Inspection on 30/06/06 for Manor Court

This inspection was carried out on 30th June 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Manor Court 06/07/10

Manor Court 26/04/10

Manor Court 14/04/10

Manor Court 23/02/10

Manor Court 14/03/08

Manor Court 26/02/07

Manor Court 18/10/05

Manor Court 27/04/05

Manor Court 04/11/04

Manor Court 04/08/04

Similar services:

Snydale Care Home

Abbey The

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Manor Court 31 Churchfield Lane Darton Barnsley South Yorkshire S75 5DH Lead Inspector Cathy Howarth Key Unannounced Inspection 30th June 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 Manor Court DS0000018271.V301852.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. Manor Court DS0000018271.V301852.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Manor Court Address 31 Churchfield Lane Darton Barnsley South Yorkshire S75 5DH 01226 382321 01226 381299 none 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) Southern Cross Care Centres Limited Vacant Care Home 32 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (22) of places Manor Court DS0000018271.V301852.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The DE(E) unit is on the first floor of the home. Date of last inspection 18th October 2005 Brief Description of the Service: Manor Court is a 38-bed care home for older people. It is in the village of Darton with easy access to shops, post office, church, local village club and health centre and is also on the main bus route. Residents are accommodated on two floors and the home has a passenger lift. The home has 28 single bedrooms, 7 of which are en suite and 2 double bedrooms. It has 5 lounges and 2 dining rooms. There are extensive gardens, which are mainly lawned with a safe enclosed area, garden furniture and a water feature. There is adequate parking at the front of the building. Fees at the home are charged in the range from £317 to £422.30. Extra charges are made for hairdressing and chiropody. Inspection reports are available at the home in entranceway. Manor Court DS0000018271.V301852.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over the period from 9:30am to 5pm. The inspector did not receive information from the service beforehand. Surveys were sent to ten relatives and service users. Three relatives and three service users returned surveys. The manager supplied some information on the day of the visit. The inspector spent time with service users talking and observing practice and talked to individual staff on duty. The inspector spoke with one visiting relative. Previous complaints and notifications of significant events at the home were also considered as part of the evidence for this report. Overall this inspection was positive, although there are clearly a number of requirements and recommendations that must be addressed. However the inspector gained the impression of the home as making progress towards improvement and comments from service users and relatives, albeit in limited numbers, have been positive. What the service does well: Assessments before admission are good and service users are supported to make choices about the home. Privacy of service users is maintained within the home. Contact with relatives is promoted. Food is good and is well presented. Some improvements in flexibility and updating menus is needed however The home has a robust approach to complaints and to protecting the welfare of service users. The living environment for service users is generally good and is well maintained. Necessary improvements are in hand. Staff training has improved and support systems for staff are being developed. There are sufficient numbers of staff on duty at all times. . Improvements are needed in staff training in health and safety and in the organisation of residents’ finances. Manor Court DS0000018271.V301852.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. Manor Court DS0000018271.V301852.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 Manor Court DS0000018271.V301852.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 3 Assessments before admission are good and service users are supported to make choices about the home. The lack of contracts/terms and conditions does not protect service users’ best interests. Quality in this outcome area is adequate. This judgement has been made from evidence gathered before, during and after the visit to this service. EVIDENCE: The inspector spoke with one service user who had recently come to live at the home. This person said they had not visited before coming to live at the home but a relative had visited on their behalf. A needs assessment had been carried out before admission. At the last inspection it was identified that there was a need for service users to have written contracts with Southern Cross detailing the terms and Manor Court DS0000018271.V301852.R01.S.doc Version 5.2 Page 9 conditions of their stay at the home. These have not all been put in place. This requirement has now been outstanding for several inspections. Action must now be taken without delay in respect of this requirement. Intermediate care is not provided at the home. Manor Court DS0000018271.V301852.