Inspection on 26/07/07 for Wisteria House

This inspection was carried out on 26th July 2007.

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

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

Other inspections for this house

Wisteria House 19/07/06

Wisteria House 08/12/05

Wisteria House 27/09/05

Wisteria House 09/02/05

Wisteria House 14/06/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Wisteria House Montacute Road Tintinhull Yeovil Somerset BA22 8QD Lead Inspector Jane Poole Unannounced Inspection 26th July 2007 10:15 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 Wisteria House DS0000058877.V339551.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. Wisteria House DS0000058877.V339551.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wisteria House Address Montacute Road Tintinhull Yeovil Somerset BA22 8QD 01935 822086 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) mariagoodland@fsmail.net Mrs Siobhan Cecilia Wortley Mr Stephen John Wortley Mrs Siobhan Cecilia Wortley Mrs Maria Carolyn Goodland Care Home 13 Category(ies) of Old age, not falling within any other category registration, with number (13) of places Wisteria House DS0000058877.V339551.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Wisteria House is a two-storey Hamstone building situated in the centre of the village of Tintinhull, local amenities are nearby. The home has been registered as a service for older people since 1985. Wisteria House is registered to provide care and accommodation for thirteen people. Due to the physical environment, Wisteria House is best suited to meet the needs of those with low to medium dependency. All rooms are for single occupancy. Mr and Mrs Wortley, have been the registered providers since March 2004. Mrs Wortley also shares the registered manager post with Maria Goodland. Fees at the home range from £373.00 to £390.00 per week. Wisteria House DS0000058877.V339551.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out over a 4.5 hour period. The focus of this inspection visit was to inspect relevant key standards under the Commission’s ‘Inspecting for Better Lives 2’ framework. This focuses on outcomes for service users and measures the quality of the service under four general headings. These are: - excellent, good, adequate and poor. The inspector was able to spend time in the home talking with staff and service users and observing care practices. The manager, Maria Goodland, was available throughout the day and all records requested were made available. At the time of this inspection there were 9 people living at Wisteria House. Prior to the visit the home completed a comprehensive and informative Annual Quality Assurance Assessment (AQAA) and 5 service users completed questionnaires. What the service does well: The home is well managed and there are ample opportunities for people to express their views to the management team. The inspector saw evidence that suggestions and issues raised by service users are taken into account in the running of the home. There is a thorough admission process that takes account of the needs of the prospective service user, the existing people living at the home and the environmental restrictions of the building. The home aim to care for people until the end of their life but seek support and advice from local healthcare professionals when an alternative environment may better meet the needs of the service user. Service users felt that they continued to have choices about their day to day lives and that routines were flexible to suit their individual wishes. An independent advocate visits the home regularly. All service users were complimentary about the food in the home and the variety of meals offered. The staff receive training appropriate to their responsibilities and there is always a senior person on duty to co ordinate other staff and supervise less experienced staff. Wisteria House DS0000058877.V339551.R01.S.doc Version 5.2 Page 6 Recruitment practices are thorough and minimise the risks of abuse to service users. There is also a comprehensive induction programme for all new staff. What has improved since the last inspection? What they could do better: Although the owners have redecorated many areas of the home this process needs to be ongoing. The upstairs bathroom has had a bath seat fitted but requires refurbishment to make it a pleasant room for service users to use. Currently the majority of service users still bath in the downstairs bathroom. The toilet that is most easily accessible from the communal areas is located in the downstairs bathroom and is therefore not available if someone is having a bath. The terms and conditions of residency state what the notice period required is but does not state whether or not there is a trial period where this period is not applicable. Wisteria House DS0000058877.V339551.R01.S.doc Version 5.2 Page 7 The home has a whistle blowing policy but it is suggested that this is more prominently displayed as one member of staff spoken to was unaware of the procedure to follow. 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. Wisteria House DS0000058877.V339551.R01.S.doc Version 5.2 Page 8 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 Wisteria House DS0000058877.V339551.