Inspection on 25/10/06 for Selwyn House

This inspection was carried out on 25th October 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Selwyn House 21/10/08

Selwyn House 09/01/06

Selwyn House 03/12/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Selwyn House Selwyn House 52 Southway Drive Yeovil Somerset BA21 3ED Lead Inspector Lesley Jones Unannounced Inspection 25th October 2006 11:00a Selwyn House DS0000031414.V317078.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 Selwyn House DS0000031414.V317078.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. Selwyn House DS0000031414.V317078.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Selwyn House Address Selwyn House 52 Southway Drive Yeovil Somerset BA21 3ED 01935 479143 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) a.helliker@somerset.gov.uk Somerset County Council (LD Services) Mrs Sandra Dougherty Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Selwyn House DS0000031414.V317078.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service Users may be admitted who have concurrent physical disabilities and/or sensory impairment Service Users will be admitted for a maximum of 3 months between each admission and discharge 9th January 2006 Date of last inspection Brief Description of the Service: Selwyn house is a respite, assessment and emergency service provided by Somerset Community Directorate, for people with a learning disability. Selwyn House was until recently one of three units for people with a learning disability situated within one large single story building at 52 Southway Drive, Yeovil. The two other units are currently being converted and upgraded to provide a permanent unit t for ten people with profound multiple learning disability, and it is estimated that the work will be completed shortly. It is a condition of Selwyn’s Homes’ Registration that no respite or assessment stay exceeds three months. Although Selwyn House has a dedicated night staff team, night staff can also call floating staff from a nearby home for assistance, in case of emergency. Selwyn House provides a service for up to ten people at any one time, this includes up to two places for emergency and assessment. A total of 49 people currently use this service, with stays varying from two nights a week to a fortnight. Staff are expected to follow existing individual programmes with respite clients. Service users look well cared for, and it was clear that staff are committed to the work they do and like and respect the clients. As part of this inspection questionnaires were sent out to staff, and service users and their representatives. To date nine replies have been received from service users and their families. Overall, feedback from parents was positive, commenting on the good quality of care and approachable and willing staff. There were some references to staff shortages, which made it difficult to get out over the weekend. Other feedback commented on the lack of grab rails in the toilet or shower, which hindered independence. Most commented that they were unaware of the homes complaints procedure and that they did not realise they had access to the copy of the homes Inspection report. Observation of the communications book and discussion with staff suggests that there is good contact and liaison with parents. The home now looks homely and lived in and the manager has plans to replace bed covers and curtains to maintain good standards. Selwyn House DS0000031414.V317078.R01.S.doc Version 5.2 Page 5 Mrs Dougherty is the registered manager. Selwyn House DS0000031414.V317078.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on Wednesday 25th October from 11.00 to 4.00pm pm. The home caters for individuals with a wide range of disabilities. It is possible to question some residents to seek their opinion of their care, but not others. There were five people staying at the home during this visit and I was able to see two of them and spend time with them. A further inspection visit will be made later in the year to meet with more service users and to follow up issues raised during this inspection. During this visit, to make my assessment, I observed residents interaction with care staff, with each other and the environment. I looked at a selection of care plans, medication and training records, and the testing of fire alarms and fire training for staff. I spoke to the manager, and three members of staff on duty. During this visit I inspected the building. Wednesday is on of the ‘changeover’ days so although there were five people in the home in the morning, there would be six in the evening. The two service users previously staying in the home on an extended stay have now moved back into their permanent accommodation. Registration and requirement Issues raised at the last inspection have been addressed. Despite the best efforts of the manager it has not been possible to arrange visits from the local pharmacist to assist the home with the management and administration of medication, however the new manager has introduced some positive changes in the management of medication. It was evident at this inspection that many of the National Minimum Standards had been met and that the care delivered to service users is good. Staff interaction with service users was thoughtful, kind and very patient. Service users looked well care for and content. During this inspection, the majority of the standards were inspected. Those not inspected are indicated in the body of the report. I would like to thank the staff group on duty and the manager for their help and