Care Home: Inshore Support

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What the care home does well The service has done well to make the number of improvements it has and as a consequence care is being provided to people safely. Management systems are good and the needs of the people living there are now being prioritised. People enjoy busy lives and are supported with activities both in the house and community. Staff are positive and motivated, are provided with regular training and new staff are recruited safely. This helps staff to meet people`s needs and their vulnerabilities are safeguarded. When there are any concerns prompt action is taken to report the matter to the appropriate agencies and action is also taken in the first instance to ensure people are safeguarded. What has improved since the last inspection? Action has been taken to minimise or remove a number of hazards that were identified at the last inspection. Unsafe bedrails have been removed from use. A breakfast bar in the kitchen has been removed and an additional step to the kitchen along with handrails have been fitted. The aim of this was to reduce trip hazards and the risk of injury in the event of a fall into the kitchen. This has been successful as there has been no further incidents. Accidents are being better reported and recorded. This has enabled the manager to identify a trend in accidents and in association with the doctor, risk management systems have been put in place to try to stop repeated accidents. Staff meetings are being held more regularly to improve communication with staff. Minutes of these meetings show us that staff are receiving good direction and leadership. Throughout the year, the manager has worked closely with independent professionals to review people`s needs and to ensure they are safeguarded. When there have been concerns, these have been reported promptly and a resolution sought in conjunction with partner agencies. What the care home could do better: It is important that the service continues to embed the improvements it has made. The manager has a clear idea what she needs to do to drive further improvement and is motivated to achieve an excellent rating. She will need support to achieve this and it is important that she receives regular, recorded supervisions on a one to one basis with her manager to identify and measure progress. We have advised the manager to obtain a copy of our Key Lines of Regulatory Assessment to support this. Fire drills have not been carried out since August 2008 and this should be rectified without delay so staff and people living there know how to evacuate safely in the event of a fire. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Inshore Support 110 Wellington Road Bilston Wolverhampton WV14 6AZ     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Deborah Sharman     Date: 0 1 0 5 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: Inshore Support 110 Wellington Road Bilston Wolverhampton WV14 6AZ 01902354481 01384410429 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Inshore Support Ltd care home 2 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: 2 The maximum number of service users who can be accommodated is: 2 The registered person may provide the following category of service only: Care Home Only (Code PC); To service users of the following gender: Either; Whose primary care needs on admission to the home are within the following categories: Learning disability (LD) 2 Date of last inspection Brief description of the care home Inshore Support is based in the Bilston area of Wolverhampton and is registered as a care home providing personal care and accommodation for 2 younger adults with learning disabilities. It is part of the Inshore Support Ltd group of housing whose main office has recently relocated to Stourbridge. The home is close to the centre of Bilston with good local amenities. It opened in June 2003 and consists of a two storey terraced property. The two bedrooms are both for single occupancy with bathrooms and toilets close by. There are two lounges, a kitchen and dining area. There is a small-enclosed garden to the rear of the house. Current fees are based on service users assessed needs and are stated in their personal contracts. Fees charged have not been included in brochures available to people who may enquire about the service. This information should be requested directly from 110 Wellington Road or from Inshore Support Ltd. Care Homes for Adults (18-65 years) Page 4 of 28 Care Homes for Adults (18-65 years) Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: One Inspector carried out this unannounced key inspection over two days. On the first day, when nobody knew we were coming, we inspected from 1.30 until 5.30. On the second day we inspected between 3pm and 7.00pm. We did inform the manager of our intention to return and complete the inspection on the second day. As it was a key inspection the plan was to assess all National Minimum Standards defined by us as key. These are the National Standards which significantly affect the experiences of care for people living at the home. Information about the performance of the home was sought and collated in a number of ways. Prior to inspection we were provided with written information and data about Care Homes for Adults (18-65 years) Page 6 of 28 the home in an annual return. We have sent surveys to people who live and work at 110 Wellington Road and also to independent health professionals who have contact with the home. However we were delayed in sending them out and at the time of writing none have been received back for us to refer to. At the time of this inspection, it was our policy not to send surveys to relatives and no relatives were available to speak to on the day of inspection. However satisfaction surveys had been carried out by the service and relatives thoughts about the service were available to us in this format. During the course of the inspection we used a variety of methods to make a judgement about how service users are cared for. The manager was available throughout both days to answer questions and support the inspection process. We also spoke to staff and observed the way they engaged with the people they are there to support. We assessed the care provided to the two people who live there, using care documentation and we sampled a variety of other documentation related to the management of the care home such as training, recruitment staff, supervision, accidents and complaints. We toured the premises and we were able to observe the care of residents during this time. All this information helped to determine a judgement about the quality of care the home provides. What the care home does well: What has improved since the last inspection? What they could do better: It is important that the service continues to embed the improvements it has made. The manager has a clear idea what she needs to do to drive further improvement and is motivated to achieve an excellent rating. She will need support to achieve this and it is important that she receives regular, recorded supervisions on a one to one basis with her manager to identify and measure progress. We have advised the manager to obtain a copy of our Key Lines of Regulatory Assessment to support this. Fire drills have not been carried out since August 2008 and this should be rectified without delay so staff and