Inspection on 03/08/06 for Lindum House

This inspection was carried out on 3rd August 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 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Lindum House 14/03/08

Lindum House 04/01/06

Lindum House 18/08/05

Lindum House 27/09/04

Lindum House 19/05/04

Lindum House 26/11/03

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 Lindum House 84 Bath Road Old Town Swindon Wiltshire SN1 4AY Lead Inspector Bernard McDonald Key Unannounced Inspection 3rd August 2006 08:45 Lindum House DS0000003208.V304772.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 Lindum House DS0000003208.V304772.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. Lindum House DS0000003208.V304772.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lindum House Address 84 Bath Road Old Town Swindon Wiltshire SN1 4AY 01793 525299 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) lindum-house@hotmail.co.uk Mr Nathan Maysey Miss Claire Louise Thomas Mr Nathan Maysey Care Home 20 Category(ies) of Learning disability (20), Learning disability over registration, with number 65 years of age (20) of places Lindum House DS0000003208.V304772.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users who may be accommodated at any one time is 20 The home must not admit any service users aged 65 years and over. Service users admitted in the range 18 - 65 (category LD) may remain in the home after attaining their 65th birthday subject to the home being able to continue to meet the needs of the service user. 4th January 2006 Date of last inspection Brief Description of the Service: Lindum House is a large detached property on the Bath Road in Old Town Swindon. The home is arranged on four floors and there is a detached bungalow in the grounds. The home offers accommodation and care to twenty men with learning disabilities. The bungalow accommodates four men who are working towards more independent living. The home provides a mix of single and double bedrooms. There is a dining area and kitchen in the basement, which is also used as a communal meeting area. There is a small lounge on the top floor and a large craft room that is used for in house daytime and evening activities. There is a minimum of three staff on duty at all times and two staff provide sleeping in cover at night. Service users have the opportunity to go on holiday and a range of holidays is offered to meet individual needs and preferences. Lindum House DS0000003208.V304772.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over eight and three quarter hours during which time the inspector met with the majority of service users. A number of service users were interviewed in private to obtain their views on the support they receive. In addition seven support workers were interviewed in a large group. Three members of staff were also interviewed in private. Three service user’s care plans were examined in detail. Comment cards were sent to relatives, care managers and health care professionals. No adverse comments were received. The joint registered providers, one of which is the registered manager, were available to assist throughout the inspection. The Commission’s pharmacy inspector examined the medication records. The ranges of fees for the service are £307.98 - £642.72 per week. 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? There has been a significant improvement to the overcall standard of accommodation provided at the home. Offensive odour has been eliminated Lindum House DS0000003208.V304772.R01.S.doc Version 5.2 Page 6 and a number of service users bedrooms have been decorated and new furniture provided. The overall standard of cleanliness has greatly improved. The home is now ensuring that medication is accurately recorded when administered to service users. Service users living in the bungalow now benefit from regular staff support to promote independence and assist with the preparation of their evening meal. To ensure service users safety all radiators are now covered or have low surface temperatures. 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. Lindum House DS0000003208.V304772.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 Lindum House DS0000003208.V304772.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, 4, 5. Service users are provided with information and given opportunity to test out the home before deciding to move. Contracts are in place to inform service users about 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: One service user has been admitted to the home since the last inspection. Discussion with the service user confirmed they had the opportunity to visit and meet with service users prior to moving in. Discussion with the manager confirmed the service user had extensive introductory visits ranging from tea visits to trips out with service users. In addition a planned programme of overnight stays was made before the trial placement commenced. Comments received from the relative of the service user confirmed they were fully involved in their relatives move to the home and complimented the service on how the introductory process was managed. Examination of records demonstrated the home had received an assessment of the needs of the service user prior to them moving in. An interim care plan has been developed and the contents were being discussed at a staff meeting. Risks associated with the care of the service user had been identified prior to them moving. The service user confirmed they have been given a copy of the home’s statement of purpose and guide. Records confirmed copies have also been Lindum House DS0000003208.V304772.R01.S.doc Version 5.2 Page 9 given to the service user’s relative. Discussion with the service user confirmed they “liked” living at the home. The service user had received a contract outlining the terms and conditions of their stay. The service user and the manager had signed the contract. Lindum House DS0000003208.V304772.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, 9. The home is ensuring service users care plans reflect their changing needs and they are supported to make decisions about their lives and 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: The home has developed a person centred approach to the development of service users care plans. The care plans of three service users were examined in detail. All care plans covered health and personal care needs and how service user’s wish to be supported with their care. Discussion with staff demonstrated an understanding of the needs of service users and the contents of their care plans. Care plans demonstrated service users involvement in their development. One service user confirmed they had been to their “meeting”. Comments received from a care manager confirmed staff demonstrate a clear understanding of how to meet the needs of service users. One service user has recently moved from the main home into the bungalow in the garden. Risks associated with the move have been addressed. Discussion with the service user confirmed they were happy with the move and thought it was “great”. One service user with communication needs has a care plan that Lindum House DS0000003208.V304772.R01.S.doc Version 5.2 Page 11 provides clear details on how to staff should communicate with the service user through the use of signs and gestures. Care plans examined have clear goals that have been agreed with the service user. For example one service user wants to attend a college course to develop I.T. skills. Another service user is being encouraged to be more independent and to help with household tasks such as keeping their room tidy or doing their personal laundry. Where service users rights and freedom are restricted, risk assessments have been completed. Discussion with staff confirmed an awareness of the risk associated with the care of service users. Risk assessments that were examined had been signed by staff to demonstrate they had read and understood the contents. Care plans examined had been reviewed in the last six months. Advocacy information is available at the home for service users who may require this service. Lindum House DS0000003208.V304772.