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Inspection on 01/08/07 for Templeman House

Also see our care home review for Templeman House for more information

This inspection was carried out on 1st August 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Templeman House provides residents with a suitable and well maintained environment. The home is well managed and suitably staffed with a trained and competent staff team. Residents` health and social needs are assessed and met at the home.

What has improved since the last inspection?

Requirements regarding medication administration have been met. Staff recruitment procedures have been strengthened by compliance with requirements of Schedule 2 records.

CARE HOMES FOR OLDER PEOPLE Templeman House Leedam Road Bournemouth Dorset BH10 6HP Lead Inspector Martin Bayne Key Unannounced Inspection 1st August 2007 10:00 X10015.doc Version 1.40 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 Templeman House DS0000003903.V347586.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 Older People. 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. Templeman House DS0000003903.V347586.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Templeman House Address Leedam Road Bournemouth Dorset BH10 6HP 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) 01202 537812 01202 535022 templeman@care-south.co.uk www.care-south.co.uk Care South Mr Iain Slack Care Home 41 Category(ies) of Dementia - over 65 years of age (6), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (6), Old age, not falling within any other category (41) Templeman House DS0000003903.V347586.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 41 in the Category OP (Old Age) including up to 6 in the Categories DE(E) and/or MD(E). 4th July 2006 Date of last inspection Brief Description of the Service: The local County Council originally built Templeman House as a residential home in the 1960’s. The home is part of Care South - a non-profit making organisation and registered charity formerly known as The Dorset Trust. The Registered Individual (RI) for the company is Roger Fulcher. Templeman House is registered to accommodate 41 people over the age of 65 and in need of personal care and a maximum of 6 people with a mental health disorder or dementia. The home is situated in the residential area of Kinson - a suburb of Bournemouth, close to bus services, shops and local amenities. Residents’ accommodation is arranged over three floors. A passenger lift and two staircases enable easy access to all floors. All bedrooms are for single use although the home currently accommodates a married couple that have adjacent rooms close to a small communal lounge. Assisted bathing facilities are located on each floor. There home has two lounges, a spacious and comfortably furnished entrance and a large separate dining room on the ground floor with an additional small quite lounge. There are two smaller lounges and dining rooms/ kitchenette areas available on other floors. The home has off road parking for residents, visitors and staff and is set in mature enclosed grounds and gardens with a pond, raised boarders, lawns and a patio area. Templeman House DS0000003903.V347586.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection of the home that took place between 9:15 a.m. to 2:45 p.m. The aim of the inspection was to follow up on the three requirements and four recommendations made at the last key inspection in July 2006 and a pharmacy inspection that was also carried out in July 2006. The deputy manager assisted the inspector throughout the inspection. The personal files of three residents admitted since the time of the last key inspection where used to track the records that the home is required to maintain as evidence of the care provided in the home. During the inspection 10 residents were spoken with about their experience of living in the home, three relatives and three members of staff. A tour of the premises was made. The fees for the home range from £450 to £600 per week. Additional charges are detailed within the Terms and Conditions of Residence. What the service does well: What has improved since the last inspection? Requirements regarding medication administration have been met. Staff recruitment procedures have been strengthened by compliance with requirements of Schedule 2 records. Templeman House DS0000003903.V347586.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Templeman House DS0000003903.V347586.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Templeman House DS0000003903.V347586.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 13 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Prospective residents would benefit from the Statement of Purpose and the Service User Guide being up to date and readily available. Prospective residents do however benefit from a thorough assessment of their needs being made before a decision is made to admit them to the home. EVIDENCE: At the last inspection a recommendation was made that the Statement of Purpose be amended to inform of the room sizes, as some do not meet the National Minimum Standard of 10 square metres and prospective residents should be made aware of this. It was also agreed that the Statement of Purpose should inform that due to the mental frailty of the residents Templeman House DS0000003903.V347586.R01.S.doc Version 5.2 Page 9 accommodated, the front door is usually locked to protect those residents with dementia from the risk of wandering and getting lost from the home. It was further agreed that the Registered Manager would liaise with CSCI about a variation to increase the numbers of residents who can be admitted to the home with a diagnosis of dementia. At the time of inspection the Registered Manager was on annual