Inspection on 19/07/06 for Hermitage Lane (4)

This inspection was carried out on 19th July 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Hermitage Lane (4) 13/06/07

Hermitage Lane (4) 12/10/05

Hermitage Lane (4) 28/04/05

Hermitage Lane (4) 14/10/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Hermitage Lane (4) Hermitage Lane Upper Stratton Swindon Wiltshire SN2 6QS Lead Inspector Bernard McDonald Unannounced Inspection 19th July 2006 09:30 Hermitage Lane (4) DS0000061405.V298410.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 Hermitage Lane (4) DS0000061405.V298410.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. Hermitage Lane (4) DS0000061405.V298410.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hermitage Lane (4) Address Hermitage Lane Upper Stratton Swindon Wiltshire SN2 6QS 01793 727790 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) londonroad@tiscali.co.uk Milbury Care Services Limited Vacant Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Hermitage Lane (4) DS0000061405.V298410.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th October 2005 Brief Description of the Service: 4 Hermitage Lane is one of number of homes owned and managed by Millbury Care Services. The property is a large detached house located down a quiet lane and within easy reach of local amenities, public transport and Swindon Centre. The home provides accommodation for six service users with learning disabilities with the philosophy of care underpinned by John O’Brien’s five accomplishments. The emphasis of care is to promote independence and support service users enjoyment in experiencing the wider community. The accommodation provides single bedroom en suite facilities for all service users that exceed the National Minimum Standards for communal and living space. Staffing arrangements ensures there is a minimum of three staff on duty at all times Hermitage Lane (4) DS0000061405.V298410.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried over two days and took eight hours to complete. The first day of the inspection was unannounced and the second day was by appointment with the manager. The inspector had opportunity to meet with five service users and five support workers. In addition comments were received from health professionals and relatives to obtain their views on the service provided. No adverse comments were received. The range of fees for the service was not available at the time of writing this report. The judgements contained in this report have been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. What the service does well: What has improved since the last inspection? The manager has been absent from the home for five months and few improvements have been noted at this inspection. However all staff have now completed infection control training and a training and development plan is in place. In addition the manager has started to implement a quality review by way of seeking the views of service users. Since the last inspection the home has changed the transport it had available for taking service users out. The new car is more appropriate for the needs of all service users. Access in and out of the car is easier and allows service users to travel in comfort with the appropriate level of staff support. Hermitage Lane (4) DS0000061405.V298410.R01.S.doc Version 5.2 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. Hermitage Lane (4) DS0000061405.V298410.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 Hermitage Lane (4) DS0000061405.V298410.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): 1, 2, 5. Service users have information about the home and are aware of the terms and conditions of their stay. The Quality rating in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: No service users have been admitted to the home since the last inspection. Three service users care plans were examined. Each file had a copy of the service users community care assessment, service user guide and the homes statement of purpose. The guide has been developed using symbols and text and provides service users with details of their rights and conditions of stay. In addition a lifestyle agreement has been developed and this document provides evidence that the contract and service user guide had been explained to the service user. Hermitage Lane (4) DS0000061405.V298410.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9. Service users assessed needs are clearly reflected in their care plan. Service users are encouraged to make decisions about their lives and every effort is being made to ensure they are supported to take responsible risks. The Quality rating in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Three care plans were examined in detail. Care plans have been developed using a person centred approach. Care plans were clearly written and provide staff with clear details on how service users wish to be supported. Communication passports have been developed to enable staff to communicate more effectively with service users. In addition one service users care plan had been developed using symbols and text including a section on how I wish to be supported. This ensures the service user is fully involved in all aspects of their care. There is a key worker system in place and discussion with staff demonstrated a good understanding of the needs of service users. One service user has a key worker from the same cultural background. Staff were able to give examples of where