Inspection on 12/06/06 for Winscombe

This inspection was carried out on 12th June 2006.

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

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

Other inspections for this house

Winscombe 15/12/05

Winscombe 14/10/04

Winscombe 03/06/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Winscombe Furze Hill Kingswood Surrey KT20 6EP Lead Inspector Denise Debieux Key Unannounced Inspection 12th June 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Winscombe DS0000013370.V299551.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Winscombe DS0000013370.V299551.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Winscombe Address Furze Hill Kingswood Surrey KT20 6EP 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) 01737 362442 01737 362458 winscombeALL@bupa.com BUPA Care Homes (BNH) Limited To Be Confirmed Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Winscombe DS0000013370.V299551.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Up to 6 (six) beds may be used for respite care. Up to 2 (two) beds may be used for post operative care for persons aged 21-65 years. 15th December 2005 Date of last inspection Brief Description of the Service: Winscombe is a purpose built single storey care home in secluded surroundings with landscape gardens and a central courtyard. The home is situated in a convenient location on the outskirts of Kingswood Village and provides accommodation and care for up to thirty older people. The three lounges and centrally located dining room are within easy reach of service users bedrooms. Each bedroom is single occupancy with its own wash hand basin. The home has ample bathroom and toilet facilities some of which are assisted. Car parking facilities are provided to the front of the building and the home is close to the train station and bus route. The current fee range at Winscombe is £160 per night for short term care and £965 per week for long term care. Winscombe DS0000013370.V299551.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit took place over 7.5 hours and was carried out by Denise Débieux, Regulation Inspector. Mrs Chris Rajakarier (Manager) was present as the representative for the establishment. A tour of the premises took place. Eight of the twenty-five service users and six on-duty staff were spoken with during the visit. In addition, six service user survey forms and three relatives’ survey forms were completed and handed in to the inspector on the day of this visit. Some of the comments made to the inspector and made on the survey forms are quoted in this report. The home had completed a pre-inspection questionnaire and service user care plans, staff recruitment records, incident reports, complaint’s log, health and safety check lists, menus, activity schedule, medication records and storage were all sampled. The lunchtime meal and medication round was observed and the home was toured. The inspector would like to thank the service users and staff for their time, assistance and hospitality during this visit. What the service does well: What has improved since the last inspection? Since the last inspection the manager has worked hard to ensure that the staff recruitment practices at the home are robust and, so far as is possible, now protect the service users from the potential risk of harm or abuse. Fire safety at the home has been improved in line with the local Fire Department recommendations and work is in progress to make all areas of the gardens safe and accessible for all service users. Winscombe DS0000013370.V299551.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Winscombe DS0000013370.V299551.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Winscombe DS0000013370.V299551.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each service user is only admitted to the home following a needs assessment to ensure that the home can meet the service user’s identified needs. The home does not offer intermediate care. EVIDENCE: Prospective service users are visited and assessed by the manager or the deputy manager. The care plans sampled all contained detailed assessments of the service users’ needs and included information regarding their preferences and previous likes and dislikes. The service users spoken with were complimentary regarding the care they receive and all relatives surveyed stated that they were satisfied with the overall care provided. Winscombe DS0000013370.V299551.R01.S.doc Version 5.2 Page 9 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 the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Personal care and healthcare support and assistance is planned and was seen to be provided, where needed, in a respectful and sensitive manner. However, the home must ensure that actions taken to reduce risks are monitored and reviewed as to their continued effectiveness and that service users or their representatives are fully involved in the planning of their care. Policies, procedures and practices are in place to ensure the safe administration of medication. EVIDENCE: Care plans sampled were comprehensive and set out actions which need to be taken by care staff to ensure that the health and personal care needs of the service users are met. These care plans were detailed and included appropriate risk assessments and any personal assistance required. However, one care plan sampled showed that the service user has had two serious falls in the past few weeks, both requiring hospital treatment. The service user is also exhibiting signs of increased confusion. The risk assessment for falls had been reviewed but no additional