Inspection on 15/01/07 for Rufford Court Care Home

This inspection was carried out on 15th January 2007.

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

Rufford Court Care Home 01/02/06

Rufford Court Care Home 21/06/05

Rufford Court Care Home 14/03/05

Rufford Court Care Home 18/01/05

Rufford Court Care Home 08/03/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Rufford Court Care Home 3-5 The Cliff Cinderhill Nottingham NG6 8SA Lead Inspector Jayne Hilton Key Unannounced Inspection 15th January 2007 11:15 Rufford Court Care Home DS0000055281.V323947.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 Rufford Court Care Home DS0000055281.V323947.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. Rufford Court Care Home DS0000055281.V323947.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rufford Court Care Home Address 3-5 The Cliff Cinderhill Nottingham NG6 8SA 0115 975 3100 0115 976 4623 ruffordcourt@activecarepartnerships.co.uk Not available Active Care Partnerships Ltd 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) Miss Jacqueline Elizabeth Johnson Care Home 20 Category(ies) of Learning disability (20) registration, with number of places Rufford Court Care Home DS0000055281.V323947.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st February 2006 Brief Description of the Service: Rufford Court is a care home, also providing nursing care, to adults who have a learning disability and additional complex needs such as autism, sensory impairment, physical disabilities or behaviour that challenges services. It is registered to accommodate 20 people. The home is situated in the Bulwell area of Nottingham and is within easy access to various local amenities as well as bus routes into the city centre. The home is split into three distinct areas - a ground floor unit for eight service users, another split-level, self-contained unit for four, and the first floor for a further eight people. The home has adequate communal space as well as a fully equipped music room and snoozelan room. There is a large attractive main garden as well as a sensory garden. The home has its own car and wheelchair accessible mini-bus. The manager is committed to maintaining a high standard of service to a group of service users who might not be easily provided for elsewhere. The standards and principles of the service have been effectively communicated to the staff team, who are knowledgeable about the service user group as a whole and sensitive to the needs of individuals. Information was provided by the Deputy manager on 11-08-06 on the range of fees charged; these are between £681 plus nursing band care fees plus one to one fees, service users pay extra for hairdressing and meals taken outside of the home. Rufford Court Care Home DS0000055281.V323947.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service users and their views on the service provided. This process considers the provider’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. This inspection took place over four daytime hours. The Registered Manager had provided some requested information to the Commission for Social Care Inspection in August 2006. The main method of inspection used was called ‘case tracking.’ This involves selecting two residents and looking at the quality of the care they receive by talking to them, examining their care files and discussing how support is offered to them by staff members. Many of the people who live at this home have a very limited ability to understand and communicate. Therefore many judgements in this report are from observation and reading residents’ records and documents. The residents who were “case tracked” were not able to help by giving an opinion about the care provided. Comments from six relatives were obtained from pre inspection surveys issued prior to the inspection and one relative was spoken with by telephone. Five members of staff, the manager, were spoken with as part of this inspection, documents were read and medication inspected to form an opinion about the quality of the care provided to residents. What the service does well: Service users and staff benefit from a well run home, with which service users and their representatives can be confident their views underpin all self monitoring, review and development of the home. Service users health and safety is protected. Service users needs are fully assessed and the care planning and risk assessment framework are well organised. Staff at Rufford Court are well informed and aware of individual service users needs and plans, which promote and assist service users with choice and Rufford Court Care Home DS0000055281.V323947.R01.S.doc Version 5.2 Page 6 decision-making. The system in place for medicine management appears satisfactory. The home provides a range of daily internal and external activities, the homes management and staff are clearly committed to providing a stimulating environment. Service users are supported to have appropriate personal family relationships and service users rights are clearly recognised and overall enjoy a healthy and nutritional diet. Service users receive personal support in the way they prefer and require and their physical and emotional needs appear to be met. Service users representatives know how to make a complaint should they have any and service users are protected from abuse. Service users are protected by robust recruitment systems and practices and service users individual and joint