Inspection on 26/06/08 for Weymouth AfterCare Centre

This inspection was carried out on 26th June 2008.

CSCI found this care home to be providing an Good service.

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

Other inspections for this house

Weymouth AfterCare Centre 18/07/07

Weymouth AfterCare Centre 25/05/06

Weymouth AfterCare Centre 03/11/05

Weymouth AfterCare Centre 19/04/05

Weymouth AfterCare Centre 14/09/04

Weymouth AfterCare Centre 21/04/04

Similar services:

Clouds House

Closereach

Westcliffe House

Hilldales

Longreach

Chandos House

Cherry Orchards Camphill Community Ltd

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOME ADULTS 18-65 Weymouth AfterCare Centre Carlton House 9 Carlton Road North Weymouth Dorset DT4 7PX Lead Inspector Tracey Cockburn Unannounced Inspection 26th June 2008 10:15 Weymouth AfterCare Centre DS0000026891.V367884.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Weymouth AfterCare Centre DS0000026891.V367884.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Weymouth AfterCare Centre DS0000026891.V367884.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Weymouth AfterCare Centre Address Carlton House 9 Carlton Road North Weymouth Dorset DT4 7PX 01305 779084 01305 750879 carlton9@tiscali.co.uk 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) Mrs Joy Marie Felgate Dominic Robert De Putron Castle Care Home 15 Category(ies) of Past or present alcohol dependence (15), Past or registration, with number present drug dependence (15) of places Weymouth AfterCare Centre DS0000026891.V367884.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Past or present alcohol dependency (Code A) Past or present drug dependency (Code D) The maximum number of service users who can be accommodated is 15. 18th July 2007 2. Date of last inspection Brief Description of the Service: Weymouth Aftercare Centre is a private care home that provides a residential rehabilitation programme for up to 15 men who are drug or alcohol dependant. The Centre is a large house situated in a quiet residential area of Weymouth within easy walking distance of the seafront and local amenities. There is a small garden area at the back of the house and parking for a few cars at the front of the building. It has been established as a care home for approximately 15 years and retains strong links with the local community. The Centre accepts people from any part of the country. Ordinarily, people are admitted from a primary care unit, where treatment has already commenced. In some cases people may come directly from prison or may be subject to a probation order. Placements are of a short-term nature, approximately of three months duration. People either choose to return to their own area or move on to a half-way house in Weymouth. People are encouraged to take responsibility for their own recovery. The emphasis is on participation in daily activities, household chores and group meetings. Staff provide support through individual and group counselling sessions. People using the service are expected to comply with the structured programme. In pursuance of the goals that people are seeking to achieve, certain rules and restrictions are in place, which limit individual freedom. People formally agree to these arrangements before admission. The fees for the home are £472.50 each week. Weymouth AfterCare Centre DS0000026891.V367884.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This was a key inspection, which took place during a weekday. There was no warning given to the provider. The homes performance was measured against the key National Minimum Standards alongside progress in meeting requirements made at the last inspection. A total of 5 hours and 20minutes were spent at the service. Methodology used included a tour of the premises, review of records and discussions with people using the service and staff. The registered manager completed an Annual Quality Assurance Assessment (AQAA) giving information on the management of the service. At the time of the site visit there were 9 people using the service. 10 survey forms were returned by people who use the service comments include: “ I’d heard really good things about Carlton House before I came here and didn’t hesitate when asked to come” “ This is one fantastic place and I’ve been around” “The staff are good in that they are genuinely caring and if you have a problem you can always go to them” “ I have been in a few care homes and this is by far the best in all ways” “ the home is always clean due to daily cleaning chores done by the peers and yourself” “ these are good people here in charge at Carlton. I trust them” “the staff listen and are respectful. They’re always there to help” “ Carlton house has changed my life” 1 survey form was returned by a health care professional comments included: “ respond quickly to complex situations e.g. they have taken clients in on a structured trial basis when other placements have broken down” 1 survey form was returned by a relative, carer and advocate comments included: “keep up the good work” 3 survey forms were returned by staff comments included: “lack of communication between management and staff” “there is a team meeting facilitated by my line manager every week” “we offer a very comprehensive yet specialist service helping recovering addicts move on with their lives and reintegrate with society at large” “ there is a good structure of communication at all levels” Weymouth AfterCare Centre DS0000026891.V367884.