Inspection on 28/02/06 for Clover Lodge Care Home

This inspection was carried out on 28th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Clover Lodge Care Home 06/08/07

Clover Lodge Care Home 21/08/06

Clover Lodge Care Home 25/11/05

Clover Lodge Care Home 24/11/04

Clover Lodge Care Home 01/06/04

Clover Lodge Care Home 04/02/04

Similar services:

Abbey The

Snydale Care Home

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Clover Lodge Care Home 68a Humberston Avenue Humberston North East Lincs DN36 4SU Lead Inspector Stephen Robertshaw Unannounced Inspection 28th February 2006 09:30 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 Clover Lodge Care Home DS0000002858.V271528.R01.S.doc Version 5.1 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. Clover Lodge Care Home DS0000002858.V271528.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Clover Lodge Care Home Address 68a Humberston Avenue Humberston North East Lincs DN36 4SU 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) 01472 816183 Mr Gilfred Robert Bebbington Mr Mark Gilfred Bebbington Nathan James Barnard Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Clover Lodge Care Home DS0000002858.V271528.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th November 2005 Brief Description of the Service: Clover Lodge Residential Care Home is a family-owned home situated in the village of Humberston, just outside Grimsby. It is within easy access to local bus routes. Clover Lodge provides a homely environment for up to sixteen people over the age of sixty-five years and under no other category. There is a well-maintained garden at the rear of the property with a patio area and a small courtyard at the side encompassing a water feature and pots of flowers. The home has parking spaces for approximately five to six cars at the side of the building. The home is a single storey building and has three shared and ten single bedrooms. Two of the single rooms and one of the double rooms have en-suite facilities. The home has a lounge, dining area and a conservatory. A new extension to the home was built a few years ago and the bedrooms within this prove popular because they lead directly onto the paved courtyard area. However people occupying these rooms would have to have a certain degree of mobility to be able to manoeuvre the step from the rooms to outside. Work has commenced to make these rooms more accessible to all of the service users. Clover Lodge Care Home DS0000002858.V271528.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on the 28th February 2006 and was unannounced. The inspection was over a six and a half hour period. The registered manager of the home left without giving a period of notice. The proprietors employed manager who commenced work at the home only a few days before the inspection took place. The service users spoke very positively in relation to the care that they received in the home and the qualities and friendliness of the staff. The environment was generally very good and the service users stated to the inspector that they were very happy with the presentation of the home. The only concerns that service users had were in relation to the lighting in the lounge and dining areas. They stated these rooms were quite dull and made it difficult to read, sew and knit. It also made it difficult for the service users to see well enough to engage in some if the homes activities. What the service does well: All prospective service users to the home have their needs fully assessed before they are admitted to make sure that they can be met in the home. The service users are also provided with the opportunity to visit the home and experience a trial period before they decide to move to the home on a more permanent basis. Individual care plans include comprehensive information in relation to service users needs and the support they require to undertake certain tasks. The service users are provided with a variety of activities in the home and in the community. The home has an activity co-ordinator that works five days a week. The service users confirmed that they could choose whether or not to become involved in the individual activities and that they enjoyed what was made available to them. The meals that are provided are of a very good quality and an inspection of the kitchen found it to be exceptionally clean and tidy and was well organised and choices are made available to service users at all meal times in the home. The toilets and bathrooms in the home are located close to the communal and individual bedroom areas. When the new laundry is completed the current laundry area is going to be converted in to an additional shower and toilet room. Observation of service users bedrooms confirmed that they are Clover Lodge Care Home DS0000002858.V271528.R01.S.doc Version 5.1 Page 6 supported and encouraged to personalise them to their own tastes and preferences. The tour of the building by the inspector confirmed that it was very clean and tidy and was free of any offensive smells. Service users stated to the inspector that there are always enough staff working at the home to meet their individual needs and that they were very responsive to the buzzers when they were activated. They also said that the staff were very friendly and helpful to them. All confidential records held by the home were stored in accordance with the Data Protection Act 1998. What has improved since the last inspection? What they could do better: The individual care plans should be signed in agreement by the service users or their representatives to identify their agreement to them. The hot water pipes in the home need to have protective covers over them to ensure that there is no risk to the service users through contact with them. Care staff need to be enrolled on NVQ 2 training to meet the homes minimum requirements. Staff personnel files must include all of the information as identified in schedules 2 and 4. Staff induction plans should meet the national requirements. The manager of the home needs to submit an application to the Commission to be accepted as a fit person. The registered person must ensure that the home has an effective quality assurance and monitoring position in place. The registered person must ensure that care staff receive the recommended minimum of six formal recorded supervision periods per year (pro-rata). Clover Lodge Care Home DS0000002858.V271528.R01.S.doc Version 5.1 Page 7 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. Clover Lodge Care Home DS0000002858.V271528.R01.S.doc Version 5.1 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 Clover Lodge Care Home DS0000002858.V271528.