Inspection on 23/07/07 for Richmond House

This inspection was carried out on 23rd July 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Richmond House 31/08/06

Richmond House 26/01/06

Richmond House 04/07/05

Richmond House 02/11/04

Richmond House 09/04/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Richmond House 31 Richmond Street Heamoor Penzance Cornwall TR18 3ET Lead Inspector Ian Wright Unannounced Inspection 23rd July 2007 14:45 Richmond House DS0000008912.V340486.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Richmond House DS0000008912.V340486.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Richmond House DS0000008912.V340486.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Richmond House Address 31 Richmond Street Heamoor Penzance Cornwall TR18 3ET 01736 331005 F/P 01736 331005 H5m006flecknor@mencap.org.uk www.mencap.org.uk Royal Mencap Society 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) Mr David James Flecknor Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Richmond House DS0000008912.V340486.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 31st August 2006 Brief Description of the Service: Richmond provides care for up to 5 adults with learning disabilities. The home is situated in Heamoor, Nr Penzance. The registered provider is Mencap, which operates several care homes and domiciliary care agencies in Cornwall. Mr David Flecknor is the registered manager. All people who live at the home have their own bedrooms and there are suitable shared facilities. People who use the service have opportunity to participate in suitable day activities. The building is not suitable for wheelchair users. A copy of the inspection report is available in the dining room, and it is suggested a copy is requested from management or CSCI if required. The range of fees at the time of the last inspection in August 2006 was £298 to £1087 per week. There were additional charges e.g. for hairdressing, newspapers etc. Richmond House DS0000008912.V340486.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection took place in four hours. All of the key standards were inspected. The methodology used for this inspection was: • To case track three people who use the service. This included, where possible, meeting and discussing with the people who use the service their experiences, and inspecting their records. • Discussing with staff their experiences working in the home. • Discussion with other people who use the service. • Observing care practices. • Discussing care practices with management. • Inspecting records and the care environment. Other evidence gathered since the previous inspection, such as notifications received from the home (e.g. regarding any incidents which occurred), was used to help form the judgements made in the report. What the service does well: What has improved since the last inspection? 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. Richmond House DS0000008912.V340486.R01.S.doc Version 5.2 Page 6 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 Richmond House DS0000008912.V340486.R01.S.doc Version 5.2 Page 7 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3, 4, 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Most people who use the service have been issued with a tenancy agreement and a copy of Mencap’s terms and conditions of residency at the time of admission. People who use the service subsequently receive suitable information regarding their rights and responsibilities. The pre admission assessment procedure is good, and enables the registered persons to ascertain they can meet the needs of prospective residents, before admission is arranged. EVIDENCE: Copies of tenancy agreements, and an individualised copy of terms and conditions of residency, are contained on most files. Copies of social services contracts of care were available for inspection on some files. However one person who has recently moved to the service did not have a tenancy agreement, and this should be issued. This person did have a social services contract and a copy of Mencap’s terms and conditions of residency so the standard is met. There has been one admission since the last inspection. The person concerned was able to visit the home and information regarding their needs was obtained. Suitable documentation regarding the assessment process was available for inspection. Richmond House DS0000008912.V340486.R01.S.doc Version 5.2 Page 8 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All people who use the service have a care plan and these are regularly reviewed. Care plans ensure staff have suitable information to provide care. People who use the service are encouraged to make decisions about their lives with suitable assistance as required. The registered persons approach to handling residents’ monies is good, so people living in the home can be assured their finances are maintained appropriately where staff are involved in this area of their lives. The registered persons have a suitable approach to risk, so people who use the service can be assured they will be supported to take risks as part of an independent lifestyle. EVIDENCE: There is a copy of a care plan in each resident’s file. Care plans are accessible to staff and are regularly reviewed. People who use the service said they are encouraged to make decisions regarding their lives; for example regarding small decisions such as what to eat to larger decisions such as