Inspection on 07/07/08 for Sunnyside Rest Home

This inspection was carried out on 7th July 2008.

CSCI found this care home to be providing an Adequate service.

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

Sunnyside Rest Home 27/01/10

Sunnyside Rest Home 29/09/09

Sunnyside Rest Home 24/06/09

Sunnyside Rest Home 10/09/07

Sunnyside Rest Home 24/07/06

Sunnyside Rest Home 18/10/05

Sunnyside Rest Home 04/05/05

Sunnyside Rest Home 06/10/04

Sunnyside Rest Home 11/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOMES FOR OLDER PEOPLE Sunnyside Rest Home Coupland Close Whitworth Lancashire OL12 8QQ Lead Inspector Mrs Susan Hargreaves Unannounced Inspection 7th July 2008 10:10 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 Sunnyside Rest Home DS0000009487.V368202.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. Sunnyside Rest Home DS0000009487.V368202.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sunnyside Rest Home Address Coupland Close Whitworth Lancashire OL12 8QQ 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) 01706 659917 01706 659917 Whitworth Elderly And Disabled Care Trust Wendy Ann Howarth Care Home 11 Category(ies) of Old age, not falling within any other category registration, with number (11) of places Sunnyside Rest Home DS0000009487.V368202.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home only - Code PC To Service Users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 11 Date of last inspection 10th September 2007 Brief Description of the Service: Sunnyside is a purpose built care home situated near to the local amenities in Whitworth. The home has a small garden for residents who wish to sit outside when the weather permits. There is also a small car park for staff and visitors. Sunnyside offers 24-hour personal care for up to 11 residents. Accommodation is provided in single and twin-bedded rooms. Communal rooms include a lounge and dining room. Sunnyside is linked to a busy and thriving day care centre, which plays an active part in the ‘close knit’ local community. Residents from Sunnyside are invited to participate in the activities available at the cay care centre. The current fees charged at Sunnyside are £332 per week. Additional charges are payable for hairdressing and newspapers. A copy of the statement of purpose and service user guide is available to prospective service users and their relatives on request. Sunnyside Rest Home DS0000009487.V368202.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 1 star. This means the people who use this service experience adequate quality outcomes. A key unannounced inspection, which included a visit to the home, was conducted at Sunnyside on the 7 July 2008. Three completed surveys were received from residents and two from members of staff. The manager completed an annual quality assurance assessment several weeks before the visit to the home. This document provided important information about how the home is being managed. At the time of this inspection 9 residents were living at the home. A tour of the premises took place and staff files and care records were inspected. Members of staff on duty, residents and visitors were spoken to. Discussions also took place with the manager and the area manager regarding issues raised during the inspection. What the service does well: Admission procedures were thorough and ensured that the assessed needs of each resident could be met at the home. Members of staff were observed attending to residents in a kind and friendly manner. One resident said, “ They’re lovely girls, nothing’s too much trouble for them.” The relative of a resident said, “all the staff are really nice and they listen to what we say.” One of the residents who completed the survey wrote, ‘It is a lovely place to be.’ This resident also described the staff as ‘very caring’. Residents said the daily routine was flexible and they could get up and go to bed when they wanted to do. One resident said, “ You can do what you want.” Visitors were welcomed into the home at anytime. All the residents asked said the meals were good. Sunnyside Rest Home DS0000009487.V368202.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Failure to address the requirement about care planning made at four previous is of serious concerns. Urgent action must be taken to ensure care plans accurately identify and address all the care needs of each resident. This will ensure members of staff know exactly what they need to do in order to provide person centred care. Action must be taken to ensure residents are not given medication to which they are sensitive. All drug allergies must be clearly recorded on the medication administration records and in the care plans of individual residents. Members of staff must also be made aware of possible allergic reactions and report them immediately. To help prevent mistakes all hand written instructions on the medicines administration records should be signed and witnessed. Clear instructions should be available for staff to follow to ensure medicines prescribed, when required are given correctly. It is essential that privacy and dignity be promoted for all residents. Medical consultations and examinations must not take place in communal areas of the home. To promote the wellbeing of all residents a variety of suitable leisure activities should be provided. Staffing levels at night should be reviewed and take into account the fire risk assessment and the care needs of individual residents. To ensure residents are protected from unsuitable staff two written references must be obtained before a new employee