Inspection on 20/08/07 for 122 Carol Avenue

This inspection was carried out on 20th August 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

122 Carol Avenue 09/10/09

122 Carol Avenue 28/09/06

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Carol Avenue, 122 122 Carol Avenue Bromsgrove Worcestershire B61 8RH Lead Inspector Dianne Thompson KEY Unannounced Inspection 20th August 2007 10:00 Carol Avenue, 122 DS0000066849.V346023.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 Carol Avenue, 122 DS0000066849.V346023.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. Carol Avenue, 122 DS0000066849.V346023.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Carol Avenue, 122 Address 122 Carol Avenue Bromsgrove Worcestershire B61 8RH 01527 872692 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) www.dimensions-uk.org Dimensions (UK) Ltd Mr David Sampson Round Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Carol Avenue, 122 DS0000066849.V346023.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Within 3 months of the date of registration Dimensions (UK) Ltd will finalise lease, management and care agreements with the County Council as referred to in the `Statement of Understanding` dated 28th March 2006 and provide the Commission with the copies. 28th September 2006 Date of last inspection Brief Description of the Service: 122 Carol Avenue is a traditional detached house in a residential setting providing a home for four people who have learning disabilities. The home includes a ground floor bedroom and bathroom facilities. Service users bedrooms are individually decorated and furnished with a lounge, dining room and kitchen shared by the household. There is easy access to public transport and the town centre. The house has its own vehicle for service users use. The home aims to provide a homely environment promoting independence and dignity. Service users receive care and support to live as ordinary a life as possible in the community. This involves teaching skills and creating opportunities on behalf of individual service users. Service users are encouraged to participate in the running of the home and share in the general household activities within their capabilities. Dimensions (UK) Ltd is now the care provider for the service, having registered with the Commission for Social Care Inspection on 1st April 2006. The registered manager is Mr David Round. The current fee for the service range from £1547.00 per month. Charges that are additional to the fee include personal toiletries and clothing, holidays, major extra outings, hairdressing, leisure and activities. Carol Avenue, 122 DS0000066849.V346023.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection visit to see what the home was like to live in for the people who live there. The inspector talked to some of the people who live at Carol Avenue and some of the staff working there. We looked at some of the policies and procedures in the office. Policies are rules about how to do things. We spent some time looking at records in the office. We sent out surveys to get views about the service from other people. The assistant manager completed an Annual Quality Assurance Assessment (AQAA) and sent this to the Commission for Social Care Inspection (CSCI). What the service does well: What has improved since the last inspection? Person centred care plans are now being completed for everyone who lives at Carol Avenue. Things are written down so staff can follow this where there are any health worries or concerns. Dimensions checks on the quality of the service being provided at Carol Avenue. They ask many people for their views about the home. A report is then written and plans are then made to make any changes that are needed. Carol Avenue, 122 DS0000066849.V346023.R01.S.doc Version 5.2 Page 6 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. Carol Avenue, 122 DS0000066849.V346023.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 Carol Avenue, 122 DS0000066849.V346023.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): 2 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. There is a range of information about the home that is made available. Assessments are completed before people move into Carol Avenue, to make sure their individual needs can be met. EVIDENCE: There have been no new admissions to the home since 2002, but there are policies and procedures in place should there be a vacancy. There is a brochure about the home, a Statement of Purpose and Service User guide available. The information is available in different formats such as pictures and symbols, large print and audio that makes it is easier for people to understand. Surveys confirmed that information about the home is shared, and that they are kept up to date with important issues. Full assessments were completed for everyone before they moved into Carol Avenue. A care plan is written based on the information from the assessments, when a person comes to live at Carol Avenue. Carol Avenue, 122 DS0000066849.V346023.