Inspection on 02/03/07 for Shirebrook House

This inspection was carried out on 2nd March 2007.

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

Other inspections for this house

Shirebrook House 20/11/09

Shirebrook House 17/08/09

Shirebrook House 02/12/08

Shirebrook House 18/06/08

Shirebrook House 01/12/07

Similar services:

Hillside

Applegarth

122 Scorer Street

St Marys Nursing Home

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

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

CARE HOME ADULTS 18-65 Shirebrook House Shirebrook House 19 Station Road Borrowash Derbyshire DE72 3LG Lead Inspector Nancy Bradley Unannounced Inspection 2 March 2007 09:30 nd Shirebrook House DS0000067849.V325375.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 Shirebrook House DS0000067849.V325375.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. Shirebrook House DS0000067849.V325375.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Shirebrook House Address Shirebrook House 19 Station Road Borrowash Derbyshire DE72 3LG 01332 725734 0114 2691133 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) Shirebrook Care Limited Care Home 10 Category(ies) of Learning disability (10), Physical disability (10), registration, with number Sensory impairment (10) of places Shirebrook House DS0000067849.V325375.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Shirebrook House care home is registered to provide accommodation and personal care to service users whose primary care needs fall within the following categories: Learning disabilities (LD) Physical disabilities (PD) Sensory Impairment (SI) The maximum number of persons to be accommodated at Shirebrook House care home under the combined categories of learning disabilities, physical disabilities and sensory impairment is 10. Within the maximum number of 10, one named individual aged between 16 and 17 years may be accommodated as outlined in variation V35296 dated 22/9/06. New Service 2. Date of last inspection Brief Description of the Service: The Care home is situated in the village of Borrowash, which lies on the Derbyshire and Nottingham boarder and owned by the Shirebrook Care Limited, which is a privately owned company. The home provides residential care for ten adults, whose primary needs include sensory impairment, learning and physical disabilities. The building is a detached house situated on a housing estate in Borrowash close to local amenities. The premises were previously registered as a care home for older people but voluntarily closed in January 2004. The property was sold to Shirebrook Care Limited in 2005, and the Company has carried out significant improvements to the building. The accommodation is spacious and has been adapted to meet the needs of the people who will live there. Facilities for service users are located on the ground and first floor; the staff and sleeping in room is located on the second floor. The home has ten single bedrooms with en-suite facilities; all rooms except for two rooms have shower facilities. The dining and lounge areas, kitchen, laundry and conservatory are on the ground floor. A ‘walk in’ shower room and a bathroom with a bath and tracking hoist are located on the ground floor; the 3 bedrooms on the first floor have en-suite shower facilities. Shirebrook House DS0000067849.V325375.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was an unannounced key inspection and took place over six hours. The Inspector spoke with the Registered Manager and members of staff on duty. During the site visit the Inspector made a tour of the home and joined service users for lunch. Records were examined relating to the service users and the running of the home. No family or relatives were present during this visit, although the Inspector had a spoke with a prospective family member who was looking for a residential placement. The basic fee is £729.00 per week with additional charges for hairdressing, toiletries, and day trips. The home has been open for a few months and has approximately 60 occupancy. What the service does well: What has improved since the last inspection? What they could do better: The home has experienced a period of adjustment both for staff and service users and now needs to build on this. Shirebrook House DS0000067849.V325375.R01.S.doc Version 5.2 Page 6 Although the home is offering activities both in the home and community there is a need to expand this further and more opportunities are required for appropriate independence training, and education. The home needs to address the issue of service users privacy around the building. The home needs appropriate risk management strategies in place. . 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. Shirebrook House DS0000067849.V325375.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 Shirebrook House DS0000067849.V325375.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements are in place to ensure that service users needs are fully assessed and met prior to admission. EVIDENCE: The records of three service users were examined. The majority of the service users who are admitted to the home have their needs assessed through the care management system, which highlights their additional needs, and the need for additional staffing hours. The assessments then forms part of the service user plan complied by the home. The home also undertakes their own individual comprehensive needs assessments. This was in accordance with the Shirebrook Care assessment procedures to provide a person-centred record of their individual needs. The assessment also recorded sufficient events in the service users life. Care management reviews are scheduled to take place within six months of admission or sooner due to change of circumstances or need. Shirebrook House DS0000067849.V325375.