Inspection on 18/07/07 for Leaze Court

This inspection was carried out on 18th July 2007.

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

Leaze Court 27/04/09

Leaze Court 16/02/06

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Leaze Court Hillside South Brent Devon TQ10 9AY Lead Inspector Margaret Crowley Unannounced Inspection 18th July 2007 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 Leaze Court DS0000065905.V338682.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. Leaze Court DS0000065905.V338682.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Leaze Court Address Hillside South Brent Devon TQ10 9AY 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) 01364 73267 01364 73797 Sally Brazier Steven Richard Dyke Mrs Lorraine Kay Langford Care Home 21 Category(ies) of Dementia - over 65 years of age (21), Old age, registration, with number not falling within any other category (21), of places Physical disability over 65 years of age (21) Leaze Court DS0000065905.V338682.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home may accommodate one service user named elsewhere under the age of 65. 6th September 2006 Date of last inspection Brief Description of the Service: Leaze Court is a detached property set in its own landscaped grounds in the South Hams village of South Brent on the edge of Dartmoor. Ms Brazier and Mr Dyke, the registered providers, have owned Leaze Court since 1st November 2005 under a partnership arrangement. The home is part of a group of affiliated companies and partnerships collectively known as The Court Group. This group comprises a number of care homes in South Devon and promotes a corporate identity and ethos. Leaze Court provides care for up to 21 older people who may also have dementia and/or physical disabilities. Accommodation is provided on the ground and first floor. Access to the first floor is currently provided via a stair lift. Accommodation is provided 15 single rooms and 3 double rooms, which have en suite facilities. There is a spacious lounge and a separate dining room. Outside there are attractive gardens and a parking area. At the time of the inspection the first phase of a building development was underway to upgrade the premises and to provide additional accommodation. Fees currently range from £295 to £420. Written information is available for people considering going to live at Leaze Court and for those who are resident. A copy of the most recent CSCI inspection report was available. Leaze Court DS0000065905.V338682.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over 13 hours on 18th and 19th July 2007 by Margaret Crowley, regulation inspector. Lorraine Langford, registered manager, was present in the home on both days and Sally Brazier, registered provider, was present for part of the first day and for subsequent feedback. An Annual Quality Assurance Assessment of Leaze Court was completed by the management and sent to the Commission for Social Care Inspection prior to the inspection. There were 15 people resident in the home during the inspection. Many were spoken with, including 4 in more depth regarding the lifestyle in the home and the care services they receive. Staff were observed and spoken with in the course of their daily duties. Four visitors, a district nurse, and the quality officer for the Court Group were also spoken with. A tour of the premises was made. Records were inspected, including care, medication and staff records. Surveys were received from 5 people who live in the home, 7 relatives and 4 staff. Feedback was also received from the district nursing service and a general practitioner. What the service does well: Leaze Court provides care of a very good standard. People who live at Leaze Court and their relatives praised the care given. Comments made included “ the staff are excellent and my father is very happy” and “staff are kind and thoughtful, they look after my mother very well”. A general practitioner and the district nurses also made positive comments. They described the service as “very good indeed” and “staff are skilled at identifying the care needs of residents”. The registered manager has a warm rapport with people living in the home and gets to know them well. Relatives value her personal involvement in managing people’s day-to-day care and said that they are always kept informed appropriately. People are encouraged to maintain contact with family and friends. Several people lived locally before going to live at Leaze Court and retain links with friends in the village. Visitors to the home said “ there’s a nice homely feel” and that they are always made very welcome. The home is spacious, homely and clean. There is an attractive garden, with seating areas, where people enjoy spending time. People said they enjoy the meals, which were described as “ good” and, “tasty”. Those seen provided during the inspection were of a good standard. There is a quality assurance system that includes surveys to seek the views of people living in the home, relatives, and staff, and monthly audits take place to ensure standards are maintained. Leaze Court DS0000065905.V338682.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. Leaze Court DS0000065905.V338682.R01.S.doc Version 5.2 Page 7 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 Leaze Court DS0000065905.V338682.R01.S.doc Version 5.2 Page 8 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): Standards 2,3,6.