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 This judgement has been made using available evidence including a visit to this service. Individual needs are being well met by the staff at Carol Avenue. Care plans are kept up to date and reviewed regularly to make sure that staff have all the information they need to provide consistent support. Risk assessments show how risks are to be reduced and the ways that independence is promoted and maintained. EVIDENCE: Care plans for three people were examined. Case tracking provides a view of how the home responds to the diversity of needs and how this is being managed and supported. This is particularly evident where health needs and disability requires greater input and support from all staff within the home. Information provided in Care Plans covers areas such as likes and dislikes, diet, communication and personal care. Dimensions are introducing a person centred approach (PCP) to all their services and their recording system Carol Avenue, 122 DS0000066849.V346023.R01.S.doc Version 5.2 Page 10 emphasises this approach. The care plans for people living at Carol Avenue have improved in content and recording since the previous inspection. Care plans are more accessible to individuals and for staff to provide consistent support. Evidence seen in care plans includes information about the methods of communication people use or understand, such as signs and symbols, makaton, audiotapes, and objects of reference. During the previous inspection it was noted that a list of symbols and words that people used in their communication, with explanations so that staff can support more effectively was to be provided. This has now been completed and meets the requirement of the previous inspection. There is evidence to show that personal support plans are reviewed regularly and that follow up dates are now arranged in advance. A Path map has been completed for the service provided at Carol Avenue. The Path map process has given staff knowledge and experience to support people who use the service in completing their PCP’s. The training and completion of the home Path has given staff an opportunity to explore opportunities, share ideas and take responsibility for specific areas of work. Each person is allocated a key worker to oversee his or her care. Each key worker builds a closer relationship so they gain more understanding and knowledge of individual needs, goals and wishes. Plans are reviewed regularly or as any changes in need occur. There is evidence of key worker support and encouragement to make sure that people who use the service are fully involved in the reviews of their care plans. Staff said they are fully aware of the plans and follow them to guide their practice. Risk assessments are completed to keep people safe, with suitable guidelines for assistance as necessary. The risk assessments that were seen have been reviewed regularly and explore ways to make sure that people are able to be as independent as possible. Family surveys confirmed that care given is what they expected or agreed with the home. Survey comments include ‘the staff are good’ and ‘always give good care’. Carol Avenue, 122 DS0000066849.V346023.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, 15, 16 and 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People receive help and encouragement to lead active and interesting lives. Everyone is encouraged and supported to maintain links with their families and to develop friendships. Dietary needs are generally well catered for with a varied and healthy menu provided. EVIDENCE: A range of activities is promoted for people who use the service, both in-house and within the local community. These activities include going to the Monday Club, attending Church, Foot massage, shopping, music, crafts, and watching soaps on TV. Everyone is given the opportunity to take part with events arranged to people’s abilities. Staff said that opportunities are discussed regularly with people who use the service through their weekly meetings. Planning activities, menus, and any other issues within the home are discussed. Activities are now recorded in individual diaries and provide Carol Avenue, 122 DS0000066849.V346023.R01.S.doc Version 5.2 Page 12 evidence of people’s lifestyles. This meets the requirement of the previous inspection. Holidays are regularly planned. One person was away on holiday in Weymouth at the time of the inspection visit, and another two people have a holiday planned to the Cotswolds. A caravan holiday during September is planned for another person. Evidence shows that regular contact with friends and family is supported. Survey responses show that families visit their relative at the home on a regular basis. Individual files include information on their Relationship Circle. This is used to illustrate the circle of support that is important to each person and how the staff at Carol Avenue can help people maintain their relationships. Menus are planned during weekly meetings when people make their choices for the coming week. People who use the service are involved in meal preparation and making their lunch boxes for the following day. Records show the varied and nutritional meals that are provided and alternative meals where these have been chosen. Carol Avenue, 122 DS0000066849.V346023.