Inspection on 15/11/05 for Laurieston House

This inspection was carried out on 15th November 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Laurieston House 09/09/09

Laurieston House 22/10/08

Laurieston House 03/10/07

Laurieston House 03/10/06

Laurieston House 13/07/05

Laurieston House 13/12/04

Laurieston House 06/05/04

Laurieston House 14/10/03

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Laurieston House 78 Bristol Road Chippenham Wiltshire SN15 1NS Lead Inspector Alison Duffy Unannounced Inspection 09:30 15 and 21 November 2005 th st 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 Laurieston House DS0000028410.V261443.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. Laurieston House DS0000028410.V261443.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Laurieston House Address 78 Bristol Road Chippenham Wiltshire SN15 1NS 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) 01249 444722 Jennifer Jobbins Jennifer Jobbins Care Home 10 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia - over 65 years of age (3), Old age, of places not falling within any other category (7) Laurieston House DS0000028410.V261443.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Not more than 3 service users over the age of 65 years with a mental disorder 13th July 2005 Date of last inspection Brief Description of the Service: Laurieston House is a home registered to care for ten older people, three of whom may have a mental disorder. The home is located on the outskirts of Chippenham giving good access to all local amenities. Laurieston House is privately owned by Mrs Jobbins. Mrs Jobbins is the Registered Provider and the Registered Manager and works closely with residents and staff by undertaking various shifts within the working roster. Staffing levels are maintained at two members of staff throughout the waking day. At night a member of staff undertakes a waking night and another provides sleeping in provision. Residents’ private accommodation consists of four twin and two single rooms, all of which are comfortably furnished. The rooms are located on the ground and first floor although the home does not have a stair or passenger lift. The communal areas of the home consist of a homely lounge and a spacious dining room. To the rear of the property are large well-maintained gardens giving various seating areas. The home does not provide nursing or intermediate care. Laurieston House DS0000028410.V261443.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over a two-day period. The first day was on 15th November 2005 from 9.30am – 2.30pm. Mrs Carol Wallace, Deputy Manager was on duty although reported that the home was very busy with builders, the hairdresser, visitors and a planned appointment. Although not on duty, Mrs Jobbins was available and therefore time was spent with Mrs Jobbins discussing personnel matters and previous requirements and recommendations. Training records and recruitment were also viewed. A second date of 21st November 2005 at 11am was made to speak with residents and undertake a tour of the building. Residents were spoken with in the lounge and dining room. One resident was in her room although was not disturbed due to being unwell. Care planning information, daily records and the fire log book were also viewed and the inspection was concluded at 1.30pm. What the service does well: What has improved since the last inspection? Since the last inspection residents’ records are now stored securely rather than being left unattended in the office area of the home. The programme of fitting radiator covers has been further progressed. Three radiators identified as low risk remain uncovered although consideration has been given to the most appropriate way of ensuring safety. Current building work of refurbishing a bathroom and proving two en-suite shower rooms will, on completion enhance facilities for some residents. All staff have recently benefited from a communication skills course that was appropriately arranged following a vulnerable adults issue. Laurieston House DS0000028410.V261443.R01.S.doc Version 5.0 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. Laurieston House DS0000028410.V261443.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Laurieston House DS0000028410.V261443.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 The home has a clear well managed admission procedure which ensures existing residents’ needs are also taken into account. EVIDENCE: There have not been any new admissions to Laurieston House since the last inspection. The most recent resident was staying on a respite basis at the last inspection, although has since decided to stay. Mrs Jobbins undertakes an initial assessment within the individual’s own surroundings before agreeing any admission. Visits to Laurieston House are also encouraged. These are documented and the prospective resident is addressed as a guest. Within the assessment process, existing residents’ needs are also taken into account. Discussion took place with Mrs Jobbins regarding one individual and it was agreed that regular contact should be made with the identified care manager. Such discussions should be fully documented and involve agreed strategies for managing behaviours. Laurieston House DS0000028410.V261443.R01.S.doc Version 5.0 Page 9 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 and 10 Care planning contains detail yet does not always target the wider picture of individual need. Written documentation does not always demonstrate the preventative measures undertaken in relation to risk. Satisfactory systems are in place to promote and maintain residents’ rights to dignity and respect. EVIDENCE: All residents have a detailed plan of care, which starts with a resume of care needs. The plan then continues into greater detail, identifying individuality and an awareness of need. The information is clear and regularly updated. Mrs Jobbins reported that regular review settings are arranged with the resident and their family. This enables a forum to discuss care provision. All residents have manual handling and pressure care management assessments. Within documentation it was identified that a number of residents were at risk of developing pressure sores. Some instructions such as checking areas were in place although Mrs Jobbins reported that all staff undertake such as an integral part of care provision. Mrs Jobbins was advised to record all preventative Laurieston House DS0000028410.V261443.R01.S.doc Version 5.0 Page 10 measures within individual plans of care. Although care plans give specific detail, Mrs Jobbins was also advised to address wider issues. For example, the management of conditions such as diabetes was not evident. Residents’ rights to privacy and dignity continue to be promoted. During the inspection residents were offered assistance with personal care in a quiet manner. Such tasks were also undertaken discreetly and with limited disruption. All residents were informed of the inspection taking place and were asked to give permission for their care plans to be viewed. At the last inspection, despite these practices being in place, the standard was not fully met, as residents’ documentation was poorly stored. Attention has since been given to this matter and all information is now kept within a filing cabinet. The standard, therefore on this occasion, is met. Laurieston House DS0000028410.V261443.R01.S.doc Version 5.0 Page 11 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 and 13 Residents appeared satisfied with current in house social activity arrangements. Consideration is given to external activity and trips out are arranged on a regular basis. Visitors are welcomed and hospitality is evident. EVIDENCE: Laurieston House is very much considered the residents’ home and therefore all are encouraged to be involved in deciding upon matters such as meal arrangements. Residents may help with housekeeping tasks if they wish and all have recently assisted with making a number of Christmas cakes. Preferred routines are followed and residents are encouraged to spend their time as they wish. External activity is promoted and residents regularly go out for lunch or make a trip to the local garden centre. A number of residents recently attended the town’s event of switching on the Christmas lights. There is a visiting hairdresser and Holy Communion may be taken as required. Residents reported being totally happy with current arrangements of entertainment. Solitary interests such as reading, crosswords and the newspaper are also enjoyed. Throughout the inspection it was evident that positive relationships have been established with staff and communication is a natural process. Laurieston House DS0000028410.V261443.R01.S.doc Version 5.0 Page 12 Residents reported that family members and friends are able to visit at any time and stay for meals as required. Hospitality was also confirmed during the inspection. Mrs Jobbins reported that positive relationships are encouraged with families and therefore regular contact is made. A regular formal review is also held in order to discuss any difficulties with care provision. Visitors are able to use private accommodation or any of the communal areas as required. Although meal arrangements were not assessed on this occasion, positive comments regarding the food were received. Laurieston House DS0000028410.V261443.R01.S.doc Version 5.0 Page 13 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 The home uses communication as a key theme to resolve complaints at an early stage. Adult protection training is required in order to minimise the risk of abuse to residents. EVIDENCE: Mrs Jobbins reported that consultation with residents and their families is undertaken on a regular basis and therefore any issues are resolved at an early stage. Mrs Jobbins aims to be approachable and is often available within the home to facilitate this philosophy. Mrs Jobbins reported that there have been no formal complaints reported to the home. CSCI have not received any complaints. All staff have undertaken a communication course in relation to a vulnerable adults issue earlier this year. Mrs Jobbins reported that the course was extremely helpful and gave staff issues for thought. Mrs Jobbins has been unable to locate any specific adult protection training and therefore a requirement made at the last inspection has not been addressed. Discussion took place regarding the need to facilitate a session in house, which could include a video or training pack. A number of residents have asked for some of their personal allowances to be stored securely within the home. Each resident has a small book documenting expenditures and a purse with the money for safe-keeping. Mrs Jobbins reported that family members view the books on a regular basis and are given Laurieston House DS0000028410.V261443.R01.S.doc Version 5.0 Page 14 receipts. Signed agreements are located within individual files and any expenditure can be disputed within seven days. While it is acknowledged good practice to share such information, Mrs Jobbins was advised to keep a copy of all receipts and attach them to the stated expenditure. Laurieston House DS0000028410.V261443.