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Inspection on 14/07/05 for 330 Guildford Road

Also see our care home review for 330 Guildford Road for more information

This inspection was carried out on 14th July 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home ensures that written needs assessments and care plans are in place and are subject to review and updating. Risk assessments are held and reviewed as appropriate. Resident`s health care needs are monitored and the home has regard for training staff in the administration of medication. The home provides a range of pastimes for the residents and encourages their involvement in the community and is committed to maintaining day centre placements and voluntary employment for them. The home has regard for vetting of its staff and satisfactory recruitment procedures are in place. The home provides a homely and comfortable environment and encourages residents to personalise their private space areas.

What has improved since the last inspection?

The home has addressed all requirements set at the last inspection. The standard of decoration and furnishing has improved and the home continues to provide a good standard of accommodation. The home`s vetting procedures have enhanced and the sample of staff files inspected contained the required documentation. The home has been diligent to ensure that the required pre-inspection information was forwarded to the CSCI prior to this inspection.

What the care home could do better:

The home needs to monitor the security arrangements regarding its COSHH cupboard more closely and eliminate the potential tripping hazard regarding the raised floor covering in the laundry. The home needs to introduce additional formal monitoring mechanisms regarding its internal quality assurance systems and the manager should sign and date records and other areas as evidence of vigilance and scrutiny.

