Inspection on 14/03/06 for 60 Raddlebarn Road

This inspection was carried out on 14th March 2006.

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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

60 Raddlebarn Road 31/07/07

60 Raddlebarn Road 23/08/06

60 Raddlebarn Road 25/08/05

60 Raddlebarn Road 19/03/05

60 Raddlebarn Road 05/08/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Aston Court Nursing Home

Polesworth Group 70 Long Street

Breme

Ravenhurst

Polesworth Group 64 Long Street

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

CARE HOME ADULTS 18-65 60 Raddlebarn Road Selly Oak Birmingham West Midlands B29 6HA Lead Inspector Kerry Coulter Unannounced Inspection 14th March 2006 11:20 60 Raddlebarn Road DS0000054310.V287012.R01.S.doc Version 5.1 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 60 Raddlebarn Road DS0000054310.V287012.R01.S.doc Version 5.1 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. 60 Raddlebarn Road DS0000054310.V287012.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 60 Raddlebarn Road Address Selly Oak Birmingham West Midlands B29 6HA 0121 258 3906 0121 258 3906 patrichardson@bvt.org.uk 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) Bournville Village Trust Mrs Patricia Susan Richardson Care Home 4 Category(ies) of Learning disability (4), Physical disability (4) registration, with number of places 60 Raddlebarn Road DS0000054310.V287012.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. That the application is approved subject to Mrs Richardson completing her registered Managers Award by April 2005. That Ms Richardson has at least 21 hours per week in a supernumery capacity, that is designated management time, not one of the roistered staff providing hands on care. 25th August 2005 Date of last inspection Brief Description of the Service: This home was formerly part of a core and cluster registration, but the owners applied to split the registration, and now 60 Raddlebarn Road has its own registered manager and staff team. At 60 Raddlebarn Road there are four places for people who have learning/sensory disabilities and who may also display behaviour, which challenges current service provision. The home has four single bedrooms, and a large staff office/sleep in room. The ground floor has one of the four bedrooms, large kitchen/dining room, and a separate lounge. To the rear of the home is a large garden. The home is situated close to shops and local amenities. 60 Raddlebarn Road DS0000054310.V287012.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over four hours. Four service users, the Manager and the staff on duty were spoken to. A partial tour of the premises took place. Care, staff and health and safety records were looked at. This was the second of the statutory inspections for this home for 2005/2006 and not all of the National Minimum Standards were assessed. To get a full picture of the home it is advised to read this report in conjunction with the report from August 2005. What the service does well: What has improved since the last inspection? The service user guide has been produced in a picture format, making it more accessible to service users. Bourneville Village Trust is working towards introducing more service user friendly formats for care plans. The home has received copies of revised policies for adult protection and the use of physical intervention. 60 Raddlebarn Road DS0000054310.V287012.R01.S.doc Version 5.1 Page 6 Floor coverings in the kitchen, dining area and two bedrooms have been replaced, making the home a nicer place to live. New seating has also been provided in the lounge, with the old seating being utilised in the dining area. 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. 60 Raddlebarn Road DS0000054310.V287012.R01.S.doc Version 5.1 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 60 Raddlebarn Road DS0000054310.V287012.R01.S.doc Version 5.1 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 the following standard(s): 1, 2 The Statement of Purpose and Service User Guide provide prospective service users with relevant information about the home to enable them to make a choice about if they want to live there. The admissions procedure is satisfactory, prospective new service users have the opportunity to visit the home and assessment is completed. EVIDENCE: The home has a statement of purpose, this document was assessed as satisfactory at the inspection in March 2005. It was an outstanding requirement that the service users guide is produced in a format more accessible to service users. This has now been done. The admissions procedure was sampled and was observed to be satisfactory. Assessments would be completed prior to a new client being admitted to the home, followed by an initial review after four weeks, with a final review three months after admission to ensure that the client had settled into the home. 60 Raddlebarn Road DS0000054310.V287012.R01.S.doc Version 5.1 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 the following standard(s): 6, 7, 9 Development of the care planning system is in progress to ensure all staff are provided with all the information they need to satisfactorily meet service user needs. Arrangements are adequate to ensure that service users are supported to take risks within a risk assessment framework. EVIDENCE: Two service user care plans were sampled. The home has a service user plan for each individual, which includes detailed profiles, activity plans, and daily recording. In addition, some service users have individual support strategies and guidelines, in some cases devised by professionals working in partnership with staff in the home. There was limited information regarding individual communication needs. This whole area requires a good deal of work, so that knowledge that the care team