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: At the end of this inspection there is 1 requirement and 1 recommendation. It is important to consistently provide supervision to all staff to ensure that people using the service benefit from well supported staff. Weymouth AfterCare Centre DS0000026891.V367884.R01.S.doc Version 5.2 Page 7 When bed bases become worn and damaged they should be replaced before they could cause a problem. 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. Weymouth AfterCare Centre DS0000026891.V367884.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Weymouth AfterCare Centre DS0000026891.V367884.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home’s pre-admission procedure ensures that the placement is correct for the individual and the others residing at the project. EVIDENCE: A detailed service user guide provides relevant information about the homes referral and admissions procedure as well as the ethos of the service. Referrals are from a range of community sources some residents do arrive at Carlton House directly from custody. Where possible a 24-hour assessment takes place, which allows people who are considering the service to speak to staff and other people already in the programme and to engage in the group work process. If circumstances require then the home does complete a pre-admission assessment over the phone with reference to other agencies involved in the referral. Comment cards also showed that people had found that the admission process had been carried out thoroughly and had allowed the individuals an insight into what to expect. The assessment process enables the service to consider the whether people have a primary or secondary mental health need. Any restrictions within the service are detailed from the outset. There is also clear information on discharge arrangements and the support available in the event of substance Weymouth AfterCare Centre DS0000026891.V367884.R01.S.doc Version 5.2 Page 10 misuse during the programme. This was clearly evidenced during the visit. The manager explained that they arrange accommodation locally and there is a 7 day period after substance misuse when the person can come to the service but not participate, it is then for the group to decide what happens, but during this period the individual is supported by the manager and counsellors. Weymouth AfterCare Centre DS0000026891.V367884.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People living at the project are supported to make informed choices about their daily lives. They are involved in the development of their individual care plans. EVIDENCE: Each care plan has a section for identified needs and goals and tasks to achieve those goals. Several care plans were seen and the people using the service as well as a member of staff signed them. In addition to the care plan people also complete a weekly self-assessment document. These assessments are shared with peer’s in-group discussions. A personal review takes place once a month, this involves the individual completing part of the review, the peer group also review progress and there is feedback from staff. The home also has a “goals board” on which goals are written to remind individuals of their aspirations. The emphasis is on self-determination and retaining responsibility for individual progress. Weymouth AfterCare Centre DS0000026891.V367884.R01.S.doc Version 5.2 Page 12 Individual plans reflect the restrictions on each person. 1 person said that their counsellor was challenging at times but that they felt this was important to help them “get real”. People also receive support through peer support networks such as Alcoholics anonymous and narcotics anonymous. Risk assessments form part of the care plan. The home’s expectations for people coming into the centre are clearly laid out in the contract and service users guide. The project works on the “Twelve Step” model with the individuals gaining more responsibility as they progress through the programme. Weymouth AfterCare Centre DS0000026891.V367884.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. People using the service are supported to make informed choices about their life style, in order to develop their life skills. All activities are agreed to help meet individual’s expectations. EVIDENCE: Weymouth Aftercare continues to have very good links with the local community and people are very involved both in voluntary work and in attendance at the local college. In addition there is a mini-bus, which is used to take residents out weekly to local places of interest. Residents can play a range of sports and there is a good balance between therapeutic input and learning the necessary skills, which will enable service users to integrate fully within the local community. Individual likes and dislikes are supported and where possible staff will actively facilitate attendance at an event of choice. An expectation of the treatment programme is that residents will attend community drug and/or alcohol meetings. The emphasis is on individuals Weymouth AfterCare Centre DS0000026891.V367884.R01.S.doc Version 5.2 Page 14 taking the initiative to develop their own interests and resources their response to this challenge is an indication of where they are in the therapeutic process. Contact with family and friends is encouraged and maintained either through phone or visits. Reference to maintaining family links was