Inspection on 10/04/07 for Quebec Hall Christian Eventide Home

This inspection was carried out on 10th April 2007.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Quebec Hall Christian Eventide... 01/10/05

Quebec Hall Christian Eventide... 09/06/05

Quebec Hall Christian Eventide... 13/01/05

Quebec Hall Christian Eventide... 12/10/04

Quebec Hall Christian Eventide... 25/03/04

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Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Quebec Hall Christian Eventide Home Quebec Road Dereham Norfolk NR19 2QY Lead Inspector Ruth Hannent Unannounced Inspection 10th April 2007 10:00 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 Quebec Hall Christian Eventide Home DS0000027266.V335734.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 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. Quebec Hall Christian Eventide Home DS0000027266.V335734.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Quebec Hall Christian Eventide Home Address Quebec Road Dereham Norfolk NR19 2QY 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) 01362 692504 01362 692504 quebechall@wanadoo.co.uk Quebec Hall Limited Mrs Karen Vertigan Care Home 20 Category(ies) of Dementia - over 65 years of age (2), Old age, registration, with number not falling within any other category (18) of places Quebec Hall Christian Eventide Home DS0000027266.V335734.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Two service users, named in the Commissions records, who have dementia may be accommodated. 1st October 2005 Date of last inspection Brief Description of the Service: Quebec Hall Trust is a Christian Eventide home providing personal care and accommodation for twenty older people and has a strong Christian ethos. The home is in an attractive Georgian building situated on the outskirts of the market town of Dereham, where all local facilities can be found. Within the grounds there are forty-three bungalows providing sheltered housing, although these are not part of the registration. The building has three storeys and offers accommodation for twenty service users in fourteen single and three double bedrooms. There is a passenger and three stair lifts, two lounges, a dining room and attractive, accessible gardens, with garden house and toilet, which is easily accessed. Quebec Hall is not suitable for service users with severe mobility problems, as a consequence of the frequent change in floor levels. Quebec Hall Christian Eventide Home DS0000027266.V335734.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection report has been written following a visit to the Home and evidence taken from a pre inspection questionnaire, 7 comment cards received from residents and families. two health professionals comments and contact throughout the visit with residents, staff and a trustee. Records were looked at that included personnel files, training records, care plans, pre admission assessments, service records, resident’s finance records and health and safety records. In total four residents had some time spent with them to gather information on the care provided within the home that included two people recently arrived to someone who had been there many years. A tour of the building took place and a meal was eaten at lunchtime with the residents. What the service does well: What has improved since the last inspection? Since the last inspection the Home has decorated some areas of the home. The dining room now is light and bright with the removal of the scaffolding from around the windows. The Home has recruited a new General Manager who, according to staff and residents, listens and acts very quickly when areas need changing or items need replacing. Quebec Hall Christian Eventide Home DS0000027266.V335734.R01.S.doc Version 5.2 Page 6 The Home has started to include more activities in the evenings that includes, a recent fish and chip quiz night which according to residents was a great success. 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. The summary of this inspection report can be made available in other formats on request. Quebec Hall Christian Eventide Home DS0000027266.V335734.R01.S.doc Version 5.2 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 Quebec Hall Christian Eventide Home DS0000027266.V335734.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Potential residents do not move into the Home without a full assessment of need carried out by the Manager or Deputy manager to ensure the Home can meet those needs. EVIDENCE: The Home has a comprehensive pre assessment format that is taken when the Care Manager or Deputy Manager visit a potential resident. Three of the most recently admitted residents assessment was looked at in detail and recorded, comprehensively was enough information to give the Home a picture of the person’s needs and ensure the service offered in the Home could meet those needs. The Home does not offer intermediate care at this present time. Quebec Hall Christian Eventide Home DS0000027266.V335734.