Inspection on 17/04/07 for Leeds Road 66

This inspection was carried out on 17th April 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 no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Leeds Road 66 01/03/06

Leeds Road 66 02/06/05

Leeds Road 66 07/12/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Leeds Road 66 66 Leeds Road Harrogate North Yorkshire HG2 8BG Lead Inspector David White Key Unannounced Inspection 17th April 2007 10:00 Leeds Road 66 DS0000061592.V329260.R01.S.doc Version 5.2 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 Leeds Road 66 DS0000061592.V329260.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 Adults 18-65. 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. Leeds Road 66 DS0000061592.V329260.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Leeds Road 66 Address 66 Leeds Road Harrogate North Yorkshire HG2 8BG 01423 815555 F/P01423 815555 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) Foresight Residential Ltd Mrs Sandra Patricia Forster Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Leeds Road 66 DS0000061592.V329260.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for 10 residents with Learning Disabilities, some of whom may also have an additional Physical Disability and/or Sensory Impairment. 1st March 2006 Date of last inspection Brief Description of the Service: 66 Leeds Road is registered to provide residential personal, and social care for 10 adults with learning disabilities and associated sensory impairment. The property is a detached house set in its own grounds and situated just outside Harrogate town centre providing good access to the towns services and amenities. The home is owned and run by Foresight Residential Ltd. The responsible individual is Mr P Coldwell. Mrs Sandra Forster is the registered manager. At the time of the site visit the fees for the home ranged from £695 per week upwards and did not include costs for hairdressing, chiropody, toiletries, holidays and activities. Leeds Road 66 DS0000061592.V329260.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report follows an unannounced site visit undertaken on the 17 April 2007. This visit was carried out by one Regulation Inspector and took 5.5 hours with 4 hours preparation time. The home was able to return the requested information before this site visit. Surveys were received from one social care professional and six relatives who had contact with the home. Information was used from the Regulation Inspector’s inspection record, which detailed the history of the home and relevant information about what had been happening in the home since the previous inspection visit. The site visit comprised of an inspection of the premises. The care records of three residents were looked at which included residents assessments, care plans and medication records. Staff rotas and health and safety documentation were inspected. Time was spent talking to three residents, two members of care staff, a senior member of staff and the cook. The activity in the home and the interaction between residents and staff was observed. The focus of the inspection was on a number of key standards and inspecting the case records of a number of residents to establish whether they corresponded with their experiences of life in the home. The manager was not available for the inspection. However the findings were discussed with the senior member of staff at the end of the site visit. What the service does well: Residents are encouraged to make their choices about how they live their lives and this helps them to be independent. There is a range of activities on offer for residents so that they are able to pursue their leisure and social interests. Residents said that one of the best things about living at the home is the number of activities and courses that they are involved in. The home has good relationships with other services and this helps to ensure that residents are able to access and receive specialist support in order to maintain and promote their good health. Residents live in pleasant and attractive surroundings that are well maintained to promote their independence, comfort and safety. Leeds Road 66 DS0000061592.V329260.R01.S.doc Version 5.2 Page 6 Staff receive a range of training to help improve their skills and knowledge in meeting residents’ needs. The home is managed well in the best interests of residents so making sure that concerns are addressed properly and good standards of care are maintained. 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. Leeds Road 66 DS0000061592.V329260.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Leeds Road 66 DS0000061592.V329260.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 5 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. Overall there are proper pre-admission arrangements in place to make sure that people can feel confident that their needs will be met by the home. EVIDENCE: When someone is referred to the home the manager visits the person in their own home and carries out a thorough assessment of their needs. Prior to this information is usually obtained from other sources such as placing authorities in order to make sure that the home has the necessary skills, experience, resources and equipment to meet the person’s needs. However it was noted in the care records of the most recently admitted resident that this information had not been sought although the resident had been able to visit the home with their representatives on a number of occasions beforehand to help them in making a decision about moving into the home. Each resident has an individual contract explaining the terms and conditions of their stay at the home and they are provided with a service user guide which explains specific information about the home. This documentation is available in alternative formats such as large print and Braille format to assist those residents who have visual impairment. Leeds Road 66 DS0000061592.V329260.R01.S.doc Version 5.2 Page 9 Leeds Road 66 DS0000061592.V329260.