Inspection on 21/02/08 for Dene Court

This inspection was carried out on 21st February 2008.

CSCI found this care home to be providing an Good 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

Dene Court 23/11/06

Dene Court 24/01/06

Dene Court 31/08/05

Dene Court 07/02/05

Dene Court 05/08/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Dene Court Butts Road Heavitree Exeter Devon EX2 5HU Lead Inspector Sue Dewis Unannounced Inspection 21st February 2008 10:00 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 Dene Court DS0000021924.V359085.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. Dene Court DS0000021924.V359085.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Dene Court Address Butts Road Heavitree Exeter Devon EX2 5HU 01392 274651 01392 274651 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) Mr John Willis Hall Mr John Willis Hall Care Home 31 Category(ies) of Dementia - over 65 years of age (31), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (31), Old age, not falling within any other category (31), Physical disability over 65 years of age (31) Dene Court DS0000021924.V359085.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd November 2006 Brief Description of the Service: Dene Court is registered to provide personal care for up to 31 older residents. However the home normally has a maximum of 29 residents as only one registered double room is used as such. The home is situated in a residential area of Heavitree, in Exeter. It is close to some local shops and public transport is available into the centre of the city. There are a variety of communal areas within the home. The home has areas of garden which residents enjoy sitting in during the fine weather. There is some parking available. Fees for the home are £372 - £420 each week. General information about fees and fair terms of contracts can be accessed from the Office of Fair Trading web site at http:/www.oft.gov.uk . The reports produced by CSCI are available on request from the office. Dene Court DS0000021924.V359085.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 2 star. This means the people who use this service experience good quality outcomes. This unannounced visit took place over 11 hours on two days towards the end of February 2008. The home is owned by Mr Hall who lives in Spain and visits the home every two weeks. He is supported by an unregistered care manager who is in day to day control of the home and is in turn supported by senior staff, two of whom are on duty for each day time shift. Prior to the inspection the home had returned a completed AQAA (Annual Quality Assurance Assessment) that shows how the home has managed the quality of the service provided over the previous year. It also confirms the dates of maintenance of equipment and what policies and procedures are in place. Information from this document was used to write this report. During the inspection 3 people were case tracked. This involves looking at peoples’ individual plans of care, and speaking with the person and staff who care for them. This enables the Commission to better understand the experience of everyone living at the home. As part of the inspection process CSCI likes to ask as many people as possible for their opinion on how the home is run. We sent questionnaires out to 10 people living at the home and 10 representatives. At the time of writing the report, responses had been received from 1 person living at the home and 7 representatives. Their comments and views have been included in this report and helped us to make a judgement about the service provided. During the inspection 5 people living at the home were spoken with individually and 3 others in a group setting, as well as observing staff and people living at the home throughout the day. We also spoke with 3 staff and the care. A partial tour of the building was made and a sample of records was looked at, including medications, care plans, the fire log book and staff files. Dene Court DS0000021924.V359085.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? Only one requirement was made following the last inspection and five recommendations. The requirement to have staff records available for inspection at all times was met at this visit. The home has had some refurbishment and some new furniture including beds and lounge chairs have been purchased. A new carpet is to be fitted in the hallway. Dene Court DS0000021924.V359085.R01.S.doc Version 5.2 Page 7 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. Dene Court DS0000021924.V359085.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 Dene Court DS0000021924.V359085.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Admission procedures at the home ensure people have sufficient information on which to base a decision and assessment procedures ensure that their care needs can be met. EVIDENCE: The home has a Statement of Purpose and Service Users’ Guide that is available to people thinking of moving into the home. However, one person’s representatives commented (via survey form) that the home did ‘not seem to have a brochure’. Three people’s files were looked at, including that of the most recently admitted person. All of these contained detailed pre-admission assessments, and written confirmation, that the home can meet their needs. The home has Dene Court DS0000021924.V359085.R01.S.doc Version 5.2 Page 10 recently changed the assessment forms that are used, and these contain even more relevant information. People and their representatives are always invited to visit the home before their admission. The AQAA (Annual Quality Assurance Assessment) submitted prior to the inspection indicates that in order to improve the service the home intends to review assessment forms, so that all the required information is available in one package. The home does not provide intermediate care. Dene Court DS0000021924.V359085.