Inspection on 05/12/07 for Abbots Grange Residential Home

This inspection was carried out on 5th December 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Abbots Grange Residential Home 07/07/09

Abbots Grange Residential Home 11/07/08

Abbots Grange Residential Home 19/07/07

Abbots Grange Residential Home 01/11/06

Abbots Grange Residential Home 28/02/06

Similar services:

Dystlegh Grange

Thornton Lodge

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

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

CARE HOMES FOR OLDER PEOPLE Abbots Grange Residential Home Newport Street Werneth Oldham OL8 1RE Lead Inspector Sandra Buckley Unannounced Inspection 5th December 2007 08:30 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 Abbots Grange Residential Home DS0000065269.V355544.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. Abbots Grange Residential Home DS0000065269.V355544.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Abbots Grange Residential Home Address Newport Street Werneth Oldham OL8 1RE 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) 0161 624 3752 F/P 0161 624 3752 Westholme Care Home Limited Care Home 40 Category(ies) of Dementia - over 65 years of age (15), Old age, registration, with number not falling within any other category (30), of places Physical disability over 65 years of age (10) Abbots Grange Residential Home DS0000065269.V355544.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 40 service users to include: *up to 15 service users in the category of DE(E) (Dementia over 65 years of age); *up to 30 service users in the category of OP (Old age, not falling within any other category); *up to 10 service users in the category of PD(E) (Physical disability over 65 years of age). 19th July 2007 Date of last inspection Brief Description of the Service: Abbots Grange Residential Home provides 24-hour personal care and accommodation for up to 40 service users over the age of 65 years. Abbots Grange Residential Home has recently been bought and is now owned by Westholme Care Home Limited. At the time of this inspection, 13 residents were accommodated and the home had undergone a programme of redecoration and refurbishment. The home is situated on a quiet residential street in Werneth, approximately one mile from Oldham town centre. Local shops and a doctor’s surgery are about a ten minute walk away. Buses are available to Oldham and Manchester from Manchester Road, which is a ten-minute walk away. A small drive leads to the home, which was once a large Victorian house. To the side of the property is a small garden area. A car park is available to the front of the home. The home has been extended to the rear to provide accommodation for up to 40 service users. Bedroom accommodation is provided on both the ground and first floors. The home also has a mezzanine level but access to these bedrooms is restrictive, due to steps. There are 32 single and four shared bedrooms. En-suite toilets are provided in all the bedrooms, except five rooms. There are two lounges and one dining room on the ground floor. The home has one assisted bath, one unassisted bath and one shower room. The current weekly fees are £328. Further details regarding fees are available from the manager. Abbots Grange Residential Home DS0000065269.V355544.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced key inspection was made to the home on 5 December 2007. This inspection looked at all the key standards and included a review of all available information received by the Commission for Social Care (CSCI) about the service provided at the home since the last inspection. This was the second key inspection due to concerns we had at the last inspection about the service. At the last inspection, the manager was new and had only been in post approximately ten weeks. We met with the manager and provider following the last inspection to discuss with them the improvements needed. They responded positively to this meeting and, over the last six months, have addressed many issues and made improvements resulting in an improvement in people’s daily life and a quality rating of adequate. An application to register the manager with the CSCI has been submitted and is being processed. During the site visit information was taken from various sources, which including observing care practices and talking to people in the home. The manager, relatives and some members of the staff team were also interviewed. A tour of the home was undertaken and a sample of care, employment and health and safety records were seen. Comments from questionnaires returned from residents and their relatives are also included in this report, together with professionals’ comments. All but two of the requirements made at the last inspection had been addressed. However, there still remain a number of service developments to be considered. What the service does well: Good interactions were observed throughout the day between staff and people in the home. Individual needs are looked at in relation to interests and hobbies. One person said “Staff have arranged for me to do a computer course after Christmas.” People spoke highly of staff saying, “I only came here for a week but want to stay.” Abbots Grange Residential Home DS0000065269.V355544.R01.S.doc Version 5.2 Page 6 One professional said, “There have been big improvements under the new manager which I have noted on my regular visits.” A relative questionnaire said, “This is my first experience of residential care and you hear a lot of negative press. I was very apprehensive of putting my mother in care, as I have looked after her myself at home until I could no longer cope. But my concerns have been put to rest as the standard of care has been brilliant, the staff and management have