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6,7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a care planning and review system in place, which ensures that service users individual needs are met. EVIDENCE: During the visit care plans of three service users were examined. The care plans have been compiled by the Registered Manager on each service user and evidence was seen of care plans being evaluated. All service users cased tracked had a care plan, which was in accordance with their assessed need and formulated within a risk assessment framework. All care plans were detailed and included services users’ individual lifestyle preferences and choices; the interventions prescribed by outside healthcare professionals were appropriate. Daily records are also maintained on each service user. During the visit care staff were observed encouraging service users to make decisions, which affect their daily lives. The Registered Manager stated that service users and their families knew about their care plans; they were personalised and reflected the individual needs of the service use. However nether the service users or their Shirebrook House DS0000067849.V325375.R01.S.doc Version 5.2 Page 10 representatives had signed them. Several of the service users have regular access to the Advocacy Service. The home has a system for reviewing service user care plans and these were fully recorded. Risk assessments were in place however they do not fully record what actions need to be taken by the staff following the assessment and the identification of the risk. Generally records were well presented, indexed, easy to navigate and to find the required information. The Registered Manager has adapted the style of care plans and records used within Shirebrook Care to meet the requirements the service. Shirebrook House DS0000067849.V325375.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,14,15 16 and 17. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users are supported in making choices regarding their social and recreational life style, however little is provided in educational and learning directions limiting personal development opportunities EVIDENCE: During the visit the inspector observed service users and care staff engaged in activities and discussed with the staff the arrangements for these. The care records of all service users provided needs assessment and care planning information regarding their social, recreational, educational and occupational activities both within the home and outside in the community. Although activities are being provided for service users, from direct observations of routines at the home several service users would benefit from different learning opportunities, which a training centre would offer. The Registered Manager stated that the Shirebrook Care Ltd is seeking to open a training/day centre, which service users can access on a daily base Shirebrook House DS0000067849.V325375.R01.S.doc Version 5.2 Page 12 The service users, choices and preferences were identified, however there is the need for properly recorded risk assessment to be in place for each service user in relation to the activities they are engaged in. Information on service users’ records indicated that contact with family and friends were appropriate and that were they play an important part in their lives, the home maintains good contact with them. Currently the home does not have any restrictions on contact. The staff and service users described the daily routine as flexible and that they were able to make their own decisions about how they send the day. The relationships observed between care staff and service users were open and good-humoured. The service users are encouraged to take pride in their appearance and their preferred style of dress is respected. From examination of the menus the home is providing a healthy well-balanced and nutritious diet with some service users on special diets. Service user’s weekly weights are recorded. The menu is displayed within the home, however it is in a room, which service users, do not have access. The Registered Manager stated that a more use–friendly format is being developed. During the visit the inspector joined the service users for lunch. The service users are given a choice if they do not like the options on the menu. The staff were observed checking with service users as to their likes and dislikes. At present the home is operating without a cook and the care staff are required to prepare and cook the meals. The Registered Manager confirmed that all staff have received food hygiene training, although certificates were not displayed to confirm this. Currently the home is not fully occupied when this happens there will be a need for alternative arrangements to be put in place. Care staff need to be predominately with service users rather than being occupied in the kitchen. There is a risk of cross contamination/infection with care staff attempting to undertake both roles. The Environmental Health Department has conducted a visit prior to the home opening and was found to be satisfactory. Shirebrook House DS0000067849.V325375.R01.S.doc Version 5.2 Page 13 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): Standards 18,19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive personal and health care support in a way, which promotes their independence and is in accordance with their preferences and beliefs. EVIDENCE: During the visit it was clear that the service users’ privacy and dignity are respected, and were service users need supervision