included in care plans and contact varies according to individual circumstances. The home’s rules and routines are geared towards the achievement of individual goals. This includes the building up of trust amongst peers and developing self-confidence. It also includes carrying out domestic and household tasks. People are discouraged from spending time alone in their rooms for prolonged periods, locks are not fitted to bedroom doors and there is no lockable space. The rationale for this is included in the home’s service user guide and is an accepted element of the home’s treatment parameters. The manager explained that mail is not opened but they keep an eye on the mail and recognise that people might need support if there is a letter from social security about their benefits. During the site visit lunch was served, it is a buffet and people at the service are involved in laying the tables and bringing out the food. There were a variety of cold foods available and 1 hot alternative. The chef said that people are able to help themselves at breakfast and there is a cooked breakfast at the weekend. Weymouth AfterCare Centre DS0000026891.V367884.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People are enabled to take responsibility for their emotional and physical health. Robust medication policies and procedures ensure that people using the service are protected. EVIDENCE: People using the service register with a G.P shortly after their arrival. People do not need support with personal care. People say that they have access to a range of healthcare facilities if needed and the emphasis is on overall wellbeing. There had been improvements to the medication system since the last inspection. The home used a medication administration record to check that everyone received the correct medication at the correct time. The charts seen were up to date and the general information, including known allergies and prescribing GP, was complete. The records allowed a clear audit trail. A lockable container had been provided for temperature sensitive medication to be stored in the fridge. The main stock of medication was safely stored. The registered manager explained that they have a good working relationship with the local Weymouth AfterCare Centre DS0000026891.V367884.R01.S.doc Version 5.2 Page 16 surgery. He also explained that only staff that have the appropriate qualification are able to dispense the medication. There is always a second member of staff who checks that the medication has been given correctly. The manager does random checks of the medication. Weymouth AfterCare Centre DS0000026891.V367884.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People say they are listened to and their concerns acted upon. Staff receive the training they need to ensure that people are protected from abuse. EVIDENCE: There is information on the notice board about how to complain and a record is kept of all complaints and how they are handled. People said that they feel listened to and knew who to speak to if they were unhappy about something. 1 person said that the suggestion box was not working as it should and that this should be discussed in team meetings. Staff receive training in safeguarding adults and there is a copy of the local authority ‘no secrets’ policy in the office. Weymouth AfterCare Centre DS0000026891.V367884.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home is clean comfortable and safe giving people who use the service an environment, which supports their recovery. EVIDENCE: The service is a large comfortable house offering pleasant communal areas, which are well maintained. There is an informal homely atmosphere and although most bedrooms are shared, in agreement with the home’s philosophy screens are available to provide a degree of privacy. The home is close to local amenities and the premises are very much in keeping with the local community. A recent inspection by the environment health department saw the home being awarded the highest gold standard for cleanliness. The home was found to be clean. People are responsible for cleaning their bedrooms and most communal areas, under the overall supervision of staff. There are no laundry facilities on the premises. People said that they are Weymouth AfterCare Centre DS0000026891.V367884.R01.S.doc Version 5.2 Page 19 provided with money to do their personal laundry in a nearby launderette, whilst bed linen is cleaned via an external laundry service. This arrangement is in accordance with the home’s philosophy of assisting the recovery process and encouraging service users to make use of community resources. Each person had a notice board where they had posted their pictures and other personal items. It was noted that the windows in the rooms on the first floor had been restricted since the last inspection in July 2007. Completion of this work was done on the day of this inspection. Bathrooms had unrestricted hot water supplies. There is now a thermometer in the bathroom. Draw bolts have been removed from bathroom doors. The bed base in 1 room, which was unoccupied, was in a poor state, torn and in need of repair. Other rooms at the time of the visit were being redecorated. People said the home was comfortable and the rooms adequate. They said they were encouraged not to isolate themselves in their bedrooms and tended to use them only for sleeping in. Weymouth AfterCare Centre DS0000026891.V367884.