Inspection on 11/05/07 for Attwoods Manor

This inspection was carried out on 11th May 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Attwoods Manor 04/06/09

Attwoods Manor 16/05/08

Attwoods Manor 07/06/06

Attwoods Manor 16/09/05

Attwoods Manor 22/04/05

Attwoods Manor 24/11/04

Attwoods Manor 27/07/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Attwoods Manor Mount Hill Halstead Essex CO9 1SL Lead Inspector A Thompson Key Unannounced Inspection 11th May 2007 10:30 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 Attwoods Manor DS0000017756.V340184.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. Attwoods Manor DS0000017756.V340184.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Attwoods Manor Address Mount Hill Halstead Essex CO9 1SL 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) 01787 476892 01787 477769 attwoods.manor@virgin.net Golden Age Management Limited Mrs Gina Juniper Care Home 42 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (42) of places Attwoods Manor DS0000017756.V340184.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Persons of either sex, aged 65 years and over, who require care by reason of old age only (not to exceed 42 persons) Persons of either sex, aged 65 years and over, who require care by reason of dementia (not to exceed 10 persons) The total number of service users accommodated in the home must not exceed 42 persons 7th June 2006 Date of last inspection Brief Description of the Service: The owner of Attwoods Manor is Golden Age Management Limited and the registered manager is Gina Juniper. Attwoods Manor is situated approximately one mile from the town of Halstead. This is a large detached period property set within approximately three acres of grounds. Work was underway at the rear of the home on the construction of a large extension. This had resulted in the loss of two single bedrooms. The ground floor still comprises of twelve bedrooms (eleven singles and one double), with a reduced twenty-six bedrooms on the first floor (twenty-three singles and two doubles). Communal rooms have also been affected by the building works. This had not resulted in any reduction in the number of communal rooms (five), but one is now used as a combined lounge/diner as the original large lounge has been reduced in size. There is ample car parking facilities at the front of the house. The grounds are well maintained and pathways around the home are designed for the use of wheelchairs and other mobility equipment, although some areas were not accessible due to the building works. An attractive patio area at the front of the house is an ideal area for service users to use and to meet visitors. The home is registered for 42 older people who need residential care including 10 places for people who have dementia. As at 11th May 2007, the manager advised that the fees for accommodation ranged from £434.61 to £600.00 per week. CSCI inspection reports are available from the home and the CSCI internet website. Attwoods Manor DS0000017756.V340184.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection took place on Friday 11th May 2007. The content of this report reflects the inspector’s findings on the day of the inspection along with information provided by the service and feedback by service users, relatives, staff and other parties. Practice and procedures occurring after this inspection will be reported on in future inspection reports. Random samples of records, policies and procedures were inspected and a tour of parts of the premises and grounds took place. Discussions took place with service users, visitors, the manager, administrator and staff. Several residents were unable to express any views on the service owing to their diagnosed dementia. Those spoken to who did have a view confirmed they were generally satisfied with the care they received and with the quality of the food and accommodation offered. CSCI questionnaires were seen available in the entrance lobby of the home for relatives to complete, to ensure they had the opportunity to make their views on the service known to the Commission. Relatives spoken with on the day said they were satisfied with staff attitudes, and with the care and support provided to residents. Written feedback was also positive about the staff and of the range of activities offered residents. There were some comments suggesting that improvements to the grounds and driveway would be beneficial. Staff confirmed they received support from management. They also confirmed that they had been offered training appropriate to their role. Twenty-six standards were inspected and the outcomes for residents against these standards were good or adequate. There were seven requirements and two recommendations relating to the adequate outcomes. What the service does well: Meals are varied, well balanced and nicely presented offering choice and variety and liked by residents. Visiting arrangements are flexible with people able to come and go as they wish. Attwoods Manor DS0000017756.V340184.R01.S.doc Version 5.2 Page 6 The atmosphere in the home was friendly and relaxed. A good range of activities are available to residents on a daily (Mon-Fri) basis. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Attwoods Manor DS0000017756.V340184.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 Attwoods Manor DS0000017756.V340184.