Inspection on 21/02/06 for Marlin Lodge

This inspection was carried out on 21st February 2006.

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

The inspector found 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 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Marlin Lodge 04/05/07

Marlin Lodge 20/09/06

Marlin Lodge 04/05/06

Marlin Lodge 05/10/05

Marlin Lodge 30/11/04

Marlin Lodge 10/08/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Marlin Lodge 31 Marlborough Road Luton Beds LU3 1EF Lead Inspector Dragan Cvejic Unannounced Inspection 21st February 2006 07:00 Marlin Lodge DS0000060196.V284558.R01.S.doc Version 5.1 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 Marlin Lodge DS0000060196.V284558.R01.S.doc Version 5.1 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. Marlin Lodge DS0000060196.V284558.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Marlin Lodge Address 31 Marlborough Road Luton Beds LU3 1EF 01582 723495 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) Quality Care (Surrey) Ltd Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Marlin Lodge DS0000060196.V284558.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Number of places: 10 Age: 18 - 65 years Category: Learning disability Date of last inspection 5th October 2005 Brief Description of the Service: Marlin Lodge is a large detached house that has been extensively enlarged to provide residential accommodation for up to 10 adults with learning disabilities. All accommodation is in single bedrooms. There is a lounge and dinning area/conservatory on the ground floor. The property is within easy reach of local amenities and Luton town centre. The home provides care for adults between the ages of 18 to 65 with learning disabilities, most of whom attend day activities outside of the home during weekdays. Most of the bedrooms on the first floor the home cannot take people who have significant physical disabilities in addition to their learning disabilities. Marlin Lodge DS0000060196.V284558.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out from early in the morning, when all service users were still in the home and continued when they left, until 12.00. The proprietor was in the house on the arrival of the inspector and the manager came in later for her normal shift. The manager had been in the post only for a few months. She was still supported and inducted into the manager’s role by the owner and by an independent consultant, who was contracted to provide guidance, advice and help the home move towards meeting standards. The consultant visited the home approximately twice a week for a whole working day. All service users spoke to the inspector. Two users were case tracked, as the main methodology of the inspection. The manager had a file prepared for the inspection, announced or unannounced, that provided information and evidence of the home’s operation. Other relevant documents were inspected: 2 service users’ files, one staff file, a training file and some individual documents. A case tracked service user showed the communal areas and his bedroom to the inspector. What the service does well: What has improved since the last inspection? Marlin Lodge DS0000060196.V284558.R01.S.doc Version 5.1 Page 6 The home produced different documents in a pictorial format to make it clearer and better understandable to service users. Computer generated pictures were used, in addition to simplified text for: Service user’s Guide, contract for accommodation, complaints procedure, daily cleaning and cooking rota and some instructions were produced on one sheet and were displayed. One to one weekly meetings for service users and their key-workers were introduced. A service user used the opportunity to move to a bigger, vacant bedroom and liked it very much. Service users files were re-arranged and improved, not only in terms of orderly kept documents, but also in terms of content of entries made by the staff. A record of activities was added to the file, as well as an evaluation sheet that monthly summarised daily records. The training programme for staff was reviewed and most staff received 6 training days per year. New staff induction programme was also introduced. All food was labelled. The home responded to the requirements from the previous inspection, working hard to meet the standards and improve services and provisions. A satisfaction survey was organised and completed, as a part of the quality assurance programme. What they could do better: The new, picture type contract- a tenancy agreement for service users, did not have a date when it was signed. The manager was working with the consultant on reviews of staff files and the results were still to be seen. The home would need to consider reviewing the needs of service users with funding authorities, as changing needs increasingly required a sleep-in staff member to work during the night hours, unrecognised and unpaid. Supervision was not regular, but the manager presented a plan that would ensure that staff were supervised at least 6 times a year. Care plans did not contain evidence of regular reviews, but the manager showed the plan for 6-monthly reviews. Fridges and freezers would need to be better monitored by staff and defrosted more regularly, as there were layers of ice in them. The carpet in the dining room was measured on the day of the inspection and the owner stated that it would be replaced within a week. A service user stated: “It is high time to replace that carpet” Marlin Lodge DS0000060196.V284558.R01.S.doc Version 5.1 Page 7 Records of service users possessions were kept, but the content recorded would need to be reconsidered by the owner and the manager, as current records did not contain updates on some items. The statement of purpose would need another update, in relation to the newly appointed manager. 