needs are met by appropriately trained staff. The home provides a clean, domestic and well-maintained environment. What has improved since the last inspection? There has been a clear improvement in the management of food safety and the home smelled fresh. The information held on staff personal files were completed satisfactorily and staff are no longer keeping their personal belongings in the storeroom. A system is now in place to prompt staff to follow up blood tests. A statement is now included in relation to the service users capacity to consent for medication. Windows and internal doors are being replaced on a rolling programme and some carpets have been renewed. Rufford Court Care Home DS0000055281.V323947.R01.S.doc Version 5.2 Page 7 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. Rufford Court Care Home DS0000055281.V323947.R01.S.doc Version 5.2 Page 8 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 Rufford Court Care Home DS0000055281.V323947.R01.S.doc Version 5.2 Page 9 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users needs are fully assessed. EVIDENCE: Two service users files were examined and contained well- documented individual assessment of needs and goals. Comprehensive risk management plans are evident and any restrictions are recorded in the residents care plan and environmental risk assessments. Further development of equality and diversity sections within the assessment documentation is recommended. Service users relatives said they were not aware of how to access a copy of the inspection report. It is recommended that this information is posted within the home. Rufford Court Care Home DS0000055281.V323947.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. The care planning and risk assessment framework are well organised. Staff at Rufford Court are well informed and aware of individual service users needs and plans, which promote and assist service users with choice and decisionmaking. EVIDENCE: The inspector examined selective information from two care plans. The plans are based on the activities of daily living, include all appropriate risk assessments and demonstrate that reviews were undertaken as needs changed and every six months. Each plan was easily referenced and describes how staff support the resident with daily living. Service users are unable to be involved in the development of the care plans due to their complex needs. Annually, relatives of the residents Rufford Court Care Home DS0000055281.V323947.R01.S.doc Version 5.2 Page 11 are invited to a complete care plan review, undertaken by the manager and professionals involved in the care of the individual. There is evidence that service users are weighed monthly and have their nutritional needs assessed. Each resident has a named key worker allocated to manage his or her individual care plans. Care plans evidence the preferences and individual needs of service users wherever possible to endeavour to encourage basic choices. An example of this being service users offered choice of clothing with support for seasonal weather etc. Advocacy services are used when needed and the manager and organisation are working with Care Aware, which is an older person advocacy agency to engage in work and tailor services for with people with specialist services such as people with a learning disability. Rufford Court Care Home DS0000055281.V323947.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): 12-17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home provides a range of daily internal and external activities, the homes management and staff are clearly committed to providing a stimulating environment. Service users are supported to have appropriate personal family relationships. Service users rights are clearly recognised and overall enjoy a healthy and nutritional diet. EVIDENCE: All of the service users are unable to hold jobs or participate in formal education or training. However, the home employs an activities co-ordinator who is responsible for organising and undertaking a broad range of activities with service users both within and outside the home. Evidence of participation is documented. Service users are provided with opportunities to maintain and develop social, emotional, communication and independent living skills, mainly through interaction with staff and their families and through the broad range of Rufford Court Care Home DS0000055281.V323947.R01.S.doc Version 5.2 Page 13 activities they can take part in. Some service users attend a day centre outside the home. Staff confirmed that each person has their wishes considered and support is provided daily for people to undertake activities and access the local community. The home provides a mini bus to transport service users in pursuit of their individual lifestyles and activities. Risk assessments are in place for any restrictions that may need to be imposed for health and safety reasons or because of the individuals complex and these decisions are supported by relatives or outside professional such as a social worker or Community psychiatric nurse and their signature obtained as such. Relatives are involved as much as possible and the home operates an open door policy with consideration of reasonable times to visit. All relatives are issued with the entry code and there are no reported restrictions for visiting currently. Six relatives completed questionnaires and all were satisfied that their family was happy with the service