Inspection on 20/04/05 for Kenilworth Care Home

This inspection was carried out on 20th April 2005.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Kenilworth Care Home 21/07/09

Kenilworth Care Home 01/08/07

Kenilworth Care Home 03/08/06

Kenilworth Care Home 21/12/05

Kenilworth Care Home 15/09/04

Kenilworth Care Home 21/04/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Kenilworth Care Home Duncan Place Loftus Saltburn TS13 4PR Lead Inspector Penni Hughf Unannounced 20 April 2005 09:30 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 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. Kenilworth Care Home B51 B01 S59126 Kenilworth V222248 200405 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Kenilworth Care Home Address Duncan Place Loftus Saltburn TS13 4PR 01287 640203 01287 640203 Telephone number Fax number Email 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 Sunny Okukpolor Humphreys Mrs Maureen Middleton Care Home 25 Category(ies) of Old Age - 25 registration, with number of places Kenilworth Care Home B51 B01 S59126 Kenilworth V222248 200405 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: The manager (Maureen Middleton) should attain (by 2005) as qualification at Level 4 National Vovational Award in Management and Care or equivalent. The registered provider (Mr Sunny Humphreys) must attain by 2006 a qualification at Level 4 National Vocational Award in Care Management. 15th September 2004 Brief Description of the Service: Kenilworth Care Home is a two storey Victorian House, with a purpose built, modern extension to the rear, which is situated in it’s own grounds, with a spacious garden, accessible to residents There is a paved entrance to the rear and car parking adjacent to the entrance.The home provides accommodation for 25 elderly people, both male and female. Thirteen of the bedrooms are located on the ground floor, offer en-suite facilities of w.c. and wash hand basin, and are well decorated. First floor bedrooms are accessed by the stairs and/or stair lift. The home has two lounges and a spacious entrance hall with seating, and the dining room is bright and spacious. The laundry is housed in the basement. There is a telephone available for resident’s use, and the home has a no smoking policy. Date of last inspection Kenilworth Care Home B51 B01 S59126 Kenilworth V222248 200405 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took 11 hours, over two days and was carried out as one of the two statutory inspections required by the Care Standards Act 2000. A partial tour of the premises took place and staff and care records were inspected. Three staff on duty were interviewed, together with eight of the 24 residents. In addition, five visitors were spoken to. What the service does well: What has improved since the last inspection? The pre-admission procedure had improved since the last inspection, but the information gathering forms needed further enhancement. Since the last inspection, new carpets had been laid to the large lounge and a new cooker and two new fridges purchased for the kitchen. The recent purchase of a new computer and printer will improve the administrative and record keeping tasks within the home. Kenilworth Care Home B51 B01 S59126 Kenilworth V222248 200405 Stage 4.doc Version 1.30 Page 6 Training aimed at the particular problems that can arise for elderly people was being undertaken by a number of care staff. Residents living in the home who were spoken to during the inspection said that the home was warm and comfortable and the staff kind and caring. What they could do better: Since the last inspection, the pre-admission procedure had improved, with all information required gathered. However, the form itself needed to be improved so that all the information was included on it. Contracts or terms and conditions must be given to all residents at the point of admission. The procedure on adult protection must be developed to include up to date information, names and points of contact. Meals would benefit from a little more imagination to make them more appealing, and activities and the development of an activities organiser would enhance the opportunities for those residents who would like more choice in their daily activities. Radiators in en-suites must be covered or replaced with low surface temperature radiators to ensure resident’s health and safety, and not just turned off as at present. The carpet in the passageway from the entrance to the lounges must be replaced. 50 of care staff should hold the NVQ level 2 in care by 2005. Formal supervision of staff would enhance current management support and direction. The current manager must enrol for the NVQ level 4 in care and management, or a manager recruited who holds this qualification. The provider must ensure that he has visited the home at least once in the month, when he has spoken to, in private and with their consent, residents and staff, inspected the premises and prepared a written report, a copy of which must be provided to both the manager and the Commission for Social Care. Kenilworth Care Home B51 B01 S59126 Kenilworth V222248 200405 Stage 4.doc Version 1.30 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. Kenilworth Care Home B51 B01 S59126 Kenilworth V222248 200405 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Kenilworth Care Home B51 B01 S59126 Kenilworth V222248 200405 Stage 4.doc Version 1.30 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 standard(s) 2 and 3 Progress had been made to improve the admission procedure, to ensure that the care needs of new residents will be met. Provision