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. Marlin Lodge DS0000060196.V284558.R01.S.doc Version 5.1 Page 8 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 Marlin Lodge DS0000060196.V284558.R01.S.doc Version 5.1 Page 9 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): 1,2,3,5 Information about the home existed in written and pictorial format and could provide information to allow service users to make an informed choice of home. EVIDENCE: The Statement of purpose contained required details, but was not updated to show that there was a new manager. The Service user’s guide also needed to be reviewed and updated. The admission documents checked showed that full assessments were carried out during the referral process. An advocate was involved and this contact continued and notes of the meetings were kept in service user’s files. The new practice, one to one sessions with key-workers, was liked by service users and positively affected their level of independence and motivation to do more for themselves. The other documents in users’ files demonstrated that assessed needs were met. Service users spoken to confirmed that their needs were met. Written contracts were in users’ files. The illustrated format of the contracts was signed by the users, but the date was not recorded on it. The manager also stated that not all service users could understand the contract, even in picture format. Marlin Lodge DS0000060196.V284558.R01.S.doc Version 5.1 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): 6,7,8 Service users’ plans were good documents and staff used them to ensure that users’ needs were recorded and met according to the planned and agreed way. Service users felt at home and that they were in control of daily life and the way the home operated. EVIDENCE: Two service users’ care plans were inspected. Both plans contained assessed needs, goals, actions necessary to meet the needs and who was responsible for achieving objectives. Plans were signed by service users. Service users’ files were generally well kept and organised. They were not regularly reviewed, but the manager presented plans that would ensure that reviews are carried out regularly, at least six monthly. The suggested format for reviews looked particularly good in terms of its content. A service user spoken to stated: “This is our house, not staff’s.” Two other users commented while working in the kitchen: “We have to clean everything, it is our home.” Service users had their meetings on a weekly basis and they chose the menu and discussed any relevant issues. Marlin Lodge DS0000060196.V284558.R01.S.doc Version 5.1 Page 11 The service users’ personal allowance money was kept in the home, safe and with appropriate records. The new manager promoted independence, and a service user who previously had not taken part in all house chores had started cooking and cleaning. The home produced many relevant documents, policies and procedures in picture format to make it more accessible to service users. Marlin Lodge DS0000060196.V284558.R01.S.doc Version 5.1 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): 11,12,13,15,16,17 Service users continued to engage in activities that they found stimulating and helped them develop independence. They chose their menu and staff supported them in choosing a nutritional diet. EVIDENCE: Three service users commented that they could choose their personal development activities. A service user stated that he attended college three days a week and that activities helped him progress in developing his independence. Two service users explained the importance of keeping the kitchen clean and their reasons for doing this chore. The manager stated that service users were 10 times more independent than a year before. She added that a supplementary staff member was working during the shift when extra activities took place. A service user described what was available at the local community college and how he chose to take part in specific educational courses. He and the others were waiting for different drivers to come and take them to their daily activities. A staff member completed the cleaning of the kitchen to ensure that, despite the users having cleaned it, the standard of cleanliness was appropriate. Marlin Lodge DS0000060196.V284558.R01.S.doc Version 5.1 Page 13 The owner’s plans to expand the project to the house next door was known to neighbours who respected service users for who they were. Four service users explained their relationship and showed the emotional connection they felt for each other. A service user showed the home to the inspector and respected the privacy of others. He knew which rooms were locked and he stated that he would not enter others bedrooms without their permission. A service user that preferred to sit in a quieter place sat quietly in the lounge while the others had their breakfast in the dining room. A newly added conservatory provided more choice for service users. The rota for house chores was decided on users’ weekly meetings and was displayed on the board and signed when the allocated task was completed. Menu was various and nutritional. Some service users had a cooked meal in places they attended for day activities and another cooked meal on their return to the home. Some took packed lunches with them. Two freezers had excessive layers of ice and required cleaning and defrosting. There was no routine for this task set. Marlin Lodge DS0000060196.V284558.R01.S.doc Version 5.1 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): 18,19,21 The home ensured that service