Inspection on 04/05/05 for 22 St Peter`s Road

This inspection was carried out on 4th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

22 St Peter`s Road 28/01/09

22 St Peter`s Road 09/02/07

22 St Peter`s Road 02/11/05

22 St Peter`s Road 06/10/04

22 St Peter`s Road 22/04/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

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Seabourne House

33 St John`s Church Road

Dovedale Court

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

CARE HOME ADULTS 18-65 22 St Peters Road St Leonards-on-sea East Sussex TN37 6JG Lead Inspector Caroline Johnson Unannounced 4 May 2005 09:30 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 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 Stationary 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. 22 St Peters Road H59-H10 S45882 22 St Peters Road V220016 040505 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service 22 St Peters Road Address 22 St Peters Road St Leonards-on-Sea East Sussex TN37 6JG 01424 447851 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Dominic Paul Kennard Robert Ralph Care Home 4 Category(ies) of Learning disability (LD) 4 registration, with number of places 22 St Peters Road H59-H10 S45882 22 St Peters Road V220016 040505 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum service users to be accommodated is 4 2. To allow a specific service user who has a dual diagnosis to be admitted to the home Date of last inspection 6 October 2004 Brief Description of the Service: 22 St Peter’s Road is situated in a residential area in St Leonards on Sea. The home is registered to accommodate four adults with autistic spectrum disorders.The property is a three storey building with bedrooms situated on the first and second floors. The home is close to shops and amenities and there is easy access to Hastings and St Leonards. 22 St Peter’s Road is one of three homes owned by the proprietors Mr and Mrs Kennard. 22 St Peters Road H59-H10 S45882 22 St Peters Road V220016 040505 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, the first in the year running from April 1 2005 to March 31 2006. The inspection lasted from 10.30pm until 4.05pm. During the inspection there was an opportunity to spend half an hour with three of the residents in the lounge. In addition to speaking with residents it was also possible to observe staff interacting with residents. Two members of staff were interviewed individually and there was also an opportunity to listen to the staff handover between shifts. A number of records were examined and plans for the care to be provided for two residents were seen on this occasion. A full tour of the building was not undertaken. However the lounge, dining room and bathroom were seen. The manager was on leave at the time of the inspection but a manager from one of the other homes within the company stepped in to answer any questions that the staff team were not able to answer. Three of the residents were asked how they would like to be referred to in this report. The choices presented to them were service users or residents. Two of the three residents chose to be referred to as residents. Following the inspection the manager confirmed in writing that staff training records and supervision records were up to date at the time of inspection and that they were stored securely on the premises. This will need to be followed up at the next inspection. What the service does well: What has improved since the last inspection? Residents are leading more active lives. In addition to the various activities that were already in place previously, three of the residents now have work experience placements. Residents spoken with were particularly proud of their achievements and one in particular talked about how she hoped this could develop further. Since the last inspection of the home two of the residents raised areas of complaints. Both complaints were addressed appropriately and the residents were satisfied with the outcome. This has shown that the 22 St Peters Road H59-H10 S45882 22 St Peters Road V220016 040505 Stage 4.doc Version 1.20 Page 6 complaint procedure works and that the staff team are approachable. It will also hopefully encourage residents to feel that their views are important and to have confidence in speaking out if they have concerns in the future. The home has introduced a questionnaire to seek the views of residents and their relatives on the subject of dying and death. The questionnaire is very comprehensive and the company are to be commended for the quality of the document. A new computer has been purchased for use by residents. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 22 St Peters Road H59-H10 S45882 22 St Peters Road V220016 040505 Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection 22 St Peters Road H59-H10 S45882 22 St Peters Road V220016 040505 Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,5 The home needs to produce a service user guide that is appropriate to meet the needs of the residents accommodated. EVIDENCE: Since the last inspection of the home the statement of purpose has been amended to reflect the changes in the management of the home. The company are still working on producing a service user guide in a format suitable for the residents accommodated. The terms and conditions of residence still need to be amended to include the correct title for the Commission. There have been no new admissions to the home since the last inspection. A good practice recommendation was made at the last inspection to keep a record of all documentation given to residents and or their representatives. This has yet to be implemented. 