Care Home: Vermont House

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What the care home does well The premises are well maintained and provide the people living in the home with a comfortable and clean home in which to live. There was a friendly environment in the home and one of the people living in the home described the home as ` a large, happy family`. Good relationships were evident between the people living in the home and the staff in the home. The people living in the home told us that they were happy with the food they received. They were particularly happy with the new cook. Bedrooms seen during the inspection were comfortable, accessible to people living in the home at all times and individualised to the occupants liking.The home provides a very specialised service to people who are Christian Scientists and enables them to follow their chosen lifestyles. People living in the home are enabled to make choices throughout the day from the point they get up. They choose how and where to spend their time. They are consulted on changes being made to the home. They are involved in the wider community through attendance at church services and visits to local places of interest. They are enabled to take part in local elections if they wish. We were told that visitors were welcomed into the home and were able to eat with the people living in the home. What has improved since the last inspection? People living in the home told us that the food being served was very good. They could tell the new cook what they liked and this would be provided. The AQAA told us that new equipment had been purchased for the kitchen and furniture for four bedrooms. Improvements had been made to the garden and the flat roof outside one of the bedrooms had been refurbished and safety rails fitted leading to the fire escape. The fire alarm panel had been replaced and boilers serviced. It was evident that carpets were going to be replaced in some communal areas. There were samples available in the home for people living in the home to express a preference. CARE HOMES FOR OLDER PEOPLE Vermont House 16 Anchorage Road Sutton Coldfield West Midlands B74 2PR Lead Inspector Kulwant Ghuman Unannounced Inspection 14th July 2008 13:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Vermont House DS0000016919.V368387.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Vermont House DS0000016919.V368387.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Vermont House Address 16 Anchorage Road Sutton Coldfield West Midlands B74 2PR 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) 0121 354 5060 0121 354 5060 vermonthouse@freenetname.co.uk Vermont Trust Mrs Sithembiso Wilcox Care Home 10 Category(ies) of Old age, not falling within any other category registration, with number (10) of places Vermont House DS0000016919.V368387.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered manager, Sithembiso Wilcox, to provide the Commission with evidence of successful completion of the Registered Managers` Award by September 2006. 14th August 2007 Date of last inspection Brief Description of the Service: Vermont House is a detached home situated in a residential area of Sutton Coldfield, close to bus and train routes to both Birmingham and Lichfield. It is a large property that is in keeping with the neighbourhood and can accommodate up to 10 elderly people. The home is owned and run by Vermont Trust Ltd and is exclusively for older people who are Christian Scientists. This faith is probably best known for its reliance on prayer alone for the healing of sickness and disease rather than medical treatment. The aim of the home is to provide long term personal care to Christian Science men and women, almost exclusively over 65 years of age, who rely solely upon the Bible-based method of spiritual healing, Christian Science. On the ground floor of the home there is a lounge, dining room, sun lounge, good-sized kitchen and two bedrooms. On the first floor there are a further eight bedrooms, which are accessible via either a shaft lift or stairs. The second floor of the property is solely for staff use. All of the bedrooms have ensuite facilities. There are toilets & bathrooms on all floors. To the front of the property there is an area of hard standing with room for cars to park, and at the rear of the property there are large private and well-maintained gardens accessible via a ramped pathway. Vermont House DS0000016919.V368387.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 the people who use this service experience good outcomes. One inspector carried out this inspector over one day during July 2008. As part of the inspection we had a look around the home, spoke to all the people living in the home in the home, the manager and two care staff. We looked at the care being received by two of the people living in the home and the recruitment files of three of the people working in the home. Other documents we looked at were in relation to health and safety in the home and the management of complaints. Before the inspection the manager had completed and returned the Annual Quality Assurance Assessment that provided us with information about how the home was operating. During April 2008 the home had been part of a random sample of homes that were part of a thematic inspection that looked at the protection of the people living in the home living in the home. The inspection indicated that people living in the home in the home were protected. Two recommendations were made following this inspection and these have been included in this report. There had been no adult protection issues raised with the commission about the home. One anonymous complaint was received by the commission and this was looked into during the inspection. No breaches of regulation were identified within the complaint. The environmental health officer had also visited the home following a complaint but no breaches of regulations were found by them either. What the service does well: The premises are well maintained and provide the people living in the home with a comfortable and clean home in which to live. There was a friendly environment in the home and one of the people living in the home described the home as ‘ a large, happy family’. Good relationships were evident