Inspection on 12/07/05 for WCS - Mill Green

This inspection was carried out on 12th July 2005.

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

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

Other inspections for this house

WCS - Mill Green 26/10/09

WCS - Mill Green 29/08/07

WCS - Mill Green 22/11/06

WCS - Mill Green 29/11/05

WCS - Mill Green 27/04/05

WCS - Mill Green 01/12/04

WCS - Mill Green 02/04/04

Similar services:

Aston Court Nursing Home

Breme

Ravenhurst

Westmead

Ashcroft Hollow Nursing Home

Bricklehampton Hall Nursing Home

Briar Hill House

Radbrook Nursing Home

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

CARE HOME ADULTS 18-65 WCS - Mill Green Newbold Road Rugby Warwickshire CV21 1EL Lead Inspector Sheila Briddick Unannounced 27 April 2005 09:00 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. WCS - Mill Green E53 S4266 WCS Mill Green v224662 270405 stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service WCS - Mill Green Address Newbold Road Rugby Warwickshire CV21 1EL 01788 552366 01926 864240 admin@wcsmillgreen.f9.co.uk Warwickshire Care Services Ltd 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) Ms Victoria Britton PC 15 Category(ies) of LD 2; PD 13; PD(E) 2 registration, with number of places WCS - Mill Green E53 S4266 WCS Mill Green v224662 270405 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 1 December 2004 Brief Description of the Service: Mill Green is a registered care home providing personal care and support for 15 people with physical disabilities, 2 of whom can be over 65 years of age. 2 of the places available are for respite service provision.Service users’ accommodation is on the ground floor. The shared space in the home consists of a large lounge with dining area. Each service user has an en-suite toilet to their bedroom with two bedrooms having an en-suite shower facility with WC. There is one bathroom with assisted bath and two shower rooms, both with WC’s. In addition to the main kitchen and laundry of the home there is a domestic kitchenette and laundry room for use by service users. There are two office facilities used by management and staff. There are extensive wellmaintained gardens to the front and sides of the home and an internal garden used for leisure activities by service users. All bedrooms over look garden areas. The home is situated in Newbold on Avon, which is in the suburbs of Rugby in Warwickshire, and close to shops, local services and facilities. WCS - Mill Green E53 S4266 WCS Mill Green v224662 270405 stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over seven hours and included a full pharmacy audit by a Pharmacy Inspector. A tour of the premises took place and staff and care records were inspected. 7 Service users were spoken with and their views have been included in this inspection report. The registered manager and care manager for the home were not available for the first part of the inspection. The senior staff member on duty supported the inspection in a competent and responsible manner. Five of the nine requirements made at the last inspection visit have been met. New timescales have been agreed for outstanding requirements. What the service does well: What has improved since the last inspection? A new care plan format has been introduced. The care plan is designed to cover all areas of social, health care, personal care and emotional needs of service users. The care plan also ensures full service user involvement in the WCS - Mill Green E53 S4266 WCS Mill Green v224662 270405 stage 4.doc Version 1.30 Page 6 assessment and reviewing of care plan programmes. Involvement in the care planning process will enable service users to maintain control of their own lives. Staff have started to implement some good practice for medicine management. Odour control management systems have been installed in bathrooms providing service users with ensuite facilities that are fresh and welcoming. 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. WCS - Mill Green E53 S4266 WCS Mill Green v224662 270405 stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection WCS - Mill Green E53 S4266 WCS Mill Green v224662 270405 stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 There is a clear assessment and care planning system in place to adequately provide staff with the information they need to satisfactorily meet service user needs. The timescales in which assessment and care planning is being completed with new service users does not ensure that staff have the information they need to satisfactorily meet service user needs. EVIDENCE: The care plans for two service users recently admitted to the home were examined. A care management assessment was held on one of the care plans and although a care management agreement had been obtained for the other care plan there was no completed care management assessment. It is the Services practice to complete their own needs assessment during the admissions process and this is used as part of the care planning. These assessments had not been completed fully. Care managers explained that implementing the new care planning system for all service users in the home had delayed this process. The delay in completing the homes care assessment with the service users was resulting in shortfalls in meeting service users lifestyle including, provision of activities that met the service user needs, identifying how service users wish their personal and health care needs to be met, effective risk management and consent to medication and financial management. Three new service users were met and their views were sought on the admissions process. The service users said that the staff listened, staff know what I