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People living at the home are encouraged and supported to make their own decisions about their lives whilst taking into account any risks that have been identified. EVIDENCE: The main aims of the home are to encourage residents’ independence and this is reflected within the care planning documentation which is person centred. The care records for each resident include a “pen picture” and “life history” which provides information about the resident’s background and their life story. There is also information about the person’s likes and dislikes. In one resident’s care record it is noted that the resident dislikes hot curry food. The cook is fully aware of this and has a list in the kitchen detailing all the residents’ food preferences and dislikes. The care plans are in simple language and staff said that they are “easy to follow” in helping them to support Leeds Road 66 DS0000061592.V329260.R01.S.doc Version 5.2 Page 11 residents. A key worker system is in place to enable residents to have individual support and residents said that they regularly meet up with their key worker to discuss their care plan. Care plan reviews take place with the involvement of the resident and their representatives where this is appropriate and focus on the resident’s achievements and their wishes and goals for the future. A number of risk assessments are in place to support residents with their independence, mobility and safety. One resident enjoys horse riding and the risk assessment is detailed in describing how the resident can be supported with this. Any restrictions for the residents are clearly recorded to explain how decisions have been reached. Risk assessments are reviewed on a regular basis to reflect any changing needs. Residents said that they are “encouraged to be independent” and this could be observed at the time of the site visit. Relatives made comments in surveys that residents can “live their lives as they choose” and that they are “well cared for both individually and as a group”. Leeds Road 66 DS0000061592.V329260.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. Residents enjoy activities and being involved in the local community. EVIDENCE: Each resident has an individual activity programme for throughout the week. There are some in-house activities and these include an Arts and Crafts group. Some of the residents attend local day services and other local activity groups such as horticap that enables residents to enjoy gardening. Residents said, “ one of the best things about living at the home is the amount of courses and activities that we are involved in”. One resident likes to attend a computer group and has been asked to become part of the management committee at a day centre he attends whilst another resident likes to go to the local library for audiotape books. Staff support residents in other activities such as swimming, going to the gym and with visits to the pub. The home has access to a minibus Leeds Road 66 DS0000061592.V329260.R01.S.doc Version 5.2 Page 13 that is used to take residents out for trips to the seaside and other local attractions and residents said that they hope to go on holiday this year. Some residents have holidays with their family. Residents did say that they like to go out for meals and generally found these “very enjoyable”. The staffing rotas are flexible and show that staffing arrangements are planned around the needs of the residents. However two residents said that on the odd occasion when they have been out for a meal in an evening they had felt hurried to finish their meal so that staff could get back to the home for the handover period between shifts and this left them feeling “frustrated and annoyed”. When asked residents said they had not discussed this issue with the staff team and staff expressed surprise, as this matter has not been mentioned before. It is recommended that the arrangements for the planning of the activities at evening times be reviewed in order to make sure that all the residents’ social needs are met to suit their preferences and expectations where this is practicably possible. Visiting arrangements are flexible and residents can see family and friends whenever they want. Two residents are involved in a relationship and have received specialist guidance to help them make informed choices about this. Residents feel that the quality of food on offer at the home is good. A cook is employed to provide meals for the residents although some do their own cooking. There is a varied menu to suit all personal tastes and alternative meals are available if residents do not like what is on offer. The cook has a list of the personal likes and dislikes of each resident. One resident has asked the staff to support him in losing weight. The resident says that he is offered a low-fat diet at mealtimes and his care records show that he has received some dietary information from a nurse at the local General Practitioner (GP) surgery and all the residents’ weights are periodically monitored. A mealtime was observed and residents could be seen to be enjoying a nicely presented meal in a relaxed and unhurried environment. Leeds Road 66 DS0000061592.V329260.