22 St Peters Road H59-H10 S45882 22 St Peters Road V220016 040505 Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8,9, The weekly house meetings provide a very good opportunity to encourage residents to make decisions and choices about their home and how they wish to spend their weekends. Record keeping in relation to documenting choices and decisions regarding the weekends are good. Record keeping in relation to discussions regarding house issues could be better in highlighting how residents are involved in the discussions and their individual views. EVIDENCE: Two care plans were examined. Both included detailed advice for staff to follow to ensure that the needs of the residents could be met. A staff member advised that she was reviewing both plans. The need to include dates on all the risk assessments was highlighted. It was recommended at the last inspection of the home that the minutes of the weekly house meetings should include details of the house issues discussed and the views of service users in respect of these. A record is kept of the issues discussed but there is no record of the views of the residents in respect of these. Records show that residents are given lots of choices regarding their activities and meals. Residents also make choices in addition to the choices presented to them by staff. 22 St Peters Road H59-H10 S45882 22 St Peters Road V220016 040505 Stage 4.doc Version 1.20 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,14, Residents lead very interesting and fulfilling lives. There is a lot of variety in the activities provided. Activities through the week are very structured and less so at the weekend. The structure provides security. The planning in advance for weekend activities also provides security. EVIDENCE: Each of the residents has a timetable of the activities that they participate in through the week. There is lots of variety in the activities provided. Three of the residents have work experience placements for a few hours each week. In addition they attend college courses and one resident attends a day centre one day a week. Some of the other activities include, aromatherapy, ten-pin bowling, gym, swimming, letter writing, pub trips, cinema trips and visits to cafes and restaurants. There was an opportunity to meet with three of the residents in the lounge. They spoke about their annual holiday, which is planned to take place in Lime Regis in June. They also talked about the weekly meetings and how they decide the activities that they would like to participate in at weekends. They have a rota in place for cleaning and agreed that it was fair that they should all contribute to keeping their home clean and tidy. 22 St Peters Road H59-H10 S45882 22 St Peters Road V220016 040505 Stage 4.doc Version 1.20 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,21 The home works hard to meet the needs of the residents and where specialist advice or support is required then arrangements are made for this to happen. The company is to be commended for the quality of the questionnaire that they have designed to seek the views of residents and their relatives on the subject of dying and death. EVIDENCE: All staff receive training from the local pharmacist on the medication in use in the home. In addition, prior to new staff being able to administer medication they must complete in-house training on the subject. Records held in respect of the in-house training will be seen at the next inspection of the home. Records seen in respect of medication administered to residents were satisfactory. The home provides information for staff on the medication used on an `as required’ basis. This could be extended to include basic information on all medication in use in the home. When necessary, the home seeks specialist advice and support to meet the needs of the residents accommodated. Since the last inspection the home has started the process of assessing the wishes of residents in respect of dying and death. The company has devised a very comprehensive questionnaire seeking the views of residents and their relatives about the subject of dying and death. One of the completed 22 St Peters Road H59-H10 S45882 22 St Peters Road V220016 040505 Stage 4.doc Version 1.20 Page 12 questionnaires was seen and it provided detailed advice and guidance. Staff advised that once all the questionnaires are returned, they would then make an assessment about how best to assess each individual resident’s views. 22 St Peters Road H59-H10 S45882 22 St Peters Road V220016 040505 Stage 4.doc Version 1.20 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22,23 The home encourages residents to speak out if they are unhappy or have a concern. The manager recently dealt with two complaints raised by residents and both residents were satisfied by the outcome. This should encourage residents to feel confident in raising concerns. The manager needs to draw up a policy on POVA in relation to recruitment so that should the need arise to refer someone to the register he is clear about the process. Whilst there are no concerns regarding the handling of residents’ finances, record keeping in respect of some allowances received by residents could be clearer. EVIDENCE: There is a detailed complaint procedure in place. Since the last inspection of the home there were two complaints recorded. Residents had raised both of the complaints and records showed that they were dealt with appropriately and that the complainants were satisfied with the outcome. There is a policy in place on adult protection and prevention of abuse. Additional information needs to be included and this could be achieved by use of a flow chart to advise staff on the steps to be taken should they suspect abuse. In addition the home needs to have a policy on POVA in relation to recruitment and an understanding of when and how to refer someone to the National register. There are no concerns regarding the handling of residents’ finances. There are different procedures in place for each resident depending on their individual ability to manage their monies. There is a document in each file detailing the personal allowance received by each resident and how it will be managed. The document does not refer to disability living allowance or to the additional allowances received by residents. 