starts working at the home. A reference from the last employer should always be requested. The application form should also be amended to include the reasons for leaving all previous employment. Fire drills must be held regularly in order to ensure all members of staff know what to do in the event of a fire. Please contact the provider for advice of actions taken in response to this Sunnyside Rest Home DS0000009487.V368202.R01.S.doc Version 5.2 Page 7 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. Sunnyside Rest Home DS0000009487.V368202.R01.S.doc Version 5.2 Page 8 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 Sunnyside Rest Home DS0000009487.V368202.R01.S.doc Version 5.2 Page 9 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A thorough admissions procedure ensured sufficient information was obtained in order to identify the needs of each resident. EVIDENCE: A copy of the statement of purpose and service user guide is available to prospective residents and their relatives on request. These provide information about the care and facilities provided at the home. The manager or senior member of staff visited and assessed prospective residents in hospital or their own home prior to admission. Alternatively if the prospective resident was able to visit the home and discuss their care needs an assessment was carried out at that time. The care records of one resident were inspected. These included a detailed pre-admission assessment. This Sunnyside Rest Home DS0000009487.V368202.R01.S.doc Version 5.2 Page 10 assessment provided important information for the development of the care plan. Residents or their relatives received confirmation in writing that their needs could be met at the home. Standard 6 is not applicable to this service. Sunnyside Rest Home DS0000009487.V368202.R01.S.doc Version 5.2 Page 11 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): 7,8,9 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Deficiencies in care planning, the management of medication and promoting privacy and dignity means residents do not always receive person centred care. EVIDENCE: The individual care plan of one resident was inspected. This plan did not identify all the personal and healthcare needs of the resident or provide clear directions for staff to follow to ensure to all their needs were met. A risk assessment indicated this resident had a high risk of developing pressure sores but a care plan explaining how this risk was to be managed was not in place. A nutritional assessment was undated and did not clearly state if the resident was at risk so that a care plan could be developed if necessary. A medication review suggested this resident was prescribed oxygen but a care plan about this was not in place. This resident had developed an allergic rash but the first record of this in the care plan was on 4 July in the daily report, which stated the rash was not improving. A care plan about the cause and treatment of this problem had not been written. Sunnyside Rest Home DS0000009487.V368202.R01.S.doc Version 5.2 Page 12 Although this care plan had been reviewed in June this had not taken place monthly since admission. All care plans should be reviewed monthly to ensure they provide up to date and accurate information about the care needs of the resident. The relative of this resident had been involved in reviewing the care plan. However, the manager was advised to ask relatives to sign the care plan to indicate their agreement with the care provided. There were records of the involvement of GP’s and other healthcare professionals in the care of the residents. These included the chiropodist and district nurse. Medication was stored correctly and administered by appropriately trained members of staff. Records relating to the management of medication were in place. These included records of all medication received into the home and of unused medication returned to the pharmacy. However, handwritten instructions on the medication administration records were not signed or witnessed to indicate they were an exact copy of the prescription. Checking handwritten instructions helps to prevent medication error. There was also a lack of clear instructions for staff to follow to ensure medication prescribed ‘when required’ was given correctly. From discussion with the manager, the relative of a resident and examination of care records it was clear that a resident had been prescribed and given a course of antibiotics to which she was sensitive and had suffered an allergic reaction as a result. The care records for this resident clearly stated she was allergic to this antibiotic. The manager had subsequently highlighted this allergy on the medication administration record and also informed the pharmacy. Personal care was carried out in the privacy of the resident’s own room or the bathroom. Two care workers explained in detail how they promoted privacy and dignity for all residents. However, at lunchtime a visiting GP was assisted by the manager to examine a resident in the dining room when other residents and visitors were present. Members of staff were observed attending to residents in a polite and professional manner. One resident said, “They’re lovely girls, nothings too much trouble for them.” A visitor said, “All the staff are really nice.” Sunnyside Rest Home DS0000009487.V368202.R01.S.doc Version 5.2 Page 13 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 adequate. This judgement has been made using available evidence including a visit to this service. Resident’s decisions were respected but the leisure activities provided did not meet the needs of some residents. Meals were wholesome and appetising and residents enjoyed them. EVIDENCE: Discussion with residents and staff confirmed that only a very limited range of activities were organised at the home. This included listening to music and watching TV. Local clergy and an outside entertainer regularly visited the home. The manager stated in the annual quality assurance assessment that she going to develop more activities at the home. One resident who completed the survey stated there were never any activities they could take part in. Another resident wrote on the survey, ‘Activities are very rare.’ Two members of staff said they sat and chatted to residents when they had time. Activities and trips out were organised at the adjoining day care centre and one resident went every week to do the craft activity. Regular contact for residents with their family and friends was considered to be an important part of their life. Residents said their visitors were welcomed into the home at anytime. Sunnyside Rest Home DS0000009487.V368202.R01.S.doc Version 5.2 Page 14 Members of staff and residents said the daily routine was flexible. One resident said, “You can get up and go to bed when you want.” A care worker explained that one person sometimes stayed up very late to watch television. The meal served at lunchtime looked wholesome and appetising. Lunch was unhurried allowing residents time to chat and enjoy their meal. The mealtime was unhurried allowing residents time to chat and enjoy their meal. All the residents asked said the meals were good. Sunnyside Rest Home DS0000009487.V368202.R01.S.doc Version 5.2 Page 15 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. Residents and their relatives felt able to express their concerns. Staff had a good understanding of protection issues. EVIDENCE: A copy of the complaints procedure was displayed in the home and included in the statement of purpose and service user guide. Two of the residents who completed the survey indicated that they knew how to make a complaint. No complaints have been made to the manager since the last inspection. One complaint was made directly to the Commission. The trustees were asked to investigate this complaint and provide the Commission with details of the action taken. However, at the time of the inspection the relatives of one resident said they intended to complain to the trustees about medication given to their relative when she had a known sensitivity to it. Policies and procedures about the safeguarding of vulnerable adults were in place. Training 17 and 18 July 2008. Discussion with the manager and two members of staff confirmed that they also knew what to do if allegations of abuse were made. Sunnyside Rest Home DS0000009487.V368202.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 premises were well maintained and provided a comfortable and ‘homely’ environment for the residents. EVIDENCE: At the time of the inspection the home was clean, tidy and well maintained. This provided a safe and comfortable environment for the residents. Recent improvements included redecoration of all the bedrooms and new carpets and curtains in all bedrooms and communal rooms. The residents who completed the survey stated the home was always or usually clean. A visiting relative said there were no unpleasant smells. Residents were encouraged to bring personal items for their bedrooms to make them more homely. These included, ornaments, photographs etc. The grounds and gardens were well kept and accessible to residents if they wished to sit outside when the weather permitted. Sunnyside Rest Home DS0000009487.V368202.R01.S.doc Version 5.2 Page 17 All the laundry was done at the home. Suitable equipment was provided to ensure clothes were washed promptly and returned to the residents. Gloves and plastic aprons were available for staff to use in order to protect them and the residents from infection. Sunnyside Rest Home DS0000009487.V368202.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. Members of staff were encouraged to acquire the skills and knowledge needed to provide effective care for the residents. Recruitment procedures did not fully protect residents. EVIDENCE: The duty rota provided information about the grades and numbers of staff on duty for each shift. The two members of staff who completed the survey indicated there was always enough staff on duty. The residents who completed the survey stated that members of staff were usually available when needed. However, the relatives of one resident expressed concern about staffing levels during the night when only one care worker was on duty. Although the manager explained that she or the deputy manager was always on call throughout the night in case of emergency this does have implications for health and safety. Staffing levels at night need to be determined taking into account the fire risk assessment for the building, the moving and handling and care requirements for individual residents. It was evident from discussion with members of staff and the manager that training was encouraged. This included induction training for new employees, moving and handling, basic food hygiene, fire prevention, management of medication and safeguarding vulnerable adults. In addition to this more than Sunnyside Rest Home DS0000009487.V368202.R01.S.doc Version 5.2 Page 19 50 of care workers had qualifications at NVQ level 2 or above and one member of staff was working towards NVQ level 2. The files of two members of staff appointed since the last inspection were examined. One of these files indicated that all the required pre-employment checks to ensure protection of the residents from unsuitable staff had been completed prior to appointment. However, it was evident from the other file that this member of staff had started working at the home before two written references had been obtained. Moreover, a reference from a senior colleague at the last place of employment instead of the employer had been accepted. The manager was also advised to amend the application form to include the reason for leaving all previous employment. Sunnyside Rest Home DS0000009487.V368202.