service users are supported to make choices about Hermitage Lane (4) DS0000061405.V298410.R01.S.doc Version 5.2 Page 10 their lives. For example the use of symbols and pictures are used to support service users to make choices. One member of staff gave examples of how a service user chooses what they want to wear. The inspector was unable to communicate effectively with service users to obtain their views on the care they receive. Observation made during the two days of the inspection found service users relaxed in the company of staff. Staff were observed communicating with service users and appeared to have a good understanding of signs and gestures used by service users to communicate their needs. Information on advocacy service is held in service user individual files. Any restrictions on service users rights and freedom are underpinned by a risk assessment. One service user is currently having their risk assessments reviewed each month to ensure the assessment remains appropriate. A sample of risk assessments that were examined had all been reviewed in the past year. In addition staff had signed the risk assessments to demonstrate they had read and understood the contents. Hermitage Lane (4) DS0000061405.V298410.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17. The home is making every effort to involve service users in their community and to take part in appropriate leisure activites. Staff enable service users to maintain contact with people who are important to them. The home provides nutritious and varied meals. The Quality rating in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: Since the last inspection the home has changed their car to a large people carrier that is more suited to the needs of service users and making it easier to get in and out of. Discussion with staff confirmed the car is much better as the previous car restricted some service users from using it. Each service user has a weekly activity calendar. The planner has been developed using pictures and photographs to ensure users are aware of their chosen activity. Service users daily records demonstrate activities are taking place. No service users attend a segregated day care centre. The focus is on enabling service users to access the community with support from staff. Service users have chosen to go away on holiday this year. Some service users have chosen to go to Weymouth and Hermitage Lane (4) DS0000061405.V298410.R01.S.doc Version 5.2 Page 12 some have chosen to go to Poole. Service users religious preferences are recorded in their person centred plan. Service users are encouraged to participate in household tasks and to keep their room tidy. The extent of their involvement is recorded in the care plan. Observation made at the lunchtime meal found service users and staff eating their meal together. The mealtime was relaxed and unhurried and where service users required assistance with their meal this was done in a discreet manner. The main meal of the day is normally in the evening and although the menu does not offer a routine choice it has been developed with the knowledge of service users likes and dislikes. Discussion with staff confirmed that if service users refused a meal an alternative would be offered. Comments received from the relatives of service users confirmed they are made to feel welcome and can visit at anytime. Discussion with staff confirmed they assist service users to write letters and also understand the contents of their personal mail. Hermitage Lane (4) DS0000061405.V298410.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20. Service users are able to receive support in a way they prefer. Medication is being safely administered but more robust checks are needed when medication is received at the home. The Quality rating in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: The person centred approach to writing service users care plans enables staff to provide support to service users in a way they prefer. This includes following the wishes of service users about which gender supports them with their personal care. There is a multi cultural staff team at the home, which ensures the cultural needs of one service user are addressed. Service users are registered with the local health care practice. Records confirm service users have access to specialist health services such as psychologist and psychiatrists and occupational therapist. Staff confirmed they provide support to enable service users attend their health care appointments. Comments received from health practitioners confirmed that any specialist advice that may be given is incorporated into the service users care plan. Staff have received training in the safe handling of medication including training for invasive procedures. The home has a large secure medication cabinet to store all medication. Records of medication administered to service users had been accurately recorded and no gaps were found in the Hermitage Lane (4) DS0000061405.V298410.R01.S.doc Version 5.2 Page 14 administration records. Side effects of medication used at the home are held in the medication file. However no record of medication received into the home was being kept. This would suggest medication is not being checked when it is received at the home a practice that could put service users at risk. Hermitage Lane (4) DS0000061405.V298410.R01.S.doc Version 5.2 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 the following standard(s): 22, 23. The complaint procedure has been