Inspection on 07/12/06 for East Surrey Carer`s Support Services

This inspection was carried out on 7th December 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

East Surrey Carer`s Support... 22/09/05

East Surrey Carer`s Support... 16/06/05

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Southfields

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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 East Surrey Carer`s Support Services 5 Gloucester Road Redhill Surrey RH1 1BP Lead Inspector Sandra Holland Key Unannounced Inspection 7th December 2006 10:00 East Surrey Carer`s Support Services DS0000059966.V309788.R01.S.doc Version 5.2 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 East Surrey Carer`s Support Services DS0000059966.V309788.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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. East Surrey Carer`s Support Services DS0000059966.V309788.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service East Surrey Carer`s Support Services Address 5 Gloucester Road Redhill Surrey RH1 1BP 01737 765800 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) Prospect Housing and Support Services Emma Bailey Care Home 5 Category(ies) of Learning disability (5) registration, with number of places East Surrey Carer`s Support Services DS0000059966.V309788.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The age range of the persons to be accommodated will be: 18 - 30 years. Of the five respite care beds - one may be used as a crisis bed. Date of last inspection 22nd September 2005 Brief Description of the Service: East Surrey carer’s Support Service (ESCSS) is a care home that can provide a respite (short break) service to younger adults between the ages of 18 and 30 years, who have a learning disability. Up to five people can be accommodated and one person can use the service in a crisis situation. The service was newly established in June 2006 by Prospect Housing and Support, in a building that was previously a residential care home run by the organisation. A domiciliary care service is run from the same premises and this will be inspected separately under the specific regulations and standards. The home is situated very close to Redhill town centre with easy access to public transport. The home is a large detached town house, with a communal lounge, dining area, large kitchen, one bedroom and shower room on the ground floor. A second shower room is available on a mezzanine floor between the ground and first floor. The remaining four bedrooms are on the first floor with a bathroom. All bedroom doors have locks and are furnished to meet service users’ needs. Laundry facilities and offices are on the second floor. Limited car parking is available to the front of the house, with additional parking available at pay and display car parks nearby. A large enclosed garden is available to the rear of the home. The fees at this service range from £1172.42 to £1445.30. East Surrey Carer`s Support Services DS0000059966.V309788.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection was the first to be carried out in the Commission for Social Care Inspection (CSCI) year April 2006 to June 2007 and was carried out under the CSCI “Inspecting for Better Lives” programme. The service was newly registered by CSCI in June 2006. Mrs Sandra Holland, Lead Inspector carried out the inspection over four and a half hours. Ms Emma Bailey, Registered Manager and Ms Diane Czako, Head of Learning Disability Services were present representing the service. For clarity, Ms Czako will be referred to as the area manager throughout this report. Ms Sarah Dumagnee was also present as it is planned that she will assume the management of the service from 18th December 2006, when the registered manager moves to another service. Areas of the premises were seen, a number of records and documents were sampled and one service user and one member of staff were spoken with. A pre-inspection questionnaire as supplied to the service and a completed copy was provided at the inspection. Some of the information from the questionnaire will be referred to in the report. The inspector would like to thank all those at the service for their hospitality, time and assistance. What the service does well: The service offers individual support for short respite breaks, to service users who usually live with their families. This enables service users to develop their links outside the home and ensures that service users can be supported in an environment that is known to them, for periods such as ill-health, when family support is not available. As the service is situated centrally to Redhill town centre, shops, public transport and other facilities are very close by and easily accessible to service users. The service aims to offer a high level of personal support with a ratio of one to one, staff to service user. East Surrey Carer`s Support Services DS0000059966.V309788.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. East Surrey Carer`s Support Services DS0000059966.V309788.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection East Surrey Carer`s Support Services DS0000059966.V309788.