Inspection on 14/08/06 for Amberley

This inspection was carried out on 14th August 2006.

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

Amberley 18/06/09

Amberley 01/07/08

Amberley 24/07/07

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Amberley 481-483 Stourbridge Rd Brierley Hill West Midlands DY5 1LB Lead Inspector Linda Brown Key Unannounced Inspection 21st August 2006 09:00 X10015.doc Version 1.40 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 Amberley DS0000067358.V307818.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. 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. Amberley DS0000067358.V307818.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Amberley Address 481-483 Stourbridge Rd Brierley Hill West Midlands DY5 1LB 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) Care Home 25 Merron Care Ltd Category(ies) of Dementia (6), Old age, not falling within any registration, with number other category (14), Physical disability (5) of places Amberley DS0000067358.V307818.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th March 2006 Brief Description of the Service: Amberley is a purpose built private residential care home, registered to provide care for 25 older people (OP), including 5 people with physical disabilities PD (E) and 6 people with dementia DE (E). The home is situated on the main Stourbridge Road between Dudley and Brierley Hill. It is on the main bus route to local towns and there are many local amenities close by. There is off road car parking to the front and rear of the premises. Access to the home is through a small garden and patio area to the rear of the property. The premises have three storeys, with Service Users accommodation on all floors. A passenger lift services all floors. The accommodation comprises; 2 lounge/dining rooms, 21 single and 2 double bedrooms, 2 bathrooms, 1 shower and 7 toilets. In addition the kitchen, laundry and office/conservatory are located on the ground floor. The level of fees provided by the service are £343 Single room -Old people £338 Shared room. - Old people £373 Single room – Dementia £368 Shared room -Dementia Amberley DS0000067358.V307818.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 21st August 2006. The purpose of this visit was to monitor the home’s performance against the key standards in the National Minimum Standards for Care homes for older people, and to assess improvements in line with the requirements made at the last inspection. The manager took up her post the week before the inspection; she was being managed by the proprietor who had only very recently purchased the home. The deputy assisted the manager with the inspection. Interviews took place with staff and the newly appointed manager and proprietor. Relevant records were examined along with individual files for staff and service users. During the tour of the building time was spent talking informally with service users and observing practice. Pre-inspection information was received from the previous manager prior to the inspection 14 questionnaire were received by the commission however it is clear that several of them have been completed by family members and not the service user. What the service does well: Amberley is a comfortable and pleasant home that is able to provide personal care for older people, some of whom have a physical disability or dementia related illness. The home presented a relaxed atmosphere and was clean and tidy. Staff interacted well with the service users. Information received from service users before the inspection confirmed they were happy with the care they received. Families and friends are welcome to visit and a lounge is made available for their use if they require some privacy. Detailed assessments are made prior to admission to ensure the home can meet the needs of the service users. Care plans and contracts are in place and are regularly reviewed. What has improved since the last inspection? One requirement was made at the last inspection along with three recommendations. Some improvements have been made to the quality assurance system and infection controls measures. Improvements however have been minimal, mainly due to the transition of management at Amberely. The manager and proprietor are keen to implement changes and improvements. Amberley DS0000067358.V307818.R01.S.doc Version 5.2 Page 6 What they could do better: There are many good systems in place for recording information however in the transition of the sale and appointment of the manager the recording seem to have slipped in several areas. For example health and safety checks, training records, minutes of meetings, kitchen records and general monitoring Supervision of staff is taking place but the quality of the supervision is very basic and does not cover personal development, case discussion problems and concerns. Systems are in place for the safe administration of medicine, however the manager must ensure keys are not left in the cabinet The training plan needs to be developed in order to identify the needs of the staff team. Staff meetings and residents meetings need to be re-established. The manager needs to develop a redecoration and refurbishment plan. The manager needs to increase the availability and range of activities to ensure the residents social needs are met. 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. Amberley DS0000067358.V307818.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Amberley DS0000067358.V307818.