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Home has good health, personal and social care needs procedures in place with clear documentation that just needs to be developed a little to ensure the person centred care approach is in place and that all care needs are held in one document and not in different areas of the Home. EVIDENCE: Each resident has a care plan that is held with all care plans in one wallet. The details looked at on the day of the inspection gives clear care details required and each one had been reviewed at latest every other month. Headings were in place and covered all aspects of care. To improve these documents further it would be more suitable to have a person centred approach to what is recorded and held all together in a full picture of the person in one wallet for each person. (A Senior Staff member had just started to compile a more person centred care plan and profile, which is to be used as a trial to further improve the person centred approach to care. (Recommendation). Quebec Hall Christian Eventide Home DS0000027266.V335734.R01.S.doc Version 5.2 Page 10 The Home has a good relationship with the local GP practices. Two GP’s had returned comment cards to the Commission and had ticked all the positive boxes to each question. The District Nurses also support the Home with the nursing needs. A recently acquired mattress was in place for a person with a sore ankle and a number of beds are now more suitable than standard divans to care for residents who may spend more time in bed and require assistance in their beds. The GP was visiting on the day of the site visit and was assisted appropriately and actively for the benefit of the residents. The administration of medication was observed over the lunchtime period. Each resident was seen taking their medication before the recording chart was signed by the staff member and all boxes on the chart had been completed. (It was noted that when medication had not been administered that a line was placed through the box which should have a code for refused or hospitalised etc). (Recommendation). All drugs were locked securely and were within date. No resident at the moment manages their own medication but lockable cabinets are in each room if residents so wish and the Deputy Manager stated that each one would have a risk assessment that would be monitored regularly if anyone was self medicating. It was also noted that the Home does not have a separate fridge for eye drops, antibiotics or if required insulin, which are stored at present in the main kitchen fridge and although held in a sealed plastic box should be ideally held in a separate fridge. (Recommendation). Throughout the day during observation, reading the comment cards received and on talking to residents the home staff are excellent at ensuring the privacy and dignity of residents is paramount. The doors are knocked at all times and noted was the way staff always asked each resident what they would like to do, where they would like go, what they would like to eat etc. Doors were closed when care was being offered and staff assisted residents at the pace suitable for that person. Quebec Hall Christian Eventide Home DS0000027266.V335734.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents do have a lifestyle that suits them and see visitors when they want. The meals are suitable, well balanced and are offered in pleasant surroundings. EVIDENCE: On talking to many of the residents it is clear that the Home offer support and care at times that suit the individual. The Home has a calm and tranquil feel with times for prayer and services that encompass the ethos of this Christian Home. Residents look forward to singing and bible reading but also have the opportunity to have fish and chip suppers with a quiz or special tea afternoons. Residents also sit quietly in their rooms with their newspaper, knitting or cross-stitch. Although residents have a television very few had the set on. One lady was quietly reading her own bible another was enjoying the conversations with the hairdresser who was in the Home on the day of the inspection. One comment from a resident was “I can do what I like when I like and this is the best Home in the country). Quebec Hall Christian Eventide Home DS0000027266.V335734.R01.S.doc Version 5.2 Page 12 Residents have friends and family who come and go as they wish. There is plenty of places to sit and see people in private. Some residents are involved in churches close by and have a good link with other church members. Many callers arrived during the inspection visit and were made welcome at the door. Residents are encouraged to handle their own affairs and either have family to help them or appointees. The Home Manager handles only a small amount of money for a few residents with all records seen on file. A meal was taken with the residents. A choice of grace was made and sung before the meal was eaten. There was turkey burgers, cold ham, jacket potato as choice and apple pie and custard for sweet. The menu is now on display at the entrance to the dining room but in fairly small print and not easily read if the person is in a wheelchair or eats in their room. The cook does visit everyone during the day to ask what each person would like for their meals but residents still say to staff sometimes they cannot remember what they are having when they arrive at the table. (Recommendation). It was also noted that staff were assisting with the serving of meals wearing the same clothes they have been carrying out care with. It is suggested that a form of apron be worn to prevent cross infection and then removed and washed after meals. (Recommendation). Quebec Hall Christian Eventide Home DS0000027266.V335734.