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans are generally well formulated and give clear information to enable staff to meet people’s health and personal care needs in an individual manner. However, risk assessments and social care needs information should be improved. Medicines are stored securely and administered appropriately. EVIDENCE: Three care plans were looked at. The care plans had been regularly reviewed and showed evidence of involvement of the person and/or their representatives. Care plans are produced from the assessments made before admission and adjusted as people’s needs change. Care plans contain a checklist for risks that ranks them as high, medium or low. Any risks that are highlighted as high are then assessed in more detail. However, some of these risk assessments did not provide enough detail on exactly what the risk is or how it is to be minimised. Dene Court DS0000021924.V359085.R01.S.doc Version 5.2 Page 12 Some people living at the home have a dementia type illness or some type of behaviour that challenges the system, but no relevant care plans or risk assessments were seen for these issues. A moving and handling risk assessment is now completed as well as risk assessments for nutrition and pressure areas. The care plans generally set out the personal care needs of the individual and how these are to be met, needs identified include, transferring, communication, sleep pattern and continence. However, though the plans list some leisure interests they do not include a detailed social history or full details of hobbies or interests. It was clear through discussion with staff that whilst they were aware of some of these matters, they were not recorded. Daily recordings are usually made by senior staff from reports by care staff. The recordings were objective and descriptive. Staff said that they receive a good handover and looked at care plans each time they came on duty. Records were maintained showing the involvement of healthcare professionals. It was possible to see how the deterioration of a person’s sight had been noticed by staff and this had led to the person being registered as blind. The home uses the Boots MDS (Monitored Dosage System) system for obtaining and administering medicines. Only senior staff administer medicines and they have received training from Boots, that included an visit to the pharmacy and an exam to test their knowledge. Administration records were well maintained and all medicines were stored securely in a locked metal cabinet. Some people are able to self administer inhalers that aid their breathing. Staff were seen offering personal care in a discreet manner, and spoke with people in a friendly and respectful way. One member of staff was cutting people’s fingernails, people were asked if this was OK and they seemed to enjoy this. Two care staff are due to be trained by the NHS as ‘Foot Care Assistants’. This will enable staff to care for people’s feet after the individual has been assessed by a podiatrist as being suitable for this type of foot care. All bedrooms, toilets and bathrooms have suitable locks fitted to the doors to ensure residents’ privacy. Dene Court DS0000021924.V359085.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home generally offers a suitable range of activities and entertainments to stimulate and occupy people and links with visitors and the community are good, giving opportunities to support and enrich people’s social life. Meals were seen to be well presented, providing nutritious variety and choice for individuals. EVIDENCE: Five people were spoken with in private and several others observed and spoken with in the lounge. All appeared happy and relaxed, and good interaction that promoted wellbeing was seen between staff and individuals. Regular activities are on offer, including games, quizzes and entertainments. People commented how much they enjoyed these, and having staff spend time with them individually. However, most people seem to spend most of their time sitting in the lounge watching TV. One representative (via survey form) commented ‘…a little more daytime activity would break the monotony of TV viewing’. Dene Court DS0000021924.V359085.R01.S.doc Version 5.2 Page 14 During the visit the TV reception was very poor and the picture and sound continually interrupted. The care manager assured us that this was being dealt with. One representative commented (via survey form) commented ‘…a little more daytime activity would break the monotony of TV viewing’. One person’s representatives were spoken with and they told us that they visited every other day and were always made to feel welcome and offered refreshments. They also said that ‘mum couldn’t be in a better place’ and that staff were ‘magic’. Comments made by relatives on behalf of people (via survey forms) included ‘The staff are always very helpful and patient and caring’ and ‘Since my mother went into Dene Court, we as a family have been very impressed with the 24 hour care she receives’. We were told by staff and also observed through the visit, that people are regularly offered choices. Choices include what time people get up and go to bed, wherever possible which GP they wish to be with what they want to eat and where they sit. Staff were heard offering choices of where to sit and what was wanted to eat throughout the visit. Menus are generally prepared by the chef, who is aware of the likes and dislikes of individuals. Breakfast was seen to be relaxed and unhurried with people coming into the dining room at different times and trays of tea and toast being bought to them as required. The AQAA (Annual Quality Assurance Assessment) submitted prior to the inspection indicates that in order to improve the service the home intends to re-evaluate social activities and provide a more varied range, also to try to involve visitors more with activities. Dene Court DS0000021924.V359085.