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,6, The overall outcome for this set of standards is judged as good Service users receive the information they need to make an informed choice about where they live. Files examined contained contracts / statements of terms and conditions of the home. Evidence was seen on sampled files of detailed assessments of needs. EVIDENCE: Three files were sampled and contained detailed assessments covering eating and drinking, communication, breathing, personal cleaning and dressing, booklets and information given to residents was not seen by the inspector but was discussed with the manager. Ten questionnaires received from service users stated they all received enough information about the home prior to admission. One questionnaire received stated they were happy with the move but had received no information, as it was an emergency move made by social services. Amberley DS0000067358.V307818.R01.S.doc Version 5.2 Page 9 All files examined contained contracts this was also supported by all but one questionnaire, which stated no contract had been given. This situation has been discussed with the manager. Amberley DS0000067358.V307818.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10,11 The overall outcome for this set of standards is judged as adequate All service user files sampled contained detailed care plans. Service users health needs are fully met. Policies and procedures are in place and staff have the required training to enable them to administer medication. Keys to the medicine cabinet must be stored in a safe place. Service users feel they are treated with respect and their right to privacy is upheld. Improvements need to be made to the current system of recording service users wishes at the time of their death. EVIDENCE: Three service users files were examined and contained detailed care plans, which include goals outcomes and actions. These are monitored regularly. Risk assessments are in place to cover dependency, moving and handling as well as a general risk assessments .The manager must ensure that she monitors the quality of the reviews completed by the care staff, as one assessment examined had “no change” recorded since 2000. Regular reviews take place and service users and families are encouraged to attend. One-service users commented at their review “I am happy with the Amberley DS0000067358.V307818.R01.S.doc Version 5.2 Page 11 care I receive at Amberely” this was confirmed by the daughter who stated she was happy with the care and the positive attitude from staff. Evidence was seen on files with regard to locks being provided for service users bedrooms. Some service users had signed to say they did not want a lock, others had their keys. Sampled files showed detailed health records cover dental, eyesight, chiropody and doctors visits along with appointments for other medical professionals. 10 questionnaires received from service users stated they “always” receive the medical care they receive. The remaining 4 stated they “usually “ receive the medical care they need. Service users currently at Amberely do not self medicate. Medication is only administered by senior staff that have received the safe handling of medication training. Records are well maintained. Three service users records were examined and all had photographs on file. Mar sheets were completed and signed for and no gaps were found. A system is in place for the safe disposal of medication and it was last signed and collected by the pharmacist on the 24/07/06. Medication was seen marked up awaiting collection. It is recommended that medicine awaiting collection is locked in a secure place. It is currently stored in the manager’s office on a shelf. There is a homely remedies policy and in addition the GP has signed a general consent form for homely remedies however this is not dated. It would be good practice for each individual service users to have consent for homely remedies as there are a wide variety of individual medical needs and this would avoid any errors being made. All but four residents are under the same GP but service users have a choice to remain with their GP if practically possible. Medication storage was observed however at the time of the inspection keys were seen left hanging in the cabinet lock .The manager must ensure that this practise dose not continue and keys are stored securely separate from the medication. During the inspection staff were observed treating residents with respect and asking them their preferences knocking doors etc. One service users commented at there review “staff are helpful and treat me with respect at all times “ Systems have been developed to record on file service users wishes at the time of their deaths. These forms have only been completed on some files and are very basic. One form contains the comments “no preference “ to many of the questions, which would leave staff unclear of the arrangements to make. This is a very sensitive area but relationships must be formed between key workers and residents in order to establish arrangements and contacts to be made. The form that has been implemented is very basic and requires reviewing and developing. Amberley DS0000067358.V307818.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13, 14, 15 The overall outcome for this set of standards is judged as adequate. There is little evidence available with regard to activities undertaken. The manager must develop a plan and increase the range of activities available to service users. Service users maintain contact with family and friends. During the inspection recorded evidence of residents meetings was unavailable however observations made supported service users being given choices. Systems of recording must be reintroduced. Service users receive a wholesome balanced diet in pleasing surroundings. Choices are given to service users however the recording of menu changes and food temperatures is not consistent. EVIDENCE: Very little evidence was available with regard to leisure activities and cultural needs being met. In discussion with staff they stated that residents enjoyed listening to music and watching television. Some residents go out with their families but staff do not take them out. Six questionnaires received stated that service users only “sometimes” took part in activities. Staff also told the inspector that the vicar came to visit one resident. At the previous inspection the inspector made reference to