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are listened to and complaints/concerns acted upon. Residents are protected from abuse and staff understand the signs to look for. EVIDENCE: The Home has a book to record and a procedure to handle complaints but have not received any to date. Any concerns are dealt with appropriately and on talking to the residents they all said they could talk to any member of staff and feel confident the concern will be dealt with straight away. 7 comment cards received all stated that the home is good and have no complaints. The staff have all received training on the protection of vulnerable adults. The Homes philosophy and Christian ways, that also include the staff, have an understanding of the how to care for people. On talking to a staff member the signs to look for would be noticed and that the Homes whistle blowing policy would be used if necessary. “We have a very close staff team who would act if anything appeared to be potential abuse”. Quebec Hall Christian Eventide Home DS0000027266.V335734.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,21 and 29 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Home is suitable and maintained well with all areas safe, equipped appropriately, light, spacious, comfortable and pleasant with just a very small area to upgrade ensuring residents live in a suitable environment. EVIDENCE: The Home is an old house with character that is well maintained. The problem the Home is having at present is getting the exact windows to replace the gothic windows to one side of the house. (The Home is listed and can only have like for like when replacing any part of the building). The areas are light and bright with two large lounges and a large dining room. Smaller areas such as outside the dining room, the entrance hall and the gardens are equally pleasant to sit in. Quebec Hall Christian Eventide Home DS0000027266.V335734.R01.S.doc Version 5.2 Page 15 The grounds are extensive and residents have many pleasant areas to sit in that also includes a comfortable summer house. The fire records were seen and all were correct with regular alarm checks from different zone areas and servicing from a new contractor of emergency lighting and alarm systems. It was also noted that fire extinguishers were all dated as serviced on the 19/10/06. The toilets are looking a little dated and some of the tiles and grout are in need of replacing. The Home has applied for some funding that hopefully will assist in updating these toilets. A past recommendation that has not been carried out was the need for a blind or curtain to be placed across the downstairs toilet window to ensure privacy for residents when the light is switched on. (Recommendation). The rest of the Home was cosy, well decorated and personalised bedrooms for each resident. All residents have their own en-suite facility and many had their own favourite pieces of furniture and bedcovers etc. The staff at the Home have joint roles in the fact that they all care for residents, clean and carry out laundry tasks. There are a few hours per week when a cleaner is employed to carry out tasks not covered by the care staff. All areas appeared clean and there were no unpleasant odours detected. The Home has two washing machines that carry out high temperature sluice washes and a tumble dryer. (It was nice to see washing out on the line on the fine day of the inspection). There is a hand washing facility and a large sink for hand washing other items. Quebec Hall Christian Eventide Home DS0000027266.V335734.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are recruited, trained and competent to carry out their jobs ensuring that residents are cared for by suitable people in correct numbers to match the tasks required. However some personnel and training procedures could be further improved to ensure systems are foolproof. EVIDENCE: The Home has a very stable staff team who have worked in the Home for a number of years and have had very little staff turnover. To date the Home have not used agency staff and all annual leave and sickness is covered by the existing staff team. The rota was looked at and discussed with the Deputy Manager and for the 17 residents the numbers on duty for each shift were seen as suitable. Throughout the day no one appeared hurried and residents did say they were helped when they needed it and at a time that suited them. The Home is in need of more staff at the weekends and at present is being covered between the Deputy and Care Manager. The Home has 50 of the staff with an NVQ qualification or above. (At present two more staff are half way through the process). The qualification was discussed with a staff member who is pleased to have this qualification and stated how encouraged all staff are to achieve this award. Quebec Hall Christian Eventide Home DS0000027266.V335734.R01.S.doc Version 5.2 Page 17 The Home hold all personnel files in a locked drawer in the office and three were looked at. The most latest staff member had no record of the CRB or photocopied ID within the file. The General Manager and Deputy Manager are certain the Manager who is on leave has this paperwork in another folder to be dealt with and as all other files were in place this appeared to be the case. The Home will ensure the files are all in place with all records available for inspection in future. (Recommendation). The Home does cover training as required and all statutory courses are offered to staff. The records of past training were not so evident and therefore it was difficult to see who and when updates were due. Without some form of matrix this could not be evidenced clearly unless every certificate was checked on every personnel file. (Recommendation). Staff spoken to thought the training provided was good and also if specialist training to develop knowledge was asked for this would also be offered. Quebec Hall Christian Eventide Home DS0000027266.V335734.