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 & 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All prospective service users are assessed before being offered a place at Wisteria House to ensure that it is able to meet their needs and expectations. Intermediate care is not provided. EVIDENCE: The home sees and assesses all prospective service users. Copies of assessments carried out prior to admission were seen in individual files. The assessments look at not just the physical needs but also at peoples’ attitudes to moving into a care home. It was apparent that the manager considers not just the needs of the prospective service user but also the current service user group and the physical restrictions of the building. Wisteria House DS0000058877.V339551.R01.S.doc Version 5.2 Page 10 Service users are able to visit Wisteria House before making a decision to make it there home. Many service users spoken to said that they had relied on family members to view the home before they moved in. The home also offers day care to a small group of people, which is an opportunity to spend time in the home before becoming a resident. All service users have a contract with the home. A sample of these were viewed by the inspector, they state what is included in the price and periods of notice required but do not state if any period of time is considered a trial period. All service users also receive a service user guide, which gives further information about the services and facilities offered. Wisteria House DS0000058877.V339551.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 & 11. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have access to appropriate healthcare professionals. Service users are involved in the care planning process and their wishes are respected. EVIDENCE: All service users have a care plan. The inspector viewed two care plans in detail. Both were extremely personal to the individual and gave evidence that they had been agreed with the service user. Care plans give basic details of care needs and are appropriate to the current service users and the home. The home has good relationships with healthcare professionals in the local area. On the day of the inspection a district nurse was visiting to carry out a three monthly review of tissue viability assessments. Wisteria House DS0000058877.V339551.R01.S.doc Version 5.2 Page 12 Service users stated that staff notice if they are not feeling well and take appropriate action. All appointments with healthcare professionals are recorded. The home aim to care for people until they die but are realistic that this can not always be achieved; for example if specialist equipment is required. Since the last inspection the home have requested re-assessments for two service users as it was felt that their care needs could be best met in an alternative environment. Both people moved into nursing home care. The manager stated that the GP and palliative care nurses offer support and guidance to the home if someone is terminally ill. During the inspection a recently bereaved family came to the home. The staff were respectful and supportive. The family were able to spend time in their relatives’ room and refreshments were made available. The home has introduced a new section in the care plan about capacity. They have recorded the current abilities of people to make decisions and have also asked people their wishes for the time that they may loose capacity to make decisions for themselves. Service users spoken to stated that they felt that they were treated with respect and their privacy was maintained. The inspector observed that interactions between staff and service users was warm and friendly. Some service users have telephones in their rooms and other people are able to use the homes cordless phone in the privacy of their bedrooms. Since the last inspection the medication has been moved out of the laundry and is now securely stored upstairs. No service users currently living at the home self administer their full prescription but some are responsible for inhalers and creams which they keep in their rooms. The inspector viewed the Medication Administration Records (MARs) and found them to be correctly signed when administered or refused. Controlled drugs were sampled and records kept correlated with amounts held. In the last twelve months the home have nominated a senior carer who acts as a link worker with surgeries and the pharmacist in respect of medication. Wisteria House DS0000058877.V339551.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users continue to make choices about their day-to-day lives. Visitors are always made welcome in the home. The quality of food served in the home is good and there are choices at every meal. EVIDENCE: There are very few set routines in the home. Service users stated that they are able to choose what time they get up, when they go to bed and how they spend there day. It was observed that some service users like to spend time in the communal lounge with two people saying that they enjoyed the company of other service users. One service users said that they usually spent the morning quietly in their room and then joined other service users at lunchtime. Wisteria House DS0000058877.V339551.R01.S.doc Version 5.2 Page 14 Since the last inspection a part time activities workers has been employed to assist and encourage people to take part in meaningful activities. The activities worker has spent time with each service user completing a lengthy questionnaire about individual interests and hobbies which influences the types of activities that are provided. There are some group activities and some one to one sessions to ensure that everyone’s needs are met. One service user stated that they went out shopping with their key-worker and two more stated that they attended day centres outside the home. Everyone asked stated that they are able to have visitors at all reasonable times and that they were always made welcome. There is a monthly church service in the home, which is open to all service users. As a result of service user meetings everyone now chooses their meals on a daily basis. Either the manager or deputy sees everyone each morning to ask what they would like to eat that day. The inspector observed