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Service user plans need to be improved to ensure all the needs of service users including health and emotional welfare are fully considered and planned for. The medication system is failing service users and must be reviewed as a matter of urgency. Privacy of service users is maintained within the home. Quality in this outcome area is poor. This judgement has been made from evidence gathered before, during and after the visit to this service. EVIDENCE: Service user plans that were examined showed a lack of detail in two cases and a complete lack of information in another. One service user had no care plan despite having lived at the home since April. This is unacceptable and must be improved. Daily records on service users’ health and welfare did not relate to their plans and therefore although evaluations had been taking place it was difficult to see where the evidence for these evaluations could possibly Manor Court DS0000018271.V301852.R01.S.doc Version 5.2 Page 11 come from, as there was inadequate detail to allow a proper evaluation to be completed. All service user plans need to be reviewed and improved to make sure that service users’ needs and welfare is protected. One positive aspect is that ongoing assessments of nutrition and risk of falls is monitored. The good practice in this area needs to be translated into better plans and useful daily recording. This is a requirement. During this visit the inspector had concerns about medication. In the early part of the day it became apparent that medication was delayed. Service users were expecting their tablets at 9:30 but these were late being given out. The last service users received their medication at around 11:30am. For some service users this would mean that they would have gone for around 15 hours without their tablets. If they need pain relief then this is unacceptable and alternative ways of managing this need to be found as a matter of some urgency. On inspection of the medication room and records, the inspector found that medication is still not being booked in properly so that stock checking is impossible. In one case some controlled drugs were found in the cupboard but there were no records of how many had been received. This is unacceptable practice and must be improved as a matter of urgency. Examination of several medication record sheets showed that there were problems with staff signing for medicines they had not given and one service user had only been given two lots of pain relief instead of four over a long period without this being reviewed. Again this is unacceptable and all practices must therefore be reviewed as a matter of urgency. All staff giving medicines must follow procedures. Manor Court DS0000018271.V301852.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Choices for service users are limited at the present time in terms of activity and lifestyle. Contact with relatives is promoted. Food is good and is well presented. Some improvements in flexibility and updating menus are needed however. Quality in this outcome area is adequate. This judgement has been made from evidence gathered before, during and after the visit to this service. EVIDENCE: During this visit, the inspector spoke with eleven service users and one relative who visits every day. Most of the service users were generally fairly positive about the service. Feedback about the new manager was good and several seemed clear that they would approach her if they had any concerns. There were signs in the foyer advertising an activity programme showing different activities for each day of the week. Most service users did not seem to be aware of this programme and the planned activities did not take place on the day of this visit. There were books, games and videos in evidence around the Manor Court DS0000018271.V301852.R01.S.doc Version 5.2 Page 13 home. The home has an activities worker, but there was not an awareness amongst service users that activities were taking place on a regular basis. Some service users did refer to some trips they had been on and said there was talk of planning another one soon. Staff do record on an activity sheet what people have participated in, but the daily records should reflect the quality of their enjoyment so that interests can be built upon. Family contacts are promoted. One service user’s husband visits every day and has lunch with his wife, which is very positive. Visitors are welcomed to the home. One relative said he is always welcomed when he arrives. The inspector observed relatives being greeted warmly by staff. In survey responses the overall view was that the lifestyle within the home is adequate but there is room for improvement. As far as meals and mealtimes were concerned, service users were generally positive about the quality of the food, saying that it is good and they appreciate home baking. Two service users explained that they found it difficult to eat a full meal at lunchtime as they prefer a full breakfast and are not ready to eat another large meal at lunch. However at tea only a snack meal is provided. The manager agreed to look into ways of providing a more flexible service so that the nutritional needs of service users are not compromised by only eating two meals a day. Another observation was that the menus do not vary according to the season and the menus were printed with the logo of the previous owners of the service. These have not been updated for some time and although there is a 4 - week cycle these could become very repetitive. Again this is something that needs to be reviewed, perhaps when the new kitchen has been finished. Manor Court DS0000018271.V301852.