Care Home: Adelphi Rest Home

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What the care home does well The Adelphi has been a care home for many years and has a good stable staff group, which provides continuity and stability for residents. We found that staff demonstrated a good awareness of the needs of the residents and observed good interaction between residents, management and staff. Before people are admitted to the Adelphi sufficient information about the home is available for people to read to help them decide if they would like to stay at the home. Important information needed to support them in every day living is recorded and used to plan the care required. Residents can stay at the home for a trial period to make sure the home has the right facilities and staff to care properly for them. Contracts given to residents outlined the terms and conditions of residence. Resident`s healthcare needs are monitored. The staff work with visiting medical professionals such as doctors and district nurses. Relatives who returned their comment cards as part of the inspection process praised staff for the care they provide to the residents and one comment described staff as `very good and caring`. The daily routines are flexible and designed to meet the wishes of the residents. The staff benefit from a good standard of training. It was also pleasing to note that the home continue to meet the national target in NVQ (National Vocational Qualification) training, with 88% of carers holding the qualification at level 2 or above. What has improved since the last inspection? Residents were happy with the level of activities provided. One member of staff is a dedicated activity organiser. A new heating system has been installed to improve the hot water in the kitchen. There is a continuing programme of decorating and refurbishment. The manager works as extra to the rota one day a week to carry out essential management duties. What the care home could do better: Bedroom doors must have locks fitted on to ensure residents are safe and they have some privacy. The type of lock used must comply with fire safety and allow staff access in an emergency. The owner should complete the Regulation 26 report every month and send a copy to CSCI. CARE HOMES FOR OLDER PEOPLE Adelphi Rest Home 33/35 Queens Road Chorley Lancashire PR7 1LA Lead Inspector Ajam Auckburally Unannounced Inspection 11th October 2007 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 Adelphi Rest Home DS0000005922.V347255.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. Adelphi Rest Home DS0000005922.V347255.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Adelphi Rest Home Address 33/35 Queens Road Chorley Lancashire PR7 1LA 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) 01257 271361 01257 241240 adelphi.carehome@virgin.net Mr Barry Brown Mrs Jacqueline Taylor Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27) of places Adelphi Rest Home DS0000005922.V347255.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th July 2006 Brief Description of the Service: The Adelphi Residential Care Home is situated in a quiet residential area within walking distance of both Chorley town centre and Astley Park. The home is well served by public transport and the M62 and M6 motorways are easily accessible. The Home is a large converted property with an extension and can accommodate a maximum 27 residents in 19 single and 4-shared bedrooms. Some of the bedrooms have en suite and all have vanity units fitted. There are three lounges one of which is a conservatory type lounge and the dining room also extends into a conservatory. Residents can use these facilities freely. All the residents’ rooms and the communal areas were tastefully decorated and residents are encouraged to personalise their rooms with items brought from home. There is a small courtyard to the rear of the home, which is furnished with sets of garden furniture through the summer months. The garden is accessed via the dining room through patio doors, where a ramp is fitted to ease access to and from the garden. Information about the service is available from the home for potential residents in a Statement Of Purpose and Service User Guide. Current weekly fee is £386 and additional extras like hairdressing, private chiropody and newspapers are paid for by the residents. Adelphi Rest Home DS0000005922.V347255.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Under IBL (Inspecting for Better Lives) Adelphi Rest Home was assessed as requiring a statutory key visit (inspection) between April 2007 and March 2008. An unannounced key site visit was carried out on 11th October 2007. The inspection lasted 5.5 hours. The inspection was carried out against the National Minimum Standards for Older People. The inspection despite being an unannounced one was carried out in a friendly atmosphere and with the full cooperation of the staff and the residents. During the inspection, some records were looked at and all the residents and the staff were spoken to. The residents were very positive about the care they receive and the way the staff treat them. Every year we asked the registered person to supply us with written information about the quality of the service they provide and to make an assessment of the quality of their service. A questionnaire called the AQAA (Annual Quality Assurance Assessment) is sent for the manager of the home to complete and return. We use this information, in part, to focus our inspection activity. The completed questionnaire gave information about several areas such as staffing, checks that the home has made about the safety and maintenance of the building, equipments, information about residents and other useful information. The AQAA also requests information about good practices and developments. Questionnaires were also sent to residents, the families and other professionals such as district nurses and doctors. By the time the inspection was carried out, 