Care Home: Templeman House

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What the care home does well Templeman House provides a service for older people including those with dementia. There are good quality and easy to follow care plans and assessments in place. People have good access to local District Nurses, General Practitioners and specialist health care when required. Staff treat people with dignity and care, respecting their individual choices and preferences and activities are centered around the person`s abilities. There is a varied menu on offer and people are supported to maintain a balanced diet. People should be confident that complaints will be listened to and acted upon. People live in homely, clean and comfortable surroundings. The staff team are well trained to meet the health and social needs of people. There is a strong management structure in place and good management of people’s finances and health and safety. Templeman House DS0000003903.V377445.R01.S.doc Version 5.2 What has improved since the last inspection? The Statement of Purpose has been updated and is available to all people living at Templeman House and their representatives. A letter is now sent out to people or their representatives following the preadmission assessment, informing them that the home can meet their assessed needs. All radiators are now covered to protect people from hot surfaces. The home now obtains letters from agencies that supply agency workers, to confirm that the worker has met all the requirements of Schedule 2. What the care home could do better: The Statement of Purpose should be further updated with the current contact details of the Commission. All handwritten entries on the MAR charts should be double signed and dated by 2 staff members to ensure safety and accuracy. When medicines are prescribed with a varying dose, such as ‘take 1-2 tablets’, the amount given should be accurately recorded each time. The staffing levels should be kept under close review if there are more admissions in to the home. This is to make sure that the needs of the current people and any new admissions are met. It is recommended that the staff application form be amended to seek information to changes in the regulations of July 2004, specifically to request a reference from a persons last care position with vulnerable adults, if applicable. Key inspection report CARE HOMES FOR OLDER PEOPLE Templeman House Leedam Road Bournemouth Dorset BH10 6HP Lead Inspector Jo Pasker Key Unannounced Inspection 17th August 2009 09:30 DS0000003903.V377445.R01.S.do c Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Templeman House DS0000003903.V377445.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Templeman House DS0000003903.V377445.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Templeman House Address Leedam Road Bournemouth Dorset BH10 6HP 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) 01202 537812 01202 535022 templeman@care-south.co.uk www.care-south.co.uk Care South Mr Neil Alexander Dominy Care Home 41 Category(ies) of Dementia - over 65 years of age (6), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (6), Old age, not falling within any other category (41) Templeman House DS0000003903.V377445.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 41 in the Category OP (Old Age) including up to 6 in the Categories DE(E) and/or MD(E). 1st August 2007 Date of last inspection Brief Description of the Service: Templeman House is a residential care home owned by Care South - a nonprofit making organisation and registered charity formerly known as The Dorset Trust. Templeman House is registered to accommodate 41 people over the age of 65 and in need of personal care and a maximum of 6 people with a mental health disorder or dementia. The home is situated in the residential area of Kinson - a suburb of Bournemouth, close to bus services, shops and local amenities. Residents’ accommodation is arranged over three floors. A passenger lift and two staircases enable easy access to all floors. All bedrooms are for single use. Assisted bathing facilities are located on each floor. There home has two lounges, a spacious and comfortably furnished entrance and a large separate dining room on the ground floor with an additional small quite lounge. There are two smaller lounges and dining rooms/ kitchenette areas available on other floors. The home has off road parking for residents, visitors and staff and is set in mature enclosed grounds and gardens with a pond, raised boarders, lawns and a patio area. The fee range quoted in the service user guide at the time of inspection was £495 to £635 per person per week. Up to date fee information may be obtained from the service. Templeman House DS0000003903.V377445.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means that people who use this service experience GOOD quality outcomes. This was a statutory unannounced inspection required in accordance with the Care Standards Act. We looked at information sent by the home before we visited. We spoke to people who live in the home as well as people who work in the home. We also spoke to people who visit the home. Surveys were distributed by the manager to people who live at the home, health/social care professionals and staff. Five surveys from people and their relatives, three health/social care professionals and five staff surveys were returned. The findings of these surveys have been included in the report. During the site visit we looked at a variety of care records to find out how people were being supported, we also observed care in the home. What the service does well: Templeman House