Inspection on 17/11/05 for Chaseborough House

This inspection was carried out on 17th November 2005.

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 but made no statutory requirements on the home.

Other inspections for this house

Chaseborough House 12/07/07

Chaseborough House 20/07/06

Chaseborough House 12/03/06

Chaseborough House 06/01/05

Chaseborough House 03/06/04

Chaseborough House 21/01/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Chaseborough House Village Hall Lane Wimborne Dorset BH21 6SG Lead Inspector Debra Jones Unannounced Inspection 17th November 2005 10:10 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 Chaseborough House DS0000026779.V267287.R01.S.doc Version 5.0 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. Chaseborough House DS0000026779.V267287.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Chaseborough House Address Village Hall Lane Wimborne Dorset BH21 6SG 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) 01202 822908 Mrs Sally Ann Marshall Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Chaseborough House DS0000026779.V267287.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th September 2005 Brief Description of the Service: Chaseborough House is a care home accommodating a maximum of 16 older people. The premises are situated in a rural setting between Verwood and West Moors at Three Legged Cross, with local amenities including a pub, shops and village hall available within a short level walk. Accommodation is offered on the ground and first floor. The communal lounge and dining room are on the ground floor. A passenger lift operates to the first floor. There are twelve single rooms and two rooms registered doubles. All but one room has en-suite facilities, including seven rooms with baths, WC, and hand basins. The premises consist of a large converted family house set in it’s own grounds. The owners live in the adjacent property. Chaseborough House DS0000026779.V267287.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 5 hours and was one of the two anticipated inspections of the year. Some of the requirements and recommendations made at previous inspections were followed up to see the progress made towards meeting them. The Inspector looked around some of the building and a number of records were inspected. Mrs Marshall (registered person) assisted the Inspector in her work. 5 residents were spoken to in order to get a real feel for what it was like to live at Chaseborough House. Comments from residents included ‘its very pleasant’, ‘Very nice’. What the service does well: Chaseborough House provides a service to sixteen older people. The home has a comfortable and relaxed atmosphere and is decorated and furnished in a homely way. The care and contentment of residents is at the heart of the way the home is run. An admissions procedure is in place. Prospective residents have opportunities to visit the home to see if they like it before they move in and are assessed to ensure that the home can meet their needs. When they move into the home they are given terms and conditions so they are clear about what they can expect from the home and what is expected of them. All residents have care plans and daily notes showing how the home is to, and does, meet the needs of the residents. Care staff are supported in caring for residents by community health professionals. All residents spoken to about privacy and dignity said that they were treated well by the staff in these respects. Residents are able to do as they wish at the home and join in or not with the activities on offer. Visitors are made welcome at the home and can come whenever it suits the residents they are visiting. Meals are wholesome and planned around the known likes and dislikes of residents. Chaseborough House DS0000026779.V267287.R01.S.doc Version 5.0 Page 6 There is a complaints policy to reassure residents that their well-being and comfort are important to the home and that any concerns they raise will be properly investigated and resolved. The home is homely, well maintained and comfortable for the residents living there and anyone visiting. The home is kept clean and smells pleasant. Sufficient care staff are on hand to meet the current needs of residents. Systems are in place and records kept that demonstrate the home’s commitment to keeping residents and their possessions safe. What has improved since the last inspection? What they could do better: It would be good if the home noted any history of falls in their pre admission assessments and for this concern for preventing falls be reflected in care plans and risk assessments. Plans could be reviewed more regularly to ensure that they are really up to date with what residents need and staff are to do for them. How residents and their supporters are involved in planning care could be better recorded. It would be good if the home had it’s own adult protection policy and that it included information about the Protection of Vulnerable Adults list introduced in 2004. It will be good when the programme of covering radiators that pose some risk to residents is complete. The home must go on to carry out a risk assessment of pipe work and take any steps necessary that arise out of this assessment. The home must undertake all the pre employment checks required by law before any staff work at the home. The documentation required in respect of all staff working at the home must also be kept. Chaseborough House DS0000026779.V267287.R01.S.doc Version 5.0 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Chaseborough House DS0000026779.V267287.R01.S.doc Version 5.0 Page 8 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 Chaseborough House DS0000026779.V267287.R01.S.doc Version 5.0 Page 9 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): 2,3 and 5. (6 is not