Inspection on 30/08/05 for Broadstreet House

This inspection was carried out on 30th August 2005.

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

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

Other inspections for this house

Broadstreet House 16/02/09

Broadstreet House 21/02/07

Broadstreet House 10/01/06

Broadstreet House 18/01/05

Broadstreet House 22/06/04

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Southfields

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Dovedale Court

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

CARE HOME ADULTS 18-65 Broadstreet House Broad Street Lyminge Folkestone, Kent CT18 8DZ Lead Inspector Lisbeth Scoones Announced 30 August 2005 9:30 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Broadstreet House H56-H05 S23348 Broadstreet House V235854 300805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Broadstreet House Address Broad Street, Lyminge, Folkestone, Kent, CT18 8DZ 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) 01303 862448 Family Investment (Three) Limited Michelle Ann Christie Care Home only 16 Category(ies) of Learning Disability x 16 registration, with number of places Broadstreet House H56-H05 S23348 Broadstreet House V235854 300805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18.01.05 Brief Description of the Service: Broadstreet House, a part Georgian, part Victorian building, is an attractive family home which provides supervision and support for 16 residents , over the age of 19, with learning disabilities. It is a large detached property set in extensive well-maintained gardens on the perimeters of the village of Lyminge, near Folkestone. In the main house, accommodation is provided on two floors. The stable block provides ground floor accommodation. All rooms are single, six of which have en-suite facilities. The home is owned by the Family Investment (Three) Limited and each residents family has a share interest in the property of the home. Prior to admission, the family purchases this share. Families play an active role in the conduct of and care provided in the home. The residents are encouraged to lead as independent a life as possible and take part in a range of meaningful activities; these include assisting in the garden and in the house. Garden activities comprise maintaining the lawn, growing plants, flowers and vegetables for own use as well as for sale, chopping and packing up logs. A road sign says, “logs for sale”. Work in the Day (Fifth Trust Work) Centre, Elham Valley Vineyards, the teashop and pottery provides a focus to and forms an integral and significant part of the lives of the residents. More than 50 adults attend Family Investment Day Care Services, some live in Family Investment Homes, others in the community. Broadstreet House H56-H05 S23348 Broadstreet House V235854 300805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over 7 hours and comprised conversations with the four residents at home that day, discussions with one of the Directors, the deputy manager and other staff. Records were examined and a partial tour of the house made. A resident showed the inspector around the garden. A coffee and lunch break was shared with the residents, one of the Directors and staff in the garden. Prior to the inspection, comment cards completed by the residents and their families were received. All praised the continued excellence of the service, the staff and the manager. The manager completed a pre-inspection questionnaire and as she was unable to be present at the inspection, provided a comprehensive written “general outline of events over the past year.” Following the inspection, the inspector spoke with the manager on the telephone. What the service does well: What has improved since the last inspection? The Directors have produced a draft Service User Guide. Some rooms have been decorated. Broadstreet House H56-H05 S23348 Broadstreet House V235854 300805 Stage 4.doc Version 1.40 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Broadstreet House H56-H05 S23348 Broadstreet House V235854 300805 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Broadstreet House H56-H05 S23348 Broadstreet House V235854 300805 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1 1 The Service User Guide, when completed, will provide existing and future residents and their families with comprehensive information about the services provided. EVIDENCE: 1 Since the previous inspection, the Directors have compiled a draft Service User Guide a copy of which was given to the inspector for comment. Broadstreet House H56-H05 S23348 Broadstreet House V235854 300805 Stage 4.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8, 9, 10 6 Residents’ needs and personal goals are reflected in their individual plan, which is regularly reviewed. 7 and 9 Residents are assisted and supported to make decisions about their lives within a risk assessment framework. 8 Residents are consulted on and participate in all aspects of life in the home. 10 Residents know that that information about them is safe and handled with due regard for confidentiality. EVIDENCE: Broadstreet House H56-H05 S23348 Broadstreet House V235854 300805 Stage 4.doc Version 1.40 Page 10 6 Care records include an assessment of need and plan of care based on the activities of daily living. It covers risk assessment, achievements and a medication profile. The care documentation also includes an attainment sheet, which identifies tasks residents are striving to achieve. It also includes a page for significant events, which might trigger a care plan review. Care records are regularly reviewed and updated. Records for monthly care plan reviews are maintained. Regular formal reviews are also undertaken with the home and the care manager, residents and their next of kin. Both day and night staff maintain a detailed daily log. Although not seen at this inspection, day services reports give detailed assessments of the service users’ progress in taking part in activities such as pottery, craft, design, media (reading and writing skills) and art. See also standard 11. Such assessments include likes and dislikes, strengths and weaknesses and goals. 