Inspection on 19/07/06 for Seastrole

This inspection was carried out on 19th July 2006.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Seastrole 25/10/05

Seastrole 01/06/05

Seastrole 02/11/04

Seastrole 19/05/04

Similar services:

Clouds House

Closereach

Westcliffe House

Hilldales

Longreach

Chandos House

Cherry Orchards Camphill Community Ltd

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

CARE HOME ADULTS 18-65 Seastrole 12 Campbell Road Boscombe Bournemouth Dorset BH1 4EP Lead Inspector Sally Wernick Unannounced Inspection 19 July 2006 10:00 DS0000003954.V303122.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 DS0000003954.V303122.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. DS0000003954.V303122.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Seastrole Address 12 Campbell Road Boscombe Bournemouth Dorset BH1 4EP 01202 392241 01202 300338 lorrainedisney@aol.com 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) Miss Lorraine Pamela Parry Ms Maria Ladeira Care Home 13 Category(ies) of Past or present alcohol dependence (13), Past or registration, with number present drug dependence (13) of places DS0000003954.V303122.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th October 2005 Brief Description of the Service: Seastrole and Larkins are two separate properties forming part of the Quinton House project. The houses are adjacent properties located in Boscombe Bournemouth. Seastrole has five single rooms and four double two of which are en-suites. Outside there is a good-sized garden with garden furniture and two relaxation/counselling rooms. The homes are located within easy reach of the beach and shopping facilities. There are also good transport links. Seastrole is a secondary treatment provider for 13 adults recovering from drug and alcohol addiction. The 12-step programme is in place and can be modified to meet the needs of the individual. Length of stay varies between 12 weeks and 6 months depending on the assessed need. If accepted on to the programme service users must agree to abide by the rules and restrictions imposed to remain with treatment parameters and gain maximum benefit. Fees at the project amount to £420.00 per week. DS0000003954.V303122.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection visit was unannounced and began at 10.00am on 19th July 2006. This was a ‘key inspection’ where the homes performance against the key National Minimum Standards was assessed. The Registered manager assisted the inspector, as did service users and other members of staff. Methodology used included a partial tour of the premises, review of records and discussions with service users and staff. The inspector also reviewed the contact sheet for Seastrole. The Commission for Social Care also sent questionnaires to the home just prior to the inspection visit for them to distribute amongst service users, relatives and visiting professionals. Given the short notice only two have been returned at the time of writing. A Pre-inspection questionnaire was sent to the manager just prior to the inspection in order that information could be provided before the site visit. This was available on the day of inspection. Information where relevant will be included in the main body of this report. What the service does well: Seastrole provides a very positive therapeutic environment for men and women recovering from addiction. There is a well-qualified staff team who provide care and counselling and who observe the principles of dignity and respect. Each service user is fully assessed prior to and on admission to the project and where possible trial visits are able to take place. Service users are involved in the formulation of good care plans that are regularly reviewed and up to date. Within treatment parameters residents are encouraged to take risks in their daily lives and are involved in the day-to-day running of the home. Lifestyle, social interests and activities of service users encourage independence and are relatively wide-ranging. They contribute towards the goal of achieving a healthy lifestyle and promote confidence and self-esteem. A clear complaints policy allows service users to feel confident that their concerns will be dealt with quickly and appropriately. A spirit of openness exists at Seastrole creating an environment where abuse is unlikely to prosper. Staff are well qualified in the treatment of addictions and have a good skill mix. Regular training is provided and staff spoken to felt well supported by a DS0000003954.V303122.R01.S.doc Version 5.2 Page 6 well-qualified confident registered manager. Staff are very committed to the work undertaken at Seastrole and this is reflected in the very positive comments received by service users and in the good working relationships between service users and staff. Seastrole is well maintained with good Health and safety policies and procedures in place. The project is comfortable and provides a good living environment for those who receive treatment there. 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. DS0000003954.V303122.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 DS0000003954.V303122.