undoubtedly has about the ways in which service users express themselves, is accurately recorded, and incorporated into individual care plans. The importance of this should not be underestimated – communication, after all, underpins all other interactions. Staff are currently working with the Speech and Language Therapist regarding the communication needs of one service user. 60 Raddlebarn Road DS0000054310.V287012.R01.S.doc Version 5.1 Page 10 In this house, choices and decision-making are restricted to fairly mundane matters, (such as what to eat or whether to go out) because of people’s learning disabilities and limited communication. Staff have to use their knowledge of individuals’ mannerisms, body language and gestures to interpret their wishes. It is important that every chance is taken to develop people’s capacity to communicate more effectively (both staff and service users) so as to enhance opportunities for making better choices. The plans recorded some short term and long term goal setting. Where goals are set the plan needs to record how they will be achieved and include dates for evaluation. Regular review meetings are held, these need to reflect any progress made towards meeting goals. Discussion with the Manager indicates that Bourneville Village Trust is working towards introducing more service user friendly formats for care plans. This is work that several of the organisations home managers are contributing to, including the Manager of 60 Raddlebarn Road. Two service users at the home have motability vehicles, contracts for these are available in the home. The other two service users contribute towards the cost of these vehicles. However at the last inspection up to date agreements for this were not available detailing how the cost is worked out and signed by the service user or their representative, ideally this should be someone external to Bournville Village Trust such as a relative or advocate. This has now been completed. There is evidence that service users are supported to take manageable risks, and staff encourage individuals to have an independent lifestyle. Risk assessments were noted to be in place for the home and service user activities. The Manager has cross referenced risk assessments with care plans and included details of the evaluation process when the assessment is reviewed. 60 Raddlebarn Road DS0000054310.V287012.R01.S.doc Version 5.1 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 the following standard(s): 15, 16 Arrangements are in place so that people living in the home experience a meaningful lifestyle. EVIDENCE: Most service users do not have regular contact with relatives. Discussion with the Manager indicates that staff try and maintain contact by supporting service users to send cards at birthdays and Christmas. Service users also have some contact with people who live in nearby care homes, owned by the Bourneville Village Trust and see friends at day centres. However, given there is infrequent contact with relatives it is recommended that further work is undertaken to try and improve the social circle of service users. There was no evidence of strict house rules. Staff were observed sitting and socialising with service users. Service users are able to choose whether or not to spend time with others, or to have private time in their own rooms. Standards 12, 13 and 17 were met at the inspection in August 2005. 60 Raddlebarn Road DS0000054310.V287012.R01.S.doc Version 5.1 Page 12 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 the following standard(s): 18, 19, 20 Personal support is delivered in an appropriate manner. The health needs of service users are generally met with evidence of good multi-disciplinary working taking place on a regular basis, progress towards completing health action plans is evident. The systems for the administration of medication are generally good with clear and comprehensive arrangements being in place to ensure service users receive the medication they need. EVIDENCE: Service users records included detailed manual handling risk assessments. These stated how the service users were to be supported by staff with their mobility and how the risks to service users and staff are to be minimised when doing this. Service users were well dressed and their clothes were appropriate to their age, the weather and the activities that they were doing. Detailed information was available on the personal care needs of service users, but this was located in a separate ‘night folder’. It is recommended that a copy of this also forms part of the care plan folder to prevent the reader having to access several folders to find out the support needs of an individual. It was identified at the last inspection that Service users do not have individual health action plans. This is something that the Government paper, ‘Valuing People’ recommended that each person with a learning disability had by 2005. This is to ensure individuals receive all the care they need to stay healthy. 