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Inspection on 17/10/07 for SCIC - 26 Glebe Road

Also see our care home review for SCIC - 26 Glebe Road for more information

This inspection was carried out on 17th October 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The environment is warm and welcoming and the home is clean and tidy. There is a low staff turnover and stable staff team. This means that people living at the home have a regular team of staff who have a good understanding of their needs. People living at the home are supported to be part of their local community. There are good quality, easy to follow person centred assessments and care plans in place.The people living at the home have good relationships with staff and are relaxed with them. Staff have regular support and guidance meetings with their manager The home is well managed so the people living there benefit from a well run service.

What has improved since the last inspection?

All `as needed` medications now have a plan or protocol in place and medications are dated when they are opened. This is to make sure that people have their `as needed` medication as prescribed or advised by the doctor and that medications are used within the expiry dates.

What the care home could do better:

Any risks to people that have been assessed need to be reviewed if any incidents occur. This is to make sure that staff have accurate information and any risks to people are minimised where possible. There needs to be a small secure fridge for the storage of liquid medicines. Good practice recommendations have been made about starting `life story` books for people, replacing the kitchen cupboard doors and `equality and diversity` training for staff.

CARE HOME ADULTS 18-65 SCIC - Glebe Road, 26 26 Glebe Road Stratford On Avon Warwickshire CV37 9JU Lead Inspector Jo Johnson Unannounced Inspection 17th October 2007 8:00 SCIC - Glebe Road, 26 DS0000004468.V347747.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 SCIC - Glebe Road, 26 DS0000004468.V347747.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. SCIC - Glebe Road, 26 DS0000004468.V347747.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service SCIC - Glebe Road, 26 Address 26 Glebe Road Stratford On Avon Warwickshire CV37 9JU 01789 298709 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) Stratford & District Mencap Mrs Alexandra Louise Arnold Care Home 4 Category(ies) of Learning disability (3), Learning disability over registration, with number 65 years of age (1) of places SCIC - Glebe Road, 26 DS0000004468.V347747.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. NVQ level 4 The Registered Manager achieve qualifications in both management and care including the Registered Managers Awared, by 2005. Learning Difficulty Award The Registered Manager pursues a professional qualification in the field of learning difficulty by undertaking the Learning Difficulty Award Framework level 3 by 2004. Successful completion of above awards The Registered Manager to notify the National Care Standards Commission upon successful completion of the above and immediately in the event that the Registered Manager fails to achieve it or that the Registered Manager ceases, for whatever reason, to undertake the stated training. Age Range of Residents People admitted to the home must be in the age range of 18 to 64 years. 10th March 2007 3. 4. Date of last inspection Brief Description of the Service: Glebe Road is a semi-detached house, which offers long-term accommodation for four adults who have learning disabilities. The current service users are men. The property is rented from a housing association, with staff being provided by Stratford and District Mencap. It is not distinguishable as a care home from the other properties in the road. Car parking is limited. There are gardens to the front and rear of the property. On the ground floor there is a lounge, kitchen and separate dining room, shower room/toilet, sleeping-in room/office. On the first floor there are four single bedrooms and a bathroom. The house is on the outskirts of Stratford, which is accessible by a regular bus service. SCIC - Glebe Road, 26 DS0000004468.V347747.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for service users and their views of the service provided. This process considers the care home’s capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provisions that need further development. The manager supplied the commission with an AQAA (Annual Quality Assurance Assessment). Information from this has been used to make judgements about the service, and have been included in this report. The inspection visit was unannounced (we did not let the home know that we were coming) and took place on 17th October 2007 at 8am. The inspection involved: • • • Observations of and talking/Makaton signing with the people who live at the home, a visitor and the support workers and manager on duty at the time. Observation of working practices and of the interaction between the people and staff. The one person was identified for close examination by reading their, care plan, risk assessments, daily records and other relevant information. This is part of a process known as ‘case tracking’, where evidence is matched to outcomes for people. A tour of the environment was undertaken, and home records were sampled, including staff training and recruitment, health and safety, and staff rotas. • The inspector would like to thank people who live at the home, manager and staff for their hospitality and cooperation during the inspection visit. What the service does well: The environment is warm and welcoming and the home is clean and tidy. There is a low staff turnover and stable staff team. This means that people living at the home have a regular team of staff who have a good understanding of their needs. People living at the home are supported to be part of their local community. There are good quality, easy to follow person centred assessments and care plans in place. SCIC - Glebe Road, 26 DS0000004468.V347747.R01.S.doc Version 5.2 Page 6 The people living at the home have good relationships with staff and are relaxed with them. Staff have regular support and guidance meetings with their manager The home is well managed so the people living there benefit from a well run service. 