how to spend their time. Richmond House DS0000008912.V340486.R01.S.doc Version 5.2 Page 9 Suitable risk assessments are in place to assess any risks or actions to promote independence. Some people who use the service are able to go out on their own and use public transport etc. Staff look after some monies on behalf of people who use the service, for which suitable records (including a risk assessment) are maintained. The inspector queried whether one person living in the home had suitable road safety skills. The person’s care plan stated they did, but a risk assessment sent by the person’s day centre to the home, said the person needed to be escorted. The registered manager said he was satisfied the person did have satisfactory skills. It is advised this person’s skills are reassessed, and the home completes an updated risk assessment regarding this matter. The registered provider has a satisfactory policy regarding diversity and equality. There are currently no people who use the service from ethnic minorities, although the registered provider stated the home would be more than happy to accommodate people who use the service from other cultures. The local population is predominantly Cornish, and from ‘White-UK’ background. Women people who use the service have equal opportunity compared with their male counterparts. Issues regarding sexuality seem to be suitably addressed. Richmond House DS0000008912.V340486.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service can participate in a suitable range of activities, and are able to mix with the wider community. People who use service are encouraged to maintain relationships with friends and relatives. People who use the service have their rights respected, and are enabled to take a suitable amount of responsibility in their daily lives. Suitable arrangements are in place so people who use the service enjoy a healthy and varied diet. EVIDENCE: People who use the service said they attend a range of day activities including attending work placements, educational courses and leisure facilities. Activities are also arranged in the evenings and at weekends. For example, one person went to the pub on the evening of the inspection. The home has a car for service user use. Richmond House DS0000008912.V340486.R01.S.doc Version 5.2 Page 11 People who use the service said they visit friends and relatives regularly, and they are encouraged to maintain contact via the telephone or post. Visiting arrangements are flexible. People who use the service said they could get up and go to bed when they wish, although some may need reminding to get up on the days they attend activities. Staff were observed to be respectful in the manner they worked with people living in the home, and residents the inspector spoke to said they had no complaints regarding staff conduct. Locks are fitted to bedroom doors so people living in the home can lock their doors if they wish. People living in the home said they were involved in household tasks for example doing laundry, cleaning tasks, shopping and cooking. People living in the home said they enjoyed the food provided. People living in the home are involved in the preparation of food with appropriate staff support. The inspector shared a meal with people living in the home and this was to a good standard. Richmond House DS0000008912.V340486.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal care is delivered to a good standard, and there are suitable links with medical professionals. The management of medication is generally to a good standard so people who use the service can be assured their medication is suitably looked after. EVIDENCE: People who use the service said they received suitable care and support from staff. Any personal care needs are documented in care plans. Staff the inspector spoke to seem clear regarding what assistance people who use the service need. Care plans document appropriate links with GP’s, dentists, opticians, chiropodists and other professionals. People who use the service said they regularly saw medical professionals when required. Medication is stored securely, and dispensed appropriately. The management of the system and records kept are generally to a good standard. However there were two dosages of medication which were not signed for, and care needs to be taken that this does not occur on a regular basis. All medication however appeared to be administered. Staff have received suitable external training regarding medication. Richmond House DS0000008912.V340486.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints are dealt with appropriately although the registered provider’s complaints procedure does not meet the national minimum standard. Mencap has a satisfactory adult protection policy, which provides a suitable framework to protect people who use the service if they are at risk. EVIDENCE: The registered provider has developed a complaints procedure. The manager has included a summary of this in the statement of purpose / service user guide. The inspector read the organisation’s complaints policy in the ‘Operations Manual.’ This requires updating, for example the organisational policy refers to the National Care Standards Commission, which has now been superseded by the Commission for Social Care Inspection, which will subsequently be superseded by Ofcare in April 2009. The policy also regards complainants’ right to contact the Commission as the last stage of the procedure, rather than stating complainants can contact the Commission at any time as outlined in NMS 22.3. The registered provider has been notified regarding this in several CSCI reports on a significant number of occasions for Mencap care homes in Cornwall. The manager has put up a poster in the dining room regarding how residents and their representatives can contact CSCI if they have a concern or complaint. However this now needs amendment as the Commission’s local office is now in Ashburton, Devon rather than St Austell. People who use the Richmond House DS0000008912.V340486.R01.S.doc Version 5.2 Page 14 service said they would have confidence in staff / management if they had a concern or a complaint, and they felt the matter would be dealt with appropriately. Mencap has an appropriate adult protection policy. New staff attend the Mencap training regarding abuse (Protect Me) as part of the organisation’s foundation training. All staff have a Criminal Records Bureau (CRB) check and where appropriate a Protection of Vulnerable Adults (POVA) check. People who live in the home were positive about the attitudes and actions of the staff who worked with them. Richmond House DS0000008912.V340486.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Richmond provides clean, well maintained and a homely environment for the people who live there. EVIDENCE: The building was inspected. The home offers a pleasant and homely environment for the people who live there. The home is a Victorian end of terrace property. There is a small front garden with a table and chairs where people can sit. There is a small yard at the back of the building, but no garden. Bedrooms and communal areas are of a satisfactory size to meet the needs of people living there. There are suitable toilet and bathroom facilities on both floors. All bedrooms and communal rooms are well decorated, individual and homely. The home was clean and hygienic on the day of the inspection. Suitable cleaning routines are in place. There is no cleaner employed as people living in the home complete the cleaning with staff support. Richmond House DS0000008912.V340486.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 Quality in this outcome area is generally good. This judgement has been made using available evidence including a visit to this service. Staffing levels appear satisfactory so people who use the service can be assured they will get suitable levels of staff support. Recruitment records are good. Suitable recruitment procedures and records help to ensure people who use the service know they are in safe hands. Staff training is however only adequate and needs some improvement. Improvement will ensure training meets regulatory requirements, and people who live in the home can be more assured that staff have appropriate training to meet their needs. Equal opportunities issues regarding recruitment and work practices seem appropriate. EVIDENCE: Rotas indicate the registered persons provide suitable staffing to meet the needs of people who use the service. On the days of the inspection there was one member of staff on duty first thing in the morning, and two staff on duty in the afternoon / evening (from 1500 hrs). Staff files were inspected. The registered persons obtain suitable information regarding the recruitment of staff. This includes two references and evidence confirming the person’s identity. Staff also have a Criminal Records Bureau (CRB) check and Protection of Vulnerable Adults (POVA) check (as applicable) when they commence employment. Richmond House DS0000008912.V340486.R01.S.doc Version 5.2 Page 17 A staff induction system is in place for new staff. This involves staff working ‘shadow’ shifts with managers / more experienced staff. Mencap has a comprehensive induction and foundation course programme, which all new staff have to complete. There is also a brief ‘in house’ induction checklist so new staff can be inducted regarding the home’s routines. This had been completed for the member of staff who had been recruited since the last inspection. Mencap has a suitable training programme. This includes fire training, first aid, food hygiene, manual handling, and infection control. The majority of staff have attended these courses, although at least one member of staff needs to attend an infection control course, at least two staff need updates regarding fire training (last completed in December 2005) and one person needs to attend a food hygiene course. These courses need to be arranged and the previous requirement is subsequently renotified. The Commission is concerned the registered provider still needs to arrange training regarding dementia, and secondly challenging / aggressive / violent behaviour. The registered persons must take action regarding this matter as the requirement has been repeated now on three occasions. Failure of the registered persons to take action regarding this matter could result in an improvement (enforcement) notice being served. The registered persons must notify the Commission when this training has been completed. Mencap has a suitable approach to ensuring staff have the opportunity to obtain a National Vocational Qualification in care. According to the manager 57 of staff currently have either a NVQ 2 or 3. Richmond House DS0000008912.V340486.