made available to service users in a format suited to their needs however, the practicalities of implementing the procedures is not known by staff. The Quality rating in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: A copy of the complaints procedure is on display at the entrance to the home. Service users personal files also contain a copy of the complaints procedure, which has been developed using symbols and text. Comments received from relatives of the service users who were case tracked show that although satisfied with the care at the home they were not aware of the homes complaints procedure. It was recommended at the last inspection that this information is made available to relatives. Less evident was staff’s awareness of what to do if they receive a complaint and where the complaints book is kept. This would identify a training need to ensure staff are aware of their responsibilities and what action to take in the event of receiving a complaint about the service. Discussion with staff confirmed they were aware of what action to take if they have any concerns regarding the safety of service users. Three members of staff confirmed they had received training in abuse awareness. Copies of Wiltshire and Swindon “no secrets” guidance was available in the home. The manager is holding money on behalf of service users. A sample of three records were checked and found to be an accurate account of the money being held. Since the last inspection there has been an incident of money going missing. Milbury have investigated and all locks at the home were changed. The manager reported that Milbury had agreed to reimburse the money to the Hermitage Lane (4) DS0000061405.V298410.R01.S.doc Version 5.2 Page 16 service user but this has not yet happened. It is recommended that this money be reimbursed as soon as possible. Hermitage Lane (4) DS0000061405.V298410.R01.S.doc Version 5.2 Page 17 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, 25, 27, 30. The home provides a safe and secure environment that is generally well maintained and furnished to a good standard. The Quality rating in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: A tour of the building included viewing all communal living areas and all service users bedrooms. The home was clean and furnishings and fittings were of a good standard. Unfortunately the first impression of the home is of a carpet that is heavily stained and marked. At the last inspection it was reported that a new carpet had been ordered. The manager stated there are still plans to replace the carpet but she did not know when this would be done. The poor state of the carpet detracts from the overall appearance of the home and gives a poor impression of what is generally a well maintained home. Service users have single bedroom accommodation with en suite facilities, which were decorated to a good standard and reflected service users individuality. Windows have restricted openings to ensure service users safety. There is a separate dining room and a good choice of communal space where service user can choose to be on their own or in the company of others. Hermitage Lane (4) DS0000061405.V298410.R01.S.doc Version 5.2 Page 18 There is a separate laundry room that has a commercial washer and dryer, discussion with staff confirmed they are suitable for the needs of the home. Since the last inspection staff have commenced infection control training. Discussion with the manager confirmed there is a renewal programme in place and there are plans to decorate two bedrooms. In addition it is planned that the kitchen area is to be improved to reduce the risk of injury to service users from hot dishes. Hermitage Lane (4) DS0000061405.V298410.R01.S.doc Version 5.2 Page 19 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): 34, 35, 36. Recruitment records need to be improved to demonstrate safe recruitment practices are being followed. The home is ensuring staff are trained and have the necessary skills to meet service users needs but the lack of formal supervision remains a concern. The Quality rating in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: The recruitment records for the two members of staff appointed since the last inspection were examined. Records demonstrated that for one member of staff all the necessary documentation including a Criminal Records Bureau check (CRB) had been received prior to appointment. The records for the second member of staff did not contain a copy of the staff members CRB. The records did however contain a copy of two references, terms and conditions of employment and proof of identity. The manager confirmed the member of staff has a satisfactory CRB but the document has not yet been sent from their head office. One member of staff has been transferred from another home. There were no recruitment records available, as these had not been sent from their previous place of work. The manager reported that service users are not routinely involved in staff interviews but are informed when interviews are taking place. If the service user then wants to enter the interview they are very welcome to join in. Each member of staff has a training and development plan. Records show Hermitage Lane (4) DS0000061405.V298410.R01.S.doc Version 5.2 Page 20 staff new to learning disability services are enrolled on the Learning Disability Award Framework (LDAF) training before commencing National Vocational Training (NVQ). Discussion with staff confirmed they were satisfied with