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, 21 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Details of people’s personal and healthcare needs are clearly identified in care plans and health action plans. This detail informs staff on how care is preferred and makes sure that support is provided in a consistent way. Carol Avenue has a medication policy and procedure for staff to follow to ensure that all medication is administered and stored safely for the protection of everyone who uses the service and staff. EVIDENCE: Each person has a health action plan included with their care plan which sets out how their health needs are to be met. Regular checks and monitoring is being recorded in health action plans. The staff team has been able to establish that a pattern of changes in health is emerging for one person who uses the service because the recording system has become more effective. This is good practice and demonstrates that health care and support can be provided more effectively if procedures are followed correctly. There is an improvement in the level of recording and information Carol Avenue, 122 DS0000066849.V346023.R01.S.doc Version 5.2 Page 14 available in care plans to advise and inform staff. People have good access to medical support through their GP, orthopaedic consultants, opticians, speech and language therapists, dentist, chiropodist, and the community learning disability team. People are offered annual health checks through the community nurse. Staff were observed providing support for people in a respectful way, making sure that each persons’ dignity and self esteem was important. Although people who were at home during the inspection visit were unable to communicate their views of the home, they appeared to be comfortable and at ease in their surroundings. Medication is well managed by the staff at Carol Avenue. Medication is stored securely and given to people at the right time and full records are kept which show this. A medication policy and procedure is in place and provide guidelines to follow should any medication error occur. Additionally, procedures advise that errors are to be reported to the CSCI. Funeral plans are in place for some people where this has been agreed. This has been more difficult to arrange where a person is unable to communicate their wishes and there are no immediate relatives. The assistant manager said that efforts to obtain advocacy support are being made. Carol Avenue, 122 DS0000066849.V346023.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 This judgement has been made using available evidence including a visit to this service. People who use the service are protected from abuse. They have access to easy to understand information about how to complain and Staff support people to express their views and any concerns they may have. There are suitable procedures in place for the management of complaints. EVIDENCE: There are suitable procedures in place at Carol Avenue to respond to any allegations of abuse and for managing any complaints made about the service provided. A copy of the local procedures is also available. The complaints procedure is available in different formats so that people are able to access the information. Staff support people who live at Carol Avenue should they wish to make a complaint. Survey responses show that people are aware of the complaints procedure and that no complaints have been made. The CSCI has not received any complaints about the home since the previous inspection. Staff receive training in abuse awareness, and this training is part of induction training for new staff. There are suitable finance procedures in place. Everyone who uses the service has their own safe in their bedroom for keeping their money secure. The Carol Avenue, 122 DS0000066849.V346023.R01.S.doc Version 5.2 Page 16 manager makes regular checks, and the provider audits all finances on a monthly basis. Risk assessments are completed to help people in the management of their money. Carol Avenue, 122 DS0000066849.V346023.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, 30 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. People who live at Carol Avenue enjoy a comfortable and homely living environment. The home is spacious and is kept clean and well maintained. EVIDENCE: A tour of the home was conducted. Carol Avenue is set back from the main road, approximately half a mile from Bromsgrove town centre. There is reasonable access to local services and facilities, and the home has its own vehicle. The home has a large lounge diner, a large kitchen, bathrooms upstairs and downstairs, and a separate utility and laundry room. There is a fully enclosed rear garden with a seating area. The home has one ground floor bedroom. The decorator was working in the home at the time of the inspection visit. One persons bedroom was being redecorated in the wallpaper and colour of paint they had chosen. The other bedrooms are also to be decorated. One of the people at home during the inspection was happy to show their room. This person indicated that their room was Carol Avenue, 122 DS0000066849.V346023.R01.S.doc Version 5.2 Page 18 going to be decorated too, and that they had chosen the colour of the paint. There are plans for the office to be repainted. The assistant manager said the garden fence needs to be replaced, and a request for this work has been submitted to Nexus. Trees have been cut down where they were becoming problematic to the neighbours. Policies and procedures for infection control are in place and staff are provided with disposable gloves and aprons. Communal bathrooms have paper towels and liquid soap available. All cleaning materials are stored in locked cupboards in the laundry room. Staff were seen to wear suitable protective clothing for the work they were doing. Carol Avenue, 122 DS0000066849.V346023.