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. The particular needs, aspirations and restrictions of service users are assessed by professional people, discussed with all parties involved and agreed prior to admission to the home. This means that service users can be confident that the care they receive will be tailored to meet their individual needs. EVIDENCE: Professionals such as care manager’s probation officers and specialist drug workers from H.M Prisons make referrals to the project. Seastrole has comprehensive assessment documentation that is completed by staff that is suitably experienced to do so. When a service user is admitted to the home, further assessment forms are completed in accordance with the homes admission policy and procedure. Records evidenced that the assessment of prospective service users is very thorough and this was confirmed by those spoken to who stated their aspirations and expectations were well met as a result. There is an opportunity to spend a day at the home as part of the assessment process. For those who are in custody or who are not able to attend for a pre-arranged visit lengthy telephone assessments are conducted. DS0000003954.V303122.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9. Quality in this outcome area is good. This judgement has been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. There is a high level of service user participation in formulating care plan needs and goals. This ensures that service users know what their plan contains and that they will work with staff to achieve their goals. There is a curtailment of certain day-to-day activities within and beyond the project. These restrictions act as safeguards and are an accepted part of everyday life within the recovery programme. Responsible risk management ensures services users are supported in their progress towards a chemical dependence free future. DS0000003954.V303122.R01.S.doc Version 5.2 Page 10 EVIDENCE: Three service user files were case tracked during the inspection process. In all three cases there were no care plans from the referrer. The registered manager stated that this was often the case as they were sometimes difficult to obtain and the home did not always request one. The three files examined held individual care plans, which led on from the initial assessment and detailed the treatment programme on offer at the home. Plans were comprehensive detailing personal aims, goals and action necessary to achieve these goals. Most sections of the plan were completed with the exception of one new service user and there are clear review dates. Formal reviews take place every six weeks but the plans are updated when significant events occur or any change is noted. The inspector spoke with two service users about care plans. They confirmed that they were involved in their formulation and were fully involved in their reviews during their stay at the project. Plans were signed and dated by staff and service users. Appropriate risk assessments form part of the care plan. Within agreed treatment parameters service users day to day activities are restricted within and beyond the home. All are aware of this before accepting treatment and it is clearly stated in the homes service user guide. Some service users are also subject of licence conditions or drug treatment orders. DS0000003954.V303122.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17. Quality in this outcome area is good. This judgement has been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. Service users have allocated time for activities, social interests and relaxation within agreed treatment parameters. Service users maintain links with their families and friends and are encouraged to seek support and friendship in the wider community. Service users are supported to exercise as much control over their daily lives as possible within the agreed parameters of their treatment programmes. Meals offer some choice and special diets can be catered for. Service users spoken with stated that they were involved in menu planning but would welcome more variety. DS0000003954.V303122.R01.S.doc Version 5.2 Page 12 EVIDENCE: Current service users participate in the local community in a limited way as the therapeutic programme at Seastrole means that the working day is highly structured. Records indicate that service users if they choose attend an outreach course at the local college, which focuses on personal issues such as empowerment and self-determination and developing computer skills. Some residents also attend at the local gym twice weekly. There is an expectation that all service users will attend a minimum of three fellowship meetings each week, which may include, Alcoholics, Cocaine or Narcotics anonymous. The Home has a dedicated support worker who retains links with the college and who also liaises with housing providers and any other organisation, which the home may usefully be in contact with. For those residents who are interested in undertaking voluntary work the home refers to a local organisation called “The Link” who assist and support residents in their choice of work activity. There are good links with employment advisors and where possible residents are encouraged to identify individual interests and exercise as much control over their daily lives, as they are able. Any activities however, must be agreed with staff and peers and remain within the parameters of the treatment programme. During their daily free time many service users choose to go to the local shopping precinct others to the beach or a nearby park. Each day all must complete a therapeutic cleaning task within the home, which is also the case at weekends. Saturday nights there is a choice of DVD. There are occasional outings one of which recently included a trip to Longleat Safari Park and paint balling. Some service users were also involved in an environmental project in Hampshire; there was a day out at “Splashdown” a local water park and a trip to the cinema. A barbecue is planned for the near future. The cost of outings is met by the provider and are arranged for all 22-service users at the Quinton House Project. The home has a “visits” policy, which