Inspection on 09/11/05 for Ribble Valley Respite Service

This inspection was carried out on 9th November 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Ribble Valley Respite Service 23/11/09

Ribble Valley Respite Service 21/06/07

Ribble Valley Respite Service 17/11/06

Ribble Valley Respite Service 06/03/06

Ribble Valley Respite Service 15/12/04

Ribble Valley Respite Service 22/07/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Ribble Valley Respite Service 12 Croasdale Drive Off Mayfield Drive Clitheroe Lancs BB7 1LQ Lead Inspector Mrs Jennifer M Turner Unannounced Inspection 9th November 2005 10:00 Ribble Valley Respite Service DS0000040803.V255830.R01.S.doc Version 5.0 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 Ribble Valley Respite Service DS0000040803.V255830.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Ribble Valley Respite Service DS0000040803.V255830.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Ribble Valley Respite Service Address 12 Croasdale Drive Off Mayfield Drive Clitheroe Lancs BB7 1LQ 01200 424394 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) Lancashire County Council Ms Dianne Blackie Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Ribble Valley Respite Service DS0000040803.V255830.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered provider musr, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. A maximum of 6 service users, requiring personal care who fall into the category of LD 15th December 2004 2. Date of last inspection Brief Description of the Service: Croasdale Drive is situated within a residential area of Clitheroe about ten minutes walk from the town centre. There are local services and shops within easy reach of the home and access to public transport. The home is a two storey domestic property with six single bedrooms, a communal lounge and dining kitchen. A ramped area enables residents to access the garden and there is parking for several cars to the front of the house. There are two bathrooms and toilets. Ribble Valley Respite Service DS0000040803.V255830.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out on 08.11.05. Information was obtained by talking with the manager and 2 staff members, by examining a variety of records and walking around the home. Views were obtained from staff on a variety of topics and information was also obtained by case tracking the one resident who had been resident in the home the previous night and two recent residents. One “relatives comment card” had been returned to the CSCI. Views have been recorded collectively where the answers obtained were similar. Any specific or differing comments have been recorded in the main body of the report. The inspector’s notes have been retained as evidence of the inspection. The homes e mail address is: Dianne.blackie@SSD.LancsCC.gov.uk The one resident who had been accommodated the night prior to the inspection was due to return to the home later after an evening out. What the service does well: The facility provides valuable and structured short term support, as part of a care package, to residents with a Learning Disability and their families. Residents are re-assessed in respect of acceptable risk at each point of admission. This ensured their continuous safety and retained their independence if appropriate. Residents are encouraged to maintain links with the community during their stay at Croasdale Drive. This ensures that they retain contact with family and friends. There was a robust policy in respect of the Protection of Vulnerable Adults. This ensured that in the “short stay” environment, residents were protected. Staffing levels are adjusted accordingly to meet the changing needs of the residents using the service. Staff are qualified to look after residents accommodated in the home. Ribble Valley Respite Service DS0000040803.V255830.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: All staff who administer medication must receive the appropriate accredited training to ensure that they are confident when administering medication. All information offered to residents and their families should be reviewed on a regular basis. This will ensure that appropriate information is available to people. All staff must receive training in respect of the “Protection of Vulnerable Adults”. This will ensure that they feel confident when carrying out their duties and that residents are living in a safe environment. The quality and quantity of furnishings requires to be addressed in order for residents to be in comfortable surroundings. Relatives commented that they felt that “the home seemed to have second hand furniture” and felt that it was “demeaning to residents”. The dampness in the downstairs extension room should be addressed to ensure a comfortable environment for residents. Ribble Valley Respite Service DS0000040803.V255830.R01.S.doc Version 5.0 Page 7 A minimum of two double electric sockets should be supplied in each bedroom to ensure that all electrical equipment that residents may bring into the home can be used safely. 