time during this inspection. Selwyn House DS0000031414.V317078.R01.S.doc Version 5.2 Page 7 What the service does well: What has improved since the last inspection? Since the last visit, the manager has continued to review and where appropriate improve existing routines. Most of the minor issues relating to the premises that were outstanding have been addressed. The main lounge has been rearranged, creating better access for wheelchairs and less opportunity for individuals using the room to feel excluded because of where they are sitting. The storage of medication has been removed from individual’s rooms and stored centrally, reducing the opportunity for error and creating more hygienic storage for liquids. Additional training has been provided for staff in managing some of the specialist care procedures required by some service users, which were highlighted at the last inspection. Selwyn House DS0000031414.V317078.R01.S.doc Version 5.2 Page 8 Staff continue to work on improving communication with residents, focusing on Intensive Interaction (a form of communication often to work with people with profound learning disabilities) 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. Selwyn House DS0000031414.V317078.R01.S.doc Version 5.2 Page 9 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 Selwyn House DS0000031414.V317078.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is detailed information on each ‘guest’ (as they are referred to in the home). Information is regularly updated and there is excellent contact with carers and parents. EVIDENCE: Individual assessments were seen on files sampled. The manager carries out an assessment when prospective service users visit the home and draws up a support plan with the help of parents. New support plans have recently been introduced. They have been designed to encourage greater service users involvement and the information is more condensed and easier for staff to access. The manger has also developed a similar format for use with medication. To provide respite care, staff need and have detailed information on each guest. The records show and staff confirm that information is regularly updated and there is good contact with carers and parents. Selwyn House DS0000031414.V317078.R01.S.doc Version 5.2 Page 11 Selwyn House DS0000031414.V317078.R01.S.doc Version 5.2 Page 12 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is ample evidence to confirm that standards 6,7,and 9 are met. Observation on the day of this visit, examination of care plans and conversations with staff all support this judgement. EVIDENCE: All service users have care and support plans which are geared to individual need. These plans are drawn up with the involvement of families and carers and anyone else involved in the individuals’ life. There are evaluation sheets to monitor activities, guidance for managing certain behaviours and where required, charts to help staff understand and try to change behaviours which are distressing to the individual or those around him. There is an expectation that there are regular written summaries or reviews, and I was told that service users are reviewed regularly at staff meetings. Staff follow existing patterns with service users, and try hard to ensure that they are able to meet all their regular commitments during their stay at Selwyn House. There is Selwyn House DS0000031414.V317078.R01.S.doc Version 5.2 Page 13 regular contact with carers regarding any changes, in an individuals care needs. Staff training promotes individual rights and NVQ training in particular focuses on this area. The whole ethos of the home is geared toward communication which the objective that this is the key to promoting individual rights and enabling individuals to make choices. Most service users are supported to manage any money they bring with them during their stay, with regular checks carried out by the manager, network manager and county auditors As this is a respite as opposed to a developmental provision, risk assessments centre on ensuring that existing routines that service uses follow at home are maintained. Moving and handling risk assessments are carried out for all service users who need assistance from staff to transfer. Selwyn House DS0000031414.V317078.R01.S.doc Version 5.2 Page 14 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The evidence indicates that these standards are met. Service users have access to a range of appropriate activities. Staff aim to continue to meet existing commitments in the community. As this is a respite service, it is essential to have good contact with families, and this is well evidenced. Observation between service users and staff demonstrate that they are treated kindly and with respect. Food is plentiful and staff are flexible in responding to individual needs and wishes. EVIDENCE: Whilst at the home, guests continue to follow regular weekday commitments. This includes using day services and the local college. Selwyn House DS0000031414.V317078.R01.S.doc Version 5.2 Page 15 The home does not have its own transport, and individuals pay for petrol for trips out. The home has access to the mini bus from the local resource centre every weekend. This has meant that provided there are staff on duty that can drive the mini bus and the home is fully staffed, trips out are available over the weekends. Staff try to arrange activities in advance. A record of activities, both in and out of house is maintained. This showed that service users are offered a selection of activities. There are good systems in place to maintain family