Inspection on 22/06/05 for The Laurels

This inspection was carried out on 22nd June 2005.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

The Laurels 17/04/07

The Laurels 25/04/06

The Laurels 05/12/05

The Laurels 16/09/04

The Laurels 21/04/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE The Laurels 45 High Street Market Deeping Lincolnshire PE6 8EB Lead Inspector Sue Hayward Unannounced 22 June 2005 09:30 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. The Laurels C53 C04 S2447 The Laurels V234756 220605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Laurels Address 45 High Street Market Deeping Lincolnshire PE6 8EB 01778 344414 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Desmond Shiels Mr Desmond Shiels Care Home 23 Category(ies) of OP Old Age 23 registration, with number of places The Laurels C53 C04 S2447 The Laurels V234756 220605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 16 September 2004 Brief Description of the Service: The Laurels is a two storey Grade II listed stone building originating from the early 1800s. It is situated a quarter of a mile from the town centre of Market Deeping. The town has a range of facilities including shops, banks and pubs. The ground floor accommodation has six single and one shared bedroom and the first floor has eleven single and two shared bedrooms. A lift or stairs can be used to reach the first floor. There is a courtyard garden area situated to the rear of the property, furnished with tables, chairs and umbrellas. There is also a grassed area to the side of the property. The Laurels is registered to provide care and accommodation for up to twenty-three older persons who require personal care but one twin room is currently being used as a single and maximum occupancy is therefore twenty-two. On the day of the visit one of the owners confirmed that there were currently two vacancies. The home is a family run business, with the owners involved on a daily basis in the management of the home. One has overall responsibility for care management within the home. The Laurels C53 C04 S2447 The Laurels V234756 220605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first of two inspections required by law to be completed for April 2005 – March 2006. It took place over 7 ½ hours and was carried out by one inspector. The main method of inspection used was “case tracking”. This involved selecting three residents and tracking the care they receive through the checking of their records. There was discussion with three residents, three of the care staff on duty and observation of some care practices. A sample of regulatory records and policies and procedures were seen and a partial tour of the premises took place. This included viewing a sample of resident’s bedrooms as well as communal rooms. Two people who were visiting at the time of the inspection was also spoken to. What the service does well: What has improved since the last inspection? There has been some progress to meet the requirements raised at the time of the last inspection but further work still needs to be done. The landing has been redecorated and records demonstrated that tests of the fire alarm are now being done on a weekly basis. The method of administering medicines has been changed to ensure a safer system. The Laurels C53 C04 S2447 The Laurels V234756 220605 Stage 4.doc Version 1.30 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 Laurels C53 C04 S2447 The Laurels V234756 220605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection The Laurels C53 C04 S2447 The Laurels V234756 220605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1 and 3 No progress has been made to review the homes statement of purpose and service users guide to ensure that it contains full information about the home should residents or their relatives wish to refer to it. The admission procedure must include undertaking a risk assessment to ensure residents welfare and safety. EVIDENCE: Whilst there is a statement of purpose and service users guide in the homes procedure manual this does not contain all the information required by regulations to ensure residents and their relatives or representatives have full information they can refer to. That said, the one relative spoken to said that she felt she had been fully informed about the home through her discussions with the owners. Residents spoken to could not recall whether they had been given any written information about the home and their records did not include any information to demonstrate that they had. The Laurels C53 C04 S2447 The Laurels V234756 220605 Stage 4.doc Version 1.30 Page 9 There is a policy in relation to admission. Staff said that one of the owners carries out assessments and information is passed on to staff during shift handovers. Staff were aware of the needs of residents and of their care plans. Residents said that they had been able to visit the home prior to making a decision to stay. Two said that they had initially stayed at the home for respite care and this had been a useful way of deciding whether they wanted to stay longer at the home. Records checked did not always indicate whether individual risk assessments had been completed, for example for in relation to a resident who makes visits into town. The Laurels C53 C04 S2447 The Laurels V234756 220605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7 and 9 Care plans contain information about the care needs of residents but do not always demonstrate the involvement of residents or their relatives or that they are being reviewed regularly to ensure the welfare and safety of residents Whilst some progress has been made in relation to the administration of medicines further action needs to be taken to ensure that residents are adequately