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. Ribble Valley Respite Service DS0000040803.V255830.R01.S.doc Version 5.0 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 Ribble Valley Respite Service DS0000040803.V255830.R01.S.doc Version 5.0 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 Documentation relating to the home is available to residents and relatives. Care plans are reviewed upon each respite admission. This means that staff at the home can still meet residents’ needs. EVIDENCE: The Statement of Purpose had been reviewed during August 2005. The Residents Guide was in the process of being reviewed to include photographs of the recent refurbishment and changes in staffing. A copy of the most recent inspection report was displayed on the main notice board. Comments in a relatives comment card indicated that inspection reports were available in the home. Prior to a resident using the facility a social worker commissions a care package which is renewed on an annual basis. Staff from the home carry out an initial assessment prior to the first admission. District Nurses supply information in respect of health care needs. Individual care plans were developed from the care management assessment. Carers make arrangements directly with staff at the home when periods of respite care are required. The care plans are reviewed verbally with the carers prior to readmission. No residents were self-funded. Risk assessments were developed to show any potential risks. Any deterioration to residents would be discussed with the carers and social worker. Ribble Valley Respite Service DS0000040803.V255830.R01.S.doc Version 5.0 Page 10 Ribble Valley Respite Service DS0000040803.V255830.R01.S.doc Version 5.0 Page 11 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 Residents were encouraged to make their own decisions from informed choices. This encouraged them to retain their independence and responsibility in their daily life. EVIDENCE: Care plans examined were included in the “Client Access File” and were very comprehensive. Residents/significant others were involved with the care plans and subsequent reviews. From the plans seen, information was gathered from the care management assessment, health professionals, family members and the homes own assessment. A “person centred” plan was developed from this. The plan identified any restrictions upon choice and was agreed prior to admission. Risk assessments were made available in a format suitable for each resident. Staff from day centres were responsible for the setting up of reviews and these were carried out usually at the day centre. Staff from Croasdale Drive were involved. Residents were able to discuss their care with members of staff. This could be during their stay or when having a care review. The Manager indicated that Ribble Valley Respite Service DS0000040803.V255830.R01.S.doc Version 5.0 Page 12 any limitations would be discussed and documented and generally agreed prior to the resident’s admission. Information about the advocacy service was seen at the home. Records were seen that showed that any monies retained in the home on behalf of the residents was recorded upon admission and discharge. Evidence was seen of various risk assessments, which enabled residents to take responsible risks. Some were compiled prior to admission, usually at care reviews. The residents, their families and various professionals contributed. Risks highlighted potential hazards and strategies to deal with them. The limitations of the individual resident were considered. Where appropriate, residents were offered training regarding personal safety. This would normally be carried out at the day centre and reinforced during their stay at Croasdale Drive. A Missing Persons policy and procedure was evidenced. Ribble Valley Respite Service DS0000040803.V255830.R01.S.doc Version 5.0 Page 13 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 Residents were accommodated at Croasdale Drive as part of their continuing care package. They were encouraged to continue with their interests and to maintain their community links. EVIDENCE: Activities would have been arranged prior to the residents staying at Croasdale Drive and these arrangements were continued during the resident’s period of respite care eg. attendance at day centres. Some residents were able to access the local shops and staff indicated that some were able walk to the local facilities. Where necessary, transport was provided or the local bus service was used. Local Authority transport was available to transport residents to the day centre. Prior to admission, staff were made aware of any additional staffing requirements in order for appropriate support to be offered. Relatives indicated in the comment card Ribble Valley Respite Service DS0000040803.V255830.R01.S.doc Version 5.0 Page 14 that in their opinion “there were always enough staff on duty”. Documentation regarding the Disability Discrimination Act 1995 was evidenced. Staff indicated that residents could choose whom they wanted to see and this had usually been decided upon prior to admission and was documented. Residents had opportunities to meet people who did not have disabilities. This would normally be at social events. Bedroom door locks were seen fitted to resident’s bedrooms. Many residents chose not to use the locks. Keys were issued unless a risk assessment stated otherwise. Personal choice regarding all aspects of care was carried out and residents preferred form of address was seen recorded. Staff were encouraged to interact with residents and any housekeeping tasks were voluntary and supervised. Some residents liked to help prepare and cook meals. All activities were seen recorded in care plans. There was a menu book and when supplies were needed the residents often went shopping with staff. Staff indicated that this was usually a weekend activity. Residents assisted in choosing what was purchased and were involved in menu preparation. A wide variety of food was available that gave residents individual choice upon the day. Meals for ethnic minority residents had