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The needs of potential service users have been thoroughly assessed before they received support at the service. EVIDENCE: As the service has recently been established, the manager stated that only two service users are currently receiving support. The files for the service users were seen and it was pleasing to see that a very comprehensive assessment of their needs had been carried out prior to their stay at the service. Both assessments had been carried out by the manager and incorporated all the specified areas recommended by the National Minimum Standards for Care Homes for Adults. The area manager stated that assessments have been and will be, carried out by the manager and the area manager together. This ensures that one person can speak to and give their full attention to, the potential service user, whilst the other person takes notes. For one service user who is also supported under the care management process, an assessment of needs had been carried out by the care manager and a copy had been obtained and retained. East Surrey Carer`s Support Services DS0000059966.V309788.R01.S.doc Version 5.2 Page 9 The area manager stated that a number of further potential service users had made contact with the home and were being assessed or awaiting funding agreements before placements could take place. East Surrey Carer`s Support Services DS0000059966.V309788.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individual plans are being developed for service users and any identified risks to service users have been assessed. Service users are well supported to make decisions. EVIDENCE: The manager stated that the service users have had very few stays at the service so far and individual plans are being drawn up gradually as the staff become more familiar with the support needs of each individual. Until these are completed, staff advised that they refer to the pre-admission assessments for guidance regarding support needs. It was pleasing to see a very detailed “life passport” had been supplied by the family of one service user, which provided an extensive range of information that would enable staff to provide effective support to the service user. The pre-admission information obtained included the service users’ likes, dislikes and recorded their preferences, and the manager advised that staff referred to these when supporting service users to make decisions. Service East Surrey Carer`s Support Services DS0000059966.V309788.R01.S.doc Version 5.2 Page 11 users are encouraged to make their own choices and decisions staff advised, and this was confirmed by the service user who was present. The service user was going out bowling with a member of staff, having been offered a range of activities to choose from. A number of possible risks to the service users had been initially identified, assessed and recorded. These included maintaining health, helping in the home and in the kitchen specifically, financial vulnerability, accessing the community, privacy and safety and personal care. The assessments also included actions to be taken to minimise the risks. The manager stated that the assessments would be reviewed and revised as required and if any changes are noted. East Surrey Carer`s Support Services DS0000059966.V309788.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are effectively supported to take part in educational and leisure activities and to be active members of their community. Staff provide support to enable service users to maintain and develop appropriate relationships and to choose and enjoy a healthy diet. EVIDENCE: Staff advised that service users attend local schools or colleges of education and are supported to and from the service, whilst one service user travels to the home by public transport, with minimal support. It was clear from the information supplied in the pre-inspection questionnaire and from speaking to a service user, that a range of activities are available. These include going to the cinema, swimming, horse riding, trampolining and for meals out. Other activities are offered within the home, including watching DVD’s, social activities, using the computer and having friends to visit. The service user who was present, was busily doing a large jigsaw puzzle with staff East Surrey Carer`s Support Services DS0000059966.V309788.R01.S.doc Version 5.2 Page 13 before going out on the day of inspection, and daily notes recorded involvement in other activities. The manager stated that service users are supported to develop appropriate friendships and relationships and are encouraged to join clubs and social groups attended by people of their own age group. Staff advised that relationships are discussed with service users and their representatives, to ensure that service users are provided with opportunities and their rights are respected, whilst staff maintain their responsibilities. A choice of meals including takeaway meals, are made available for service users to choose from staff advised. Service users are encouraged to choose their own meal and are supported to be involved in preparing the meal. From information supplied with the pre-inspection questionnaire, it was stated that meals to suit special dietary and ethnic minority needs could be met, although these are not currently being provided. East Surrey Carer`s Support Services DS0000059966.V309788.R01.S.doc Version 5.2 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 the following standard(s): 18,19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal support is provided as preferred and service users’ healthcare needs are well met. EVIDENCE: A service user who was spoken with advised that personal support is provided as preferred, and it was pleasing to see that individual service users’ recorded preferences, specified whether they wished to be supported by staff of the same gender. The manager stated that as service users live in their own homes, they retain the support of healthcare professionals who are already involved. The preadmission assessments recorded the details of a number of healthcare professionals including general practitioners (GP’s), dentist, orthodontist and hospital specialist. Staff advised that service users are supported to attend appointments that have been arranged to take place during their stay at the home. The manager advised that no medication is currently being held or administered for service users, although one service user administers their East Surrey Carer`s Support Services DS0000059966.V309788.R01.S.doc Version 5.2 Page 15 own inhaler and an assessment of any risks involved in this has been carried out. East Surrey Carer`s Support Services DS0000059966.V309788.