Inspection on 24/05/06 for Leivers Court Care Home

This inspection was carried out on 24th May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Leivers Court Care Home 10/11/09

Leivers Court Care Home 24/05/07

Leivers Court Care Home 30/11/05

Leivers Court Care Home 29/06/05

Leivers Court Care Home 12/03/05

Leivers Court Care Home 11/05/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Leivers Court Care Home Douro Drive off Kilbourne Drive Arnold Nottingham NG5 8AX Lead Inspector Richard Ramsden Unannounced Inspection 24th May 2006 09:30 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 Leivers Court Care Home DS0000036189.V294844.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Leivers Court Care Home DS0000036189.V294844.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Leivers Court Care Home Address Douro Drive off Kilbourne Drive Arnold Nottingham NG5 8AX 0115 920 9501 0115 920 9501 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) Nottinghamshire County Council Julie Allsop Care Home 38 Category(ies) of Dementia (19), Dementia - over 65 years of age registration, with number (19), Old age, not falling within any other of places category (38), Physical disability (5) Leivers Court Care Home DS0000036189.V294844.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Out of the total number of beds (38), there will be 19 beds for DE 55 and over and/or DE(E) Out of the total number of beds (38), 5 may be used for PD 55 and over Service users shall be within category OP Date of last inspection 30th November 2005 Brief Description of the Service: Leivers Court is a care home that provides personal care and accommodation for 38 older people. There is a 20 place Day Centre attached to the home, which operates over 7 days. The home is owned and managed by Nottinghamshire County Council Social Services. Leivers Court is a purpose built single storey building located within a housing estate approximately 1 mile from Arnold town centre. The accommodation is provided in four units, each unit has a fully fitted kitchenette/dining and sitting area, as well as communal toilets and a bathroom or shower room. All of the bedrooms are for single occupancy and have wash hand washbasins; there are no ensuite facilities. There are enclosed garden areas that are accessible to residents. The monthly accommodation charges for those residents who are self funding would be £1508 per calendar month. A copy of the most recent inspection report is available in the home. Leivers Court Care Home DS0000036189.V294844.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One Inspector completed this unannounced visit over one day it took approximately 9 hours. It included the inspection of care and other records, a discussion with the registered manager, two team leaders, a member of care staff and the cook. The inspector spoke with two residents and two visitors to the home. A partial tour of the building was also completed. Prior to completing this visit the inspector assessed the homes previous inspection reports and the service history. What the service does well: What has improved since the last inspection? Leivers Court Care Home DS0000036189.V294844.R01.S.doc Version 5.1 Page 6 The residents care plans now contain more detailed comprehensive information, which helps to ensure that staff are always aware of what support and assistance each resident requires. Although further work is necessary, the manager has taken steps to ensure that all care plans are reviewed on a regular basis. There have been significant improvements to the way in which the homes medication is administered. The systems now comply with all of the required standards and helped to ensure that residents’ health and safety is protected. 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. Leivers Court Care Home DS0000036189.V294844.R01.S.doc Version 5.1 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 Leivers Court Care Home DS0000036189.V294844.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2,3,6. All residents are provided with a terms and conditions of residence document, however they are not signing these to confirm that they agree with the information contained in this literature. The homes staff ensure that they can meet the needs of prospective residents by obtaining full written assessments prior to their admission to the home. Leivers Court does not provide intermediate care. “Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service.” EVIDENCE: All of the residents whose records were checked as part of this inspection had been provided with literature detailing the terms and conditions of their accommodation at the home. However this form does not provided anywhere for residents or their representatives to sign to confirm that they agree with these terms and conditions. It is important is that people have a clear Leivers Court Care Home DS0000036189.V294844.R01.S.doc Version 5.1 Page 9 understanding of this information particularly as it details the circumstances in which somebody may be asked to leave the home. Three residents records were assessed during this visit and each contained a preadmission assessment, which had been completed by a social worker. The manager was advised that the registered person must confirm in writing to the service user that having regard to the assessment, the care home is suitable for the purpose of meeting their needs in respect of health and welfare. Leivers Court does not provide intermediate care. Leivers Court Care Home DS0000036189.V294844.