CARE HOME ADULTS 18-65 Guildford Road (330) 330 Guildford Road Bisley Woking Surrey GU24 9AD Lead Inspector Mr John Chivers Announced 14 July 2005 10:00am th 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. Guildford Road (330) H58 s13489 Guildford Road 330 v231123 140705 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Guildford Road (330) Address 330 Guildford Road Bisley Woking Surrey GU24 9AD 01483 489208 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) Care UK Community Patnerships Ltd Miss Sam Moth Care Home 6 Category(ies) of LD - Learning Disability (4) registration, with number of places LD(E) - Learning Disability - over 65 (2) Guildford Road (330) H58 s13489 Guildford Road 330 v231123 140705 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The age/age range of the persons to be accommodated will be : 39 - 65 YEARS & 2 MAY BE OVER 65 YEARS 2. The number of persons for whom residential accommodation with both board and personal care is provided at any one time shall not exceed SIX (6) Date of last inspection 7th November 2004 Brief Description of the Service: The home is registered to Care UK Limited and is one of a number of Residential Care Homes administered by the company. 330 Guildford Road is registered to accommodate a maximum of six residents of either gender. All of the residents have learning disabilities. The home is a large detached older style property situated in a quiet backwater of a main road. The home is a short distance from local facilities and amenities. The service provides a homely and comfortable environment for the residents coupled with attentive care and input from the staff. Guildford Road (330) H58 s13489 Guildford Road 330 v231123 140705 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced and was undertaken on 14th July 05. The duration of the inspection was 4.25 hours. As part of the inspection process limited discussion / communication was held with four residents and formal interviews were held with two of the home’s staff. Discussion was also held with the home’s manager. The inspection involved the examination of the home’s policies, procedures, general records, resident’s files and staff personnel files. A tour of the communal and private space areas of the premises was undertaken. The home also supplied the CSCI with the required pre-inspection information. The inspection evidenced good standards of management and care practice; however there is a need to enhance and formalise the home’s internal quality assurance systems by the introduction of resident’s and relative’s questionnaires and the formalisation of an annual development plan. The home’s records were well kept and a range of policies and procedures were in place. Recruitment and vetting procedures were satisfactory and the home has regard for enabling staff to attend training courses. With the exception of a broken COSHH cupboard door lock and the need to level or replace the laundry floor covering no further potential safety hazards were identified. Resident’s are afforded a good standard of care and staff were observed to care for them in an attentive and sensitive manner. Staff interviewed stated that the home had regard for equal opportunities and that no discriminatory attitudes or practices occur within the home. It must be noted that most of the residents had communication difficulties and their views and opinions were conveyed by facial expressions, gestures and interpretation by the manager. Guildford Road (330) H58 s13489 Guildford Road 330 v231123 140705 stage 4.doc Version 1.40 Page 6 What the service does well: What has improved since the last inspection? What they could do better: The home needs to monitor the security arrangements regarding its COSHH cupboard more closely and eliminate the potential tripping hazard regarding the raised floor covering in the laundry. The home needs to introduce additional formal monitoring mechanisms regarding its internal quality assurance systems and the manager should sign and date records and other areas as evidence of vigilance and scrutiny. Guildford Road (330) H58 s13489 Guildford Road 330 v231123 140705 stage 4.doc Version 1.40 Page 7 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. Guildford Road (330) H58 s13489 Guildford Road 330 v231123 140705 stage 4.doc Version 1.40 Page 8 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 Guildford Road (330) H58 s13489 Guildford Road 330 v231123 140705 stage 4.doc Version 1.40 Page 9 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) 2 Comprehensive written needs assessments were in place and are reviewed and updated as appropriate. EVIDENCE: Written needs assessments were available in the sample of residents files inspected. The home’s new assessment forms are comprehensive and cover forty headings. There was evidence of assessments being reviewed and updated as appropriate. Due to residents very limited communication skills and level of understanding it was not possible to fully establish their views regarding the area of assessed needs. However, residents indicated their satisfaction and content via ‘smiles, positive facial expressions and gestures. Guildford Road (330) H58 s13489 Guildford Road 330 v231123 140705 stage 4.doc Version 1.40 Page 10 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 and 9. The home has regard for ensuring that written care plans are in place and that comprehensive risk assessments are held. EVIDENCE: Written care plans were available in the sample of residents files inspected. The care plans were detailed and evidenced internal reviewing on a monthly basis. There was also evidence Social Service Department reviews held on resident’s files. Written risk assessments were held on individual residents. The manager stated that a new risk assessment format is currently being drawn up by the home and should be implemented in the near future. Residents were observed to have independence commensurate to their assessed level of ability and assessed areas of risk. Guildford Road (330) H58 s13489 Guildford Road 330 v231123 140705 stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 15 and 16. The home has regard for maintaining residents in day centre placements and supports them in their voluntary work. The home encourages residents to be involved in the local community and enables them to participate in activities and maintain contact with relatives and friends. EVIDENCE: Residents attend a number of day centres and one particular resident undertakes voluntary work at a local community centre and sheltered accommodation. There were certificates of achievement from the day centres displayed on resident’s bedroom walls. The home is about to introduce an activity list in pictorial form. There was