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The home has a robust approach to complaints and to protecting the welfare of service users. Improvements are needed in the management of handling service users’ money. Quality in this outcome area is good. This judgement has been made from evidence gathered before, during and after the visit to this service. EVIDENCE: The new manager and the company have acted promptly in recent times to deal with issues affecting the welfare of service users. Staff who have put service users at risk or may have harmed them have been suspended and the matters fully investigated. Appropriate procedures have been followed in relation to Barnsley Council’s Adult Protection Procedures and the company has invoked disciplinary procedures where this is appropriate. The manager has been proactive in addressing these issues and this is commended. The majority of staff have now received training in the protection of vulnerable adults and have been given information around the company’s policy in relation to whistle blowing. Staff who spoke with the inspector were able to give a good account of what type of scenarios they would report and how they would do this. Manor Court DS0000018271.V301852.R01.S.doc Version 5.2 Page 15 In relation to complaints, service users reported that they know how to raise concerns and several said they would approach the new manager and had confidence in her. The home’s complaints procedure is displayed prominently in the foyer of the home. The manager monitors complaints as part of the monthly routine tasks and has to report how these have been dealt with. The area manager also monitors these as part of her line management responsibility. Service users’ finances are handled mainly by the administrator. The system operates effectively to protect service users’ welfare. Receipts are given for purchases and income is recorded. Two signatures are found on these receipts. The home still does not have a procedure available within the home about how service users’ money is handled. Manor Court DS0000018271.V301852.R01.S.doc Version 5.2 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, 21 and 26 The living environment for service users is generally good and is well maintained. Necessary improvements are in hand. Quality in this outcome area is adequate. This judgement has been made from evidence gathered before, during and after the visit to this service. EVIDENCE: The environment at Manor Court is in a fairly good state of repair. There is a handyman who keeps up with running repairs within the home. There are some major issues that are still to be addressed, such as the badly needed refit of the kitchen. This has been a requirement in several inspection reports. However the work has now been booked. The main living areas were found to be in a reasonable state of repair and the home was clean and tidy on the day of this visit, with no obvious bad smells detracting from the atmosphere. The inspector looked at a sample of bedrooms and these were found to be pleasant and well kept, with plenty of space for service users’ belongings. The paint on Manor Court DS0000018271.V301852.R01.S.doc Version 5.2 Page 17 one of the corridor walls was noted to be flaking in one area and in the adjacent bathroom. The cause of this needs to be further looked into and the necessary repairs made. The home has a security pad at the entrance to prevent unauthorised entry to the home. Outside there are enclosed gardens with plenty of seating and tables, although these are in need of a clean after not being used over the winter and spring period. There is a pleasant conservatory, which has recently been re-carpeted. A requirement from the last report was to refurbish the upstairs bathroom. This has now been done and is now a shower room with easy access for service users. Some of the toilets are in need of attention and some toilet seats need to be replaced for hygiene reasons. Clinical waste boxes were found in bathrooms but the lids had not been pushed down. Staff should remember to do this, as it is unsightly and potentially hazardous to health. Manor Court DS0000018271.V301852.R01.S.doc Version 5.2 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): Staff training has improved and support systems for staff are being developed. There are sufficient numbers of staff on duty at all times. Staff recruitment systems are adequate but care needs to be taken to properly protect service users. Quality in this outcome area is adequate. This judgement has been made from evidence gathered before, during and after the visit to this service. EVIDENCE: On this visit the manager discussed with the inspector key areas for development within the home. One of these was training for staff. The manager has developed a training matrix and has put training into place for staff since arriving at the home. The majority of care staff have now had basic training such as moving and handling and fire safety training. There are plans now to ensure that staff have further training in special skills to meet the needs of service users. This includes a learning pack in dementia training and areas such as infection control and administration of medication. These are vital to ensure that staff are equipped to properly care for the service users living at Manor Court. NVQ training is ongoing and the home is approaching the target of 50 with over 40 having this qualification. Manor Court DS0000018271.V301852.R01.S.doc Version 5.2 Page 19 The home employs staff in sufficient numbers and staffing has not been reduced even though occupancy has fallen. There were sufficient staff on duty on the day of this visit. Feedback from service users in the survey and in discussion was that staff are usually there when you need them. It was noted that ancillary staff as well as care staff were attentive to service users’ needs. Support and supervision for staff has been lacking for a while because of the lack of a permanent manager. However, the new manager has started having regular team meetings with all staff and with senior staff as a group. Individual supervision is also getting started. The prospects are good if this can be maintained. Staff who spoke with the inspector expressed confidence in the new manager, saying she seems very supportive. Recruitment records were checked for