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Admission processes ensure that residents can be confident that the home considers they can meet their needs. EVIDENCE: Care plans evidence that pre-admission assessments are carried out by the manager. Assessment headings included personal and healthcare needs. Not all had been signed and dated. This report includes a recommendation on this point. The manager and staff spoken to confirmed that in the majority of cases, prospective residents and/or their relatives take the opportunity to visit the home to see for themselves the facilities available, to have a meal if they want and to ask questions about the services provided. Attwoods Manor DS0000017756.V340184.R01.S.doc Version 5.2 Page 9 A range of information was available in the entrance hall that included the home’s statement of purpose, service user guide. Attwoods Manor DS0000017756.V340184.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Care plans had not been regularly reviewed and therefore may not provide up to date information on the health, personal and social care needs of residents. Residents were treated with respect. EVIDENCE: Three care plans were inspected. Each included background information, personal details, next of kin contacts and a daily living assessment. From this there were agreed objectives, daily needs and required staff interactions. Also included were daily care notes, weight checks and risk assessments on pressure care and dependency levels. Care plans had not been regularly reviewed, this was a shortfall identified at the last inspection and needs addressing. This report includes a statutory requirement of this issue. The manager did advise that a new member of staff is due to commence working at the home who will be responsible for assisting her with tasks such as care plan reviews. Attwoods Manor DS0000017756.V340184.R01.S.doc Version 5.2 Page 11 District Nursing services support the home on a daily basis with residents healthcare needs and hold twice weekly ‘surgeries’ on site. Pressure care needs were recorded in care plans. A dentist visits the home, as does a chiropodist, optician and a hairdresser. Some residents continue to see their dentist in the community. Only one GP surgery serves the home although two different GPs actually visit. Residents may keep their own GP if the practice agrees. The manager said that the home has a good relationship with the GPs and District Nurses, GPs will visit whenever requested. Continence advice is through the local continence nurse at the GP surgery, and one senior carer in the home is the ‘link’ person on this subject. There is also a Diabetic Nurse accessible via the GP surgery. The homes medication policy and procedure covered ordering, receipt, storage, administration and returns of unused stocks. Staff who administer medication had received training which covered safe handling practice and a competency assessment. The home had used two different routes for staff medication training, the pharmacist and a local college. Certificates of completion had been provided, and were seen, for the pharmacist training. Evidence of the college ‘safe handling of medication course’ for four staff who had completed this course over four months, had not yet reached the home. Medication administration records were checked and were acceptable. The senior on duty was again able to talk confidently about the system, procedures and expectations of her as responsible for administration of medication. Discussions with individual residents indicated that they were treated with respect by staff, as did observation of staff going about their duties and interactions with residents. Staff on duty were seen to be courteous, caring and professional in their dealings with residents, and residents spoken with said staff were helpful and considerate. Visitors spoken with were also complimentary regarding staff attitudes and the care provided. Attwoods Manor DS0000017756.V340184.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides flexible routines and a lifestyle that enables residents to make choices and to engage in their interests. Residents’ health and welfare is promoted by the provision of a varied and balanced diet. EVIDENCE: Since the last inspection a new activities co-ordinator had been employed to work 10-4 Mondays-Friday, and the previous co-ordinator continues to work at the home on two afternoons a week. Records of the interests participated in had been kept and included: reminiscence, 1-1 chats, ball games, cards, games, puzzles, flower arranging, bingo, quizzes, table games, nail care, baking, art & crafts, singalongs and entertainers. A weekly plan of events was seen displayed in the entrance hallway. Residents spoken with said they were satisfied with range of activities offered. Some said they take part in most events and some said they like to choose when they will join in. Written views received by CSCI from relatives were complimentary about the range of activities offered. Attwoods Manor DS0000017756.V340184.R01.S.doc Version 5.2 Page 13 Residents spoken with about the food provided said it was good. A choice is available and specialist diets are provided, for example for people who are diabetic. Menus seen evidenced that a good and nutritious range of meals are offered, this included fresh fruit and vegetables and cooked breakfasts. The manager also confirmed that snack items are always available at night for residents who may require a late supper or snack during the night. Daily nutrition records were inspected. Not all were available, although the cook confirmed that these are completed daily. Unfortunately as these were not seen this report includes a statutory requirement on this issue. Visitors spoken with said they were always made welcome by staff and could visit at different times of the day. Inspection of private rooms confirmed that residents had been permitted to bring their own personal items with them on admission. There was also confirmation of this direct from residents, who told the inspector of the furniture and personal items they had been permitted to bring in with them. Attwoods Manor DS0000017756.V340184.