people living there know how to evacuate safely in the event of a fire. Care Homes for Adults (18-65 years) Page 8 of 28 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 28 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home are settled and consequently there have not been any changes to the group of people living there. However information about the home is now being made available in more accessible formats and this is available for people currently living there. Evidence: There have not been any admissions or discharges so we were not able to judge how people have been supported to move in and settle. However, information about the home is now available in an easy read pictorial format. We were told that peoples contracts are currently also being changed into easy read pictorial versions. We could see that weekly fees are now included in the written information about the home and this provides more information for potential residents and for people currently living there. Care Homes for Adults (18-65 years) Page 11 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs are met. The home has a plan of care that accurately describes the care people need and staff are familiar with how to provide care safely. People are able to make decisions about what they do on a day to day basis. This is because the staff promote their rights and choices. Evidence: We are satisfied that steps have been taken to meet peoples needs and to protect them from risks which were of concern when we last visited. The premises are more secure. The rear gate is locked and an alarm is on the front door with better procedures in place when staff come and go to prevent risk to people from the road. Under new legislation, Deprivation of Liberty referrals have been made to two Local Authorities for their consideration. Other steps have been taken to ensure the premises better meets peoples needs and this will be discussed later in this report. Care plans and risk assessments are regularly reviewed and are amended to tell staff Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: how to provide care when there are any changes in need. We talked to a staff member who was aware of the detail in care plans and how to keep people safe. We could see too that both peoples care has been reviewed with the Local Authorities who fund their care. Accident records show a trend. Out of 13 accidents recorded for one person, 7 of these were trips and slips and loss of balance. This had been identified by the service and a number of measures had been put in place which were known to staff to try to reduce the risk of this. Staff were able to explain how they offer choices and how they communicate with people to achieve this. We observed people being offerred choices throughout the day including whether and what they had to drink and eat and whether they wanted to go out. We saw staff acting on the choices people made. We also observed people being able to move freely between rooms in the house whilst receiving one to one supervision at all times. Where there are limitations in place, this is accounted for in care plans. Care Homes for Adults (18-65 years) Page 13 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have opportunities to pursue their interests, go on day trips and are part of the local community. They have regular contact with the families and enjoy their meals. Evidence: Over the two days that we inspected, both people were busy. They went out individually in the mornings and again in the afternoons. When at home we observed them taking part in enjoyable activities with the staff and they were happy and involved. At one point we observed one person watching Diana Ross videos and he was able to indicate to us that he liked her very much. It was very positive to hear that staff had supported him to go to Birmingham Art Gallery to see a collection of The Supremes clothes. Both people had also been to the Safari Park and Blackpool in the two weeks before we inspected. Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: We can see that both people have regular contact with their families. Where visits are not possible for one person due to geographical distance, records are kept of phone calls and letters and these assure us that communication is maintained frequently. Care Homes for Adults (18-65 years) Page 15 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. The care home supports people with medication safely. Evidence: We looked at the support both people have to promote good health and wellbeing. We can see that both people have the opportunity to receive treatment and advice from a wide range of health professionals including optician, dentist, speech and language therapy, psychology, psychiatry, chiropody, dietary and dermatology. We can see that changes in health are discussed with the GP and follow up tests recommended by him have taken place and the results obtained. Medication is generally managed safely. We found an error on the medication administration record signed for by two staff. This indicated that one person had received anothers medication on one occasion. We looked at this in more detail. An audit of other records and a count of stock showed us that the first person could not have received medication in error. However, the manager should have been alerted so Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: she could review systems to try to reduce the risk of this. We looked in detail at one persons lactulose and by looking back through five months of records since the medication was first prescribed we could see that on average over the course of each month 9mls too little had been administered, 45mls in total. This is negligible over such a period of time but greater accuracy in administration could be achieved by using a pipette to measure the dose. We had been told this was the case and saw a store of pipettes in stock but then watched a staff member administer the lactulose without using a pipette. Care Homes for Adults (18-65 years) Page 17 of 28 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. Evidence: We are satisfied that steps have been taken to better protect people. We have referred in other parts of this report to steps taken to better protect people from the risk of injury from internal steps, bedrails and the close proximity to the house of a busy road. In addition to these measures, all staff have now completed Safeguarding training and written information about a number of protection issues is now available for staff and managers to refer to. We talked to a staff member that we hadnt met before and she had a good understanding of what abuse is, her role in reporting it and also how to manage behaviours that challenge. She competently demonstrated that she understands that there is always a reason for behaviours and that physical intervention is a last resort to protect either the person, staff or members of the public. She had received training to ensure she can do this safely if needed. Since we last inspected, four matters have been referred into the Safeguarding forum. Two of these allegations were about matters related to incidents between the two Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: people who live at the home and two are allegations against a staff member. At the time of writing three have been investigated and closed by Social Services. One more recent allegation