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): 32, 34, 35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. There are sufficient staff on duty with the right skills and knowledge to meet the needs of people who live at Carol Avenue. Staff are well supported and work together to provide consistent and good quality care. Staff receive relevant training to help them meet the needs of people who use the service. The home’s recruitment policy and practices make sure that suitable staff are employed. All necessary checks are made to ensure the safety of everyone living at Carol Avenue. EVIDENCE: Carol Avenue has a committed and stable staff team. Agency staff are not used as the assistant manager said that any additional shifts are covered within the staff team where needed. The assistant manager said the staff team are very well motivated and actively seek ways to improve the lives of the people who use the service. Dimensions provide regular staff training. Staff complete mandatory training Carol Avenue, 122 DS0000066849.V346023.R01.S.doc Version 5.2 Page 20 such as Health and Safety, Fire Safety, First Aid, Food Hygiene, Moving and Handling, Infection Control and Vulnerable Adults. Staff said that the training provided by Dimensions is very good. The assistant manager said that the staff team would welcome training in equality and diversity. Staff training completed last year includes epilepsy, mental health awareness and first aid. At the time of the inspection only two staff out of a team of eight working at Carol Avenue are qualified to NVQ level. Feedback from surveys was positive, indicating that staff support was ‘very good’ and that the ‘needs of people living at Carol Avenue are being met’. Dimensions recruitment policy and procedures ensure that everyone completes an appropriate application form and that required references are obtained including one from their most recent employer. Appropriate criminal records and other checks are undertaken before their appointment is confirmed. All staff are required to work a probationary period at the home. Recruitment records were seen for two new members of staff. The records are well maintained and contained all the required information and safety checks. All newly employed staff complete an Induction Course. The Induction process also includes new staff being supported by senior staff to familiarise themselves with the home, people who use the service and safety matters. Carol Avenue, 122 DS0000066849.V346023.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, 39, 42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home is well managed and staff receive the leadership and support they need. Dimensions monitor the home in various ways to make sure that the health and welfare of people using the service is protected. EVIDENCE: The registered manager is currently on long term sick leave and the home is being managed by the assistant manager, Sue Hancox. Sue has been employed as assistant manager in the home for four years and is qualified to RMNH. Sue has many years experience working with people with learning disabilities and regularly completes training relevant to her position. The Annual Quality Assurance Assessment (AQAA) was completed by Sue Carol Avenue, 122 DS0000066849.V346023.R01.S.doc Version 5.2 Page 22 Hancox and sent to the CSCI within the required timescales. The AQAA says that ‘Carol Avenue is managed to a high standard and management is transparent, approachable and effective’. Carol Avenue has become more person centred in their approach and this is evident from the improvement in the recording systems, the methods used to make sure that everyone who lives at Carol Avenue is fully involved in the running of the home and the way they live their life. Staff confirmed that the assistant manager is approachable and supportive. Additionally, Dimensions support the management of the home in various ways. For example there are training and human resource staff who are able to provide advice and support as required. The provider’s monthly visits are one of the ways that Dimensions monitors the service and how the home is being run. These visits include interviews with staff and people who use the service. An audit of relevant parts of the service including records, environment, complaints received, finance and safety is completed. Any actions that may be needed to address shortfalls are specified. The resulting reports are also part of the home’s quality assurance and monitoring system and are intended to form an annual development plan for the service. This report will include views on the service from people who use the service, stakeholders and interested parties. Records show that monthly checks of the fire safety system and equipment, water temperature and storage, fridge, freezers and electrical appliances are completed. Staff are undertaking all mandatory health and safety training topics. Generic risk assessments are in place. Carol Avenue, 122 DS0000066849.V346023.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Carol Avenue, 122 DS0000066849.V346023.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA35 Good Practice Recommendations Equality and diversity training should be provided for all staff. Carol Avenue, 122 DS0000066849.V346023.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW 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 Carol Avenue, 122 DS0000066849.V346023.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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