two staff recently employed within the home. One of these had started work without a full CRB check, only a POVA first check. Whilst this is acceptable in exceptional circumstances, there should be a risk assessment and appropriate supervision of these staff until the full enhanced disclosure is received. Manor Court DS0000018271.V301852.R01.S.doc Version 5.2 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 and 38 The home shows signs of improvement since the last inspection in the management of health and safety and in the overall management of the home. Improvements are needed in staff training in health and safety and in the organisation of residents’ finances. Quality in this outcome area is adequate. This judgement has been made from evidence gathered before, during and after the visit to this service. EVIDENCE: The manager had only been in post for seven weeks at the time of this visit, but was making evident progress in organising the home to improve its service. She has yet to make an application to the Commission for Social Care Inspection to be registered. This needs to happen as a matter of priority. Manor Court DS0000018271.V301852.R01.S.doc Version 5.2 Page 21 The manager and her manager have developed a plan to address key areas to focus on to develop and improve the service. These include staff training and development and reduction in falls for service users. This plan was shared with the inspector and gives a clear picture that they are aware of the area that need to improve and have a commitment to achieve this. There are monthly visits by the area manager to the home and the manager carries out monthly monitoring of key areas such as complaints and falls/accidents to monitor how the service is doing. Feedback from service users is part of these processes. The home does now have a procedure for the handling of residents’ monies. This was an outstanding requirement from the previous inspection of this service. The home holds some monies for service users; families bring this in. Any expenditure and income is recorded on a receipt and each service user has an individual record on computer of their transactions. On the day of this visit there were some problems with the computer system, which meant that the records could not be viewed. The administrator did explain how the system worked and that a manual check of finances is ordinarily possible, but the filing systems were not up to date to allow this to be done easily. This should be remedied as a matter of priority so that any individual’s money can be checked as a matter of routine with or without the computer system. Health and safety systems within the home were found to be working reasonably well on the day of this visit. The inspector did have some concerns about the failure to close lids on clinical waste boxes and there is still a need for staff to be trained in infection control and for some staff to have completed moving and handling training. The majority of staff have completed First Aid training. However fire safety checks were up to date and procedures displayed. Servicing and maintenance records were up to date. Manor Court DS0000018271.V301852.R01.S.doc Version 5.2 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 1 8 2 9 1 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 2 1 X 3 X X X X 2 STAFFING Standard No Score 27 3 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 1 X X 3 Manor Court DS0000018271.V301852.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP2 Regulation 5 Requirement All residents must have a written contract (Previous timescale of 30/06/05 and 18/01/06 not met). All service users must have a plan for their care. Records for the receipt and administration of medication must be clear and complete (Previous timescale of 31/05/05 and 18/11/06 not met). The system and times for the administration of medication must be reviewed in the best interests of service users. Staff must receive further training in handling medication. A procedure for the handling of residents’ money must be in place. (previous timescales of 30/5/05 and 18/12/05 not met). The kitchen’s ventilation systems must be upgraded (Previous timescale of 23/02/05 and 18/01/06 not met). DS0000018271.V301852.R01.S.doc Timescale for action 31/07/06 2. OP7 15(1) 13 31/07/06 3. OP9 18(c ) 31/07/06 4 OP18 OP35 16 31/07/06 23 5 OP19 31/07/06 Manor Court Version 5.2 Page 24 OP19 6 23 7 OP28 19 OP38 8 9 OP31 OP35 10 11 OP38 13 18 (1) 9 17 Schedule 4 13 (3) The defective kitchen units and worktops must be replaced (Previous timescale of 23/02/05 and 18/01/06 not met). Any staff that are recruited and begin work without full CRB disclosures must be properly supervised. All staff must receive moving and handling training (Previous timescale of 30/06/05 and 18/01/06 not met). The manager of the home must be registered with the Commission for Social Care Inspection. The records of finances must be kept in order so that transactions can be verified and balanced. All staff must receive training in infection control. 31/07/06 30/06/06 31/08/06 30/09/06 31/07/06 30/09/06 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 2 3 4 Refer to Standard OP28 OP15 The activities within the home should be improved. OP12 OP19 The corridor and bathroom walls that are flaking should be repaired. Good Practice Recommendations Fifty percent of care staff to be trained to NVQ level 2 or equivalent. The menus should be reviewed and updated seasonally. Manor Court DS0000018271.V301852.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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 Manor Court DS0000018271.V301852.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. 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!