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35,36 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People using the service are supported by staff that are qualified and skilled to do the job. Recruitment procedures are robust ensuring that people are protected. EVIDENCE: Staff at Carlton House has a range of relevant experience and a good skill mix. There is a strong commitment from staff and management towards training. Some staff are accredited to professional organisations in the field of addictions such as the Federation of Drug and Alcohol Professionals. People spoken to felt that staff were skilled in the management of addiction. Comments were received in the survey forms, which suggested that communication between staff and management was not as good as it could be. However views on this varied between staff. Recruitment practices have improved and the required elements were in place for the 2 staff files seen. Several staff files demonstrated that staff undertake a range of training and hold relevant qualifications in the care and management of addictions as well as mandatory Health and Safety training. Weymouth AfterCare Centre DS0000026891.V367884.R01.S.doc Version 5.2 Page 21 The staff in the home have a wealth of experience and a good skill mix. The counsellors all possess qualifications in counselling or are in the final stages of qualification. The staff have attended core training and other specialist training. Only staff trained and assessed as competent are able to administer medication. New staff work through an induction programme, which is assessed through the supervision process to ensure competence. The service has a copy of the occupational standards prepared by DANOS (Drug and Alcohol National Occupational Standards) The people using the service said that the staff were approachable and very knowledgeable about their addictions and were supportive. The staff were able to offer them guidance and alternative solutions. Staff on duty meet every morning to discuss the day and any changes. Supervision records were seen for a number of staff this varied in consistency some people had very regular recorded supervision and other people did not. 1 person said that he had not had an appraisal for some time and said that at best supervision was patchy. Another member of staff said that supervision was excellent and met his needs. It is important that supervision is consistent for all staff. Counsellors are supervised externally and this needs to be in place for all staff. Weymouth AfterCare Centre DS0000026891.V367884.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home is run by an experienced manager who understands the service. People’s views are part of the development of the service. The health, welfare and safety of people using the service are maintained. EVIDENCE: The home has a registered manager who has appropriate qualifications and understands the service very well. An annual quality assurance assessment (AQAA) was completed and forwarded to the commission it contained details about the development of the service and future plans as well as barriers such as up grading the plumbing system, which took up the budget. Weymouth AfterCare Centre DS0000026891.V367884.R01.S.doc Version 5.2 Page 23 As stated in standard 34, recruitment practice has improved and criminal records bureau checks were completed appropriately and all references were taken. At three monthly intervals questionnaires are forwarded to residents, families and stakeholders. Evidence of these was seen during the inspection. Results are reported to staff during meetings. Results are collated and published in the home’s annual development plan and are fed back to residents during monthly house meetings. Exit surveys are also used when people leave the service. The programme includes community meetings that allow the residents to give their views on the running of the home. There were minutes of the meetings and the action taken. The home had a suggestion box in the library on the ground floor; some people said that the suggestion box was not working very well. Records evidence that the home hold all the relevant certification for gas and electricity installations and portable appliance tests are undertaken. Fire training takes place at appropriate intervals and staff holds relevant qualifications in relation to infection control. There is a fire risk assessment in place and fire records regarding weekly and monthly checks were up to date. The system was last tested on 06/05/08. Weymouth AfterCare Centre DS0000026891.V367884.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 2 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Weymouth AfterCare Centre DS0000026891.V367884.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA36 Regulation 18 (2) Requirement The registered manager must ensure that all staff receive appropriate, consistent supervision, which is clearly recorded. Timescale for action 30/09/08 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 YA26 Good Practice Recommendations The registered provider should ensure that the furniture in bedrooms is in a good state of repair and where any items are damaged, such as bed bases, that they are replaced. Weymouth AfterCare Centre DS0000026891.V367884.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Weymouth AfterCare Centre DS0000026891.V367884.R01.S.doc Version 5.2 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. 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