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Home is managed by a person who is suitable and competent with all the best interests of residents taken into account. Some areas need to be improved to ensure complete protection for residents such as resident’s finances and the supervision of staff. EVIDENCE: The Registered Manager was on leave on the day of the site visit but the inspection was carried out well by the Deputy Manager, General Manager and Chair of the Trustees who was paying one of his regular visits. The Home is managed well with lots of expertise working to benefit the residents in the best way. Quebec Hall Christian Eventide Home DS0000027266.V335734.R01.S.doc Version 5.2 Page 19 The Home is working towards measuring the quality of the service it provides but is having difficulty in getting residents to be proactive in issues and areas that could be improved. (A recent survey distributed did not have the response the Home was hoping for with very few returning the questionnaires). The Trustees regularly carry out visits that are recorded and a copy sent to the Inspector but they are all positive comments, which was also evident when talking with the residents on the day of the inspection. The Home are willing to try any tool that can assist them to measure the quality and assist to improve the service further. Residents personal money is held in the locked cabinet in the home. (Small amount). The balance of one was out by £1 and was a calculation error and soon found a second one checked was accurate. It was noted that the forms held had a heading for a second signature and yet this had not been completed. To safe guard the Manager it is suggested that two signatures be in place for all transactions. (Recommendations). Staff supervision was a recommendation in the past and is still not happening on a formal basis 6 times a year and needs to in place to ensure staff are appropriately supervised. (Requirement) The Home does ensure that staff and residents are protected, by implementing good standards of practice under health and safety. Training is offered to all staff, policies and procedures are in place and accessible for staff. Equipment is serviced regularly. (Seen were the lift servicing records, bath hoist servicing and the records of the recently purchased hoist). The bathroom water temperatures are recorded and the water was checked by the Inspector on running water of a bath being prepared for a resident, with all temperatures logged within the recommended 43 degrees. The kitchen had recently received a visit from the Environmental Health Officer and has a report on file of the visit. There is an accident record book for all staff to access (Seen). One concern shared with the Home was the requirement by the Commission of notification of deaths, accidents, injuries and incidents or communicable diseases which to date had not been received. It was apparent that this was a misunderstanding and a format was designed while the Inspector was in the building and will be used by the management from now on. (Recommendation). Quebec Hall Christian Eventide Home DS0000027266.V335734.R01.S.doc Version 5.2 Page 20 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 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x 2 x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 2 2 x 3 Quebec Hall Christian Eventide Home DS0000027266.V335734.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? NO 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 OP36 Regulation 18.2 Requirement The Home needs to introduce a supervision structure for all staff to ensure staff are appropriately supervised. Timescale for action 01/07/07 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 Refer to Standard OP7 Good Practice Recommendations Ideally all paperwork relating to a resident’s care should be individually focussed and information held in one care plan folder. Quebec Hall should continue to develop the new format that has just been introduced by a staff member to give a bigger picture of the person. The staff responsible for administration of medication should place an identifying code on the medication recording sheet to show why someone has not received their medication and not just a line. The medication required to be held at fridge temperature should be stored separately to a food fridge ensuring no cross contamination can occur. To aid the memory of older people it is a good idea to show menu’s in large print and to have easily available for DS0000027266.V335734.R01.S.doc Version 5.2 Page 22 2 OP9 3 4 OP9 OP15 Quebec Hall Christian Eventide Home 5 6 7 8 9 10 OP15 OP21 OP29 OP30 OP35 OP38 reading either on the table in the dining room or in each person’s bedroom. Staff should cover their clothes when serving meals to ensure good infection control practise is in place. To preserve dignity the toilet with frosted glass should be covered to ensure, when the light is on, that no one can see through the glass. All personnel paperwork should be in place at all times as listed in schedule 2 of the National Minimum Standards. Although training is taking place, to ensure no staff member is missed some form of matrix system should be in place to aid monitoring. When dealing with residents finances it is a good idea to have a second signature for all transactions. It is recommended that the Home management have a clear understanding of the Regulation 37 to ensure notification is sent as required. Quebec Hall Christian Eventide Home DS0000027266.V335734.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Quebec Hall Christian Eventide Home DS0000027266.V335734.R01.S.doc Version 5.2 Page 24 - 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!