evidence of residents being involved in the local community. At the time of the inspection one resident had just returned from an outing with a relative and another was about to have a ‘pub lunch’ with a member of staff. Guildford Road (330) H58 s13489 Guildford Road 330 v231123 140705 stage 4.doc Version 1.40 Page 12 The home has its own transport and excursions away from the home occur. There was evidence that an annual holiday is planned for August 05. Small groups of residents will holiday at different venues accompanied by their key workers. The home’s daily routine was observed to be that of an ordinary domestic household. Residents were observed to be settled and relaxed in their environment and are encouraged to undertake simple domestic tasks around the home. Guildford Road (330) H58 s13489 Guildford Road 330 v231123 140705 stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 and 20. The home is attentive to the personal care needs of residents and medication arrangements regarding the residents are consistent with Standard 20 of the National Minimum Standards for Care Homes for Younger Adults. EVIDENCE: All residents have key workers and all resident’s need assistance with ‘personal’ care. Key workers and staff were observed to support residents closely and were attentive to their needs. Specialist advice and support is sought as appropriate and this was evidenced in some of the resident’s files that were inspected. The home has an internal policy and procedure regarding the administration of medication. In addition the home holds written guidance from the Royal Pharmaceutical Society. The home had an inspection by the local pharmacy on 10th June 05. It was evidenced that seven of the home’s staff received medication training organised by ‘OPUS’ on 25th January 05. A sample of the resident’s medication administration records were inspected. Records were clear and evidenced no gaps in recording. Old or discarded medication is returned to the pharmacy for disposal and a record is kept. The most recent date of disposal was on 11th July 05. Guildford Road (330) H58 s13489 Guildford Road 330 v231123 140705 stage 4.doc Version 1.40 Page 14 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 and 23. The home’s arrangements for complaints are in place and were recently tested via the home’s ‘whistle blowing policy and procedures. The home has regard for the protection of its residents and is active at training staff in this area. EVIDENCE: The home’s complaint procedure was available. The procedure is dated April 04 and includes a ‘whistle blowing’ policy updated in October 04. The home has forms for the recording of complaints. The manager stated that no complaints had been received. Resident’s indicated by expression and gesture that they were ‘happy’ with life in the home and that they had no complaints about the service provided. The home holds an internal policy and procedure regarding the protection of Vulnerable Adults’. In addition the home holds the Surrey County Council Multi-Agency Adult Protection procedures. The policy is the updated document implemented in February 05. The manager and one member of staff received the Surrey County Council Multi-Agency training in the Protection of Vulnerable Adults in February 05 and April 05 and three staff received internal training on the same topic in April 05 and May 05. A sample of resident’s personal finances were inspected. The cash held was consistent with the balance in the account book. Guildford Road (330) H58 s13489 Guildford Road 330 v231123 140705 stage 4.doc Version 1.40 Page 15 A Senior Strategy Meeting was recently held under the Surrey Council MultiAgency Vulnerable Adult procedures. This resulted in a member of staff resigning whilst under ‘suspension’. The issue centred on ‘inappropriate’ remarks being made and was raised by staff under the home’s ‘whistle blowing’ policy. The manager stated that the organisation were in the process of referring this person to the ‘Protection of Vulnerable Adults’ register. Guildford Road (330) H58 s13489 Guildford Road 330 v231123 140705 stage 4.doc Version 1.40 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26, 27, 28 and 30. The service provides a homely and comfortable environment for the residents and with the exception of the broken COSHH cupboard door lock and the raised floor covering in the laundry, has regard for maintaining a safe environment. EVIDENCE: The home is a detached older style property set in a quiet backwater off a main road. A range of facilities and amenities are close by. The exterior of the property is in good order and new windows have recently been fitted to parts of the accommodation. The home has a well-maintained garden and was free from safety hazards. Parts of the home have been refurbished following requirements set at the last inspection and all communal and private space areas are now decorated and furnished to a very good standard. Both communal and individual bedrooms provide adequate space for the residents. The sample of resident’s bedrooms inspected were particularly spacious and are personalised to varying degrees. Guildford Road (330) H58 s13489 Guildford Road 330 v231123 140705 stage 4.doc Version 1.40 Page 17 Toilet and bathrooms are of a good standard and afford privacy. It was noted that the new shower wall tiles fitted as a requirement of the last inspection had again started to come away from the wall. This is due to be investigated and alternative wall covering arranged if necessary. As this is in progress a requirement will not be made. It was noted that the laundry floor covering had started to rise. It is important that the covering is levelled or a new floor covering fitted. A requirement will be made under Standard 42 of this report regarding this. The home is waiting to have a fire resistant door fitted to the emersion heater cupboard. As this is in progress a requirement will not be made. The kitchen is modern and spacious. It was noted that the lock on the COSHH cupboard was broken. It is important that a new lock is fitted as a matter of urgency. A requirement will be made under Standard 42 of this report regarding this. The manager stated that this task would be undertaken promptly either during the afternoon of the inspection or the following day. The home has a comprehensive infection control policy. Standards of cleanliness and hygiene were satisfactory throughout the home and with the exception of the two issues mentioned above no further safety hazards were identified during the inspection Guildford Road (330) H58 s13489 Guildford Road 330 v231123 140705 stage 4.doc Version 1.40 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34 and 35. The home’s recruitment and vetting procedures