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10. Residents’ individual care plans appear to contain sufficient information to ensure that staff are always aware of what support and systems each resident requires, however they must be updated at least once each month. Residents’ health care needs are generally being met, however staff must ensure that residents weight is checked regularly, especially where there is a significant weight loss or gain, as this can indicate ill health. The homes medication system is well managed and ensures where possible that residents’ health and safety is protected. Residents are treated with respect and their rights to privacy are upheld. “Quality in this outcome area is acceptable. This judgment has been made using available evidence including a visit to the service”. EVIDENCE: Three residents care plans were viewed as part of this inspection, the care plans appeared to address the issues highlighted in the residents’ assessment process. The staff have obviously worked hard to improve the detailed information in the care plans since the last inspection. It was noted that the care plans had not been reviewed every month since the last inspection. Leivers Court Care Home DS0000036189.V294844.R01.S.doc Version 5.1 Page 11 However the manager stated that as part of her management checks she had noted that the reviews were not been completed every month and has taken steps to rectify this. Each of the plans had been reviewed in March and April of this year. The manager must make sure that these reviews now take place every month to ensure that staff always have up-to-date information about the care and support each resident requires. The records show that the residents’ health care needs are being appropriately met, this was confirmed by both of the residents and the two relatives spoken with during the visit. However one resident’s records showed that she had not been weighed for 4 months. The records indicated that this person had lost over one stone in weight, the last time she was weighed. The senior staff was informed that this persons weight should have been regularly checked and if necessary she should have been referred to the doctor. Her weight was checked during the inspection and it would seem that the previous records were incorrect. There has been a significant improvement in the way in which medication is managed within the home since last inspection. The medication records had been appropriately signed and each had a photograph of the individual residents attached, to ensure that staff could check their administering medication to the correct resident. The records of receipt and disposal of medication been well maintained. The controlled medication administration was checked at random; this had also been well maintained. It was noted that the refrigerator in which insulin is stored could not be locked. The senior staff was advised that a lock must be fitted or the medication must be stored in a locked container within the refrigerator. This was dealt with appropriately during the inspection. Both of the residents spoken with during the inspection said that staff are always friendly and respectful and ensure that their privacy and dignity is maintained at all times. The visitors spoken with during the inspection said that the staff could not be faulted. One person said that staff are always willing to go the extra mile to ensure that the residents needs are met. She said that she appreciates that staff ensure that her mothers’ clothes are always coordinated and that she always looks clean and well groomed. The observed interaction between staff and residents was of a very good standard. Leivers Court Care Home DS0000036189.V294844.R01.S.doc Version 5.1 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. Residents are satisfied with the frequency and variety of activities and entertainment provided by the home. People are encouraged to make contact with family and friends. Where possible residents are encouraged to make decisions about their individual lifestyles. The diet provided for the residents’ is varied, wholesome and nutritious. “Quality in this outcome area is good. This judgement has been made usung available evidence including a visit to the service” EVIDENCE: The program of activities and entertainment to be provided each month is prominently displayed in the main dining area. The senior staff stated that additional activities are also provided in each of the units. The information regarding the extra activities provided was recorded in the residents’ records. (This is good practice). On the day of inspection the reception and dining areas were being decorated to celebrate the World Cup. The inspector also observed a large group of residents who appeared to be enjoying a game of bingo. Both of the residents spoken with during the inspection said that they are very satisfied with the level of activities and entertainment provided by the home. Leivers Court Care Home DS0000036189.V294844.R01.S.doc Version 5.1 Page 13 One resident said that she chooses not to go on the outings provided by the home as she doesnt like to travel. The residents and their relatives confirmed that visitors are made very welcome at the home. One visitor stated that she visits her mother every day and that she is always made to feel very welcome. Both visitors stated that there are offered refreshments. Residents are asked as part of the admission process how they wish to manage their finances this is also checked again at each formal review. Both of the residents spoken with during the inspection said that their family manage their finances and that they are happy with this arrangement. Access to records policies as well as leaflets giving details of how to contact local advocates have been made available to every residents. (This is good practice). When two team leaders were asked about the procedures residents’ or their relatives must follow if they wish to see the residents personal records they were unclear as to which records people could have immediate access to. Staff must have a working knowledge of the access to records procedure to ensure that they comply with the Data Protection Act. Both of the residents spoken