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. Residents’ personal and healthcare needs are very well met and they have good access to specialist services if needed. EVIDENCE: Residents’ care plans clearly state how each resident is to be supported in meeting their needs. Residents feel that staff promote their independence and offer support when required. Personal cares are provided in private and staff are respectful towards residents. At the time of the site visit a cleaner was heard asking a resident for permission to go into their bedroom and residents said that staff knocked on their bedroom door before entering. Residents describe staff as “helpful and approachable”. Each resident has a General Practitioner (GP) and a dentist and a chiropodist regularly visits the home. One resident has recently been referred to a neurological clinic and staff support residents in attending health care Leeds Road 66 DS0000061592.V329260.R01.S.doc Version 5.2 Page 15 appointments. Referrals to other specialist services are made as required. One resident had experienced some agitation and problems in controlling their temper. In the resident’s care plan there is a control strategy instructing staff on what to do in these situations to support the resident and to reduce risks to both the resident and others. The resident has also received some anger management counselling from a psychologist. The care records are very good in explaining the reasons for health care checks and the outcomes from these. A health professional made comments that the home responds properly in meeting people’s health care needs. A number of relatives made comments about the quality of care received by residents and said that the home is very good at keeping them informed of important matters. The home has good medication systems in place. All the medication records are up to date and proper arrangements are in place for the receipt, storage and disposal of medications. A random check of a resident’s medications tallied with their medication records. All the staff team responsible for administering medication receive the appropriate training. Leeds Road 66 DS0000061592.V329260.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. Clear complaints and adult protection policies and procedures are in place and are followed to safeguard residents from harm. EVIDENCE: The home has a complaints procedure detailing how any concerns would be dealt with and this is available in large print and Braille formats. Residents said that they feel safe and know whom they would need to speak to if they wish to raise concerns. Since the previous inspection visit the home has received one complaint. The complaints records contain information about the nature of the complaint, details of the investigation and the outcomes from this. The complaint was responded to within agreed timescales and the complainants were made aware of the outcomes from the complaint. The home has a policy and procedure in place for the protection of vulnerable adults and staff have all attended abuse awareness training and receive regular updates. A member of staff who recently started working at the home said that she received information about abuse during her induction and the training records supported this. Leeds Road 66 DS0000061592.V329260.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. The home provides residents with a comfortable, pleasant and safe environment in which to live. EVIDENCE: The home is friendly and welcoming and a relative made comments that the atmosphere in the home is “wonderful”. Residents said that they are “pleased” with their bedrooms and with the layout of the home in general. Accommodation is over two floors with en-suite facilities available in most bedrooms. The home is well lit and warm and the furniture and fittings are of a good standard and are well maintained. Bedrooms are personalised and lockable to offer residents privacy. There are a sufficient number of toilets and bathroom areas throughout the building. Aids and adaptations are in place to meet the needs of the residents with call bell alarms in personal and communal accommodation to enable residents to access staff support at any time. There Leeds Road 66 DS0000061592.V329260.R01.S.doc Version 5.2 Page 18 are good size gardens with a patio area at the back of the home where residents can sit out. The home has ramped access to enable people with mobility problems to have access to the home. The home is clean and well maintained. A cleaner is employed to maintain cleanliness standards in the home and residents are encouraged to help with the upkeep of their bedrooms. There are separate laundry facilities to attend to residents’ personal clothing and chemicals are securely stored to prevent any risk of harm to the residents. The home has an infection control policy, which staff adheres to. Regular hot water temperature monitoring takes place and any issues are referred to the maintenance worker for the organisation. A random check of the water temperatures was found to be within safe limits. Leeds Road 66 DS0000061592.V329260.