CARE HOME ADULTS 18-65
Stables, The 4 Stables The Crosby Liverpool Merseyside L23 9YT Lead Inspector
Mrs Joanne Revie Unannounced Inspection 1st June 2006 10:00 Stables, The DS0000005386.V296581.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 Stables, The DS0000005386.V296581.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. Stables, The DS0000005386.V296581.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Stables, The Address 4 Stables The Crosby Liverpool Merseyside L23 9YT 0151 931 5787 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) www.mencap.org.uk Royal Mencap Society Mr Raymond Francis Hanna Care Home 4 Category(ies) of Learning disability (4), Physical disability (4) registration, with number of places Stables, The DS0000005386.V296581.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. Service users to include up to 4 LD and up to 4 PD. Two staff on duty at all times. One staff to be alone with service users only in the event that all the guidelines and risk assessments agreed by the NCSC are adhered to. Night staffing conditions of two sleep in staff to remain as previously agreed. Date of last inspection Brief Description of the Service: The Stables is registered to provide support and accommodation for four adults who have a learning disability. It is owned and run by Mencap a national organisation that provide a variety of support services to people who have a learning disability. The home is in a cul-de-sac in a quiet residential area of Crosby and fits in well with surrounding houses. It is a detached bungalow with fenced back garden and has a detached garage, which is used, as a laundry and for storage. Inside a small entrance leads to a single toilet and through to a large living/dining room. The kitchen is off the lounge and is large enough for people using wheelchairs to access. Bedrooms and the office lead off a hallway at the back of the lounge, which also provides access to the two bathrooms. All of the bedrooms are single and the bathrooms are adapted for use by people who have a physical disability. There are a number of other aids fitted in the home including ceiling tracking, hoists and grab rails. The home and organisation aim to providing ordinary lifestyles for the people living there and the home is furnished and decorated to a high standard and does not look or feel like a care home. There are always two staff on duty, at night these staff sleep-in and during the day there is sometimes one staff in the house while another member of staff is out with one of the people living there. Stables, The DS0000005386.V296581.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The visit was unannounced and took place over four hours. Staff were observed interacting with three tenants. Discussions were held with two staff members and the manager. Attempts were made to contact several relatives by phone but this was unsuccessful. A variety of records were viewed which are referred to in the evidence section of this report. What the service does well:
The service ensures that it gets as much information as possible about a new tenants needs before admission takes place. This ensures that the service can meet the tenant’s needs and that the stables is the right place for them, to live in. Tenants are given the opportunity to spend time at the home to make sure that they are happy to live there. Each tenant has an individual care plan, which has clear details of their needs wants and wishes. This means that staff have clear written instructions about the care and support required. Trusting relationships have been developed between tenants and staff. Staff know the tenants well and are familiar with how they communicate. Each tenant is supported to undertake indivual activities and group activities of their choice. The majority of these are based in the local community. Staff recognise what works and what doesn’t work and activities are adapted accordingly. Tenants are supported to maintain a healthy lifestyle. This includes nutritious food of their choice and attending the usual health checks required at various ages as well as dental, hearing and sight checks. A chiropodist regularly visits the service. One tenant was being supported to reduce weight through regular exercise and a balanced diet. This need had been identified through a well women’s clinic. The service employs a dedicated staff team many of whom have worked at the home for a number of years. The organisation provides a variety of training, which ensures staff have the skills to meet the tenants needs. Recruitment procedures are robust and new staff are given a good standard of training to familiarise them with their role and tenants needs.