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Everyone is confident that any complaints would be dealt with appropriately. People are protected by staff that are able to recognise abuse and know their duty to report poor practice. EVIDENCE: There is a simple complaints procedure contained in people’s ‘Terms and Conditions’, and displayed on the notice-boards. Although people were not able to tell us anything about the complaints procedure, they were able to say who they would talk to if they had any concerns, and felt that if they did they would be dealt with immediately. The care manager said that everyone and their relatives are given a copy of the complaints procedure at the time of admission. They are also told by staff who they should speak with if they have any problems at all. Staff told us that they all try to deal with any complaints as they arise, but if they can’t then they pass them to the owner or the care manager. Relatives that were spoken with said that they had never had to raise any serious concerns and that any small issue they had raised had been dealt with immediately. Dene Court DS0000021924.V359085.R01.S.doc Version 5.2 Page 16 No complaints have been received by CSCI, since the last key inspection. Staff said that they have received training in recognising and dealing with abuse. Staff were able to describe a variety of differing kinds of abuse, including shouting at people who may be hard of hearing, or ignoring someone who is asking for help. Staff were aware of the correct procedures for reporting any suspicions to someone within the home and said that they would involve other agencies such as the police if they felt they needed to. It was on the submitted AQAA (Annual Quality Assurance Assessment) that 2 ‘safeguarding referrals’ had been made. The home had dealt with these appropriate and contacted the relevant people, but had not notified the Commission of the issues at the time. All events that adversely affect the well being of people living at the home should be reported to the Commission within 24 hrs. The AQAA (Annual Quality Assurance Assessment) submitted prior to the inspection indicates that in order to improve the service the home intends to seek out further training sessions and to continue to have in house staff discussions on furthering improvements. Dene Court DS0000021924.V359085.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides people with a clean, safe, comfortable and homely place to live. EVIDENCE: We made a full tour of the communal areas of the home and saw that the home is generally safe, comfortable and well maintained. There are several communal areas around the home for the use of everyone and while some have their favourite areas, some do move between them. The communal areas are homely, with many ornaments and pictures around them. They are decorated and furnished in a comfortable manner that meets the needs of individuals. Dene Court DS0000021924.V359085.R01.S.doc Version 5.2 Page 18 Some bedrooms were looked at, each had personal possessions displayed and reflected the personalities of the occupant. The rooms contained all the items that the people require in order to have their needs satisfactorily met and had suitable locks fitted to the doors. The home has a variety of hoists and moving and handling aids to enable staff meet the needs of those individuals with mobility difficulties. The laundry is well equipped to deal with the washing from people living there. Staff confirmed that they have access to disposable gloves and aprons, and were aware of good basic hygiene procedures. Staff were seen to be wearing disposable gloves and aprons and using disinfectant gel where necessary. The home was clean, tidy and well maintained throughout. However, there was some slight odour in one area of the hallway. We were told that the carpet in this area is due to be replaced. We were also told that there is a regular programme of maintenance and upgrading. This has included the purchase of new beds and lounge furniture. There is a small patio area that has easy access for the use of people living at the home. The AQAA (Annual Quality Assurance Assessment) submitted prior to the inspection indicates that in order to improve the service the home intends to continue to improve the environment, but feel that the fees paid at present is forcing the home to be controlled in their choice of improvements. Dene Court DS0000021924.V359085.