with said that they are satisfied with the meals provided by the home. They confirmed that there is always a choice of meal and that if they do not want the food suggested on the menu an alternative will always be provided. One visitor said is that he often visits at lunchtime and that the meals always look appetising. The inspector was informed that the cooks ask each resident every day what they would like to eat. (This is good practice). One of the residents requires a soft diet; each element of the meal is liquidised individually to preserve flavour and appearance. (This is good practice). The menu is displayed each day on a large board in the main dining room. Leivers Court Care Home DS0000036189.V294844.R01.S.doc Version 5.1 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18. Residents and their relatives believe that their complaints would be taken seriously and that appropriate action would be taken. However the staff are not keeping appropriate records of all informal complaints and consequently the home does not have an overview of the nature and frequency of complaints received. The registered person is taking appropriate action to protect residents from abuse. “Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service”. EVIDENCE: The home has an appropriate complaints procedure which is displayed in the main reception area. The homes complaints records show that there have been no complaints received this year. The residents and their relatives believe that their complaints would be taken seriously and that appropriate action would be taken. However one visitor stated that although he had never made a complaint at the home he had raised concerns on four separate occasions that his mothers hearing aid was not working appropriately. He stated that eventually he got the hearing aid to work. Leivers Court Care Home DS0000036189.V294844.R01.S.doc Version 5.1 Page 15 This information had not been recorded as a complaint and consequently had not been dealt with appropriately. The senior staff stated that ‘informal’ complaints would be recorded in the individual residents running records and the senior staffs/managers handover book. The inspector stated that this should have been recorded in the complaints records to provide an overview of the nature and frequency of complaints received. The complaints must be able to be viewed in a confidential format and records must show what action, if any, has been taken to investigate and resolve the complaints. The inspector or was informed that there have been no incidents of abuse in the home in the last 12 months. The home has an appropriate Whistle blowing procedure, which is displayed, in the staff room. There is also poster informing staff, of who they can contact if they wish to report an incident, but do not wish to discuss it with the homes management staff. (This is good practice). The member of staff spoken with had a clear understanding of the Whistle Blowing procedure. Leivers Court Care Home DS0000036189.V294844.R01.S.doc Version 5.1 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 the following standard(s): 19,26. The premises are well decorated comfortably furnished and appropriately clean. There are enclosed gardens, which are accessible to all residents. “Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service”. EVIDENCE: A partial tour of the premises was completed as part of the inspection the accommodation is comfortably furnished and acceptably decorated. The two residents who were spoken with during the inspection said that they are very satisfied with their bedrooms and confirmed that they been encouraged to personalise them with small items of furniture photographs and ornaments. People said that they can use their bedrooms at any time. Residents and visitors confirmed that the home is always kept very clean and tidy. Leivers Court Care Home DS0000036189.V294844.R01.S.doc Version 5.1 Page 17 The homes laundry was being decorated at the time of this inspection. The laundry is well equipped and the homes infection control policies and COSH data sheets were prominently displayed. (This is good practice). The laundry door was locked at the time of inspection to ensure the health and safety of the residents. Leivers Court Care Home DS0000036189.V294844.R01.S.doc Version 5.1 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30. The rota provided for the week of this inspection showed that adequate staffing levels are being maintained. The homes recruitment policies and practices are generally supporting and protecting residents, however staff criminal record bureau checks must be kept in the home available for inspection at all times. The home is able to demonstrate a commitment to staff training. “Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service”. EVIDENCE: The rota provided for the week of this inspection showed that sufficient staff are being provided to comply with previously agreed staffing levels. The residents spoken with during the inspection said that although the staff are always very busy they do ensure that all their individual needs are met. One relative stated that her mother sometimes says that there has been no staff to care for her; she did however confirm that this is not the case. The night staff rota showed that on occasions there were only two members of staff on duty. The senior staff stated that they always try to provide three members of waking care staff but if there are unable to do so one of the managers who live locally is “on call” and will provide support to staff if necessary. Leivers Court Care Home DS0000036189.V294844.R01.S.doc Version 5.1 Page 19 The personal records of two members of staff were assessed as part of this visit each of the records contained an application form to satisfactory references and proof of identity. However there were no criminal record bureau checks available