Stables, The DS0000005386.V296581.R01.S.doc Version 5.2 Page 6 The service ensures staff have received training on how to protect vulnerable adults. This training was found to be comprehensive and means that staff have the skills to protect the tenants from abuse. The home presents as a comfortable clean domestic house. It was furnished to a good standard and has many homely touches that contribute to its homely atmosphere. What has improved since the last inspection? What they could do better: Staff have addressed a requirement that stated that the medicine cabinet must be kept in better order. On the day of the visit staff were recording all items of bottled medication but not what was contained within the pre filled blister pack which is supplied by the local pharmacist. This must be addressed, as it is important that a clear accurate audit trail exists. Although tenants and relatives are given information on how to complain a copy of the complaints procedure must be displayed within the home. Progress has been mace since the last inspection to identify works that are required in the garden. A quote has been obtained for unsafe areas to have new flags. This work must be carried through. Stables, The DS0000005386.V296581.R01.S.doc Version 5.2 Page 7 The manager has completed training on Dementia awareness since the last inspection. Other staff from the home will be undertaking this training in the future. This should be followed through. The manager expressed his intention to undertake a management NVQ to develop his experience further. Plans for this are to commence in September 06. The service must ensure that he is supported to undertake this training. The manager had started to develop a personal file to evidence that he is fit to manage but this was not complete. This must be addressed so that information is available within the home regarding his fitness. Quality Assurance is undertaken by the organisation in the form of Regulation 26 visits and an annual survey. The survey focuses on the views held by the tenants but does not include their relatives and representatives. Due to limited verbal communication these groups must be involved in future assessments. Whilst assessing Health and Safety standards it become apparent that staff have not familiarised themselves with changes in the Data protection legislation. This should be addressed so that accident records are stored confidentially. The service had recently had the gas supply tested for safety. The up to date certificate was outstanding and this must be acquired as evidence that this has been carried out. 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. Stables, The DS0000005386.V296581.R01.S.doc Version 5.2 Page 8 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 Stables, The DS0000005386.V296581.R01.S.doc Version 5.2 Page 9 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality outcome in this area is good based on available evidence. The service demonstrates that it understands the need to gain as much information as possible about a new tennants needs before admission takes place. New tennants are given time and the opportunity to visit the home. EVIDENCE: The service has met the requirement made following the last inspection. The admissions policy and procedure for admitting new tennants was viewed and was found to be comprehensive. A new tenant has joined the service since the last inspection. This persons careplan was viewed and was found to contain detailed information from the previous service and other health care professionals as well as a copy of the pre admission assessment which had been undertaken by the homes manager. All of this documentation was found to be detailed and comprehensive and gave a clear overview of the tenants needs. Information was viewed which showed that the tennant had had an overnight stay before the final decision was made . Stables, The DS0000005386.V296581.R01.S.doc Version 5.2 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 the following standard(s): 6,7,9 Quality outcome in this area is good based on available evidence. Each tenant has a written care plan which clearly identifies their needs and support. Staff understand the tenants wishes and tenants are supported to make choices about their life. Tenants are supported to take risks as part of every day life. EVIDENCE: Three care plans were viewed. Each contained clear information regarding the tenants needs and wishes. It was clear that the plans belonged to three tenants who are very much individuals in their own right. Plans are reviewed six monthly and staff try to involve all those people who are important in developing and supporting the tennant with their care. Viewing the plans showed that the tenants are supported to make decisions through non verbal communication. Although verbal communication is limited all tennants were able to express when they were pleased or unhappy( this was observed when a favourite staff member came on duty and approached one tenant). Through observation it was evident that Staff are very familiar with the tenants expressions and body language so are able to judge what pleases and displeases them. Stables, The DS0000005386.V296581.R01.S.doc Version 5.2 Page 11 Each tenant has an essential lifetsyle plan. Three of these were viewed . Within the plan is risk assessment documentation. This documentation identified any possible risks that the tenant may encounter either within or outside the building. This documentation is reviewed as part of the care plan review and updated accordingly. Stables, The DS0000005386.V296581.R01.S.doc Version 5.2 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 the following standard(s): 12 13 15 16 17 Quality outcome in this area is good based on available evidence. Tenants are supported to take part in fufilling activities and are involved in the local community. Tenants are supported to maintain close relationships. Daily routines are flexible although staff know tenants usual routines. Nutritious choices of meals are offered. EVIDENCE: Two learning logs were viewed. These were contained within the tenants careplan. These documents detailed all actvities undertaken and evidenced good practise by showing staff relected on what had worked and what had not worked and how any shortfalls could be improved. Each tenant is supported to undertake individual actvities and group activities with staff support. Examples viewed were visits to light and sound sessions, swimmimng, shopping etc. Tenants are supported to attend local day centres also viewing records and a discussion with the manager showed that the tenants often have meals at local pubs and take part in ocassional trips to the theatre and cinema. Some tenants accompany staff when food shopping also.
