Inspection on 06/06/05 for 3, Park Avenue

This inspection was carried out on 6th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

3, Park Avenue 03/10/07

3, Park Avenue 08/08/06

3, Park Avenue 15/12/05

3, Park Avenue 13/10/04

3, Park Avenue 21/06/04

3, Park Avenue 10/02/04

3, Park Avenue 13/11/03

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Townley Road, 2-3

Orchard House Nursing Home

St Josephs Rest Home

Foxley Lane (121a)

Tudor Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Park Avenue, 3 Mitcham Surrey CR4 2EQ Lead Inspector Liz OReilly Unannounced 6 & 22 June 2005 10:30 am th nd 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 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. Park Avenue, 3 G54-G04 S27263 Park Avenue V241138 060605 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Park Avenue, 3 Address 3 Park Avenue Mitcham Surrey CR4 2EQ 020 8286 1206 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Nizma Hosanee Mrs Nazma Bibi Hosanee CRH Care Home 3 Category(ies) of OP Old Age (3) registration, with number MD (E) Mental Disorder (3) of places Park Avenue, 3 G54-G04 S27263 Park Avenue V241138 060605 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th October 2004 Brief Description of the Service: 3 Park Avenue is a care home for up to three adults over the age of sixty five all of whom have mental health needs. The home is owned by Mr N. Hosanee and Mr F. Hosanee. The home is situated in a residential area of Mitcham, is in keeping with the local neighbourhood and is not identifiable as a care home. Residents have easy access to public transport and a group of local shops. The aims and objectives of the home are set out in the Statement of Purpose which is available in the home and in the Service User Guide a copy of which is supplied to each resident. Park Avenue, 3 G54-G04 S27263 Park Avenue V241138 060605 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out by one regulation inspector over four hours. The inspector had the opportunity to speak with two of the three residents, the registered manager and one of the owners of the home. What the service does well: What has improved since the last inspection? What they could do better: In order to ensure that residents are supported by a well trained staff group the registered person must ensure that evidence of training in the care of people with mental health needs is available. At least three days paid training must be provided for all staff each year. Further work needs to be done to ensure that the care plans provided address individual needs and wishes and contain clear goals. Park Avenue, 3 G54-G04 S27263 Park Avenue V241138 060605 Stage 4.doc Version 1.40 Page 6 A review of the menu to take into account the cultural needs of the residents must be carried out. 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. Park Avenue, 3 G54-G04 S27263 Park Avenue V241138 060605 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Park Avenue, 3 G54-G04 S27263 Park Avenue V241138 060605 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 and 4 Standard 6 does not apply to this home. Residents moving into the home can be assured that their needs and wishes are known to staff and that assessments have been carried out to ensure individual needs can be met. Further work needs to be carried out to ensure staff are provided with sufficient training on caring for people with mental health needs. EVIDENCE: The day before this inspection one new resident had been admitted to the home. An assessment of this residents needs was seen to have been carried out by the placing authority prior to admission. The home had a copy of this assessment. Staff from the home had carried out their own initial assessment and were in the process of obtaining more details of the persons individual needs and wishes to ensure these would be understood by all staff and met. To ensure that the full needs of residents are met in an appropriate manner staff must be provided with up to date information and training in relation to caring for people with mental health needs. Park Avenue, 3 G54-G04 S27263 Park Avenue V241138 060605 Stage 4.doc Version 1.40 Page 9 All three residents in the home at the time of this inspection were of Afro Caribbean origin. To ensure the social and cultural needs and wishes of residents are fully met the registered persons must carry out a review of the care provided including personal care and the food provided. This home does not provide intermediate care therefore Standard six does not apply. Park Avenue, 3 G54-G04 S27263 Park Avenue V241138 060605 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 and 10 To ensure that the needs of residents are met each resident is provided with a care plan. Care plans need to be further developed to include information on the individual wishes of residents along with clear goals. The health care needs of residents are met. Residents confirmed that their privacy and dignity was respected by all staff in the home. EVIDENCE: Care planning documentation was seen to include information on the physical, social, emotional and independence needs of residents. The mental health needs of residents was seen to be documented. Staff clearly take care to assess and address issues of independence and rights. To ensure the care provided is individualised care planning needs to be further developed to include individual goals, with timescales and more detailed information on the cultural needs and wishes of individual residents with information on how residents will be supported to meet individual goals. Residents were seen to have signed their individual care plan. Park Avenue, 3 G54-G04 S27263 Park Avenue V241138 060605 Stage 4.doc Version 1.40 Page 11 To ensure the needs of residents are