Inspection on 17/01/07 for Rose Mount

This inspection was carried out on 17th January 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 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Rose Mount 15/12/05

Rose Mount 07/07/05

Rose Mount 17/01/05

Rose Mount 26/05/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Rose Mount 138 Stourbridge Road Holly Hall Dudley West Midlands DY1 2ER Lead Inspector Mrs Jean Edwards Key Unannounced Inspection 17th January 2007 08:30 Rose Mount DS0000025002.V325462.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 Rose Mount DS0000025002.V325462.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. Rose Mount DS0000025002.V325462.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rose Mount Address 138 Stourbridge Road Holly Hall Dudley West Midlands DY1 2ER 01384 457855 F/P01384 457855 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) Mr Paul S Dhillon Mrs Valerie Dhillon Mr Nigel Dhillon Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Rose Mount DS0000025002.V325462.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 15th December 2005 Brief Description of the Service: Rose Mount is a small private Residential Care Home, providing accommodation for up to three adults under the age of 65 years who have learning disabilities. The Home is situated on a busy main road, with easily accessible bus routes to a number of nearby towns and shopping centres, Merry Hill, Dudley, Wolverhampton, Brierley Hill, Stourbridge etc. There are numerous local amenities within walking distance from the Home, Post Office, library, church, health centre, parks and pubs. There is limited car parking, two cars at the frontage to the property, with limited on road parking nearby. The accommodation provided consists of three good size single bedrooms, one on the ground floor and two on the first floor. There is a lounge/dining area, toilets, and bathing facilities. The office is located in the cellar. There is a garden and patio to rear of the Home, accessible to Residents. The Registered Manager and Joint Proprietors and family provide staffing. The level of fees for this home is currently £386.60 per week for places funded by Dudley Local Authority. Rose Mount DS0000025002.V325462.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection visit took place over a weekday. The purpose of this visit is to assess progress towards meeting the national minimum standards for younger adults and towards required improvements identified at previous inspection visits. Inspection methods, which have been used to make judgements and obtain evidence include: a formal discussion with the registered manager who is also joint owner. A complete tour of the premises has taken place. The two residents accommodated were at home for parts of the inspection process. Both residents have willingly joined in the inspection providing information about their experiences during discussions. What the service does well: What has improved since the last inspection? The manager has developed and introduced a written protocol for the residents use of over the counter medicines, with evidence of their GPs approval. Rose Mount DS0000025002.V325462.R01.S.doc Version 5.2 Page 6 The registered manager has plans to redecorate throughout the premises in the next twelve months. The manager has started to introduce improved and more formal consultation with residents, families and others about how the home is performing. 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. Rose Mount DS0000025002.V325462.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 Rose Mount DS0000025002.V325462.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): 2,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has not admitted any new residents for many years. The residents participate in multi-agency reviews concerning their support and have comprehensive contracts of residence. EVIDENCE: There are two male residents at Rosemount, who have lived at the home for more than twelve years. Both men continue to pursue fully independent lifestyles, one person has recently retired from full time employment, the other does part time voluntary work. Any referrals for admission to the vacant third room are carefully considered with the needs and aspirations of the existing residents paramount. There have been no suitable referrals to date. There is documentary evidence in care plans that regular reviews of each persons needs take place, generally with multi-disciplinary involvement. However the allocated social worker is no longer available and no action has been taken to allocate a new worker to date. Rose Mount DS0000025002.V325462.R01.S.doc Version 5.2 Page 9 Rose Mount DS0000025002.V325462.