protected by the medication procedures and systems in place. EVIDENCE: Care plans were in place for each resident although they did not demonstrate that they were being reviewed on a monthly basis. One had been signed by the resident’s relative (who confirmed that the resident had also been involved) the others had not. Care records demonstrated that residents have visits to or from other health professionals such as the district nursing service, G.P’s and chiropodist and resident’s comments confirmed that they only had to ask to see the doctor and a visit would be arranged. Records also included information about residents preferred routines and likes and dislikes. Staff had a good knowledge of the needs of residents. The Laurels C53 C04 S2447 The Laurels V234756 220605 Stage 4.doc Version 1.30 Page 11 Observation of a staff member administering the lunchtime medicines indicated that a safe procedure is followed and staff were aware of the correct procedure for disposal of medicines. The staff member said she had been shown and trained by another staff member how to administer medicines. The commission’s pharmacist visited the home on 03/12/04 and made a number of requirements and recommendations. Some progress has been made to address these but some matters are still outstanding relating to providing adequate provision for the storage of specific medicines, ensuring that staff have appropriate training in the administration of medicines and reviewing the homes policies in relation to medicines (the policy seen on the day remains a one page document relating mainly to administration. The registered persons are advised to obtain a copy of the Royal Pharmaceutical Society’s document “Administration and control of medicines in care homes”). The temperature of storage of medicines in the drugs cabinet was not checked on this occasion however it was noted that the kitchen temperature where medicines are stored measured 32.5 degrees centigrade, which is above temperatures recommended. It was noted that a visit from the pharmacist who supplies the home occurred on 21/06/05 and identified that they would obtain a small lockable fridge and drugs cabinet for specific medicines. The owner said that it was anticipated that these would be supplied within the month. The Laurels C53 C04 S2447 The Laurels V234756 220605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 and 13 Residents have choices as to their preferred routines and visitors are made welcome at this home. EVIDENCE: Residents spoken to indicated that they have choices as to how they lead their life in the home. For example one resident said that she was able to go for a walk into town when she wished as long as she let the staff know where she was going for safety reasons, another that she could get up and go to bed whenever she wanted. One resident has an interest in gardening and she has been with one of the owners to purchase some bedding plants for the home. The owner said that there are various events planned for residents and residents are consulted individually. A “Wimbledon tea” is planned soon and a resident’s visitor was aware of this event and had been invited to attend. Most residents have a television in their room or if they prefer they can watch it in one of the lounges. Books were available for residents to read. Staff said that they had time to participate in social activities with residents such as taking residents out for a walk and running bingo sessions. A staff member also confirmed that Holy Communion is held at the home and some residents attend Church services. The Laurels C53 C04 S2447 The Laurels V234756 220605 Stage 4.doc Version 1.30 Page 13 A relative confirmed that she is always made to feel welcome when she visits and was able to visit whenever she wished. A staff member was well aware of the homes visiting policy. The Laurels C53 C04 S2447 The Laurels V234756 220605 Stage 4.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 There are satisfactory arrangements in place to ensure the safety and protection of residents however the complaints procedure would benefit from review to reflect that the Commission can be contacted at any time and the adult protection procedure should be reviewed to ensure it links with the recently revised Local Authority Adult Protection procedures which were published in February 2005. EVIDENCE: The home has a complaints procedure and two residents spoken to were well aware of how and who to raise concerns with should they have any. A residents relative spoken to said that she did not recall being given a copy of the homes complaints procedure but it had been fully explained to her by the owners and she would feel comfortable to raise any issues if she had any. Staff members gave a good account of the action they would take should any matters of concern be expressed and demonstrated that they had a good knowledge of the homes complaints and adult protection procedures. The home have had two formal complaints raised since the last inspection. One raised with the commission in relation to staffing issues this was not upheld. The second matter was raised with Social Services and was not upheld. There are policies and procedures in place in relation to complaints and adult protection issues. It is recommended that both are reviewed. The Laurels C53 C04 S2447 The Laurels V234756 220605 Stage 4.doc Version 1.30 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 24 and 26 Residents living in this home live in a clean, comfortable and homely environment however immediate action must be taken to address those matters raised by the fire brigade to ensure residents safety. EVIDENCE: The home looked and smelt clean and was comfortably furnished. Residents spoken to were satisfied with their rooms