an activities book however this was not available at this inspection. The manager needs to Amberley DS0000067358.V307818.R01.S.doc Version 5.2 Page 13 develop an activity plan and a system for recording activities, in order to increase the availability and range of activities. During the inspection families and friends were observed visiting family members, families spoken to during the inspection were pleased with the care their relatives were receiving. There is a notice in the entrance hall welcoming visitors and inviting them to make comments in a “comments book“. Unfortunately the comments book could not be found. The manager was keen to reinstate the system to encourage families, friends and visitors to use the book. Evidence also could not be found with regard to residents` meetings. The manager was still learning the systems in place and where all the paperwork is stored. The deputy did however state that weekly residents meeting did take place to discuss any problems or concerns. Choice is offered in relation to the meals and the rising and retiring to bed and other daily routines. A good variety of choice is given at breakfast cereals, porridge and a cooked breakfast is offered daily. A four-week menu is provided but alternatives are available. Records relating to food temperatures, fridge and freezer temperatures and cleaning records have been completed regularly until 18/08/06. None of the above records have been completed since this date. Alternative meals are offered however the manager was unable to find any record of actual menus taken. The manager must ensure that records are maintained and monitored. The dining room is of a good size residents were observed taking meals in their rooms if the preferred. Amberley DS0000067358.V307818.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 The overall outcome for this set of standards is judged as adequate Policies and procedures are in place with regard to complaints but need to be reviewed and developed. Staff need to receive training in adult protection /abuse. EVIDENCE: Dispite their initial anxiety regarding the new management staff felt they would be able to raise any concerns with them, but would approach the deputy manager first. All staff spoken to were aware of the whistle blowing policy. Staff informed the inspector they understood adult protection was the next training they were to undertake but no dates were booked. The deputy manager was able to evidence that she was in the process of booking the training and confirming dates. No complaints had been received since the last inspection; the system in place for the recording of complaints is very basic. Discussion took place with the manager regarding complaints. It is recommended that all complaints and concerns how ever small are recorded in the book and resolved with in set time scales. A system for recording compliments can also be introduced. The manager is keen to address all these areas to make the necessary improvements. The manager and proprietor are in the process of reviewing policies and procedures throughout the home. Amberley DS0000067358.V307818.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,23,24,26. The overall outcome for this set of standards is judged as Good Service users live in a safe well maintained environment and have access to indoor and outdoor and outdoor communal facilities. There are adequate washing and toilet facilities. Bedrooms are clean, comfortable and personalised. EVIDENCE: The inspector toured the building with the propirotor , bedrooms were clean, pleasant and personilised . Staff were in the process of acquiring pictures from family members Pictures in order to personalise the room of a new service user. There are suitable washing facilities around the home. The manager and proprietor have not yet had the opportunity to develop a plan of redecoration and refurbishment but they are aware of the need to do this. There is a separate lounge in the first floor for the use of families and visitors. Service users have somewhere private to entertain this has a small kitchen Amberley DS0000067358.V307818.R01.S.doc Version 5.2 Page 16 /diner and families can be entertained in this facility. When not in use for visitor’s service users can use this lounge for a quite room. During the tour of the building the boiler room was seen to be unlocked. In order to protect some of the more vulnerable residents a lock must be placed on the door .l Amberley DS0000067358.V307818.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 The overall outcome for this set of standards is judged as good Service users needs are met by the numbers and skill mix of staff. Service users are supported and protected by the homes recruitment policy and practices. Staff are trained and competent to do their jobs. EVIDENCE: The home provides two cooks and two domestics. Rotas are adequately covered and there is a senior available on all shifts. The supervision of staff is taking place but the quality of the supervision is very basic and does not cover personal development, case discussion problems and concerns. Discussion took place with the manager who had developed a new format for supervision as she had already identified concerns with the current system. Staff interviewed by the inspector felt supported and able to raise their concerns. The previous manager had developed a training plan, which now needs to be updated. Discussions with staff confirmed that training is available to them and this was supported on the individual staff files examined. A range of training has been provided in specialist areas for example end of life, dementia care, care for the dying, incontinence as well as core training. The inspector was unable to see any evidence of staff completing adult protection/abuse training. The deputy was very aware of the training need of staff and had approached the district nurses to do some in-house training with regard to diabetes and was in the process of booking the adult protection training, which she was able to evidence. Amberley DS0000067358.V307818.R01.S.doc Version 5.2 Page 18 The pre - inspection questionnaire states 64 of staff hold the NVQ qualification Three are currently completing the training and one staff is due to commence. Safe systems are in place for the recruitment of staff and all files sampled contained the relevant checks. Amberley DS0000067358.V307818.