Inspection on 22/11/05 for Searchlight Workshops - Powell House

This inspection was carried out on 22nd November 2005.

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 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 9 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Searchlight Workshops - Powell... 30/10/08

Searchlight Workshops - Powell... 01/11/06

Searchlight Workshops - Powell... 09/06/05

Searchlight Workshops - Powell... 07/12/04

Searchlight Workshops - Powell... 11/06/04

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

CARE HOME ADULTS 18-65 Searchlight Workshops - Powell House Claremont Road Mount Pleasant Newhaven East Sussex BN9 0NQ Lead Inspector Jennie Williams Unannounced Inspection 22nd November 2005 11:15 Searchlight Workshops - Powell House DS0000059127.V271361.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Searchlight Workshops - Powell House DS0000059127.V271361.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Searchlight Workshops - Powell House DS0000059127.V271361.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Searchlight Workshops - Powell House Address Claremont Road Mount Pleasant Newhaven East Sussex BN9 0NQ 01273 514007 01273 611289 Powell@search-light.org.uk 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) Searchlight Workshops Vacant Care Home 16 Category(ies) of Physical disability (16) registration, with number of places Searchlight Workshops - Powell House DS0000059127.V271361.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. That service users accommodated are aged eighteen (18) to sixty five (65) years. That service users will have a physical disability. That the number of service users accommodated must not exceed sixteen (16). That service users with a physical disability may also have a mild learning disability. 9th June 2005 Date of last inspection Brief Description of the Service: The home is situated on the top of a hill on the outskirts of Newhaven. The home has access to a mini bus. There are local amenities and access to public bus routes at the bottom of the hill. Some of the facilities provided require updating and there are plans in place to commence this work. Powell House is a home within the Searchlight Workshops organisation that is registered for 16 places for residents aged 18 to 65 years of age. It is registered for physical disability. Residents with a physical disability may also have a mild learning disability. There is no nursing care provided at this home. There are three registered establishments at this one site within the organisation of Searchlight Workshops. There is also a workshop on the site available to residents and others within the community. A variety of crafts/activities are offered at the workshop. A social club is run on site and this opens a couple of evenings a week. All rooms are for single occupancy and are located over two floors. There is a passenger shaft lift available to residents who are unable to move independently between floors. Searchlight Workshops - Powell House DS0000059127.V271361.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulation Act 2001, uses the term ‘service user’ to describe those living in care home settings. For the purpose of this report, those living at Powell House will be referred to as ‘residents’. This unannounced inspection took place over six and a quarter hours on the 22 November 2005. A tour of the home was not required, as the Inspector had previously inspected the home. Care plans and individual rooms were spotchecked. Some policies and procedures were inspected. Medication procedures were spot-checked. Discussions took place with the newly appointed manager, staff and residents throughout the inspection process. 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. Searchlight Workshops - Powell House DS0000059127.V271361.R01.S.doc Version 5.0 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 Searchlight Workshops - Powell House DS0000059127.V271361.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 & 4 The home has information available to prospective residents and their representatives to make an informed decision if the home is suitable for their needs. All prospective residents are assessed prior to moving into the home. EVIDENCE: The Statement of Purpose and Service User Guide will need amending to reflect the recent changes in management. This has not been reflected as a requirement. The acting manager will undertake all pre assessments of prospective residents. A copy of social services assessment is obtained wherever possible. Prospective residents are encouraged to visit the home prior to moving in. Staff individually and collectively have the skills and experience to deliver the services and care which the home offers to provide. Some residents have resided at Powell House for over 20 to 50 years. It has been agreed with CSCI that those who fall outside of the homes category of registration may remain living at the home for as long as they wish and their needs continue to be met. Searchlight Workshops - Powell House DS0000059127.V271361.