been first class.” One person said “Staff could not be better here they are lovely.” Staff at interview were able to demonstrate their awareness of people’s needs and their role in care delivery. What has improved since the last inspection? What they could do better: Although things had improved under the manager, there were still issues that needed to be addressed. For example, one person had been admitted without a professional’s assessment of need. The home’s statement of purpose and service user guide did not demonstrate how people’s needs in specific categories and ages would be met. A risk assessment had not been completed for those people who wished to self-medicate and, in one instance, medication was stored inappropriately. Abbots Grange Residential Home DS0000065269.V355544.R01.S.doc Version 5.2 Page 7 Recruitment procedures, although improved, were still not robust enough to ensure the protection of people in the home. Staff duty rotas need to be completed in more detail, recording designations and management hours. 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. Abbots Grange Residential Home DS0000065269.V355544.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 Abbots Grange Residential Home DS0000065269.V355544.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): Standards 1 and 3 Quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. The failure to obtain a detailed assessment in all cases may impact on outcomes if not addressed. People need to be provided with details on how the home can meet their needs in order to make an informed choice. EVIDENCE: Three files were examined in depth. Two had detailed assessments from professionals and the other one had an assessment from a previous home’s placement, which did provide good details of the person’s needs. An assessment of need should have been obtained from professionals who are qualified to do so, in order to ensure the needs of individuals have not changed. Abbots Grange Residential Home DS0000065269.V355544.R01.S.doc Version 5.2 Page 10 One person had specific needs that were different from the general age group. This had been recognised by the manager and personal interests, leisure and educational needs had been addressed. However, this was not recorded on care planning but was verified by the person concerned. The home’s statement of purpose and service user guide need to reflect the age and range of people the home intends to provide care for and how these needs will be met. People were positive about their admission to the home, one person said, ‘I only came in for a week but want to stay.’ Abbots Grange Residential Home DS0000065269.V355544.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): Standards 7, 8, 9 & 10 Quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. Care planning provided detailed information to staff, which they carried out competently. The lack of risk assessment for people who self-administer medication may pose a risk to their health and welfare. EVIDENCE: Care planning had improved since the last inspection. We spoke to a visiting incontinence advisor who said, ‘There have been big improvements since the new manager.’ These had been noted throughout their regular visits. Care plans also included daily living assessments, for example, can put own shoes on and can manage meals. A record of professional visits was in place and there was evidence people had access to health professionals and specialists. Abbots Grange Residential Home DS0000065269.V355544.R01.S.doc Version 5.2 Page 12 Care plans provided staff with detailed information on care needs and their role in care delivery. For example, for people who present with challenging behaviour, the plans stated that two staff were to attend and give reassurance whilst providing care. Daily notes were good and detailed the care provided and any other needs which needed to be addressed. Non-verbal communication had also been noted, for example, when a person begins to shout. Staff had recognised this means they are in pain. Care plans were reviewed on a regular basis but would benefit from more detail. The manager is aware of this and care planning is being reviewed and updated. Nutritional screening and risk assessments were in place. Accidents had been recorded and stated any medical attention required. One relative said, ‘I was quite apprehensive at first but I have been pleasantly surprised, my mother gets better care than she did in hospital.’ One person in the home said, ‘I was adamant I was not going into care but now I don’t want to leave.’ There was evidence that provisions in the environment had improved by the purchase of pressure mats and special mattresses. The staff were observed to be using safe working practices and, at interview, demonstrated that they knew the needs of people in the home well. Staff records showed that health and safety, moving and handling and NVQ training had been provided. A date had been set for staff to attend MRSA and infection control training. One person said, ‘Staff could not be better, they are lovely.’ Examination of medication procedures found some irregularities that risk assessments for people who self medicate had not been completed. In one instance, medication that required refrigeration was stored in the kitchen fridge, records had not been completed for self-administration, making an audit trail difficult to follow. Abbots Grange Residential Home DS0000065269.V355544.