7, 8 and 9 It was observed that staff encourage the residents in making decisions and enable them to take responsible risks. Risk assessments are carried out and reviewed. Contributions from each individual resident are valued. All are encouraged to take an active role in the running of the household and the sharing of domestic chores. Two young people were cleaning their room; one resident was helping in the kitchen. At regular meetings, residents’ views about life in the home are discussed and plans made. 10 The deputy manager confirmed that the home has a policy for confidentiality, which all staff sign up to. Broadstreet House H56-H05 S23348 Broadstreet House V235854 300805 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) 11,12,13,14,16, 17 11 and 12 Residents have opportunities for personal development and take part in a range of activities. 13 and 14 Residents are part of the local community and take part in a range of chosen leisure activities. 16 Residents’ rights are respected. 17 Residents are offered a healthy, varied diet and enjoy their meals. EVIDENCE: 11, 12, 13, 14 Residents are given many opportunities to maintain and develop social and emotional communication. Independent living skills are encouraged with discreet and sensitive staff support. Birthdays are celebrated and parties organised, most recently the 10th anniversary of Broadstreet House. The residents have a structured working week, which includes participation during four days a week in a variety of activities either at the vineyard at Elham Valley or the day centre at Barham. Individual programmes are Broadstreet House H56-H05 S23348 Broadstreet House V235854 300805 Stage 4.doc Version 1.40 Page 12 designed for them, which take into account personal preferences and abilities. The programme offers woodwork, art and craft, Media studies and IT, working in the grounds and with animals, horticulture and growing plants, creative design, music and drama, pottery, assistance with wine production, working in the teashop and cooking for fun. Three residents have achieved NVQ 1 in catering and are working towards NVQ 2. One resident is committed to and enjoys her part-time job in a charity shop. Family Investment employs fully trained and experienced instructors who are responsible for each session. The manager attends 4 to 6 weekly meetings at the centre to ensure that service users’ needs are met. Residents took part in putting their new work centre rota together. Staff assist residents in developing individual interests and maintaining social contacts as well as the planning of holidays, social activities for the evenings and weekends. In consultation with the residents, interesting holidays are organised. Some residents have been on a holiday to Germany, others to Butlins in Bognor Regis, others to the Isle of Wight. The home has a minibus and a people carrier. There is an impressive programme of activities. The senior support worker said that some of the residents love their soaps. In the evenings, spontaneous cabarets are organised and much enjoyed. In addition to shopping and visits to the local library service, trips to the cinema, meals out, bowling alley, table tennis and swimming sessions, Summer Olympics, Kent County Show, pubs and leisure centres are organised. The day before the inspection, residents had enjoyed a trip to a theme park in Hastings. Residents attend concerts, pubs, and events organised in the local community. Service uses may attend local churches or meet with the local reverend. One service user who has a part time job as a volunteer gets invited to and attends all associated social events. The Friends of Broadstreet House organise fund raising events and contribute to the cost of holidays. Two residents took part is a sponsored shave for Tsunami victims. Specially designed tea towels with residents and staff drawings of their faces are for sale. 16 It is evident from talking to staff that residents’ rights are respected. 17 Residents and staff have coffee and tea breaks and eat together in the pleasantly furnished, colourful dining room or outside when the weather is good. The inspector was invited to join the residents and staff for a coffee and lunch break. As on previous occasions, this was pleasant and unhurried with lots of talking and laughing. The previous chef has left and care staff take in turns to cook the meals with considerable assistance from the residents. Nutritious, varied and balanced meals are provided. Lunch was homemade quiche, new potatoes and salad, doughnuts or fruit and yoghurt. A choice is Broadstreet House H56-H05 S23348 Broadstreet House V235854 300805 Stage 4.doc Version 1.40 Page 13 provided both for main meals and desserts. Four meals a day are provided including a supper at 20.30. Many vegetables used are home grown and in the summer the gardens produce asparagus, runner beans, marrows, strawberries and other soft fruits. Broadstreet House H56-H05 S23348 Broadstreet House