Inspection on 02/08/05 for St Anne`s

This inspection was carried out on 2nd August 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

St Anne`s 29/06/07

St Anne`s 05/02/07

St Anne`s 09/02/06

St Anne`s 25/11/04

St Anne`s 23/07/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

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33 St John`s Church Road

Dovedale Court

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

CARE HOME ADULTS 18-65 St Annes 4 St Annes Road Eastbourne East Sussex BN21 2DJ Lead Inspector Nigel Thompson Announced 2 August 2005 9:30 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 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 Stationary 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. St Annes H59-H10 S21436 St Annes V229851 020805 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service St Annes Address 4 St Annes Road Eastbourne East Sussex BN21 2DJ 01323 728349 01323 720992 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) The Complete Care Group Mrs Christine Anne Klassen Care Home 6 Category(ies) of Learning Disability (LD) 6 registration, with number of places St Annes H59-H10 S21436 St Annes V229851 020805 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1.The number of service users accommodated must not exceed six (6). 2.Only adults with Autism and/or Aspergers Syndrome to be admitted. Date of last inspection 25 November 2004 Brief Description of the Service: St Anne’s is overseen by its parent company, The Complete Care Group, and is registered to provide care for six adults with Autistic Spectrum Disorders (ASD). St Anne’s is a large detached Victorian house within walking distance of Eastbourne town centre and railway station. Service users individual and collective social care needs are assessed and met. They are are enabled and supported to accesss local amenities, including the cinema, theatre, swimming pool and restaurants. Activities within the home include aromartherapy, computer skills, board games, karaoke and cooking. The dedicated staff team provide structured, yet flexible opportunity programmes to enable service users to develop social, emotional and independent living skills. There is spacious living accommodation with six bedrooms that have shower en-suite facilities. The home provides a light and airy lounge and a sensory room, where service users can listen to music, relax or access the internet. There is also a conservatory that leads into a large rear garden. St Annes H59-H10 S21436 St Annes V229851 020805 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over seven hours in August 2005. It found that 26 of the 30 National Minimum Standards that were assessed had been met and the overall quality of care provided was good. Service users spoken to during the inspection expressed general satisfaction with the home, the staff and the service provided. A tour of the premises took place and documentation was inspected, including service user and staff files. In addition to the manger and deputy manager, three of the staff on duty and three of the five residents were spoken with. What the service does well: A committed management structure and dedicated support staff work hard to develop and maintain a stimulating, open and inclusive atmosphere within the home. Service users are actively involved in many decision making processes within the home and are regularly consulted regarding all aspects of their day to day living. Comprehensive service user care plans ensure that an individual’s ongoing care and support needs are met in a structured and consistent manner. Communication and consultation with service users’ family members is effective and ongoing. Relatives have the opportunity to partake in individual assessment, care planning and reviewing processes. A thorough staff recruitment procedure protects service users, by ensuring that all necessary checks are completed prior to a person starting work at St Anne’s. These include two written references and satisfactory Criminal Record Bureau (CRB) and Protection of Vulnerable Adults (POVA) checks. Staff receive effective induction and foundation training, regular supervision and are valued and supported by the management team. St Annes H59-H10 S21436 St Annes V229851 020805 stage 4.doc Version 1.40 Page 6 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. St Annes H59-H10 S21436 St Annes V229851 020805 stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection St Annes H59-H10 S21436 St Annes V229851 020805 stage 4.doc Version 1.40 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 standard(s) 1, 2, 4 & 5 Prospective service users are provided with sufficient information to decide whether the home is able to meet their specific needs. There is a potential risk for service users and staff as the individual care and support needs of prospective service users are not comprehensively assessed before they move into the home. EVIDENCE: Information for prospective service users, including the home’s aims and objectives is contained in the comprehensive ‘Statement of Purpose’ and ‘Service Users’ Guide’. It is understood that a brochure has been produced but this was not available at the time of the inspection. It was noted that in certain service user’s files, there was no evidence of a needs assessment having been carried out prior to admission to the home and the manager was unable to provide a record of any such assessment. St Annes H59-H10 S21436 St Annes V229851 020805 stage 4.doc Version 1.40 Page 9 Prospective service users are invited to visit the home, to look around and meet with staff and existing residents. They also have the opportunity to stay overnight before moving in. The manager confirmed that people initially move into St Anne’s for a six week trial