this process in action during the inspection. Service users were very pleased with this new procedure for many reasons. Some said that it was good because it proved that suggestions made at service user meetings were put into practice. Another person stated that it meant they had a chance to chat with a senior member of staff each day and others were just pleased that they knew what their meals would be for that day. Everyone spoken to was complimentary about the food. One person wrote on their questionnaire “meals are excellent” another commented that “food was always very nice.” There is always a choice of meal but service users stated that if they did not wish to have either of the meals on the menu then the cook was always willing to make an alternative. The inspector noted that store cupboards were well stocked and fresh fruit was available in bowls around the home for people to help themselves to. Wisteria House DS0000058877.V339551.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home takes all complaints seriously and responds appropriately. Reasonable steps have been taken to minimise the risks of abuse to service users. EVIDENCE: The home has policies and procedures in respect of recognising and reporting abuse, making a complaint and whistle blowing. Since the last inspection the home have received two complaints both of which were fully investigated and responded to. The manager is aware of the process of reporting staff to the Protection Of Vulnerable Adults (POVA) register and has done so in one instance. Service users stated that they would be comfortable to approach the manager or a member of staff if they had any concerns about their care. Wisteria House DS0000058877.V339551.R01.S.doc Version 5.2 Page 16 All new staff are checked against the POVA register before they commence work and undergo an enhanced Criminal Records Bureau (CRB) check. The staff handbook contains a copy of the whistle blowing procedure but one new member of staff was unsure of the policy. It is suggested that this policy is more prominently displayed and discussed at the next staff meeting to ensure that every member of staff is aware of how to take serious concerns outside the home. All staff are due to attend training in the protection of vulnerable adults and the new capacity act before the end of the year. The home has access to an advocate from Age Concern and it was noted that this person recently attended a service user meeting. The advocate had assisted people to complete questionnaires and also assists service users to use postal votes. Wisteria House DS0000058877.V339551.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 24 & 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Wisteria House provides a comfortable home for service users but some areas require further refurbishment and redecoration. The layout of the home makes it unsuitable for some service users with mobility difficulties. EVIDENCE: Wisteria House is a large older style listed building. Service user accommodation is set over two floors but within the main floors there are several levels with steps making some areas of the home unsuitable for people with mobility difficulties. There is a passenger lift and stair lifts are in place on short flights of steps. Wisteria House DS0000058877.V339551.R01.S.doc Version 5.2 Page 18 Since the last inspection the garden to the front of the house has been landscaped. This makes the whole building more attractive and provides a very pleasant place for service users to spend time. Aids and adaptation such as raised toilets and hand-rails have been put in place to assist service users to retain their independence where possible. Since the last inspection a bath seat has been purchased to make the upstairs bathroom suitable for some service users to use. The room itself is in need of refurbishment but one service user, who has a room on the first floor, stated that it was very nice to have a bath without going downstairs. The inspector viewed the communal areas of the home and briefly sampled some private rooms. Service users are able to personalise their bedrooms with small items of furniture and ornaments, this gives them a homely individual feel. All bedrooms have wash hand basins and 4 have en suite facilities. Communal rooms are located on the ground floor and consist of a lounge and a dining room, which are both adequately furnished in domestic style. The only toilet which is easily accessible from the communal areas is located in the homes main bathroom, and therefore not available if anyone is having a bath. The home continues to update and improve the décor of the home. The corridors and several bedrooms have been decorated and re-carpeted since the last inspection. The laundry has been re organised and now provides more space to ensure that clean washing is not piled on dining room tables. There is now a space for each service user to have a basket where clean clothes can be placed before they are distributed to personal rooms. All areas of the home seen by the inspector were reasonably clean and odour free. Wisteria House DS0000058877.V339551.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels in the home are appropriate to the needs of the service users. Training opportunities are good, giving staff the skills to meet the needs of service users. EVIDENCE: The home employs 13 full time care staff and 3 ancillary staff. 