7 relatives had returned their completed forms. When they were analysed, they showed that no adverse comments were made about the home or the staff. One relative made this comment “The home provides a caring comfortable environment with a homely atmosphere and good food.” There were 23 residents living at the home at the time of the inspection and there were 3 care staff, 2 cleaning staff and a cook on duty. The manager who was off duty came to assist with the inspection. The number of staff on duty was sufficient to look after the well being of all the residents. Adelphi Rest Home DS0000005922.V347255.R01.S.doc Version 5.2 Page 6 The staff were observed to be polite and attentive when talking and dealing with the residents. What the service does well: What has improved since the last inspection? Residents were happy with the level of activities provided. One member of staff is a dedicated activity organiser. A new heating system has been installed to improve the hot water in the kitchen. There is a continuing programme of decorating and refurbishment. Adelphi Rest Home DS0000005922.V347255.R01.S.doc Version 5.2 Page 7 The manager works as extra to the rota one day a week to carry out essential management duties. 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. The summary of this inspection report can be made available in other formats on request. Adelphi Rest Home DS0000005922.V347255.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 Adelphi Rest Home DS0000005922.V347255.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): 3 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The admission process ensures residents were properly assessed and their needs and wishes known and planned for. Trial periods of stay were offered and residents are given contracts/terms of conditions of residence. EVIDENCE: The records of admission of the last resident admitted to the home were examined. They showed that a preliminary assessment was carried out during inquiry followed by a full assessment as soon as possible. Residents confirmed they were given enough information about the home before they came to stay. The service user guide provides helpful, wellpresented information in a format, which was easy to read. Adelphi Rest Home DS0000005922.V347255.R01.S.doc Version 5.2 Page 10 The service user guide contains information about the care provided, the facilities, the staffing, the complaint procedure and other useful information. A copy of the last inspection report is available on the notice board for residents and visitors to read. Every resident is given a contract of residence giving the terms and conditions of stay. A member of the management team always visits prospective residents who are unable to visit the home, either in their own home or in hospital before admission. The manager said this helps with introduction as well giving and gaining information. Prospective residents or their families are encouraged to visit the home and spend as much time as they need before making a decision. The staff said that they are given as much information about the new residents as possible so that they can provide tailor-made care. The residents said that the staff are very good and that nothing is too much trouble for them. The home does not provide intermediate care. Adelphi Rest Home DS0000005922.V347255.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The provision to meet the health and personal needs of the residents is good. Residents are well cared for by a team of dedicated staff. EVIDENCE: Two residents, one of whom being the last one admitted to the home were case tracked. This meant that we selected two residents and examined the care they received closely. Their assessments and care plans were examined and they were spoken to. The records show that detailed written information about the residents has been recorded. These include an assessment to identify the needs of the residents and also a care plan which shows how the needs were being met. Adelphi Rest Home DS0000005922.V347255.R01.S.doc Version 5.2 Page 12 The physical assessment covers; personal hygiene, mobility, hearing, vision and other areas. The care plans give details of how the assessed needs are met. For example, if someone needed help with personal hygiene, the record will show that this person needs staff to wash and dress her. The care plans are reviewed monthly or as required to meet their changing needs. The residents and their families can be involved in this exercise. The residents said that they are very well looked after by the staff. They were very positive about the staff and the management of the home. They described the home as being very good. We observed a very relaxed and friendly atmosphere in the home. There were good interactions between the staff and the residents. A passenger lift is available to access the first floor. Bath hoists are available to assist residents with getting in and out of the bath. To improve the privacy of the residents, consideration should be given to fitting suitable locks to bedroom doors. All the residents are white British, but the manager said if a resident from a minority group was to be admitted to the home, she will obtain as much information as possible by researching this group to meet care, cultural and dietary needs. Resident’s health care needs are met by involving health care professionals. GP’s, district nurses and chiropodist visit when required. The medications records were examined and they were found to be accurate. The medications of 2 residents were audit trailed and were found to be correct. Medications are only dispensed by senior staff who have had training on medications.. The home is sensitive to the needs of all the residents and does everything to help them remain as independent as possible. The staff were observed talking and helping the residents with respect and dignity. Adelphi Rest Home DS0000005922.V347255.