Inspection on 25/09/08 for Caradoc House

This inspection was carried out on 25th September 2008.

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

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

Caradoc House 18/08/09

Caradoc House 10/10/07

Caradoc House 16/04/07

Caradoc House 29/11/06

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 16/12/2008.

CARE HOMES FOR OLDER PEOPLE Caradoc House Ludlow Road Little Stretton Church Stretton Shropshire SY6 6RB Lead Inspector Rebecca Harrison Unannounced Inspection 25th September 2008 10:05 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 Caradoc House DS0000068051.V372279.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. Caradoc House DS0000068051.V372279.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Caradoc House Address Ludlow Road Little Stretton Church Stretton Shropshire SY6 6RB 01206 241 085 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) Supercare (UK) Ltd Manager post vacant Care Home 14 Category(ies) of Old age, not falling within any other category registration, with number (14) of places Caradoc House DS0000068051.V372279.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home Only (Code PC) To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Old age, not falling within any other category (OP) 14 The maximum number of service users who can be accommodated is: 14 10th October 2007 Date of last inspection Brief Description of the Service: Caradoc House is registered with the Commission for Social Care Inspection to provide accommodation and personal care for up to 14 people over the age of 65. At the time of the inspection eight people were living at the home. The home is situated in Little Stretton, one mile south of the Market town of Church Stretton. Accommodation is provided over two floors and a stair lift and ramp is available to aid access. The home provides ten single bedrooms and two double bedrooms, en-suite facilities are not provided. A communal lounge and separate dining room are located on the ground floor and a small seating area and car parking is provided at the front of the property. The second floor of the building provides living accommodation for the owner. People who use the service and their representatives are able to gain information about this home from the Statement of Purpose and Service User Guide. Inspection reports produced by CSCI are displayed in the reception area of the home for people to read. These are also available on our website at www.csci.org.uk The current fees charged are £350.00 to £360 per week. Additional charges are made for newspapers, toiletries, dry cleaning, chiropody and hairdressing. This information applied at the time of the inspection and the reader may wish to obtain more up to date information direct from the care service. Caradoc House DS0000068051.V372279.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. One inspector carried out the inspection over six and a half hours. A range of evidence was used to make judgements about the service to include discussions with all of the people who use the service, three staff on duty, two visiting relatives and the proprietor. The manager was not present at the inspection but spoke with us over the telephone. We also did a tour of the home, reviewed the homes quality assurance processes and observed the care experienced by people using the service. A number of records were reviewed to include care records held on behalf of two people, complaints and protection, staff training, recruitment and health and safety records. Two people who live in the home were ‘case tracked this involves establishing individuals experience of living in the care home by meeting them, discussing their care with staff, looking at care files and focusing on outcomes. Tracking people’s care helps us understand the experiences of people who use the service. Prior to this inspection an Annual Quality Assurance Assessment (AQAA) document was sent to the manager for completion. The AQAA is a selfassessment and a dataset that is filled in once a year by all providers. It informs us about how providers are meeting outcomes for people using their service and is an opportunity for them to share with us areas that they believe they are doing well. By law they must complete this and return it to us within a given timescale. We did an unannounced random inspection of the home in January 2008 and a copy of this report can be obtained direct from the provider. The main purpose of the visit was to follow up the concerns we had regarding the homes recruitment practices and medication procedures, which have placed people at risk of harm as highlighted at previous inspections of the service. The findings were positive and the provider had complied with all of our previous requirements. The inspection reviewed all twenty two of the key standards for care homes for older people and information to produce this report was gathered from the findings on the day and also by review of information received by CSCI prior to the inspection date. A quality rating based on each outcome area for service Caradoc House DS0000068051.V372279.R01.S.doc Version 5.2 Page 6 users has been identified. These ratings are described as excellent/good/adequate or poor based on findings of the inspection activity. What the service does well: What has improved since the last inspection? What they could do better: The service should involve people using the service with planning for their care. Care plans require further development to ensure people living at Caradoc House receive their care how they prefer and ensure that they are supported by staff in a consistent manner. Assessments for risk such as falls and manual handling should be reviewed monthly in conjunction with care plans and updated to reflect any changes. Caradoc House DS0000068051.V372279.R01.S.doc Version 5.2 Page 7 Many people told us that they would like greater opportunities to partake in structures activities, outings and events if they desire. Although staff have received training in adult protection it is evident that they are not fully conversant with the local safeguarding adult procedures. This must be addressed immediately for the greater protection of people. The procedures for safekeeping of monies held on behalf of people must be robust with evidence of regular auditing. People told us they were happy with their meals overall however menus should be reviewed in conjunction with people living at the home to ensure people receive a varied, balanced and nutritious diet in line with their preferences and dietary needs. The home has been without a registered manager for a significant period of time, therefore an application for registration must be submitted without any further delay. 