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People receive clear information to assist them in choosing to live at Leaze Court and admission procedures ensure that their needs can be met. EVIDENCE: Two people who had been admitted to the home in recent months and their relatives were spoken with. They said that staff were kind and welcoming and that good information was available. Relatives were confident that right choice of home had been made and valued the support provided not only to the new residents, but also to their families. Care records were inspected and showed that the manager had visited prospective residents in hospital and undertaken a pre-admission assessment. Further assessment of the person’s needs was undertaken following admission. A letter was sent to the person, or their relative or representative confirming that their needs could be met. A contract was issued which detailed the care to be provided. Leaze Court DS0000065905.V338682.R01.S.doc Version 5.2 Page 9 Leaze Court does not provide intermediate care. Leaze Court DS0000065905.V338682.R01.S.doc Version 5.2 Page 10 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): Standards 7,8,9,10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live at Leaze Court have their health and personal care needs met and they are treated respectfully. EVIDENCE: People living at the home and their relatives said that they were well cared for and praised staff for their kindness and attention to their needs. They said that staff assisted them with their personal care sensitively and always respected their privacy. The inspector observed staff interacting with people in a warm, friendly and appropriate manner. There are good working relationships with the local general practitioners and district nurses. Feedback received said that any concerns are referred to them in a timely manner and that advice given is followed. A general practitioner visited the home during the inspection for a regular weekly visit, which ensures that people’s health is monitored regularly and reviewed. The home currently caters for older people with a range of needs, including people with dementia and those who are physically frail. Community health professionals praised the quality of the care given, including the manner in which terminally ill people are care for which was described as “very good indeed”. Leaze Court DS0000065905.V338682.R01.S.doc Version 5.2 Page 11 Records inspected contained risk assessments and care plans, which are reviewed regularly to enable health and personal care needs to be addressed. Where possible the person or their representative had signed the care plan. Daily records showed that peoples’ care is monitored and concerns are recorded and dealt with. Dietary preferences and needs were noted in the care plans. People’s weight is monitored on a monthly basis, although the weight records of two people did not record whether significant weight gain was to be addressed. A new care planning format and a co-ordinated recording system has recently been introduced. This has a more person centred approach than the previous system. It provides the opportunity to record information in more depth, for example regarding the person’s likes, dislikes, background and interests. The manager said that each person’s records are to be updated in the new approach. A key worker system has been introduced and key workers are now involved in the care planning process. The home’s system for the administration of medicines was inspected. At the time of the inspection medication was stored in a small room adjacent to the kitchen, but was due to be transferred to a new cupboard opposite the managers office. Medication administration records inspected were not always completed accurately, a small number with blank spaces seen and no information recorded to account for what had happened to the medicines. The administration of prescribed creams kept in people’s bedrooms was not always recorded. Some creams had indistinct labels. The controlled drugs register was completed accurately. Controlled drugs are stored in a locked cabinet, but this is not secured to the wall. The manager said that this would be addressed in the new location. The controlled drugs cupboard contained a small amount of diazepam that had been prescribed for people no longer living in the home. The manager said that this would be returned to the pharmacy. The home does not have a medicines refrigerator. Medicines that need to be stored in a refrigerator are kept in the main refrigerator, but not in a secured, locked, non-metallic container. Staff receive training in the administration of medicines which is provided by the training officer/health and safety office of the Court Group. Training was due to be held later in the month for new staff. Leaze Court DS0000065905.V338682.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,14,15. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People are supported in making choices in their daily lives, but there are limited opportunities for stimulation through leisure activities, which are linked to people’s needs, interests and capacities. EVIDENCE: People enjoy the informality of living in this care home. The more able people were seen to make choices about their daily living routines. Discussions took place with the registered manager and registered provider regarding managing issues of social isolation and non-compliance with personal care. They were advised that any decisions should be made in consultation with the person, their representative, their care manager and professionals involved in their care, and recorded. There was no set activities programme provided. The registered manager said that activities are provided in an ad hoc way according to what people choose to do. However, during the inspection some people complained of boredom and the lack of opportunity to play games such as bingo and cards. The registered manager said that these are offered, but there is little response. Care plans currently contain little information regarding people’s interests and social needs. Leaze Court DS0000065905.V338682.R01.S.doc Version 5.2 Page 13 On both days of the inspection staff were observed sitting talking informally with people in the lounge. Feedback from relatives said that more activities would be welcome, including