period of continual assessment and monitoring of their individual’s care and support needs. A review of the placement is held after this time to establish their suitability and compatibility and decide whether or not their needs can be met. Each service user is provided with and signs a written contract, including a ‘statement of terms and conditions’ relating to the provision of their individual care. Included in the contract are details of fees to be paid, the ‘trial period’ and the complaints procedure. It was confirmed that on occasions a relative may sign the contract on the service user’s behalf. St Annes H59-H10 S21436 St Annes V229851 020805 stage 4.doc Version 1.40 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, & 8 Comprehensive service users’ care plans are in place and enable staff to meet service users’ individual support needs in a structured and consistent manner. Service users are encouraged and supported to make decisions about their day to day living and benefit from effective consultation systems. EVIDENCE: The manager confirmed the importance of routine and structure in the life of each service user at St Anne’s. Comprehensive care plans have been developed and contain detailed and specific guidelines covering many aspects of the resident’s daily life, including emotional support, personal care needs and communication issues. The guidelines help to ensure a consistent approach to service delivery, however it was noted that certain review summaries were incomplete and therefore did not always accurately reflect an individual’s changing needs. St Annes H59-H10 S21436 St Annes V229851 020805 stage 4.doc Version 1.40 Page 11 The manager confirmed that service users are involved, with their key-worker, in regular six monthly reviews of their care plan. However there was insufficient evidence of this happening. It was discussed with the manager, who confirmed that this process is currently under review. A comprehensive ‘Weekly Evaluation’ sheet is completed by key-workers in consultation with individual service users. The regular discussions and structured recording format provide an effective system of monitoring changes in emotional and personal support needs and demonstrate good practice. Service users are consulted regarding many aspects of their day to day living, including menu planning, recreational and leisure activities and holidays. St Annes H59-H10 S21436 St Annes V229851 020805 stage 4.doc Version 1.40 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 15 & 17 Family and community links are good and support and enrich service users’ social opportunities. Service users benefit from menus that are balanced and nutritious and reflect their individual likes and preferences. EVIDENCE: Comprehensive ‘Opportunity Plans’ are in place for each service user and provide a structured programme of daily activities, reflecting individual interests and preferences. Opportunity plans that were examined included activities as diverse as: ‘music’; ‘sensory room’; ‘videos’; ‘karaoke’; ‘walk in the park’ and ‘free time’. Community participation is encouraged and service users are supported, as appropriate, to access a wide range of local facilities, including swimming, bowling, theatres and restaurants. St Annes H59-H10 S21436 St Annes V229851 020805 stage 4.doc Version 1.40 Page 13 The manger confirmed that service users’ family links are also supported, where appropriate, with regular contact with relatives being maintained in the majority of cases. A four-week rolling menu has been developed and clearly provides service users with a balanced, varied and nutritious diet, which reflects individual choice and preference. The deputy manager confirmed that an alternative to the main meal is always available. Service users are given a choice of two main meals every day and the menu has been made accessible to all service users by the effective use of symbols and pictures. Staff and service users sit together for the evening meal, which the manger confirmed is a sociable opportunity for open discussion. Service users’ weight and dietary needs are monitored regularly and menus and any dietary needs and changes are discussed during regular staff and residents’ meetings. St Annes H59-H10 S21436 St Annes V229851 020805 stage 4.doc Version 1.40 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 standard(s) 18, 19 & 20 Staff have a good understanding of the service users’ care and support needs, as evidenced by the positive relationships that have been formed between the staff and service users. Policies and procedures for the control and administration of medication are effective with clear and comprehensive systems being in place to ensure service users’ medication needs are met. EVIDENCE: As previously documented, St Anne’s operates an effective key worker system and staff were observed working closely and consistently with service users to meet their identified personal care and support needs. Following consultation with service users, specific guidelines have been developed for all staff, ensuring that support is provided in a structured and consistent manner and in a way that the individual prefers. Staff spoken to during the inspection confirmed that service users are supported to access a range of health care professionals in the community. The home continues to work closely and effectively with the Community Learning St Annes H59-H10 S21436 St Annes V229851 020805 stage 4.doc Version 1.40 Page 15 Disabilities Team, which provides support and guidance in addressing service users’ psychological healthcare needs. St Anne’s uses a monitoring dosage system for the administration of prescribed medicines and a local pharmacist continues to carry out quarterly monitoring visit. In house staff training