during personal care this is recorded in their care plan. However there is an issue of service users privacy when in their bedrooms and in some communal areas. This is addressed in the later on in the report under the environmental section. From records examined and from discussions with staff, service users’ health and personal needs were being met Service users’ were generally healthy and records showed that staff promptly contacted the appropriated medical services. All service users attended services within the community including optician, podiatry, dentist, audiologist, and speech and language therapist. The home operates and monitors service users medication. None of the service users are able to administer their own medication. All staff have received training on medication training procedures. Shirebrook House DS0000067849.V325375.R01.S.doc Version 5.2 Page 14 The arrangements for receipt, storage, administration and disposal of medication were also examined and found to satisfactory. The home only stocks prescribed medication. The local pharmacy is due to undertake an inspection in the next few weeks. Shirebrook House DS0000067849.V325375.R01.S.doc Version 5.2 Page 15 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): Standards 22 and 23. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are arrangements in place to safeguard service users welfare, which enables their concerns and complaints to be listened to and acted upon however current practice leaves service users vulnerable. EVIDENCE: The home has a complaints procedure, which all service users and their families are given a copy of. However the complaints procedure is not displayed around the home for staff and visitors to see, and several service users have stated in their questionnaires that they do not know how to make a complaint. The home is looking to develop a more user-friendly style complaints procedure and is in consultation with Speech and Language Therapist regarding its format. Records seen indicated that no complaints had been received from service users or their representatives about their care. However there were several staff issues which had been classed as complaints /whistle blowing, and need to be addressed. The Commission for Social Care Inspection has not recvied any concerns about this home. The procedure contains the new complaints address of the Commission for Social Care Inspection and informs the complainants that they are able to contact the Commission at any stage of the complaints process if they wish to do so. The homes policy on the protection of adults was examined. This needs to be review Shirebrook House DS0000067849.V325375.R01.S.doc Version 5.2 Page 16 ed and updated to reflect the change of policy to the Safeguarding of Adults. From discussions with the Registered Manager and from records examined there has been no reported incidents or allegations under the safeguarding of adults procedure since the home opened. Staff training records confirmed they had received training on safeguarding of adults. Shirebrook House DS0000067849.V325375.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The general standard of the home and the environment are good providing service users with an attractive and comfortable place in which to live. EVIDENCE: The Inspector carried out a full tour of the home, accompanied by the Registered Manager. All communal areas were inspected together with staff facilities. Service users’ bedrooms were inspected with their agreement and all rooms had been decorated and furnished to their personal choice and were being personalised. The family of one service user have purchased furniture for their bedroom. The home was clean, well maintained, well furnished, equipped and well lit and heated. There is a central kitchen and separate laundry and staff facilities. All of the bedrooms are single with en-suite facilities. As discussed with the Registered Manager several of the bedrooms and communal rooms look out on to the street, with the majority of the rooms having blinds fitted to the windows. However, these are pulled up and in the Shirebrook House DS0000067849.V325375.R01.S.doc Version 5.2 Page 18 day and do not allow the service users any privacy from the street, this needs to be addressed. The home has a conservatory and a small garden / patio area, which could be used by the service users to sit out at various times of the year. As with the bedrooms and communal areas the conservatory looks out on the street and should be fitted with some form of blinds or curtains. There are no outstanding maintenance issues. The home has satisfactory hygiene procedures in place. Shirebrook House DS0000067849.V325375.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32,34, 35 and 36. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has robust recruitment procedures and practices in place which ensure the safety and protect the service users. However these are not always being adhered to. Service users are well supported by an effective staff team who are appropriately trained EVIDENCE: The home operates a key-worker system and the staff spoken with during the visit where aware of the individual needs of the service users. However there was an incident at lunchtime where service users were left supervised. This was raised with the Registered Manager at the time who agreed to speak with the staff concerned. From records examined the home currently has staff working towards the NVQ levels 2 and 3. Once achieved this will meet the National Minimum Standard 32.6. The home has a recruitment and selection policy in place. Several staff records were examined and generally these were well presented. All