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Practices in the home safeguard residents, and ensure that concerns are listened to and addressed. EVIDENCE: The home has a complaints procedure, which is included in the statement of purpose. A complaints/compliments book is kept in the main entrance hall and is available for visitors and residents to use. None of the residents spoken to said that they had any concerns or complaints to make about the home and no complaints had been recorded since the last inspection. The written procedures seen included timescales for responding to a complainant. Records of compliments had been kept, and were seen. The home had a policy and procedure on the protection of vulnerable adults from abuse and guidance documents produced by Essex County Council. Training certificates were available to show that staff had attended training on the protection of older people from abuse. The most recent were dated June 2006. Attwoods Manor DS0000017756.V340184.R01.S.doc Version 5.2 Page 15 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): 19,20,21,23,24,25,26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Furnishings in the home looked comfortable but work to redecorate and refurbish some communal areas needs to take place. The premises were accessible, appeared safe but not all facilities were available for use. EVIDENCE: The home was clean, tidy and free from unpleasant odours. Those bedrooms seen were comfortable and made homely with people’s personal possessions. Some areas of communal corridors and doorways had damaged/chipped paintwork. This report includes a recommendation that re-decoration takes place to improve the appearance of these areas. Attwoods Manor DS0000017756.V340184.R01.S.doc Version 5.2 Page 16 The home has sufficient toilet facilities. There are four bathrooms but only one in use at the time of this inspection provided appropriate hoist facilities. This is not sufficient for the numbers of people living in the home who may need assisted bathing, and may result in residents being offered infrequent baths. The manager advised that the new extension will provide new and improved bathing options. However timescales for this improvement are not known. This report includes a statutory requirement on the current shortfall. The laundry was not viewed but the manager later advised there had been no changes to this area since the last inspection. Communal space has altered since the last inspection due to the building works underway. This has not resulted in any reduction to the numbers of rooms available, but there was a reduction to the overall space in use. This situation is temporary until the new extension is completed. The wall coverings in some areas of lounges and dining rooms had been stripped because of the alterations and some carpets had been damaged. The manager confirmed that these areas are soon due to be re-decorated and re-carpeted to make good the damage caused. Gardens available to residents were mainly at the front with a patio on one side and a small enclosed garden opposite. The front garden was well maintained, building works had restricted any access to the rear garden. Residents spoken with said they were satisfied with their rooms and that they were warm and comfortable. Some written comments were received by CSCI from relatives after this visit, that related to the environment. These included a suggestion for more seating in the garden and for better lighting in the driveway. Attwoods Manor DS0000017756.V340184.R01.S.doc Version 5.2 Page 17 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): 27,28,29,30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staffing levels met the needs of residents, but staff had not been given induction training to equip them for their role. EVIDENCE: The staff rosters still showed that when the manager is on duty she is still included on the roster as a carer. To determine the staff numbers required in a care home, the manager’s hours are excluded in recognition of the need to undertake managerial duties that include the supervision of staff and assessment of residents’ needs. The manager must therefore be supernumerary to the care staff for a number of shifts each week. This issue is on-going since the last inspection. The manager advised that a new member of staff was due to commence work in June 2007 to provide assistance with administrative tasks. However it was not clear whether this will lead to the manager becoming supernumery, and so this report includes a repeat statutory requirement on this situation. Current daily staffing levels were shown as five carers on mornings (including the manager), five on afternoons and three on waking night duties. Separate staff are employed to undertake cooking, domestic, activities, maintenance, domestic and administrative duties. Attwoods Manor DS0000017756.V340184.R01.S.doc Version 5.2 Page 18 Staff records and discussion with staff evidenced that application forms had been completed, interviews held, references obtained, written terms & conditions issued