between the people living in the home and the staff in the home. The people living in the home told us that they were happy with the food they received. They were particularly happy with the new cook. Bedrooms seen during the inspection were comfortable, accessible to people living in the home at all times and individualised to the occupants liking. Vermont House DS0000016919.V368387.R01.S.doc Version 5.2 Page 6 The home provides a very specialised service to people who are Christian Scientists and enables them to follow their chosen lifestyles. People living in the home are enabled to make choices throughout the day from the point they get up. They choose how and where to spend their time. They are consulted on changes being made to the home. They are involved in the wider community through attendance at church services and visits to local places of interest. They are enabled to take part in local elections if they wish. We were told that visitors were welcomed into the home and were able to eat with the people living in the home. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Vermont House DS0000016919.V368387.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 Vermont House DS0000016919.V368387.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. JUDGEMENT – we looked at outcomes for the following standard(s): 3,4 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home meets the needs of Christian Scientists and ensures that assessments are carried out prior to admission to ensure that peoples’ needs can be met before they move into the home. EVIDENCE: The AQAA told us that assessments were carried out before people living in the home moved into the home, and in most cases they joined other people living in the home for lunch or came in for a couple of weeks rest and study before moving into the home. We looked at the admission process for one of the people living in the home in the home and it showed that an adequate assessment had been carried out before the individual moved into the home. A pre-admission assessment was completed that gathered basic details and an assessment on admission gave more details of the needs of the guest. Vermont House DS0000016919.V368387.R01.S.doc Version 5.2 Page 9 The daily report sheets reviewed the different areas of need such as personal care, nail care, skin integrity and so on. At the top of the sheet there were brief notes about the assistance to be given for example, “wake up call at 7am with a cup of tea”, “please make sure the practitioner is contacted daily”, however, these comments were not on all the report sheets. There was potential for staff who had been away a few days or new staff not knowing what assistance needed to be given. After a period of time a care plan was drawn up. It was advised that the manager identified a time period by which the care plan was drawn up. For the individual whose care was being looked at they had been at the home for two months and the manager had just begun to write up the care plan. The individual had come to the home for a period of study but it had been decided that they would stay on a permanent basis. The manager needed to ensure that it was clearly documented how the decision to become a permanent guest was arrived at and that the individual had been consulted and agreed that it was what they wanted. We were told by the manager that when people living in the home come for a study period it was determined whether they were able to undertake most care tasks for themselves. If they needed a large amount of input they may be admitted to one of the Christian Scientist nursing homes for an assessment. An assessment was carried on the individual’s ability to move around and whether any equipment was needed. In this case a wheelchair was needed when going out. It was advised that the assessment needed to record the use of lap belts and foot plates. If for any reason they were not to be used this needed to be recorded in the assessment. Vermont House DS0000016919.V368387.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home personal and health care needs were met through a variety of ways that respected the individuals needs and wishes. Medication is not administered in the home. Privacy and dignity are respected in the home. EVIDENCE: All the people living in the home at Vermont House had a care plan that was person centred and that provided some good details about the help they needed. It was noted that the people living in the home were all quite able and independent and generally needed only reminding and supervision to carry out some tasks. The health care needs of the people living in the home at Vermont House were met according to the rules of Christian Science and spiritual support. As stated in the AQAA the people living in the home were registered with a GP and if there were any issues that may have needed medical intervention the GP Vermont House DS0000016919.V368387.R01.S.doc Version 5.2 Page 11 would discuss the options with the people living in the home who would make the final decision. No-one was compelled to see a medical practitioner and the Christian Scientist practitioners are always available via the telephone. The people living in the home told us that they all had individual practitioners that they chose and they were always available to help them. People living in the home have regular access to dentists, chiropodists and opticians. District nursing services can be involved if required. If medical interventions are needed and agreed people living in the home can either go to a Christian Scientist nursing facility or a local care home for a short period of time as medical intervention and administration of medicines is not allowed at Vermont House. People living in the home at present fall into the category of low to medium dependency needs. Manual handling needs are reviewed regularly for the people living in the home. People living in the home were able to join with other people living in the home in the lounges and the dining room for meals or stay in their own rooms if they preferred. Locks on bedroom doors and lockable facilities in bedrooms were available. There were appropriate locks on bathing facilities. All bedrooms were singly occupied and there were no concerns regarding privacy or dignity being compromised. Vermont House DS0000016919.V368387.