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. There are good arrangements to keep residents motivated and to encourage them to remain active. Residents can participate in a wide choice of activities. EVIDENCE: The manager said that residents are encouraged to remain as independent as they want and able to. Residents were observed doing their own things. Some were in the lounges and others were in their rooms. They said that they are able to remain as independent as they want or able to. They said that staff are helpful and will provide assistance when required. Adelphi Rest Home DS0000005922.V347255.R01.S.doc Version 5.2 Page 14 Several residents were in their rooms after having had their breakfast there. They said that they like to relax by watching television or reading their newspapers after breakfast. We spoke to most of the residents and they said that they are very happy living at the home and that everyone is nice and caring. They said that they can do what they like and do not have to join in activities if they do not want to. Activities in the home include Bingo, board games, entertainers etc. Regular trips are organised for residents to go out in the home’s own transport. On a personal basis, staff will take residents to the shops or do their shopping for them. Most of the residents said that the shops are too far for them to get to. The residents said that there is enough to do if you like to join in communal activities. Several of them said they like to do their own things and join the activities they like. They said that no one is forced to do anything. The staff said that they try and meet residents’ individual needs. They said that if residents wanted to go for a walk or do something, they would try to oblige. One member of staff spends several hours per week as a dedicated activity organiser. Residents were supported to continue with their chosen religion. Representatives from local churches visit the home on a regular basis for prayers and communion. Families and friends of residents are encouraged to visit when they want. Two relatives were present during the inspection and they said that they were very satisfied with the care provided and that the staff are good and helpful. Some of the residents said that their relatives take them out regularly. The residents said that the food is very good and that they are offered plenty to eat and drink. A set meal is provided at lunchtime when the main meal of the day is served. Alternatives are provided for those who do not like the main meal. Meals are served in the dining room but residents may eat in their rooms if they prefer. There is a good choice of food to choose from at breakfast and teatime. A cooked breakfast is available for those who want it. We observed the cook Adelphi Rest Home DS0000005922.V347255.R01.S.doc Version 5.2 Page 15 going round the lounges and asking residents their preferred choice of meal for teatime. Records of meal served examined show that a good variety of meals are offered to the residents. The manager said that within reasons, the home could cater for every taste. She said that food to suit ethnic and cultural preferences would be offered to residents if required. Residents are offered hot drinks at regular intervals during the day. They said that they find that the regular drink rounds are adequate for their needs, but would ask the staff for a drink if they wanted one at other times. Adelphi Rest Home DS0000005922.V347255.R01.S.doc Version 5.2 Page 16 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 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good policies and procedures to deal with complaints and to safeguard residents from harm and abuse. Residents live in a safe environment. EVIDENCE: The management of the home have produced policies and procedures for dealing with complaints and abuse. The complaint procedure is included in the Service User Guide. It is available to residents and their families. A copy of the complaints procedure was displayed and was included in the information given to current and prospective residents. The manager said that she speaks to residents and staff on a daily basis and this allows for problems and concerns to be sorted out as they occur. The residents said that if they had any complaints, they would speak to the manager and had every confidence that their concerns would be dealt with. Adelphi Rest Home DS0000005922.V347255.R01.S.doc Version 5.2 Page 17 The home had an appropriate internal procedure for staff to follow should they suspect or witness an incident of abuse. Staff spoken to confirmed that they had received training in respect to the adult protection procedures as part of National Vocational Qualification in care training. All the residents appeared to be safe and free from harm, neglect and abuse. Staff were observed treating the residents with respect and dignity. Residents said that they are well looked after and that all the staff are kind and helpful. There were no visible signs of abuse or neglect. Adelphi Rest Home DS0000005922.V347255.R01.S.doc Version 5.2 Page 18 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 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a pleasant environment for the residents. Residents live in a clean and safe home. EVIDENCE: Adelphi Rest Home is situated in a residential area in Chorley and close to all amenities. During a tour of the building, the home was found to be clean and in good hygienic order. The home was found to be free from hazards and the residents were observed getting around the home safely. Adelphi Rest Home DS0000005922.V347255.R01.S.doc Version 5.2 Page 19 The Home is a large converted property with an extension and accommodates 27 residents in 19 single and 4 shared bedrooms. Some bedrooms have en suite and all have vanity units fitted. There are three lounges one of which is a conservatory type lounge and the dining room also extends into a conservatory. Residents can use these facilities freely. Some residents were