Inspection on 20/12/05 for Home Lea House

This inspection was carried out on 20th December 2005.

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

Home Lea House 19/02/07

Home Lea House 02/09/05

Home Lea House 05/01/05

Home Lea House 14/04/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Home Lea House 137 Wood Lane Rothwell Leeds LS26 0PH Lead Inspector Valerie Francis Unannounced Inspection 20th December 2005 09:20 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 Home Lea House DS0000033272.V278668.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. Home Lea House DS0000033272.V278668.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Home Lea House Address 137 Wood Lane Rothwell Leeds LS26 0PH 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) 0113 2823218 Leeds City Council Department of Social Services Mrs Jenny Minton Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28) of places Home Lea House DS0000033272.V278668.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 2nd September 2005 Brief Description of the Service: Home Lea House is a detached property located in Rothwell on the outskirts of Leeds. The home is in extensive grounds all of which have wheelchair access. There are parking facilities available at the front of the property. There is a bus service along the main road. The home is owned and managed by Leeds City Council Social Services. Residents have access to experienced and trained care staff 24 hours a day. The accommodation is on two floors; there is a passenger lift for access to the all floors. The building consists of 29 single rooms, 24 of which have en suite facilities. There are two communal sitting areas and a conservatory. There is a large communal dining room and a central kitchen. There are eight communal bathrooms/ showers wcs which are located strategically throughout the building. There is also relative sleepover room. Residents can meet with their visitors in private in the visitors lounge, where they can make drinks and snacks. Residents are encouraged to personalise their rooms with furniture and fitments of their choice. There is a quadrangle garden area, which can be used by residents to sit out in private or undertake gardening in ease by using the raised garden beds. There is an enclosed area to the rear of the building which is accessible to service users from the conservatory that has iron fencing. There is a boundary wall around the building separating the home from the nearby bungalows. Home Lea House DS0000033272.V278668.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One inspector carried out this unannounced inspection between 11.40am and 5.30pm Over an inspection year from April until March, regulated care homes have a minimum of two inspections a year. These may be announced or unannounced visits. This is the second inspection carried out within the inspection year both inspections have been carried out on an unannounced basis. There have been no further visits to the home until this unannounced inspection. The previous inspection took place on the 2 September 2005. The term resident is used for the people living in the home; therefore this is the term that will be used throughout this report. During the inspection records were examined, all areas of the premises were seen, such as communal sitting and dining rooms, residents bedrooms, bathrooms, toilets and laundry area. Staff were observed carrying out their work and interacting with residents. Approximately 18 residents were spoken to, either in a group or individually. Four sets of relatives visiting at the time were also spoken to about the care and attention given to their relative living in the home. The manager was not working on this day, and in her absence the care officers working at the time facilitated in the inspection process. What the service does well: The staff members offer resident’s care and support in a homely and friendly environment. Staff members are given training that enables them to meet the needs of the people in their care. Staff at the home work hard to make sure that residents and their relatives feel welcomed, safe, and confident that staff will provide them with care that meet their needs in a professional and friendly manner. Residents said staff are always willing to help and they are always friendly, nothing is too much Home Lea House DS0000033272.V278668.R01.S.doc Version 5.1 Page 6 trouble to them. The manager was said to be approachable and always ready to help. Staff made positive comments about the daily routine in the home. From comments made by residents’ staff and visitors, it would appear, that the home is a place where residents and staff are consulted and their views valued by the manager. What has improved since the last inspection? What they could do better: The Registered Provider must make sure that residents have access to an appropriate number of staff taking into consideration the size and layout of the building and time. The home Statement of Purpose and service User Guide must be line with the home’s registration category, to make sure that people are aware that the home can meet any specialist care they may have. All residents must have a Care Plan, which clearly identifies all their care needs with an action plan detailing how these needs will be met. All residents must be given written copies of terms and conditions (Licences agreement). When purchasing sofas all consideration should be given to choosing the type of sofa that meet the needs of the resident group. Risk assessment must be in place for the use of sofa chairs in the Home. The manager must make sure that residents care plans are stored in a locked area so that confidentiality and date protection is not compromise. The macerator for the disposable of bedpans must be repaired. Hot water temperature in the rooms identified must be regulated and checked regularly, so that residents in these rooms’ health and safety are not compromised. The recruitment and selection information for staff must be available at the home. NVQ training must continue, so that 50 of staff gains a NVQ qualification. The electrical ventilation in communal toilets and bathrooms must be cleaned. Home Lea House DS0000033272.V278668.R01.S.doc Version 5.1 Page 7 . Bedroom windows should be closed at a time, which would give residents the opportunity to go back to a room that is warm. 