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People living in the home were very happy with their lifestyles. Their social, cultural and dietary needs were met. EVIDENCE: People living in the home told us that they were very happy with their lives at Vermont House. It was obvious that they all cared very deeply for one another and were able to spend time together in the lounges and dining rooms if they wanted but could also retire to the privacy of their bedrooms if they wished. One guest told us ‘we are like a big happy family in the home’. The daily routines were structured around their spiritual needs. People living in the home told us that they attended bible lessons, church visits and enjoyed hymns on a Monday evening. They spoke with their practitioners as they needed. In addition, there were many activities in the home that they took part in such as card making, board games, creative writing, manicures and shopping trips. Vermont House DS0000016919.V368387.R01.S.doc Version 5.2 Page 13 Friends and relatives were welcome to the home and the people living in the home particularly enjoyed having visitors eat with them. We were told by the people living in the home that they all had access to ring and ride and had bus passes. They had been involved in local elections through postal voting. They were all very complimentary about the meals they received and were very happy with the new cook. It was nice to hear that staff ate with the people living in the home on occasions. One guest explained that breakfast was served to them on a tray in their bedrooms and they liked this very much. It was clear through discussions with the people living in the home and the manager that choices were encouraged throughout the day. Vermont House DS0000016919.V368387.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home were happy and issues raised were being addressed appropriately. EVIDENCE: The home had received one complaint from a member of staff that raised issues of prejudice and discrimination towards some staff. The Board had responded in writing to the complainant within a reasonable time frame regarding the issues raised. The commission had received an anonymous complaint raising issues regarding discrimination towards some staff, difficulties experienced by people living in the home in the home in respect of understanding some of the staff and their responses towards them. It was confirmed that a number of staff had left their employment in the home and one of these was for retirement, one whose contract had not been renewed due to some employment issues and that another had resigned for personal reasons. It was not found that the issues raised by the complainant indicated any breaches in regulation at the home. Vermont House DS0000016919.V368387.R01.S.doc Version 5.2 Page 15 People living in the home told us that they had a service user guide in their bedrooms and this included a complaints leaflet they could complete however, they would have no hesitation raising any issues with the manager and felt that the issues would be resolved. The home had been subject to a random inspection during April 2008 that looked at the issue of safeguarding of people living in the home. During that inspection staff and people living in the home were spoken to and documentation sampled. The inspection found that people living in the home were safeguarded and two recommendations were made. These have been carried forward in this report. Vermont House DS0000016919.V368387.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is warm, well maintained and comfortable and provides a safe and clean environment for residents. EVIDENCE: The home was found to be warm, clean, odour free and comfortable for the people living there. All bedrooms were singly occupied and had en-suite facilities. Some had showers in them. The bedrooms sampled were adequately furnished and had been personalised with the occupants’ belongings. Vermont House DS0000016919.V368387.R01.S.doc Version 5.2 Page 17 According to the information provided by the home some bedrooms had had new curtains and drawers provided. Carpets in some communal areas were to be changed and samples of carpets were available in an empty bedroom for people living in the home to express a preference. There was a walk in shower facility available on the first floor and a bath with a bath seat on the ground floor providing choice for people living in the home. The kitchen was not assessed at this inspection as a recent inspection had been carried out by environmental services. We were told by the manager, and it was confirmed by environmental services, that no issues had been raised. There were pleasant large gardens for the people living in the home to use as well as a lounge and small sun lounge. Vermont House DS0000016919.V368387.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There were adequate numbers of staff on duty who had undertaken the appropriate training to enable them to carry out their roles safely. The recruitment procedure was generally adequate but needed to be more robust in some areas to safeguard the people living in the home. EVIDENCE: The staffing rota showed that there were always two members of staff on duty at the home during the day. The manager was on occasions one of these people. One member of staff was on duty during the night time. The manager was on call on the majority of nights and she felt that there were few occasions when she was actually called and the fact that she slept on the premises meant it was not an inconvenience. The rota showed that on one day a member of staff worked from 3pm to 8am. This is an excessively long time to work without a break and could put both the staff and people who live in the home at risk of not being assisted appropriately due to tiredness. There were a number of bank staff in use at the home with only two permanent staff. The issue of using so many bank staff was discussed with the manager. The inspector was told that although there were several bank Vermont House DS0000016919.V368387.R01.S.doc Version 5.2 Page 19 staff employed in the home the staff did regular shifts that fitted in with their training and studying and there was no adverse affect