is provided in the control and safe handling of medicines. The home’s medication policy and procedures are monitored and regularly reviewed by the manager and were found up to date and well maintained. Controlled drugs are stored and administered appropriately. The manager confirmed that, following risk assessments, no service user currently has responsibility for controlling or administering their own medication. St Annes H59-H10 S21436 St Annes V229851 020805 stage 4.doc Version 1.40 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 standard(s) 22 & 23 The open and inclusive atmosphere within the home enables service users, staff and visitors to feel able to express any concerns, confident that they will be listened to but not always as confident that they will be acted upon. Service users are safeguarded from abuse through robust policies, procedures and relevant staff training. EVIDENCE: A clear and accessible complaints procedure is in place, however, as discussed it is recommended that it be reviewed and amended to include updated contact details of the CSCI. Details of each complaint received, any subsequent action taken and outcomes are recorded appropriately. Service users and members of staff spoken with during the inspection confirmed that they would have no hesitation in speaking to the manager or deputy manager or in making a complaint if necessary. Each person was also confident that they would be listened to. It was however evident from discussion with one service user, that despite having expressed to staff and social workers his unhappiness with the unpredictable behaviour of another service user, this issue had still to be resolved satisfactorily. This was discussed with the manager and deputy manager. They are clearly fully aware of the situation and confirmed that efforts are ongoing to minimise the potential risk and address the complex underlying issues. St Annes H59-H10 S21436 St Annes V229851 020805 stage 4.doc Version 1.40 Page 17 Policies and procedures relating to abuse, including whistle blowing are in place and were found to be up to date and generally well maintained. Staff have access to a copy of the East Sussex County Council Multi-Agency Guidelines for the Protection of Vulnerable Adults The manager stated that abuse training is provided for all staff and this was supported by training records and confirmed by members of staff themselves. Since the previous inspection, there have been several ‘Adult Protection Alerts’ at St Anne’s. It is noted that, in all cases, appropriate Protection of Vulnerable Adults (POVA) procedures have been carried out and the home has cooperated fully with subsequent investigations and associated requirements and recommendations. St Annes H59-H10 S21436 St Annes V229851 020805 stage 4.doc Version 1.40 Page 18 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 standard(s) 24, 25, 26, 28 & 30 The service is accessible, safe and clean and is clearly suitable for it’s stated purpose. Service users benefit from pleasant accommodation that is comfortable, generally well maintained and decorated to a satisfactory standard. EVIDENCE: As with many of the environmental standards, the situation at St Anne’s regarding shared space remains largely unchanged. Adequate communal areas are provided to meet the individual and collective needs of the service users, including a light and airy lounge and a sensory room at the front of the house. There is a dining room and kitchen to the rear of the home and a conservatory that leads into a large rear garden. Service users’ accommodation comprises of six single bedrooms with en-suite shower facilities. It was noted that the rooms varied significantly regarding furniture, furnishings and personal effects. The manager confirmed that this difference very much reflected individual needs, personality and choice. St Annes H59-H10 S21436 St Annes V229851 020805 stage 4.doc Version 1.40 Page 19 Levels of cleanliness and hygiene remain satisfactory throughout. Infection control procedures are in place and closely adhered to. A programme of routine maintenance, renewal and redecoration is in place. St Annes H59-H10 S21436 St Annes V229851 020805 stage 4.doc Version 1.40 Page 20 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 35 & 36 There are sufficient trained and competent staff on duty at all times to meet the assessed, often complex needs of the service users. Thorough recruitment procedures help to ensure the safety and protection of service users. Service users benefit from dedicated, well supported and supervised staff. EVIDENCE: St Annes H59-H10 S21436 St Annes V229851 020805 stage 4.doc Version 1.40 Page 21 Despite the recent unplanned and unsettling departure of several support workers, the dedicated staff team continues to work hard to meet the assessed, individual and collective needs of service users within the home. To address this unexpected staff shortage, a number of support workers have recently been recruited. All new employees are provided with a comprehensive job description and staff spoken to, including recently appointed workers had a sound understanding of their individual role and responsibilities. A newly developed and comprehensive induction and foundation training programme has been introduced. It is provided for all new staff and is flexible and compatible with an individual’s level of relevant experience. Mandatory training continues to be ongoing and is recorded in individual staff files. The new induction programme is clearly a positive development, however, following discussion, the recording format is to be reviewed and amended to include details of the manager/trainer and relevant dates. To address the unpredictable and frequently stressful nature of working at St Anne’s, the manager