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A complaints procedure is available to service users in a written and picture format and a complaints record is maintained, although no complaints have been made. The home has adult protection procedures in place and has implemented them in the past. EVIDENCE: The home’s complaints procedure was on display in the dining room and was in written and picture format, to suit the varying needs of service users. A complaints record is maintained which is checked and signed on a monthly basis by the manager, and it was pleasing that no complaints had been made since the service was established. The service user who was present stated that she would speak to the manager if she had a complaint or was unhappy in any way. The manager confirmed that in the event of an incident or allegation of abuse, the home would refer to and follow, the Surrey Multi-Agency Procedure and an up to date copy of the procedure was available in the home. The home’s adult protection policy and procedure was seen and it was noted that it did not refer to the Surry Multi-Agency procedure, other than in a flowchart. It is recommended that the procedure is reviewed and revised to make clear reference to the Surrey procedure, to ensure that appropriate action is taken if required. Information supplied in the pre-inspection questionnaire indicated that the Surrey procedure had been implemented in the past. East Surrey Carer`s Support Services DS0000059966.V309788.R01.S.doc Version 5.2 Page 17 A facility is available in the home for holding service users’ monies for safekeeping and a running record is maintained of any transactions. It was noted that the record sheet had space to two people to sign to show their involvement in the transaction, although for some transactions only one signature was recorded. It recommended for the protection of service users and staff, that two signatures are recorded for every transaction. The home also has a number of policies and procedures to guide staff in the safeguarding of service users, including lone working, risk-taking, restraint, missing persons, service users’ monies and Whistle-blowing. Staff are requested to sign a record sheet to indicate that they have read and understood the procedures and most staff have done so. It was noted that a member of the current staff team has yet to sign the record. It was observed that the cultural and racial background of the staff team reflected that of the service users. Three recommendations have been made regarding Standard 23. East Surrey Carer`s Support Services DS0000059966.V309788.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is suited to the needs of service users and presents as a comfortable, clean and hygienic place to stay. EVIDENCE: The home is a large detached house with rooms over three floors, which fits well with other nearby properties. A spacious and airy open plan lounge and dining room connects with the kitchen. All areas seen were clean, well presented and comfortably furnished and decorated in a homely style, with a choice of a shower or bath available to service users. A service user happily showed me the bedroom being used and it was well furnished and decorated in a bright, colourful style. The service user confirmed that the room was well suited to their needs. The manager stated that current service users are all fully mobile and can access all areas of the home. A laundry room is available on the top floor of the home and staff advised that service users are supported to do their own laundry if possible. From information supplied in the pre-inspection questionnaire, it was clear that the East Surrey Carer`s Support Services DS0000059966.V309788.R01.S.doc Version 5.2 Page 19 home has a contract for the collection of any clinical waste at the home. Staff advised that personal protective equipment, including gloves and aprons are supplied and available for use. It was observed in the bathroom that a fabric towel was in use. It is recommended that paper towels and liquid soap are supplied and used in all bathrooms and toilets, to reduce the risk of the spread of infection. A recommendation has been made regarding Standard 30. East Surrey Carer`s Support Services DS0000059966.V309788.