9 members of the care staff team either have, or are working towards, a National Vocational Qualification (NVQ) in care at level 2 or above. (figures taken from pre inspection information supplied by the home) Staff spoken to felt that training opportunities in the home were good. Everyone has completed statutory training in health and safety issues such as manual handling and fire safety. Since the last inspection two new staff have begun work at the home. The inspector viewed the recruitment files of these two people and found that they gave evidence of a thorough recruitment procedure. References had been Wisteria House DS0000058877.V339551.R01.S.doc Version 5.2 Page 20 obtained and new staff had been checked against the Protection Of Vulnerable Adults (POVA) register before commencing work. The home has begun to use the common induction standards for new staff. One new member of staff was spoken to during the inspection. They stated that they were very pleased with the induction process finding it both informative and challenging. They also stated that they had been accepted into the team and felt well supported by other team members and the management. Since the last inspection additional domestic hours have been made available and an activities worker has been appointed for 10 hours a week. A key worker system is in operation and service users spoken to were aware of who their key worker was and the basic meaning of the role. Staff said that the rota and staffing levels meant that they had time for the tasks that needed to be undertaken but also had plenty of opportunities to spend time with the service users on a more social level. One person commented that they felt there was insufficient time to take service users out. Service users spoken to were complimentary about the staff. One person said that the “staff are very nice, you can always talk to them” another person wrote on their questionnaire that “staff are very supportive.” Wisteria House DS0000058877.V339551.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a clear management structure in the home leading to clear lines of responsibility. There are systems in place to seek the views of service users and other interested parties. There is evidence that these views have an influence on the running of the home. EVIDENCE: Wisteria House DS0000058877.V339551.R01.S.doc Version 5.2 Page 22 The registered manager position is shared between Maria Goodland and the proprietor Siobhan Wortley. Maria takes major responsibility for the care in the home and Siobhan takes a more administrative role. In addition to the manager there is also an assistant manager who deputises for the manager. Both the manager and the assistant are currently undertaking the Registered Managers Award (NVQ level 4) There are two senior carers who have delegated roles and supervise the shifts on a day to day basis. There is always a member of the management team or senior carer on duty and an on call rota in operation for advice and support. There are regular staff meetings in the home and all staff receive supervision and annual appraisals. The manager viewed the minutes of the staff meetings and noted that a wide range of issues were discussed. Since the last inspection service user meetings have been introduced. These meetings are currently chaired by the activities worker, who reports back any issues to the manager. As previously stated the manager or a senior member of staff sees each person living at the home each day to ask for their menu choices. This is an opportunity for service users to raise issues on a one to one basis. Questionnaires are sent out annually to service users and other interested parties. The manager gave evidence that the findings of these are audited and any outcomes passed onto staff. The home does not act as financial appointee or power of attorney for any service user although small amounts of money is kept on behalf of some people. Records are maintained of all transactions and records seen correlated with money held. One service user stated that although some of their money was kept securely in the office they had access to it at anytime and staff made sure that they always had sufficient on their person for their day to day needs. The home takes reasonable steps to ensure health and safety within the home. All areas are fitted with a fire detection and call bell system that is regularly tested in house and serviced by outside contractors. Any accidents in the home are appropriately recorded. Portable electrical appliances are tested on an annual basis. All lifting equipment is serviced by outside contractors twice a year and both the manager and assistant are manual handling trainers for the home. Wisteria House DS0000058877.V339551.R01.S.doc Version 5.2 Page 23 Up to date certificates of registration and inspection are displayed in the home. Wisteria House DS0000058877.V339551.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 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 3 3 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 4 18 3 3 3 1 2 x 3 x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 3 x 3 Wisteria House DS0000058877.V339551.R01.S.doc Version 5.2 Page 25 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 OP21 Regulation 23(2) j Requirement The home must ensure that the bathing/showering and toilet facilities are appropriate to the needs of service users. (Requirement made at last inspection, timescale not met.) Timescale for action 30/09/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP2 OP18 Good Practice Recommendations The terms and conditions of residency should state whether there is a trial period where four weeks notice is not required. The whistle blowing policy in the home should be more prominently displayed to ensure that all staff are aware of the procedure. Wisteria House DS0000058877.V339551.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Taunton Local Office Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 Wisteria House DS0000058877.V339551.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. 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