reviewed on a regular basis a monthly evaluation is carried out by staff in the home. A record of each evaluation is maintained and new care plans are produced if required. An annual formal review is carried out. At the time of this inspection minutes of these reviews were not available. To ensure that residents and all those involved in their care are provided with up to date information the registered persons must ensure that copies of the minutes of any review of the care provided are available in the home. To ensure that evidence is available to show that the needs and wishes of residents is available staff maintain a daily record of activity for each individual. It was noted that all the daily notes were completed by one member of staff. The registered persons should ensure that daily notes, including those made during the night are completed by the person on duty at the time. The registered persons should also ensure that staff sign each entry. Consideration should be given to staff consulting with residents on what is recorded. Each resident is registered with a local GP and staff ensure that residents have regular health care checks by maintaining a record of each health care appointment. Residents are supported by staff from the community psychiatric nursing team where necessary. Arrangements are in place for residents to access optical, dental and chiropody services in the community. As part of the monitoring of the health of each resident a record of each persons weight is maintained and checked on a monthly basis. At the time of this inspection staff were administering medication for each resident. The health and welfare of residents was seen to be protected by the appropriate management of medication in the home. A record of all medication received in the home, given to each resident and returned to the pharmacy is maintained. The registered manager and one other member of staff have completed accredited training on the management of medication. A new, more secure cupboard has been provided for the storage of medication. Residents informed the inspector that staff respected their privacy and treated them with respect. Both residents spoken to confirmed they could meet with visitors and health care professionals in private. Park Avenue, 3 G54-G04 S27263 Park Avenue V241138 060605 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 and 15 Residents are provided with a flexible activities programme which they can choose to change or opt out of if they wish. Further work needs to be carried out to ensure that the programme offered meets the wishes and needs of individuals. A review of the menu needs to be carried out to ensure the cultural needs and wishes of residents are met. EVIDENCE: At the time of this inspection residents were visiting another home in the same road for lunch. Residents confirmed they enjoyed these visits however one resident could not recall being asked by staff if they wished to take part in this visit. The registered persons must take care that these visits are carried out at the request of individual residents and are not arranged as a matter of course. One resident stated they enjoyed going shopping in Tooting. Residents receive regular visits from family and or friends. One resident stated they enjoyed going out with their family. An activities programme is produced for the home but staff informed the inspector that this was a flexible programme as residents were asked on a Park Avenue, 3 G54-G04 S27263 Park Avenue V241138 060605 Stage 4.doc Version 1.40 Page 13 daily basis what they would like to do. Staff were seen to spend time talking with residents and discussing current events. Both residents stated they enjoyed attending church. The registered persons should take steps to obtain further details in relation to what activities residents would like to continue with or take up to ensure that the leisure interests of each individual are met. Residents confirmed that they were able to bring to them home items of their own furniture and ornaments which allows for rooms to be personalised. Both residents spoken to said that they made their own decisions in relation to the daily routine in the home such as the time of getting up, going to bed or helping out with the domestic chores in the home. The home produces a four week menu which provides a good variety or meals. To ensure that the nutritional needs of residents are monitored a record is kept of any changes in the menu and any instances where residents choose something which is not on the menu. Residents said the food was “quite nice”, “very good” and that there was “plenty to eat”. The menu seen at the time of this inspection did not fully take into consideration the cultural needs of residents. The registered persons must carry out a review of the menu in consultation with residents to ensure that the cultural needs of residents are met. Since the last inspection of the home an additional snack has been added to the menu in the evening. This ensures that residents are provided with meals and snacks on a regular basis and that the gap between the last food of the day and breakfast is no more than twelve hours. Park Avenue, 3 G54-G04 S27263 Park Avenue V241138 060605 Stage 4.doc Version 1.40 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 Residents stated they felt confident that should they have any complaint about the home this would be listened to by the home owners. Policies and procedures are in place to protect residents from abuse. Further work needs to be carried out to ensure that all staff receive appropriate training on this issue. EVIDENCE: Residents are provided with information on the home’s complaints procedure. A comments book is available in the entrance hall. Residents have been assisted by staff in the past to