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is generally good. This judgement has been made using available evidence including a visit to this service. The home is well managed by a suitably skilled, experienced and knowledgeable manager. There is a good quality assurance system in place to enable people who use the service and other stakeholders to be consulted about their views. The management of health and safety issues needs some improvement so people who use the service can be assured they live in a safe environment. EVIDENCE: Mr David Flecknor appears to be suitably experienced, knowledgeable and skilled to manage the home. Staff and people who use the service were positive about his leadership and the changes made to the home. MENCAP has a suitable approach to quality assurance. A survey was completed in June 2007 regarding stakeholder views and these were positive. Monthly monitoring takes place to ensure the home complies with Mencap’s standards. Richmond House DS0000008912.V340486.R01.S.doc Version 5.2 Page 19 A continuous improvement plan is in place, and a service development plan has been developed. The manager also arranges regular staff meetings and regular residents meetings. There is evidence of a staff supervision system in place. The registered provider has a suitable health and safety policy. Records kept of checks required by regulation are only adequate. There are satisfactory records regarding portable electrical appliance testing, servicing of gas appliances, and preventative measures regarding legionella. Accident records are maintained to a satisfactory standard. Health and safety risk assessments are satisfactory, although the inspector could not find one regarding the prevention of legionella. This needs to be completed, if necessary, and be available for inspection. An electrical hardwire test was completed in 2004, but the overall result stated remedial work was needed to ensure the system was safe. Although an estimate was obtained for the work, it is unclear whether the work was carried out. This needs to be completed if necessary, the system retested, and a certificate of compliance obtained. This should subsequently be forwarded to the Commission within the timescale set. Fire alarms appeared to be tested weekly by staff regularly until 9/7/07, and then testing ceased or has not been recorded. More regular checks regarding the fire alarms and also emergency lighting need to take place, in accordance with the recommendations of the fire authority. Management may need to regularly monitor these checks are completed and recorded. However checks by external contractors on the fire prevention system and fire extinguishers appear to be carried out satisfactorily. There is satisfactory insurance in place. Richmond House DS0000008912.V340486.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 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 X 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 X Richmond House DS0000008912.V340486.R01.S.doc Version 5.2 Page 21 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 OP29 Regulation 18. 19 Requirement The registered person shall ensure that persons employed to work at the care home receive training appropriate to the work they are to perform. This must include suitable assistance, including time off, for the purpose of obtaining further qualifications appropriate to such work. (For example such training must include training: • As required by regulation such as fire training, infection control and food hygiene. • Regarding dementia. • In managing challenging, aggressive and/ or violent behaviour. There must be suitable evidence of training received e.g. copies of certificates of attendance. Please notify the commission this training has been completed within the timescale set. [Previous timescale of 01/12/2006 not met] 3rd Notification Richmond House DS0000008912.V340486.R01.S.doc Version 5.2 Page 22 Timescale for action 01/12/07 2. YA42 13, 23 The registered persons shall ensure that— (a) All parts of the home to which residents have access are so far as reasonably practicable free from hazards to their safety; Unnecessary risks to the health or safety of residents are identified and so far as possible eliminated. The premises to be used as the care home are of sound construction and kept in a good state of repair externally and internally; Equipment provided at the care home for use by residents or persons who work at the care home is maintained in good working order; 01/10/07 (a) (c) (d) (For example there must be: (1) Evidence the electrical hardwire circuit is safe, and retested if necessary. Evidence of this must be forwarded to the commission. (2) Evidence the fire alarm system and emergency lighting is testing in accordance with the requirements of the fire authority. Records regarding the servicing of equipment is available for inspection. (3) There must be a Richmond House DS0000008912.V340486.R01.S.doc Version 5.2 Page 23 suitable risk assessment regarding the prevention of legionella. 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 YA2 YA9 Good Practice Recommendations All residents should be issued with a licence/ tenancy agreement in line with Mencap’s policies and procedures. Carry out new assessment on the road safety skills of one person living in the home. Richmond House DS0000008912.V340486.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Richmond House DS0000008912.V340486.R01.S.doc Version 5.2 Page 25 - 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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