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): 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a clear and consistent care planning system, with risk assessment elements in place to adequately provide information to meet residents needs in a satisfactory manner. Residents are fully engaged in all decisions about the running of this home. EVIDENCE: During discussions with residents during this visit they have confirmed that there is active involvement in developing and implementing their own care plan. There are signatures on care plans to indicate their agreement. Plans are devised to reflect each persons preferred lifestyle and routines, such as spending time alone or going out unaccompanied. Plans are written in plain language, and are easy to understand. All areas of the residents life are considered including health, specialist treatments, personal and social care needs. Rose Mount DS0000025002.V325462.R01.S.doc Version 5.2 Page 11 Each resident is able to manage their own finances, one with support from his family. They each have bank accounts and the home only gives minimal support by holding the passbook for one person, by agreement, so that he does not access and spend his whole weekly allowance all at once. Each care plan includes risk assessment elements and account is taken of the age and specialist needs of each person, balanced with their aspirations for independence and choice. Where limitations are in place, the decisions have been made with the resident. Residents take an active role in the running of the home. Each person is provided with detailed information about what they can expect from the manager. The residents are regularly consulted about all aspects of their lives through care planning reviews, formal reviews, residents meetings and surveys. The home has good documentary evidences of the outcomes and decisions agreed with residents. Rose Mount DS0000025002.V325462.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): 12,13,14,15,16,17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Links with the community are good and these support and enrich residents social, work and educational opportunities. Residents are supported to take advantage of leisure activities. Residents choose and prepare their own meals with some support. EVIDENCE: Both residents have willingly participated in parts of this inspection visit. Both residents have prepared their own breakfasts independently and cleared the Rose Mount DS0000025002.V325462.R01.S.doc Version 5.2 Page 13 dishes and kitchen area, without any prompting, and offered the inspector refreshments. One person has reached the age of 60 years and has recently retired from full time employment at a local foundry. He no longer has an allocated social worker and has less contact with his previous social network of friends. There are no restrictions relating to visiting times at Rosemount. The registered manager should contact Dudley Social Services (CTLD) for the allocation of a social worker to assist this resident wishing to do voluntary work with animals. Efforts should be made to make sure he does not become socially isolated. He does have regular contact with his brother, sister and niece and families are welcomed to visit Rosemount, and are offered refreshments or meals. Information about residents’ family/friends relationships and links are documented in each person’s plans. Each person has details of advocacy services available. Both people continue to be able to access facilities in the community. For example shopping, use of the library and visits to the cinema. They generally plan outings and travel independently, though they both go with the manager to the Merry Hill cinema on a regular basis and have a weekly wander around the shops at Merry Hill. Both residents have spoken fondly about the pet dog, a bullmastiff, Spike who lives part of the time with the manager. One resident has expressed the wish to have a pet dog to live permanently at the home. It has been stated that the residents have previously chosen not to have an annual holiday, preferring day trips. However there is no documentary evidence of offers of annual holidays and alternatives and decisions reached by each person. The residents are involved in the domestic routines of the home, they take responsibility for their own room, menu planning and helping to prepare and cook meals. Residents clearly are able to enjoy the food they prefer and like. The menu is usually recorded retrospectively and is generally varied with efforts to include a healthy option. During discussions with the residents they are adamant that they prefer plain food and are reluctant to try new and sometimes unfamiliar food, although more adventurous options are discussed from time to time. Rose Mount DS0000025002.V325462.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): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are policies / procedures in place for the administration of medication, however the current residents have no need for any medication to be administered by the home. The health needs of residents are satisfactorily met. EVIDENCE: Each person is appropriately supported in their choice of showering or bathing at a time that they like. Both men are very independent and are well able to undertake their own personal care. One person needs verbal prompting each day to make sure he has completed his personal hygiene routines. There is documentary evidence that both residents have an annual health check up with their own GP, with appointments attended on 10 October 2006, at which time they also had the influenza vaccine. There is a health appointment index to track all health related visits, on each person’s case file, which is good practice. Discussions take place to ensure that residents understand the need to regularly check themselves for any abnormal / unusual Rose Mount DS0000025002.V325462.R01.S.doc Version 5.2 Page 15 changes in their bodies. One resident attends GP appointments unescorted at his own request. He has tried to give up smoking and considers trying again at frequent intervals and has reduced the amount he smokes. The situation relating to medication remains unchanged; neither of the two residents requires any prescribed medication. It has previously been agreed that should the need arise for any other medicines; both residents would be capable of administering their own medication. One person sometimes purchases Paracetamol for headaches and other homely remedies for his own use, as the need arises. The manager has implemented a homely remedy protocol devised by the CSCI Pharmacists. Rose Mount DS0000025002.V325462.