need and I am happy with my room. Service users had full access to their records and are aware care notes were being completed about them. One service user was concerned regarding the lack of consultation WCS - Mill Green E53 S4266 WCS Mill Green v224662 270405 stage 4.doc Version 1.30 Page 9 that had taken place prior to their admission to the home between themselves and Social Services. The service user is concerned regarding the appropriateness of the placement in meeting their needs. Discussion with the service user, the registered manager and examination of the care plan evidenced that the criteria for admission to the home is not compatible with the service user’s needs. A review of the care management assessment is taking place. WCS - Mill Green E53 S4266 WCS Mill Green v224662 270405 stage 4.doc Version 1.30 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 9 Risk management must be more robust to ensure that strategies to minimise risk are agreed with service users and recorded on the care plan. EVIDENCE: Service users spoken with said they ‘felt safe in the home’. Service users also recognised when activities were not safe for staff and had discussed this with the registered manager. Care plan records evidence that specialist services guidance and advice is being accessed in meeting specific risks to individuals. This includes Crisis Intervention teams and psychology services. Deaf Blind UK is risk assessing the environment for safety of people with sight impairment. Staff spoken with were aware of risks to service users however these, and the strategies in place to minimise the risk, are not always recorded on care plans potentiallt placing service users at risk. This included information regarding use of footplates on wheelchairs, storage of outdoor scooters, alcohol abuse, lone working and responding to absences by service users. There are risks to service users who may need to operate the fire exit system in the bottom corridor. The system is a bar/lock-operated exit, which has to be broken before being able to safely vacate the premises. There is no record WCS - Mill Green E53 S4266 WCS Mill Green v224662 270405 stage 4.doc Version 1.30 Page 11 of training taking place with service users in the use of this system or assessment that they have the skills to operate the system. Implementation of these strategies would promote and maintain the safety of service users. WCS - Mill Green E53 S4266 WCS Mill Green v224662 270405 stage 4.doc Version 1.30 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 15 Opportunity for service users to participate in appropriate activities in the community to meet their needs and wishes is improving slowly. Service users are supported to maintain family links and friendships. EVIDENCE: Service users spoken with were generally positive about the opportunities they have in accessing the community for a variety of activities. This included going to the pub for a drink, shopping, banking, and the local park. Local taxis are used to access facilities in the wider community although some service users have their own transport and the home has access to shared transport with another home in the area. Service users had differing opinions about the activities provided in the home. Generally service users were very happy with the provision whilst others felt that there was not a lot to do. All service users spoken with however were pleased to have opportunity to meet together with the manager to discuss activities and home issues. WCS - Mill Green E53 S4266 WCS Mill Green v224662 270405 stage 4.doc Version 1.30 Page 13 Opportunity for individual activities to take place with service users with a learning disability remains limited. Care plan records evidenced these activities are generally limited to physiotherapy sessions once a week and visits to family members. Wider options must be considered to enable service users lead fulfilling and meaningful lives. All service users spoken with were the complimentary about the support given to them to maintain family links. Service users said that they have plenty of visitors and that family and friends are made welcome. WCS - Mill Green E53 S4266 WCS Mill Green v224662 270405 stage 4.doc Version 1.30 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 20 The staff interviewed had a thorough understanding of the clinical needs of the service users. The home was eager to improve their current systems for medicine management. Enhanced robust systems have not been installed to check all the medication received into the home, which had led to some discrepancies in the records of administration. EVIDENCE: The majority of audits undertaken by the pharmacy inspector demonstrated that medicines were administered as prescribed. However staff failed to carry over balances of medicines from previous cycles and in these instances audits could not be undertaken. When required medication did not have written protocols for staff to refer to for their administration. Medicines had been administered but not recorded accurately in a few instances. Systems had been installed to check medication received into the home, but these were not robust enough to check on new medication received into the home from new service users and those receiving respite care. Staff failed to complete the Controlled Drug register in all instances and the senior management team had not addressed this. Service users were encouraged to self medicate their own medication but compliance checks had not been undertaken. WCS - Mill Green E53 S4266 WCS Mill Green v224662 270405 stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 Complaints are handled objectively and service users are confident that their concerns will