for either member of staff. The manager stated that she has taken steps to obtain a copy of the CRB check for two members of staff whose records seem to have been mislaid, prior to the current manager commencing employment at the home. The other member of staff has only been recently been recruited and will bring in a copy of her completed CRB check in the near future. (Confirmation that a satisfactory CRB check has been received was available on the newly recruited member of staffs file). CRB guidance states that, for CSCI regulated services, disclosure should be kept for up to 12 months or more to enable CSCI inspectors to see a sample at the next inspection. The recently appointed member of staff confirmed that she had completed a two-week induction programme within the home. She also stated that she has applied to complete the TOPPS induction-training programme. Out of a total of 29 members of staff 14 had completed NVQ level 2 or above. Two other members of staff were completing the training at the time of this inspection. Leivers Court Care Home DS0000036189.V294844.R01.S.doc Version 5.1 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38. The registered manager is competent and experienced enough to run the home. The home is run in the best interests of the residents. Residents’ financial interests are safeguarded. The health and safety of residents and staff are promoted and protected. “Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service”. EVIDENCE: Registered manager has recently successfully completed a ‘fit person’ interview with the commission for social care inspection. She was assessed as qualified, competent and experienced enough to manage the home. She has considerable experience of managing residential homes for older people. Leivers Court Care Home DS0000036189.V294844.R01.S.doc Version 5.1 Page 21 The residents and their relatives and other members of staff spoken with during this inspection all confirm that the manager is very approachable and seeks their views about the day-to-day running of the home. Quality monitoring systems are in place, which show that residents and stakeholders in the community have been encouraged to express their views about the services provided by the home. The inspector was able to view the local authority business plan. The managers was advised that each home should produce their own annual development plan based on the information gathered as part of the quality assurance system. The records of residents’ finances were checked and had been satisfactorily maintained. The last visits by the fire officer was 24/01/06, the report shows that this was a positive inspection. The manager reported that there is no work outstanding from the fire officers last visit. The homes Fire records have all been well maintained. The last visit by the Environmental Health Officer was completed on 12/04/06. The report produced following this visit states that it was a positive inspection. The homes Legionella risk assessments were checked and appeared satisfactory. Water temperatures are being checked and recorded on a regular basis. Servicing records show that lifting equipment has all been serviced on a regular basis. An independent health and safety inspection was completed at the home on the 29th November 2005, although the report highlighted a number of requirements the manager was able to demonstrate that all the issues had been appropriately dealt with. Leivers Court Care Home DS0000036189.V294844.R01.S.doc Version 5.1 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 2 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 4 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Leivers Court Care Home DS0000036189.V294844.R01.S.doc Version 5.1 Page 23 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 OP7 Regulation 15 Requirement It is required that Care Plans are reviewed at least once each month in consultation with the resident and where appropriate their representative. (Outstanding from 29/06/05 & 09/01/06) Note had the manager not been able to demonstrated that she is taking appropriate action to institute this requirement CSCI would have considered taking Regulatory Action. It is required that the registered person ensures that residents weight is checked and recorded on a regular basis. Where there is significant fluctuation in a residents weight this must be monitored and where appropriate referred to a general practitioner. It is required that staff are made aware of the procedures they must follow if a resident or their representatives request to see a residents personal records. Timescale for action 03/07/06 2. OP8 12 & 13 24/05/06 3. OP14 Data Protection Act 1998. 03/07/06 Leivers Court Care Home DS0000036189.V294844.R01.S.doc Version 5.1 Page 24 4. OP16 Schedule 4 (11) 5. OP29 7,9,19. It is required that the registered person keep a record of all complaints, it detailing the investigation and where appropriate any action taken It is required that all staff personal files contain evidence of CRB checks as specified within the report. 24/05/06 03/07/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP2 Good Practice Recommendations It is recommended that all residents or where appropriate their representatives are encouraged to sign to confirm that they have read and agree with the Terms and Conditions of Residence document. It is recommended that the registered person confirms in writing to all prospective residents that, having regard to the assessment the home is suitable to meet their health and welfare needs. It is recommended that the Registered Person produce an individual annual development plan for the home. 2. OP3 3. OP33 Leivers Court Care Home DS0000036189.V294844.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Leivers Court Care Home DS0000036189.V294844.R01.S.doc Version 5.1 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!