continues to provide all care support staff with formal supervision every month. She also operates an ‘open door’ policy, with staff able to discuss any issues at anytime. Staff spoken to confirmed the support and training they receive and acknowledged the personal benefit of effective supervision: ‘The manager and deputy manager are both very approachable and will always make time to listen’. ‘Everyone here is very friendly and supportive’. Staff files that were examined were found to be generally well maintained, containing all necessary information, including two written references, proof of identity and satisfactory Criminal Record Bureau (CRB) and Protection of Vulnerable Adults (POVA) checks. Following discussion with the manager, the current system of obtaining CRB disclosures and retaining appropriate information is to be reviewed. All new staff receive and sign a written contract and are provided with a copy of The Complete Care Group Ltd employees’ handbook, which covers their terms and conditions of employment at St Anne’s. St Annes H59-H10 S21436 St Annes V229851 020805 stage 4.doc Version 1.40 Page 22 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 39, 41 & 42 The home regularly reviews aspects of its performance, through an effective programme of self-monitoring and consultation, which includes seeking the views of service users and their relatives. Service users benefit from up to date policies and procedures relating to health and safety, which staff are aware of and adhere to. EVIDENCE: The manager confirmed that s the home actively seeks feedback from service users and their relatives and representatives. Regular residents’ meetings are held and a quarterly parent group meeting ensures that service users and their relatives, friends or representatives have the opportunity to raise any concerns that they may have and comment on the quality of the service and facilities being provided by the home. St Annes H59-H10 S21436 St Annes V229851 020805 stage 4.doc Version 1.40 Page 23 Following the previous inspection, a requirement was made for the Responsible Individual for The Complete Care Group Ltd to carry out unannounced visits to the home on a monthly basis and to complete a report to be forwarded to the CSCI, in compliance with Regulation 26 of the Care Home Regulations 2001 and as part of their quality assurance procedures. It was verbally confirmed that these monitoring visits are now undertaken, however there was no evidence available to support this claim and certainly no reports have yet been received by the Commission. The home is continuing to work towards accreditation with the National Autistic Society. It was noted that St Anne’s has the necessary, relevant policies and procedures in place to safeguard the health, safety and welfare of service users and staff. Records are satisfactorily maintained to ensure that all relevant equipment and systems, including fire safety appliances and systems within the home are serviced regularly. It was however noted that the policy files are currently disorganised and to improve accessibility should be improved to incorporate an index system Personal and environmental risk assessments are carried out and recorded appropriately and individual risk management strategies are in place and were found to be up to date and generally well maintained. All accidents and incidents are recorded and reported, as required. St Annes H59-H10 S21436 St Annes V229851 020805 stage 4.doc Version 1.40 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 2 x 3 3 Standard No 22 23 ENVIRONMENT Score 2 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 4 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 x 3 x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 x 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 St Annes Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x 2 x 2 3 x H59-H10 S21436 St Annes V229851 020805 stage 4.doc Version 1.40 Page 25 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 2 Regulation 14 (1) (2) Requirement Timescale for action 31.08.2005 2. 6 15 (2) 3. 39 26 (2) (3) (4) & (5) It is required that a full needs assessment be carried out before an individual is admitted to the home and that assesssment is reviewed regularly, to reflect any changing needs or circumstances It is required that the service 31.08.2005 users individual care plan is regualrly reviewed to reflect any changing needs or circumstances It is required that the 31.08.2005 responsible individual shall visit the home, in accordance with this regulation, prepare a report and submit a copy of the report to the Commission. (Previous timescale of 25.12.2004 not met). 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. St Annes Refer to Standard 22 35 Good Practice Recommendations It is recommended that all concerns of service users be listened to, recorded and acted upon. It is recommended that the recording format for the newly H59-H10 S21436 St Annes V229851 020805 stage 4.doc Version 1.40 Page 26 3. 4. 1 41 developed staff induction programme be reviewed and amended as discussed. It is recommended that the Statement of Purpose be reviewed and amneded to include updated contact details for the CSCI and Skills for Care (formerly TOPPS). It is recommended that the organisation of the homes policy files be improved to incorporate an index system, therefore making individual policies more readily accessible. St Annes H59-H10 S21436 St Annes V229851 020805 stage 4.doc Version 1.40 Page 27 Commission for Social Care Inspection Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI St Annes H59-H10 S21436 St Annes V229851 020805 stage 4.doc Version 1.40 Page 28 - 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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