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. The home has a competent manager. The views of residents are considered when decisions about the care and facilities provided at the home are made. EVIDENCE: The registered manager has several years experience of caring for older people and has completed the NVQ level 4 ‘Registered Manager’s award’. The manager explained that on Monday mornings there was an additional member of staff on duty. This allows time for her to meet the requirements of her role as registered manager. One member of staff explained that the manager was approachable and supportive. The relative of one resident said, “The manager is nice.” Sunnyside Rest Home DS0000009487.V368202.R01.S.doc Version 5.2 Page 21 The staff office had been enlarged to increase storage space for confidential files and provide privacy for discussions with residents, visitors and members of staff. The manager said she had an ‘open door policy’ and welcomed feedback from residents and their relatives at anytime. Satisfaction questionnaires were available for distribution to residents and their relatives. The manager also said she was planning to hold residents and relatives meetings every six months. The trustees regularly visited the home and completed a written report for the manager detailing any action that needed to be taken in order to improve the standard of care for the residents. Policies and procedures for safe working practices were in place. These help to make sure the home is a safe place for residents to live. Fire alarms and emergency lighting were tested weekly. The last recorded fire drill took place on 14 January 2008 and a staff attendance record was kept. Although a fire risk assessment was in place this needed reviewing and up dating. Records of the routine servicing of equipment were seen. These included up to date gas safety and electrical installation certificates and evidence that the testing of small electrical appliances had taken place in June 2008. Records maintained in the kitchen included fridge, freezer and food temperatures. This ensures food is stored correctly and handled safely. Sunnyside Rest Home DS0000009487.V368202.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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 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 3 28 4 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Sunnyside Rest Home DS0000009487.V368202.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? YES 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 OP7 Standard Regulation 15(1) Requirement To ensure the care needs of residents are met. Care plans must accurately identify and address all the care needs of each resident. 24/06/05, 30/12/05, 01/09/06 and 26/10/07 not met. To prevent residents from suffering a serious reaction by taking medication to which they are sensitive all drug allergies must be clearly recorded on the medication administration records and care plans. Members of staff must be made aware of possible allergic reactions and report them immediately. To ensure the privacy and dignity of all residents is promoted medical consultations and examinations must not take place in communal areas of the home. To ensure residents are protected from unsuitable staff two written references must be obtained before a new employee starts working at the home. DS0000009487.V368202.R01.S.doc Timescale for action 29/08/08 2 OP9 13(2) 31/07/08 3 OP10 12(4)(a) 31/07/08 4 OP29 19(1)(b) Schedule 2 31/07/08 Sunnyside Rest Home Version 5.2 Page 24 5 OP38 23(4)(e) To ensure all members of staff understand the procedure to follow in the event of a fire regular fire drills must be held. Timescale of 30/11/07 not met. 26/09/08 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 OP7 2 OP8 3 OP9 4 OP9 5 OP12 6 OP27 7 OP29 8 OP29 9 OP38 Refer to Standard Good Practice Recommendations All care plans and risk assessments should be reviewed monthly to ensure they contain up to date and accurate information about the care needs of the resident. Risk assessments about nutrition should be dated and clearly indicate any risks to the resident. All hand written instructions on the medicines administration records should be signed and witnessed. Clear instructions should be available for staff to follow to ensure medicines prescribed, when required are given correctly. A programme of suitable activities should be organised at the home. Staffing levels at night should be determined according to the dependency and needs of residents. To ensure residents are protected from unsuitable staff a reference from the last employer should always be requested. The application form should be amended to include the reasons for leaving all previous employment. The fire risk assessment should be reviewed and up dated. Sunnyside Rest Home DS0000009487.V368202.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Sunnyside Rest Home DS0000009487.V368202.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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