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The deployment and numbers of well trained staff available throughout the day and night are sufficient to meet the needs and numbers of the people currently living at the home. The procedures for the recruitment of staff are robust and offer full protection to people living at the home. EVIDENCE: During the visits there were 8 care staff on duty, including 2 seniors, plus a cook and cleaner. People spoken with and the relatives spoken with said that they there were always sufficient staff on duty to meet their needs. Positive comments were received from representatives (via comment cards) about staff. These included ‘Excellent staff to patient ratio, staff always aware of sudden needs of patients. Staff very dedicated to maintain positive atmosphere’ and ‘There is never any panic and every problem that I have seen occur has been dealt with in a caring and professional way’. The care staff said that they did not feel rushed at any time and had time to spend chatting to individuals. People told us that there were always staff available if they wanted anything, and that they did not have to wait for help. Dene Court DS0000021924.V359085.R01.S.doc Version 5.2 Page 20 There was a relaxed and unhurried atmosphere around the home, with staff meeting the needs of individuals in a quiet and competent manner. Staff were well aware of the individual care needs of people living at the home and were able to describe these and how they are met on a day to day basis. Staff spoke with enthusiasm about the individuals and their work with them. Staff files were available for inspection and three staff files were looked at. All contained two written references, proof of identity and photographs of the staff member. They also contained evidence that satisfactory police checks had been obtained. Staff told the inspector (certificates were seen) that they had received training in POVA (Protection of Vulnerable Adults), Moving and Handling, Basic Food Hygiene and Fire Precautions. Eleven staff have obtained NVQ (National Vocational Qualification) level 2 or above and a further seven are working towards NVQ level 2 or above . The home has recently acquired the ‘Red Crier’ training pack, which is designed so that the training is delivered ‘in-house’. While the training packs are detailed and contain work books for staff, the care manager who will be delivering the training has not been trained herself to do this. This could affect the quality of the training that staff receive. The AQAA (Annual Quality Assurance Assessment) submitted prior to the inspection indicates that in order to improve the service the home intends to continue as at present and to encourage staff to enjoy their occupation. Dene Court DS0000021924.V359085.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed resulting in practices that promote and safeguard the health, safety and welfare of people living and working at the home. EVIDENCE: Mr Hall (the owner) has worked with older people for many years. The care manager has also worked at the home for many years and is working for the RMA (Registered Managers Award) and NVQ 4. There is an annual programme for ensuring the quality of care provided at the home. This system allows for consultation with people living at the home. Dene Court DS0000021924.V359085.R01.S.doc Version 5.2 Page 22 Previous annual reports have been sent to the Commission, but one for the current cycle has not yet been received. However, the AQAA (Annual Quality Assurance Assessment) that was submitted prior to the visit includes good information on how the quality of care has been managed throughout the year. The home manages very little money on behalf of individuals. The systems for recording transactions are good and there is a running total for the monies held as well as two signatures and numbered receipts. Moving and handling assessments have been completed for individuals, and there is a full risk assessment of the premises. The AQAA (Annual Quality Assurance Assessment) submitted prior to the visit, provided evidence that Dene Court complies with health and safety legislation in relation to maintenance of equipment, storage of hazardous substances, health and safety checks and risk assessments. The fire logbook, record of fire safety training and accident and incident records were found to be accurate and up to date. Policies and procedures are not always inspected during the visit but the information provided on the AQAA helps us form a judgement as to whether the home has the correct policies to keep people living and working at the home safe. Information provided by the home, evidenced that policies and procedures are in place and along with risk assessments are reviewed regularly and updated where necessary, to ensure they remain appropriate and reduce risks to people living and working at the home. Staff confirmed that they receive regular training in fire precautions as well as Health and Safety. The AQAA (Annual Quality Assurance Assessment) submitted prior to the inspection indicates that in order to improve the service the home intends to continue to listen to the wishes of people living at the home and to listen to professionals and to further staff training. Dene Court DS0000021924.V359085.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Dene Court DS0000021924.V359085.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. 1. Standard OP18 Regulation 37 Requirement The home must notify the Commission of all events that are listed in this regulation Timescale for action 31/03/08 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 You should obtain more social history including, hobbies and social interests for each of the people living in the home. You should ensure care plans and risk assessments are completed for all aspects of behaviour that challenges the home and contain details of how to minimise and manage situations. You should ensure a wider variety of activities is available. You should ensure that all areas of the home remain free from offensive odours at all times. You should ensure that the person responsible for DS0000021924.V359085.R01.S.doc Version 5.2 Page 25 2. OP7 3. 4. 5. OP12 OP26 OP30 Dene Court delivering the ‘Red Crier’ training is suitably trained to do so. Dene Court DS0000021924.V359085.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Devon Area Unit D1 Linhay Business Park Ashburton TQ13 7UP 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. 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