Care Home: The Bank House

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What the care home does well People are given information about the home, and the chance to stay before they come to live at The Bank House. People say they are happy living at the home. People are given help and support to do the activities they choose. Everyone leads an active and interesting life. People who live at The Bank House are supported to keep in touch with their families and friends. People can choose what they want to eat from the healthy menu that is available. The Bank House looks after people well and writes down what help everyone needs. People are supported in their medical appointments. The Bank House makes sure that all staff are trained to give medication safely. Staff are trained to help them understand how to meet people`s needs and give them the support they want. The Bank House makes sure that suitable staff are employed and that all checks are made to keep people safe. The manager has the skills and experience to make sure the home is well run. The management team supports staff. What has improved since the last inspection? This is the first inspection for the service at The Bank House. CARE HOME ADULTS 18-65 The Bank House Bretforton Road Badsey Worcestershire WR11 7XG Lead Inspector Dianne Thompson Unannounced Inspection 24th October 2007 10:00 The Bank House DS0000069725.V349235.R01.S.doc Version 5.2 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 The Bank House DS0000069725.V349235.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 Adults 18-65. 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. The Bank House DS0000069725.V349235.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Bank House Address Bretforton Road Badsey Worcestershire WR11 7XG 08709 192 440 08709 192 321 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) Inclusion Care Ltd Jonathan Peter Irwin Care Home 5 Category(ies) of Learning disability (5) registration, with number of places The Bank House DS0000069725.V349235.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide personal care (without nursing) and accommodation for service users of both sexes whose primary care needs on admission to the home are within the following categories: Learning Disability (LD) 5 The maximum number of service users to be accommodated is 5. 2. Date of last inspection None Brief Description of the Service: The Bank House is a traditional detached house in a residential setting providing a home for five people who have learning disabilities. Bedrooms are individually decorated and furnished. The household shares a lounge, dining room, conservatory and kitchen. There is easy access to public transport and the town centre. The Bank House has a vehicle for people who use the service to use. The service aims to provide a homely setting where independence and dignity is promoted. People receive care and support to live as ordinary a life as possible in the community. This involves teaching skills and creating opportunities for people. The Bank House was newly registered as a Care Home with the Commission for Social Care Inspection on 29th May 2007. The registered manager is Jonathan Irwin and Paul Wilcox is the Responsible Individual for Inclusion Care Ltd. The current fee for the service range from £1250 per month. Charges that are additional to the fee include personal toiletries and clothing, holidays, major extra outings, hairdressing, leisure and activities. The Bank House DS0000069725.V349235.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection visit to see what the home was like to live in for the people who live there. This was the first inspection of the Bank House since it became a registered home in May of this year. The inspector talked to some of the people who live at The Bank House and some of the staff working there. We looked at some of the policies and procedures in the office. Policies are rules about how to do things. We spent some time looking at records in the office. We sent out surveys to get views about the service from other people. The registered manager and the responsible Individual completed an Annual Quality Assurance Assessment (AQAA) and sent this to the Commission for Social Care Inspection (CSCI). What the service does well: What has improved since the last inspection? This is the first inspection for the service at The Bank House. The Bank House DS0000069725.V349235.R01.S.doc Version 5.2 Page 6 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. The Bank House DS0000069725.V349235.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Bank House DS0000069725.V349235.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. There is a range of information about the home that is made available. Assessments are completed before people move into The Bank House, to make sure their individual needs can be met. EVIDENCE: The Bank House has policies and procedures in place for assessing potential people to live at the home. Three people have moved into the home and assessments are being considered for two potential applicants. Information about the home, a Statement of Purpose and Service User guide is available. Information is made available in different formats such as pictures and symbols, large print and audio to make it is easier for people to understand. Surveys confirmed that information about the home is shared, and that people are kept up to date with important issues. Evidence was seen to show that full Community Care Assessments have been received and that in addition The Bank House completes their own assessments. A proposal of how the service The Bank House DS0000069725.V349235.R01.S.doc Version 5.2 Page 9 would be able to meet the needs of each person is written and agreed before anyone moves into the home. When a person comes to live at The Bank House care plans are written based on the information from the assessments, visits and discussions with families and other interested parties It is stated in the AQAA that ‘we liase with social worker, professionals and current carers to complete a comprehensive assessment’. ‘We also actively encourage and facilitate transition based on individual need, and offer a pictorial service user guide prior to admission’. The Bank House DS0000069725.V349235.