Inspection on 01/03/07 for Stoke View

This inspection was carried out on 1st March 2007.

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

Other inspections for this house

Stoke View 02/03/10

Stoke View 05/03/09

Stoke View 15/09/05

Stoke View 28/04/05

Stoke View 30/09/04

Stoke View 22/04/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Stoke View 72 Albert Road Stoke Plymouth Devon PL2 1AF Lead Inspector Antonia Reynolds Unannounced Inspection 1st March 2007 13:55 Stoke View DS0000003509.V327482.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 Stoke View DS0000003509.V327482.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. Stoke View DS0000003509.V327482.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stoke View Address 72 Albert Road Stoke Plymouth Devon PL2 1AF 01752 211135 01752 211137 paulmillard@hotmail.com Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Ratecedar Ltd Mr Simon Jenkins Care Home 9 Category(ies) of Learning disability (9), Physical disability (9) registration, with number of places Stoke View DS0000003509.V327482.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Learning disabled adults some of whom may have a physical disability Age 18-65yrs Date of last inspection 15th September 2005 Brief Description of the Service: Stoke View is a care home providing personal care and accommodation for nine people, aged 18 – 65, with a learning disability, who may also have physical disabilities. The home is privately owned by Ratecedar Ltd, which also owns another care home in Plymouth, and the Responsible Individual is Paul Millard. The fee levels are between £380 and £780 per week, although these may vary depending on the individual needs of the residents. Information about the home and copies of inspection reports can be obtained from the Registered Manager, Simon Jenkins. The home was opened in 1984 and is a terraced three-storey property situated in the Stoke area of Plymouth. It is within walking distance of local shops and amenities, central Plymouth is easily accessible by public transport, and the home has its own vehicle. There are five single and two double bedrooms located on each floor. The home has separate lounge and dining rooms on the ground floor. There is a shower room on the ground floor, a bathroom on the 1st floor, a shower room on the 2nd floor and toilets on each floor. There is a small courtyard garden at the rear of the building that is accessible to all the residents. The garage has been converted into an activities room for residents. On street parking is available at the front of the house. Stoke View DS0000003509.V327482.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection consisted of an unannounced visit between 1.55pm and 5.40pm, on Thursday, 1st March 2007. The Registered Manager, Simon Jenkins, was present throughout the visit. A tour of the premises took place and records/documents relating to the care of the residents, staff and the home were inspected. A pre-inspection questionnaire had been completed by the Registered Manager, which contained information relevant to the inspection. Eight residents were observed during the visit, four of whom were spoken with at length and staff were spoken with in the course of their normal duties. What the service does well: What has improved since the last inspection? What they could do better: The Registered Manager must keep records of which staff members have completed fire safety training, to ensure that everyone knows what action to take in an emergency. Stoke View DS0000003509.V327482.R01.S.doc Version 5.2 Page 6 The Statement of Purpose and Service User Guide need to be updated to ensure that residents and their relatives/representatives have clear information about the services the home provides. A copy of each should be sent to the Commission for Social Care Inspection. The Statement of Terms and Conditions should be updated to include information about additional charges that residents are expected to pay, such as transport. The Registered Manager should review the system of charging residents for the use of the home’s transport so that it is fair and equitable and to ensure that some residents are not subsidising others. Residents and relatives, representatives and/or advocates should be consulted about charging for the use of transport and any agreements made should be documented. The home’s policy on charging for transport should be included in the Statement of Purpose, Service User Guide and terms and conditions of residency. As part of the quality assurance system the Responsible Individual, or a designated person who is not directly concerned with the conduct of the care home, should produce a written report on the conduct of the care home and supply a copy to the Registered Manager and the Commission for Social Care Inspection. The quality assurance system should be developed to include an annual internal audit and feedback from relatives, representatives and other professionals involved with the home. 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. Stoke View DS0000003509.V327482.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 Stoke View DS0000003509.V327482.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): Standards 1, 2, 3, 4 and 5 Quality in this outcome area is good. The home’s admissions procedure ensures that prospective residents and their relatives/representatives know that the home will meet their needs and aspirations, but the home’s information is out of date. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The pre-admission assessment process ensures that the needs of prospective residents are identified. Residents and their relatives/representatives are welcome to visit the home prior to admission to meet other residents, staff and have a look around the home. Discussions with residents and the Registered Manager, as well as observation, show that staff are aware of the needs of the residents. The Statement of Purpose and Service User Guide were out of date and did not include information relating to additional financial charges that residents are expected to pay, such as transport. The Statement of Terms and Conditions also needs to be updated with this information and relatives, representatives and/or advocates should be consulted. Stoke View DS0000003509.V327482.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, 8 and 9 Quality in this outcome area is good. Residents can be confident that they will be encouraged and supported to make choices and decisions about their lifestyles. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three residents’ files were inspected and these contained care plans and risk assessments relating to health and personal care needs that are regularly reviewed. The care plans did not contain a lot of detail about how individual needs are met but the Registered Manager confirmed that these will all be updated this year and will be much more detailed. Discussion with residents and the Registered Manager confirmed that personal care is maintained, residents can bathe/shower when they choose to and are encouraged to be as independent and make as many choices as possible. Where decisions about a residents’ activity are made by others, for example, restrictions on smoking, these are only made if they are in the person’s best interests, are agreed by Stoke View DS0000003509.V327482.R01.S.doc Version 5.2 Page 10 the resident concerned and any involved relative or representative, and these decisions are documented. Residents are expected to pay for personal items as well as making a contribution towards the cost of transport. The Registered Manager confirmed that each resident has his/her own bank account and the Responsible Individual, Paul Millard, is the Appointee for benefits for three of the residents. All the residents are expected to give the mobility component of Disability Living Allowance to the home as a contribution towards going out in either small groups or on their own for various activities, that may include the use of the home’s vehicle, although one resident makes a smaller contribution. All the residents had signed a document agreeing to this, but these forms had not been signed by relatives, representatives or advocates. The Registered Manager confirmed that, if residents use public transport, for example, taxis, the cost is met by the home. This system should be reconsidered so that any financial charges made to residents for the use of the home’s transport are fair and equitable and determined by the extent to which each resident makes use of the transport. Also, relatives, representatives or advocates should be consulted about charging for the use of transport and any agreements need to be documented and signed by relatives, representatives or advocates who are independent from the care home, as well as residents. The home’s policy for charging for transport should be included in the Statement of Purpose, Service User Guide and terms and conditions of residency. Stoke View DS0000003509.V327482.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 11, 12, 13, 14, 15, 16 and 17 Quality in this outcome area is good. Residents can be confident that they will have opportunities for personal development, various activities are available to fulfil their aspirations, and independence and choice are promoted. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Discussions with residents and the Registered Manager confirmed that residents are enabled to live as full a life as they wish to and have opportunities for personal development. Residents have opportunities to participate in voluntary work, education and leisure activities. A garage in the courtyard has been converted into a room where activities, such as arts and crafts, can take place. Residents were very pleased about this and proud of their achievements. Contact with relatives and friends is encouraged and there are no limitations in place regarding visitors to the home. The Registered Manager confirmed that the home provides extra support for residents when Stoke View DS0000003509.V327482.R01.S.doc Version 5.2 Page 12 required, for example, when a resident is in hospital or a close relative is unwell or dies. Residents and the Registered Manager said that all the residents have holidays each year, the costs of which are shared between residents and the home. Residents are encouraged to participate in all the domestic activities in the home and leisure activities of their choice. The home has a seven-seater people carrier and residents are also encouraged to use public transport where possible. It was evident, through observation during the inspection, that the residents feel very ‘at home’ and are empowered to make decisions. The residents confirmed that they like the food, choices are always available and they are able to enjoy their meals in an unrushed and sociable atmosphere. Stoke View DS0000003509.V327482.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. Residents can be confident that personal support is provided in the way, and at the time, that they want and need. Health care needs are monitored and advice is sought when necessary. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents’ care plans provide information about personal, emotional and health care needs although these need to be more detailed and the Registered Manager confirmed that these are due to be updated and expanded. External professional advice and guidance is sought when necessary from local health care professionals or social services. Advocates have been used when required, for example when a family bereavement occurred. Visits to the doctor, dentist and other health appointments are recorded in individual files. Through observation it is clear that timings are flexible and the choice of the resident. Each resident has a designated key worker and residents said they could discuss any personal issues with their key worker or other members of staff. Stoke View DS0000003509.V327482.R01.S.doc Version 5.2 Page 14 The home uses a monitored dosage system for medication and the home has a British National Formulary so that different medicines can be looked up to find out how they should be administered or what the possible side effects may be. Records pertaining to the administration of medication are up to date and a staff member demonstrated the medication administration practices in the home, which are satisfactory. The Registered Manager confirmed that all staff receive in-house medication training and are expected to complete a distance learning course on the safe handling of medicines. Stoke View DS0000003509.V327482.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 good. Residents can be confident that any concerns or complaints will be listened to and addressed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a complaints procedure and there has been one complaint since the last inspection which was investigated thoroughly and records kept. Residents are well aware of how and to whom they can make a complaint and feel free to do so. They each have a designated key worker and said they could speak to this person, the Registered Manager, Responsible Individual, or any other member of staff. Regular house meetings are held where any issues can be raised and are dealt with immediately, although it was also clear from discussion and observation that residents can raise any issue at any time. The Registered Manager confirmed that staff had received, or are expected to attend, training in the protection of vulnerable adults. The home has a copy of the Local Authority’s Alerter’s Guidance available for staff with a procedure for notifying any alleged incidents of abuse or concern. Stoke View DS0000003509.V327482.R01.S.doc Version 5.2 Page 16 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, 25, 26, 27, 28 and 30 Quality in this outcome area is adequate. Residents live in a clean, safe and comfortable home, although communal space is limited for the numbers of residents and staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Stoke View is in a residential part of Plymouth and indistinguishable from the neighbouring properties. The home is comfortable, safe and clean with a good standard of décor and furnishings. The Registered Manager confirmed that repairs, maintenance and redecoration are ongoing projects. Improvements since the last inspection include a new gas cooker, central heating boiler and shower on the ground floor. Residents confirmed that they are responsible for cleaning their own bedrooms and communal areas with staff support if necessary. The home has separate lounge and dining rooms on the ground floor, that are rather small for the number of residents and staff, although there were only eight residents in the home at the time of inspection. The Stoke View DS0000003509.V327482.R01.S.doc Version 5.2 Page 17 kitchen and laundry room are also on the ground floor and there is an office and sleeping accommodation for staff on the 2nd floor. There are five single and two shared bedrooms in the home. The shared bedrooms are on the ground and 1st floor and the single rooms are on the 1st and 2nd floors. All the bedrooms contain wash hand basins and are individually furnished, containing many personal possessions. Residents and the Registered Manager confirmed that, wherever possible, residents choose the colour and décor of their bedrooms. All the bedroom doors are fitted with locks and, subject to risk assessment, residents have their own keys. The home has shower rooms on the ground and 2nd floors and a bathroom on the 1st floor. There are toilets on each floor. All bathroom and toilet doors are fitted with locks that can be opened from the outside by staff in an emergency. The home does not have many aids or adaptations, apart from hand rails, because these are not required for the residents. At the rear of the building is a small courtyard garden, with an activities room, which is accessible by all the residents in the home. Stoke View DS0000003509.V327482.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32, 33, 34, 35 and 36 Quality in this outcome area is good. Recruitment procedures are robust and the residents benefit from a wellsupported and supervised staff team. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Discussions with residents and the Registered Manager confirmed that there are always enough staff on duty to meet the needs of the residents. There are usually at least two care staff on duty during the day and evening (until 9pm) and at night there is one waking and one sleeping member of staff. The Registered Manager is usually supernumerary to the care staff. The Responsible Individual is often available if additional staffing is required. Residents confirmed that the staff team are very good and it was evident that there was a good rapport between residents and staff. Two staff files were inspected and the information in them show that the organisation has a robust recruitment procedure. Criminal Record Bureau (CRB) checks are made for every new staff member and two written references Stoke View DS0000003509.V327482.R01.S.doc Version 5.2 Page 19 obtained. The Registered Manager confirmed that new staff are never left unsupervised until all the checks and references are returned. Residents are asked for their opinion of potential new staff and the views expressed are taken into account as part of the interview process. The Registered Manager, as well as pre-inspection documentation confirmed that staff are expected to complete various training courses. These include topics such as adult protection, first aid, health and safety, fire safety, safe handling of medication, food hygiene, person centred planning, infection control, National Vocational Qualifications (NVQs) and several courses related specifically to working with people with learning disabilities, such as learning disability awareness, dementia and social role valorisation. The home has recently devised a structured induction training that complies with the Skills for Care requirements and this will be put in place for all new staff. All training and supervision meetings are documented in staff files. The home has a copy of the General Social Care Council’s code of conduct for care staff and the Registered Manager said that additional copies have been requested so that each staff member can have their own copy. Stoke View DS0000003509.V327482.