are satisfactory and the service is active at enabling staff to attend training courses. EVIDENCE: The home has a recruitment policy. The policy is dated October 02. A sample of four staff personnel files were inspected. The files contained an abundance of information and in the main included: application form, health questionnaire, contract, photographic and certificated identification, induction, training records, supervision notes, appraisals, driving documentation, 2 references, ‘POVA’ check and Criminal Record Bureau check. Based on the information examined the home’s recruitment and vetting procedures are evidenced as satisfactory. The home has an active staff training programme. It was evidenced that staff had attended courses food hygiene, moving and handling, first aid, fire awareness, medication, POVA, values, epilepsy, autism, maketon, sexuality, and falls. Seven staff have commenced training for the learning disability award. Two staff hold the NVQ level 3 qualification, three staff are currently undertaking NVQ level 2 training and one member of staff holds the NVQ level 2 certificate. Staff interviewed confirmed their attendance on a range of training courses. Guildford Road (330) H58 s13489 Guildford Road 330 v231123 140705 stage 4.doc Version 1.40 Page 19 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) 39 and 42. Whilst the home is managed to a good standard and achieves positive outcomes for the residents, closer ‘formal and recorded’ attention to internal monitoring needs to occur. With the exception of the broken lock on the COSHH cupboard door and the raised floor covering in the laundry the home has regard for health and safety matters concerning the residents and staff. EVIDENCE: The manager monitors the home on a regular basis; however it would be important that the manager date and sign any areas examined in order to evidence scrutiny. A recommendation will be made regarding this. The home has an annual internal company audit. This was last undertaken on 27th April 05. The audit is comprehensive and covers many areas. The home did not have an annual development plan. It would be important for the company to draw up such a plan in liaison with the homes manager, consistent with Standard 39. 2 of the National Minimum Standards Care Home’s for Younger Adults. Guildford Road (330) H58 s13489 Guildford Road 330 v231123 140705 stage 4.doc Version 1.40 Page 20 The home does not currently have a relative’s or resident’s questionnaire. It would be important that such questionnaires are introduced as part of the services internal quality assurance mechanism. Regulation 26 visit reports were available; however there were gaps in the reports held. The manager confirmed that Regulation 26 inspection visits do occur each month, although the company does not always forward the report to the home. It is important that the company forward the reports to the home each month. A requirement will be made regarding this. Despite the shortfalls in the above areas, resident’s indicated that they were satisfied with the service and direct observations at the inspection concludes that residents are well looked after. Staff interviewed were supportive of the home’s management and were of the view that the home has regard for equal opportunities. No discriminatory attitudes or practices were observed during the inspection. The home has a comprehensive Health& Safety policy statement. The policy is dated October 04. The home’s Health & Safety ‘Law’ poster was prominently displayed. The home had a written fire risk assessment. The assessment was dated 27th June 05. Fire evacuation drills were evidenced as quarterly and fire alarm tests as weekly. The fire officer last visited the home on 17th December 04. Current utility safety test certificates for electricity and gas were held and Legionella testing occurred 28th April 05. The Legionella test recommended that the home install a ‘Chemical Pump’, which they are in the process of obtaining. The home has recently drawn up a hot water temperature recording form and such tests are due to commence. As this is in progress a requirement will not made. It was noted that the last visit from the Environmental Health Officer occurred in 2000. A recommendation that the manager contact the Environmental Health Department regarding another inspection will be made. The home had a wide range of written risk assessments available. It was noted that the lock on the COSHH cupboard door was broken. This must be addressed as a matter of urgency. The home’s laundry floor covering had started to rise. This needs to be levelled or a new floor covering fitted. The home’s accident book was available and evidenced that tree accidents had occurred (not serious) since the last inspection. Recording was clear and had sufficient detail. Guildford Road (330) H58 s13489 Guildford Road 330 v231123 140705 stage 4.doc Version 1.40 Page 21 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 N/A 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 x Standard No 31 32 33 34 35 36 Score x x x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Guildford Road (330) Score 3 x 3 x Standard No 37 38 39 40 41 42 43 Score x x 2 x x 2 x H58 s13489 Guildford Road 330 v231123 140705 stage 4.doc Version 1.40 Page 22 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 39.6 Regulation 24, (3) Requirement That the home introduce a residents / relatives questionnaire to assist in the services internal quality assurance system. That the company formulate an annual development plan for the home in consultation with the manager. That the company forward copies of Regulation 26 visit reports to the home each month. That the home fit a new lock to the COSHH cupboard door. That the floor covering in the laundry is levelled or a new covering refitted. Timescale for action 10 / 9 / 05 2. 39.2 25, (1) 1 / 10 / 05 3. 4. 5. 39.1 42.3 (i) 42.1 26, (5) (b) 13, (4) (a) 13, (4) (a) 1 / 8 / 05 15 / 7 / 05 15 / 8 / 05 Guildford Road (330) H58 s13489 Guildford Road 330 v231123 140705 stage 4.doc Version 1.40 Page 23 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 39.3 42 Good Practice Recommendations That the manager sign and date records an other aspects of the service in order to evidence scrutiny of the homes systems for the purposes of internal quality assurance. That the home liaise with the Environmental Health Officer regarding an inspection of the home. Guildford Road (330) H58 s13489 Guildford Road 330 v231123 140705 stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Guildford Road (330) H58 s13489 Guildford Road 330 v231123 140705 stage 4.doc Version 1.40 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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