leave. Neither the Statement of Purpose nor the Service User Guide could be located. The inspector was informed that the reason for this was that both documents were being worked upon by the Manager concerning the above changes. A requirement was made that the Statement of Purpose and Service user Guide be amended and are available to residents or relatives. It was noted that a copy of the last inspection report was on display in the reception area of the home as well as a document summarising the last quality assurance survey carried out by the organisation. The deputy manager informed of the procedure for new admissions to the home. The home has a form that staff complete for any phone calls or expressions of interest from a person wishing to move to the home. This is then followed up with the person and their relatives being invited to view the home, at which time written information about the home is given out. In cases where a person is being referred through Social Services, a copy of the care management assessment and care plan are obtained to assist in the preadmission assessment. The deputy manager informed that in all cases the home carries out their own assessment of need before making a decision on whether they can meet the needs of the person being referred. It was found for the three residents tracked through the inspection that copies of the above documents were held on each resident’s personal file. A letter is then sent out with a copy of the Terms and Conditions of Residence. It was recommended that the standard letter inform that following the pre-admission assessment the home can meet the needs of the person being referred. One of the relatives spoken with was able to confirm that the above procedures had been carried out when their mother had been admitted to the home. The home does not provide an intermediate care service. Templeman House DS0000003903.V347586.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from their health needs being met through care planning by a staff team who respect residents’ privacy and dignity. EVIDENCE: It was found that an individual care plan had been developed for the three residents tracked through the inspection. The care plans were typed and provided sufficient information for a new member of staff to meet the assessed needs of the person in question. Each care plan had a photograph on the front of the plan for the easy recognition of residents. There was evidence that reviews were taking place each month with a signed and dated sheet when reviews had taken place. There was also evidence that the residents had been involved in developing their care plan or their relatives. Where residents were Templeman House DS0000003903.V347586.R01.S.doc Version 5.2 Page 11 assessed as not having the mental capacity to understand the care planning process, a box on the care plan had been ticked to inform that the resident had not been involved in developing the plan. The home has a good record management system to assist the staff. Residents’ files are subdivided into an archive file and a working file. The working files are made available to the staff by being stored on each floor of the home where residents have their bedrooms. A third file is also maintained that contains working documents for each resident, such as daily recording sheets, treatment charts, records of activities and continence charts. There was evidence that risk assessments had taken place and these were recorded within the working files. The home uses a large tick box form that covers most areas of risk and how risk of harm can be reduced, with this information then translated into the care plans. It was also found that a separate moving and handling risk assessment had been carried out for each resident. Other risk assessments were in place for specific areas of risk such use of bed rails, diabetes and the risks posed by radiators. The residents spoken with said that their health needs were met at the home with the staff arranging GP appointments if required. There was also evidence within daily recording sheets of residents tracked through the inspection of health needs being met. On the day of inspection a GP had been asked to visit a resident who had a suspected chest infection and another resident who had just had a neck brace removed and was experiencing difficulties. There was also evidence that district nurses were visiting the home when required to change dressings. Other health needs for hearing, eyesight, dentistry and chiropody were being arranged and recorded within the residents’ files. All of the residents spoken words said that the staff were kind and courteous and there was respect paid to their privacy and dignity within the home. This was exemplified by examples seen where residents are were being called by their preferred name, a comfort toy was being provided to one person with dementia who was very fond of dogs and there was an example where a lady whom the home had discovered had experienced abuse is a young person was now not being provided with a male carer. The medication administration records were seen. At the front of each recording sheet were a photograph of the resident and a record of any allergies and instructions for the staff. There were no gaps found in the records, thus meeting a requirement from the pharmacy inspection. The deputy informed that the systems used in the home could allow for a full audit of medications that enter the home. The medication cabinet was seen and medicines were stored correctly. The home has now purchased a Controlled Drugs Register as recommended at the pharmacy inspection. The home has a fridge for the storing of medications that require refrigeration. Templeman House DS0000003903.V347586.