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. Home Lea House DS0000033272.V278668.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 Home Lea House DS0000033272.V278668.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): 1,2,3,4 & 5. The information available to people wanting to use the service, is not clear and accurate to help them decide whether or not the home can meet their needs if they wish to live in the home. Effective systems are now in place to assess residents needs before admission. Some residents who are outside of the registered category are accepted to live at the home. Only permanent residents are given written copies of terms and conditions (Licences agreement). EVIDENCE: Although the home Statement of Purpose and service User Guide had recently been reviewed by the home’s management team, there was still some shortfall in the information which must be line with the home’s registration category, to make sure that people are aware that the home came meet any specialist care needs they may have. If the home is to take people who have a Dementia related illness, an application for variation must be made and staff given training to meet their Home Lea House DS0000033272.V278668.R01.S.doc Version 5.1 Page 10 specialist care need, and that the home is not working outside of it’s registration. The care officers were reminded about the current registration categories to ensure no new residents are admitted with a primary diagnosis of dementia. A pre-assessment is made at the time of the prospective resident visit to the home when detailed information is taken. The “Easy care” pre admission documentations audited was completed by external professionals, all was noted to be up to date with good information which provided staff with good information to put together a comprehensive care plan as to how care needs would be met. The inspector was told that the staff continue to work with health professionals for the review the care needs of residents who’s needs the home no longer can meet at Home Lea House. All permanent residents or their relatives are given a licence agreement that gives information about their rights and responsibilities whilst living at the home. Although respite people are given a copy of the agreement this is not signed, it is recommended the respite residents be also issued with a contract, which they will sign to indicate that they agree with the terms. The home has a visitors Policy and procedure that is found in the home’s statement of purpose. The care officers said prospective residents and their relatives/carers are encouraged to visit the home and have a look around and speak to staff prior to them making a decision to live at the home. Home Lea House DS0000033272.V278668.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. The omission of a care plan could deny residents with care to meet their needs. EVIDENCE: Three care files were seen, although there was evidence on files that the home had carried out pre-admission assessments and there were copies of up to date ”Easy Care” multi disciplinary assessments. Only one resident had a care plan (Life Style Plan) in place. The file contained information of the visits by health care professionals, nutritional risk assessment, monthly weight checks, visits made by the relatives and others. During discussion with the care offers they said that the individual care needs had changed, but there was no evidence of this in the care plan. The inspector was told that two of residents whose files were seen, was previously on respite at the home and are now permanent residents. No plan of care was in place for either of these residents despite good pre admission assessment information available to staff. Home Lea House DS0000033272.V278668.R01.S.doc Version 5.1 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13 & 14. Contact is maintained with family and friends. Residents are encouraged to make informed decisions about matters that affect their lifestyle. EVIDENCE: Residents are encouraged and supported to keep in contact with relatives and friends. Visitors are welcomed to see their relatives, if that is what they wish. The home’s News Letter, which is sent out to relatives and is available in the home quarterly, informs relatives and others of any events in the home. Visiting relatives and friends said they visit regularly and staff make them welcome. They spoke highly of the manager who is approachable and friendly. Residents confirmed they are able to spend the day as they chose within the home. One resident was taken out by her family said she looked forward to her trips out. Residents are taken out to the local shopping areas and visits made to the local churches Visitors from the local church and Salvation Army take place visit residents and carry out communion and services. Children from the nearby school visit residents during festive times or residents are invited to entertainment that is being held at the school by the children. Home Lea House DS0000033272.V278668.R01.S.doc Version 5.1 Page 13 Residents can see their visitors in the privacy of their room but many chose to see their guest in the communal sitting rooms. Residents said they choose how and with whom they wish to spend their time with. There are monthly residents meetings and residents are encouraged to attend so that they can discuss matters relating to the group, like food and any changes that are going to take place in the home. Prospective residents have the opportunity to bring with them any personal possessions from their home, which they can use to personalise their bedroom. When possible an advocate is found from Age Concern for those people who do not have family or friends who can advocate on their behalf. Home Lea House DS0000033272.V278668.