of contracts at the point of admission must be ensured to provide residents with security of tenure. EVIDENCE: Since the last inspection, there had been one admission to the home, just over four weeks ago. The resident who was admitted was self-funding and was admitted following a pre-admission assessment by the manager of Kenilworth, in the presence of the resident’s family. The pre-admission assessment form was evidenced on the resident’s file. During the inspection it was discussed and agreed with the manager that the pre-admission assessment form should be developed – it contained most, but not all, of the elements identified in National Minimum Standard 3. She had gathered the elements not included on the form during the assessment, but it was written on three pieces of paper torn from her notebook, and therefore could be lost in the fullness of time. In addition to the pre-admission assessment, the resident’s file contained a copy of her care plan from her previous care home. Kenilworth Care Home B51 B01 S59126 Kenilworth V222248 200405 Stage 4.doc Version 1.30 Page 10 The staff members on duty spoken to were able to describe the resident’s needs clearly, and the resident and her relatives spoken to were fulsome in their praise of the manager and staff’s care and attitude in meeting her needs. This resident had not yet received her contract. The manager said that she had passed the contract to the provider for his signature, and the provider confirmed this, stating he would return it for the resident’s signature within the next two days. This must be addressed to ensure that the resident is provided with security of tenure within the home. Where a resident is admitted on a provisional basis of four to six weeks, this should be reflected in the contract. Other residents’ contracts were available for inspection and were satisfactory. Kenilworth Care Home B51 B01 S59126 Kenilworth V222248 200405 Stage 4.doc Version 1.30 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 standard(s) 7,8 and 10 Good arrangements were in place in the home to ensure that the health care needs of residents were identified and met. Residents and their relatives were treated with dignity and their privacy respected and staff displayed an in depth knowledge of the residents and their needs. EVIDENCE: Individual plans of care were available for all the residents. Staff and residents were able to confirm that plans were developed together with the resident, and where required, their relative. Plans included details of medication, GP, and hospital appointments. The three staff interviewed during the inspection, were all able to describe in detail how each of the resident’s whose files were examined, liked to have their care delivered, including details of what time they liked to get up, whether they liked a cup of tea first thing or later, how much support they required to get washed and dressed and how and where they liked to spend their time. This information was evidenced in the care plans examined. Kenilworth Care Home B51 B01 S59126 Kenilworth V222248 200405 Stage 4.doc Version 1.30 Page 12 Review dates were included, both those undertaken by the Social Services and undertaken by the key worker. those, four to six weekly, All three staff confirmed that they used the care plans on a daily basis, and wrote up daily entries. One of the staff said of the care plans “it’s where I go when I’ve been off, I check the care plans to make sure what’s happened.” Residents and relatives spoken to during the day said that staff attitude was always positive, that staff always spoke to the residents and not at them, that staff were very friendly, and there was always someone “close by.” Kenilworth Care Home B51 B01 S59126 Kenilworth V222248 200405 Stage 4.doc Version 1.30 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 standard(s) 12,13 and 15 Opportunities to maintain contact with friends and family were excellent and well supported. Meals were in general satisfactory, but required some attention to make them more appealing to all residents. Social activities were few and far between and did not enable all the residents to satisfy their recreational interests. EVIDENCE: A number of the people living in the home were spoken to and the majority who commented on the food said it was very good, there was ample, and they received a choice for all meals. There were two residents who said that they found the food at lunchtime to be bland at times, although they found the breakfasts and teas were satisfactory. The inspector sampled the lunch on the day of the inspection, and felt that the main course was not very appetising, although the pudding was very tasty. This was discussed with the manager and provider at the time, and they said that this would be addressed with the cooks. A number of residents, relatives and other visitors to the home were spoken to and commented that visitors were free to visit at any time. Relatives commented that they were encouraged to visit, and said that the staff were friendly and supportive, making them feel welcome and included. One of the residents’ key workers interviewed, said that the resident had her own Kenilworth Care Home B51 B01 S59126 Kenilworth V222248 200405 Stage 4.doc Version 1.30 Page 14 telephone in her room, which enabled her to keep in touch with her family and many friends. When the resident was interviewed, she confirmed this. Staff said that activities consisted of dominoes and bingo, with occasional visits from external entertainers, particularly on special occasions, such as Christmas and Easter. There were also clothes parties from time to time. Staff acknowledged that taking residents out into the local community was difficult to manage on top of attending to all care needs, and that this was probably the area in which they were least able to meet resident’s needs. If they had to go to the shops and it was a nice day, they would try to take a resident out with them. One resident said that they sometimes played dominoes and had entertainers in at Christmas and Easter, but confirmed there was not a lot of opportunity to go out with staff support. The manager said that they were looking into appointing a member of staff to act as Activities Organiser Kenilworth Care Home B51 B01 S59126 Kenilworth V222248 200405 Stage 4.