is subject to further investigation. We are satisfied that following each allegation, the management response has been swift and decisive. Each allegation has been appropriately reported to partner agencies for investigation and action has been taken to immediately safeguard those people involved. We looked at the financial records of one person. Systems are robust and account for expenditure. We are therefore assured that there are sufficient safeguards in place to protect peoples money. Care Homes for Adults (18-65 years) Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People stay in a safe and well maintained home that is homely, clean, comfortable, pleasant and hygienic. Evidence: Considerable improvements have been made since we last inspected to ensure that the environment safely meets peoples needs. Bedrails were unsafe but since then the need for them has been reassessed and they have been removed. Refitting the kitchen, removing a breakfast bar and fitting an additional step to halve the height of the step into the kitchen have removed hazards we identified. This has been supplemented by fitting handrails either side of the step, which leads down into the kitchen. There have not been any further accidents attributed to this. Action has also been taken to protect people as far as possible from the dangers of the nearby road with the rear gate being kept locked and an alarm fitted to the front door. Staff are more aware of the dangers of the road and their role in managing this. Social Services have been involved in assessing to what extent these safety measures limit peoples liberties and no concerns have arisen. The environment meets peoples behavioural needs. For example the TV continues to Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: be behind a protective screen but new developments have helped the premises to be more homely whilst continuing to meet such needs. For example more pictures have been provided and these are screwed to the walls. Blinds have been provided in the rear lounge and in one persons bedroom. These blinds are set in between the double glazing, are inaccessible but can be operated by a magnet. They succeed in protecting peoples privacy and dignity in an appropriate and modern way but cannot be damaged. During a tour of the environment we found the premises to be clean and fresh with no evident hazards. It is positive too that labels identifying contents have been removed from the fronts of drawers and wardrobes as again this helps the premises to be homely rather than institutional. Care Homes for Adults (18-65 years) Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported by an effective staff team who understand and do what is expected of them. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. Any concerns about staff performance are responded to promptly. Evidence: Staff help to create a pleasant atmosphere within the home. We watched staff supervising and engaging with the people living there and there was a sense of fun and alot of laughter. Staff feel well supported and trained. Training records are up to date and support the provision of regular training and refresher training for staff. We could see that as a minimum two staff are always on duty and it was positive to see three staff on duty at times to provide more flexibility given that people need one to one staffing at all times. We looked at how a new staff member had been recruited and we could see that all necessary checks and references had been obtained prior to his commencing in employment to ensure vulnerable people were not put at unnecessary risk. This new staff member had received an extensive programme of training including induction Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: training, although the manager was not able to demonstrate whether the induction provided meets the national Common Induction Standards. Although staff feel well supported, this new staff member had received one supervision in his five months of employment and this is less than required. Since we last inspected a Deputy Manager has been appointed to support the manager. She has previous experience of working with people who do not verbally communicate and using this experience has started to introduce new communication tools to support communication between staff and the people they support. Where there have been concerns about staff performance, the organisation has responded quickly to safeguard people. This is referred to under Complaints and Protection standards earlier in this report. Care Homes for Adults (18-65 years) Page 23 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have confidence in the care home because it is run and managed appropriately. The environment is safe for people and staff because health and safety practices are carried out. Evidence: The manager has achieved a lot in a short period of time and has improved the safety and life experiences of the two people who live at 110 Wellington Road. These have been outlined throughout this report. This reflects well on how the service is being managed and we now judge it to be managed competently. The manager feels well supported and her performance has been appraised. However, she is not receiving formal supervisions and this needs to be addressed. The manager has a good understanding of her strengths as a manager and is aware of areas she needs to develop. She has identified her training needs and this includes attending training in Deprivation of Liberty issues following the introduction of new legislation. However, she has already had some experience of making referrals under this new law and has a date scheduled for training. Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: In 2008, the service surveyed residents, staff, professionals and relatives about the service they provide. Feedback was generally positive with most people stating they feel most able to raise any concerns with staff and managers. Half of the staff team said they are very satisfied with how the manager communicates and half are fairly satisfied. Accidents are now being better recorded and this has enabled trends in slips and trips to be identified. In association with the GP steps are being taken to reduce the risk of this. We looked at a wide range of maintenance documentation to ensure that equipment and facilities are being checked, tested and serviced. The only omission is in the regularity of fire drills, which the manager is aware of. She described plans to address this including introducing high visibility jackets for people to wear during fire drills to use as objects of reference for the people living there. Assessments of hazardous chemicals are now available but would benefit from being signed and dated to ensure better accountability and to enable the manager to know when they are due for review. However, we did not identify any concerns about how hazardous chemicals are being managed. Care Homes for Adults (18-65 years) Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 2 37 42 Steps should be taken to ensure the manager receives regular, formal and recorded supervision. Fire drills have lapsed and should be reintroduced and carried out on a regular basis so residents and staff know how to safely evacuate the premises in the event of a fire. Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). 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