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Individual needs are being well met by the staff at The Bank House. Care plans are completed and there are plans to review them regularly. This will make sure that staff have all the information they need to provide consistent support. Risk assessments show how risks are to be reduced and how independence is promoted and maintained. EVIDENCE: Care plans for three people were examined. Case tracking provides a view of how the home responds to the diversity of needs and how this is being managed and supported. This is particularly evident where health needs and disability requires greater input and support from all staff within the home. Information provided in care plans covers areas such as likes and dislikes, diet, communication and personal care. The Bank House will be introducing a The Bank House DS0000069725.V349235.R01.S.doc Version 5.2 Page 11 person centred approach (PCP) to the service and their recording system will emphasise this approach. It is stated in the AQAA that the service is ‘developing individual service user plans taking into account the aspirations and wishes of the service user’. Evidence seen in care plans includes information about the methods of communication people use or understand, such as signs and symbols, makaton, audiotapes, and objects of reference. There is evidence to show that personal support plans are to be reviewed regularly and that follow up dates are arranged in advance. The Speech and Language therapist is to provide support in the use of appropriate signs and symbols throughout the home. Each person is to be allocated a key worker to oversee his or her care. Each key worker builds a closer relationship so they gain more understanding and knowledge of individual needs, goals and wishes. Staff said they are fully aware of the plans and follow them to guide their practice. Risk assessments are completed to keep people safe, with suitable guidelines for assistance as necessary. Completed risk assessments have dates for planned reviews and explore ways to make sure that people are able to be as independent as possible. A register has been compiled to make sure that all risk assessments are monitored, reviewed and kept up to date. Family surveys confirmed that care given is what they expected or agreed with the home. Survey comments include ‘the staff are good’ and ‘always give good care’. A parent’s view of the care and support is recorded and comments on how their son ‘has improved vastly and appears very happy’. The Bank House DS0000069725.V349235.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People receive help and encouragement to lead active and interesting lives. Everyone is encouraged and supported to maintain links with their families and to develop friendships. Dietary needs are generally well catered for with a varied and healthy menu provided. EVIDENCE: A range of activities is promoted for people who use the service, both in-house and within the local community. As people have recently moved into The Bank House staff are still getting to know and understand peoples’ interests and preferences. Activities include horse riding, shopping, food shopping, using the trampoline in the garden, going to the local pub and day trips to places such as Slimbridge, splash session at the local swimming pool, safari park, the local The Bank House DS0000069725.V349235.R01.S.doc Version 5.2 Page 13 medieval fayre, and Broadway Tower. Everyone is given the opportunity to take part with events arranged to people’s abilities. Staff said that opportunities are discussed regularly with people who use the service and the planning of more activities is being developed. Other options include the use of the Snoezelen facility at Worcester, the hydrotherapy pool, and Perdiswell Sports Centre. Staff said they are still developing options for activities as people become settled into the home and their likes and dislikes become known. During the inspection visit people were preparing for a horse riding session at a local stables. Although communication was difficult, it was observed how much the individual was looking forward to the session and how excited they were about going. The AQAA indicates that the plans for the next 12 months include ‘activities, individual goal planning, person centered plans’. Evidence shows that regular contact with friends and family is supported. Survey responses show that families visit their relative at the home on a regular basis. Records show the varied and nutritional meals that are provided and alternative meals where these have been chosen. The Bank House DS0000069725.V349235.