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. A competent and well-trained staff team provide good standards of care in meeting residents’ needs. EVIDENCE: Staff and residents could be seen to be interacting well and enjoying humour together through various means of communication. The duty rotas show that staffing levels are good and the rotas are planned around the needs of the residents. Residents said that they feel there is always enough staff on duty to support them and to enable them to spend time out of the home if they wish to do so. A cook and a cleaner are employed to maintain food and hygiene standards. A relative survey describes staff as “always very positive”. The staff files of three new members of staff show that proper recruitment procedures are being followed and all the necessary checks are made before people start working at the home to safeguard residents from any possible Leeds Road 66 DS0000061592.V329260.R01.S.doc Version 5.2 Page 20 harm. All staff receive a job description and have a good understanding of what is expected of them. The home is accredited with the Royal National Institute for the Blind (RNIB) and all staff from the point of induction receive training to develop their skills in meeting the needs of people with a visual impairment. A range of other training is also on offer and most of the staff have either completed or are undertaking the National Vocational Qualification (NVQ) programme to develop their skills and knowledge in meeting the residents’ needs. In the past twelve months three staff have completed an accredited infection control course and another three staff have undertaken specialist medication training. An induction programme is in place for new staff and this is detailed and covers a number of aspects of working at the home and records of individual training are held in staff files. Both a health professional and relatives made comments that they feel staff have the right skills and experience to meet the needs of the residents. Leeds Road 66 DS0000061592.V329260.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. The home is well run in the best interests of the residents with proper attention given to their health and safety. EVIDENCE: The registered manager has a lot of experience in running the home and has completed management qualifications to support her in her role. The manager usually has a deputy manager to support her in the leadership of the home. However the previous deputy manager is now managing another of the organisation’s community homes and is due to be replaced shortly. Leeds Road 66 DS0000061592.V329260.R01.S.doc Version 5.2 Page 22 Both residents and staff express confidence in the manager’s abilities and feel that the home is run in a way that encourages their involvement. A relative made comments that the management is constantly looking to improve care and standards at the home and this could be seen at the time of the site visit. The management promote equality and encourage this through enabling residents to have choices and accessibility and involvement in local resources and services. Information is in varying formats to help residents with their communication and staff are made aware of the importance of equal opportunities for residents through training that starts from induction. The home has quality assurance systems in place to monitor its effectiveness. Recently a number of questionnaires were sent out by the home to relatives and comments from these are available. Regular resident and staff meetings are held and everyone asked said that their views are encouraged and taken into account in the running of the home. Staff receive supervision and this is recorded so that they are clear about their job role and any staffing issues are addressed. Relatives and professionals are invited to attend care plan reviews and a senior person from the organisation makes monthly-unannounced visits and makes a report of their findings on the performance of the home. The home has proper arrangements in place to make sure that health and safety practices promote a safe environment for residents, relatives and visitors to the home. A random selection of the required health and safety certificates are up to date and satisfactory. The home has carried out a fire risk assessment of the premises with support from the fire authority in order to identify and put in measures to reduce fire risks. Recommendations from a recent visit from the environmental health authority have been acted on to promote good hygiene and food safety practices. All staff receive a range of health and safety training and this is updated as needed. Leeds Road 66 DS0000061592.V329260.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 2 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 X 4 X 3 X X 3 X Leeds Road 66 DS0000061592.V329260.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA2 Regulation 14 (b) Requirement The registered person must obtain a summary of the Care Management assessment and care plan for all prospective residents from their placing authority in order to make sure they are able to meet the person’s needs. Timescale for action 17/06/07 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 YA16 Good Practice Recommendations The way in which some evening activities are organised should be reviewed in order to make sure that the expectations and preferences of residents are being met. Leeds Road 66 DS0000061592.V329260.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Leeds Road 66 DS0000061592.V329260.R01.S.doc Version 5.2 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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