the level of training available. Staff who had recently completed LDAF training are keen to complete NVQ in care. Three members of staff have completed NVQ 2. Examinations of the training plan showed no staff were due to receive equal opportunities training and consideration needs to be given to ensure this is incorporated into the staff training programme. No improvements have been made to the level of formal supervision being offered to staff. One member of staff reported a lack of direction and leadership as the registered manager has been absent for number of months due to health reason. One member of staff reported they have had no supervision this year. Discussion with the manager confirmed they were aware of the deficits and the appointment of a new deputy manager will ensure all staff have access to regular supervision. Hermitage Lane (4) DS0000061405.V298410.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42. The manager is experienced but not registered with the Commission. Quality audits are being developed and every effort is made to ensure service users live in a safe environment. The Quality rating in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: The manager who has yet to be registered with The Commission has been absent from the home for over five months. Discussion with the staff team would indicate the manager is supportive but there has been an overall lack of direction in her absence. The manager stated she had almost completed the registered managers award but is currently waiting for confirmation of funding the award from Milbury due to transferring to another training company. The manager has not yet applied to the Commission to become the registered manager of the home. It is of concern to the Commission that home remains without a registered manager and despite repeated phone calls from the Hermitage Lane (4) DS0000061405.V298410.R01.S.doc Version 5.2 Page 22 Commission an application has still not been received. An application form was sent out to the manager in October 2005. The Commission has informed the responsible individual that an application form must be submitted within the next 14 days to avoid a statutory enforcement notice being issued. The manager has developed a service user quality assessment. Copies of the review were held in service users individual files. In addition quality review questionnaires have been sent to relatives, staff and stakeholders to obtain their views on the service provided. The outcome of their views has not yet been collated. The manager stated the quality review process should be completed by October. Since the last inspection all staff have completed infection control training. A fire risk assessment is in place and was last reviewed in April. Fire safety practices are being held every month to ensure all staff have opportunity to take part in a safety drill at least once every three months. To ensure the safety of service users radiators are guarded and hot water is regulated close to 43c. Hermitage Lane (4) DS0000061405.V298410.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 2 ENVIRONMENT Standard No Score 24 2 25 3 26 X 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 2 35 2 36 2 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 2 X 1 X 2 X X 3 X Hermitage Lane (4) DS0000061405.V298410.R01.S.doc Version 5.2 Page 24 YES 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 YA20 Regulation 13(2) Requirement Timescale for action 01/08/06 2. 3. YA24 YA34 4. YA36 5. YA37 6 YA37 The registered person must ensure a record is kept of medication when it is received in the home. 23(2)(b) The registered person must replace the hallway carpet. 19(1)(b)(i) The registered person must ensure records as specified in Schedule 2 of the care Homes Regulations 2001 are held in the home. 18(2) The registered person must ensure staff receive formal supervision a minimum of six times a year. This was a requirement at the last inspection. The timescale for compliance was 12/12/05. CSA sect The registered person must 12 ensure the manager makes an application to CSCI for registration as manager. This was a requirement at the last inspection. The time scale was set for 12/10/05. 9(2)(i) The registered person must ensure the manager completed the Registered Managers Award. This was a requirement at the last inspection. The timescale for DS0000061405.V298410.R01.S.doc 01/10/06 01/09/06 01/10/06 01/08/06 01/12/06 Hermitage Lane (4) Version 5.2 Page 25 compliance was set for 01/03/06 7. YA39 24(2) The registered person must send 01/11/06 the Commission a copy of the outcome of the quality review 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 YA22 YA22 YA23 YA35 Good Practice Recommendations The registered person must ensure that all families receive information on the homes complaints procedures. The registered person should ensure staff receive training in what action to take if a complaint if they receive a complaint about the service. The registered person should reimburse the service user whose money went missing. The registered person should ensure staff receive equal opportunities training. Hermitage Lane (4) DS0000061405.V298410.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Chippenham Area Office Avonbridge House Bath Road Chippenham SN15 2BB 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 Hermitage Lane (4) DS0000061405.V298410.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. 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