Inspection on 16/11/05 for Ridgeway House

This inspection was carried out on 16th 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 but made no statutory requirements on the home.

Other inspections for this house

Ridgeway House 27/11/07

Ridgeway House 21/02/07

Ridgeway House 20/06/05

Ridgeway House 01/12/04

Ridgeway House 10/06/04

Ridgeway House 20/01/04

Similar services:

2 Perhaver Park

The Vicarage

Fairfields Country Rest Home

St George`s

5 Seafield Road

Credence House

Poldhu

Queensmount

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

CARE HOMES FOR OLDER PEOPLE Ridgeway House The Lawns Wootton Bassett Wiltshire SN4 7AN Lead Inspector Thomas Webber Unannounced Inspection 16th November 2005 09:25 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 Ridgeway House DS0000028401.V266528.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 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. Ridgeway House DS0000028401.V266528.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Ridgeway House Address The Lawns Wootton Bassett Wiltshire SN4 7AN 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) 01793 852521 The Orders Of St John Care Trust Mrs Sally Hobson Care Home 43 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (33) of places Ridgeway House DS0000028401.V266528.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th June 2005 Brief Description of the Service: Ridgeway House was built in the 1970s as a purpose built residential home offering accommodation and personal care to a total of 43 service users over the age of 65 who require care primarily through old age together with 10 service users who have dementia. Two of the 43 beds are also used for respite care. There is also a separate unit, within the complex of the home, which provides day care facilities for up to 16 people. The home is situated in a quiet part of the busy market town of Wootton Bassett and is within walking distance of all the amenities afforded by this town. The home was originally opened in the 1970s as a local authority home and has since been taken over by the Orders of St John Care Trust. The registered manager is Sally Hobson. The home provides all single accommodation for residents use. However, married couples are catered for and they would either be provided with individual bedrooms or provided with two bedrooms, one of which could be used as a lounge. Residents bedrooms are located on the ground and first floor levels and are serviced by a passenger lift. Ridgeway House DS0000028401.V266528.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, undertaken during the course of one day from 09:25 to 15:00. The inspection primarily focused on the direct care provided to the residents. A tour of the premises was undertaken and the views of twelve of the thirty-seven residents, in situ, were sought on an individual and group basis, regarding the care and services provided by the home. In addition, a check was carried out with regard to the outstanding requirements and recommendations previously identified at the last inspection together with a range of the core standards. The records in relation to residents’ assessments, care plans, medication, complaints, food menus, staffing levels, recruitment and health and safety were checked. What the service does well: Residents are assessed at least by the home, prior to admission to ensure that the home can meet the needs of the residents and opportunities are available for prospective residents and their families to visit the home, prior to admission. Residents live in a comfortable, clean and safe environment which provides suitable heating, lighting and ventilation together with sufficient communal space and adequate toilet and bath facilities. Residents are provided with their own bedrooms which they have personalised to their individual wishes. Satisfactory laundry arrangements are in place. Residents spoken to commented favourably about the standard of cleanliness and expressed satisfaction with the laundry arrangements. Residents are treated with respect and their right to privacy is upheld. They are enabled to exercise choice and control over the various aspects of their lives, with support provided where required. A satisfactory and varied menu is provided which gives residents a choice and caters for their preferences. Residents spoken to commented favourably about the quality and quantity of food provided, although their responses varied from being eatable and adequate to being very good and excellent. Residents also stated that they are provided with a choice, they receive plenty of food and can have seconds if they wish. Residents are provided with information on how to complain and since the last inspection the home has received no complaints. Residents spoken to commented that they had no complaints or concerns but they felt confident that if they did have any they could discuss these with their key worker who would listen and act upon them accordingly. Ridgeway House DS0000028401.V266528.R01.S.doc Version 5.0 Page 6 The home is run in the best interests of the residents with opportunities being available for them to contribute, on a regular basis, on the care and services provided by the home. The health, safety and welfare of the residents and staff are promoted and protected, apart from the area of fire prevention. The staff team collectively have a range of experience and are working well towards achieving a trained workforce, which in turn will benefit the residents. The recruitment practices within the home, in the main, ensure the protection of residents. Residents spoken to commented positively about the care provided and stated that the staff are very caring, good, kind and helpful. 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. Ridgeway House DS0000028401.V266528.R01.S.doc Version 5.0 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 Ridgeway House DS0000028401.V266528.