60 Raddlebarn Road DS0000054310.V287012.R01.S.doc Version 5.1 Page 13 Progress has been made towards achieving this. The Manager said a format for the plans has been obtained and will soon be formalised. Additionally, in conjunction with the Community Nurse a one page health summary has been completed for each service user. This includes pictures to make the format more accessible for service users. A sample inspection of service users’ health records indicates that service users are receiving routine access to general health services, such as dentist and optician. Records are also maintained of regular weight monitoring. One service user has recently been unwell and has had to spend some time in hospital. During this time the Manager ensured that a member of staff visited him several times a day to ensure his needs were being met. The systems for the safe storage, handling and administration of medication were generally well managed. The home utilises a monitored dose system for medication. One service user is prescribed Midazolam used to treat epilepsy. The Community Nurse has trained staff in the administration of this. A protocol was in place that had been agreed by a multi- disciplinary team. Most staff at the home receive accredited medication training but the Manager has had difficulty in locating training for four staff. This is now being chased up by Bourneville Village Trust who are seeking alternative training providers. However all staff have received basic training from the supplying pharmacist. It is good practice that the Manager periodically observes staff administering medication. However it is recommended that medication administration competence assessments are completed for staff. A format for this should be devised and assessments completed at least annually. 60 Raddlebarn Road DS0000054310.V287012.R01.S.doc Version 5.1 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 the following standard(s): 22, 23 The home has a satisfactory complaints procedure, appropriate action is taken on receipt of a complaint. Arrangements for protecting service users from abuse need improvement. EVIDENCE: The complaints procedure was examined at the inspection in March 2005 and was found to be satisfactory, it included all the relevant and required information including the address and telephone number of the CSCI. The home has received one complaint regarding levels of noise in the home. The complaint log recorded that appropriate action has been taken following receipt of the complaint. The Manager has investigated ways in which noise levels can be reduced. One measure has included obtaining padding for one bedroom wall to reduce the noise to the neighbouring house. Since the last inspection the home has received copies of revised policies for adult protection and the use of physical intervention. These were satisfactory. At the last inspection it was recommended that the adult protection procedure would benefit from the inclusion of contact telephone numbers of the local Vulnerable Adults Officer from the West Midlands Police, the emergency duty social work team and area office. This has still to be completed. Training records show that all staff have completed adult protection and most have completed physical intervention training. Inventories are available to show the personal belongings of each service user. It is recommended that the format is improved so that staff are better able to track when new items are purchased and old items discarded. This will improve the safeguards in place for the protection of service users property. 60 Raddlebarn Road DS0000054310.V287012.R01.S.doc Version 5.1 Page 15 The finance records for one service user were sampled and found to be satisfactory. 60 Raddlebarn Road DS0000054310.V287012.R01.S.doc Version 5.1 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 the following standard(s): 24, 26, 28 The standard of the environment within this home is good providing service users with an attractive and homely place to live and meeting their needs. EVIDENCE: Generally the home is decorated and maintained to a satisfactory standard. Furnishings, fittings, adaptations and equipment are as domestic, unobtrusive and ordinary as is compatible with fulfilling their purpose. The home has a lounge and large kitchen/dining area. To the rear of the home is a large garden and off road parking. A sleep-in room is provided for staff that sleep-in at the home. Service users bedrooms were personalised and contained many appropriate personal effects and equipment. Since the last inspection the floor coverings in the kitchen, dining area and two bedrooms have been replaced, making the home a nicer place to live. New seating has also been provided in the lounge, with the old seating being utilised in the dining area. Several wheelchairs were being stored in the laundry, making this room a little cluttered. The Manager said she hoped to get funds for a shed in the garden that could be used for storage purposes. 60 Raddlebarn Road DS0000054310.V287012.R01.S.doc Version 5.1 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35, 36 The arrangements for staffing the home, their support and development was generally adequate but records need to evidence the recruitment procedure is robust and protects service users. EVIDENCE: It was noted that both staff and service users appear comfortable in each other’s company and enjoy a good general rapport. Support to service users is given in a warm and friendly manner, and staff were seen to be polite, considerate and patient. Discussion with the Manager indicates that more than 50 of the staff have achieved the standard of having an NVQ in care. Sampling of the staff rota indicates that adequate numbers of staff are on duty to meet service users needs. There are generally three staff on duty during the day. At night there is one waking night staff and one member of staff sleeping –in. The Manager does work some ‘hands on’ shifts but usually has three days per week designated for management and administrative tasks. The home does not have any staff vacancies and it is a strength of this home that service users are supported by staff who know them well. Staff records were sampled. Both files contained all the information required by regulation to include Criminal Record Bureau (CRB) disclosures. 