measures had been put in place other than to remind the service user to call for assistance after the first fall. In addition, Winscombe DS0000013370.V299551.R01.S.doc Version 5.2 Page 10 the reasons for the increase in falls and the increased confusion had not been explored. This was discussed with the manager and a requirement has been made. The pre-admission assessment and care plans had been signed and dated by the person completing the forms. However, some other assessment forms (i.e. nutritional assessments, ‘Life Plans’) had not been signed and a recommendation has been made. Care plans are reviewed on a monthly basis, with the service user signing to indicate their agreement. However, one of the files sampled had not been signed by the service user or their representative and there was no evidence to show that they had been involved in the planning of their care and a requirement has been made. The medication administration records, medication storage, policies and procedures were all sampled and found to be in order. The lunchtime medication round was observed and seen to be in line with the home’s policies and procedures. All interactions between staff and service users were seen to be respectful and caring, all personal care was carried out behind closed doors and staff were seen to always knock on doors and await permission to enter the service users’ private rooms. Service users spoken with all felt that their privacy was respected and all relatives surveyed said they were able to visit with their relative in private. Winscombe DS0000013370.V299551.R01.S.doc Version 5.2 Page 11 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 the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The routines of daily living and activities are flexible and varied to suit individual service users’ wishes. Contacts with family and friends are encouraged and service users are encouraged and enabled to exercise choice and control over their lives. Meals are well-balanced and varied with individual choices and preferences catered for. EVIDENCE: The routines of daily living are arranged to suit individual service users’ preferences and choices. The home employs two activity co-ordinators. Earlier this year the manager carried out a survey with service users and their relatives related to the activity provision at the home. The inspector was advised that, as a result of the feedback from this survey, a gardening club had been set up. A small greenhouse has been purchased, service users went to a local garden centre and chose seeds and plants. Service users have planted up seeds in the greenhouse and all were involved in doing the hanging baskets. One service user told how the staff are now putting unused water from the water jugs into watering cans so that the plants can be watered without wasting water. Winscombe DS0000013370.V299551.R01.S.doc Version 5.2 Page 12 Many service users spoken with mentioned the gardening club and commented on how nice the garden was looking. The manager also said that, as a result of the survey, the home are trying to increase the outings for service users. On the day of this visit a group of service users went out for the day to a local attraction. The activity coordinators have separate activity plans and daily records for each service user. The daily records evidenced that all service users are involved in activities that suit their preferences and abilities, on many occasions it was seen that staff take time out to just sit and chat with a service user who may prefer not to participate in organised activities. Service users are able to choose which activities they attend or participate in and the menus were seen to include two choices for the main meal each day. Menus sampled showed that the home offers a varied and well-balanced menu, with service users able to choose alternatives if they do not want the dish that is on the menu on the day. The lunchtime meal took place during this visit and the food was well presented with ample staff available to offer help and assistance as needed. One service user told the inspector that ‘the chef goes to a lot of trouble to ask us what we want’. Winscombe DS0000013370.V299551.R01.S.doc Version 5.2 Page 13 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 the following standard(s): 16 and 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has a simple, clear and accessible complaints procedure which includes timescales for the process. Policies are in place to protect the service users from abuse but lack of staff awareness of the correct procedures is placing the service users at possible risk of harm and abuse. EVIDENCE: All service users have been given a copy of the complaints procedure, there has been one complaint to the home since the last inspection. This had been made the day before this visit and the manager was seen to be following the home’s procedure and taking appropriate action. There have been no complaints to CSCI. The manager was unable to locate a copy of the Surrey Multi-agency Procedure for the Protection of Vulnerable Adults and was advised on how to obtain a copy from the internet. Two members of staff spoken with were not clear on the procedure to follow in the event of an incident of possible abuse being reported to them. Requirements and recommendations have been made. All staff must receive appropriate training in the recognition and prevention of abuse and have access to and be aware of the local Surrey procedures. Winscombe DS0000013370.V299551.R01.S.doc Version 5.2 Page 14 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 the following standard(s): 