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 & 10 Some needs are at risk of not being met due to lack of documentation in the care plans. Residents’ routine and lifestyle is their own choice. EVIDENCE: There is evidence that the new care plan format has been developed and is in the process of being implemented for all residents. This has been an outstanding requirement for the last three inspection reports. The newly appointed acting manager has already identified shortfalls and proposes to develop care plans to reflect more capabilities of an individual. A structured key worker system is currently being implemented which will assist in addressing this shortfall. A co-key worker system is included in this change to promote continuity for all residents. The new acting manager confirmed that care plans will be reviewed every three months or earlier if the needs of an individual change. Care plans must reflect actual current practice. Shortfalls noted were lack of documentation of wounds and checking of blood sugar levels etc. It was not clear of when an individual has been seen by a health professional. It is recommended that a checklist is implemented and stored with the care plan of Searchlight Workshops - Powell House DS0000059127.V271361.R01.S.doc Version 5.0 Page 9 an individual to clearly identify when visits have been undertaken. Eg. GP, chiropodist. One resident is known to occasionally demonstrate aggressive behaviour. There was no clear guidance for staff to deal with this resident or any safety precautions that should be implemented. Eg. working in pairs etc. The new care plan format has good risk assessments in place and room for staff to document any specific action to take to reduce risks. Some staff spoken with confirmed that the new care plan format is clearer and easier for them to understand. Residents spoken with confirmed that staff discuss their care with them and will input into the reviewing of the care plans. Residents spoken with confirmed that their routine of life is their decision. Staff assist residents to access information when required to assist them in making informed decisions about their own lives. Due to some residents residing at the home for 20 to 50 years, the acting manager has already noted the importance of increasing the independence of the residents. Resident meetings are now regularly held where opportunities are provided for residents to affect the way the home is running. The acting manager confirmed that changes made so far in the running of the home have been received positively. Any concerns have been dealt with at the residents’ meetings. The home is continuing to work towards all residents having their own bank accounts. The registered provider will be forwarding an update to the Inspector to show what residents within the organisation are now provided with his or her own bank accounts. This requirement remains outstanding. All personal information is kept securely at the home. Residents have access to their records if they wish. Information given in confidence is not share with families/friends against the residents’ wishes. Searchlight Workshops - Powell House DS0000059127.V271361.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 & 17 Residents are provided with opportunities for personal development and to be involved in the local community if they wish. EVIDENCE: There is a workshop and social club located on the same site as Powell House. Residents of the home are able to use these facilities if they choose. People that live outside of the home environment may also use these facilities. Residents confirmed that the provision of activities at the workshop has greatly improved since the last inspection. There were no residents working in jobs outside of the home environment. Some assist at the reception for Searchlight Workshops. Individuals are encouraged to continue their activities they are engaged in prior to entering the home. Residents are encouraged to participate within the local community. Visitors are welcomed at the home. There is a visitor’s book at the home for visitors to sign. The Inspector could not locate this on arrival. The visitor’s book needs to be placed in a prominent position. Searchlight Workshops - Powell House DS0000059127.V271361.R01.S.doc Version 5.0 Page 11 Residents spoken with confirmed that they choose their own daily routines. This was evident during the day of the inspection with residents moving freely within and out of the home environment. Residents spoken to confirmed that they felt their privacy and dignity are respected. Staff were observed to have a good professional rapport with residents. There was positive feedback regarding the provision of food. Comments ranged from ‘improving’ to ‘excellent’. The acting manager confirmed that they are revamping the menus and are promoting healthy eating. Residents have been consulted in all changes and have been positive about the changes already implemented for breakfast. Lunch was observed to be unhurried and staff were present to offer discreet assistance if needed. Searchlight Workshops - Powell House DS0000059127.V271361.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Residents’ routines of daily activities are flexible. Residents’ physical and emotional health needs are met. Residents are safeguarded by the robust medication procedures in place. EVIDENCE: Residents spoken with confirmed that they felt all of their needs were being met and routines of daily activities are flexible. Residents confirm that they choose what times to go to bed and get up. Changes in residents health are monitored and advice is sought whenever required. The new care plan format has a section for staff to document the residents’ preference for moving and handling. The home has implemented procedures to ensure robust medication procedures are followed. All senior staff within the three homes, located at the one site, undertake weekly audits for each other to ensure