applicable to this home.) A good admissions procedure enables prospective residents to make informed decisions about moving to the home and ensures that only residents whose needs can be met by the home are offered places there. EVIDENCE: Files of 2 residents recently admitted to the home showed that prior to people moving to the home their needs are fully assessed by a senior person from the home. Assessments are thorough and cover personal care and health care needs, medication, social needs/ preferences and food choices. The ones seen did not cover any history of falls. People are given the opportunity to visit the home, as are their representatives, prior to any decisions being made. Both of the new residents had visited. One of the new residents spoke highly of her new home and of how her preferences were being accommodated. Copies of terms and conditions issued to one of the newer residents were seen. Chaseborough House DS0000026779.V267287.R01.S.doc Version 5.0 Page 10 Mrs Marshall is aware of the need to write to people to let them know the outcome of their assessment but was unable to find copies of the letters she remembered sending. Chaseborough House DS0000026779.V267287.R01.S.doc Version 5.0 Page 11 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 and 10. The care planning system ensures that staff have the information they need to meet the needs of the residents. The health needs of the residents are also well met with evidence of good support from a range of community health professionals. Residents are treated with respect and their privacy and dignity are promoted. EVIDENCE: Care plans are in place for all residents. They are easy to read and are informative about the needs and preferences of the resident and of how the home is to meet their needs. Plans seen were so littered with information about choice and preference that they could not have been written without the input of the resident or their supporters. However, on those seen it was not noted how or who had been involved in drawing them up and they were not signed. Plans are fully revised every three months but where care needs alter in between reviews although this is apparent in the daily notes the care plans are not altered. How care plans could be reviewed simply and more often e.g. when care needs change or monthly - whichever is the sooner, was discussed. Chaseborough House DS0000026779.V267287.R01.S.doc Version 5.0 Page 12 Residents said that they considered themselves to be well cared for. Separate risk assessments were not in place for residents. In discussion with Mrs Marshall it was clear that risk is considered and action has been taken to address and minimise risk in certain areas e.g. a risk assessment in respect of a resident looking after their own medication had been made and radiators are being covered in order of risk to residents. Any risk assessments undertaken should include looking at the risk of falling and of how to prevent falls. Daily notes support and evidence the delivery of care to residents. These notes show the care that is delivered to residents by staff in the home and by visiting community health professionals such as GPs, chiropodists and district nurses. Residents are also being assisted by the home in accessing other community health services such as dentists. A GP was visiting on the day of inspection at the direct request of a resident, who had contacted the surgery herself via the telephone in her room. The local falls team had recently assessed another resident at the request of the GP following concerns raised by the home. Residents confirmed that they are treated with respect and that their dignity is preserved by the staff at the home. One resident described how staff did this in practice. The home is about to introduce a new medication system in conjunction with a local pharmacy. Staff will be receiving training to operate the new system. It is anticipated that this new system will minimise the risk of misadministration by administering medication directly from the pack the medicines arrive in that are labelled with the doctor’s directions. As this new system is fairly imminent the medication system was not inspected on this occasion. The requirements and recommendations made by the Commission’s pharmacist are listed in this report and will be followed up at the next inspection. (The Pharmacy report of 12 September 2005 is available on request from the Commission.) Chaseborough House DS0000026779.V267287.R01.S.doc Version 5.0 Page 13 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 and 15. Residents’ lives are enriched by the social opportunities afforded by their friends, families and staff and by the choices they are able to exercise in their daily lives at the home. The meals in this home are wholesome, based on the likes and dislikes of residents and served in a pleasant environment. EVIDENCE: Residents can receive their guests in the communal areas or their own rooms. Some residents go out on their own to visit the local amenities, while others rely on staff or relatives / friends for trips out. Residents talked of how they enjoyed their visits from their families and of their visits to their families. The visitors’ records confirmed the number and range of visitors to the home. Chaseborough House is run in a manner that supports residents to live their lives as they choose. There are some structured activities and entertainers visit. Residents can join in as they wish. A full programme of entertainment is being arranged for the Christmas period. Residents’ independence is encouraged and aids and adaptations are made available to help with this. People spoke of how their preferences were Chaseborough House DS0000026779.V267287.R01.S.doc Version 5.0 Page 14 respected and of how they liked to spend their days e.g. watching