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. SCIC - Glebe Road, 26 DS0000004468.V347747.R01.S.doc Version 5.2 Page 7 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 SCIC - Glebe Road, 26 DS0000004468.V347747.R01.S.doc Version 5.2 Page 8 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): 1,2 Quality in this outcome area is good People’s needs are assessed and they are provided with information so that they are clear about their rights and entitlements at the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Statement of Purpose and Service User Guide are in large print and supported by pictures, which makes it easier for people with learning disabilities to understand the services in the home. There have been no new people admitted to the home for a long time so the outcomes for any new person coming to live in the home could not be fully assessed. However, there are ongoing and regularly updated assessments in people’s care records that have been amended as their needs have changed so that staff have up to date information about them. One person was moving out of the home later that week. This means that there will be two vacancies at the home. One person who may be considered to move in visited the home for lunch on the day of the inspection. SCIC - Glebe Road, 26 DS0000004468.V347747.R01.S.doc Version 5.2 Page 9 From discussion with the manager, the people from a home that is closing and homes that had vacancies had a ‘consultation’ day where they all met together and chose who they would like to live with. The manager said that social services and peoples’ families have been involved and kept informed of the proposed moves. One of the people who communicates by Makaton signing and their family have been consulted about other people moving into the house. The manager has also made a referral for an advocate for the other person living at the home, to make sure that their views are fully considered before any decision is made about the other people moving in. SCIC - Glebe Road, 26 DS0000004468.V347747.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is good The people living in this home are involved in decisions about their lives and are playing an active role in planning their care and the support they receive. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two people’s care records were seen and one person went through their care records with the inspector. The two other people who live at the home went to their day services. There were good descriptions of how staff are to support individuals to make choices and decisions and promote their independence in their every day life. There was a good description of how one of the people who uses Makaton communicates. SCIC - Glebe Road, 26 DS0000004468.V347747.R01.S.doc Version 5.2 Page 11 One person had signed their care plan and risk assessments to show that they have agreed, and understood them. Pictures supported parts of the plan and they were able to read some of the words. The other person uses Makaton to communicate and it was not clear how accessible their plan is to them. There is a culture of positive risk taking for people. Good quality risk assessments were in place and they had been reviewed during care plan reviews. However, one risk assessment for one person had not been reviewed and updated following an incident in the community the previous week. The person was safe following the incident but the assessment and plan need reviewing, as the plan in place did not appear to have minimised the risks to the individual. Positive interactions and relationships were seen between the people and staff. People and staff clearly enjoyed each other’s company. The person went through a book where they had been writing with staff important things that had been happening. However, this had not been kept up to date or did not include photographs to show what they had been doing such as their recent holiday. Staff should make sure that they start ‘life story’ books with people and keep them up to date, as these give a much more interesting picture of how people have been spending their time and people may find them easier to follow than written records. This will be particularly important during the time that new people are moving into the house and will become an important part of each other’s lives. SCIC - Glebe Road, 26 DS0000004468.V347747.