staff have a current Criminal Records Bureau check, are required to provide two personnel references. However the records of one staff member did not support this. The two personnel references were not on record. The Shirebrook House DS0000067849.V325375.R01.S.doc Version 5.2 Page 20 Registered Manager agreed to look into this matter. Interview minutes were signed and copies of qualifications were available for inspection. As part of providing a full employment history all applicants should provide the day, date month and year. As most applicants were only providing the month and year, gaps in employment cannot be fully explored. All staff are subject to a six months probationary period. From discussions with the Registered Manager and from examination of records the home is providing good training and development opportunities. Details of staff training together with training planned were provided by way of the pre inspection questionnaire. All staff have a Personal development Plan. The home has a staff supervision policy in place and is in line with the National Minimum Standard 36.4. The Registered Manager has scheduled staff for supervision covering the year. Staff appraisals have been arranged. Shirebrook House DS0000067849.V325375.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems are in place to ensure that service users have a voice and their views are listened to. EVIDENCE: The Registered Manager is working towards the Registered Manager’s Award, and stated he had a relevant job description. However this could not be confirmed, as his personnel records were not available for examination. The Registered Manager has a number of years experience in the care sector. The Registered Manager is registered with the General Social Care Council. The Registered Manager stated that a process for monition care and the service provide has been established and is in line with the policy operated within Shirebrook Care. The Registered Manager is looking to establish service user meetings and monthly meetings with family. The families of all the service users are actively involved in the care of the service users. As Shirebrook House DS0000067849.V325375.R01.S.doc Version 5.2 Page 22 discussed with the Registered Manager the review on the quality of care could be extended to include stakeholders. A sample of service/maintenance records was examined (including gas and electricity services) and there was confirmation that all the equipment had been properly maintained. Evidence of checks having been carried out was provided to the Commission for Social Care Inspection. Systems were in place for the monitoring and maintaining the hot water temperatures. These were examined and found to be within a safe range. Shirebrook House DS0000067849.V325375.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 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 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 2 X LIFESTYLES Standard No Score 11 X 12 2 13 2 14 3 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 X X 3 X Shirebrook House DS0000067849.V325375.R01.S.doc Version 5.2 Page 24 N/A Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA9 Regulation 14 Requirement All risk assessment must reflect the individual level of need and actions to be taken in respect of their health and safety. All risk assessments must be kept under review and take account of any change of circumstances. All services users must have opportunities for education and learning. All activities involving service users must be subject to an appropriate risk assessment. The complaints procedure must include the current contact details of the Commission for Social Care Inspection. The home must ensure that the complaints procedure is appropriate to the needs of the service users and that all service users are aware of their right to make a complaint. All service user and their representatives must have a copy of the homes complaints procedure. The homes policy on adult protection must be revised and DS0000067849.V325375.R01.S.doc Timescale for action 30/04/07 2 YA9 4 30/04/07 3 4 5 YA12 YA12 YA22 16 13 22 30/04/07 30/04/07 30/04/07 6 YA22 22 30/04/07 7 YA22 22 30/04/07 8 YA23 13 30/04/07 Shirebrook House Version 5.2 Page 25 9 YA24 16 10 YA34 Schedule 2. 19 Schedule 2. 19 Schedule 2. 9 11 YA34 12 YA37 updated to reflect current practice. The Registered Person must ensure that suitable curtain are provide to the windows that are street facing. This covers both service user bedrooms and any communal rooms. All applicants must comply with the homes policy and procedures on staff recruitment as outlined in Schedule 2 of the National Minimum Standards. The Registered Person must ensure that all applicants provide two personnel references before they are employed. All personnel records including those relating to the Registered Manager must be available for inspection. 30/04/07 30/04/07 30/04/07 30/04/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard YA22 YA34 YA39 Good Practice Recommendations The Registered Person should undertake some team development as a way of addressing staff issues/ complaints. All applicants should provide the day date month year when providing a full employment history. The Registered Person should consult with stakeholders as part of the homes quality assurance review. Shirebrook House DS0000067849.V325375.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Derby Area Office Cardinal Square South Point Nottingham Road Derby DE1 3QT 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 Shirebrook House DS0000067849.V325375.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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