be listened to and acted upon. EVIDENCE: There is a well-established complaints policy and procedure and service users spoken with understood the procedure. Service users are able to express concerns at resident meetings, which are now being held regularly. The housekeeper is regularly seeking the views of service users regarding the provision of services in the home. A written record is maintained. Service users spoken with who had discussed concerns with the registered manager were satisfied with how the concern was investigated and the outcome. This included concerns over missing clothes and healthcare services. A record is maintained of all complaints. WCS - Mill Green E53 S4266 WCS Mill Green v224662 270405 stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 and 30 The environment is appropriate for service users particular lifestyle and needs and accessible to community facilities and services. Improvement to the décor, furniture and fittings is necessary to provide the people living in the home with a comfortable, bright and homely environment. EVIDENCE: Since the last inspection visit there has been no redecoration or refurbishment action. Funding has been identified however for a programme to be implemented shortly. Service users spoken with had been involved with planning the refurbishment and redecoration that is to take place, this includes• New curtains to all windows. • Re-covering of all armchairs. • New floor covering to the dining room/lounge and redecoration. The programme does not include repair to doorways and plasterwork from wheelchair damage. There are some carpets in bedroom areas that require replacing as they are badly stained. The wear and tear of the carpets in some cases were not of WCS - Mill Green E53 S4266 WCS Mill Green v224662 270405 stage 4.doc Version 1.30 Page 17 concern to service users however there are issues regarding infection control and the carpets require replacing as part of management of this. Service users spoken with liked their rooms and were able to bring in personal possessions of their own choosing. All bedrooms reflect the interests and lifestyle of individuals. Outdoor equipment was being stored in bathroom areas. This posed restriction on access for service users and staff when providing personal care and infection control management. WCS - Mill Green E53 S4266 WCS Mill Green v224662 270405 stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34 Service users are supported and protected by the homes recruitment policy. Enhanced systems have not been installed for obtaining written references and exploring any gaps in the employment record. EVIDENCE: Staff files were examined at the inspection of new staff coming to work in the home. The staff had been confirmed in post following completion of Criminal Records Bureau clearance and POVA checks. Written references are obtained by providing a written questionnaire to the referees. This does not always provide clear identity of the environment the reference has come from, i.e. lack of workplace heading/logo. In one instance a written reference had been obtained from the prospective employees parent. This would not be a professional opinion of person’s suitability to work in a care environment. In some instances a record had been maintained of the interview with the staff member and this provided evidence of experience and knowledge. A copy of the staff member’s statement of terms and conditions of employment is maintained on the staff file. There was no record of the probationary period or service user involvement in the recruitment of the staff member or the probationary period review. WCS - Mill Green E53 S4266 WCS Mill Green v224662 270405 stage 4.doc Version 1.30 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38 The manager is supported well by senior staff and is developing strategies for enabling service users and staff to voice concerns and to affect the way in which the services delivered. EVIDENCE: The registered manager and care manager were not available for the first part of the inspection. The senior staff member on duty demonstrated a clear understanding of their role and responsibility in the absence of the registered manager. Service users and a positive comments about the manager which included, the manager takes notice of what we say at residents meetings, I am able to talk to the manager about my concerns and the manager responds appropriately to my concerns. Care plans evidence that the manager is encouraging continuing development in meeting the aims and objectives of the service by linking in with specialist WCS - Mill Green E53 S4266 WCS Mill Green v224662 270405 stage 4.doc Version 1.30 Page 20 services. This includes Community Learning Disability Nurses, psychology services and specialist consultants. The registered manager is taking the necessary steps to enable service users who do not meet the criteria for the service to meet with care managers to review their placement. Risk management, medication audits and care plan monitoring by managers is necessary to ensure that the health and well being of service users is being maintained and that the needs and wishes of service users are being met and reviewed to meet changing needs. WCS - Mill Green E53 S4266 WCS Mill Green v224662 270405 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 Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 2 x x x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x x x 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x 2 Standard No 11 12 13 14 15 16 17 x x 2 x 3 x x Standard No 31 32 33 34 35 36 Score x x x 2 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 WCS - Mill Green Score x x 1 x Standard No 37 38 39 40 41 42 43 