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 Residents and their relatives complaints were listened to and acted upon. Action must be taken to enhance staff awareness to enable a proper response to any suspicion or allegation of abuse. EVIDENCE: A relative spoken to said that she was not aware of the complaints procedure, but nevertheless felt confident that any complaint or concern would be listened to and acted upon by the home. The manager said that a copy of the Statement of Purpose was given to all new residents, which contained the complaints procedure and a copy of the procedure was evidenced in the entrance hall. There was only one complaint recorded in the Complaints Book, which was dated June 2004. No complaints have ever been received by CSCI about the home. It had been dealt with by the manager to the satisfaction of the complainant, who declined a meeting with the provider. Staff interviewed were aware of the No Secrets guidance and POVA, but were unclear of the immediate procedure to follow upon receiving an allegation of abuse, if the manager was not on duty. The manager was unable to find the No Secrets guidance, and although a procedure was in place, it did not hold all the required information. A phone call was made to the Local Authority, who said that they would send out a new copy of No Secrets, which would be followed up in June 2005 with the new updated version. Residents said they had never had any reason to make a complaint. Kenilworth Care Home B51 B01 S59126 Kenilworth V222248 200405 Stage 4.doc Version 1.30 Page 16 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 standard(s) 19 and 26 The home was generally well-maintained and comfortable, with a high standard of cleanliness, but the outstanding matters must be addressed to ensure the people living in the home are provided with a safe environment EVIDENCE: Since the last inspection, the new provider had made a number of improvements within the home. A new cooker had been purchased for the kitchen, together with two new fridges, complete with thermometers. New security lights had been placed externally, and a new quality Axminster carpet laid in the larger of the two lounges. In addition, a new computer and printer had been purchased, to improve the administrative functions within the home. However, radiators in all the en-suites must be covered, or provided with low temperature surfaces, to ensure surface temperatures do not exceed 43C. At present, the radiators are turned off at all times. This was a requirement at the last inspection. The provider had obtained quotes for carrying out the work, and said that it would be undertaken before the middle of May 2005. Kenilworth Care Home B51 B01 S59126 Kenilworth V222248 200405 Stage 4.doc Version 1.30 Page 17 The home was found to be generally well-maintained and comfortable, with décor and soft furnishings in keeping with the home. However, the carpet in the passage leading from the entrance hall to the lounge and front hall was threadbare in places and must be replaced. Externally, the grounds were in a good state of repair and provided a safe environment for the residents. There was a crack in the wall below the large lounge side window that must be attended to. Kenilworth Care Home B51 B01 S59126 Kenilworth V222248 200405 Stage 4.doc Version 1.30 Page 18 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28 and 30 Good recruitment practices were in place and staff were trained and competent to do their jobs. Recruitment is required to maintain appropriate levels of staffing. EVIDENCE: There were sufficient staff on duty on the day of then inspection, and the duty rota confirmed the numbers. There were two waking night staff on duty every night. Five members of staff held their NVQ level 2 in care, but three further staff must commence the training to achieve the requirement of NMS 28 that 50 of staff hold the qualification. Two members of staff who had held the qualification had left, which had reduced the percentage of those holding the NVQ 2. The manager and provider both said that an advertisement was to be placed on the job centre website on Friday 22nd April 2005 to recruit replacement staff, and the provider must ensure that recruitment takes place to maintain the number of staff to meet the needs of the residents, without relying on staff continually having to work overtime to cover the duties of those who have left. The manager said that four members of staff, were undertaking a Safe Handling of Medicines course at this time, and all other staff already held the certificate. A number of other staff were undertaking a three month course on Dementia Awareness, which those staff interviewed were very enthusiastic about, saying it was really increasing their knowledge base. Kenilworth Care Home B51 B01 S59126 Kenilworth V222248 200405 Stage 4.doc Version 1.30 Page 19 Residents spoken to during the inspection