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Details of people’s personal and healthcare needs are clearly identified in care plans and health action plans. This detail informs staff on how care is preferred and makes sure that support is provided in a consistent way. The Bank House has a medication policy and procedure for staff to follow to ensure that all medication is administered and stored safely for the protection of everyone who uses the service and staff. EVIDENCE: A health action plan for everyone is being developed to be included with their care plan. These plans sets out how their health needs are to be met. Regular checks and monitoring is being recorded. Records of behaviour monitoring are in place. Evidence shows how information is used to make any changes to each persons support if it is needed. People have good access to medical support through their GP, clinical psychologist, learning disability nurse, speech and language therapist, dentist The Bank House DS0000069725.V349235.R01.S.doc Version 5.2 Page 15 and chiropodist as required. Staff were observed providing support for people in a respectful way, making sure that each persons’ dignity and self esteem was important. Although people who were at home during the inspection visit were unable to communicate their views of the home, they appeared to be comfortable and at ease in their surroundings. Medication is well managed by the staff at The Bank House. Medication is stored securely and given to people at the right time and full records are kept which show this. A medication policy and procedure is in place and provide guidelines to follow should any medication error occur. Additionally, procedures advise that errors are to be reported to the CSCI. Statements for consent to medical treatment are recorded on files. Where people are unable to give consent, meetings have been held with all interested parties to agree that medication is to be given. The registered manager states in the AQAA that ‘monitoring and recording of health related issues, providing appropriate and sensitive personal care support, including the administration of medication’ is what they do well. The Bank House DS0000069725.V349235.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who use the service are protected from abuse. They have access to easy to understand information about how to complain and staff support people to express their views and any concerns they may have. There are suitable procedures in place for the management of complaints. EVIDENCE: Procedures are in place that guide responses to any allegations of abuse and in managing any complaints made about the service provided. Staff receive training in abuse awareness. A copy of the local County procedures is also available. The complaints procedure is to be made available in different formats so that people who use the service can access the information more easily. Staff support people who live at The Bank House should they wish to make a complaint. Survey responses show that people are aware of the complaints procedure and that no complaints have been made. The home has received one complaint since opening and records show that all policies and procedures were followed in response to the complaint. The CSCI has not received any complaints about the home. There are suitable finance procedures in place. The manager states in the AQAA that systems are in place to protect people who use the service and include ‘robust recruitment procedures including CRB checks, protection from The Bank House DS0000069725.V349235.R01.S.doc Version 5.2 Page 17 abuse training is mandatory, complaints procedure in place and displayed. All complaints are monitored’. The service is looking to develop a ‘more simplistic and user friendly complaints procedure designed for people with complex needs and severe learning disability’. The Bank House DS0000069725.V349235.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who live at The Bank House enjoy a comfortable and homely living environment. The home is spacious and is kept clean and well maintained. EVIDENCE: A tour of the home was conducted. The Bank House is set back from the main road, in the village of Badsey near Evesham. There is reasonable access to local services and facilities, and the home has its own vehicle. The home has a large lounge diner, a large kitchen, conservatory, bathrooms, and a separate utility and laundry room. Rooms are well equipped and decorated. The property is fully secure with a fully enclosed garden and drive. The manager states in the AQAA that there are plans to ‘improve the laundry room’. The manager said that they also intend to replace the alarm call points to ones that are more robust, as the ones in place are easily damaged. The Bank House DS0000069725.V349235.R01.S.doc Version 5.2 Page 19 There is evidence of the use of specialist equipment. Advice and support has been obtained in the appropriate use of aids and adaptations as required, such as Sense, the Autistic Society and the Occupational Therapist. Policies and procedures for infection control are in place and staff are provided with disposable gloves and aprons. Paper towels and liquid soap is available in communal bathrooms. All cleaning materials are locked in the laundry room. Staff were seen to wear suitable protective clothing for the work they were doing. The Bank House DS0000069725.V349235.