provides a service for older people including those with dementia. There are good quality and easy to follow care plans and assessments in place. People have good access to local District Nurses, General Practitioners and specialist health care when required. Staff treat people with dignity and care, respecting their individual choices and preferences and activities are centered around the persons abilities. There is a varied menu on offer and people are supported to maintain a balanced diet. People should be confident that complaints will be listened to and acted upon. People live in homely, clean and comfortable surroundings. The staff team are well trained to meet the health and social needs of people. There is a strong management structure in place and good management of people’s finances and health and safety. Templeman House DS0000003903.V377445.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: 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 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. Templeman House DS0000003903.V377445.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 Templeman House DS0000003903.V377445.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 1&3 (The home does not provide intermediate care so 6 does not apply) People using the 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 who are considering moving into or staying at the home benefit from having their care needs assessed so that they can be sure the home can meet their needs. EVIDENCE: Three peoples care files were seen. All contained evidence of pre admission assessments and were comprehensive, providing sufficient details of all care needs. A letter is now sent out to all people offered a place at the home, confirming their assessed needs can be met and the Statement of Purpose has been updated, meeting a requirement and recommendation made in the last Templeman House DS0000003903.V377445.R01.S.doc Version 5.2 Page 9 report. It is recommended that the statement of purpose be further updated with the current contact details of the Commission. Five residents returned Commission surveys prior to the inspection, some of which had been completed by relatives on their behalf. All stated that enough information had been received by themselves or their family, prior to moving in, so they could decide if Templeman House was the right place for them. Everyone also confirmed that they had received a contract upon moving into the home. The three social and health care professionals surveys received confirmed that the care services assessments arrangements make sure that accurate information is gathered and the right service is planned for people. Templeman House DS0000003903.V377445.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 People using the 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 health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: Three peoples care records were looked at. A new standard assessment, care planning, risk assessment and daily record system has been implemented since the last inspection. The plans are clearly based upon the initial information gained during the pre admission process, are person centered and give clear instructions to staff as to how to meet these needs. 4 out of the 5 surveys returned by people living at the home, stated that they always received the care and support they needed, whilst 1 person said usually. Templeman House DS0000003903.V377445.R01.S.doc Version 5.2 Page 11 A daily record is kept for each person and it was possible to see how people were spending their day and how their care needs were being met. A clear record is kept of when healthcare professionals visit a person or are involved in their ongoing care and these included GPs, chiropodists and specialist nurses. When asked if they received the medical care they needed, all 5 survey respondents said always. The 3 healthcare professionals who responded to the surveys, felt that peoples social and healthcare needs were properly monitored, reviewed and met by the home and commented that Templeman House make regular contact to discuss any concerns, medication requirements or arrange reviews. Since the last inspection, the home has changed their medication supplier to Pharmacy Plus, a company now used by all homes owned by Care South. Clear records were seen to be kept for each person with photographs and details of any allergies noted and people wishing to self-administer their medicines can do so following a risk assessment process. No gaps were seen in the MAR charts and fridge temperatures were well recorded. There were not always instructions for staff to follow, where medications were prescribed as required or PRN, regarding how often they can be administered and for what reason. Hand written entries on the MAR charts seen were not all double signed by two staff. Staff observed had good relationships with the people living at the home and were patient and encouraging. There was a calm atmosphere within the home with staff observed chatting with people and providing assistance where needed. Peoples privacy and dignity was also seen to be respected, with staff discretely wiping the mouth of a person who was dribbling as they stood in the entrance hall. Templeman House DS0000003903.V377445.