Inspection on 04/10/06 for Yercombe Lodge

This inspection was carried out on 4th October 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

Yercombe Lodge 01/10/08

Yercombe Lodge 08/03/06

Yercombe Lodge 06/06/05

Yercombe Lodge 12/01/05

Yercombe Lodge 29/07/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Yercombe Lodge Stinchcombe Dursley Glos GL11 6AS Lead Inspector Sharon Hayward-Wright Key Unannounced Inspection 4th October 2006 09:30 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 Yercombe Lodge DS0000016660.V305532.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. Yercombe Lodge DS0000016660.V305532.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Yercombe Lodge Address Stinchcombe Dursley Glos GL11 6AS 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) 01453 542513 yercombe@btopenworld.com Yercombe (Gloucestershire) Trust Mrs Angela Kathleen Turner Care Home 11 Category(ies) of Old age, not falling within any other category registration, with number (11), Physical disability (11), Physical disability of places over 65 years of age (11) Yercombe Lodge DS0000016660.V305532.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th March 2006 Brief Description of the Service: Yercombe Lodge is an Edwardian property that has been sympathetically adapted and extended to provide accommodation for long-term and respite care for older people over 65 years and for anyone over the age of 18 with a physical disability. The home does not provide nursing care. All bedrooms are pleasantly decorated and comfortably furnished; four have en-suite facilities. The home is equipped with three assisted bathrooms and one of these includes a shower. The home provides additional aids to assist service users and a shaft lift provides access to the first floor. Comfortable and spacious communal areas are located on the ground floor, all of which have the benefit of extensive and attractive views over the surrounding countryside. A small kitchen has been provided on the first floor for service users to prepare their own breakfast if they choose. The home has large landscaped gardens that may be enjoyed by the service users in good weather. The home has copies of their Statement of Purpose on display in the entrances to the home. Copies of the homes last inspection report are also available. The fees for this home range form £390 to £440. Additional charges not included in the fees are for hairdressing, chiropody, toiletries and newspapers. This information was given to the inspector prior to inspection. Yercombe Lodge DS0000016660.V305532.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An Inspector carried out this inspection on one day in October 2006. The judgements contained in this report have been made from evidence gathered during the inspection, which included a visit to the service and takes in to account the views and experiences of people using the service. The Registered Manager was available during the inspection as were other members of the home team. A total of 27 standards were inspected. Several residents were spoken with to ascertain their views on the care and services provided. A number of surveys were left for service users, staff and visitors to the home. However none of these were returned to the inspector. The comments received from service users during the inspection all indicated they are very happy living at the home. The Registered Manager and care staff were spoken with throughout the inspection and were helpful and co-operative. Feed back on the inspection findings were given on completion and were received in a constructive and positive way by the Registered Manager. What the service does well: The home offers a valuable resource to the local community by providing respite, day care and long-term care. Dietary needs of service users are well catered for with a balanced and varied selection of food available that meets service users tastes and choices. The home has arrangements in place to ensure the needs of the service users are assessed prior to admission to ensure the home can meet their needs. Yercombe Lodge DS0000016660.V305532.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. Yercombe Lodge DS0000016660.V305532.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 Yercombe Lodge DS0000016660.V305532.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): 1, 2, 3, 5 & 6 Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to this service. The home has arrangements in place to ensure service users’ are not admitted to the home with out first having their needs assessed and the opportunity for them to visit the home prior to a decision being made about moving in. Once updated the home’s Statement of Purpose and Service User’s Guide will contain further information about the service offered by the home. EVIDENCE: The home is in the process of making amendments to their Service Users Guide following the implementation of new Care Home Regulations. Once the Board of Trustees has agreed them the home will issue their new guide and send a copy to the Commission. Yercombe Lodge DS0000016660.V305532.R01.S.doc Version 5.2 Page 9 One service user confirmed that on their first visit to the home they read both the Statement of Purpose and Service User’s Guide. A copy of both guides was in their room. Copies of both these guides are available in the communal areas in the home. Contracts were not examined in detail but copies of contracts signed by service users were seen. The Registered Manager said that all long stay service users are re-issued contracts each year. Prior to each proposed service user moving into the home they complete an application form detailing their care needs and they are invited to visit the home for an assessment, however this is not always possible. The home also requests permission to contact the service users GP for information. The home uses the application form as part of their pre admission assessment. A new service user said they did not visit the home prior to moving in but came in for respite care prior to moving in for long stay. This service user said they used to live locally and were aware of the care home, and a family member recommended it to them. Another service user said they visit the day centre and that is how they came to know about the respite care offered. Intermediate care is not offered by this home. Yercombe Lodge DS0000016660.V305532.