Stables, The DS0000005386.V296581.R01.S.doc Version 5.2 Page 13 The essential lifetsyle plans viewed also showed tenants are supported to maintain friendships and family relationships. One tenant is supported to visit the family home evey weekend another showed a tenant regularly undertakes activities outside the home with close family members. The essential lifestye plans viewed identified which people are important to the tenant and what support is required to maintain the relationship. Viewing three support plans showed each tenants usual actvities are recorded e.g rising and going to bed times etc. However,the manager and another staff member confirmed these are flexible according to the tenants mood and behaviour. Two tenants were observed enjoying a meal. Each tenant was supported appropriately by staff but also by the use of specialised aids to promote independance. The food offered`was presented nicely and appeared nutritious. A large combined dining room and lounge is available for communal eating. Menus were viewed and choices are developed around tenants choices. Staff monitor food wastage to determine what the tenant enjoys . Through discussion two staff proved they knew what the tenant enjoys. On the day of the visit. The kitchen was well stocked with fresh and dried food. Fresh fruit is available and this is routinely offered to try to promote the governments guidelines of five fresh pieces of fruit/veg per day. Stables, The DS0000005386.V296581.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 19 20 Quality outcome in this area is good based on available evidence. Tenants are supported to maintain personal hygiene how they prefer. Staff ensure tenants health needs are monitored and are supported to undertake checks. EVIDENCE: Three essential lifestyle plans were viewed. Each contained specific details to what was important to the tenant and how they needed to be supported with personal hygiene. The service has adapted baths and a shower so all choices`can be covered and employs staff of both genders. On the day of the visit all tenants who were at home were very presentable. The records viewed showed that each resident is registered with a local G.P. Female tenants are supported to attend age appropraite health care checks through a well womans clinic. Each tenant has a minimal healthcare check so staff keep track on routine tests such as Flu jabs, sight , dental and hearing checks. A chiropidist visits the home four weekly. The manager and two members of staff confirmed family and representatives are informed of any changes in their tenants health. Stables, The DS0000005386.V296581.R01.S.doc Version 5.2 Page 15 The medication systems were viewed within the home. A local pharmacist provides a blister pack sytem which reduces the risk of a mistake occurring. Records showed that staff were recording amounts of non blister pack items which were coming into the home but not the blister pack itself. Records showed staff are siging to say when medication has been given. Photographs were available for each tenant. The requirement made following the last inspection has been addressed. l Stables, The DS0000005386.V296581.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 23 Quality outcome in this area is good based on available evidence. The home has a complaints procedure and tenants are given information about how complain. No copy of this procedure was displayed. Staff have the skills to protect the tenants from abuse. EVIDENCE: No complaints have been made to CSCI about the service since the last inspection. The manager confirmed that no complaints had been made to the service either. The organisation does not use a bound book but uses loose forms so that any concerns can be passed to senior mangement outside the home. . Each tenant is provided with a copy of the complaints procedure . The manager stated that he informs relatives of how to complain also. This was supported by a staff member. No complaints procedure was displayed within the home. Training files were viewed which showed staff have had training on how to protect vulnerable adults from abuse.. Staff induction files were viewed which showed abuse awareness is covered within a topic called protect me. Staff then undertake further foundation training and this topic is covered in Respond, Respect and Protect. The home has an up to date copy of the local authorities guidelines on the protection of vulnerable adults in the office. Stables, The DS0000005386.V296581.R01.S.doc Version 5.2 Page 17 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 30 Quality in this area is good based on available evidence. Tenants live in a clean, nicely decorated and comfortable home EVIDENCE: A tour of the home was undertaken. All areas were warm nicely decorated and presented as a comfortable homely place to live. Each tenant has their own bedroom and have been supported by staff to personlise them . Each was individual. The garden area was viewed. A quote wasviewed which showed that works on the garden are occurring in the near future. .Records showed that a maintenance budget exists and that the manager can acess this to plan maintenace over the year. Staff carry out cleaning duties on a rota basis. This was displayed in the office. Each tenant is allocated two members of staff as key workers. They take reposnsibility for ensuring that the tennants bedroom is maintained to a good standard.Communal areas are shared amongst the staff team. Stables, The DS0000005386.V296581.R01.S.doc Version 5.2 Page 18 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 34 35 Quality in this area is good based on available evidence. The service employs almost 50 of staff with an NVQ qualification. Robust recruitment procedures are in place and staff are given good training to enable them to meet the needs of the tenants. EVIDENCE: Records showed nine staff are employed at the home. 1 member of staff has`achieved an NVQ in care and two have almost finished this award. Another member of staff has started to work towards this. The manager confirmed that the organisation are supportive towards staff development and external assessors are sourced to assess candidates work. Mencaps knowledge file was viewed . This contained information about new staff induction which is in line with current good practise. This course also covers the history of learning disabilities . New staff are given 20 hours per week for two weeks to complete this course. Two staff files were viewed which supported this. Three staff files were viewed in total which contained all the information required by the care home regulations 2001. Since March 2006 staff have undertaken training on the management of medication, and continence care. The manager has undertaken training on dementia awareness and he stated all other staff at the home would be undertaking this in the near future.