19 and 26 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The location and layout of the home and gardens are suitable for their stated purpose. An ongoing maintenance and redecoration programme provides the service users with clean, pleasant and homely surroundings in which to live. However, the poor hygiene standards in the kitchen is placing the health and welfare of service users at risk and must be addressed without delay. EVIDENCE: Following the requirements made at the previous inspection the manager contacted the local Fire Safety Officer and has now implemented his recommendations regarding the fire safety at the home. All outdoor paths have now been cleared of moss and, following risk assessments, the paths that were found to be unsafe have been cordoned off. The manager has obtained quotes for the resurfacing of the identified paths and is in the process of arranging for work to begin within the next few weeks. Winscombe DS0000013370.V299551.R01.S.doc Version 5.2 Page 15 The home was toured and, with the exception of the kitchen, all areas were found to be clean and tidy with furniture and fittings of good quality and well maintained. The atmosphere on the day of this visit was warm, friendly and homely. The service users individual rooms were seen to contain many personal items and the grounds were well kept, with additional outdoor seating areas provided. The home is currently without a qualified and experienced chef manager. During the tour of the home the main kitchen was inspected and the following concerns were identified: • The floor was not clean with a build up of dirt and dust, especially underneath the kitchen units; • The sides of the stove were dirty with grease and dust build up; • The fly screens were dirty and clogged; • There was a build up of dust on windowsills; • There was food in the refrigerator that had passed its labelled ‘use by’ date and had not been discarded. • There was food in another refrigerator that had been partly used but was not labelled (i.e. deserts). Immediate requirements were made and left at the home on the day of this visit. On the day following this visit the inspector was advised by the manager of the home that the following measures have been taken: • • • • • • Kitchen to be closed that day, with lunch being a cold buffet, salad etc.. Four members of staff will work all day to clean the kitchen. Additional, specialist deep cleaning of the kitchen is booked for 20/6/06. Hotel services manager for BUPA is setting up a cleaning schedule for ongoing daily cleaning. Experienced, qualified chef from another home will check the cleaning that has been carried out to make sure it meets legislation. Arrangements have been made for another chef manager to come to the home from the 14th June and oversee the working of the kitchen until a new chef manager is employed. He will make sure that all health and safety systems are in place and followed as required. Winscombe DS0000013370.V299551.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The numbers and skill mix of the staff meets service users needs. The home has a comprehensive staff recruitment and training programme which incorporates all areas needed to ensure, as far as reasonably possible, that service users are in safe hands at all times, however the training records need to be audited and a clear system of identifying training undertaken and outstanding put in place. EVIDENCE: The staffing levels at the home are planned to ensure the needs of the service users are met. The staff rota seen showed that there is one trained nurse and two carers on at night. During the morning there are two trained nurses and five care assistants, with the afternoon/evening shift having one trained nurse and three or four carers, dependent on the needs of the service users. Of the sixteen care staff employed, nine are now qualified to National Vocational Qualification (NVQ) level 2 in care, with a further two staff due to complete their training soon. This will take the home well over the required 50 standard. Three staff files were sampled for recently hired staff and all were found to contain all the required documentation and information. Since the last inspection the manager has worked hard and has met all the requirements that were made regarding staff recruitment. Other staff files were looked at and Winscombe DS0000013370.V299551.R01.S.doc Version 5.2 Page 17 evidenced that the manager has reviewed previously employed staff details and obtained missing information where needed. The home now operates robust recruitment procedures. The inspector was advised by the manager that the home’s training coordinator left the home in January. The manager has recently started to try to organise the training records and identify the training that has been carried out and the training that is needed. However, on the day of this visit, the training files and information were disorganised, with some information not recorded and the location of other records unknown. For this reason the inspector was unable to assess the training that staff have received or require and a requirement has been made. Service users spoken with spoke fondly of the staff and told the inspector that they felt well cared for. Winscombe DS0000013370.V299551.R01.