60 Raddlebarn Road DS0000054310.V287012.R01.S.doc Version 5.1 Page 18 It was discussed with the Manager that if disclosures recorded a caution or conviction then a risk assessment should be available to evaluate possible risks to service users rather than just a letter from Bourneville Village Trust stating that the issues had been considered. Discussion with a new member of staff indicates that she had completed an induction to the home and was satisfied with the training opportunities available. Training records show that staff receive regular training to include adult protection, physical intervention, fire, manual handling, food hygiene, diabetes, confidentiality and equality and diversity. Training regarding autism is currently on going with the Speech and Language Therapist. There are good supervision and support systems in place for staff who receive regular formal supervision. Staff meetings take place regularly, usually on a monthly basis. 60 Raddlebarn Road DS0000054310.V287012.R01.S.doc Version 5.1 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 The home is well managed. Adequate arrangements are not in place to ensure that service users or their representatives views underpin all self-monitoring, review and development by the home. Health and safety of staff and service users was well managed. EVIDENCE: The style of management in the Manager is making clear efforts people living there. The Manager and has achieved the Registered care qualification. home is relaxed, open and inclusive, and the to develop the service for the benefit of the has a significant amount of experience in care Manager’s Award as well as having an NVQ 4 There was evidence of statutory reports being completed by the representative of the organisation to evidence they are overseeing the running of the home and ensuring the health and welfare of the service users. The Manager of the home is working with other Bourneville home managers to complete a quality assurance audit. 60 Raddlebarn Road DS0000054310.V287012.R01.S.doc Version 5.1 Page 20 Some good work is being done but it could be improved. This was observed to relate to the care standards but did not include the views of service users, relatives, staff and health professionals. Additionally statements were made about standards being met or unmet but it was not always clear where the evidence had come from. Health and safety at the home was well managed. Monthly health and safety audits are completed. An examination of the home’s fire safety records indicate that routine testing of alarms and lights is being carried out at the appropriate frequencies. The records also show that fire drills are being routinely carried out. Staff have received refresher fire training. A Corgi registered engineer has tested the gas equipment and stated that it was in a satisfactory condition. The hot water monitoring log confirmed that water temperatures are checked weekly and that water is maintained at a safe temperature. Current certificates of registration and employers liability insurance were on display. 60 Raddlebarn Road DS0000054310.V287012.R01.S.doc Version 5.1 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 Standard No Score 1 3 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 2 ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 X 28 3 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 3 34 2 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 3 X 3 X 2 X X 3 X 60 Raddlebarn Road DS0000054310.V287012.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? Yes (two) 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 YA6 Regulation 12(1) 15 Requirement Care plans: Set targets with measurable outcomes. Further consideration must be given to how service users are involved in the development of the plan to include their goals and aspirations. Outstanding from 30/11/05. Ensure the plan details the specific support needs of service users. In line with Valuing People a health action plan should be developed for each service user. This is a personal plan about what a person with learning disabilities can do to be healthy. It lists any help people might need to do these things. Outstanding from 30/12/05 but work in progress. Where Criminal Record Bureau disclosures record a caution or conviction then records must be available to evidence that serious consideration has been given to any risks this may pose to service users from staff that support them. DS0000054310.V287012.R01.S.doc Timescale for action 30/05/06 2. YA19 12(1) 30/05/06 3. YA23YA34 12(1) 19 30/04/06 60 Raddlebarn Road Version 5.1 Page 23 4. YA39 12(1) 14 A formal quality assurance system must be in place that seeks the views of service users and their representatives. 30/05/06 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 YA15 YA6YA18 Good Practice Recommendations It is recommended that further work is undertaken to try and improve the social circle of service users. Detailed information was available on the personal care needs of service users, but this was located in a separate ‘night folder’. It is recommended that a copy of this also forms part of the care plan folder to prevent the reader having to access several folders to find out the support needs of an individual. It is recommended that medication administration competence assessments are completed for staff. A format for this should be devised and assessments completed at least annually. The adult protection procedure would benefit from the inclusion of contact telephone numbers of the local Vulnerable Adults Officer from the West Midlands Police, the emergency duty social work team and area office. Inventories. It is recommended that the format is improved so that staff are better able to track when new items are purchased and old items discarded. Consideration should be given to increasing the storage facilities for equipment such as wheelchairs. 3. YA20 4. YA23 5. 6. YA23 YA24 60 Raddlebarn Road DS0000054310.V287012.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 60 Raddlebarn Road DS0000054310.V287012.R01.S.doc Version 5.1 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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