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 5 Residents are assessed at least by the home, prior to admission to ensure that the home can meet the needs of the residents. However, the quality and content of the assessment for emergency admissions is insufficient to determine whether the home can meet their needs. Opportunities are available for prospective residents and their families to visit the home, prior to admission, to assess the quality and suitability of the home. EVIDENCE: The policy of the home is to obtain a copy of the community care assessment completed by the relevant care manager for residents funded by social services but all prospective residents are assessed by the home prior to admission to ensure that it can meet their needs. Serious deficiencies were noted in respect to the two most recent residents admitted on an emergency basis. The admission details form was not fully completed, the admission checklists were not completed or available and the long term needs assessment and care plans were poor in content, again, with some sections not having been completed. These documents were also not signed and dated by both resident and the member of staff completing the form. However, in relation to a planned Ridgeway House DS0000028401.V266528.R01.S.doc Version 5.0 Page 9 admission, the home’s assessment and admission details and accompanying check list had been appropriately completed. As part of the introductory process, opportunities are available for prospective residents together with their relatives and/or social worker to visit the home prior to admission. Of the three most recent admissions, only one of them visited with her daughter with other two residents not having the opportunity due to the nature of their admission i.e. being admitted on an emergency basis. Ridgeway House DS0000028401.V266528.R01.S.doc Version 5.0 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 9 and 10 Residents’ care plans and accompanying documentation in some cases provide inadequate information and therefore could potentially put residents at risk. The home has a clear policy for the safe handling of medicines, however there are areas where residents are potentially at risk from shortfalls in the home’s procedures. Residents are treated with respect and their right to privacy is upheld. EVIDENCE: Each resident is provided with a long term needs assessment and care plan. However, the quality of content was extremely poor in respect to two of the three most recently admitted. Not all sections of this document were completed and nor were they signed and dated by the resident and member of staff completing the form. Short term care plans were also not dated and signed. The admission details forms were also not fully completed lacking significant information such as what medication the resident was being prescribed, their weight and height, means of communication etc and a photo of the resident. There was no evidence to confirm that admission checklists, manual handling and risk assessments had been completed. Although the poor documentation related to those who were admitted on an emergency basis, one of the residents had been at the home since 27th October 2005. Ridgeway House DS0000028401.V266528.R01.S.doc Version 5.0 Page 11 Although there was some improvement in respect to the documentation regarding the planned admission, the resident’s long term needs assessment and care plan were not signed and dated and there was no photo attached to the file. Evidence was available to confirm that residents, who have been assessed as being capable, are encouraged and supported to self-medicate and this is supported in the home’s drugs policy. However, where concerns are identified, this practice would be reviewed with the resident and if necessary staff would take over this role. Residents are provided with lockable facilities within their bedrooms for the safe storage of their medication. Staff only administer medication where they have been deemed competent and some staff have also received medication training from Boots. The home uses the Boots monitored dosage system for the recording and administration of medication. Examination of the receipt and administration of residents’ medication records showed continued errors where staff have not initialled for medication administered. There were also occasions where staff have not signed and dated for medication received. The care leader was advised of the need for two members of staff to sign and date for hand written medication sheets. The pharmacist inspector from the Commission for Social Care Inspection will make a follow up visit in due course. Observations and discussions with residents confirmed that they are provided with their own bedroom where they can conduct all their personal affairs in complete privacy. Residents can choose who and where to see any visitors and their mail is given directly to them unopened. There is a telephone room available where residents can make and receive calls in complete privacy and residents can also choose to have a telephone installed in their bedrooms if they wish with some of them having availed themselves of this facility. Residents commented that they are treated well by the staff. Ridgeway House DS0000028401.V266528.R01.S.doc Version 5.0 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14 and 15 Residents are enabled to exercise choice and control over the various aspects of their lives, with support provided where required. A satisfactory and varied menu is provided which gives residents a choice and caters for their preferences. EVIDENCE: Observations and discussions with residents indicated that residents, within their various capabilities, can exercise personal autonomy and choice. Residents have brought items of furniture and personal possessions to make their bedrooms more homely with residents having personalised their bedrooms to their individual wishes. Residents can choose what time to get up and go to bed, how and where to spend their time, where to eat, and what activities to participate in. Residents can handle