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to this service. The home has now devised a clear and consistent care planning system to adequately provide staff with the information they need to satisfactorily meet service users’ needs. The home has made good progress with regard to the arrangement for administration of medication to reduce any risks to service users. Service users are treated with respect. EVIDENCE: The care of two service users was examined in detail to include examining their care plans. Another service user’s care plan was examined to look at the new documentation being used. One of these service users was staying for respite care and the remaining two are receiving long-term care. All three had an assessment of need completed using the home’s application form, however the service user on respite care had not had this assessment reviewed. The other two service users have recent reviews of their assessment of need Yercombe Lodge DS0000016660.V305532.R01.S.doc Version 5.2 Page 11 undertaken. The home needs to ensure that all service users have a review of their assessment of need at intervals appropriate to their needs. All three care plans had individual information about the needs of each service user and all had regular reviews and any changes documented. Daily records are also maintained. Evidence was seen of service users signing their care plans and one service user said they have discussed their care plans with the Registered Manager. Risk assessments were seen for moving and handling and falls. All had evidence of reviews. One service user has a kettle in their room as they normally make their own drinks at home. The home must complete a risk assessment for this activity. Health professional visits for service users are recorded. Two service users spoken with said they are happy with the care they receive and one said, “this is their holiday”. Since the last inspection a vast improvement with care plans was seen. Medication systems were examined. Records were seen for medication received, administered and returned to the local pharmacy. The home uses hand written Medication Administration Records sheets (MAR). These were checked against the medication containers. No errors were found and all MAR sheets had evidence that they were checked and signed by another person. No gaps were found in the recording of medication. Service users are able to self-medicate, risk assessments and consent forms were seen. Lockable facilities are provided in each room. One service user on respite care discussed their medication needs and how they manage them whilst in the home. Consideration should be given to the home maintaining records of all medication brought into the home to include the number of tablets, creams etc. The system for administration of medication was discussed and the Registered Manager said that the home is in the process of changing their present system once a medication trolley has been supplied. Training for staff will be provided. A copy of the procedure for their present system is displayed in the staff office. The home does not have any service users taking controlled medication at the moment but has the appropriate register to maintain records if they do have any and secure storage facilities. A specimen signature and initials list is maintained for staff that administers medication. Improvements have been made with medication procedures since the last inspection. Service users said the staff respect their privacy and are happy for staff to address them by their first name. Several long-term service users had their own telephones in their rooms. Yercombe Lodge DS0000016660.V305532.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for 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 site visit to this service. Opportunities for service users to join in activities are provided, though at times this can often be dependent on the service users receiving respite care. Service users are encouraged to maintain links with the community. Dietary needs of service users are well catered for with a balanced and varied selection of food available that meets service users’ tastes and choices. EVIDENCE: The home has a poster on display advertising the activities available for each week; but these can alter depending on the preferences of the service users in the home and at any given time. Service users confirmed that a memory game had taken place in the morning but they were quite happy to sit quietly in the afternoon. Several service users said they like to undertake their own activities. Two service users were sat talking in the lounge/dining room. Two other service users had chosen to spend their time in their rooms. One service user had gone out with their family. Yercombe Lodge DS0000016660.V305532.R01.S.doc Version 5.2 Page 13 A service user receiving respite care said that they still attend the day centre whilst staying in the home. Service users said visiting to the home is open and a number of visitors were seen at the home during the inspection. Links are maintained with the community as several service users attend for day care and the majority of service users visit the home for respite