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from their social and leisure needs being met, from being able to maintain contact with friends and family and from being provided with a varied and balanced diet. EVIDENCE: At the time of inspection there was a group of about 15 residents in one of the lounges with the home’s activities co-ordinator involved in a game of skittles and other games. Three residents were receiving visitors and others were sitting in small groups in the lounges and sitting areas. Ten residents were spoken with and three relatives. They informed that visitors were made welcome and there was good communication between relatives and the home. Templeman House DS0000003903.V347586.R01.S.doc Version 5.2 Page 13 Activities for the week ahead were displayed on the notice board and these included, gardening, music and exercise, newspapers discussions, reminiscence, floor games, quizzes and bingo, manicures, cooking and video afternoons. There was also information about visiting entertainers. Residents spoken with said that there was a good range of activities and that there was plenty to keep people occupied. The activities co-ordinator was spoken with who informed of a theme week, ‘Holiday at Home’ week that had just taken place. This had involved a week of activities and outside entertainers who had visited the home. The activities co-ordinator was able to show records of activities that had taken place each week and who had taken part. She informed that individual time is spent with those people who did not like to take part in communal activities. It was agreed that the home would try and develop with relatives, social histories for residents with dementia, as this would be very valuable in meeting their leisure and recreational needs. Concerning spiritual needs, these are assessed when a person moves into the home. The deputy informed that currently there was a Holy Communion service held once a month in the home and also that once a month on a Sunday, the local Baptist Church visited the home to carry out a service for residents. Should a person have religious needs of another faith, the home would endeavour to meet these. The menu for the day was listed on the resident’s notice board. On the day of inspection the main meal options were; cottage pie, macaroni cheese or salad. Residents are able to make their choice for the main meal at breakfast when the staff go round with a list. The deputy informed that there was a choice of three meals each day and if a person had specialist needs the chef would also cater for these. The records of food provided were seen and these reflected a varied and balanced diet. The records also provided good detail as to what each resident had eaten. The residents spoken with all said that the food was of a good standard and that they had no complaints. Templeman House DS0000003903.V347586.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected through a well-publicised complaints procedure, policies and procedures for adult protection and staff training in this field. EVIDENCE: The complaints procedure was displayed in the main reception area and is also detailed within the Terms and Conditions of residence. The complaints log for the home was seen and this showed that there have been no complaints received by the management since the last key inspection. No complaints or concerns have been passed to see CSCI. All staff receive training in adult protection at induction. They can also go onto further training in protection of vulnerable adults from an outside trainer at a Templeman House DS0000003903.V347586.R01.S.doc Version 5.2 Page 15 later stage. As reported at the last inspection the home has all policies and procedures to the protection of vulnerable adults. Templeman House DS0000003903.V347586.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a suitable and well-maintained environment, however greater safety would be maintained should all radiators be covered. EVIDENCE: At the last inspection a requirement was made that any radiators that posed a high risk to residents should be covered. The returned AQAA did not inform how this requirement had been met. It was found at this inspection that risk assessments had been carried out and radiators that were not covered had been assessed as medium or low risk, however no new covers had been fitted. Templeman House DS0000003903.V347586.R01.S.doc Version 5.2 Page 17 The judgement of the inspector was that the radiators could still pose some risk and it is recommended that the radiators be covered in order to protect residents from getting burnt from hot surfaces. Since the last inspection the corridors have been repainted in a pastel shade and some of the bedrooms and two bathrooms have also been redecorated. It was noted that tiles in the upper floor bathroom had come away from the wall. This was brought o the attention of the deputy manager who agreed that these would be re-affixed to the wall. The inspector was told that there were plans to have the dining room decorated. Since the last inspection two new assisted baths have been fitted. There was evidence that residents are able to bring their own furniture to personalise their rooms and the deputy informed that a record is kept of furniture and valuables that a person brings into the home. On the day of inspection the home was found to be clean and there were no unpleasant odours. The staff are supplied with gloves and aprons and there are policies and procedures for infection control. There is a sluicing area on each floor for the cleaning of commodes. The home has two commercial washing machines and two dryers. Alginate bags are used for soiled linen. Templeman House DS0000003903.V347586.