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. Caradoc House DS0000068051.V372279.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 Caradoc House DS0000068051.V372279.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): 1 and 3 (standard 6 does not apply to this service) Quality in this outcome area is adequate Information about the service is made available to prospective service users to help them make an informed choice about whether the home is able to meet their individual needs. An assessment of a prospective service users needs is undertaken or obtained and people are given the opportunity to visit the home to ensure the service is right for them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Prospective service users and existing residents are provided with information about the service through the Statement of Purpose and Service User Guide. The manager is in the process of reviewing and updating both documents to ensure they meet our requirements and provide people with information to help them understand the services that the home provides. Caradoc House DS0000068051.V372279.R01.S.doc Version 5.2 Page 10 At the time of the inspection eight people were resident. There have been no new permanent admissions since our last inspection. One person was admitted for short-term care and an assessment of need was undertaken to ensure the home was able to meet the person’s needs. The home has an admissions procedure in place and care management assessments are obtained where required. Caradoc House DS0000068051.V372279.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is adequate People living at Caradoc House have a care plan in place however these require more detail so that staff have all the information they need to ensure people get the care they need in the way they prefer and demonstrate that the person, or someone close to them, has been involved in the development of them. People who use the service are safeguarded by the home’s system for handling, storing and administering medication. The principles of respect, dignity and privacy are put into practice ensuring people are treated as individuals. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People we spoke with told us that they were satisfied with the care they receive. The three care plans sampled were not completed using a person centred format and lacked detail about how individuals prefer their care to be Caradoc House DS0000068051.V372279.R01.S.doc Version 5.2 Page 12 delivered. For example the exact level of ‘assistance’ a person requires with personal care tasks should be identified to ensure people receive their care in a consistent manner. Assessments for risk such as falls and manual handling were available however these should be reviewed monthly with peoples care plans and updated to reflect any changes. People living at the home told us that daily routines are flexible in accordance with their preferences such as rising and retiring to bed. Records held for the people we ‘case tracked’ evidence that their health needs are monitored and kept under review and that the home arranges for health professionals to visit as required, for example the district nurses for wound care. Appointments and outcomes are recorded on the records held on file. Discussions with two visiting relatives indicated that they are satisfied with the care their relatives receive. Medication procedures were examined in depth at the random inspection undertaken in January and the provider had made many improvements following advice from our Pharmacist Inspector. A monitoring record was introduced to record quantities of PRN medication held for individuals, which continues to be working well. Medication is now supplied in blister packs providing greater protection for people. A staff signatory form has also been devised for staff responsible for administering medication. We briefly examined medication procedures at this inspection and these appeared satisfactory. It was reported that only staff that have undertaken training in the safe handling of medicines are permitted to administer medication. Respecting people privacy, dignity and rights is documented in the homes Statement of Purpose and Service User Guide. Observations made and discussions held with people using the service indicated that this is upheld. The assistant manager knocked on people’s bedroom doors prior to entry during a tour of the home and discussions with several people evidenced that this is upheld and people respected. A staff member was able to share several examples of good practice. Caradoc House DS0000068051.V372279.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome area is adequate People living at Caradoc House are enabled to keep in contact with family and friends but may benefit from greater opportunities to develop and maintain their social and recreational interests so that they can lead their life in a chosen way. People who use the service receive a varied diet but this is not always healthy or in line with their preferences. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who were able to mobilise independently were observed to access all parts of the care home as they chose. People using the service told us they enjoy some of the activities that are now available at the home but would welcome more opportunities for structures activities, outings and events. One person, who has a visual impairment, told us that she enjoys the service provided by Talking Books. Two people accessed a local day service for part of the day during the inspection and some people enjoyed a name game activity. Currently the home does not provide a planned programme of activities for people to opt in of out of but musical activities from external sources are Caradoc House DS0000068051.V372279.R01.S.doc Version 5.2 Page 14 provided once a fortnight and birthdays are celebrated. A mobile hairdresser visits fortnightly and people we spoke with indicated that they enjoy using this service. Visiting hours are flexible and people are made welcome. We spoke with two visiting relatives who stated ‘Staff are very nice and very good’ ‘Staff are approachable’. Both relatives were satisfied with the care their relatives receive. People told us that they are happy with the food generally although one person said they don’t enjoy eating sausages or pies. People have recently completed satisfaction surveys as part of the homes quality assurance processes and some comments indicated that people would like a greater choice. The menu reflected the meals served on the day however we feel the menu needs to be reviewed, as the menu is not balanced, nutritious or healthy. For example chips were seen recorded three times in one week. Food stores were sparse and people did not know what the meal was until it was put in front of them. Caradoc House DS0000068051.V372279.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is adequate People living at Caradoc House have access to a complaints procedure, which is accessible to them and their representatives if they need to make a complaint. Although staff and managers have received training in adult protection they are unfamiliar with the referral process, which potentially places people at risk. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People we spoke with told us they know who to complain to if they were unhappy with the service they or their relatives receive. The home has a complaints procedure in place and this is displayed in the hallway and available in the Statement of Purpose and Service Users Guide. We received a concern from a person, who chose to remain anonymous, regarding some practices and we referred this to the provider to investigate. We were satisfied with the response provided. Two people living at the home have complained about the conduct of one staff member and a referral under local safeguarding procedures was made and a meeting held. The provider took action and the case was closed. The home has a copy of the local multi-agency safeguarding adult policy and procedure and although staff and managers have undertaken adult protection Caradoc House DS0000068051.V372279.R01.S.doc Version 5.2 Page 16 training the findings of this inspection evidenced they do not demonstrate a clear understanding of the referral procedures. There was evidence that on one occasion it would have been appropriate to refer an incident but managers had chose to deal with this themselves. This was fully acknowledged by the provider during the inspection, who has committed to adhere to the local procedures as required. We have also advised Shropshire County Council’s Adult Protection Chairperson of our findings. Caradoc House DS0000068051.V372279.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good People living at Caradoc House are provided with a clean, comfortable and homely place to live where they feel safe and secure. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People told us that they enjoy living at the home and that they find their rooms comfortable. One person said ‘I couldn’t be anywhere nicer’. Accommodation is provided over two floors with all but two rooms being single. En-suite facilities are not provided. Communal areas include a lounge and a dining room. The home provides a stair lift to one wing of the building and a stair lift to service the second wing is due to be fitted shortly. Some rooms have been redecorated, bed linen purchased and new light fittings installed. Rooms were personalised with family photos and ornaments. Some areas of the home were cold however the assistant manager immediately addressed this. Caradoc House DS0000068051.V372279.R01.S.doc Version 5.2 Page 18 The provider shared some long-term plans to provide additional communal and office space. The home provides a relaxed and homely atmosphere. The home was found clean at the time of this unannounced inspection however a slight offensive odour was detected in three bedrooms, which needs to be addressed. The home employs a part-time domestic member of staff who was seen on duty during the inspection. The provider reported that training in infection control procedures has been sourced and staff will commence shortly. Products hazardous to health are appropriately stored and the necessary assessments readily available. Caradoc House DS0000068051.V372279.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome area is adequate People living at Caradoc House benefit from receiving care from a committed and trained staff team who work hard to meet their individual needs. Although much improved, managers must ensure they secure suitability of candidates before they commence work to ensure that people living at the home are greater protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staff team currently consists of a provider, manager, assistant manager; six care staff and a part-time domestic. People we spoke with considered staffing levels to be sufficient to meet people’s needs, although these would need to be reviewed following further admissions to the home or change in need. Throughout the inspection staff were accessible, good listeners and communicated well with the people using the service. They appeared motivated and committed to their work. It was reported that two of the seven care staff employed hold a nationally recognised care qualification known as NVQ at 2 and above and two staff are currently working towards the award. Files for the two staff recruited since our random inspection undertaken in January were examined, they were found well presented and contained the majority of the documentation required by Regulation, however managers Caradoc House DS0000068051.V372279.R01.S.doc Version 5.2 Page 20 must ensure they obtain a full employment history and a reference from the most recent employer. Reasons for these shortfalls were shared with us. Without an up-to-date staff training matrix in place it proved difficult to establish the training staff had undertaken however staff training certificates were available on the files examined and staff on duty spoke positively about the training they had received to include medication, adult protection, fire awareness and first aid. Training in manual handling, medication and CRP are due to take place early October. The manager is attending training in Mental Capacity Act and Deprivation of Liberty shortly. Caradoc House DS0000068051.V372279.