care. Service users who live at the home long-term are able to bring items of their own belongings in with them. During the tour of the home it was noticed that these rooms were individualised to each service user. Service users confirmed that they are able to make choices over their lives. One service user confirmed that they manage their own financial affairs. The Registered Manager said the home does not manage any service users financial affairs. The home has an information board for service users and visitors that has leaflets about advocacy services. Lunchtime was observed and found to be a very sociable event. Service users were sat around two tables and the staff join them for the meal once they had served the service users. Service users confirmed that choices are offered and several alternatives were seen. Records seen also supported this. Two service users chose to have their meals in their rooms. Two service users confirmed that they are offered drinks at regular intervals and afternoon tea was observed. Service users spoken to all said how much they enjoy the food provided. Bowls of fruit are now available for service users in the lounge/dining room to help themselves. From discussions with the Registered Manager the cook devises the menus with help from the Deputy Manager and service users are asked for their input into the menus. The home is aware of the changes to the Food Regulations and records of health and safety checks were seen. Yercombe Lodge DS0000016660.V305532.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to this service. The home has a complaints procedure in place with evidence that the views of service users are listened to and acted upon. The home has systems in place to help prevent service users being placed at possible risk of abuse or harm. EVIDENCE: The home has a complaint procedure in line with the Care Home Regulations and a copy of this is displayed in one of the entrances to the home and is in the homes Statement of Purpose and Service User’s Guide. Consideration should be given to adding that service users funded by The Community and Adult Care Directorate can contact them if they have any complaints. The home has received one complaint for which they have nearly completed the investigation. Records provided evidence that the complaint is recorded and the actions taken. Service users spoken with all said they could approach the Registered Manager if they had any concerns or complaints. However the service users spoken with all said they had no concerns or complaints. The Registered Manager was able to provide evidence that staff have received training in the protection of vulnerable adults and this was provided by an Yercombe Lodge DS0000016660.V305532.R01.S.doc Version 5.2 Page 15 outside training company. The home also has the appropriate policies in place. A large number of staff were in a training session during the day and the cover was provided by relief staff and the Deputy Manager, therefore the inspector was not able to speak to staff about the procedure they would follow. Yercombe Lodge DS0000016660.V305532.R01.S.doc Version 5.2 Page 16 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 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to this service. Recent investment has improved the appearance of this home creating a comfortable and safe environment for those living there and visiting. EVIDENCE: A tour of the environment took place with several service users’ rooms examined. No maintenance issues were identified. The home has plans for further redecoration of the home to include the respite rooms. A number of service users commented on the redecoration of the lounge/dining area and the new curtains and how much more pleasant it is for them to sit in. The home was clean with no odours during the inspection and service users said the home is always cleaned to good standards. Staff were seen wearing protective clothing when required and alcohol gel dispensers are provided around the home. The laundry was inspected and found to be well organised. No concerns were expressed about the laundry service. Consideration should be given to Yercombe Lodge DS0000016660.V305532.R01.S.doc Version 5.2 Page 17 providing a lock on the cupboard where the fly spray is stored to ensure no service users are put at risk. Yercombe Lodge DS0000016660.V305532.R01.S.doc Version 5.2 Page 18 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 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a site visit to this service. Following the last inspection the home has systems in place to ensure service users’ needs are being met. Since the last inspection the standard of vetting and recruitment practices has improved, however not all appropriate checks are taking place and this could potentially place service users at risk. EVIDENCE: From discussions with the Registered Manager and following the last inspection the home is able to adjust the staffing levels to meet the needs of the service users as this alters weekly as the home offers respite care. The Registered Manager is extra to these numbers. Ancillary staff are employed to assist the staff with cooking and cleaning etc. The home uses agency staff if needed. This is an improvement since the last inspection as the number of care staff was reduced at that inspection even if the needs of the service users were high. The inspector was not able to speak to the permanent staff, as they were in training to gauge their feeling on this matter. Questionnaires were left for the staff but none were returned to the inspector. A relief member of staff said they felt the levels on that day were meeting the needs of the service users. This member of staff said they enjoy working at the home. Yercombe Lodge DS0000016660.V305532.R01.S.doc Version 5.2 Page 