TV, listening to the radio, keeping up with current affairs, enjoying the entertainments provided at the home. A minister regularly visits the home as does a hairdresser. Menus are based both around the known likes and dislikes of the residents and on providing a good wholesome diet. Most residents are well able to say what they enjoy and to make their preferences clear. All residents spoken to said the food was good and that there was always plenty to eat. One talked of how it would be easy to eat too much. Another talked of her particular preferences and how the home respected them. Residents are offered meal choices for the day during the morning. They can have meals where it suits them. The home has a pleasant dining area that residents can eat in if they wish. Some of the residents prefer having their meals in their rooms or in the lounge. Where residents wish to eat at other times due to their social activities this is happily accommodated by the home. The meal served on the day of inspection was sausages with vegetables and potatoes, with a fruit based pudding for dessert. Homemade cake is served daily. Chaseborough House DS0000026779.V267287.R01.S.doc Version 5.0 Page 15 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 and 18. A system is in place to deal with any complaints that might be made. Ongoing staff training demonstrates the homes commitment to understanding abuse but stronger recruitment measures need to be in place to fully protect residents. EVIDENCE: The home has a complaints policy / procedure that meets the standard and regulation. No complaints have been received by the home since the last inspection or by the Commission. Residents spoken to said that they had nothing to complain about. They also said that they felt ‘safe’ when asked. The home has a copy of the local ‘No Secrets’ guidance but they have not got their own adult protection policy. A number of staff had elder abuse training earlier this year and abuse is covered in the NVQ training that staff undergo. Not all staff recruited since 26 July 2004 (the date the Protection of Vulnerable Adults List was introduced) have been properly checked against this list. (See requirement made against standard 29) Chaseborough House DS0000026779.V267287.R01.S.doc Version 5.0 Page 16 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, 22, 23, 24, 25 and 26. The home is well–maintained and a comfortable environment is provided for the residents living there and anyone visiting. Bedrooms are nicely decorated, well furnished and personalised to suit the residents. Adequate facilities are available to meet the number and needs of the people living there. The home is kept clean and smells pleasant thereby making daily life for all in the home more pleasurable. Residents will benefit from the minimisation of risk afforded by the covering of radiators and assessment and, where appropriate, covering of pipe work. EVIDENCE: Chaseborough House has a warm and friendly atmosphere. The home is well decorated throughout. Lounges and dining areas are comfortably furnished. Residents are mostly mobile and can choose where they spend their days. Some need a little assistance to get about. Chaseborough House DS0000026779.V267287.R01.S.doc Version 5.0 Page 17 There are adequate communal bathing areas in the home. All rooms, bar one have en suite toilet facilities. Aids and adaptations are available throughout the home and some residents with particular needs have their own personal equipment to assist with their independence. Where residents need equipment to aid independence such as zimmers and sticks the equipment was seen to be to hand. The home is planning to add more useful aids and adaptations around the home for use by all e.g. grab rails, at the recommendation of the Occupational Therapist who recently assessed the premises. Residents are able to personalise their rooms with furniture and general belongings. There is a passenger lift in the home, enabling easy access between the ground and first floor. There are emergency alarm bells throughout the home. Residents are able to have keys to their bedroom doors and lockable storage in their rooms for personal belongings of importance if they wish. Some of the radiators that might pose a risk to residents have been attractively covered. Plans are in place for all radiators to be covered. The home was clean and there were no unpleasant odours. A utility room houses the laundry equipment. Chaseborough House DS0000026779.V267287.R01.S.doc Version 5.0 Page 18 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 and 29. Sufficient care staff are employed and deployed to ensure that the care needs of residents can be met. The procedures for the recruitment of new staff are not robust enough to ensure protection to residents from potentially unsuitable staff working at the home. EVIDENCE: Staffing rosters are in place that show who is on duty and when. The rosters include the full names of staff and their designations i.e. what job they do. Timesheets are kept as evidence of whether the roster is actually worked. Training is taken seriously at the home. The home is well on track to meeting the Department of Health target of 50 of all care staff working at the home having NVQ level 2 in care. In addition staff have access to other training courses relevant to their work e.g. manual handling, infection control, handling of medication. The file of a new member of staff showed that the home had not undertaken all the necessary recruitment checks to ensure the protection of residents. A new Criminal Records Bureau (CRB) check or POVA 1st check had not been requested (and so the POVA list had not been checked as required by the change in legislation on 26 7 04). Two written references had not been received for them prior to them working at the home and