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is excellent People are supported in the local community and take part in activities. Their rights are respected and they have a varied and balanced diet. This judgement has been made using available evidence including a visit to this service. EVIDENCE: On arrival at the home three people were at home. Two of the people went to their community day service whilst the other person stayed at home. People were involved in everyday tasks getting ready for their day including preparing their packed lunches, tidying up and vacuuming. There is significant evidence in care plans, daily records and photographs on the walls that people’s activities are wide and varied and meet their individual, social and cultural needs. SCIC - Glebe Road, 26 DS0000004468.V347747.R01.S.doc Version 5.2 Page 13 There is a focus on different community activities for one person at the home who is older who has decided to ‘retire’ from the five day traditional learning disability day services. They now attend some older people’s clubs in the community. This is good practice. The person said “I go to Jubilee club on Wednesdays and play Bingo and got to Getaway club on Fridays” People talked about their recent holidays and how they spend their leisure time. Two of the people chose to go together and one person went with a friend. One person Makaton signed ‘holiday good’ and another person said “ went on holiday with XXX I went in the sea and danced with XXX”. The records show that people are provided with a well-balanced and nutritious diet. All food being stored in the kitchen looked fresh and was well within the use by date. People go food shopping with staff support at least once a week. There is a menu but people can still choose each day what they would like to eat. Everyone said that they enjoyed the food provided by the home. Two of the people at the home are on specialist diets and are encouraged to eat healthily. The person at home prepared their snack lunch for themselves and their prospective new housemate. SCIC - Glebe Road, 26 DS0000004468.V347747.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good The health and personal care that people in this home receive is based on their individual needs. Medication administration and record keeping is safe. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There were positive relationships and interactions observed between staff and the people who live at the home. People commented that they know, get on well with the staff and they treat them well. One person said, “Know the staff…like them”. Peoples’ health records and care plan showed that their right to good-quality physical and mental health care is being promoted. The records show that as part of promoting their health people make regular visits to a dentist, optician, specific health consultants, their GP and a chiropodist when needed. One person went through their ‘Health Action plan’ and said “see the doctor …need glasses, had my teeth looked at”. SCIC - Glebe Road, 26 DS0000004468.V347747.R01.S.doc Version 5.2 Page 15 Staff are trained in the medication policies and procedures during induction and there is a medication training programme. One person has a prescribed multivitamin supplement that had previously available in capsule from. However, this is now only available in liquid from and was stored in the food fridge. A small fridge must be purchased for the safe storage of medications if an alternative multivitamin cannot be prescribed. This is to make sure that other people living at the home do not drink the medication by accident. All other medications were stored appropriately and liquid medicines had been dated when opened. Plans and protocols for ‘as needed’ medications are now in place. SCIC - Glebe Road, 26 DS0000004468.V347747.R01.S.doc Version 5.2 Page 16 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 Complaints procedures make sure that peoples, relatives and representatives concerns and complaints are listened to and acted upon. A staff team who have a good knowledge of how to respond to any suspicion of abuse and to keep people safe from harm support the people living at the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a complaints policy, which is in symbol and large print format and includes information about the Commission for Social Care Inspection. When asked about who they could talk to if they were unhappy people said, “talk to xxx (staff) and xxx (manager)” and one person pointed to the staff photographs on the rota. There have been no complaints or allegations of abuse received by the home or commission since the last inspection. An adult protection procedure is in place at the home so that staff know how and to who they can report any suspicions of abuse. The staff and manager spoken with were confident of how to use these procedures. People spoken with said that they felt safe with staff. SCIC - Glebe Road, 26 DS0000004468.V347747.R01.S.doc Version 5.2 Page 17 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 The home is well maintained and furnished so that people live in a homely, clean, comfortable environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a warm and welcoming atmosphere in the home and at the time of the visit, it was homely, comfortable and safe. People living there were able to move around easily and freely and to go to their bedrooms if they chose. One of the people proudly gave a tour of the communal areas of the house and their bedroom. The home was clean and free from any offensive odours. All of the people living in the home were happy to show their bedrooms. The bedrooms reflected their individual lifestyles, interests and tastes. One person proudly showed that their bedroom was all packed in boxes and said “moving house on Friday going to live with xxx and xxx I’m excited”. SCIC - Glebe Road, 26 DS0000004468.V347747.R01.S.doc Version 5.2 Page 18 The kitchen and utility cupboard doors are very worn and one in the kitchen is broken. They are so worn in places that bare wood is exposed. They are difficult to keep clean and may present an infection control hazard. The cupboard doors should be replaced so that the kitchen and utility room can be easily kept clean. People at the home said that they are involved in cleaning and tidying alongside staff. One person said, “ I hoovered this morning ”. They said that the staff help them with their laundry. There are established policies and procedures in place for the control of the risk of infection in the home and staff practices during the visit were seen to be safe. Infection control training is included in mandatory training for all staff. SCIC - Glebe Road, 26 DS0000004468.V347747.R01.S.doc Version 5.2 Page 19 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): 32,34, 35, 36 Quality in this outcome area is good The people living in this home are protected by robust recruitment practices and supported by a supervised and competent staff team. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Observation of care practice and discussion with the manager and staff members on duty at the time showed that positive relationships exist between the people and the staff supporting them. The staff members seen were good listeners and communicators and were interested and committed to the work they were doing. The training schedule shows that staff have been well trained in mandatory health and safety related training, (e.g. first aid, food hygiene and fire safety). The organisation has identified ‘equality and diversity’ training on it’s training programme but has not yet provided this training for staff. This training should be provided to make sure that staff can meet the diverse needs of the SCIC - Glebe Road, 26 DS0000004468.V347747.R01.S.doc Version 5.2 Page 20 people who live and will be moving into the house and work with them in a person centred way. Three staff records were seen including the most recently recruited member of staff. They included all of the necessary documentation to demonstrate that the staff are suitable to work with people living at the home. They all included CRB (Criminal Records Bureau) checks and references. Staff spoken with and records seen show that they have regular supervision and staff meetings. SCIC - Glebe Road, 26 DS0000004468.V347747.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good People benefit from living in a well maintained and managed home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: From discussion with people living at the home, staff, the manager, the examination of records and observation of care practices show that a competent and skilled manager manages the service. Last year the people living at the home were surveyed for their views. The outcomes of this consultation were summarised and fed into the development plan for the home. The manager said that she intends to give out fresh SCIC - Glebe Road, 26 DS0000004468.V347747.R01.S.doc Version 5.2 Page 22 questionnaires for people to complete when they have settled after people moving out and in to the home. The organisation’s quality assurance system has been recently been reviewed and will now include formal consultation with families and professionals involved with people. A representative of the organisation carries out monthly monitoring visits and copies of the reports are kept at the home. The reports show that suitable arrangements are in place for monitoring the work of the home and provide an opportunity for the visitor to seek the views of people using the service and to check significant records, such as accidents, incidents and complaints. Information provided before the inspection, by the manager in the AQAA (Annual Quality Assurance Assessment) indicates that relevant Health and Safety checks and maintenance are being carried out at the home. A number of Health and Safety records were checked, including the fire safety log. These records showed that health and safety matters are well managed. SCIC - Glebe Road, 26 DS0000004468.V347747.R01.S.doc Version 5.2 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 Standard No Score 1 3 2 3 3 x 4 x 5 x 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 x 34 3 35 3 36 3 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 4 13 4 14 x 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 3 x 3 x x 3 x SCIC - Glebe Road, 26 DS0000004468.V347747.R01.S.doc Version 5.2 Page 24 No 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 YA9 Regulation 13 Requirement Risk assessments must be reviewed following any incidents where the plan in place did not minimise the risk to the individual. This is to make sure that staff have accurate information, people are supported to continue to take risks in their daily lives and that these are assessed and minimised where possible. A small fridge must be purchased for the safe storage of medications. This is to make sure that other people living at the home do not drink the medication by accident. Timescale for action 01/12/07 2 YA20 13 01/12/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Good Practice Recommendations DS0000004468.V347747.R01.S.doc Version 5.2 Page 25 SCIC - Glebe Road, 26 1 Standard YA6 Staff should make sure that they start ‘life story’ books with people and keep them up to date, as these give a much more interesting picture of how people have been spending their time and people may find them easier to follow than written records. This will be particularly important during the time that people are moving out and into the house. 2 3 YA24 YA35 The cupboard doors should be replaced so that the kitchen and utility room can be easily kept clean. ‘Equality and Diversity’ training should be provided to make sure that staff can meet the diverse needs of the people who live and will be moving into the house and work with them in a person centred way. SCIC - Glebe Road, 26 DS0000004468.V347747.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 SCIC - Glebe Road, 26 DS0000004468.V347747.R01.S.doc Version 5.2 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!