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 People using the 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 who live at the home are able to participate in social activities and are given choices to maintain their quality of life. EVIDENCE: Templeman House employs an activities co coordinator who is responsible for arranging suitable activities for all people living in the home. A large notice board in the hallway displays photos of the most recent events held at the home and these included pictures of a Wimbledon tennis day. Personal profiles have been established for all people living at Templeman House and daily activity records were seen for everyone. A list of daily activities was clearly displayed alongside the minutes of the last resident/representative meeting held. The home receive visits from a dog therapy group, which enables people to interact with a visiting dog and regular church services are held to meet the varied beliefs of people. Templeman House DS0000003903.V377445.R01.S.doc Version 5.2 Page 13 People were observed to spend their time how and where they chose, with some people choosing to spend time in their bedrooms. When asked if there were activities that they could take part in, 4 out of 5 people responded always, 1 said sometimes. Healthcare professionals also felt that the home supported people to live the life they chose. Menus displayed on the dining tables showed that the people who live there have a choice of meals throughout the day. The menu was varied and meals appeared nutritious, with the chef aware of individuals’ nutritional needs and preferences. Lunch on the day of the visit was chicken and leek pie with vegetables and potatoes or a jacket potato with cheese and salad. The evening meal planned was scrambled egg, hash browns and tomatoes with alternatives of ham salad, sandwiches or soup available. Templeman House DS0000003903.V377445.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Complaints procedures make sure that peoples, relatives and representatives Concerns and complaints are listened to and acted upon. A staff team who have a good knowledge of how to respond to any suspicion of abuse and to keep people safe from harm, support the people living at the home. EVIDENCE: The complaints policy is clearly displayed in the main entrance hall and is also included within the home’s statement of purpose. Residents are also reminded of how to complain at the regular resident meetings held. The complaints log book for the home was seen and 4 complaints had been received since the last inspection visit. All had been appropriately recorded and included evidence of investigation, outcome and a copy of response to complainant. No complaints about the home have been received by the Commission since the last report. All 5 surveys returned indicated that people felt there was always someone to speak to informally if they were unhappy and knew how to make a complaint. Templeman House DS0000003903.V377445.R01.S.doc Version 5.2 Page 15 There have been 2 safeguarding referrals made to and coordinated by the local authority since the last key inspection. The home has raised both of them and co-operated fully with the investigations and taken action where necessary. Staff have attended training in the Protection of Vulnerable Adults (POVA) so that they are aware of the different ways vulnerable people are at risk of abuse, and would know how to respond. Staff indicated they were confident on how to whistle blow and how to report any allegations of abuse. Templeman House DS0000003903.V377445.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 People using the 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 home is maintained and furnished so that people live in a relaxed, homely and comfortable environment. EVIDENCE: A tour of the premises found the home clean, tidy and well maintained, with no offensive smells. Since the last inspection some bedrooms have been redecorated and refurnished, some profiling beds purchased and the lighting improved on ground and first floor corridors. The AQAA submitted detailed what improvements had been made since the last inspection and all maintenance and upgrading planned for the coming year. Templeman House DS0000003903.V377445.R01.S.doc Version 5.2 Page 17 The AQAA submitted also stated that radiator covers had been fitted as appropriate throughout the home and this was observed during the visit, meeting a good practice recommendation made in the last report. Some of the bedrooms of the people involved in case tracking were seen and they were clean and well furnished, with the rooms personalised with their own belongings. 4 out of the 5 respondents to surveys said that they felt the home was ‘always’ fresh and clean, with one person saying ‘usually’. The laundry appeared well ordered and clean, with adequate hand washing facilities for staff; however had no paper hand towels available when seen, as needed re stocking. This then took place during the visit. Staff have completed infection control training and this was seen to be well managed around the home, with ample supplies of gloves on every floor. Templeman House DS0000003903.V377445.