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33,35,36,38 The overall outcome for this set of standards is judged as adequate The manager must ensure she submits an application to the Commission for registration. A system needs to be introduced to monitor the monies held for service users in order to ensure errors are quickly detected. The health and safety records and checks home have been well maintained however fire checks have not been recorded during the take over of the home. EVIDENCE: The manager took up her post the week prior to the inspection but needs to apply to the Commission for registration. There are elements of a quality assurance system in placed, which was developed by the previous manager. This needs to be formalised to ensure it is based on outcomes for service users. Standards and indicators to be achieved are clearly defined and monitored. The annual development plan required at the last inspection has been developed. This will need to be reviewed and the Amberley DS0000067358.V307818.R01.S.doc Version 5.2 Page 20 new proprietor and manager needs to identify the priority areas to be addressed. The manager monitors the money for 14 of the service users, records are maintained and money is secured in a safe place. On examination of the monies 10 envelopes were correct however 4 were incorrect. The deputy explained she had changed a note to pay for hairdressing and had not booked it down correctly. She was able to evidence the mistake and corrected the error immediately. Service users monies are stored in a lockable tin which contained a lot of small change, the deputy did not know where the money was from she stated “it has always been in here “. It is recommended that a handover system is introduced between the senior staff to who have access to the service users monies and that all monies other than that of the service users are removed from the tin. As previously stated the home has been brought by a new proprietor very recently and the manager had only taken up her position the week before the inspection. The pre –inspection report was completed by the previous manager. This states that fire checks and all relevant health and safety checks are completed regularly. Records examined during the inspection confirmed that these were in place. Fire checks however were taking place on a weekly basis up until the 1/08/06 and emergency lighting up to 20/07/06. The inspector is aware the manager has only just taken up her position however she must ensure that essential fire safety checks continue to take place. The health, safety and welfare policy was reviewed in March 06. Risk assessments for fire were reviewed in Feb 06. Amberley DS0000067358.V307818.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 3 3 3 X 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 2 2 X 2 Amberley DS0000067358.V307818.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? Yes 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 OP12 Regulation 16 (2m) Requirement The manager needs to develop an activity plan and a system for recording activities, in order to increase the availability and range of activities. The manager must ensure that keys to the medication cabinet are stored securely separate from the medication. • To produce an annual development plan, which is based on a systematic cycle of planning-actionreview and reflects the aims and outcome for service users. • The service must adopt and evidence an effective system for Quality Assurance based on the outcomes for service users, in which standards and indicators to be achieved are clearly defined and monitored on a continuous basis. (Part met) Timescale for action 01/11/06 2. OP35 13 01/10/06 3. OP33 24 01/12/06 Amberley DS0000067358.V307818.R01.S.doc Version 5.2 Page 23 4. OP38 23 To explore ways in which the service users, staff and stakeholders can be included in the homes chosen quality assurance system. (Previous timescale partly met) The manager must ensure weekly fire checks are carried out. • 01/10/06 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 Refer to Standard OP7 Good Practice Recommendations The manager must ensure that she monitors the quality of the reviews completed by the care staff, as one assessment examined had “no change” recorded since 2000. It would be good practice for each individual service users to have consent for homely remedies as there are a wide variety of individual medical needs and this would avoid any errors being made. It is recommended that the range of activities be explored with the residents and consideration be given to employing a hobby therapist in order that greater choice would be offered to residents. I.e., reminiscence therapy. It is recommended that the recording of fridge /freezer and cooked food temperatures is monitored and additional sealable containers are available for storing dry goods and packets of foodstuffs. It is recommended that a handover system is introduced between the senior staff to who have access to the service users monies and that all monies other than that of the service users are removed from the tin. 2 OP9 3 OP12 4 OP15 5 OP35 Amberley DS0000067358.V307818.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Halesowen Record Management Unit Mucklow Office Park, West Point, Ground Floor Mucklow Hill Halesowen West Midlands B62 8DA 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 Amberley DS0000067358.V307818.R01.S.doc Version 5.2 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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