correct procedures are followed. The organisation should be commended on the pro-active action they have taken to address previous concerns with the administration of medication. It is recommended as good practice that any handwritten medication entries onto the MAR charts are double checked by two staff that are medication trained. This will reduce the risk of errors occurring. This is an outstanding recommendation. Searchlight Workshops - Powell House DS0000059127.V271361.R01.S.doc Version 5.0 Page 13 The acting manager has been pro active and a small area is being converted to provide a more suitable storage area for medication and a hand washbasin for staff has been installed. The home was in the process of relocating the medications into this area. Management is arranging a meeting with the supplying pharmacist to discuss shortfalls with the delivering and returning of medications. The acting manager is proposing to delegate one senior carer with the task of taking full control of the ordering, receiving and returning of medications. Searchlight Workshops - Powell House DS0000059127.V271361.R01.S.doc Version 5.0 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 The home has adequate systems in place to ensure that complaints are dealt with appropriately. There needs to be clearer guidelines for staff to follow in the event of an allegation of abuse being made. EVIDENCE: There is a complaints procedure available at the home. Residents spoken to confirmed that they know who to speak to if they needed to make a complaint. There has been one complaint made to the home since the last inspection. There were clear records kept of the action taken to deal with this. The policy for the Protection of Vulnerable Adults (POVA) needs to be amended to ensure it provides clear information for staff. It was confirmed that the home has a copy of the East Sussex Multi-Agency guidelines for POVA. It was confirmed that policies and procedures have been amended and the Inspector may have been provided a copy of the previous procedure. The home must ensure that policies and procedures are up to date and remove any information that is no longer required. The Gifts to Staff policy demonstrated that staff were able to accept up to £25.00 from residents. This was discussed with the acting manager, deputy manager and the responsible individual. It was confirmed that this is an old ‘inherited’ policy. This amount was concerning for the Inspector as residents are currently being provided with individual bank account and there are learning needs for a lot of residents in regards to budgeting etc. It is required that the home reviews this policy as a matter of priority. Searchlight Workshops - Powell House DS0000059127.V271361.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Residents will be provided with opportunities for increasing their independency when the refurbishment programme is completed. Some facilities at the home require updating but are currently meeting the needs of the residents residing at the home. EVIDENCE: Rooms are located over two floors and a passenger shaft lift is provided to assist residents is accessing all areas of the home. All rooms are for single occupancy. Residents spoken to confirmed that they were happy with their individual room. Rooms that were spot-checked were seen to be personalised to reflect the individual’s choice and personality. The home is proposing to make changes to Powell House and upgrade the facilities currently being provided. Discussions have taken place between the CSCI and the organisation to ensure changes that are made comply with the Regulations and will provide facilities that promote independence. It has been a requirement from previous inspections that the bathrooms and toilets are refurbished with particular attention being paid to ensuring that wheelchair users can easily access them. The refurbishment programme should be completed by June 2007. The home was clean and free from offensive odours on the day of the inspection. Searchlight Workshops - Powell House DS0000059127.V271361.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 35 & 36 Resident needs are being met with the skill mix of staff working at the home. There is better clarity of staff roles and responsibilities. EVIDENCE: Staff spoken with were positive about the changes being implemented by the acting manager and feel that there are clearer roles and responsibilities. Some felt that there was more ‘direction’ now. Staff confirmed that changes are occurring for the better with the running of the home and for residents. It was confirmed that the home is now fully staffed. Most residents and staff spoken with felt that there were sufficient numbers of staff on duty at all times. The Inspector was informed that some evenings there are not enough staff on duty. The acting manager confirmed that there are changes in the staffing rota that will be commencing on 5 December 2005. These changes have been agreed with the staff. This standard will be better assessed at the next inspection. Therefore, this standard has not been scored and no requirement made in relation to staffing numbers. It was confirmed that all residents’ needs are being met. The Inspector noted that the morale of staff has greatly improved since the last inspection. Residents and staff confirmed that morale has improved since the last inspection. Searchlight Workshops - Powell House DS0000059127.V271361.R01.S.doc Version 5.0 Page 17 Staff spoken with confirmed that they have received mandatory training and are provided with opportunities to undertake training provided by outside agencies. One staff spoken with stated that the provision of training was ‘excellent’. The number of staff with NVQ level 2 was not assessed on this occasion. There is evidence that staff are undertaking these studies. An NVQ assessor was visiting Searchlight Workshops on the day of the inspection. The acting manager confirmed that he has commenced supervision for all staff. Staff confirmed that they are provided with supervision on a regular basis. Regular staff meetings are held. Residents were complimentary about the staff working at the home. Searchlight Workshops - Powell House DS0000059127.V271361.