22 St Peters Road H59-H10 S45882 22 St Peters Road V220016 040505 Stage 4.doc Version 1.20 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,27,28,30 Overall the home is well decorated and there is a good history of responding to maintenance issues as they occur. Record keeping in relation to the checking of the emergency lights has been poor and it is essential that this be improved. The manager needs to ensure that if in-house training in fire safety is to be provided for staff, the person providing the training must be suitably qualified to provide such training. EVIDENCE: A tour of the building was not carried out on this occasion. The only areas seen were the lounge, dining room and the bathroom. The lounge and dining rooms are homely and furniture provided is comfortable. Staff advised that the carpet in the lounge and the hallway had been cleaned less than three months ago. However, the carpet needs to be cleaned again. A new computer has been purchased for use by residents. A requirement was made at the last inspection of the home to redecorate an area of the bathroom. This has yet to be carried out but staff advised that the work would be undertaken when the residents are on their annual holiday. Requirements made at the last inspection of the home in relation to fire safety had been met. However, records showed that the monthly testing of emergency lights had last been carried out in December 2004. Fire safety 22 St Peters Road H59-H10 S45882 22 St Peters Road V220016 040505 Stage 4.doc Version 1.20 Page 15 training consists of staff viewing a video on fire safety and receiving in-house training on the subject. If training is to be provided in-house there must be evidence that the person providing the training has received appropriate training on the subject. 22 St Peters Road H59-H10 S45882 22 St Peters Road V220016 040505 Stage 4.doc Version 1.20 Page 16 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,35,36 Staff are provided with good training opportunities but record keeping in relation to the training provided, needs to be kept up to date. Clarification is necessary in relation to one staff member’s role and the extent of her responsibilities. The frequency of staff supervision needs to be increased. EVIDENCE: Staff are issued with job descriptions detailing the extent of their role and responsibilities. Further clarification was requested in respect of one member of staff’s role and the extent of her responsibilities. This member of staff works as a support worker, however the other staff on duty referred to her as an experienced senior member of staff. She was witnessed providing very good advice and a clear sense of direction to staff. The staff rota indicated that there were satisfactory staffing levels in the home. Three of the staff team have completed NVQ level two or above and another staff member will be starting NVQ training on completion of her foundation training. Two of the staff team have completed training on SCIP, another member of staff is currently on the course. Staff training records were seen but had not been updated recently so it was not easy to make a judgement about how many staff had received training. A staff member advised that she and the manager had completed a course on health and safety. Another member of staff advised that since starting in post 22 St Peters Road H59-H10 S45882 22 St Peters Road V220016 040505 Stage 4.doc Version 1.20 Page 17 in February she had, in addition to completing the home’s induction and almost completing the foundation course, attended courses on sexuality and on bereavement. Arrangements are being made for her to receive training on basic food hygiene and health and safety. There is a need to ensure that all relief staff receive similar training opportunities as permanent staff. A staff member observed during the course of the inspection was skilled in recognising one of the resident’s behaviour patterns. She provided reassurance and empathy to the resident and then ensured that the resident had time and space to reflect on what was happening. The frequency of formal supervision sessions for staff seems to have slipped. Whilst one of the staff on duty had received regular supervision sessions, as she was new to the home, the other two staff on duty advised that they had received only two supervision sessions in the past year. 22 St Peters Road H59-H10 S45882 22 St Peters Road V220016 040505 Stage 4.doc Version 1.20 Page 18 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39,40,42 The home is generally well managed and the needs of the residents are paramount. One of the residents has recently been through an unsettled period and the manager has appropriately put all his resources into supporting the resident through this period. However, as a result, some of the requirements and recommendations made at the last inspection were not addressed due to the time factor rather than an unwillingness to address them. Having a senior member of staff to step in and assist the manager at times like this would ensure continuity in achieving all management tasks. In respect of the staff handover, detailed information was provided and there was a good discussion held between staff about the current issues and how best to achieve consistency. Although all staff have not had regular formal supervision they feel supported and find the manager very approachable. EVIDENCE: Since the last inspection of the home the manager was successful in his application to become the registered manager of the home. Since the last inspection of the home, one of the residents has gone through an unsettled period. However, specialist advice and support was sought and the situation 22 St Peters Road H59-H10 S45882 22 St Peters Road V220016 040505 Stage 4.doc Version 1.20 Page 19 has been managed effectively. The resident advised that she had a `bad patch’ but that she is now more settled. Staff meetings are held regularly and the minutes of the last meeting showed that