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2,3 and 4 The service users are provided with the opportunity to choose to live at the home. EVIDENCE: The homes statement of purpose and service user guides were being updated at the time of the inspection and therefore were not available. The inspector observed the care file information in relation to two of the service users that were living at the home. Both of these files included terms and conditions of the service users residency at the home. This included what services are provided for the fees paid, termination periods, personal insurance and trail periods at the home. Service users funded through the local authority also had contracts of their placement at the home provided through the local authority. The files observed by the inspector supported the evidence that the service users receive a full assessment of their individual needs before that they are admitted in to the home. This was a combination of care management and the Clover Lodge Care Home DS0000002858.V271528.R01.S.doc Version 5.1 Page 10 homes pre-admission assessments. The homes assessment of needs were very basic and would benefit the care provided to the service users if they included greater detail of the needs and how they should be met. The proprietors have appointed a new manager to the home. In discussions with the inspector the manager stated that the homes pre-admission assessments would be changed and improved before the next inspection. Records observed by the inspector including staff training records and contact with professional healthcare workers, direct observations and discussions with service users all supported that the home has the capacity to meet the individual assessed needs of the service users. In relation to national minimum standard 6 the home does not provide intermediate care to the service users. Clover Lodge Care Home DS0000002858.V271528.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 and 11 The health and personal healthcare needs of the service users are met at the home. EVIDENCE: The care plans observed by the inspector are related closely to the individual needs that were identified through he service users assessments. The care plans had all been evaluated on a minimum of a monthly basis. However the care plans had not all been signed by either the service user involved or their representative to ensure that they were in agreement to the plans. The service does not provide nursing care. Records in the home supported that the service users healthcare needs are met through professional healthcare workers that are based in the community. The contact that service users had with professional healthcare workers was recorded in their care files. These are currently recorded as all professionals together. The inspector suggested that it may make the information clearer if individual healthcare worker contact is recorded on individual sheets for example one for district Nurse contact and another for GP contact. Daily diary noted for individual service users also supported the contact that they had to meet their healthcare needs. Service Clover Lodge Care Home DS0000002858.V271528.R01.S.doc Version 5.1 Page 12 users stated to the inspector that they always had the opportunity to see healthcare workers in private but the staff were available if they needed individual support. Service users spoken to by the inspector were very positive in relation to the care and services provided through the home. All staff administering medication to service users at the home had received accredited medication training. The majority of prescribed medication in the home was provided through a local pharmacy in a weekly dosette system. The medication records were up to date and were accurately recorded. Controlled medication in the home was all accounted for and was appropriately recorded and stored. The inspector observed medication being administered to individual service users and all appropriate legislation and safety guidelines were followed. Service users spoken to by the inspector confirmed that their dignity and respect is upheld at all times in the home and the inspectors direct observations supported this. The service users also stated that they always receive their own clothes back from the laundry and choose what to wear for themselves. Individual care files identified the preferred term of address for individual service users. Individual care plans identified service users religion and if this was practiced. In conjunction with this the service users last wishes in the event of their deaths was recognised. Care staff working in the home receive training provided through a local funeral director in relation to the care of terminal service users and the support required for them and their families. Clover Lodge Care Home DS0000002858.V271528.