insufficient documentation had been obtained to confirm their identity. Mrs Marshall said that files for other staff members might also be incomplete. Chaseborough House DS0000026779.V267287.R01.S.doc Version 5.0 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, 35, 37 and 38 The home is managed and organised by people who have the skills and experience to run the home. Good management practice, systems in place, and records kept, confirm the health and safety of all in the home. EVIDENCE: Mrs Marshall is actively involved in the day to day running of the home and takes her responsibility to provide a good standard of care to the residents very seriously. She is currently studying for her Registered Managers Award. All records were available as requested at the inspection, although there were some shortfalls in what is kept e.g. staff records. Chaseborough House DS0000026779.V267287.R01.S.doc Version 5.0 Page 20 An up to date insurance certificate was on display along with the home’s registration certificate. The home keeps some money belonging to residents and a system is in place to look after it. Clear records are kept of expenditure and balances alongside receipts. Fire records were in place. An external company carries out quarterly checks of the fire equipment. Internal fire equipment checks, fire training and fire drills are all being carried out at appropriate intervals and records evidenced this Accident records were looked at. Very few are recorded. It was suggested that the home looks at accident recording in the following respects:• All falls be recorded even where no apparent injury is noted at the time. • Accident records being removed from the book when they are completed and stored securely elsewhere. • Where accidents are not witnessed what the person making the record finds still needs to be recorded, and/ or what the injured person says happened to them. The standard about quality assurance will be fully addressed at the next inspection. The requirement made at the previous inspection is therefore carried over as a reminder. Chaseborough House DS0000026779.V267287.R01.S.doc Version 5.0 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 x 3 2 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 2 3 3 3 3 3 3 2 3 STAFFING Standard No Score 27 3 28 3 29 1 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x x x 3 x 2 3 Chaseborough House DS0000026779.V267287.R01.S.doc Version 5.0 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 OP9 Regulation 13 (2) Requirement All staff, who give medicines, must have training on medicines and their safe handling. This requirement was first made on 16th March 2004. Staff must record the quantity of all medicines received and those returned for disposal. Where pipe work and radiators are not guarded or have guaranteed low temperature surfaces, serious risks must be identified and as far as possible eliminated. This assessment must be pertinent to the individual(s) assessed and be written down. Previous time scale for action 6 March 2005. Pre employment checks as required by law must be undertaken prior to any staff working at the home. E.g. CRBs / POVA 1st checks. Records required by law in respect of staff employed must be held in the home. E.g. proof of id. DS0000026779.V267287.R01.S.doc Timescale for action 01/03/06 2 3 OP9 OP25 17 (i) (a) 13 13/12/05 01/04/06 4 OP29 17 31/01/06 Chaseborough House Version 5.0 Page 23 5 OP37 17 All records required by law for the protection of residents and for the effective running of the home must be kept and be up to date and accurate. 31/01/06 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 3 Refer to Standard OP3 OP7 OP7 Good Practice Recommendations In the pre admission assessment any history of falls should be explored. Every care plan should include a risk assessment. The care plan and risk assessment should pay particular attention to the prevention of falls. The care plan should be reviewed at least once a month and updated where appropriate. How the resident/ their supporter were involved in drawing up the care plan should be noted and the plan signed to show agreement where possible. Medication should never be removed from the original container in which the pharmacist supplied it until the time of administration and should never be secondary dispensed for someone else to administer to a service user at a later time or date. Risk assessments for service users who self-medicate should include: • A summary of the risks • Who might be harmed Controls that should be put in place. These could include regular reviews, confirming service users have a lockable space and understand the risks their medication could pose to other service users. Details of prescribed medicines on the medicine chart should be checked and signed by a second competent person to confirm that all the details are correct. DS0000026779.V267287.R01.S.doc Version 5.0 Page 24 4 OP9 5 OP9 6 OP9 Chaseborough House 7 OP9 8 9 OP9 OP18 The date of starting individual packs should be recorded either on the pack or on the MAR chart to provide an audit trail and because some medicines e.g. eye drops have a limited life after opening. The manager should obtain a cupboard that complies with the Misuse of Drugs (Safe Custody) regulations 1973 for storing Controlled Drugs (CDs) and a CD record book. The home should have an abuse policy / procedure specifically for staff at the home and include reference to the Protection of Vulnerable Adults List- how pre employment checks are carried out and of how staff may be referred. Chaseborough House DS0000026779.V267287.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Chaseborough House DS0000026779.V267287.R01.S.doc Version 5.0 Page 26 - 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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