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 Quality in this outcome area is adequate People living at Caradoc House benefit from having a management team who are committed to meet their care needs however some systems are making people potentially vulnerable and action taken to improve processes will improve the overall quality of the service. Quality assurance processes enable the home to identify people’s thoughts on the service provided and changes can be implemented to improve outcomes for people using the service. Effective health and safety checks mean that people can live in a safe environment. This judgement has been made using available evidence including a visit to this service. Caradoc House DS0000068051.V372279.R01.S.doc Version 5.2 Page 22 EVIDENCE: The home continues to be without a registered manager however the current manager is due to submit her application for registration very shortly and is currently undertaking the Registered Managers Award. People we spoke with appeared satisfied with how the home is managed. Both the owner and manager appear committed to improve the service for individuals living at the home, however they must demonstrate that they are able to adhere to local procedures, such as safeguarding. The Annual Quality Assurance Assessment (AQAA) forwarded to CSCI reflects both the strengths and areas of improvement for the service. Satisfaction questionnaires have recently been distributed to people living at the home and their relatives. People have been asked to comment on areas to include management, staffing, meals and activities. Overall comments received so far are positive. The manager should also seek the views of others, such as stakeholders and compile a report based on the overall findings and develop an action plan to assist with future planning. Arrangements for the management of people’s finances were discussed with the provider who reported that families deal with relative’s finances and small amounts of monies are held on behalf of two people for hairdressing etc. Records were available for finances held however we advised the provider to obtain two signatures for all transactions and that these are regularly audited. A written agreement between the service user/relative and the home should be obtained and how finances are managed should be clearly documented in people’s care records. The provider recognised the vulnerability of these arrangements and is to review them with immediate effect. We were informed during the inspection of an incident that should have been referred under local safeguarding procedures and notified to us under Regulation 37. People living at Caradoc House are safeguarded by the health and safety procedures in place for example certificates for the servicing of equipment are maintained and safety checks are undertaken at the required frequency. The Staff receive mandatory training to include first aid, fire etc at the required frequency to ensure they are fully equipped with the skills to carry out their roles and for the protection of people living at the home. The provider recently commissioned an external organisation to conduct a health and safety audit and is currently waiting for the report of the findings. The Fire Officer has visited the home since our last inspection and reported all matters relating to the safety from fire appear to be satisfactory. Managers have gained approval from the Fire Officer in relation to the installation of a second stair lift. It was reported that the Environmental Health Officer has not visited the home since our last inspection. Caradoc House DS0000068051.V372279.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 3 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 2 3 x x x x x x 2 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 2 x 2 x x 3 Caradoc House DS0000068051.V372279.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 Refer to Standard OP7 Good Practice Recommendations People living at the home should be involved in drawing up their care plan, these should be person centred and describe people’s needs in respect of health and welfare are to be met. This will support staff to provide care in such a way as to ensure all service users needs are met. Greater opportunities for stimulation through leisure and recreational activities should be reviewed with people living at the home, which suits individual need and preferences. The menu should be reviewed in conjunction with people living at the home to ensure people receive a varied, balanced and nutritious diet in line with their preferences and dietary needs. DS0000068051.V372279.R01.S.doc Version 5.2 Page 25 2 OP12 3 OP15 Caradoc House 4 OP18 5 OP29 Managers and staff should familiarise themselves with the process of recognising potential abuse and the formal referral process to provide greater protection for people living at Caradoc House. A full employment history should be obtained and any gaps in employment challenged before new staff commence work. This will ensure people living at Caradoc House are protected by the home’s recruitment policy and practice. Caradoc House DS0000068051.V372279.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection West Midlands Office West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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 Caradoc House DS0000068051.V372279.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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