were fulsome in their praise of the staff, saying that they were kind and caring, that they came as soon as they were called, and that there was always a member of staff “close by”. They confirmed that staff provided their care in the way they liked and knew their different preferences. Kenilworth Care Home B51 B01 S59126 Kenilworth V222248 200405 Stage 4.doc Version 1.30 Page 20 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,34,36 and 37 There was clear evidence of leadership, direction and support to staff from the manager to ensure that the residents received consistent quality care in the way they wished to receive it, but this was not through a formal process. EVIDENCE: The manager of the home did not hold NVQ level 4 in care and management or the equivalent, required by National Minimum Standard 31 (by 2005), nor did she wish to undertake this. The registered provider was actively seeking a new, qualified manager, until which time, the current manager was prepared to remain in post. Therefore some uncertainty existed with regard to the future management of the home. The current manager, who is experienced and competent, understands and meets the needs of the residents in her care and provides support and direction to her staff. Staff, residents and relatives spoken to all confirmed that this was the case. The home is currently undergoing a period of transition, with clear lines of accountability between the manager and the provider not yet fully in place and this must be addressed. Kenilworth Care Home B51 B01 S59126 Kenilworth V222248 200405 Stage 4.doc Version 1.30 Page 21 Changes in the way administrative tasks are handled must be finalised to ensure all required tasks are carried out appropriately. The registered provider had not provided copies of his monthly report to the CSCI, nor had he provided these in writing to the manager. This was an outstanding requirement from the previous inspection. The inspector was able to speak to the homes’ accountant, who confirmed that he would be auditing the accounts to March 2005 and that these should be completed by May/June 2005. These are to be forwarded to the CSCI at that time. Last year accounts were evidenced during the change of ownership. Formal supervision had not been undertaken regularly on a formal basis. It was suggested that the manager should undertake some training on supervision to equip her better to undertake the task, and to enable her to look at delegating some of the supervision of care staff to the seniors. Monthly emergency lighting tests were carried out, the latest being on the 7.5.05. Fire alarm test were carried out on a weekly basis at different fire points each week and recorded. An accident book was in place, but was not on the correct forms and the provider was to write to the HMSO for up to date accident record pad, to comply with data protection. The type of fire drill carried out for small to medium sized homes did not require evacuation by all residents, but a walk round of fire exits, extinguishers and alarms. This was outstanding at the last inspection, but was now being complied with. Kenilworth Care Home B51 B01 S59126 Kenilworth V222248 200405 Stage 4.doc Version 1.30 Page 22 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 2 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 4 14 x 15 2 COMPLAINTS AND PROTECTION 2 x x x x x x 3 STAFFING Standard No Score 27 2 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 2 x x 2 x 2 x 2 Kenilworth Care Home B51 B01 S59126 Kenilworth V222248 200405 Stage 4.doc Version 1.30 Page 23 yes 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. 1. Standard OP37 Regulation 26 Requirement A written report must be provided by the registered provider to the manager and a copy to the CSCI detailing his monthly visits to the home. (Timescale of 15/09/04 not met) The radiators in all the en suites must be covered, or must be replaced with low surface temperature radiators where covers cannot be provided. (Timescale of 1/1/05 not met) The worn carpet leading from the entrance hall to the lounges/front hall must be replaced. The procedure on adult protection must be developed to include up to date information, names and points of contact for referral and staff be trained on the procedure. Each resident must be provided with a contract/statement of terms and conditions at the point of moving into the home Timescale for action 20/05/05 2. OP38 13 20/05/05 3. OP20 23 01/07/05 4. OP18 13 01/07/05 5. OP2 17 20.04.05 Kenilworth Care Home B51 B01 S59126 Kenilworth V222248 200405 Stage 4.doc Version 1.30 Page 24 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. 3. 4. 5. 6. 7. Refer to Standard OP28 OP31 OP36 OP36 OP3 OP15 OP13 Good Practice Recommendations 50 of staff should have achieved NVQ level 2 in care by 2005 The manager should enrol to undertake NVQ level 4 in care and management or a new manager recruited. Care staff should receive formal supervision at least six times a year. The manager should receive some training on formal supervision The pre-admission form should be developed to include all the elements identified in NMS 3 Meals should be reviewed to ensure that they are appetising and appeal to residents. An activities organsier should be introduced to ensure residents needs for a choice of activities are met. Kenilworth Care Home B51 B01 S59126 Kenilworth V222248 200405 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection Unit B, Advance House St. Marks Court Teesdale Stockton-on-Tees TS17 6QX 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. 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