Inspection on 30/10/06 for Ashgrove House

This inspection was carried out on 30th October 2006.

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

Ashgrove House 15/07/08

Ashgrove House 17/07/07

Ashgrove House 19/01/06

Ashgrove House 28/09/05

Ashgrove House 16/02/05

Ashgrove House 07/04/04

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 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Ashgrove House 72 Butterworth Lane Chadderton Oldham Lancashire OL9 8DX Lead Inspector Michelle Haller Unannounced Inspection 09:00 30 October 2006 th 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 Ashgrove House DS0000056308.V308624.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. Ashgrove House DS0000056308.V308624.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ashgrove House Address 72 Butterworth Lane Chadderton Oldham Lancashire OL9 8DX 0161 681 2183 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) Ashgrove House Care Ltd Mrs Denise Jordan Care Home 25 Category(ies) of Dementia - over 65 years of age (8), Old age, registration, with number not falling within any other category (25), of places Physical disability over 65 years of age (8) Ashgrove House DS0000056308.V308624.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 25 OP, up to 8 PD (E) and up to 8 DE (E). 19th January 2006 Date of last inspection Brief Description of the Service: Ashgrove House is situated in a residential area of South Chadderton. The home is close to local amenities such as shops, churches and schools. The home is a large Victorian House, which has recently been extended and refurbished to provide 32 single rooms, 28 with en-suite facilities. Bedroom accommodation is provided on the ground and first floors. There is a passenger lift to the first floor. Bathing facilities includes two assisted baths and two shower rooms. Easily accessible toilets are available on each floor. Communal areas include a large lounge and dining room and two smaller lounge areas one of which can be used by smokers. The home is set in pleasant landscaped gardens to the front a large courtyard style garden to one side. The home charges £314 - £335 each week. Ashgrove House DS0000056308.V308624.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection which included an unannounced site visit to the home was undertaken on 30th October 2006 over a period of eight and a half hours. The inspection process involved interviews with five service users and three relatives. One member of staff was also interviewed and in depth discussion with the manager and owners also occurred. Examination of five care files and all records and reports pertaining to these service users was undertaken. Other documents concerning the running of the home were also examined. A tour of the private and communal areas of the home was also undertaken and during the course of the day the interactions between staff and service users was observed. What the service does well: The home was welcoming, clean and warm. Service users appeared well groomed; they feel safe and able to make their views known directly to the manager and owners. Action is taken to promote the independence of service users and keep them safe and well. Ashgrove provides comfortable and spacious communal and private accommodation. The staff are friendly and service user feel that they are respected and listened to. The home gathers sufficient information about service user to make sure that they know how to meet their needs and also develops care plans that provide staff with the information required to meet those needs safely. The level of staff support available is good and a high standard of personal and health care is achieved. The owners and manager cooperate fully with the inspection process and foster good relationships between all involved with the home. The home continues to provide a high quality service in relation to diet, the environment and training offered to staff. Positive comments made by service user and their relatives: ‘I would say they give good care and communication is very good.’ Ashgrove House DS0000056308.V308624.R01.S.doc Version 5.2 Page 6 ‘The home is spotless- no smell.’ ‘Good atmosphere when I first came in it was like walking into home - very clean and everyone was really nice.’ ‘I find staff very good, good communication and the manager keeps us informed.’ What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Ashgrove House DS0000056308.V308624.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Ashgrove House DS0000056308.V308624.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement was made using available evidence including a visit to this service. The home makes sure that they receive adequate information about service users prior to their admission. EVIDENCE: Five care files and six customer enquiry forms were examined. All care files contained a needs assessment that provided information about the health, social and psychological needs of service users. The information was clearly written and identified care needs concerning personal and physical care, diet and weight, communication, falls and continence, medication and next of kin. Staff had also completed a social history indicating the family involvement, previous work experience and previous and current interests and hobbies. Ashgrove House DS0000056308.V308624.R01.S.doc Version 5.2 Page 9 The customer inquiry forms acted as pre-admission assessments and information recorded confirmed that services users or their representatives were encouraged to visit the home prior to moving in. These forms also demonstrated that the terms and conditions of residency and admission on a trial basis were discussed. Furthermore it was evident from these assessments that the manager would visit potential services users a part of the admission process. All service users were also provided with a ‘user friendly’ service user guide. Relatives who were interviewed confirmed that they had been given useful information about the home. They also felt confident that the facilities and services in the home were suitable prior to moving in. Comments concerning the choice of home included: ‘I brought…to visit a few times, and staff were very welcoming…staff are very obliging.’ Ashgrove House DS0000056308.V308624.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is adequate. This judgement was made using available evidence including a visit to this service. In general the home provides care staff with information in sufficient detail for them to know what actions they need to take in order to promote physical and psychological wellbeing of service users. The homes policies and procedures for dealing with the administration and storage of medication safeguards service users. The general wellbeing of service users is promoted through support and care that is provided in a flexible manner, by staff who respect their dignity and privacy. EVIDENCE: Five service users files were examined. All contained care plans that had been reviewed by the manager. Ashgrove House DS0000056308.V308624.R01.S.doc Version 5.2 Page 11 Four of the five care plans were detailed and provided specific information about the support service users required concerning of moving and handling, oral hygiene, personal care and specialist health intervention. Through these care plans it was also possible to track the specialist and routine health care provided to service users. There were two main improvements required in relation to health and social care plans and the written reports made by care staff. Specifically, in one case specialist care was not consistently highlighted and, in all cases, reports were not recorded in sufficient detail to assist with monitoring the progress of service users. As a result of this there was a risk that specific observations were not undertaken and changes in needs could be overlooked. These issues were discussed with the manager who agreed to make sure that records related to care plans and were completed more frequently immediately. Care plans had been reviewed but the home needs to demonstrate that service users or their relatives are involved in the process if substantial changes have taken place. The manager stated that the CSCI Pharmacy Inspector had inspected the homes medication policies and practices and had not made any recommendations. On the day of inspection the medication record sheets were examined and no problems were noted. Observation of staff and service user interaction throughout the day confirmed that service users were treated with respect and discretion at all times. Service users commented that ‘Workers are very good’ and ‘Staff are very obliging and caring’, ‘Staff are gentle’. Staff commented that one of the things they liked about the home was that service users could have a bath or shower whenever they wanted or if they couldn’t ask they were encouraged to have frequent baths each week. Ashgrove House DS0000056308.V308624.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13, 14, and 15 Quality in this outcome area is good. This judgement was made using available evidence including a visit to this service. The home provides service users with the opportunity to experience a varied lifestyle that match their expectations in groups and as individuals thereby reducing boredom and promoting continued physical, social and psychological development. The home ensures that service users maintain contact with relative’s friends and the local community. Service users are well nourished receiving balanced and varied diet that satisfies their taste and choice. EVIDENCE: Discussion with service users, their representatives and staff indicated that activities provided are varied and culturally appropriate although there had been reduction in activities taking place recently. The manager stated that she had now designated two members of the care staff to co-ordinate activities for service users. Ashgrove House DS0000056308.V308624.R01.S.doc Version 5.2 Page 13 A number of service users who were interviewed stated that though they didn’t always participate they were aware of activities such as arts and crafts, entertainers, floor games, board and tabletop games that happened on a regular basis. The manager acknowledged that due to the refurbishment the range of activities had reduced, however she was keen to state that reestablishing a varied daily program was a priority and her intention to allocate two carers to the task confirmed this. Examination of the activities book evidenced that the hairdresser attended weekly, service users continued to go out shopping, and service users were supported in acknowledging significant events and celebrations such as Birthdays. During the course of the inspection it was noted that equipment and games were readily accessible. Furthermore staff were observed talking with and having discussions with service users about the past. At a previous inspection service users had commented that there were insufficient excursions, to date this issue has not been addressed. Comments made by service users concerning activities included:’ I have been offered activities but I don’t usually want to join in.’ Comments from relatives indicated that staff attempted to promote socialisation between service users and support them in carrying out activities and maintaining hobbies they enjoy. ‘They attempted to introduce …… to people who …could talk to and also borrowed talking books.’ And ‘The activities have helped her to settle, she enjoys dominoes and arts and crafts.’ Services users and their representatives were keen to confirm that visiting is unrestricted. Records indicated that the majority of vegetables and meat dishes are prepared from fresh ingredients. The food larder continued a wide variety of well-known good quality branded foods. The fresh fruit and vegetable order list was exemplary in its indication of the variety offered to service users. The menus at Ashgrove are rotated monthly and dishes included Cereal, porridge, grapefruit, cooked breakfast, toast and marmalade at breakfast, cottage pie, steak and mushroom and other traditional meat and fish dishes for lunch. At teatime a choice of pork pies, sausages, corned beef hash, crumpets and other meals were on offer. Afternoon tea in the home always included a selection of cakes and biscuits. The meal on the day of inspection was a choice of lamb steak or home made cheese pie, both served with fresh vegetables. Dessert was home made sponge with custard. The quality of the diabetic food options was in keeping with the quality of the main menu. Ashgrove House DS0000056308.V308624.R01.S.doc Version 5.2 Page 14 The service user and their relatives commented ‘The food is good’; ‘I get more than I need.’ And ‘She enjoys the meals and they get a choice at lunch and tea-time.’ The meals that were seen were well presented and the dining areas are clean, comfortable and pleasant to use. Staff were observed supporting service users who needed assistance in a dignified manner and with patience. Ashgrove House DS0000056308.V308624.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is adequate. This judgement was made using available evidence including a visit to this service. The home ensures that complaints are taken seriously and that service users are protected from abuse. EVIDENCE: The home’s complaint procedure was examined in detail and found to provide sufficient information to enable service users or their representatives to make complaints. Service users or relatives who had been spoken to had made no complaints. Each person was confident, however, that they could speak to the manager or owner about any complaints or concerns and they were certain that these would be taken seriously. Comments included’ The communication is very good’ and ‘If I had any complaints I’d just tell them and everything would be seen to- we are quite happy.’ During a previous it was noted that staff had received adult protection training. Discussion with the care staff confirmed that this training was ongoing. Staff was able to give a detailed description of the treatment and behaviours that could be considered as abuse. They were also clear about the actions to be taken to reduce the risk or deal with any suspicions. The manager stated that an independent training organisation was providing the care staff with adult protection training. Ashgrove House DS0000056308.V308624.R01.S.doc Version 5.2 Page 16 During discussion it was also suggested that the manager may benefit from attending or being aware of the training provided by Oldham social services, as this links in with the adult protection protocol agreed by statutory services in the area. In addition the inspection it was noticed that a copy of the Oldham Adult protection policy was readily available in the office. Ashgrove House DS0000056308.V308624.R01.S.doc Version 5.2 Page 17 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 the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement was made using available evidence including a visit to the service. The home provides clean, comfortable and flexible private and communal living areas. Specialist equipment is provided as required. EVIDENCE: In the course of inspection a tour of the internal building was undertaken. Since the last inspection the home has had an extension added and areas of the home have been refurbished and modernised. An additional dining and separate lounge has been provided. A total of seven additional bedrooms have been built, all with en-suite facilities. Ashgrove House DS0000056308.V308624.R01.S.doc Version 5.2 Page 18 Furthermore all pre-existing bedrooms that were large enough have had ensuite facilities installed. The five remaining rooms are situated close to communal toilets and have been fitted with sinks and vanity units. All bedrooms were inspected; these were clean and free from unpleasant odours. The en-suite areas were also clean. The bedrooms are decorated in subtle pastel shades, service users were observed enjoying both their bedrooms that had been personalised according to the service users wishes. All the radiators in the home have been covered and the temperature of hot water in the bedrooms and bathrooms was governed to maintained a safe temperature. The heating system in the home is new and under guaranteed. The corridors were clean and free from unpleasant odours. The lounge and dining areas were clean, nicely decorated and the furnishings were free from stains, clean and in good repair. Service users were observed accessing all areas of the home using aids and equipment provided. Hoists and other aids where observed in the bathrooms and en-suite areas of the home. There are two assisted shower rooms and two assisted bathrooms. All these areas were clean and warm. The kitchen and laundry have both been modernised and the equipment in keeping with national minimum standards. The manager stated that kitchen hygiene had been assessed as satisfactory under the Safer Food Better Business initiative led by the local Environmental Health Agency. All parts of the home that were inspected were clean and free from unpleasant odours or stains. Ashgrove House DS0000056308.V308624.R01.S.doc Version 5.2 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement was made using available evidence including a visit to the service. Staff in the home are