and criminal records checks undertaken. Copies of proof of ID and photographs were also on file. The manager advised that eight carers have the NVQ 2 award or equivalent. This met the recommended 50 of carers with this qualification, (the home had thirteen carers employed at the time of this inspection). Evidence of qualification certificates were seen for some of those who had passed this training. New staff should undergo the home’s own induction programme. However this had not taken place on all new staff employed since the last inspection, and there is a statutory requirement on this in this report. The requirement also includes that in future all new employees will undertake the updated (2006) Skills for Care Common Induction Standards. This involves a six modular package of training overseen by the manager. Records of this process will be checked at the next inspection. Records of staff training and discussion with staff confirmed that staff had been trained in first aid, POVA and abuse awareness, food hygiene, manual handling, medication, fire safety and equality & diversity. Attwoods Manor DS0000017756.V340184.R01.S.doc Version 5.2 Page 19 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): 31,33,35,36,37,38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home had been run and managed efficiently. Procedures for gaining the views of residents and relatives were in place but had not been fully implemented to ensure the views of service users were listened too. EVIDENCE: The manager has several years experience of managing a care home for older people and has attained a Registered Managers Award. The current staffing arrangements do not permit the manager sufficient time to carry out her full managerial duties effectively. Staff spoken with said the manager was supportive and approachable. Attwoods Manor DS0000017756.V340184.R01.S.doc Version 5.2 Page 20 The home has a Quality Assurance (QA) system in operation. A survey of relatives to gauge their opinions about the services provided was carried out in 2006. The manager has received a total of fifteen responses but a summary of the feedback had not been published. Service users must also be included in the QA process and a copy of the report must be submitted to CSCI, and must also be made known to those who took part in the process. This is shortfall and has resulted in a statutory requirement. The home’s policy is that the manager does not look after residents’ money for safekeeping. The procedure is that the administrator invoices the residents’ relatives direct for any expenditure and monies owed. Invoices and receipts relating to this process were presented for inspection but were not scrutinised. Some residents had retained full control of their own finances. The home had a procedure and recording templates for staff supervision meetings. Unfortunately this had not been followed and staff had not received formal, regular recorded supervision. This is a shortfall and has resulted in a statutory requirement. Certificates and service records were available for inspection to confirm that the home’s fire equipment & alarms, passenger lift, gas supply, portable electrical appliances and electrical installation supply had all been tested/ serviced within recommended timescales. Staff had been trained in first aid, food hygiene and manual handling. Hot water is regulated at or near to 43 degrees celcuis. The home also carries out manual checks to try to ensure valve accuracy. Evidence of manual checks were seen. Attwoods Manor DS0000017756.V340184.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 2 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 2 X 3 3 3 3 STAFFING Standard No Score 27 2 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 2 2 3 Attwoods Manor DS0000017756.V340184.R01.S.doc Version 5.2 Page 22 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. Standard OP7 Regulation 15 Requirement Residents care plans must be reviewed regularly. This is a repeat requirement. To meet the needs of residents the home must have more than one assisted bathroom available for use. The manager must organise the staff roster to ensure that the majority of her working hours each week are supernumerary to the care staff. This is a repeat requirement New staff must receive documented and structured induction training, which is based on the Skills for Care common induction modules. Timescale for action 01/07/07 2. OP19 OP21 23 01/08/07 3. OP27 18 01/07/07 4. OP30 18 01/07/07 5. OP33 24 Quality assurance surveys must 01/08/07 include residents views and the results of the whole quality assurance process must be made available to those taking part, and to the Commission. Attwoods Manor DS0000017756.V340184.R01.S.doc Version 5.2 Page 23 6. OP36 18 All staff must be appropriately supervised and receive regular formal recorded 1-1 supervision. Daily nutrition records must be available for inspection. 01/08/07 7. OP37 17 schedule 4 para 13 30/06/07 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. Refer to Standard OP3 OP19 Good Practice Recommendations Pre-admission should be signed and dated by the person undertaking the assessment. Re-decoration should take place in communal corridors and doorways to improve the internal appearance of the home. Attwoods Manor DS0000017756.V340184.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Attwoods Manor DS0000017756.V340184.R01.S.doc Version 5.2 Page 25 - 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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