Stables, The DS0000005386.V296581.R01.S.doc Version 5.2 Page 19 The staff files viewed showed staff have undertaken a variety of training *( both mandatiry and none) to enable them to meet the needs of the tenants. Stables, The DS0000005386.V296581.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 39 40 The quality outcome in this area is adequate, based on available evidence. The home is managed well. Service users and relatives aren’t consulted regarding Quality assurance. The service is a safe place to live. EVIDENCE: A discussion was held with the manager and some records were viewed. The manager explained that he in the process of developing his staff file as he had also recently become the registered manger with the service. An up to date registration certificate was displayed in the home with his name on it. The manager is commencing NVQ 4 in care and management in September 2006. Viewing his staff file showed that he worked for mencap since 1989 and most of this time had been spent at the Stables. He has undertaken a variety of training throughout this time but more recently Health and Safety, Dementia Awareness and Protection of Vulnerable Adults. Through discussions it became evident that he knew the tenants and their needs very well. Stables, The DS0000005386.V296581.R01.S.doc Version 5.2 Page 21 The responsible individual for the service undertakes regulation 26 visits and forwards copies of theses to CSCI. Mencap do an annual audit of the service but this doesn’t include relatives and representative’s views, which would be useful, as the tenants have limited verbal communication. The manager stated that he would undertake this in future. A variety of records were viewed which related to Health and Safety. The water supply to the service is thermostatically controlled. Random tests are carried out on all taps however bath water temperatures are recorded daily. The service is fitted with tracking ceiling hoist and bath chairs in bathrooms. These are regularly checked to ensure they are safe by staff and are serviced yearly. The manager is in the process of completing a training audit to identify which areas of mandatory training are outstanding for some staff. An accident book was viewed. This was a bound book, which did not comply with Data Protection legislation. The fire alarm was serviced in March 2006. The gas safety check was recently completed but no up to date certificate was available to evidence this. A current electrical safety certificate was viewed. Portable appliance testing was` carried out in April 06. Staff test the fire alarm on a weekly basis viewing records showed that this happened every Friday. Fire extinguishers are checked weekly for safety. A member of staff has been identified as the health and safety representative for the service. The service has a COSHH file available in the office. Stables, The DS0000005386.V296581.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 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 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 2 X 2 X X X 2 Stables, The DS0000005386.V296581.R01.S.doc Version 5.2 Page 23 no 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 YA37 Regulation 10(3) Requirement The manager must obtain a management and care qualification. The manager must ensure that clear records are kept of all medication received into the home. The manager must ensure that a copy of the services complaints procedure is displayed. The manager must ensure that the plans to maintain the garden are carried through. The manager must ensure he develops his personal file as evidence that he is fit to manage. Quality assurance must be developed further to include representatives/relatives of tenants who are unable to verbally communicate. The manager must carry through his intention to identify which staff require updates on mandatory training The manager must carry through his intention to obtain a current gas safety certificate
DS0000005386.V296581.R01.S.doc Timescale for action 31/01/07 2 YA20 13(2) 31/08/06 3 4 5 YA22 YA24 YA37 22(5) 23 (2)(b) 10(3) 31/08/06 30/09/06 30/09/06 6 YA39 24(1)(3) 31/12/06 7 YA40 12 (1)(a) 30/09/06 8 YA40 12 (1)(a) 31/08/06 Stables, The Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard YA32 YA40 Good Practice Recommendations The intention to provide dementia awareness training to all staff should be followed through Staff should familiarise themselves with changes in Data Protection when recording accidents Stables, The DS0000005386.V296581.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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