in their rooms and they said that they like to stay in their rooms to read or watch television. The home is well maintained and the colours are light and pleasant. The manager said that there is a rolling a programme of maintenance and carpets are changed when necessary. The residents’ general comments were that the home is clean and homely. A passenger lift to access all floors is available for the residents to use independently if they wish. Recommendations made during the previous have been implemented. They include a dishwasher for the kitchen and doorstoppers, which will close automatically when the fire alarm is sounded. All bedrooms have been fitted with a small personal safe which residents can use to keep their personal belongings. Adelphi Rest Home DS0000005922.V347255.R01.S.doc Version 5.2 Page 20 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. There are good procedures in place when recruiting new staff thus ensuring that they are fit to care for the residents. A team of well-motivated staff ensures that all the residents are well looked after. EVIDENCE: The number of staff on duty has been maintained to a good level to meet the needs of the residents. At the time of the inspection, there were 3 care staff, 2 domestic staff and a cook on duty. The manager who was off duty came to assist with the inspection. Staff rotas examined show that the staffing level is well within the recommended level for the number of residents at the home. The manager demonstrated a good understanding of the procedures to be followed when selecting and recruiting staff. The staff files examined show that appropriate checks have been carried out before offers of employment were made. Such checks included CRB (Criminal Adelphi Rest Home DS0000005922.V347255.R01.S.doc Version 5.2 Page 21 Records Bureau), POVA (Protection Of Vulnerable Adults) and 2 satisfactory references. Once a new member of staff starts work at the home, she undertakes an induction training programme involving orientation of the home, meeting residents and staff. Training also includes Fire Procedures, Moving and Handling and many other relevant courses. There is a clear commitment to the training and development of all staff at the home and they are all expected to go on the NVQ training programme once they have completed their induction training. Training records show that the staff at the home have attended several courses. These include: Abuse, Moving and Handling, First Aid, Dementia, Medications, etc. CSCI (Commission for Social Care Inspection) recommends that at least 50 of care staff achieved NVQ (National Vocational Qualification) level 2. The percentage of care staff with this qualification is 88 and is commendable. The staff spoken to said that they enjoy working at the home very much. They said that the management is very supportive and listens to what they have to say. The residents said that the staff are marvellous and will do anything for them. There were good interactions between the residents and the staff. They all appeared to be happy and content Adelphi Rest Home DS0000005922.V347255.R01.S.doc Version 5.2 Page 22 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 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management team provide a good service to the residents and good support for the staff. The residents and staff benefit from living and working in a well managed home EVIDENCE: Adelphi Rest Home is owned by Mr B Brown. The registered manager is Jaqueline Taylor and she has worked at the home for several years. The manager has many years experience working in a care home. She works with the care staff and has Wednesdays allocated as management hours where Adelphi Rest Home DS0000005922.V347255.R01.S.doc Version 5.2 Page 23 she works supernumerary to deal with essential paperwork. Senior carers support the manager. We found that the home is being well managed and that the residents are well looked after. The manager said that although the owner spends considerable time doing some administrative work, he is not involved in the day to day running of the home. He should, once a month complete a Regulation 26 form. This form is completed to ensure that owners who do not work at the home on a daily basis either himself or a representative looks at all areas of the home and leaves a written report. A copy of the report is also sent to CSCI. The staff said that the owner is approachable and that he talks to them when he visits. The home has a written health and safety policy in place, which is supported by a number of associated procedures such as COSHH (Control Of Substances Hazardous to Health) and infection control. Residents and or their families are encouraged to deal with their own finances. Most of the fees due to the home are paid for by direct debit arrangements. Where the home, keeps money on behalf of residents, appropriate records are kept. The inspection was carried out in a friendly environment and residents and staff said that the Adelphi is a very good home. Adelphi Rest Home DS0000005922.V347255.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 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 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Adelphi Rest Home DS0000005922.V347255.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. Standard Regulation Requirement Timescale for action 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 OP24 Good Practice Recommendations Bedroom doors should have locks fitted to ensure residents are safe and they have some privacy. The type of lock used must comply with fire safety and allow staff access in an emergency. The owner should complete the Regulation 26 report every month and send a copy to CSCI. 2 OP31 Adelphi Rest Home DS0000005922.V347255.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 Adelphi Rest Home DS0000005922.V347255.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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