and described them as being comfortable. Residents said they had been able to bring with them personal items and furnish their bedrooms according to their taste. Some bedrooms have lockable doors. Residents spoken to felt that staff respected their privacy when they were in their rooms however could call for assistance when necessary. A resident showed how she used her call bell, which was answered promptly by staff. Sitting and dining rooms were comfortably furnished. A resident’s relative spoken to said that whenever she had visited she had always found the home to be clean and tidy. The Laurels C53 C04 S2447 The Laurels V234756 220605 Stage 4.doc Version 1.30 Page 16 Staff said that they report any maintenance matters to the owners and they are attended to promptly. They also said that they are provided with gloves and aprons (these were also seen) to prevent cross infection. There were some matters noticed which had been identified in the last fire officer’s report of 11/03/05 that were still outstanding and needed attention. These related to: • • • The route of the conservatory and through the garden was uneven and should be levelled and free from trip hazards. That the doors to the front of the building should have keypads removed. Signs should be positioned marking escape routes at each change of direction or where escape routes or exit doors are not clear to persons using them and directional signs provided where necessary. The owner must contact the fire brigade and take immediate action to attend to any matters that the fire brigade deem to be outstanding. Some bathrooms and toilets were seen. Not all have lockable doors and this needs attention to ensure residents privacy and dignity is respected. The Laurels C53 C04 S2447 The Laurels V234756 220605 Stage 4.doc Version 1.30 Page 17 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 and 30 The home is being well staffed to meet the current needs of residents however records must be available to demonstrate that the home operates a safe recruitment procedure to protect residents and to demonstrate that staff training is regularly updated to ensure the needs of residents are met. EVIDENCE: Staff rotas and comments from staff and residents all demonstrated that the home is being well staffed. On the day of the visit two care staff plus a staff member who was cooking the lunchtime meal was on duty. There is also a cleaner employed who also undertakes some care tasks when necessary. At night there are two wakeful staff on duty. Residents all said that they received the help they needed and comments received mainly described staff in positive terms such as being “very kind”, and “good”. Records of recruitment were checked for three staff members. All contained evidence of Criminal Records Bureau (CRB) checks being carried out however in one instance the record did not demonstrate whether this was assessed as satisfactory. It was also noted that one record only contained one reference. The registered person confirmed in writing after the inspection that both a CRB and a second reference had been obtained however these need to be available for inspection. Staff photos were not on the record in some instances and records did not clearly demonstrate dates that staff had commenced employment. The Laurels C53 C04 S2447 The Laurels V234756 220605 Stage 4.doc Version 1.30 Page 18 Staff said they had had some training since the last inspection. Records demonstrated that training had included manual handling, hand washing and cross infection and fire training. One staff member spoken to said that she was also working towards a National Vocational Qualification (NVQ) award. Information provided by the registered persons after the inspection indicated that five staff are undertaking NVQ and one young apprenticeship training. The Laurels C53 C04 S2447 The Laurels V234756 220605 Stage 4.doc Version 1.30 Page 19 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 and 38 Residents and relatives are consulted informally about the care provided at this home however some record keeping systems need attention in order that they adequately demonstrate that residents are being protected from risks to their health and safety and that their views are sought and acted on. EVIDENCE: This is a home which is managed by the owners each having responsibilities for different areas of the home. Staff said that they felt well supported by the owners who visited the home on a daily basis. There was discussion with one of the owners about the quality assurance systems in place. There is no formal system however it was said that residents and relatives views are sought on an individual basis. Residents and a relative spoken to confirmed that the owners were always available to speak to and they said they would feel comfortable to raise concerns. A relative made the comment that in her opinion this was a well managed home. There is no formal quality audit system in place to show that the views of residents and The Laurels C53 C04 S2447 The Laurels V234756 220605 Stage 4.doc Version 1.30 Page 20 visitors to the home are sought and acted upon. For example there were varied comments from visitors as to whether the home provided residents with enough opportunities to pursue leisure/social activities. A formal quality audit system would address this. The owners had not completed a pre-inspection questionnaire or returned any “Comment” cards from residents or relatives for this inspection. Health and safety risk assessments of the environment were in place and covered matters such as electrical safety, burns and scalds. A sample of regulatory records were seen these included fire records, which demonstrated that tests of the fire alarm, were being done weekly. Records were not produced at