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents benefit from sufficient staff levels being provided to meet assessed needs and the staff being well trained. Better protection would be afforded to residents with the home ensuring that any agency workers have been subjected to required recruitment checks. EVIDENCE: The deputy manager informed that the same levels of staffing were provided as at the time of the last inspection with: 5 staff on duty between 7.15 – 14.30; between 14.30 – 15.00, 3 staff; 15.00 – 15.30, 6 staff; 15.30 - 21.30, 5 staff and between 21.30 – 22.00, 3 staff. During the night time period there are two waking night staff and an on-call duty manager. The home also employs a laundry assistant 7 days a week for 4 hours a day, a dining room assistant 7 days a week for 3 hours a day, five domestic staff, a chef and assistant chef, four kitchen assistants, an activities co-ordinator and an administrative. A staff duty roster was seen that reflected the above. The residents spoken with informed that staffing levels were sufficient to meet their needs. Templeman House DS0000003903.V347586.R01.S.doc Version 5.2 Page 19 41 of the care staff have now been trained to NVQ level 2. This is a slight reduction in ratio to that found at the last inspection. The deputy manager informed that there had been some staff turnover to account for this and that the home had had to use some agency staff to cover staff shortages. New staff receive induction training that is compliant Skill for Care Induction Standards. The home provides core mandatory training to staff in health and safety, moving and handling, infection control, basic food hygiene, first aid and adult protection. There is also a range of other care related courses to which staff can be nominated. At the last inspection the staff raised the issue of challenging behaviour and training. The deputy manager informed that this subject was covered in the dementia training that was available to the staff. At the last inspection a requirement was made as it had been found that staff were shadow working prior to a check being made against the register of adults deemed unsuitable to work with vulnerable adults. At this inspection a sample of staff recruitment files were seen for two staff recruited since the last inspection. On this occasion it was found that all the required checks and records to comply with Schedule 2 of the Regulations were in place, thus meeting the requirement from the last inspection. On the day of inspection there was an agency member of staff working in the home, however the agency had not supplied the home with a letter to inform that the agency staff member had been vetted through the recruitment checks of Schedule 2 of the Regulations. It is strongly recommended that the home obtain such verification for all agency staff members before they are allowed to work in the home. At the last inspection it was recommended that the staff application form be amended to request information reflecting changes to the Regulations of July 2004, such as a reference from the applicant’s previous place of employment working with vulnerable adults. It was found at this inspection that the same form was being used and the recommendation remains that the form be amended. Templeman House DS0000003903.V347586.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31 33 35 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from the home being well managed and run in the interest of people who live in the home. EVIDENCE: The Registered Manager has completed NVQ level 4 in Health and Social Care and a certificate to this effect was seen. Templeman House DS0000003903.V347586.R01.S.doc Version 5.2 Page 21 Unannounced visits are made by a representative from the organisation as required under Regulation 26. From speaking with staff residents and relatives there was evidence that the home is well managed. A quality assurance survey is carried out by the home involving residents and relatives to ensure that the home is active in meeting needs of people who use the service. The home safe keeps small sums of money on behalf of residents. This is managed through the registered manager or deputy. The records and balance of money for two residents were checked and the records tallied with the balance of money held. The accident book was seen and it was found that accidents were being recorded and appropriate action taken. Information was provided about the tests and inspections of fire safety systems and other equipment in the home. Templeman House DS0000003903.V347586.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 Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 1 x 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Templeman House DS0000003903.V347586.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 OP1 Regulation 4 Requirement You are required to update the Statement of Purpose and ensure that it is available to service users or their representatives. Timescale for action 01/09/07 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 OP3 Good Practice Recommendations It is recommended that the letter sent out to residents or their representative following the pre-admission assessment informs that the home can meet the needs of the person referred. It is recommended that all radiators be covered to protect service users from hot surfaces. It is strongly recommended that the home obtain a letter from agencies that supply agency workers that the worker has met all the requirements of Schedule 2. It is recommended that the staff application form be amended to seek information to changes in the regulations of July 2004 2. 3. 4. OP19 OP29 OP29 Templeman House DS0000003903.V347586.R01.S.doc Version 5.2 Page 24 Templeman House DS0000003903.V347586.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Templeman House DS0000003903.V347586.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!