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 and 15 The service users are provided with choice throughout their daily lives and activities in the home. EVIDENCE: The home has an activities co-ordinator that arranges a variety of different activities for the service users at the home and in the community. The service users records identify the activities that they have been offered and whether or not they became involved in them. The care plans also included an assessment of individual service users nutritional needs. The activity co-ordinator stated to the inspector that the staff were raising funds through different activities to raise monies to provide service users with a holiday. The inspector ate lunch with several of the service users. They stated that the quality of the food in the home was always very good and that their opinion were sought in relation as to what was included on the homes menus. A choice of meal was observed to be available at the mealtime and this time was observed to be unhurried and appropriate support was provided to individual service users to make sure that they could eat their meals. Clover Lodge Care Home DS0000002858.V271528.R01.S.doc Version 5.1 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 17 and 18 Service users are protected from abusive situations in the home. EVIDENCE: The care files observed by the inspector included information in relation to who was responsible for their personal finances. This included if they were involved with the court of Protection or Power of Attorney processes. The management of the home also keep a register of all of the service users that are included on the electoral register and if they receive postal votes or have to attend a polling station. The staff employed by the home all receive appropriate security and safety vetting before they commence work with the service users. The home has a clear whistle blowing policy and a policy for the protection of vulnerable adults. The inspector discussed the POVA policy with the manager of the home and was assured that this would be updated to ensure that it met the needs of the service users and protected them from possible abusive situations. The home had a copy of the local multi-agency policies for the protection of vulnerable adults. Staff interviewed by the inspector were aware of how to report alleged or suspected abuse to ensure the welfare of the service users. Clover Lodge Care Home DS0000002858.V271528.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,26 and 26 The environment provides a homely atmosphere for the service users. EVIDENCE: The home generally provides a good environment for the service users. However the lounge carpet that was identified as requiring attention at the last inspection had not been repaired or replaced. The proprietor informed the inspector that this carpet had been included for renewal in the homes maintenance and renewal plan. There is a choice of rooms for the service users to socialise in with their family and friends. This includes a lounge area and a dining room. The lighting in both areas is poor and would benefit from alternative lighting possibly including wall lights. This would improve the lighting available to the service users and assist them when reading, sewing, knitting and taking part in activities. The furnishings in the home are domestic in character. Service users spoken to by the inspector stated that they were very happy with the environment but the light in the home at times made it difficult for them to read, sew and knit. Clover Lodge Care Home DS0000002858.V271528.R01.S.doc Version 5.1 Page 16 The home has three independent toilets that are close to the bedroom and communal areas. There is one bathroom that includes a toilet and a shower room that also includes a toilet. The current laundry in the home is being resited to a new building and the laundry area is going to be developed in to a new shower room and toilet. The washing machines in the home are programmable to disinfection and sluicing standards. The home has not had an overall assessment of its abilities to meet the needs of the service users however individual service users care plans showed that they had been assessed for their mobility and handling needs. There is a call system in the home and the records were observed to show that this is regularly maintained and serviced. Service users stated to the inspector that when they used the call system the staff were always very quick and responsive to their calls. The inspector toured the premises and several of the service users invited him to see their rooms. The rooms had all been decorated and furnished to the service users tastes and preferences. This included small items of furniture, pictures and ornaments. The service users stated that they were very happy with their individual rooms. Three of the bedrooms in the home are shared and the service users in these rooms confirmed that they are happy with this arrangement. Care file records showed when service users were provided with air mattresses and cushions when they had mobility problems. These had all been ordered and provided in conjunction with the district nursing service. One of the service users in the home was also provided with an adjustable bed. All service users are provided with the opportunity to have a lock on their bedroom doors. Most of the radiators in the home have now been protected with low temperature surfaces. The hot water pipes in the home must also be provided with low temperature surfaces to ensure the safety and personal welfare of the service users. Hot water is not stored in the home so there is no requirement for Legionella testing on it. The lighting in individual service users rooms is good and provides ample lighting for them. A tour of the premises conducted by the inspector found it to be clean, hygienic and free of any bad and offensive smells. A new laundry is currently under construction at the home. Clover Lodge Care Home DS0000002858.V271528.