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): Standards 12, 13, 14 & 15 Quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. Improvements have been made in social activities and in linking individual needs to care planning. This needs to continue in order to address all the needs of the people in the home ensuring fulfilment in their daily lives. EVIDENCE: People were complimentary about daily life in the home and said they felt things had improved. They gave examples of a better choice of menu and the recent party celebration. There was evidence in daily notes and care planning that individual needs were being addressed. In one instance, daily records stated that a person wished to stay in bed in the morning and was still in bed at the time of writing the report. Abbots Grange Residential Home DS0000065269.V355544.R01.S.doc Version 5.2 Page 14 Staff had begun to complete personal profiles and previous lifestyle information. One person said, ‘I have helped to complete my personal profile.’ Likes and dislikes were also recorded, together with religious beliefs and if the person was still attending personal church. One person from a younger age group said the manager had arranged for them to attend a computer course after Christmas, and that ‘Staff do try to get things going.’ They also said ‘I am in charge of my own money,’ and that they make cards and sell them providing additional spending money. The manager encouraged them to continue their interests and hobbies, with three people being observed helping to make cards after lunch. One relative questionnaire said, ‘although activities are arranged by the staff, due to my mother’s illness she is unable to take part. However, I would like to stress that she is always included and never left out.’ Another person said, ‘One person plays cards with me, otherwise there is not a lot going on.’ We dined with a group of people in the home and were offered a choice of home made meals with a choice of fresh vegetables. One person said, ‘We have a choice of menu now’, ‘Food is very good’, and ‘staff are very good.’ One relative questionnaire said, ‘the meals are excellent here; there is plenty to eat. I have eaten at the home myself.’ One person said, ‘I like it here, and I’m getting proper meals now.’ One person said, staff had accompanied them to Asda during the morning for personal shopping. They also said, ‘Staff are very good here, I am really enjoying it.’ Another person said, ‘Sweets in the home are particularly good and the manager is a very nice person.’ Abbots Grange Residential Home DS0000065269.V355544.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): Standards 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. People feel able to raise any concerns and they are protected from abuse through staff training in the protection of vulnerable adults. EVIDENCE: The complaints procedure is situated in the hallway of the home. Neither the CSCI nor the home had received any complaints since the last inspection. There was no book specifically designated for complaints. The manager was advised to record any concerns or complaints and their outcomes, should any arise. There was evidence of ongoing training for staff in the protection of vulnerable adults. Nine staff had completed training. At interview, staff confirmed that they had taken part in training sessions and were aware of how abuse may present and their responsibility in reporting any such event. One person said at interview that they were happy about everything but if they were not, they would complain to the manager, as she is very nice. Abbots Grange Residential Home DS0000065269.V355544.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): Standards 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Some improvements have been made to the environment and people live in a clean and tidy home with equipment to meet their needs. EVIDENCE: A selected tour of the premises took place that included nine people’s bedrooms. The home was found to be clean, tidy and without odour. Some improvements had been made to the environment and new equipment had been purchased, for example, freezer, dishwasher, crockery and cutlery, and food stocks were well provided. Two carpets had also been replaced. Some areas had a slight odour but this was minimal. The manager confirmed they were taking advice from the continence advisor in these instances. Abbots Grange Residential Home DS0000065269.V355544.R01.S.doc Version 5.2 Page 17 A handyman is employed by the company to undertake minor repairs and redecoration. A number of issues still needed to be addressed; for example, replacement floor covering for the Parker bathroom. The manager said these were included in the home’s refurbishment plan. We inspected a number of rooms and found them to be personalised with people’s favourite possessions. One person said, “I really like my room”. Equipment had been purchased to aid the independence of people in the home, i.e., hoist, walking frames, special mattresses. There was evidence that pressure mats had been ordered to alert night staff of any movement and maintain health and safety. The home offers a spacious environment and easy access for people with a disability or for those people who wish to walk around the home. Abbots Grange Residential Home DS0000065269.V355544.