opportunities for physical exercise, and more time for “staff to chat”. One said they would appreciate a twice- yearly newsletter to inform relatives of events and social activities. People living in the home, and visitors confirmed that visitors are always made very welcome. Some people retain their links with the village. One person goes to the village church with the neighbours and another person attends the over sixties club. People said that they like the meals and those seen during the inspection were of a good standard. There was no choice of main course offered at lunchtime. The day’s menu was not displayed and people were not aware in advance of what the meal would be. Both the cook and the registered manager said that they know people’s likes and dislikes and an alternative is always available. Special diets are catered for and one person currently has their food liquidised. At the last inspection it was recommended that the liquidised elements should be presented separately, but the person prefers the meal to be liquidised together, and on the advice of the dietician this has been resumed. Leaze Court DS0000065905.V338682.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16,18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at Leaze Court and their relatives can feel confident that their concerns will be dealt with and that they will be protected from abuse. EVIDENCE: The home has a written complaints procedure, which is contained in the statement of purpose and service users’ guide, and was on display. People living in the home and their relatives said they know how to complain and would raise any concerns with the manager. The manager said that no complaints had been received since the last inspection and none were recorded in the complaints book. The Commission for Social Care Inspection has not received any complaints since the last inspection. There is an adult protection policy and procedure which is accessible to staff. All staff receive training in the protection of vulnerable adults which is provided by the Court Group. Leaze Court DS0000065905.V338682.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19,26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People live in a home that is comfortable and clean, and although current building works are disruptive, efforts are made to minimise their effects. EVIDENCE: Leaze Court is currently undergoing a development programme and building work was in progress that will take approximately a year to complete. The registered provider described the improvements planned, which include nine additional bedrooms, a new main entrance and manager‘s office, a new kitchen, improved bathroom and toilet facilities and a shaft lift. Many existing bedrooms will be refurbished. At the time of the inspection the first phase of the project was nearing completion, with a new laundry, a bedroom and a fire exit being installed at one end of the building. People living in the home and their representatives had been written to in advance of the work commencing and informed of the plans. The home is registered to accommodate up to 21 people, with three bedrooms designated as doubles. At the time of the inspection there were 15 people in residence, Leaze Court DS0000065905.V338682.R01.S.doc Version 5.2 Page 16 with 3 rooms vacant. The registered provider said that numbers would be restricted at this level while the building work was in progress. The inspector undertook a tour of the premises and all rooms currently available for use were seen. Leaze Court is decorated in a homely style and has pleasant communal rooms and attractive gardens with seating areas and level lawns for people to enjoy. Bedrooms are personalised to the person’s individual taste. Since the current proprietors purchased the premises in 2005, improvements have been made to the lounge and dining room, and some rooms had been redecorated and provided with new soft furnishings. The management were taking steps to keep the premises safe, clean and hygienic while the work is in progress. The following matters identified on the first day of the inspection had been remedied by the time of a return visit the following week. These comprised improving lighting to a poorly lit corridor on the first floor; installing a valve to control the temperature of very hot water to the hand basin in the communal toilet on the ground floor; and securing a protruding notice. The registered manager and staff said that people living in the home had not been unduly upset by the disruption of the building work. Some people need to change bedrooms, but this was being phased and they hoped to limit upheaval. Leaze Court DS0000065905.V338682.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home can feel assured that the staff working at Leaze Court have the experience and skills to meet their needs. EVIDENCE: People said that staff were kind, helpful and accessible without delays. Relatives and visiting professionals also confirmed this. Communication seen during the inspection between staff and people living in the home was friendly and positive. Staff spoken with and feedback from staff questionnaires showed that staff are positive about their work and the standard of care provided. Staff said they work together as a team. Staff rotas were inspected and the registered manager said that staffing levels are maintained at an appropriate level. The registered manager and registered provider confirmed that staffing levels are kept under review dependent on people’s needs. They were currently attempting to recruit staff for a vacant care assistant post in the late afternoon and a domestic. Meanwhile existing staff were working additional shifts. There is a range of experience and training within the staff group. Three of the 11 of care staff currently hold the National Vocational Qualification in Care at level 2 or above and one