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37, 38, 39 and 42 Quality in this outcome area is good. The management approach is open, inclusive and positive, providing clear leadership and guidance. Residents’ rights, health, safety and welfare are protected and promoted. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Registered Manager has been managing this home for a few years and has extensive previous experience of managing care homes. He has completed a level 4 National Vocational Qualification (NVQ) in Management, is presently in the process of completing a level 4 NVQ in Care and will then complete the Registered Manager’s Award. Discussion with the residents confirmed that the ethos of the home is excellent. This is because the management approach is open and inclusive with the home being organised to meet the needs and Stoke View DS0000003509.V327482.R01.S.doc Version 5.2 Page 21 aspirations of the residents. The quality of care provided is continually being monitored and reviewed by the Registered Manager and Responsible Individual as they spend a great deal of time at the home talking with residents, their relatives/representatives and staff. The Responsible Individual, or another designated person independent of the care home, should be writing monthly reports on the conduct of the care home, which should be part of the quality assurance system. Residents’ meetings are held regularly and chaired by the Registered Manager from another home owned by the same organisation. Residents, with assistance from staff, complete questionnaires about their life in the home. This quality assurance system should be developed to include an annual internal audit and feedback from relatives, representatives and other professionals involved with the home. Records and documents relating to health and safety issues are up to date. The Registered Manager confirmed that all staff are expected to attend training in health and safety, emergency first aid, food hygiene and fire safety. Manual handling training is being arranged for all staff. Accident records and incident reports are kept and regularly monitored by the Registered Manager. Tests and checks of fire safety equipment are carried out as required. Information in the fire log book confirmed that residents and staff attend fire drills and fire safety training, however the names of which staff have attended the training have not been recorded. The Registered Manager confirmed that all hot water outlets accessible by the residents are thermostatically controlled to ensure that hot water is kept to a temperature where residents will not be scalded. Pre-inspection documentation confirmed that comprehensive safety checks are carried out including gas appliances and electrical equipment. Stoke View DS0000003509.V327482.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 3 2 3 3 3 4 3 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 N/A 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 2 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 4 3 X X 2 X Stoke View DS0000003509.V327482.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA42 Regulation 17(2)(3) Requirement The Registered Manager must keep records of which staff members have completed fire safety training. Timescale for action 01/04/07 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. Refer to Standard YA35 Good Practice Recommendations The Statement of Purpose and Service User Guide should be updated to ensure that residents and their relatives/representatives have clear information about the services the home provides. A copy of each should be sent to the Commission for Social Care Inspection. The Statement of Terms and Conditions should be updated to include information about additional charges that residents are expected to pay, such as transport The Registered Manager should review the system of charging residents for the use of the home’s transport so that it is fair and equitable and to ensure that some residents are not subsidising others. Residents and relatives, representatives and/or advocates should be consulted about charging for the use of Stoke View DS0000003509.V327482.R01.S.doc Version 5.2 Page 24 2. 3. YA5 YA7 transport and any agreements made should be documented. The home’s policy on charging for transport should be included in the Statement of Purpose, Service User Guide and terms and conditions of residency. The Responsible Individual, or another designated person who is not directly concerned with the conduct of the care home, should produce a written report on the conduct of the care home and supply a copy to the Registered Manager and the Commission for Social Care Inspection. The quality assurance system should be developed to include an annual internal audit and feedback from relatives, representatives and other professionals involved with the home. 4. YA39 Stoke View DS0000003509.V327482.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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. 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