the time of the visit to demonstrate that a fire risk assessment of the home had been done. This matter must be addressed immediately to ensure that the home provides as safe an environment as possible for residents. Staff said that they had recently had fire training and drill. Records did not demonstrate who had attended however did confirm the date that training had occurred. The last report identifies that an Environmental Health Officer visited the home on the 14/07/04 and the home was provided with guidance on Legionella at that time. A policy has now been developed and records kept indicated that regular checks are made. Those areas of the kitchen seen were clean and tidy. Whilst overall comments indicated that residents and relatives are satisfied with the care and accommodation provided, record keeping systems were not available in some instances to back up practices in the home e.g. quality assurance systems. The Laurels C53 C04 S2447 The Laurels V234756 220605 Stage 4.doc Version 1.30 Page 21 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 x 2 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 1 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION 1 x x x x 3 x 3 STAFFING Standard No Score 27 3 28 x 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 3 x x x x 1 The Laurels C53 C04 S2447 The Laurels V234756 220605 Stage 4.doc Version 1.30 Page 22 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 1 Regulation 4(1) & 5 (1) & (2) Requirement Timescale for action 31/08/05 2. 7 15 (2) 3. 3 13(4) 4. 9 13(2) The registered person must compile a statement of purpose and service users guide containing all the information outlined in regulations 4 & 5 and schedule 1. This requirement remains outstanding from 13/01/2003. A further timescale for compliance is given of 31/08/05 31/08/05 The registered person must ensure that care plans are reviewed on at least a monthly basis and contain evidence of the involvement and agreement of residents if able or their representatives. This requirement remains outstanding from the inspection of 16/09/04. It is noted that some progress has been made. A further timecale is given of 31/08/05. A risk assessment must be 31/07/08 undertaken and documented in relation to any matters identified as a possible risk to residents e.g residents who access the community unsupervised. The registered person must 31/08/05 make suitable arrangements for the storage and safe keeping of Version 1.30 The Laurels C53 C04 S2447 The Laurels V234756 220605 Stage 4.doc Page 23 5. 19 23(4) & 12(1) 6. 19 12(4) 7. 7 15 (2) 8. 29 19 (1) & 17(2) medicines. Medicines must be stored in a dry area below 25 degrees centigrade. Adequate storage provisions for specific medicines must be obtained including those that require storage between 2 - 8 degrees centigrade. Staff who adminsiter medication must have been appropriately trained and there must be written policies and procedures in place on all aspects of medicine handling and management. These requirements were identified at the time of the Commissions pharmacy inspection of 03/12/2004 and remain outstanding. A further timescale for compliance is given for 31/08/05 The registered person must consult with the fire brigade for the home and take action to ensure that all recommendations are implemented. Bathrooms and toilets must be lockable however any locks provided must meet with the fire brigades recommendations and be accessible to staff in emergencies and suited to residents capabilities Care plans must be reviewed monthly and include evidence of the involvement of residents or their representatives. This requirement was identified at the inspection of 16/09/05 and a timescale for compliance given of 31/12/04. It is noted that some progress has been made to address this issue but further work is required and a further timescale of 31/08/05 is given. Records must be available to demonstrate that a safe recruitment process is in Immediate 31/08/05 31/08/05 31/08/05 The Laurels C53 C04 S2447 The Laurels V234756 220605 Stage 4.doc Version 1.30 Page 24 9. 38 13 (4) 10. 33 24 (1, 2 & 3) 11. 29 18 (1) operation which includes two written references and evidence of a satisfactory CRB/POVAFirst check prior to employment, photos and dates of employment. The registered person is required Immediate to do a fire risk assessment on the home identifying risks and measures in place to reduce risks. The registered person must 30/09/05 ensure that effective quality assurance and quality monitoring systems, based on the views of residents are in place. This requirement was identfied at the inspection of 13/01/03 and remains outstanding. A further timescale for compliance is given of 30/09/05 Records must be available to 31/08/05 demonstrate the individual training of staff. 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 16 Good Practice Recommendations It is recommended that the complaints procedure be reviewed to reflect the change from the National Care Standards Commission to the Commission for Social Care Inspection. It should also reflect that the Commission can be approached at any stage should the complainant wish to do so. It is recommended that the home obtains a copy of Lincolnshire Adult Protection procedures which were revised in February 2005 and reviews the homes own procedures to ensure that they link. 2. 18 The Laurels C53 C04 S2447 The Laurels V234756 220605 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection Unity House, The Point Weaver Road, off Whisby Road Lincoln LN6 3QN National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Laurels C53 C04 S2447 The Laurels V234756 220605 Stage 4.doc Version 1.30 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. 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