clearly states that service users are not allowed visits for the first three weeks of their stay although if children are distressed because a parent is missing from the home then exceptions are made. After the first three weeks visits are encouraged and arranged. Service users may also make visits home. The treatment programme at Seastrole needs the full co-operation and participation of service users. Independence is promoted within agreed treatment parameters and the expectation is that for all activities and outings residents will be accompanied by their peers. Isolation is discouraged and DS0000003954.V303122.R01.S.doc Version 5.2 Page 13 residents are not expected to remain in their rooms for any part of the working day without prior agreement. Privacy is respected however and room keys are provided. Residents described all staff as extremely supportive, polite and respectful and it is acknowledged that the homes service user guide details all of the restrictions that apply to service users prior to their admission at the home. The inspector examined the menus at Seastrole and they were found to be varied and nutritional. However service users spoken to generally were disappointed with what was described as “a lack of variety” a view shared by some other service users at the Quinton House project. Registered managers were made aware of this during the course of the inspection and are to explore how this may be improved. One service user enjoyed the flexibility within the project and appreciated when unable to sleep being able to make a sandwich and a cup of tea in the early hours of the morning. DS0000003954.V303122.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good. This judgement has been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. Personal support is offered in a way that promotes service users privacy dignity and independence. Policies and procedures relating to the health care needs of service users promote good practice and ensure physical and emotional needs are met. Medication at the home is well managed to ensure that service users medication needs are met and they are protected through the policies, procedures and practices of the home. EVIDENCE: Each service user has a designated key worker and one to one meetings usually take place in the office, but sometimes they take place in the community maybe over a cup of coffee in a café. Meetings occur weekly and the care plan is used as the guide. Records evidenced regular review and were signed by both service user and key worker. One service user spoken to informed the inspector that they had made a request for change of key worker DS0000003954.V303122.R01.S.doc Version 5.2 Page 15 for gender reasons. This request was met without demur and in a professional, supportive manner. Shortly after arrival at the project service users registers with one of three G.P’s in the area. The home state there are good working relationships with community G.P’s and one written survey form returned to the commission for social care indicated good levels satisfaction with the support provided. Service users spoken to said that they were encouraged to manage their own healthcare and are able to access doctors, dentists or opticians if needed. Should a service user need to attend outpatients departments, they are likely to be accompanied by a peer rather than a member of staff although staff would accompany if it were felt to be necessary. Care plans evidence that service user and key worker regularly review health issues. Medication systems are well maintained and for those service users who choose to self medicate risk assessments are in place. Any medication held on behalf of service users is stored securely and all relevant staff has received external training in the safe handling of medication. DS0000003954.V303122.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. The home has a clear and effective complaints procedure, which is properly maintained. Written policies are in place at the home to safeguard service users against abuse, neglect and self harm. EVIDENCE: There is a clear and effective complaints procedure in place although no complaints have been received during this inspection period. Service users spoken to confirmed that if there are any concerns these could be raised with management, individual staff members or in the weekly community group. A spirit of openness does prevail within the home, which suggests that this is not an environment in which abuse is likely to prosper. The home has a clear procedure for dealing with aggression, violence and verbal abuse and for those who may be at risk of self-harm. There is also a policy and procedure regarding restraint that does not advocate the use of physical restraint. An adult protection policy is in place and the registered provider undertook relevant training with key staff in the week prior to the inspection. It is recommended however that all staff undertake accredited external training sometime in the near future to complement and strengthen the good practice, which exists within the home. DS0000003954.V303122.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. The home generally provides an attractive clean spacious and homely place to stay. EVIDENCE: A partial tour of the premises revealed that the home is generally well maintained a position significantly strengthened by the presence of a maintenance manager. Rooms are comfortable although the communal dining area would benefit from updating and decoration. There is a maintenance and renewal programme and the home meets the requirements of the local fire and environmental health departments. All staff has received training in infection control and the laundry is appropriately sited. DS0000003954.V303122.