been provided in the past. From information gained the home provided nutritious meals, in a congenial setting with no obvious restrictions. Staff explained that some residents required specialised assistance with feeding and advice was often sought from family members or carers. Ribble Valley Respite Service DS0000040803.V255830.R01.S.doc Version 5.0 Page 15 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 Residents’ independence was promoted. Community healthcare support was available. Emotional support was offered on a one to one basis. EVIDENCE: All aspects of resident’s healthcare needs were recorded in care files. Any specialist help was pre-arranged, and staff would follow advice given or assist to attend any clinics, if required. Independence was encouraged, although it was acknowledged that some residents needed more support in relation to their healthcare care needs. Accommodation was provided in single rooms and staff told the inspector how their approach to privacy and dignity had been included in their induction training. Community nurses attended the home if required and any specialised equipment the resident needed was brought into the home and staff had been taught how to use it. When organising the staff rota, attempts were made to match staff to the required needs of prospective residents. Each resident had their own GP at their permanent address but arrangements were in place to attend the local hospital or use an “on call” GP should any problems arise. Any referrals to a Specialist were made from the resident’s own home, but staff from Croasdale Avenue supported appointments. A Ribble Valley Respite Service DS0000040803.V255830.R01.S.doc Version 5.0 Page 16 resident’s health and any potential problems were identified and dealt with by staff. These were recorded in the care plans. Any consultations or treatments were carried out in the privacy of a resident’s own room. Medication administered had been appropriately recorded. Medication entering and leaving the home was recorded and monitored closely due to the high turnover of residents. At the time of the inspection no residents self medicated. Staff had obtained an up to date copy of the British National Formulary in addition to the up to date copy of the Royal Pharmaceutical Guidelines. Certificates indicated that some staff responsible for medication had carried out appropriate accredited training. Three staff were awaiting an appropriate course. A list of names and signatures of staff who administered medication was in place. Ribble Valley Respite Service DS0000040803.V255830.R01.S.doc Version 5.0 Page 17 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 A clear Complaints policy was available. There was a robust policy relating to the Protection of Vulnerable Adults. EVIDENCE: There was a complaints procedure that gave the relevant advice to follow with appropriate timescales. This was also evident in the Statement of Purpose. A copy of the complaints procedure, in video format, had been sent to all residents and their families. Lancashire County Council had compiled a corporate leaflet in 2002 titled “We care about what you think of us”. This contained a complaints process but it required to be reviewed as there was no reference to the CSCI. A complaints book that dealt with minor issues on a day-to-day basis was viewed. Written comments made by relatives indicated that they were aware of the complaints procedure. Various letters of thanks to the staff were seen on the notice board. A robust adult protection procedure had been developed, which included the Lancashire County Council’s “No Secrets” documentation. There was also a Whistle Blowing policy with a credit card type addition that contained useful numbers. Staff spoken with had received “Protection of Vulnerable Adults” training. A further two members of staff were awaiting places in respect of this training. Allegations of abuse would be recorded and staff spoken with were aware of their obligations to inform relevant bodies. Ribble Valley Respite Service DS0000040803.V255830.R01.S.doc Version 5.0 Page 18 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;30 The majority of the furniture was unsuitable and required replacing. Policies and procedures were in place in respect of the control of infection. EVIDENCE: The premises are in keeping with the local community. The Lancashire County Council Property Group is responsible for the upkeep of the premises and repair documentation was kept in a “maintenance” file. There was evidence of dampness in the downstairs extension bedroom. Some bedroom and lounge furniture required to be replaced. The manager indicated that new furniture was requested via the Learning Disability Service Manager. Copies of these requests were kept and they were then prioritorised. The manager was advised that new bedroom furniture should include something with a lockable facility. There was not enough seating in the lounge to accommodate a full compliment of residents. Room audits had been carried out to identify the facilities available in residents rooms. Bedrooms did not have wash hand basins installed. There was evidence that residents brought personal items with them during their stay. Because of the amount of electrical equipment that residents can bring into the home with them it is recommended that a minimum of two double electric Ribble Valley Respite Service DS0000040803.V255830.R01.S.doc Version 5.0 Page 19 sockets are supplied in each bedroom. Suitable bedroom door locks had been fitted and radiators were suitably covered. Aerial tracking