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. There are systems in place to support residents to maintain their rights and independence. EVIDENCE: Residents continue to exercise their rights. At the time of voting they can if they wish have a postal vote or go to the local polling station. They can also take part in activities outside of the home. Families, friends or solicitors mainly handle residents’ affairs. The home has contact with Age Concern advocacy for those needing the service. Residents and their relatives are aware of their rights to see any information held in relation to them. There are policies in place to support this. Home Lea House DS0000033272.V278668.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): 19,20,21,22,23,224,25 & 26. There were some breaches of health and safety during the inspection of the premises however, despite this, the building was found to be welcoming and comfortable. EVIDENCE: The home is well maintained. All communal areas used by residents consist of a large dining room, three sitting areas, one, which is a large conservatory. All are situated on the ground floor, close to communal toilets facilities. All rooms are decorated and furnished with domestic style furniture. There are several sofa chairs, which appeared to be inappropriate for the resident group, some residents seen sitting in these chairs were sitting closely together and when trying to get up out of the chair found it difficult. The manager must make sure that residents sitting in these chairs, are not restrained and that they can easily get themselves up and out of the chair without help. The inspector was told that these chairs were to be replaced with another type of sofa chair, which is higher and may eradicate the possible restrain. Advice was Home Lea House DS0000033272.V278668.R01.S.doc Version 5.1 Page 16 given that risk assessments must be carried to make sure that any resident sitting in the chairs are not at risk of being restrained. During discussions with residents, people who were sitting in the chairs were spoken with. Two people had no concerns and found the chairs comfortable, others said they did not like the chairs, as they preferred to sit in the single chairs where they could use both arms to assist them to get up out of the chair. Bedrooms are personalised by the occupants to their taste with relics and photographs from their home. Four of the bedrooms do not have ensuite facilities. Toilets and bathrooms are strategically placed around the building to make sure that residents who do not have ensuite have access to a toilet nearby. Bedrooms that do have an ensuite do not have any grab rails that could be used by residents to assist them getting up from the toilet. Heating and lighting throughout the home appeared to be suitable for needs of the people living there. However, during the course of the inspection of the premise it was noted some bedrooms were cold, which was due to windows left open in the late afternoon, this could affect residents choice of going to their rooms at a time they chose. Hot water in some bedrooms was hot, which could be a potential health and safety hazard to the occupant of these rooms. Communal sitting areas are fitted with domestic style light fitments. The lay out of the laundry room and the equipments i.e. the sluice washing machine is place so that infection control is not compromised, all staff have had infection control training. The macerator for the disposable of bedpans has not been working, the inspector was told this has been the case for some time. The office that is used by staff store care plans on shelves, the door was found open with no member of staff about the immediate area, this could compromise confidentiality and date protection. Home Lea House DS0000033272.V278668.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. Staffing levels at the home needs continual reviewing and staffing levels at nights needs increasing. No recruitment and selection information was available in staff files. There are however, good policy procedures in place and available to the home’s management team. Systems are in place to make sure that 50 of staff have an NVQ qualification. EVIDENCE: The staffing level during the day appeared to be sufficient to meet the needs of the current resident group, however, if the home is to care for people with dementia, the staffing levels must be reviewed to make sure there are enough staff with the ability to meet resident’s needs. Staffing level of two staff on nights for 28 residents and the lay out of the building needs reviewing to make sure that residents and staff health and safety is not compromised during the night. At the time of the inspection there were vacant hours that were being covered by the staff team, staff from other home’s and peripatetic staff. Hours that are vacant are, 69 hours for staff on long term sick 25 care staff hours and 37 care officer hours. Home Lea House DS0000033272.V278668.R01.S.doc Version 5.1 Page 18 Two care staff have been placed on a “fast track “ NVQ course. There are three staff undertaking the usual NVQ course and six staff with an NVQ qualification at level 2. The recruitment files of two staff members were looked at. None of the files for new staff members contained the required information i.e. notes of interview, application form, two written references, written copies of hours to be worked or any evidence that a Criminal Records Bureau (CRB) check had been carried out. The inspector was aware that this information is kept at the head office but was also aware that copies were also kept in the homes. Home Lea House DS0000033272.V278668.