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, 23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints system with evidence that residents feel that their views are listened to and acted upon. EVIDENCE: There have been no complaints recorded in the home’s complaints log since the last inspection visit in December 2005. The residents spoken to state that they feel that they can voice any concerns either directly with the manager or staff at the social services department. The home does not currently have a copy of the Dudley Local Authority multiagency protection of vulnerable adult procedure, Safeguard & Protect and the manager has not attended any formal training relating to the protection of vulnerable adults from abuse, although the manager does have policies and procedures in place. Documentary evidence must be provided that discussions have taken place with residents and relatives in relation to measures in place and contacts available with outside agencies. Rose Mount DS0000025002.V325462.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, 25, 26, 27, 29, 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home presents as a homely and comfortable environment for residents. The manager has a good understanding of the areas where the home needs to improve. EVIDENCE: Rosemount is a traditional semi-detached house, which provides comfortable domestic style accommodation for up to three adults with learning disabilities. The two residents each have a first floor bedroom, arranged and decorated according to their personal preference. They share the first floor bathroom and use the kitchen and communal lounge on the ground floor. They have access to the laundry in the basement only under supervision. The garden is generally tidy but neither resident has any particular interest in gardening, though they both enjoy walking. Rose Mount DS0000025002.V325462.R01.S.doc Version 5.2 Page 18 A brief tour of the premises demonstrated that the house is generally clean, homely and comfortable. However there are some areas, which need more attention and a written cleaning schedule needs to be implemented. Examples are: the grouting in the kitchen is grubby and must be thoroughly cleaned or replaced as planned, and the bathroom, especially around the washbasin taps and skirting must be thoroughly cleaned. The registered proprietor / manager states that there are plans to redecorate the home throughout during the next 12 months. Rose Mount DS0000025002.V325462.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, 33, 34, 35 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The two residents are currently well supported by the registered manager / joint proprietor. No other staff are currently employed at this small home. EVIDENCE: Rose Mount DS0000025002.V325462.R01.S.doc Version 5.2 Page 20 The two residents living at this home continue to demonstrate a high level of independence, requiring only very minimal support. One person has been reassessed as no longer needing residential care by Dudley Social Services. The home continues to be staffed by the Registered Manager and Joint Proprietor, providing cover for the home as follows; 06.45- 10.00 am and 16.00- 20.00 Monday to Friday by the Registered Manager. 10.00 – 13.00 and 17.00 – 21.00 Weekends by Registered Manager and the Joint Proprietor. It is stated that the staffing arrangements are varied at times to meet the needs of the service users, and the hours are recorded retrospectively. The registered proprietor / manager has submitted a Pre Inspection Questionnaire, with addition names of family members as staff. He explained that these people, his brothers, had previously worked at another home, though they have never worked at this home but are available to cover as bank staff should the need arise. It is stressed that there must be complete staff files for the two relatives who are named, prior to them undertaking any work or having contact with the residents. Rose Mount DS0000025002.V325462.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, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered manager continues to provide generally clear leadership and communication systems are generally effective. There are systems in place to consult residents about the way forward for their home. The compliance with all aspects of records and health and safety is currently satisfactory, which protects residents safety and well being. EVIDENCE: Rose Mount DS0000025002.V325462.R01.S.doc Version 5.2 Page 22 Mr Nigel Dhillion is the joint proprietor and registered manager at Rosemount and has been in post since the home opened. He is not able to meet the evidence requirements to obtain the RMA qualification because of the very small scale of the home, the independence of the residents and lack of need for staff requiring supervision. He is about to commence the Certificate in