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 People using the 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 people living in the home are protected by robust recruitment practices and supported by a competent and managed staff team. EVIDENCE: On the day of the inspection there were 32 people living at the home. There are generally 5 carers, a senior carer and a team leader working during the day shift. These levels are decided by using a recognised tool for calculating the numbers of staff needed to meet the needs of people. On the day of the visit there appeared sufficient staff to meet the needs of people living at the home however it was evident from staff feedback that they do not feel there are always enough staff on. This was discussed with the manager who feels that staffing is adequate but is also kept under review depending on the needs of individuals. There are currently 2 waking staff and 1 sleeping staff member working at night, however the manager told us that will soon be changing to 3 waking staff. Templeman House DS0000003903.V377445.R01.S.doc Version 5.2 Page 19 The AQAA submitted prior to inspection stated that more than 50 of staff had been trained to a minimum of NVQ level 2 in care and some certificates were seen evidencing this. When asked if staff were available when they needed them, 4 out of 5 people living at the home said always, whilst 1 said usually. The recruitment files of four staff were looked at and found to contain all the required documentation, including 2 references and evidence of identity. All staff had received POVA (Protection of vulnerable adults) checks and CRB (Criminal record bureau) checks, prior to starting work and the organisation keeps copies of these at their head office. Completed application forms were seen to ask for details of full employment history, reasons for leaving and present or last employer. A good practice recommendation was made in the last report that this should clearly be from their last care position working with vulnerable adults if applicable-this recommendation remains the same. On the day of inspection there was an agency member of staff working in the home and the agency had supplied Templeman House with a staff profile, identifying details of training undertaken, CRB and recruitment checks. This met a good practice recommendation made in the last report regarding recruitment procedures. The AQAA, discussion with staff and the staff training records demonstrated that staff complete an induction programme. The training matrix showed that staff attend a range of training programs to be able to meet the needs of the people living at the home. Staff responding to surveys, generally indicated that they felt happy with the level of induction, support and training they received to help them care for people properly. Healthcare professionals felt that staff had the right skills for the job and commented that the home was very caring’ and had a ‘well led team’. Some healthcare professionals felt that staff communication at handover could be improved, as occasionally information regarding changes in people’s care had not been passed on. Templeman House DS0000003903.V377445.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 People using the 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 benefit from living in an improving and well managed home. People and others are able to express their views and these are listened to and acted upon. EVIDENCE: A new manager has come into post since the last inspection, is registered with the Commission and has completed their RMA/NVQ level 4 in management. Templeman House DS0000003903.V377445.R01.S.doc Version 5.2 Page 21 Comments received from people living at the home, their relatives and healthcare professionals, spoke highly of the management and staff team-‘The manager is always approachable with a very caring attitude’; ‘very caring and well led team’; ‘Templeman House is a well run care home’. There is a quality assurance system in place that includes monthly clinical audits, monthly monitoring of accidents, incidents and falls analysis. Surveys and regulation 26 visits are also undertaken. The AQAA submitted told us that the findings of this information forms part of the annual development plan for the home. The finances of people were well managed and all paper receipts and statements seen to be kept. Health and safety records were sampled, including the fire safety log and these showed that health and safety matters were well managed. There were organizational systems in place for the routine servicing of equipment and fire, heating and electrical systems and equipment seen during the inspection was in good order. Staff training in mandatory areas, including fire safety, health and safety, moving and handling, emergency aid, and basic food hygiene, was ongoing. Templeman House DS0000003903.V377445.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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 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 2 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Templeman House DS0000003903.V377445.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. 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. 2. 3. 4. Refer to Standard OP1 OP9 OP9 OP27 Good Practice Recommendations The Statement of Purpose should be further updated with the current contact details of the Commission. All handwritten entries on the MAR charts should be double signed and dated by 2 staff members to ensure safety and accuracy. When medicines are prescribed with a varying dose, such as ‘take 1-2 tablets’, the amount given should be accurately recorded each time. The staffing levels should be kept under close review if there are more admissions in to the home. This is to make sure that the needs of the current and any new people are met. It is recommended that the staff application form be amended to seek information to changes in the regulations of July 2004, specifically to request a reference from a persons last care position with vulnerable adults, if applicable. DS0000003903.V377445.R01.S.doc Version 5.2 Page 24 5. OP29 Templeman House Templeman House DS0000003903.V377445.R01.S.doc Version 5.2 Page 25 Care Quality Commission Care Quality Commission Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 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) Care Quality Commission (CQC). 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