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): 31,32,33,34,35,36,37 & 38. Residents and staff are consulted about the service provided. The manager is experienced in managing services for older people. The health and safety of residents and staff is promoted. There are systems in place to monitor quality of service in the home. EVIDENCE: The manager is awaiting the commencement of the MCI training but at the present time is undertaking NVQ 4 in care. There are clear lines of accountability within the home, and those of line management of the home. Residents are consulted regularly about the about the services provided by staff. There are written minutes of meetings held with residents. It was evident from discussions with residents that discussions are held with them about matters that affect them and the service at the home. Home Lea House DS0000033272.V278668.R01.S.doc Version 5.1 Page 20 Residents and their visitors said the manager is very approachable and always willing to help. Staff were positive about the line management in the home The home’s management team supervises the staff team. At such time staff have the opportunities to discuss care practices and personal development. Documentation has been issued to all Leeds Social Service managers about the introduction of a quality audit system. However no formal method of evaluating the quality of services at the home was in place. There are regular Health and safety checks on the building to make sure it is safe for residents and staff. Risk assessments are carried out of the building to make sure that all risk identified has a plan of action how they would be minimised. The electrical ventilation in communal toilets and bathrooms needed cleaning. Appliances had evidence of testing. Although regular monthly, and yearly checks are carried out for appliances and equipment, PAT (Portable appliances testing) testing had not been carried out since the 29 September 2004 should be carried out yearly. During discussion with the care officers the inspector was told that there was a presence of asbestos in the boiler house. Plans have been put into place for its removal. The building was found clean and tidy without any odour, the building is well maintained. It was obvious from discussion with residents and staff that they had pride in the appearance of the home and all effort is made to maintain the good standard of cleanliness. Home Lea House DS0000033272.V278668.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 2 2 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 4 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 X 2 3 3 3 3 3 3 3 STAFFING Standard No Score 27 2 28 3 29 1 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 4 3 3 3 3 2 2 Home Lea House DS0000033272.V278668.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? 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 1 OP1 15 2. OP7 15 3. OP27 18 The home Statement of Purpose and service User Guide must be line with the home’s registration category to make sure that people are aware that the home came meet any specialist care they may have. (Date from the last inspection 12/11/05.) All residents must have a Care Plan, which clearly identifies all their care needs with an action plan detailing how these needs will be met. (Date from the last inspection 12/11/06.) The Registered Provider must make sure that residents have access to an appropriate number of staff taking into consideration the size and layout of the building and time of day. (Date from the last inspection 20/11/06.) All residents must be given written copies of terms and conditions (Licences agreement). 28/02/06 28/02/06 31/03/06 4 OP2 17 (2) schedule 4. 8 28/02/06 Home Lea House DS0000033272.V278668.R01.S.doc Version 5.1 Page 23 5 OP22 12 & 14 Risk assessment must be in 19/02/06 place for the use of sofa chairs in the home. 6 OP37 17 7 8 OP38 OP38 16 (j) 23 9 OP29 19 The manager must make sure that residents care plans are stored in a locked area so that confidentiality and date protection is not compromise. The macerator for the disposable of bedpans must be repaired. Hot water temperature in the rooms identified must be checked and regulated, so that residents in these room health and safety is not compromised. Recruitment and selection information must be available in staff files at the home. 50 of staff must have an NVQ qualification. The electrical ventilation in communal toilets and bathrooms must be cleaned. Appliances and equipment, PAT (Portable appliances testing) had not been carried out. 20/12/05 28/02/06 20/12/05 28/02/06 10 11 OP2928 OP38 18 23 31/10/06 19/02/06 12 OP38 23 28/02/06 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 OP20 Good Practice Recommendations When purchasing sofa chairs all consideration should be given to choosing the type of sofa that meet the needs of the resident group. Home Lea House DS0000033272.V278668.R01.S.doc Version 5.1 Page 24 2 OP14 Bedroom windows should be closed at a time, which would give residents the opportunity to go back to their room that is warm. Home Lea House DS0000033272.V278668.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Home Lea House DS0000033272.V278668.R01.S.doc Version 5.1 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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