Score x 2 x x x x x E53 S4266 WCS Mill Green v224662 270405 stage 4.doc Version 1.30 Page 22 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 2 Regulation 14 Requirement The registered manager must ensure that the assessment process for new service users is completed and a care plan programme identified within four weeks of their admission to the home. A record must be maintained on the service users care plan of the support and guidance provided by specialist services during the assessment of need. Written agreements must be made between the service and service user regarding personal equipment being brought into the home. This must include storage of mobility equipment for outdoor use. Care management assessments must be obtained prior to a service users admission to the home and maintained on the service user file. Service users who do not meet the criteria for admission to the home must not be admitted. The registered manager must ensure that all risks to service users and strategies to minimise risk are recorded on the care E53 S4266 WCS Mill Green v224662 270405 stage 4.doc Timescale for action June 30, 2005 2. 2 14 June 30, 2005 3. 2 4 June 30, 2005 4. 2 14 April 28 2005 5. 6. 2 9 14 13 April 28 2005 June 30 2005 WCS - Mill Green Version 1.30 Page 23 7. 9 13 8. 13 15 9. 20 13 10. 20 13 11. 20 13 12. 20 13 plan. This must include management of crisis intervention, alcohol abuse, use of mobility equipment. lone working and responding to absences by service users from the home. The registered manager must assess the ability of each service user who may need to operate the fire exit systems in the event of an emergency and identify strategies to minimise any identified risk. (Previous timescale January 30, 2005 not met) The registered manager must review the social activity needs of service users with a learning disability to discuss the options that are available and identify a program of social activity appropriate to the interests and needs of the service user. A record of the review is to be held on the service user file. All when required medication must have a written protocol to support their use which has been endorsed by a clinician. They must be reviewed on a regular basis and stock regularly replaced. (Previous timescale of February 15, 2005 not met) Excess medication must either be returned to the pharmacy for destruction or the balance recorded on the new Medicine Administration Record (MAR) chart. The Controlled Drug register must be accurately completed and a witness must countersign. Entries must be reflected on the MAR chart. Full directions and dosages must be recorded on the MAR chart in all instances. This must be E53 S4266 WCS Mill Green v224662 270405 stage 4.doc June 15 2005 July 30, 2005 May 27, 2005 May 27, 2005 April 28, 2005 April 28, 2005 Page 24 WCS - Mill Green Version 1.30 13. 20 13 14. 15. 20 20 13 13 16. 20 13 17. 24 23 18. 19. 24 30 23 16 20. 34 19 21. 36 18 checked and countersigned by a second member of staff. Robust systems must be installed to check the prescribed medication dispensed and received into the home in all instances for all service users including those receiving respite care. All medication must be administered from a pharmacy labelled container. Risk assessments and compliance checks must be undertaken for all service users wishing to self medicate their own medicines. Staff drug audits must be undertaken to demonstrate staff competence in the administration and recording of medicines. The registered provider must ensure that wheelchair damage to wall surfaces and door frameworks, including the damage to the garden door, is repaired. The carpets in rooms 3, 6 and 7 must be replaced. Outdoor mobility equipment, i.e. Scooters, must not be stored in bathroom facilities. Suitable storage space must be found that does not impinge on the health, safety or well-being of service users and staff. All information and documents in respect of persons working at the care home as identified in Schedule 2 of the Care Homes Regulations must be maintained on individual staff files. Each staff member must have a one-to-one supervision session at least six times per year. (Previous timescale of March 31, 2005 not met) E53 S4266 WCS Mill Green v224662 270405 stage 4.doc May 27, 2005 April 28, 2005 May 27, 2005 May 27, 2005 May 30, 2005 July 30, 2005 June 15, 2005 June 30, 2005 June 1, 2005 WCS - Mill Green Version 1.30 Page 25 22. 38 12 The registered manager must develop quality monitoring procedures to ensure that the individual needs, wishes, health and well-being are being met and reviewed to meet changing needs. July 30, 2005 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard 2 9 13 Good Practice Recommendations It is recommended that the homes assessment tool be implemented in a format to meet the communication needs of the service users for whom it is intended. It is recommended that a push Bar fire exit mechanism be installed at the door at the end of the corridor leading to service uses bedrooms. It is recommended that Warwickshire Care Services consider purchasing suitable transport for Mill Green services to complement and support the development taking place in accessing facilities in the community. It is recommended that references for prospective employees are not accepted from the Next of Kin of the prospective employee. 4. 34 WCS - Mill Green E53 S4266 WCS Mill Green v224662 270405 stage 4.doc Version 1.30 Page 26 Commission for Social Care Inspection Imperial Court Holly Walk Leamington Spa CV32 4YB 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 WCS - Mill Green E53 S4266 WCS Mill Green v224662 270405 stage 4.doc Version 1.30 Page 27 - 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!