had been fitted into one downstairs bedroom. The laundry was situated near the kitchen. It was domestic in character and had a sluice and hand washing facilities. The home had a contract for the removal of soiled waste. There were policies and procedures in place for the control of infection. Alterations had taken place to the kitchen that ensured that soiled laundry was transported safely to prevent the spread of infection. The manager indicated that services and facilities complied with the Water Supply (Water Fittings) Regulations 1999. Ribble Valley Respite Service DS0000040803.V255830.R01.S.doc Version 5.0 Page 20 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 Staffing levels were adjusted accordingly to meet the changing needs of the service users. Staff were qualified to look after residents accommodated in the home. EVIDENCE: Staff spoken with during the inspection were motivated. Many of the staff had worked for the service for many years and had gained the experience necessary to look after the resident group. This included learning disability issues and the manager stated that every staff member updated their knowledge every five years. Three of the care staff held an NVQ at level 3 in care (60 ). This exceeded the minimum standard. The manager indicated that any specialist help from other professionals would be sought to support the existing staff if required. Ribble Valley Respite Service DS0000040803.V255830.R01.S.doc Version 5.0 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 Quality Assurance methods were in place. available. EVIDENCE: The manager had almost completed the Registered Managers Award and the NVQ level 4. She was in possession of a job description. Her contract of employment is renewed on an annual basis. There was evidence to show that she undertook ongoing training. Staff said that they had access to the policies, procedures and codes of practice. There was an annual Development Plan for the home in the form of a Service Performance Plan. There was written evidence that the line manager visited the home monthly and carried out a quality audit. According to the homes Service History the CSCI was not always informed of this visit under Regulation 26 (5)(a). Staff at the home attended an advisory forum group where quality issues were discussed. Feedback was sought from residents and their families at focus group meetings. The results of these were available. Ribble Valley Respite Service DS0000040803.V255830.R01.S.doc Version 5.0 Page 22 Staff training was continually Staff at the home attended meetings at the day centre and feedback on quality issues was sought from stakeholders. Corporate documents were in place and these were reviewed corporately. Policies were dated when received if not already pre printed. Some policies referred to the home. Many of the aspects covering the health, safety and welfare of residents and staff were covered by the use of staff training and procedures. These included first aid training, health and safety training and food hygiene training. The home had information regarding infection control. Environmental risk assessments were carried out and individual risk assessments were carried out for the residents. Other documentation seen satisfied the requirements of the Commission for Social Care Inspection. This included the accident and fire records. Ribble Valley Respite Service DS0000040803.V255830.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 X X X Standard No 22 23 Score 2 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 x 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X 2 X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 4 X X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Ribble Valley Respite Service Score 3 3 2 X Standard No 37 38 39 40 41 42 43 Score 2 X 2 X X 3 x DS0000040803.V255830.R01.S.doc Version 5.0 Page 24 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA20 Timescale for action 18 (1) The registered person must 31/03/06 (c) ensure that all staff who administer medication undertake the appropriate accredited training. 18 (1) (c) The registered person must 31/03/06 ensure that all staff receive training in respect of the “Protection of Vulnerable Adults”. 23 The registered person must 31/03/06 (2)(a)(g)(h)(i) ensure that furnishings and fittings are of a good quality, fulfil their purpose and are in a quantity to provide for all residents. 23 (2)(b) The registered person must 31/03/06 ensure that the dampness in the downstairs extension bedroom is addressed. Regulation Requirement 2 YA23 3 YA24 4 YA24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Good Practice Recommendations DS0000040803.V255830.R01.S.doc Version 5.0 Page 25 Ribble Valley Respite Service 1 2 3 4 Standard YA22 YA26 YA37 YA39 The registered person should ensure that all documentation available to residents and their families contains “up to date” information. A minimum of two double electric sockets should be supplied in each bedroom. The registered manager should continue to complete her recognised training. The registered person must ensure that a copy of the visits carried out under Regulation 26 are forwarded to the CSCI on a monthly basis. Ribble Valley Respite Service DS0000040803.V255830.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection East Lancashire Area Office 1st Floor, Unit 4 Petre Road Clayton Business Park Accrington BB5 5JB 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 Ribble Valley Respite Service DS0000040803.V255830.R01.S.doc Version 5.0 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!