Management on 23 January 2007, a one year course, as an alternative qualification. There is evidence that he maintains other aspects of his training appropriately. Examples are he has up to date mandatory training, including first aid. He has also undertaken risk management training completed through Touchwood Training, to equip persons undertaking risk assessments and provide documented risk assessments, with control measures and risk management strategies. He has reviewed risk assessments relating to the residents and the wider service and environment. The registered manager is advised to contact Dudley MBC Environmental services for information regarding new food safety standards, Safer Food Safer Business, to make sure that new food safety regulations are incorporated into the homes practices. Progress continues to be made with the planned development of the residents surveys, as required by standard 39 with the results to be included in the service user guide. The manager has obtained a standardised format from the Mulberry House Company. Further progress must be made to incorporate the collated results of a relatives survey and notes of regular residents meetings into the homes quality assurance system. The manager has not yet completed an up to date annual development plan for the home. During the visit it has been noted that one of the residents was able to open the full length landing window to its fullest extent, which poses risks to his safety. A window restrictor approved by the Environmental Services must be fitted as a priority and the registered person must review and risk assess all other first floor windows. There are no recorded accidents relating to the residents since the last inspection visit in December 2005. The status of the home had changed at the last inspection in that it has become a limited company, with a change to shares held by each person and the registered address, which is now at the accountants. The details of the changes have not yet been officially notified to the CSCI. The changes must now be registered with the CSCI Central Registration Team, Regional office, Birmingham. Rose Mount DS0000025002.V325462.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 3 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 2 ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 2 28 X 29 2 30 2 STAFFING Standard No Score 31 X 32 N/A 33 3 34 2 35 2 36 N/A 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 3 13 3 14 3 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 3 X Rose Mount DS0000025002.V325462.R01.S.doc Version 5.2 Page 24 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 YA23 Regulation 13(6) Requirement To obtain a copy of the Dudley Local Authority multi-agency protection of vulnerable adult procedure, Safeguard & Protect and provide evidence that discussions have taken place with residents and relatives 1) To implement a written cleaning schedule 2) To ensure the grouting in the kitchen is thoroughly cleaned or replaced as planned 3) To thoroughly clean the bathroom, especially around the wash basin taps and skirting 3 YA34 19(1) Schedules 2&4 24 13(1) 17(2) To provide complete staff files for the two relatives who are named as being available to provide bank cover at the home To progress the planned development of the service users surveys, as required by standard 39; and include the results in the reviewed service user guide (Timescale of DS0000025002.V325462.R01.S.doc Timescale for action 01/04/07 2 YA24 23(2) 01/04/07 01/04/07 4 YA39 01/04/07 Rose Mount Version 5.2 Page 25 31/05/05 and 31/08/05 and 01/03/06 not fully met) 5 YA39 24 To devise, implement the following and provide documentary evidence to the CSCI 1) An annual development plan for the home 2) Collated results of a relatives survey 3) Collated results of a stakeholder survey 4) Notes of regular residents meetings 1) To provide a window restrictor for the full length landing window 2) To review and risk assess all other first floor windows To ensure the details of the changes relating to the status of the home and company be officially notified to the CSCI Central registration Team (Timescale of 01/02/06 Not Met) To produce a business and financial plan for the Home, with a copy forwarded to the CSCI, for consideration. (Timescale of 31/05/05 and 31/08/05 and 01/03/06 not met) 01/04/07 6 YA42 13(4) 01/04/07 7 YA43 39 01/04/07 8 YA43 25 01/04/07 Rose Mount DS0000025002.V325462.R01.S.doc Version 5.2 Page 26 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 YA12 Good Practice Recommendations The registered manager should contact Dudley Social Services (CTLD) for the allocation of a social worker to assist the resident wishing to do voluntary work with animals The registered manager needs to provide documentary evidence of offers of annual holidays and alternatives and decisions reached by each person - Not Met That the registered manager contacts Dudley MBC Environmental services for information regarding new food safety standards, Safer Food - Safer Business 2 YA14 3 YA42 Rose Mount DS0000025002.V325462.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Halesowen Record Management Unit Mucklow Office Park, West Point, Ground Floor Mucklow Hill Halesowen West Midlands B62 8DA 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 Rose Mount DS0000025002.V325462.R01.S.doc Version 5.2 Page 28 - 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!