users personal and healthcare needs were met. EVIDENCE: The service users spoken to stated that their personal care needs were met. A service user commented that staff arranged an appointment for her to see a doctor when she needed. Another user asked the inspector: “Touch my face. My key-worker helped me to shave.” A staff member checked with a service user if the clothes he chose for the day were warm enough for him. Service users’ files contained detailed records of the visits of external professionals who supported service users in the identified ways. These notes were well recorded in both files inspected. The file prepared for the inspector contained a revised and up-dated policy on ageing of service users. Marlin Lodge DS0000060196.V284558.R01.S.doc Version 5.1 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 home’s new adult protection policy ensured much better protection of service users. EVIDENCE: The file prepared for the inspection contained the newly developed POVA policy and procedure that clearly explained how the procedure works. The home’s complaint procedure was clear and a displayed version was produced in illustrated format and was available to service users. Two service users confirmed that they knew how to contact the inspector if they wanted. The manager stated that the home was keeping service users personal allowances. The money was kept safe and the records were accurate for the two service users checked. Two staff members were delegated the responsibility to deal with service users’ money, and the manager checked the amounts and transactions on a weekly basis. Marlin Lodge DS0000060196.V284558.R01.S.doc Version 5.1 Page 16 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 The building was located in a quieter street, but still close to local amenities, allowing users to be part of the community. There were different improvements made since the last inspection, but the renewal process was relatively slow. EVIDENCE: A service user showed the inspector round the home including his bedroom. He stated that he was happy with the environmental standard. However, two service users commented that the carpet in the dining room needed replacing a long time ago. The owner stated that he was expecting a flooring company to come and measure the carpet on the day of the inspection. The home did not have a structured renewal plan and programme, but the owner and the manager prepared a list for the items identified for the attention of the maintenance man who came in on the day of the inspection. Two service users showed their bedrooms to the inspector and commented that bedrooms met all their needs. They explained that they had chosen the colour when the bedrooms were re-decorated. They also pointed out to their private possessions. These items were recorded in their files. The home was clean and the users were taking part in cleaning the home, but the staff washed the kitchen floor after the users finished their cleaning duty. Thus, the cleanliness was closely monitored. Marlin Lodge DS0000060196.V284558.R01.S.doc Version 5.1 Page 17 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): 31,32,33,34,35,36 The staff seemed competent in their roles, although staff files were under review and job descriptions were not, at the time of the inspection, included in the files, to allow easy monitoring of staff’s work outcomes. The home, the manager and the consultant were concentrating on staff files, staff support and conducts to ensure better operational practices in the home. EVIDENCE: Staff were observed in the home acting and working in a non-intrusive, quiet way. Their presence was hardly visible, but the outcomes, such as finishing up cleaning after service users, helping individuals prepare packed lunches, helping a user with shaving and personal care, demonstrated that they knew users well and supported them where needed. The manager’s presence was visible and users addressed her several times during the inspection. Service users spoken to commented on staff qualities. Three service users praised their key-workers for support they received from them. Training records showed better structured and better attended training since the last inspection. However, supervision was not regular and it was difficult to determine the benefits of the training, both to individual staff and to the home and service users. The new induction programme was prepared and seemed appropriate, but as staff files were under review and reorganisation, this programme was not fully tested in practice. The night staff was supposed to do sleep-in duty, but the night records demonstrated that most nights they were working, supporting individuals. The Marlin Lodge DS0000060196.V284558.R01.S.doc Version 5.1 Page 18 home would need to initiate assessment of needs of service users during the night and clarify the night duty. The manager stated that 90 of staff were enrolled on the NVQ programme. The staff files confirmed appropriate recruitment procedure, and contained two references and CRB disclosures and included POVA checks. Training records and plans showed that staff received all mandatory training regularly. Also, the training plan demonstrated that the home valued training. Staff supervision was not regular, but the manager showed a plan that would ensure staff were properly and regularly supervised and supported. Marlin Lodge DS0000060196.V284558.R01.S.doc Version 5.1 Page 19 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): 37,39,41,42,43 The home employed a new manager who, although still on induction, had introduced some positive changes and improvements. However, the full results and the outcomes were still to be seen. EVIDENCE: The home employed