person was previously undergone training as a psychiatric nurse. The ratio of qualified staff is below the 50 set out in the National Minimum standards. However the training programme is seeking to Leaze Court DS0000065905.V338682.R01.S.doc Version 5.2 Page 18 address this. Three people are currently undertaking training for the National Vocational Qualifications in Care. The Court Group provides a range of inhouse courses. Training received by staff this year has included communication skills, dementia care, pressure ulcer prevention, and mandatory training in first aid, food hygiene, and fire prevention. Staff have also received training in infection control as required at the last inspection. Records were inspected of three staff most recently employed and provided satisfactory evidence of the recruitment and the induction processes. Criminal Record Bureau disclosures and Protection of Vulnerable Adults checks were applied for centrally and the manager informed when enquiries were complete. Two written references were available. The registered manager was reminded to ensure that applicants always signs the application form and the declaration of health. Leaze Court DS0000065905.V338682.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31,33,35,37,38 Quality in this outcome area is good, This judgement has been made using available evidence including a visit to this service. People benefit from living in a care home that is well managed and where attention is given to their health, welfare and safety. EVIDENCE: Lorraine Langford has been registered as the manager since the last inspection. She has recently completed the National Vocational Qualification in Care at level 4 and intends commencing training leading to the Registered Manager’s Award. She has 20 years experience in working in the care of older people including several years as the deputy manager of this home. The registered manager and staff team work together well to create a homely and open environment. Leaze Court DS0000065905.V338682.R01.S.doc Version 5.2 Page 20 A quality assurance system is in place that includes monthly quality audits by the Court Group quality assurance officer, to ensure that standards are met and maintained. A quality assurance survey takes place to gain the views of people who live in the home, relatives and staff. The results are displayed and acted upon and an annual development plan produced. Meetings are held for people who live in the home and for staff and minutes taken. Financial records for people living in the home were examined and were in order. Most people’s relatives or their representative manage their financial affairs. There was clear evidence of records kept of any money held in safekeeping on residents’ behalf. This included records of incoming payments and receipts for outgoing payments. The inspector was concerned to observe a lack of confidentiality in the registered manager’s office while renovations were taking place. Conversations could be overheard and information was accessible because the door remained open due of a lack of ventilation since the window had been blocked. Routine health and safety issues are managed satisfactorily and records inspected were maintained up to date and accurate. Accidents were recorded appropriately. Fire risk assessments and prevention measures were in place and records of tests and drills maintained. Documents were seen confirming maintenance and checks of gas and electrical appliances in the home including the stair lift. Risk assessments concerning the home’s environment were seen. “Safer Food Better Business” diary records were examined in relation to processes in the kitchen. The registered manager and registered provider said that steps have been taken to ensure the safety of the premises during the building programme. The front door was locked to prevent people who are mentally frail wandering outside unaccompanied. The health and safety officer for the Court Group had been asked to undertake a risk assessment in respect of one person. It is planned to have secure gates at the entrance of the drive in due course. Leaze Court DS0000065905.V338682.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 2 x x x x x x 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x 2 3 Leaze Court DS0000065905.V338682.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? Yes 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 OP9 Regulation 13(2) Requirement Timescale for action 20/07/07 2 OP37 4(a) Staff must sign the medicine administration record at the time that medicines or creams are administered. When a prescribed medicine has not been administered, the reason must be recorded on the medication administration record. This is to ensure people receive the correct level of medication The registered manager must 20/07/08 ensure that confidential information regarding people living in the home is protected at all times. 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 OP12 Good Practice Recommendations People should have more opportunities for stimulation available through leisure activities, which are linked to DS0000065905.V338682.R01.S.doc Version 5.2 Page 23 Leaze Court their needs, interests and capacities. 2. 3 OP15 OP9 A choice of menu should be available at all times and made accessible to people living in the home. Medicines that need to be stored in a refrigerator should be stored in a medicines refrigerator, or if kept in the kitchen refrigerator should be secured in a locked, nonmetallic container. Leaze Court DS0000065905.V338682.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Ashburton Office 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. Extracts may not be used or reproduced without the express permission of CSCI Leaze Court DS0000065905.V338682.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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