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. There are sufficient staff on duty with the right skills and knowledge to meet the needs of people who live at The Bank House. Staff are well supported and work together to provide consistent and good quality care. Staff receive relevant training to help them meet the needs of people who use the service. A recruitment policy and practices make sure that suitable staff are employed. All necessary checks are made to ensure the safety of everyone living at The Bank House. EVIDENCE: The Bank House has a committed and stable staff team. Agency staff are not employed. The Manager and the Responsible Individual said they cover any additional shifts where needed to ensure that consistency of support is provided for everyone. This is considered to be particularly important as people are still settling into the home. The manager said the staff team are very well motivated and actively seek ways to improve the lives of the people who use the service. The Bank House DS0000069725.V349235.R01.S.doc Version 5.2 Page 21 Inclusion Care Ltd provides regular staff training. Staff complete mandatory training such as Health and Safety, Fire Safety, First Aid, Food Hygiene, Moving and Handling, Infection Control and Vulnerable Adults. Staff said that the training provided is very good. Feedback from surveys was positive, indicating that staff support was ‘very good’ and that the ‘needs of people living at The Bank House are being met’. Recruitment policy and procedures ensure that everyone completes an appropriate application form and that required references are obtained including one from their most recent employer. Appropriate criminal records and other checks are undertaken before their appointment is confirmed. All staff are required to work a probationary period at the home. Recruitment records were seen for all members of staff. The records are well maintained and contained all the required information and safety checks. All newly employed staff complete the LDAF Induction Course and Service Induction. The Induction process makes sure new staff familiarise themselves with the home, with people who use the service and in safety matters. Time was spent with three members of staff. One person said they ‘love it here, management are so supportive’. All staff spoken to confirmed that regular supervision and training is provided. Staff talked about the recent training day that took place at a local venue in the village. The RI and Manager provided training in ‘Challenging Behaviour’ using the ‘Calms’ approach. Both the Manager and RI have completed training and are qualified to provide training courses in Behaviour Management. The manager states in the AQAA that ‘recruitment procedures are comprehensive and robust, interviews are tailored to reflect the attitudes and values of the organisation. Training complies with skills for care standards all staff have completed or working towards LDAF / LDQ’. The manager identifies that they need to develop an ‘Individual and organisational training development plan’. The Bank House DS0000069725.V349235.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home is well managed and staff receive the leadership and support they need. Inclusion Care Ltd monitor the home in various ways to make sure that the health and welfare of people using the service is protected. EVIDENCE: The Registered Manager Jonathan Irwin and the Responsible Individual Paul Wilcox are well qualified and have many years experience working with people who have learning disabilities. They both regularly complete training relevant to their positions. Staff confirmed that the manager is approachable and supportive. One person said that ‘ the management are very hands on and help staff learn’. They also The Bank House DS0000069725.V349235.R01.S.doc Version 5.2 Page 23 ‘provide the support’. Another member of staff said that this is ‘a happy home, relaxed in atmosphere but not relaxed in structure and approach’. Another member of staff said that they are ‘happy to come to work’ and that ‘management are open with the staff and involve them’. The Annual Quality Assurance Assessment (AQAA) was completed and provided during the inspection visit. The manager identifies the need to develop a Quality Assurance Review system for the service in the AQAA. Quality assurance monitoring was discussed with both Jonathan Irwin and Paul Wilcox. The service has been operating for approximately five months. Discussions about quality monitoring took place with the manager and the responsible individual. Paul Wilcox undertakes checks and monitoring of the service appropriate to his role as Responsible Individual. The provider’s monthly visits are one of the ways to monitor the service and how it is being run. These visits include interviews with staff and people who use the service. The planned audit of the service will include checking records, environment, complaints received, finance and safety. Any actions that may be needed to address shortfalls will be specified. The resulting reports will form part of the home’s quality assurance and monitoring system and is intended to form an annual development plan for the service. This report is to include views on the service from people who use the service, stakeholders and interested parties. Records show that monthly checks of the fire safety system and equipment, water temperature and storage, fridge, freezers and electrical appliances are completed. Staff are undertaking all mandatory health and safety training topics. Generic risk assessments are in place. The manager is advised that it is good practice to conduct a fire drill with each new admission to the service. This should be completed as soon as possible. The Bank House DS0000069725.V349235.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 Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 2 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 X The Bank House DS0000069725.V349235.R01.S.doc Version 5.2 Page 25 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. Refer to Standard YA42 Good Practice Recommendations The manager is advised that a fire drill should be completed with each new admission to the service. The Bank House DS0000069725.V349235.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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 The Bank House DS0000069725.V349235.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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