use this book to make suggestions for improving the service. Both residents spoken to stated that they had never had cause to complain but felt confident that if they did the owners would listen to what they had to say. Systems are in place to record any complaint received by the home along with actions taken and outcomes. This ensures that a record of any investigation is retained. At the time of this visit no complaints were recorded. The home has a policy and procedure for the reporting and investigating of any suspected abuse. The home also has a copy of the placing authority policies and procedures. At the time of this visit to the manager was awaiting training on the protection of vulnerable adults which was being provided by the local authority. Other staff in the home are provided with in house training. In order to ensure that residents are protected from abuse and staff are fully Park Avenue, 3 G54-G04 S27263 Park Avenue V241138 060605 Stage 4.doc Version 1.40 Page 15 aware of this issue a record of the form and content of the in house training must be retained in the home. At the time of this visit policies and procedures for staff on understanding and dealing with aggression from residents was not available. To ensure that staff are aware of actions to take to protect residents should any resident become aggressive the registered persons must ensure that these documents are available in the home. Park Avenue, 3 G54-G04 S27263 Park Avenue V241138 060605 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 21 and 26 Residents are provided with a homely domestic style environment. The garden are is in need of further work to provide residents with a comfortable attractive outdoor area. EVIDENCE: Residents said they were happy with their personal bedrooms and with the shared areas of the home. A small, mostly paved garden is available at the rear of the home. At the time of the last inspection it was noted that the flower beds needed attention. This remains the case. One of the home owners informed the inspector that they were waiting for their neighbours to repair the garden fencing before attending to this. The registered person must ensure that action is taken to provide residents with a well maintained garden area with seating. As noted at the last inspection the kitchen is showing signs of wear and tear. Park Avenue, 3 G54-G04 S27263 Park Avenue V241138 060605 Stage 4.doc Version 1.40 Page 17 To ensure that residents have access to a well maintained and safe kitchen the registered persons agreed at the time of the last inspection that this work would be carried out within the next eighteen months. Residents have easy access to a toilet on the ground and the first floor. A domestic style bathroom is available on the first floor. A domestic type washing machine is available in the kitchen area. This is in keeping with the domestic style of the home and meets the needs of the residents in the home at the time of this visit. To ensure that health and welfare of residents policies and procedures relating to the control of infection are in place for staff. Park Avenue, 3 G54-G04 S27263 Park Avenue V241138 060605 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 and 30 Residents were seen to be supported by sufficient staff to meet their needs at the time of this inspection. Residents are protected by recruitment procedures which include checks on the identity and most recent employment. Evidence needs to be available to show that all staff are provided with appropriate up to date training to meet the needs of the residents in the home. EVIDENCE: A minimum of one member of staff is available in the home at all times. At night one member of staff sleeps in the home and is on call. To ensure that this level of staffing continues to meet the needs of residents the home keeps a record of any incident where the sleeping member of staff has been called upon in the night. The record shows that there have been calls upon this member of staff. The sleeping in member of staff can call upon the manager and one of the owners of the home should they need advice or assistance. The manager and owner live two houses away. Residents gave positive comments on the care provided and the approach of the staff group. One resident stated that staff were “kind” and treated them “respectfully”. This resident stated that they had never had any complaint about the staff in the home. One resident stated that they “liked” the staff. The home owners take steps to ensure the safety of residents by carrying out checks on new staff prior to them working in the home. Since the last Park Avenue, 3 G54-G04 S27263 Park Avenue V241138 060605 Stage 4.doc Version 1.40 Page 19 inspection of the home records now include an up to date photograph of each member of staff. In order to ensure that residents are cared for by a well trained staff group the registered person must ensure that a clear record of training is in place for each member of staff. On going, up to date training must be provided on caring for people with mental health needs. A minimum of three paid days training should must be provided for each member of staff. To ensure that residents are cared for by staff who understand their responsibilities and the conduct expected of them a copy of the General Social Care Council code of conduct is available and on display in the home. Park Avenue, 3 G54-G04 S27263 Park Avenue V241138 060605 Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33, 34, 35 and 38 Further work needs to be focused on ensuring that evidence is available to show that the home is run in line with the wishes and interests of residents. The health and safety of residents in the home is safeguarded by regular checks and risk assessments. EVIDENCE: To ensure that residents live