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20, 25 and 26 Laurieston House is homely, clean, comfortable and well maintained. There are pleasant communal areas leading onto an attractive enclosed garden. Current building work although disruptive will enhance the lives of some residents. While it is acknowledged that the programme to ensure residents’ safety within the environment is progressing, full completion is required by the agreed timescale. EVIDENCE: At present the home is very busy with contractors undertaking refurbishment of certain areas. The bathroom on the top of the landing is being refurbished and a hoist is planned. Two en-suite shower rooms are also being created from the additional bathroom on the first floor. Despite the removal of this bathroom the home still has two remaining bathrooms. One is located on the Laurieston House DS0000028410.V261443.R01.S.doc Version 5.0 Page 16 ground floor and another is on the first floor. Additional toilets are also available within close proximity of residents’ rooms. Since the last inspection a number of radiator covers have been fitted. Three rooms identified as low risk areas remain uncovered although Mrs Jobbins is currently trying low surface temperature radiators. If these are successful, the remaining radiators will be replaced with such. It has been agreed that the radiators will be made safe by 31st January or before. Individual hot water temperatures are in the process of being fitted. Mrs Jobbins reported that the programme is running alongside the fitment of radiator covers and will therefore be completed at the same time. In the meantime, Mrs Jobbins was informed of the need to ensure all outlets are randomly sampled and recorded appropriately. In the event of unpredictable or very hot water temperatures, a fail-safe device must be fitted as a matter of urgency. Communal areas continue to be furnished to a good standard. There is a comfortable, homely sitting room and a separate dining room. Both rooms open onto an attractive garden with various seating areas. There have been no changes to the laundry systems since the last inspection. All areas viewed during the inspection were well maintained, clean and odour free. Laurieston House DS0000028410.V261443.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 29 and 30 Staffing levels are maintained as agreed by the previous Registration Authority. Current documentation is insufficient to demonstrate adequate and robust recruitment procedures. Training is given high priority yet the structure of such requires formalising. EVIDENCE: Staffing levels continue to be maintained at agreed levels. There are therefore two members of staff throughout the waking day. At night one member of staff undertakes a waking night and another provides sleeping in provision. Mrs Jobbins undertakes a number of shifts each week as part of the working roster and also undertakes external events with residents. Mrs Jobbins is available as required on an on call basis. Mrs Jobbins reported that the home is currently overstaffed yet there is also an additional team of bank staff who cover staff sickness and annual leave. Agency staff are not used. Since the last inspection there have been three new members of staff. The recruitment procedure was discussed with Mrs Jobbins and it was apparent that the procedure is more detailed than apparent within written documentation. A prospective candidate has an initial interview and if this is deemed successful an additional interview is held. Such documentation however is limited. The current application form format is very brief and does not contain information required. Through discussion it was evident that such Laurieston House DS0000028410.V261443.R01.S.doc Version 5.0 Page 18 omissions are requested during interview and additional documentation, including a criminal declaration, is stored separately. Mrs Jobbins was therefore informed of the need to review the application form and co-ordinate all information accordingly. The application form must give a clear employment history and full details of two referees. There also needs to be allocated space for the applicant to sign and date their application. Staff are generally up to date with their mandatory training and Mrs Jobbins is aware of shortfalls. These are due to be addressed shortly although all staff have just completed medication, dementia and a communication skills course. Adult protection is required although Mrs Jobbins reported having difficulty with accessing such training. In the meantime it was advised that Mrs Jobbins should cover matters in house through discussion and a possible video or training pack. Mrs Jobbins agreed to investigate the options. At present two members of staff are undertaking NVQ level 3 and one member is doing level 2. An additional three members are planning level 3 and 2 are hoping to commence level 3. One member of staff has successfully achieved level 2 and the deputy manager is undertaking the Registered Manager’s Award. Individual training profiles and a training plan, identified as a need at the last inspection remain outstanding however. This was discussed with Mrs Jobbins and the content of such was agreed. Laurieston House DS0000028410.V261443.