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Quality in this outcome area is good. This judgement has been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. The staff team are skilled in the treatment of addiction and other related fields. The homes recruitment procedures ensure that service users are supported and protected. Service users individual and joint needs are met by appropriately trained staff although some documentary evidence is required of accredited training. EVIDENCE: Three staff portfolios were examined during the inspection. These evidenced that staff access a range of relevant training and that over 50 of the staff team are qualified at NVQ level 2 or above. The pre-inspection questionnaire identified training undertaken during the previous 12 months samples of which included: Difference and diversity Conflict management Offending cycle Drug awareness DS0000003954.V303122.R01.S.doc Version 5.2 Page 19 Group skills Relapse prevention therapy. The registered provider Mrs Parry who is a lecturer/practitioner at Bournemouth University and a tutor for Clouds/Bath University delivers most but not all training. The maintenance manager regularly keeps health and Safety training up to date and some external training is delivered through a range of other sources including the NHS. It is good practice to demonstrate content of training delivered at the home and to provide accreditation for staff in the form of certification. On the day of the inspection most service users were attending college or work. Service users spoken to however felt that staff were well qualified and knowledgeable in the field of addiction and related treatment. No new staff has been appointed during this inspection period discussion with the registered manager reveals that systems are in place to ensure proper procedures are followed when a new member of staff is recruited. DS0000003954.V303122.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. The home benefits from an experienced manager and counselling team whose roles and responsibilities are clearly defined. The quality assurance system in place has improved to reflect the views of resident’s and staff but needs to be extended to include other stakeholders. The home follows good practices that promote and safeguard the health, safety and welfare of service users. EVIDENCE: The registered manager holds NVQ 4 awards in care and management and is well qualified in the field of treatment and addiction. There is evidence from her portfolio that training is kept up to date and staff and service users are well supported. DS0000003954.V303122.R01.S.doc Version 5.2 Page 21 Quality assurance has improved since the previous inspection and there was evidence of exit questionnaires for all residents, which provided significant detail on practice within the home. Evidence was not available however on how this was subsequently reported back to service users although some information is included in the homes service user guide. Questionnaires are also provided to staff and the registered manager will be looking at ways in which this can be extended to other stakeholders such as community health providers, care managers, probation staff and other treatment providers The opinion of service users receiving treatment at the Quinton House project is important to the registered provider and her team. Records evidenced that community meetings are held once a week and that they give service users the opportunity to offer suggestions about particular issues. Service users spoken to felt that their views were listened to and that they were able to influence policy and practice within the home. Any issues raised in this way are dealt with immediately and service users confirmed this. Seastrole has a dedicated maintenance manager who ensures that all systems are properly maintained and up to date. Staff receive regular training in all aspects of Health and Safety including fire training, infection control, first aid and food hygiene. Good maintenance within the home, regular training and clear records provide evidence of very good practice. DS0000003954.V303122.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 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 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 x LIFESTYLES Standard No Score 11 x 12 3 13 x 14 X 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 3 x DS0000003954.V303122.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No 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. Standard Regulation Requirement Timescale for action 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 Standard YA6 YA14 YA23 YA35 YA39 Good Practice Recommendations In order to continue best practice care plans should be obtained from previous providers/care managers to aid the assessment process and all elements of the care plan should be completed at the initial stage. The registered manager should review food provision at the home to ensure greater variety and choice. All staff should receive up to date, external accredited training in adult protection. Training delivered within the home should provide evidence of content, accreditation and certification. The quality assurance system should be more comprehensive and be able to demonstrate that service users views underpin all self-monitoring, review and development by the home. 1. 2. 3. 4. 5. DS0000003954.V303122.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 DS0000003954.V303122.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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