links and the communication book showed regular contact. Observation of daily routines, talking to care staff and reading care plans demonstrate that the daily routines and house rules promote independence, individual choice and freedom of movement. Menus are planned on a weekly basis, and service users are involved in shopping. A record is kept of meals prepared, and a healthy eating programme followed. There is an ongoing review of menus with a view to improving the range of meals provided and promoting healthy eating. There are two dining areas, and guests can choose to eat together or not. Some guests who need a quieter environment at mealtimes are able to eat in the lounge/diner at the far end of the home. As a respite service, Selwyn has to cope with a wide range of likes, dislikes and special dietary requirements. This includes, individual allergy, weight management, special cutlery and assisted feeding. Staff have managed to create a homely atmosphere at mealtimes. All staff have food hygiene training To promote better communication and choice, menus are displayed in picture form. Selwyn House DS0000031414.V317078.R01.S.doc Version 5.2 Page 16 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Occupational Standards and NVQ Training underpin good practice, and set the expectation that staff treat service users, as they would wish to be treated themselves. EVIDENCE: Staff work hard to meet the physical and emotional health care needs of guests and there is good evidence to support this. Since the last inspection, bacterial hand rubs have been introduced in all bedrooms and bathrooms and toilets. The records demonstrate that all staff have read and are familiar with Somerset’s own policies and procedures for the management of medication. . Robust systems are in place for the daily management of medication. Selwyn House DS0000031414.V317078.R01.S.doc Version 5.2 Page 17 A pharmacist last visited the home to check the systems in place and offer advice more than two years ago. Despite the best efforts of the manager it has not been possible to reinstate this service. Since the last inspection, the manager has introduced a number of positive changes to the way that medication is managed. Selwyn House DS0000031414.V317078.R01.S.doc Version 5.2 Page 18 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 adequate. This judgement has been made using available evidence including a visit to this service. Systems are in place to ensure that guests are listened to and their views are valued and taken seriously. Feedback from parents indicated that any concerns raised with the manager were dealt with efficiently and promptly. Not all service users or their representatives are aware of the formal complaints procedure, but did raise concerns informally and directly with the manager. The manager is not always promptly informed about complaints made directly to senior management about the service provided at Selwyn, and there was incomplete information about one complaint in the home. This should be addressed. Not all service users or their representatives are made aware of the existence of the inspection report and how they can obtain a copy. Information about POVA clearance was not available in the staff file inspected at the home. This should be addressed. Selwyn House DS0000031414.V317078.R01.S.doc Version 5.2 Page 19 EVIDENCE: There is a local authority complaints procedure, which is also available in total communication. A record is kept of complaints, and there have been three formal complaints since the last inspection. It is advised that the manager is told of complaints made directly to senior management about the service provided at Selwyn as early as possible. Records inspected showed that this has not always been the case. Not all information relating to a complaint made about the home was available in the homes complaint file, which made it difficult to assess how well the complaint was dealt with and the time taken to respond. The manager must ensure that service users and their representatives are aware of the complaints procedure. The manager must ensure that service users and their representatives are made aware of the existence of the inspection report and how they can obtain a copy. A video, which explains how to complain, is available for service users. There is a whistle blowing procedure and staff have access to the ‘raising concerns leaflet’. A County finance officer carries out monthly financial checks All staff are subject to CRB and POVA checks before they are confirmed in post, however information about POVA clearance was not available in the staff file inspected at the home. This should be addressed. Staff have training in the use of physical restraint. When restraint is required, this has to be agreed in consultation with the community multidisciplinary team. Selwyn House DS0000031414.V317078.R01.S.doc Version 5.2 Page 20 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Selwyn provides attractive, well-equipped and homely respite care, which is suited to a client group with diverse needs. A gate to separate the eating from the cooking area has been fitted and assists staff in managing guests in these areas. It is unfortunate that the design of the kitchen seating area is not really ‘wheelchair friendly’ as it is relatively small. Service users are, however, also able to eat meals in the second lounge, which also doubles as a quiet room. Since the last inspection, the manager has introduced a system, which ensure that there is a greater detail around the premises. This has had a good effect