staff are given opportunities to share their views on a variety of topics and that they receive clarification on the subjects they raise. A staff member spoken with stated that the manager `is very supportive and approachable’. They also stated that `the environment is very comfortable, there is a very friendly staff team and the staff and residents have a lot of fun together’. During the inspection there was an opportunity to listen to the handover given to the staff member coming on duty for the afternoon shift. The handover was detailed and comprehensive. The home has yet to introduce a quality audit tool for assessing the views of residents and their relatives in relation to the quality of the care provided in the home. Recommendations made at the last three inspections (minor amendments only) in respect of updating two of the homes procedures have yet to be addressed. In relation to health and safety it was noted that the portable appliance testing had been carried out in February 2005. The home’s monthly health and safety assessment had last been completed in November 2004. There were lots of gaps in the recording of hot water temperatures but this had improved since April 2005. Staff advised that a plumber had been called to attend to problems with the shower. Hot water temperatures tested on the day of inspection were within normal safety limits. 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. Where there is no score against a standard it has not been looked at during this inspection. 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 22 St Peters Road H59-H10 S45882 22 St Peters Road V220016 040505 Stage 4.doc Version 1.20 Page 20 CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 x x x 2 Standard No 22 23 ENVIRONMENT Score 2 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 2 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x 2 2 x 3 Standard No 11 12 13 14 15 16 17 3 3 x 3 x x x Standard No 31 32 33 34 35 36 Score 3 3 3 x 2 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x 3 2 3 Standard No 37 38 39 40 41 42 43 Score 3 3 2 2 x 2 x 22 St Peters Road H59-H10 S45882 22 St Peters Road V220016 040505 Stage 4.doc Version 1.20 Page 21 Yes 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 6 Regulation 15(2)(b) Requirement The home must continue with the process of updating care plans. All documentation must be dated. The manager must document more clearly all money received on behalf of residents and how it is managed. (This was a requirment of the previous three inspections). Records must show that the emergency lights are tested monthly in line with the homes policy. The member of staff providing training to staff in respect of fire safety must receive appropriate training on the subject. Areas of the bathroom on the first floor must be redecorated. (This was a requirement of the previous inspection). The carpet in the lounge and hallway must be cleaned. Staff training records must be kept up to date showing that all staff have received training appropriate to their role. Relief staff must have similar training opportunities to permanent staff. All care staff must receive Timescale for action 15 July 2005 30 June 2005 2. 23 17(2) Schedule 4 para. 9(a) 17(2) Schedule 4 para. 14 23(4)(d) 3. 24 15 June 2005 30 July 2005 31 August 2005 15 July 2005 30 July 2005 4. 24 5. 27 23(2)(b) 6. 7. 28 35 16(2)(c) 18(1)(a) 8. 36 18(2) 30 June Page 22 22 St Peters Road H59-H10 S45882 22 St Peters Road V220016 040505 Stage 4.doc Version 1.20 regular formal supervision. 9. 39 24(1)(a)( b) The home must develop a quality audit tool to measure the quality of the care provided to residents. (This was a requirement of the previous three inspections). 13(4)(a)(c The homes checklist in respect ) of health and safety must be carried out monthly in line with the homes policy. 13(4) Hot water temperatures must be tested regularly and the problem with the shower must be resolved as a matter of urgency. 2005 30 July 2005 10. 42 30 June 2005 Immediate 11. 42 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. 4. 5. 6. Refer to Standard 1 1 5 8 20 23 Good Practice Recommendations The homes service user guide should be available in a format that can be more easily understood by the residents accommodated. A record should be kept of all documentation given to residents and /or their representatives. The terms and conditions of residence should include the correct title for the Commission. Minutes of house meetings should include details of the house issues discussed and the views of the residents in respect of these. In additon to providing information about as required medication, the home should keep information about all medication in use in the home. The homes adult protection procedure should be expanded upon to include reference to contacting the local Social Services team as soon as possible should they suspect abuse. In additon the home should produce a policy and procedure in respect of POVA in relation to staff recruitment. The manager should review the role and responsibilities of one member of staff and ensure that the staff team are clear about the extent of each others roles and responsibilities. H59-H10 S45882 22 St Peters Road V220016 040505 Stage 4.doc Version 1.20 Page 23 7. 31 22 St Peters Road 8. 40 The homes procedures should be amended to include reference to contacting the Commission should a resident go missing. In addition in respect of notifyable incidents the homes procedure should be updated in line with Regulations. 22 St Peters Road H59-H10 S45882 22 St Peters Road V220016 040505 Stage 4.doc Version 1.20 Page 24 Commission for Social Care Inspection Ivy House, 3 Ivy Terrace Eastbourne East Sussex BN21 4QT National Enquiry Line: 0845 015 0120 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 22 St Peters Road H59-H10 S45882 22 St Peters Road V220016 040505 Stage 4.doc Version 1.20 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. 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