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, 17. Opportunities are being provided to support service users in appropriate activities in the local and wider community. Support is being provided to enable service users to maintain contact with people who are important to them. Mealtimes are relaxed and the menu is varied. 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: Service users are involved in a wide range of activites throughout the day. One service user has continued with their employment after moving to the home. Another service user was going out to participate in voluntary work. One service user stated they attend a work experience programme during the week. In addition a clear record is being kept on service users involvement in community leisure activities. One service user stated they had been to the pictures another said they had been out on a trip to the zoo. Several service users said they had been on a holiday to Cornwall and were going to Memphis to visit Graceland. The manager confirmed these holidays had been arranged in consultation with service users. One service user said they were “really Lindum House DS0000003208.V304772.R01.S.doc Version 5.2 Page 13 looking forward to going to America”. Transport is available at the home to enable service users access the wider community. Discussion with staff confirmed they see part of their role as supporting service users in the community. The way the staff rota is planned ensures that one team is responsible for arranging some form of daily activity. One member of staff confirmed that a number of service users are able to access the community without staff support. This practice was seen on the day of the inspection when service users were observed leaving the home to participate in their planned activity for the day or just to go out for a walk or a trip to the shop. The home is an equal opportunity employer and this is reflected in the multi cultural staff team. However at the time of the inspection no service users were from an ethnic minority group. Discussion with service users confirmed they were able to choose if they wanted to go to church. One service user confirmed they went on their own while another service user stated they went with staff. Comments received from the relatives of service users confirmed they were welcome to visit the home at anytime. The manager confirmed there are no restrictions on visitors. Service users confirmed they were happy with the quality of food provided at the home. One service user stated the food was “lovely” another service user said it was “good”. When asked what would happen if they did not like the meal provided one service user replied “staff would give us something else”. Discussion with service users who live in the bungalow confirmed they were now provided with support to cook their evening meal. Where necessary the home does seek advice from the dietician about the meals provided. Lindum House DS0000003208.V304772.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, 20. The home is making every effort to ensure service users health needs are met and they are supported in a way they prefer. 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: Service users health care needs are clearly recorded as part of their care plan. Discussion with staff confirmed they provide support to enable service users to attend any specialist or hospital appointments. Records show service users have received annual dental checks. Discussion with the manager and examination of care plans highlighted issues with regard to continence management. This is clearly having an impact on the service users daily life. The manager confirmed that a referral had been made to the continence advisor. In view of the continued continence issues a further referral must be made to see if any additional advice could be offered. The Commissions pharmacy inspector examined the medication records. Records show improvement has been made in the recording of medication when it is administered to service users. There is a flexible approach to routines at the home. One service user stated they could go to bed and get up when they wanted. There are extended Lindum House DS0000003208.V304772.R01.S.doc Version 5.2 Page 15 mealtimes to accommodate service users routines. Hot drinks are available throughout the day and service users can help themselves if they choose. Lindum House DS0000003208.V304772.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, 23. The home is making every effort to ensure service users views are listened to and they are protected from abuse. 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: The manager stated there have been no complaints since the last inspection. When asked one service user stated they would tell “the manager” if they were unhappy another service user said they would tell their relative. One service user said they were “happy” and had “no complaints”. Comments received from a care manager confirmed no complaints have been received about the service. Comments received from the relatives of service users confirmed they were aware of the homes complaint procedures but have never had to make a complaint. One service user who has recently moved in to the home has received a copy of the complaints procedures. Staff confirmed they had received training in abuse awareness and would report any concerns that affect the welfare of service users to the manager. Copies of Wiltshire and Swindon “no secrets” guidance was available in the home. When asked one service user said they “felt very safe” living at the home and “everyone gets on well”. The home was holding money on behalf of service users. Records examined demonstrated this was being safely managed. Lindum House DS0000003208.V304772.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, 26, 27, 30 Improvements have been made to the overall standard of accommodation. However more work needs to be completed to ensure all service users benefit from a comfortable and safe environment suited to their needs. 