in a home managed by a competent qualified person the registered manager is in the process of gaining NVQ level 4 in management and care. The manager is only responsible for this particular home. To ensure that the views of residents are sought and taken into account in any development plan for the home the registered persons have commenced a Park Avenue, 3 G54-G04 S27263 Park Avenue V241138 060605 Stage 4.doc Version 1.40 Page 21 quality assurance and monitoring process. Questionnaires have been completed by residents and the owners are in the process of introducing a new system for carrying out an annual review of the service. Once this system has been implemented the registered persons must supply a copy of the report following the review to the Commission. The results of residents surveys must be made available to present and prospective residents. To ensure that the owners can demonstrate that residents live in a home which is financially viable a copy of the audited accounts must be provided to the Commission. This requirement has been outstanding for a significant time. Arrangements can be made for residents to deposit small amounts of cash in the home for safekeeping. At the time of this inspection the home were holding money for one resident. The records kept in relation to this cash were up to date and accurate. In order to ensure the safety of residents money the registered person must ensure that each transaction is checked by two members of staff. Each member of staff should sign the record of finance along with the resident. Staff carry out regular checks on the building, furnishings and equipment to ensure the health and safety of residents and visitors to the home. Checks were seen to be carried out on the fire detecting equipment with regular fire drills being carried out to ensure that staff and residents are aware of the action to be taken should a fire occur. Fridge and freezer temperatures are checked to ensure that food is stored at a safe temperature. A record of any accident is maintained along with actions taken and outcomes. Risk assessments are carried out to ensure the safety of individual residents. Park Avenue, 3 G54-G04 S27263 Park Avenue V241138 060605 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 2 x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 2 COMPLAINTS AND PROTECTION 2 x 3 x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 3 x 2 2 2 x x 3 Park Avenue, 3 G54-G04 S27263 Park Avenue V241138 060605 Stage 4.doc Version 1.40 Page 23 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 4 Regulation 18 (1) Requirement Timescale for action 15th September 2005 15th September 2005 15th September 2005 2. 4 3. 7 4. 7 5. 15 6. 18 The registered persons must ensure that all staff are provided with on going training on caring for people with mental health needs. 12 (4) (b) The registered persons must carry out a review of the care provided in the home to ensure that cultural needs and wishes of residents are met. 15, 12 (2) The registered persons must (3) (4) carry out a review of the care planning system to ensure that the individual needs and wishes of residents are addressed with clear goals and timescales. A copy of the minutes of any reivew of the care provided must be available in the home. 15, 17, 12 The registered persons must ensure that daily records are made by the staff on duty in the home at the time. All records must be signed. 16 (2) (i) The registered persons must carry out a review of the menu to ensure that the cultural needs and wishes of residents are fully met. 13 (6) The registered persons must ensure that clear information is G54-G04 S27263 Park Avenue V241138 060605 Stage 4.doc 15th September 2005 15th September 2005 15th September Page 24 Park Avenue, 3 Version 1.40 7. 8. 9. 19 19 30 23 (2) (o) 16 (2) (g) 23 (2) (b) 18 (1) 10. 33 24 11. 34 25(2) (3) 12. 35 17(2) Schedule 4 (9) available to staff on dealing with aggression. A record of staff training on the protection of vulnerable adults including the form and content of such training must be available in the home. The registered persons must ensure that the garden area of the home is well maintained. The registered persons must ensure that the kitchen is refurbished. The registered persons must ensure that individual records of training are maintained for all staff. Records must evidence a minimum of three paid days training each year. The registered persons must ensure that a copy of any report produced following annual review of the service is supplied to the Commission. The registered persons must supply to the Commission a copy of the audited accounts for the home along with a business and financial plan. Timescale of 05.01.05 not met. The registered persons must ensure that any money deposited or withdrawn from a residents account in the home is checked and signed by two members of staff. 2005 15th September 2005 1st November 2006 15th September 2005 15th September 2005 15th September 2005 15th September 2005 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 12 Good Practice Recommendations The registered persons should take steps to obtain further G54-G04 S27263 Park Avenue V241138 060605 Stage 4.doc Version 1.40 Page 25 Park Avenue, 3 details in relation to what activities residents would like to continue with or take up to ensure that the leisure interests of each individual are met. Park Avenue, 3 G54-G04 S27263 Park Avenue V241138 060605 Stage 4.doc Version 1.40 Page 26 Commission for Social Care Inspection Ground Floor - CSCI 41-47 Hartfield Road Wimbledon SW19 3RG National Enquiry Line: 0845 015 0120 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 Park Avenue, 3 G54-G04 S27263 Park Avenue V241138 060605 Stage 4.doc Version 1.40 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!