their own financial affairs in the privacy of their own bedrooms, if they are capable. Residents are provided with a lockable storage space within their bedrooms, which can be used to store personal possessions. Residents’ meetings are held on a regular basis, which provides them with the opportunity to comment and contribute to the running of the home. Minutes of these meetings indicate that these residents’ meetings are well attended. A satisfactory and varied three weekly menu is in operation, which provides a choice at all mealtimes, except when a roast is provided, although alternatives Ridgeway House DS0000028401.V266528.R01.S.doc Version 5.0 Page 13 for this meal would be made available, if required. A cooked meal is available for breakfast for those residents who use the dining room. Special diets would also be catered for. Drinks and snacks are available at other set times of the day. Residents can choose where to eat their meals, either in the dining room or in their bedrooms. The main meal of the day was observed which was conducted in a relaxed and congenial manner. Residents spoken to commented favourably about the quality and quantity of food provided, although their responses varied from being eatable and adequate to being very good and excellent. Residents also stated that they are provided with a choice, they receive plenty of food and can have seconds if they wish. Ridgeway House DS0000028401.V266528.R01.S.doc Version 5.0 Page 14 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 Information is provided to residents on how to complain and the residents felt confident that any concerns would be listened to and acted upon. EVIDENCE: Each resident has been provided with a copy of the home’s complaints procedure, which specifies how and who would deal with any complaint. The procedure also informs complainants that they can contact the Commission for Social Care Inspection at any stage should they wish to do so. Since the last inspection the manager reported that the home has not received any complaints. Residents spoken to commented that they had no complaints or concerns but they felt confident that if they did have any they could discuss these with their key worker who would listen and act upon them accordingly. Ridgeway House DS0000028401.V266528.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Residents live in a comfortable, clean and safe environment which provides suitable heating, lighting and ventilation together with sufficient communal space and adequate toilet and bath facilities. However, the standard of decoration and carpeting varies within the home, although improvements are planned to enhance the residents’ living environment. Residents are provided with their own bedrooms which they have personalised to their individual wishes. Satisfactory laundry arrangements are in place. EVIDENCE: The home is maintained to a good standard being clean, tidy, and comfortable and provides sufficient heating, lighting and ventilation. However, the standard of decoration and carpeting within the home varies with some parts of the home in need of considerable improvement. The manager reported that there is a planned maintenance programme within this financial year which will make significant improvements to enhance the residents’ living environment. These include redecoration and replacement carpets to all corridors on the ground floor and replacement carpets to all corridors on the first floor as well as redecoration to all doors. A new call bell system is also due to be installed Ridgeway House DS0000028401.V266528.R01.S.doc Version 5.0 Page 16 and new footstalls are due to be provided for the lounge. Some limited improvements have been made since the last inspection, which have included the updating of several toilets and the redecoration to the dining room. The home is maintained to a good standard being clean and tidy and residents spoken to confirmed that they were happy with the cleanliness of their bedrooms. The laundry room is located on the ground floor and provides suitable facilities to meet the needs of the home. Residents’ clothing is labelled to ensure that their garments are appropriately returned. Residents spoken to commented favourably about the laundry arrangements in place, stating that their clothing is returned in good condition, although a few commented that there have been a few delays in their clothing being returned. Ridgeway House DS0000028401.V266528.R01.S.doc Version 5.0 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 The staffing resources within the home are insufficient to enable staff to provide a high quality of care to the residents. The staff team collectively have a range of experience and are working well towards achieving a trained workforce, which in turn will benefit the residents. The recruitment practices within the home, in the main, ensure the protection of residents. EVIDENCE: The deployment of staff ensures that there are five members of care staff on duty in the mornings with four on in the afternoons and evenings, Monday to Friday. However, at weekends the staffing levels are reduced to four members of care staff on duty throughout the waking day. The above staffing levels include a care leader on each shift but exclude those hours worked by the manager and various ancillary staff employed. Some agency staff have been used to meet the above staffing levels. There are also three members of waking night staff on duty each night, although it was reported that there has been the odd occasion when this number has been reduced to providing two waking night staff and one member of care staff sleeping in. In addition, there is a care co-ordinator and two part time staff allocated to manage the day centre. Residents spoken to commented that the staff are very caring, good, kind and helpful. Concerns continue to be expressed about the insufficient level of care staff on duty: given the size and layout of the building, the changing and increased dependency needs of the residents