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): Standards 27, 28, 29 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. The number and deployment of staff was sufficient to meet the needs of people at the time of this inspection. Staff recruitment was not robust enough to offer protection for people in the home. EVIDENCE: Improvements have been made in staffing levels, training and deployment. A cook and ancillary staff have now been employed, giving carers more time to meet people’s needs. Throughout the day three care staff are on duty until 8pm, together with ancillary staff. The implementation of a twilight shift between 6 and 8pm has eased staff pressure and promoted additional care and observation for people in the home. Staff at interview said this had really made an improvement in their daily routines and care delivery and that they felt supported by management. Abbots Grange Residential Home DS0000065269.V355544.R01.S.doc Version 5.2 Page 19 At interview, we asked staff questions in relation to routines in the home and tested their knowledge on the needs of people in their care. They demonstrated an awareness of people’s care needs and confirmed that they are encouraged to keep up to date with care planning. There was evidence that staff training had taken place. Fifteen staff had completed moving and handling, with additional training having been requested through Oldham Social Services training section, for example, MRSA training and infection control. Six staff were trained to NVQ level 2. Irregularities were noted in the duty rota, for example, the hours worked by the manager and designations of staff had not been recorded. It was also not recorded who, on the days the cook was off duty, would be providing cover. There had been some improvements in the process of staff recruitment since the last inspection. However, there still remained issues to be addressed, in that, all staff must have a Criminal Record Bureau check or protection of vulnerable adults check before commencing work and all staff references must be available for inspection. Any poor references must be fully explored and a record kept of the outcome. One person said “Staff could not be better here, they are lovely”. Abbots Grange Residential Home DS0000065269.V355544.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): Standards 31, 32, 33, 35 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. There have been improvements in the management of the home, ensuring people receive a consistent quality of care through a consultation process. EVIDENCE: The manager has over 20 years’ experience in care and has completed NVQ level 3, D32 and D33 assessors. They said discussions had taken place with the company to commence NVQ level 4, Registered Manager’s award, as soon as possible. Abbots Grange Residential Home DS0000065269.V355544.R01.S.doc Version 5.2 Page 21 The manager is not yet registered with the CSCI but has submitted an application form for registration, which is being processed. The manager has been in post for less than a year and took over this home with a number of issues to be addressed. They demonstrated their awareness of their responsibilities and have made improvements in staff training, deployment of staff and recognise the need for further development. Positive comments were received both from professionals and relatives on the improvements made. One relative said “This is my first experience of residential care and you hear a lot of negative press coverage. I was very apprehensive of putting my mother in care, as I had looked after her at home myself until I could no longer cope. But my concerns have been put to rest as the standard of care has been brilliant, the staff and management are first class.” One person in the home said, “The manager is fantastic”. Staff meetings had taken place and, at interview, staff discussed the agenda. For example, the equipment needed to maintain health and safety and staffing hours and deployment. The views of people in the home were also sought, with the agenda consisting of future menu planning and activities. Monies held on behalf of people in the home were examined and were recorded appropriately. A quality assurance system had been put in place. Samples of questionnaires were available for examination. Health and safety records were maintained together with checks on equipment in the home and fire alarm testing. Staff had received training in health and safety and this was ongoing. Abbots Grange Residential Home DS0000065269.V355544.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 X 2 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 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 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 3 X 3 X X 2 Abbots Grange Residential Home DS0000065269.V355544.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 OP9 Regulation 13 Requirement Risk assessments must be completed for people in the home who wish to self-medicate. Medication must be stored, as directed by the pharmacists, in a designated fridge where temperatures are maintained and recorded for the health and welfare of people in the home. A professional assessment of need must be obtained prior to people being admitted into the home in order to ensure the staff and facilities in the home can meet people’s needs. Two references must be sought and made available for inspection and a Criminal Record Bureau checks undertaken prior to employment ensure the protection of people living in the home. Timescale for action 08/01/08 2 OP3 4/5 08/01/08 3 OP29 19 08/01/08 Abbots Grange Residential Home DS0000065269.V355544.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard OP1 OP27 OP12 Good Practice Recommendations The home’s statement of purpose and service user guide should state the categories and age range the home can provide care for and how people’s needs will be met. Staff duty rota should show the designations of people working in the home and the number of hours worked by the manager. Stimulation for people in the home should continue to be addressed to maintain improvements already made in daily life for people in the home. Abbots Grange Residential Home DS0000065269.V355544.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Manchester Local Office 11th Floor, West Point 501 Chester Road Old Trafford 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 Abbots Grange Residential Home DS0000065269.V355544.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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