V235854 300805 Stage 4.doc Version 1.40 Page 14 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, 19, 20 18 and 19 Residents receive personal support and their physical and emotional health care needs are met. 20 The medication at the home is well managed promoting good health. EVIDENCE: 18 and 19 It is evident that staff know the residents very well and give flexible support based on individual’s preferences. Residents wear clothes of their choice and their appearance reflects their personality. Residents’ dignity and privacy are respected and independence and control over their lives promoted. A relative said, “ My son expresses his needs more than he used to which is a reflection of how happy and comfortable he is at Broadstreet”. All residents are registered with a local GP. They all completed an inoculation programme re Tetanus, Hepatitis B and flu vaccination. They have regular appointments with a dentist, chiropodist and optician. The advice of a dietivai is available when necessary. Opportunities are given to attend well-woman and well-man clinics. Monthly weight records were seen. 20 Medication charts were examined and well maintained. Residents’ care plans contain a medication profile. Some medication requires regular blood tests and these are organised. Staff are provided with medication training. Broadstreet House H56-H05 S23348 Broadstreet House V235854 300805 Stage 4.doc Version 1.40 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22, 23 22 Residents feel confident that their views are listened to and acted upon. 23 Residents are protected from abuse by adult protection training should be provided more frequently. EVIDENCE: The home’s complaint procedure makes reference to the CSCI. No complaints have been received since the last inspection. Staff are very sensitive to any issue of discontent and these are dealt with immediately. Staff demonstrated a good awareness of what constitutes abuse and how to act if they suspected that a resident had suffered abuse. There is an adult protection procedure and whistle blowing policy. Whilst formal adult protection training was carried in 2004, it is recommended that regular update adult protection training sessions be provided. A good system of dealing with residents’ monies is in place with individual lockable moneyboxes, records and receipts. Broadstreet House H56-H05 S23348 Broadstreet House V235854 300805 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, 27, 28, 30 24, 25, 30 Residents live in a homely, comfortable, well-maintained, clean and hygienic environment. 27 Residents’ toilets and bathrooms provide privacy and meet their individual need. 28 Communal spaces are pleasantly furnished, homely and spacious. EVIDENCE: Broadstreet House H56-H05 S23348 Broadstreet House V235854 300805 Stage 4.doc Version 1.40 Page 17 The home provides comfortable, homely, colourful accommodation, which is safe and well maintained. Broadstreet House is a listed building and some of the repairs and maintenance work needed may therefore be costly and upgrading plans may be difficult to action. Major plumbing maintenance work is soon to be undertaken. A member of staff has the responsibility to undertake regular health and safety audits which would identify necessary repairs and need for decoration. Regulation 26 reports provide a monthly update of maintenance work planned and undertaken. The recent report identifies the need for redecoration of the lounge and some of the residents’ bedrooms. Plans are in hand to get this done. There are two comfortably furnished lounges and a cosy dining area attached to the kitchen where residents and staff all eat together. The large garden is well maintained and provide with tables, benches and a new shed. The home provides bedroom furniture and fittings but many service users have brought in their own according the individual taste. One side of the “stable block” has been provided with a nurse call system. Bathrooms, toilets and shower facilities are suitable and provided with a privacy lock. The standard of cleanliness is good. Residents are encouraged, with support, to maintain their own rooms and shared living spaces. The home has a policy on infection control and staff training is provided. There is a suitable laundry facility. Broadstreet House H56-H05 S23348 Broadstreet House V235854 300805 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) 31, 32, 33, 34, 35, 36 31, 32, 33, 35 Residents are cared for by qualified, competent people who are well trained. 34 Residents are protected by the home’s recruitment procedures 36 Staff are supervised but due to staffing shortages a formal supervision programme has been delayed. EVIDENCE: 31, 32, 33, 35 Residents and their relatives praised the staff. A written comment said, “The staffing has been difficult over the last year but at no time has the relationship between staff and residents been anything other than excellent.” Broadstreet House H56-H05 S23348 Broadstreet House V235854 300805 Stage 4.doc Version 1.40 Page 19 There is a stable workforce but the home has had difficulty in recruiting staff to fill the vacancies. Following recent recruitment, a vacancy for a full time support worker remains. The vacancy for the position of cook is soon to be filled by an existing member of staff with an affinity for cooking. The manager praised the existing staff for providing cover by doing extra shifts. In addition to the manager, there is a part-time administrator, gardening and maintenance staff. Two members of staff cover the morning and two the afternoon shift. Staff accompany