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users benefit from the clear management approach at the home. The home has a quality assurance and monitoring system in place that is based on seeking the views of the service users. Service users’ financial interests are safeguarded by the policies and practices of the home. All required health and safety policies and procedures are in place to ensure, so far as is reasonably practicable, the health safety and welfare of service users and staff, but the home must take immediate action to protect service users and ensure that all current guidance and legislation is followed in the kitchen and food preparation areas. EVIDENCE: The home does not have a registered manager at the moment. The manager has been in post since December 2005 and is in the process of applying to the Winscombe DS0000013370.V299551.R01.S.doc Version 5.2 Page 19 CSCI to become the registered manager. Ms Rajakarier is a registered nurse and qualified in 1995, since when she has worked in care home settings. Previously she had a number of years experience as a deputy manager and is experienced in working with older people. BUPA carry out an annual service user survey. When the results have been correlated a report is sent to the home and an action plan is developed to address any issues that are identified. The last survey was carried out in October, just before manager started at the home, but had been returned as there were ‘insufficient responses to correlate.’ The survey for Spring is now due, and the manager has stated that she will make sure that everyone is involved. The manager also plans to include stakeholders in the community (e.g. GPs, chiropodists, care managers and other health and social care professionals) in the survey. The manager carried out an internal survey on menus 2-3 weeks ago (results not yet correlated) and on activities earlier in the year. The results of the activity survey are discussed earlier in this report. A random sample of records and safety checks were seen at this inspection, including the fire safety log and the home risk assessments. All were found to be well-maintained and up to date. Health and safety concerns regarding the kitchen area have been addressed in full earlier in this report and requirements have been made. All interactions observed between the manager, staff and service users were inclusive, caring and respectful. One service user told the inspector that ‘we now have a great manager, she relates so well to all of us and is so approachable.’ Winscombe DS0000013370.V299551.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X X 1 STAFFING Standard No Score 27 3 28 3 29 3 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 2 Winscombe DS0000013370.V299551.R01.S.doc Version 5.2 Page 21 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 OP7.3 Regulation 13(4)(c) 14(2) (a-b) Requirement The registered person must ensure that unnecessary risks to the health or safety of service users are identified and, so far as possible, eliminated and ensure that measures put in place to eliminate risks are routinely evaluated for their effectiveness and amended as required. (reference service users at risk of falls). The registered person must make arrangements for a referral to the appropriate health professionals for the service user with increased confusion and an increase in the incidence of falls. The registered person must ensure that care plans are signed by the service user or their representative to evidence their consultation and agreement. The registered person must make arrangements, by training staff or other measures, to prevent service users being harmed or suffering abuse or being placed at risk of harm or DS0000013370.V299551.R01.S.doc Timescale for action 12/07/06 2 OP7 OP8 12(1) 13(1)(b) 12/07/06 3 OP7.6 14(1)(c) 12/08/06 4 OP18 13(6) 12/09/06 Winscombe Version 5.2 Page 22 5 OP26 OP38 12(1)(a) 13(3) 16(2)(j) 6 OP26 OP38 12(1)(a) 13(3) 18(1)(c) (i) 7 OP30 8 OP33.10 10(1) abuse and ensure that all staff are made aware of the contents and location of the latest version of the Surrey Multi-agency Procedure for the Protection of Vulnerable Adults. The registered person must make arrangements for the kitchen to be thoroughly cleaned and then make arrangements for the standard of hygiene to be maintained at all times in line with current legislation. The registered person must ensure that staff are aware of and adhere to current legislation related to food storage. The registered person must carry out a training audit of all staff employed at the home and ensure that all staff have completed induction training and that all staff have received training appropriate to the work they are to perform. The registered person must submit, to the CSCI, Eashing office, an improvement (action) plan, setting out exactly how requirements 1-7 will be met in full. The plan must include specific timescales for completion of each requirement. 12/06/06 12/06/06 10/07/06 10/07/06 Winscombe DS0000013370.V299551.R01.S.doc Version 5.2 Page 23 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 OP8 Good Practice Recommendations It is recommended that registered nurses review the Nursing and Midwifery council requirements for records and record keeping and ensure that all documents are signed and dated by the person carrying out the assessment. It is recommended that the registered manager and deputy manager enrol on the next available Surrey Multiagency course for the protection of vulnerable adults. It is recommended that the registered manager establish the contact number for the local Social Care Team, for referral of any vulnerable adult concerns, and keep this number readily available in the folder with the local, Surrey procedure. 2 3 OP18 OP18 Winscombe DS0000013370.V299551.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Winscombe DS0000013370.V299551.R01.S.doc Version 5.2 Page 25 - 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!