people safe. The Turrets DS0000026618.V365098.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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 The Turrets DS0000026618.V365098.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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