able, motivated and supported in providing good care to service users. The home’s recruitment and selection process is robust and provides good protection to service users. EVIDENCE: The staffing ratio in the home is currently 5 care staff plus the manager during the day and 3 staff wake and watch at night. This appeared satisfactory in relation to the numbers and care needs of service users. In addition the owners also take an active role in the running of the home. All long established staff have either attained the NVQ level 2 in care award and all others have commenced this training. Certificates demonstrated that staff are well trained. There is a rolling programme of training and in the past year training in the following areas has been provided: moving and handling, pressure area management, dementia care level 2, challenging behaviour, identifying abuse, health and safety, food hygiene, sensory impairment, infection control, Oral hygiene, fire safety and NVQ levels 2 and 3. Both cooks have achieved the NVQ level 2 award in Catering and Hospitality. Ashgrove House DS0000056308.V308624.R01.S.doc Version 5.2 Page 20 The majority of staff who were on duty on the day of inspection had been interviewed previously and felt they had little to add except to reiterate that they received training to help them do their jobs and that the manager was very approachable and aimed to provide the best support for service users. The most recent recruit was interviewed and all her observations were positive and complimentary about care in the home, the facilities, working conditions and training. She confirmed that she felt that the manager was generous in relation to activities, food and training for staff. There continues to be a low turnover of staff in the home however additional staff, including one male, has been employed in relation the home increasing its numbers from 25 to 32 residence. The staff files of the recent recruits were examined- all contained evidence that Criminal Record Bureau (CRB) checks had been completed, two references, interview notes, a photograph and additional proof of identity and completed induction training records were also on file. Ashgrove House DS0000056308.V308624.R01.S.doc Version 5.2 Page 21 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 Quality in this outcome area is good. This judgement was made using available evidence including a visit to this service. The home is run in a manner which is safe and that enables service users to get the best out of residential care, however more consideration is necessary to ensure all service users are given the opportunity to participate in the quality assurance system. Service users money is accounted for in a manner that ensures the opportunity for fraud is minimised. EVIDENCE: Service users and their families stated that the manager and proprietors of Ashgrove are very approachable and interested in their opinion. Minutes and notes of staff meetings demonstrate that they are a listening team. Comments included: ‘I have nothing but admiration for them.’ Ashgrove House DS0000056308.V308624.R01.S.doc Version 5.2 Page 22 The homes quality assurance system has been assessed as satisfactory, however more effort is required to ensure service users with memory loss are given the opportunity to comment. Observations made and comments received throughout the day have been positive. Staff continue to complete an exit form when they leave and comments have been positive, with each person wishing to return. The Royal Bank of Scotland manages the money for residents who have not made alternative arrangements. Money used for day-to-day expenditure is fully accounted for through the keeping of receipts and maintenance of accounting records. The manager has achieved NVQ level 4 in Management and certificates evidenced that she continued to improve and update her knowledge and practice concerning residential care, older people and management of staff through attending conferences and courses. Service users, their representatives and the staff all confirmed that the management style and ethos of the home enabled frank discussion and innovation in relation to the running of the home. Records and receipts confirmed that equipment used in the home is checked and maintained in accordance with the manufactures recommendations. A fire safety inspection has recently been undertaken by a suitably qualified consultant and all recommendation were completed. The home has developed health and safety policies and guidelines concerning aspects of safe working practices, for example dealing with dirty linen and wearing of overalls and gloves. Appropriate posters promoting safe working practices and infection control were observed in the kitchen and the laundry room. Ashgrove House DS0000056308.V308624.R01.S.doc Version 5.2 Page 23 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 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X 3 4 STAFFING Standard No Score 27 3 28 4 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 Ashgrove House DS0000056308.V308624.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard OP33 OP12 OP7 Good Practice Recommendations The registered person should ensure that service users are fully involved in the quality assurance system that is used by the home. Activities need to be more varied to meet individual needs. Care plans need to be completed in more detail and show service user and/or relative involvement. Ashgrove House DS0000056308.V308624.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD 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 Ashgrove House DS0000056308.V308624.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. 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. 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