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 40, 42 & 43 Residents are protected by the systems in place to manage the health and safety of the home. EVIDENCE: The new acting manager has been at the home for a couple of months and should be complimented on the changes already implemented, with positive results. He has been working in the care profession for approximately 20 years, in a variety of settings and in various positions. He has completed the Registered Manager Award and will be commencing NVQ level 4 in care in the near future. Staff spoken with confirmed that the acting manager has an open door policy and is very approachable and supportive. The home has commenced an effective quality assurance and quality monitoring system. Surveys have been undertaken for residents, relatives and health professionals. This has proved a positive response. The acting Searchlight Workshops - Powell House DS0000059127.V271361.R01.S.doc Version 5.0 Page 19 manager is looking into ensuring social services undertake regular reviews of their clients residing at Powell House. There is work continuing on the developing of policies and procedures. This is an ongoing process. This has now been outstanding for the last three inspections and the organisation must ensure that the three home located at the same site are provided with correct updates. Any old information not in use must be removed to avoid confusion. The maintenance man was spoken to who confirmed that all safety checks are undertaken on a regular basis. A manager of one of the other homes is also the designated health and safety officer. Staff receive all mandatory training relating to health and safety. The records for health and safety checks were not inspected on this occasion. A pre inspection questionnaire will be sent to the registered provider to complete which will provide the most recent dates of checks for CSCI to keep on file. There were staff on the day of the inspection receiving fire training. Residents have designated areas to smoke. Staff must ensure this is complied with. No requirement has been made as this was addressed on the day of the inspection. There are clear roles and responsibilities within the organisation. There is appropriate insurance in place. The financial viability of the home was not inspected. Searchlight Workshops have given no cause of concern regarding financial viability to date. Searchlight Workshops - Powell House DS0000059127.V271361.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 3 3 X Standard No 22 23 Score 3 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 1 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X 2 X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 X X 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score 2 3 3 1 X 3 3 Searchlight Workshops - Powell House DS0000059127.V271361.R01.S.doc Version 5.0 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 YA6 Regulation 15 Requirement That the care plan format covers all areas as stated in Standard 2. (Outstanding from last three inspections, see content of report) That care plans reflect actual current practice. That arrangements are made for providing individual bank or saving accounts for service users. (Outstanding from previous four inspections, see content of report.) That the visitors’ book is put in a prominent place. That suitable in-house catering facilities be provided for the service users to prepare their own meals. That the POVA policy provides clear guidance in the event of an allegation of abuse being made. That the ‘Gifts to Staff’ policy is reviewed. That the bathrooms and toilets are refurbished with particular attention being paid to ensuring that wheelchair users can easily access them DS0000059127.V271361.R01.S.doc Timescale for action 28/02/06 2. 3. YA6 YA7 15 20 31/12/05 31/03/06 4. 5. YA15 YA17 17 Schedule 4 16.2(h) 31/12/05 30/06/07 6. 7. 8. YA23 YA23 YA27 13.6 13.6 23.2(j) 15/01/06 31/12/05 30/06/07 Searchlight Workshops - Powell House Version 5.0 Page 22 9. YA40 17 Appendix 2 That policies and procedures are reviewed on an annual basis and comply with Appendix 2 of the NMS. Current policies and procedures must be provided to Powell House. 28/02/06 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 YA6 YA20 Good Practice Recommendations That a checklist is kept with the care plan to clearly show when service users have seen a health professional. That hand written MAR charts are double-checked by two staff who have completed medication training. (Outstanding recommendation) Searchlight Workshops - Powell House DS0000059127.V271361.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Searchlight Workshops - Powell House DS0000059127.V271361.R01.S.doc Version 5.0 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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