a new manager. Although still on induction, she had introduced some positive procedures and measures to improve services. The consultant in the home supervised her induction and provided advice that the manager used to implement changes. The ethos in the home was still not clear. A quality assurance survey was conducted, and the manager analysed the outcome and provided feedback to service users and relatives. The outcome was not yet presented in written form. The consultant and the manager jointly reviewed procedures and practices. The consultant’s role was still justified, as the manager started slowly to take on responsibility for the operational practice in the home. Records for service users were reorganised and presented in a new style of file. The reviews were planned, but, as documents were relatively new, there was no real evidence that reviews were regularly conducted. Marlin Lodge DS0000060196.V284558.R01.S.doc Version 5.1 Page 20 Staff files were not yet consolidated at the time of the inspection, but the manager and the consultant were working on them. The staff were trained in mandatory subjects. The health and safety training was the last one updated for all staff. Some new records were kept. Fridge/ freezer temperatures were recorded, but layers of ice were present in freezers that needed urgent defrosting. Food was labelled with dates. Some instructions were produced with symbols, making them more understandable for service users. A new induction programme was designed. The home did not appear to have a business plan and the budget was maintained by external accountants. The owner stated that budget figures could be sent to the regulation authority. Lines of accountability were not permanently set as the manager was still on induction. Marlin Lodge DS0000060196.V284558.R01.S.doc Version 5.1 Page 21 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 2 2 3 3 3 4 X 5 2 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 1 25 X 26 3 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 2 32 3 33 2 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 X 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 X 3 3 X 2 X 2 3 X Marlin Lodge DS0000060196.V284558.R01.S.doc Version 5.1 Page 22 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 YA1 Regulation 5, 6 Requirement The registered persons must ensure that the statement of purpose and service user’s guide are reviewed to ensure that relevant, up to date information is provided, including the new managers details. Timescale for action 31/03/06 2. YA5 5(1)(b) 3. YA9 13(4)(c), 14 31/03/06 The registered persons must ensure that service users have individual contracts, containing all the required elements, which are provided in a suitable format to which they can give informed agreement. The key terms must be included in the Service Users Guide. [the previous timescale of 28/2/05 not met.] This was now provided, but the date on the contract was not recorded next to service users signatures. The registered persons 01/05/06 must ensure that all risk DS0000060196.V284558.R01.S.doc Version 5.1 Page 23 Marlin Lodge 4. YA24 23(2)(d) 5. YA30 13(6) 6. YA34 19 Schedule 2 assessments are comprehensive and are reviewed regularly. (This was a requirement from the previous inspection) Now, having the risk assessments in place, the regular reviews must be carried out and recorded. The registered persons 25/03/06 must ensure that the carpet in the dining room is cleaned or replaced. The lounge must be decorated to ensure a homely and comfortable environment for service users. (This is a requirement set previously) The carpet must be replaced within the planned time scale and the registration authority informed when it is done. The registered persons 15/04/06 must ensure that all staff receive infection control training. (This is a requirement from the previous inspection) Although the training was booked, the staff still must attend it to comply with the requirement. Extended time scale is set The registered persons 31/03/06 must ensure that staff files contain a recent photograph, eligibility to work, and a statement as to their physical and mental fitness. Where staff have previously worked in a position involving vulnerable children and DS0000060196.V284558.R01.S.doc Version 5.1 Page 24 Marlin Lodge 7. YA36 18(2) adults, written confirmation must be available for their reason for leaving. (This is a requirement from the previous inspection.) As staff files were under review and reorganisation, this requirement must be evidenced in new files. The registered persons must ensure that staff receive supervision on a regular basis, at least 6 times a year. (This was required previously) The evidence of regular supervision with appropriate content must be available by the new set time scale. The freezers must be defrosted and a regular monitoring system must be in place to ensure freezers are fit for their purpose at all times. 30/04/06 8 YA42 23 31/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard YA39 YA43 Good Practice Recommendations The written outcome and an action plan drawn up from the quality assurance survey should be made available and a copy sent to the regulation authority. A business plan should be made for the home and contain financial information and the planned budget for the forthcoming period. Marlin Lodge DS0000060196.V284558.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Bedfordshire & Luton Area Office Clifton House 4a Goldington Road Bedford MK40 3NF 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 Marlin Lodge DS0000060196.V284558.R01.S.doc Version 5.1 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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