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 inspector viewed all communal living areas and all service users bedrooms. In addition the communal areas of the bungalow and one bedroom were seen. The overall cleanliness of the building has improved since the last inspection. The home was clean and tidy and free from odour. A number of bedrooms had been recently decorated and been provided with new furniture. One service user said they “liked” their room and “staff help me to keep it tidy”. Another service user said, “I have everything I need”. All bedrooms have been fitted with suitable locks allowing access to staff in the event of an emergency. One bedroom on the ground floor has en suite facilities. However the bathroom was in need of refurbishment and the service user was unable to use this facility. Two bedrooms in the bungalow have been decorated and furnishings and fittings are of a good standard. One bathroom has been tiled and painted to a good standard. However one bathroom identified at the last inspection has still to be decorated. In view of Lindum House DS0000003208.V304772.R01.S.doc Version 5.2 Page 18 the overall improvements made to the environment the Commission has agreed to revise the timescale for completing this work. The laundry room is sited well away from food preparation areas. Since the last inspection red alginate bags have been purchased to reduce the risk of infection. Discussion with one member of staff confirmed this has made the handling of soiled linen much easier. Training records show staff are receiving training in infection control. Lindum House DS0000003208.V304772.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): 32, 34, 35, 36. Safe recruitment practices are being followed and staff are adequately supervised in the work their work. There is a high proportion of staff trained to NVQ level but not all staff training needs are being identified and met. 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: The inspector had opportunity to join in a team meeting. Discussion with the staff team demonstrated a good understanding of the needs of service users and confirmed a key worker system is in operation. Staff confirmed they have supervision a minimum of six times a year. Staff meetings are held approximately every two months. The home operates a three shift system. One shift has responsibility for ensuring service users have opportunity to engage in community activities. Another team is responsible for in house activities. The third team are responsible for food preparation and personal hygiene. Six members of staff have a National Vocational Qualification (NVQ) at level two or above. There are three members of staff on duty on each shift. Since the last inspection a member of staff has been allocated time to work specifically with service users in the bungalow to promote their independent living skills. Three staff recruitment records were examined. Records showed that the home was ensuring the necessary recruitment checks were in place before any Lindum House DS0000003208.V304772.R01.S.doc Version 5.2 Page 20 member of staff commences work. All staff have received a satisfactory Criminal Records Bureau (CRB) check at enhanced level. Examination of training records show staff new to learning disability services are enrolled on the Learning Disability Awards Framework (LDAF) training. The home has focussed on ensuring staff are trained to NVQ level but in failing to introduce a training and development plan has resulted in staff receiving little or no training in meeting the needs of adults with learning disabilities. Lindum House DS0000003208.V304772.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 making every effort to ensure service users live in a home that is safe but quality assurance remains under developed. 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: The registered manager is also the joint registered provider and together with the second registered provider has been providing a hands on approach to managing the home for over five years. Both providers are completing the registered managers award, which they hope to finish over the coming months. A quality assurance monitoring system has been developed and the views of service users are now being obtained every six months. The views of relatives have not yet been received but the questionnaires are ready and should go out over the next few weeks. Preliminary feedback from service users shows they are satisfied with the care they receive. A format for obtaining the views of stakeholders has yet to be developed. Lindum House DS0000003208.V304772.R01.S.doc Version 5.2 Page 22 Since the last inspection all radiators have been covered or fitted with low surface temperatures to ensure the safety of service users. Gas and electric safety checks have been completed. Discussion with service users demonstrated they were aware of what to do in the event of a fire. Records show three fire safety practices have been completed this year. Separate records and practices are held for service users living in the bungalow. Control of substances hazardous to health (COSHH) product information sheets are held at the home. COSHH risk assessments have also been developed but these have not been reviewed in the past year to ensure they remain safe and are appropriate for the products held in the home. Lindum House DS0000003208.V304772.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 4 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 3 27 1 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 2 36 3 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 2 3 X 3 X 2 X X 2 X Lindum House DS0000003208.V304772.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 YA19 Regulation 13(1)(b) Requirement Timescale for action 01/10/06 2. YA27 3. YA27 4. YA35 5. YA39 6. YA42 The registered person must ensure the service user identified during the inspection is referred to the continence advisor. 23(2)(b)(d) The registered person must redecorate the bathroom on the first floor. This was a requirement at the last inspection. The timescale given was 01/03/06. 23(2)(b)(d) The registered person must repair the en suite bathroom in the downstairs bedroom identified at the inspection 18(1)(c)(i) The registered person must ensure staff receive training in the principles of meeting the needs of adults with learning disabilities. 24(1)(a)(b) The registered person must seek the views of stakeholders as part of the homes quality monitoring system. 13(4)(c) The registered person must ensure COSHH risk assessments are reviewed annually. 01/12/06 01/12/06 01/12/06 01/12/06 01/10/06 Lindum House DS0000003208.V304772.R01.S.doc Version 5.2 Page 25 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 YA24 YA24 YA35 Good Practice Recommendations The registered person should consider employing a handy person to assist with minor repairs and decorations. The registered person should consider developing a maintenance and refurbishment plan. The registered person should provide training in the needs of older people. Lindum House DS0000003208.V304772.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 Lindum House DS0000003208.V304772.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!