residents on outings and placements in the vineyards, shops and day centre. At night there is a waking and sleeping member of staff. Staff have delegated responsibilities as e.g. care records review, medication, financial records, fire alarm and fire fighting equipment checks, fire drills, first aid and health and safety. The manager and all staff organise, plan and take part in social and leisure activities and events. New staff are provided with induction and foundation training in accordance with TOPSS. The home is committed to NVQ training. Three members of staff have NVQ level 3 and four have just completed NVQ 2. The manager is the designated training organiser for Family Investment Limited. She has administrative assistance to ensure that the training matrix is up to date. In addition to statutory training, see standard 42, staff have received training in Epilepsy, administration of rectal diazepam, and infection control. The manager attended an Employment Law seminar. 34 There was evidence of sound employment practices including the taking up of references and CRB checks. The delay of getting CRB’s returned was discussed. A staff file viewed identified that not all documentation had been completed. It was recommended that this file and possibly all staff files be audited to ensure completion of all records and up to date evidence of training. 36 The deputy manager confirmed that she receives and carries out supervision, that the manager is always available and “is a good listener.” Due to the current staff shortage, the manager regularly works as a member of the care team and in that capacity supervises her staff informally. She said, “ I am always here for practical help and a listening ear and have endeavoured to help the staff with any problem be it home, work, or otherwise.” Broadstreet House H56-H05 S23348 Broadstreet House V235854 300805 Stage 4.doc Version 1.40 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38, 39, 42 37 and 38 Residents live in a well-run and well-managed home. 39 Good monitoring systems ensure that care is reviewed and residents’ views are sought. 42 Residents’ health and safety is promoted and protected. EVIDENCE: Broadstreet House H56-H05 S23348 Broadstreet House V235854 300805 Stage 4.doc Version 1.40 Page 21 37 and 38 Residents and staff said they like the manager who is approachable and has an open, positive and inclusive style of management. A residents’ relative wrote, “We continue to be very satisfied with the care, attention and ethos at Broadstreet House for our daughter.” The manager has been running the home since it opened in 1995. She has a wide range of experience in caring for people with learing difficulties and has a management qualification. She is supported by the area manager and two senior support workers who act as deputies. In 2002, the home achieved the Investors in People Award status, which demonstrates the commitment of the staff and high standards of services and facilities. 39 The inspector receives monthly reports written by one of the Directors of Family Investment Limited. These provide comprehensive information about staffing and residents’ issues, the buildings, maintenance work and health and safety. The manager and staff know the rsidents and their families extremely well. Regular metings take place, chaired by the residents. There are monthly management meetings. Handovers are another opportunity to share information between staff. 42 Whilst in general, the home provides a safe environment and undertakes risk assessments in respect of safe working practices, it was recommended that a freestanding fire extinguisher be secured to the wall. A recent inspection by the Environmental Health officer identified a requirement and recommendation in respect of hazard analysis and record keeping. All statutory training is provided including health and safety, moving and handling, food hygiene and fire safety. All staff have a first aid qualification. The manager is the home’s moving and handling trainer. Accident records are maintained and these were examined. Broadstreet House H56-H05 S23348 Broadstreet House V235854 300805 Stage 4.doc Version 1.40 Page 22 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 3 x x x x Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x x 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x 3 3 x 3 Standard No 11 12 13 14 15 16 17 4 3 4 4 x 3 4 Standard No 31 32 33 34 35 36 Score 3 3 3 2 3 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Broadstreet House Score 4 4 3 x Standard No 37 38 39 40 41 42 43 Score 4 4 3 x x 2 x H56-H05 S23348 Broadstreet House V235854 300805 Stage 4.doc Version 1.40 Page 23 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 42.4 Regulation 13.4.c Requirement That the requirement made by the EHO is acted upon Timescale for action 01. 2006 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. Refer to Standard 23 34 36.4 42.2 Good Practice Recommendations That the home can evidence that regular adult protection training is carried out That staff files are complete That formal staff supervision is provided. That the freestanding fire extinguisher be secured Broadstreet House H56-H05 S23348 Broadstreet House V235854 300805 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection 11th Floor, International House Dover Place Ashford, Kent TN23 1HU 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 Broadstreet House H56-H05 S23348 Broadstreet House V235854 300805 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. 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