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported by small team of staff, who have been appropriately recruited and who have received training suited to their role. EVIDENCE: From the information in the pre-inspection questionnaire, it was evident that service users are supported by a very small team of two staff and a manager. The manager stated that the staff team would be enlarged as the service develops and more service users start to use the service. Of the current staff, one member has achieved a National Vocational Qualification (NVQ) to level 2 in care. The other member of staff has been more recently recruited and is undertaking a specific induction training under the Learning Disability Award Framework (LDAF). The manager stated that potential staff are advised at their employment interview, that undertaking NVQ training is expected. The manager advised that staff were currently being recruited and that service users were being involved in the process. The file of a recently recruited member of staff was seen and all the required documents and information had been obtained. The manager advised that other staff working in the home had East Surrey Carer`s Support Services DS0000059966.V309788.R01.S.doc Version 5.2 Page 21 transferred to the service from the service which had previously existed in the same building. The pre-inspection questionnaire recorded that staff training had been carried out including induction, working with families, complex needs, Autism and Makaton communication. It was also recorded that mandatory training (which is required by law), has been carried out. An induction record had been completed for a recently recruited member of staff, but it was noted that this had not been signed by the new employee or the supervisor. It is recommended as good practice, that both parties involved in induction training, sign and date the record. A recommendation has been made regarding Standard 35. East Surrey Carer`s Support Services DS0000059966.V309788.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service is effectively managed and service users best interests, health and welfare appear to be safeguarded. Feedback from service users and their representatives is actively sought. EVIDENCE: Notification had been provided to CSCI prior to the inspection, that the registered manager would be moving from the service to manage another service within the organisation. It was pleasing that both the out-going manager, who has overseen the start-up of the service, and the in-coming manager, were present at the inspection and were undertaking a handover period. The new manager was previously the registered manager of another service within the organisation, and has achieved the NVQ Registered Managers Award (RMA) and is a qualified NVQ assessor. The area manager stated that it is planned to review the effectiveness of the service next February. East Surrey Carer`s Support Services DS0000059966.V309788.R01.S.doc Version 5.2 Page 23 As the service has only been established for six months, no formal quality assurance assessment has yet been carried out, the area manager advised. The manager stated that she contacts each service user’s family after their visit, to obtain feedback regarding the service user’s stay. A communication book is also used by the staff at the home and the service user’s family, to ensure an effective handover of information and some service user families communicate with the home by email. The manager stated that she has been involved in service user reviews with their care managers or schools, to assess how well the home is meeting their needs. The staff rota was reviewed and it was observed that a member of staff on duty at the home was not listed on the rota to be working. It was also noted that changes to the staff rota had been made with erasing fluid which must not be used. From the information supplied in the pre-inspection questionnaire, it was evident that checks are carried out on the equipment and systems in the home, to safeguard all who use it. These include the fire safety systems, gas and electrical installations, and testing of the hot water supply and these appear to be carried out to the appropriate frequencies. The manager advised that the home is closed for periods when it is not required by service users, and the records for these tests reflected this. A Health and Safety at Work poster and Employer’s Liability insurance certificate were displayed as required, although it was observed that the insurance certificate had expired. The area manager stated that she was aware that an updated insurance certificate had been obtained, and contacted the organisation’s head office immediately to arrange for it to be sent to the home. This was confirmed the next day when a copy of the insurance certificate was supplied to the inspector. A requirement has been made regarding Standard 41. East Surrey Carer`s Support Services DS0000059966.V309788.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X 2 3 x East Surrey Carer`s Support Services DS0000059966.V309788.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? N/A 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 YA41 Regulation 17 Schedule 4 Requirement A copy of the duty roster of persons working at the care home, and a record of whether the roster was actually worked must be maintained. Timescale for action 07/12/06 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 4 5 Refer to Standard YA23 YA23 YA30 YA35 YA40 Good Practice Recommendations The home’s policy regarding abuse should be reviewed and should refer to the Surrey Multi-Agency Procedure. It is good practice to record two signatures for each transaction of service user’s monies held for safekeeping. It is recommended that liquid soap and paper towels are supplied and used in each bathroom and toilet. It is good practice for the supervisor and the employee to sign and date the record of induction that is carried out. It is recommended that all staff sign to indicate that they have read and understood the home’s policies and procedures. East Surrey Carer`s Support Services DS0000059966.V309788.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI East Surrey Carer`s Support Services DS0000059966.V309788.R01.S.doc Version 5.2 Page 27 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!