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Staff working at the home have the qualities and skills to meet the assessed needs of the service users. EVIDENCE: The manager and proprietor of the home confirmed to the inspector that the residential forum is used to determine the minimum number of care staff available at any time in the home. The home employs eight carers, seven night care staff, a cook, a housekeeper and an activity co-ordinator. There were no staff under twenty one years working in the home. There were no staff in the home that have successfully completed NVQ 2 or equivalent. Two staff who had completed the award have moved on to new employment elsewhere. The staff attitude towards NVQ training was very positive. However no staff were currently registered to undertake the award. The inspector observed the personnel and training files for three of the staff working at the home. There was no evidence to support that the staff receive the recommended minimum for formal supervision. The records did not include personal identification details and staff had begun working at the home before they had received a POVA first or CRB clearances. This action must be ceased immediately as it could place the welfare of the service users at risk. New staff to the home receive induction training that has been developed internally it is basic as does not meet the requirements of the National training organisations workforce training targets. The inspector discussed staff induction and Clover Lodge Care Home DS0000002858.V271528.R01.S.doc Version 5.1 Page 18 foundation training with the new manager and she stated that future induction training would be provided through an external agency. Clover Lodge Care Home DS0000002858.V271528.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,34,36,37 and 38 The management of the home supports the welfare and best interests of the service users. EVIDENCE: The new manager of the home has completed the Registered Managers Award and has successfully completed a BA Honours in Social Care in 2002. The manager has twenty years experience of working in a care related environment. The manager must submit an application to the Commission to be accepted as a fit person to manage the home. The home does not have an effective quality assurance and monitoring system in position. Recent questionnaires have been sent out to the service users to respond to how they feel the services provided are appropriate to them. At the time of the inspection their had been n o returns or completed action plans. Clover Lodge Care Home DS0000002858.V271528.R01.S.doc Version 5.1 Page 20 The home has an up to date business and financial plan that supports the financial viability of the company. There was also a clear maintenance and renewal programme for the home. Appropriate e insurance for the service was observed to be in position and the certificate was on prominent display in the home. There was no evidence in the staff files observed by the inspector to support that the staff receive the recommended minimum of six formal supervision periods per year (pro-rata). This system must urgently developed by the manager to ensure that the staff have the opportunity to discuss their workloads, identify training needs and to ensure that the staff can meet the assessed needs of the service users. The home has all of the required policies and procedures in position and the staff spoken to by the inspector knew how to access them. The new manager sated to the inspector that the policies and procedures for the home would be updated and evaluated on a minimum of an annual basis. The inspector observed the safety certificates for the gas and electrical systems in the home and all of the appropriate fire checks were maintained. The maintenance records for all lifting and moving equipment were seen to be up to date. Clear records are maintained for accidents that occur at the home. Clover Lodge Care Home DS0000002858.V271528.R01.S.doc Version 5.1 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 3 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 2 2 2 3 3 3 3 2 3 STAFFING Standard No Score 27 3 28 1 29 1 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 1 3 X 1 3 3 Clover Lodge Care Home DS0000002858.V271528.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP28 Regulation 19 Requirement The registered person must ensure that a minimum of 50 of the care staff have achieved NVQ 2 or equivalent. The registered person must ensure that all staff personnel files include all of the information required by schedules 2 and 4 The registered person must ensure that new staff do commence work at the home until after they have received the appropriate POVA first or CRB clearances. The registered person must ensure that the staff induction programme meets the requirements of the National training organisation. The registered person must ensure that the home has an effective quality assurance and monitoring system in position. The registered person must ensure that the care staff receive the recommended minimum of six formal supervision periods per year to ensure that they can meet the assessed needs of the service users. DS0000002858.V271528.R01.S.doc Timescale for action 01/10/06 2. OP29 18 01/05/06 3. OP29 19 01/03/06 3. OP30 19 14/03/06 4 OP33 24 01/06/06 5. OP36 18 01/09/06 Clover Lodge Care Home Version 5.1 Page 23 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 OP7 OP18 Good Practice Recommendations The registered person should make sure that the service users or their representatives sign their individual care plans to show that they agree with them. The registered person should make sure that the homes policies and procedures for the protection of vulnerable adults are updated to ensure the safety and welfare of the service users. The registered person should consider repair or replacement of the lounge carpet. The registered person should consider increasing the lighting in the lounge and dining areas to enable the service users to read easier and to continue with activities such as sewing and knitting. The registered person should make sure that all of the hot water pipes in the home are provided with low temperature surfaces to ensure the safety of the service users. The registered person should ensure that the manager of the home is appropriately qualified and completes a fit person interview with the Commission. 3. 4. OP19 OP20 5. OP25 6 OP31 Clover Lodge Care Home DS0000002858.V271528.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Clover Lodge Care Home DS0000002858.V271528.R01.S.doc Version 5.1 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. 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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