accommodated, together with the existing staff structure and various responsibilities/tasks undertaken by staff. Given Ridgeway House DS0000028401.V266528.R01.S.doc Version 5.0 Page 18 the current resources available, staff are only able to meet the immediate care needs of the residents rather than provide the type of quality care that staff would wish to aspire to. The staffing resources available may also be a contributing factor to the deficiencies within the maintenance of residents’ records. A sample of two staff files checked showed that, in the main, appropriate recruitment practices are being followed, which include obtaining two satisfactory written references and satisfactory CRB checks. However, medical questionnaires normally undertaken were not available and the home could benefit from obtaining a full employment history in respect to all new staff employed rather than the current practice of ten years. All new staff receive an induction and foundation programme and staff receive a variety of mandatory and NVQ training to equip them to perform their duties. Figures supplied by the Trust show that 40 of the staff have completed NVQ training with a further 20 having been enrolled to complete the same course. The frequency of staff supervision was reported to have improved since the last inspection. Ridgeway House DS0000028401.V266528.R01.S.doc Version 5.0 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33 and 38 The home is run in the best interests of the residents with opportunities being available for them to contribute, on a regular basis, on the care and services provided by the home. The health, safety and welfare of the residents and staff are promoted and protected, apart from the area of fire prevention. EVIDENCE: A quality assurance audit has been undertaken by the Trust which involved obtaining the views of the residents and their relatives. The manager reported that the results of this survey have not yet been received by the home. However, once received, a copy of this document will be made available to all who took part in the survey as well as a copy being sent to the Commission for Social Care Inspection. In addition to the annual quality survey, other monitoring systems include daily handover meetings, staff meetings and regular residents’ meetings. Ridgeway House DS0000028401.V266528.R01.S.doc Version 5.0 Page 20 Safe working practices have been established within the home, which comply with the relevant legislation. Full health and safety policies and procedures are in place to ensure a safe working environment and staff attend the various mandatory training courses. Window restrictors have been fitted. Radiator covers have also been fitted and the type of construction used enables residents to easily regulate these. Various testing and servicing of equipment in respect to electrical and fire prevention are being carried out at the required intervals, although some changes were suggested to the recording of fire instruction to staff. Ridgeway House DS0000028401.V266528.R01.S.doc Version 5.0 Page 21 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 2 X X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 1 8 X 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 2 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X X X X 3 Ridgeway House DS0000028401.V266528.R01.S.doc Version 5.0 Page 22 Are there any outstanding requirements from the last inspection? Yes 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 OP3 Regulation 14 Timescale for action The registered individuals must 31/12/05 ensure that the admission details form is always fully completed together with the admission checklists and that all sections of residents’ assessments are fully completed and in sufficient detail. These documents must also be signed and dated by both resident and member of staff completing the form. The registered individuals must 31/12/05 ensure that residents’ care plans are always fully completed and in sufficient detail and that these documents are signed and dated by both the resident and the member of staff completing the form. The registered individuals must 31/12/05 ensure that residents’ manual handling and risk assessments are completed where specific risks have been identified. The registered individuals must 12/12/05 ensure that staff always initial residents’ medication records for medication administered. (Previous timescales of 31/01/05 DS0000028401.V266528.R01.S.doc Version 5.0 Page 23 Requirement 2. OP7 15 3. OP7 17(1)(a) 4. OP9 13(2) Ridgeway House 5. OP9 13(2) 6. OP9 13(2) 7. OP27 18(1) 8. OP29 19(5)(c) and 31/07/05 not met) The registered individuals must ensure that staff always sign and date residents’ medication records for medication received. The registered individuals must ensure that two members of staff sign and date hand written medication sheets. The registered individuals must ensure that there are sufficient numbers of care staff on duty providing direct care to meet the needs of the residents. The Trust must submit a written proposal to the Commission for Social Care Inspection detailing how this will be achieved. (Previous timescales of 31/10/04 and 31/10/05 were not met and this has been extended to ensure compliance) The registered individuals must ensure that satisfactory records are in place to confirm that a person is physically and mentally fit for the purposes of the work. 12/12/05 12/12/05 06/01/06 12/12/05 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 OP29 Good Practice Recommendations The registered individuals should strongly consider adopting the practice of obtaining a person’s full employment history. Ridgeway House DS0000028401.V266528.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Chippenham Area Office Avonbridge House Bath Road Chippenham SN15 2BB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Ridgeway House DS0000028401.V266528.R01.S.doc Version 5.0 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. 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!