and the home looked orderly and well maintained. The discrete storage of incontinence pads is encouraged. The premises are clean and in good order. Selwyn House DS0000031414.V317078.R01.S.doc Version 5.2 Page 21 EVIDENCE: Selwyn has a good sized and homely kitchen with a separate larder. This room is divided into a working and seating area. Four of the ten bedrooms have en suite facilities. At the last inspection, it was evident that in some bedrooms greater attention to detail was needed. This has now been addressed, and the manager has introduced a system that ensures that minor details in need of attention are monitored and addressed. Since the last inspection, the manager has introduced some positive changes (more inclusive for service users) to the seating arrangements in the lounge and had purchased some additional furniture and equipment. Plans are in hand to replace curtains and bedspreads in a number of rooms to maintain good standards. Current storage practice/arrangements in bedrooms makes it difficult to store pads discreetly. In an attempt to address this, the manager has asked parents to bring only the required amount for an individual during their stay, and reminded staff to store these items discreetly. There are two shower rooms with toilets, one bathroom and toilet, a separate toilet, and a laundry room. Since the last inspection, new flooring and some new tiles has been provided in one of the shower rooms, to improve standards. . Office space is large enough to hold private meetings with service users, their families or staff. Waking night staff, provide the necessary cover so there is no need for sleeping in facilities. Improvements to the gardens include the provision of garden seating, and there is ongoing work to improve the appearance of the garden. Selwyn House DS0000031414.V317078.R01.S.doc Version 5.2 Page 22 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Overall training for staff is good, and gaps identified at the last inspection have been addressed. Recruitment records were sampled and demonstrate that overall proper procedures are followed. Staff receive formal supervision at the required intervals. EVIDENCE: Staff reported that they have good access to training, that they work well as a team and that there is good support from the manager. The staff team also felt that overall staffing levels were good and allowed them sufficient time to meet the needs of service users. There is little staff turnover, and many of the staff group have worked together for many years. The records indicate that there is ongoing mandatory training for staff. Selwyn House DS0000031414.V317078.R01.S.doc Version 5.2 Page 23 Selwyn House DS0000031414.V317078.R01.S.doc Version 5.2 Page 24 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is experienced and efficient. Service users views are sought on all aspects affecting their daily lives, and good systems are in place to support this practice. Practice in the home promotes the health, safety, and welfare of guests. EVIDENCE: Selwyn House DS0000031414.V317078.R01.S.doc Version 5.2 Page 25 Quality assurance tools are in place. The network manager carries out monthly reports, covering areas in the Care Standards. Staff advocate for service users, using guestures and actions to determine preferences. Specialist communication techniques, such as total communication are used to communicate with service users and promote choice. There are plans to introduce a service users questionaire as part of this process. Feedback from staff confirmed an open and inclusive atmosphere. All staff have mandatory training which is appropriately updated. Hazardous substances are kept locked away, and COSHH regulations followed. A member of staff has special responsibility for health and safety tours within Selwyn House as part of the County Councils Health, Safety,and Welfare Policy. There is electrical testing from County Hall every year and three monthly in house checks.Risk assessments are carried out in relation to the premises and individual safety. The home has appropriate insurance Selwyn House DS0000031414.V317078.R01.S.doc Version 5.2 Page 26 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 2 23 2 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 3 34 x 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 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x x x 3 x x 3 x Selwyn House DS0000031414.V317078.R01.S.doc Version 5.2 Page 27 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 YA34 Regulation 18 Requirement Information about POVA clearance was not available in the staff file inspected at the home. This should be addressed. Timescale for action 01/12/06 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 Refer to Standard YA22 Good Practice Recommendations Not all service users or their representatives are aware of the formal complaints procedure. This should be addressed. The manager is not always promptly informed about complaints made directly to senior management about the service provided at Selwyn, and there was incomplete information about one complaint in the home. This should be addressed. Not all service users or their representatives are made aware of the existence of the inspection report and how they can obtain a copy. This should be addressed. DS0000031414.V317078.R01.S.doc Version 5.2 Page 28 2 YA22 3 YA22 Selwyn House Selwyn House DS0000031414.V317078.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 Selwyn House DS0000031414.V317078.R01.S.doc Version 5.2 Page 30 - 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!