on the people living in the home. During the inspection the files of three staff employed since the last inspection were sampled. All the people employed had two references available on their files however, for one person the references were 6 months old when the individual was offered work. One person had started work before the CRB had been received by the home. The Pova check had been received but due to the fact that the individual did not have a CRB previously it was not appropriate to employ this individual before the CRB had been returned to the home. One of the people employed at the home was also working for other employers on a relief or bank basis. It was important that the manager knew what other hours the individual worked to ensure that they were not working too many hours and putting people living in the home at risk through tiredness. Staff should be completing the Skills for Care Induction. Two of the four permanent staff had completed their NVQ level 2 and 6 of the bank staff had also completed NVQ level 2. The inspector was told that all staff had had all the mandatory training and that other training being provided included mental capacity, death and dying, dementia, food hygiene and so. Two staff were spoken with during the inspection who confirmed that staff worked well together, training was provided to help them carry out their roles and that the staff assisted the people living in the home but that the majority needed prompting and supervision only and were able to undertake some tasks themselves. Vermont House DS0000016919.V368387.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There was good leadership in the home. Health and safety was well managed ensuring staff, visitors and people visiting the home were safe. EVIDENCE: The manager is a Christian Scientist and registered general nurse and therefore understands the ethos of the home very well. She has completed the registered managers qualification and has been managing the home for 3 years. The manager needed to ensure that the recruitment procedure was robustly implemented to ensure that the people living in the home were safeguarded. Vermont House DS0000016919.V368387.R01.S.doc Version 5.2 Page 21 Staff should not work overly long hours so that they or the people living in the home are put at risk. There were occasional guest’s meetings in the home, 3 monthly staff meetings and monthly visits from the owner’s representative although these were not always written up very quickly. The last report of these visits related to March 2008. The inspector was informed that the majority of people living in the home living in the home looked after their own finances and that only one person’s money was being handled by the home whilst their financial affairs were being sorted out. This was not looked at during this inspection as it was examined during the thematic inspection in April 2008 and found to be satisfactory. Health and safety in the home were generally well managed with equipment being serviced within the appropriate timescales. Monthly emergency lighting tests were not being recorded monthly although the inspector was told that they were tested with the fire alarm tests. Fire training was due and had been arranged for August. The Environmental Health Officer had visited the home recently and he confirmed that there were no concerns and the issues raised in the complaint were not found. Vermont House DS0000016919.V368387.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 X X 2 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 N/A 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 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 2 X X X 3 X X 3 Vermont House DS0000016919.V368387.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP27 Regulation 13(4)(c) Requirement The manager must ensure that there are adequate rest periods between shifts and long hours do not put employees and people living in the home at risk of injury. The manager must ensure that adequate checks have been undertaken before someone is employed in the home. Timescale for action 20/08/08 2. OP29 19(1) 20/08/08 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 OP3 Good Practice Recommendations Daily reports sheets should include the tasks for staff to carry out are repeated on each sheet until the care plan is written up. This will ensure that the staff are aware of the needs of the person living in the home. The manager should identify a reasonable period of time by which the care plan should be written up. The manager should ensure that the reason for making a Vermont House DS0000016919.V368387.R01.S.doc Version 5.2 Page 24 2. OP7 temporary placement permanent is documented and that the individual is in agreement with this where possible. This will ensure that the assistance needed by people living in the home is clearly documented and the person receiving the service is agreeable to living there on a permanent basis. There should be written information in the home on what actions people should take if they do not feel safe and how they can contact Advocacy services. The Protection of Vulnerable Adults policy should be amended to incorporate a need to refer any allegations of abuse to the Local Social Services Department. The manager should ensure that all staff complete induction training that is in line with Skills for Care. This will ensure that staff have the appropriate skills and knowledge to carry out their roles safely. The provider should ensure that reports of visits by the provider’s representative are written up in a timely manner. Emergency lighting tests should be recorded when they are carried out. This will ensure that equipment is maintained in good working order. Assessments should record the use, or not, of lap belts and foot rests on wheelchairs. This will ensure people living in the home are safe from injury. 3. OP14 4. 5. OP18 OP30 6. 7. 8. OP31 OP38 OP38 Vermont House DS0000016919.V368387.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection West Midlands Office West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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 Vermont House DS0000016919.V368387.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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