19 Service users all praised the staff saying they were friendly and helpful. The home has seven care staff with NVQ 2 and a number of these staff have NVQ 3. Two staff are undertaking NVQ 2 and 1 member of care staff has NVQ 4. The personnel files of two recently appointed members of staff were examined. Both had a completed application form but one did not have a full employment history documented. Both had evidence that POVA and Criminal Records Bureau disclosures have been undertaken. One file requires a photograph of the staff member. Again this has improved since the last inspection. Evidence was seen of induction training for both members of recently appointed staff and their mentor’s name was documented on this record. The home uses the skills for care format. Training records were seen for staff. The home had booked a day of training for staff during the inspection and plans were seen of other training that is booked for staff. The one member of staff spoken with confirmed that training is provided. Yercombe Lodge DS0000016660.V305532.R01.S.doc Version 5.2 Page 20 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, 32, 33, 35, 36 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to this service. Following the last inspection the Registered Manager is able to discharge her responsibilities to ensure the home is run in the best interests of the service users and staff. Systems are in place to ensure staff receives supervision. The systems for service user consultation are satisfactory with evidence that indicates the views of service users are both sought and acted upon. EVIDENCE: There have been no changes to the management of the home since the last inspection. The Registered Manager is aware of the importance of keeping herself updated. She was due to undertake training during the inspection but this was postponed. Since the last inspection changes have been made to the Yercombe Lodge DS0000016660.V305532.R01.S.doc Version 5.2 Page 21 Registered Manager’s hours so she is able to fulfil her role of managing the home. When the home is short staffed the Registered Manager will help to care for the service users. Service users and one member of staff said they could approach the Registered Manager if they had any concerns and feel she would listen to them. The home has a quality assurance folder that contains their policies and procedures. The Board of Trustees complete audits on the home and from these actions plans are devised if needed. Service users’ questionnaires are sent out and reviewed on a quarterly basis. Records were seen of these and actions taken. The home audits any incidents in the home when they occur. Staff meetings take place every couple of months or sooner if the staff request them and minutes of these were seen. Consideration should be given to the home sending out questionnaires to staff to ask for their views. Since the last inspection the Registered Manager has devised a programme for staff supervision to include both care and ancillary. Records were seen of the plan and of sessions undertaken with staff. The home is not managing any service users’ monies at the time of the inspection, however facilities are provided for their safe storage. Servicing and maintenance of equipment was examined and the home had records in place to confirm these are taking place. The home has a fire risk assessment in place and is aware of the new legislation in relation to fire regulations. The home has obtained information about this. The home has had a visit from the local fire service since the last inspection and is in the process of addressing the recommendations. Yercombe Lodge DS0000016660.V305532.R01.S.doc Version 5.2 Page 22 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 2 3 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X 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 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X N/A 3 X 3 Yercombe Lodge DS0000016660.V305532.R01.S.doc Version 5.2 Page 23 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 Regulation 13(4)(c) Requirement The registered person shall ensure that unnecessary risks to the health and safety of service users are identified and so far as possible eliminated. (A risk assessment is required for service users’ who make their own hot drinks in their room.) The registered person shall ensure that the assessment of service users needs is kept under review and revised at any time when it is necessary to do so having regard to any change of circumstance. The registered person shall not employ a person to work at the care home unless he had obtained in respect of that person the information and documents specified in paragraphs 1 to 9 of Schedule 2 (This relates to Proof of the person’s identity to include a photograph, and a full employment history, together with a satisfactory written explanation of any gaps in employment). DS0000016660.V305532.R01.S.doc Timescale for action 20/11/06 2. OP7 14(2) (a&b) 16/01/07 3. OP29 19 & Sch 2 16/01/07 Yercombe Lodge Version 5.2 Page 24 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 OP9 OP12 Good Practice Recommendations The home should maintain records of medication brought into the home by service users to include the number of tables, cream etc. The Registered Person should seek the views of service users regarding the provision and choice of activities in the home. The home should send out quality assurance questionnaires to staff. 3. OP33 Yercombe Lodge DS0000016660.V305532.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB 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 Yercombe Lodge DS0000016660.V305532.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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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