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, 33, 36 and 38 Although informally supervised on a regular basis, staff supervision requires structure to ensure the development of staff and service provision. Regular feedback is informally received yet a formal quality assurance system is in need of development and implementation. Consideration is given to health and safety matters yet a number of issues require attention before full safety is assured. EVIDENCE: Mrs Jobbins is currently undertaking the Registered Managers Award. This is a positive measure although the process is not proving easy due to restrictions with training provision. Mrs Jobbins undertakes all training expected of the staff team and recently undertook the lead role-play within the communication skills training. Mrs Jobbins works as part of the working roster and therefore is Laurieston House DS0000028410.V261443.R01.S.doc Version 5.0 Page 20 clearly aware of residents’ needs. Regular staff meetings are held and clear expectations are evident. It was apparent that the home has not given any consideration to formalising a quality assurance system. Mrs Jobbins reported that she regularly speaks with residents and their families and organises reviews in order to address any issues. Discussion on a daily basis is also undertaken with residents and staff. Further discussion took place with Mrs Jobbins regarding questionnaires and the need to develop a self-audit for the home. It was agreed that Mrs Jobbins should investigate various options before deciding upon a system, which will meet the needs of the home. Mrs Jobbins works with all staff on a regular basis due to the size of the home. Informal discussions are also held regarding current practice, training and policies and procedures. Mrs Jobbins does not however document such discussions. Discussion took place regarding the need to formalise staff supervision to include structured one-to-one sessions. This should include agendas, preparation time, recording formats and signed documentation. Mrs Jobbins reported that time would be given to this in the New Year and therefore a requirement was made in relation to this timescale. Health and safety was not addressed in detail on this occasion although at the last inspection a requirement was made to review the provision of cot sides. Mrs Jobbins was informed of the need to agree such usage with an appropriate professional. Mrs Jobbins reported that the residents’ family had given their consent although a health care professional had not been contacted. The requirement is therefore repeated. The fire log book was viewed and demonstrated satisfactory testing of all systems. Greater clarity would be of benefit however regarding the reporting of fire drills. This should include participants, the time of the drill and the effectiveness of such. Laurieston House DS0000028410.V261443.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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 X 3 X X X X 2 3 STAFFING Standard No Score 27 3 28 X 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 1 X X 2 X 2 Laurieston House DS0000028410.V261443.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 OP7 Regulation 15 Requirement The Registered Person must ensure that conditions such as diabetes are addressed within individual plans of care. This must include the management of such. The Registered Person must ensure that any risk identified within the risk assessment process is addressed and fully documented within care planning information. The Registered Person must ensure that all staff receive adult protection training. Timescale for action 31/12/05 2 OP7 13(4)(c) 31/12/05 3 OP18 13(6) 31/01/06 4 OP25 13(4)(c) 5 OP25 13(4)(c) This was identified at the last inspection although Mrs Jobbins has had difficulty accessing such. The Registered Person must 31/01/06 ensure that all remaining radiators accessible to residents are covered or are replaced with cool surface radiators. The Registered Person must 31/01/06 ensure the programme of fitting individual fail-safe devices to hot water temperature outlets continues as planned. Hot water DS0000028410.V261443.R01.S.doc Version 5.0 Page 23 Laurieston House must also be monitored, documented and reviewed with regulators fitted to unpredictable or high temperatures as a matter of urgency. This was identified at the last inspection. The Registered Person must ensure that the current application form is revised in order to gain essential information. This was identified at the last inspection. The Registered Person must ensure that a training plan is developed and all staff have individual training profiles. This was identified at the last inspection. The Registered Person must develop a formal system for monitoring and improving the quality of care provided in the home. This was identified at the last inspection. The Registered Person must ensure that all staff receive formal supervision on a regular basis. Documentation must evidence such sessions. The Registered Person must ensure that a review is undertaken regarding the provision of cot sides. Such usage must be agreed with an appropriate professional, be fully documented and risk assessed. 6 OP29 18 31/01/06 7 OP30 18 31/01/06 8 OP33 24 28/02/06 9 OP36 18(2) 28/02/06 10 OP38 13(4)(c) 31/12/05 Laurieston House DS0000028410.V261443.R01.S.doc Version 5.0 Page 24 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 OP18 OP33 OP38 Good Practice Recommendations The Registered Manager should ensure that receipts demonstrate any transaction of residents’ personal money held for safe keeping. The Registered Person should ensure that the topic of quality assurance is researched in order to assist with the implementation of the home’s individual system The Registered Person should ensure that a full record of each fire drill is maintained. Laurieston House DS0000028410.V261443.R01.S.doc Version 5.0 Page 25 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 Laurieston House DS0000028410.V261443.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. 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!