provided. Friendships/personal relationships are encouraged wherever possible. The home has recently achieved first prize for their rainbow garden, which service users participated in developing. Menus are changed seasonally. The current menu appeared varied and nutritious and details individual options/likes/dislikes/special needs. Soft diets and diabetic diets are catered for Food served appeared well presented and appetising. Cooked breakfasts are available once the cook is on duty at 8am. The manager reported that no service users were currently being supported for nutritional concerns. Intake charts were viewed as used in one service users old care notes. Dietician input is accessed by referral as needed. Nutritional tools are used; weight charts examined were up to date. Food stocks were ample. The lunchtime meal was observed and staff, were noted to be supporting service users appropriately and in a relaxed and happy atmosphere. If service users refuse the meal on offer alternatives are offered. Food safety practices were improved and assessed as satisfactory. Rufford Court Care Home DS0000055281.V323947.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. Service users receive personal support in the way they prefer and require and their physical and emotional needs appear to be met. The system in place for medicine management appears satisfactory. EVIDENCE: Care plans evidence that service users receive personal support in the way they prefer wherever possible. Speech and language therapists, physiotherapists, dietician, occupational therapists, psychology and psychiatric services are accessed as needed. Because the home has links to the local mental health services, appropriate referral and access is obtained promptly. Male staff does not provide personal care to female service users and support for service users is arranged in partnership with advocates, relatives etc. The home has links with the continence advice service that provide full assessments for service users and who visit the home regularly. Rufford Court Care Home DS0000055281.V323947.R01.S.doc Version 5.2 Page 15 Nursing staff undertake medical observations for example blood pressure monitoring and urinalysis, pulse, blood sugar monitoring etc. Staff confirmed good toileting regimes and prompt attention required for changing. Care plans evidence that service users receive personal support in the way they prefer wherever possible. Speech and language therapists, physiotherapists, dietician, occupational therapists, psychology and psychiatric services are accessed as needed. Seizures, menstrual cycles and challenging behaviour are monitored and evaluated. Input is accessed for tissue viability as needed, assessment tools are used and any specialist equipment in place is documented. Routine health checks such as dental, optician and routine reviews are well documented overall. Medication profiles are in place, which include the service users capacity to consent to medication and which should be supported by a community Psychiatric nurse or GP. The treatment room was examined and the system for medication management randomly checked. The medication administration records were noted to be satisfactory, have photographs, staff sample signatures and GP signature where appropriate. The treatment room was clean and tidy and the temperature of the room and the medicine fridge recorded as taken. There are no Controlled Drugs in use currently but appropriate storage is provided. There are appropriate policies and procedures in place for ordering, receipt and return, for homely remedies and a drug error policy in place. Keys are held by the nurse in charge and are kept separate to other keys needed in the home. Dressings were stored separately. Medication is administered by Registered Nursing Staff only and refresher training is accessed periodically and documented. Where service users prefer to have medication adminstered with yoghurt or chocolate this should be documented within the care plan and detailed on the medication adminsitration record. Rufford Court Care Home DS0000055281.V323947.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 good. This judgement has been made using available evidence including a visit to this service. Service users representatives know how to make a complaint should they have any and service users are protected from abuse. EVIDENCE: The home has a written complaints procedure. No formal complaints have been recorded but there is a recording system in place. The managers discussed the Adult Protection framework within the home. Staff undertake training in adult protection and the home has an effective video for assisting with this. There are no reported safeguarding adults referrals. Training for staff in non-violent crisis intervention is implemented at the home, the training schedule and course certificates were observed. Service users finance records were examined and good record keeping noted. Service users are funding meals taken at day care services from their own personal funds. The Contract states that the individual must fund any meals taken outside of Rufford Court, however it is recommended that meals provided at day centres should be provided within the homes fee charges. Rufford Court Care Home DS0000055281.V323947.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): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a clean, domestic and well-maintained environment., continued replacement of windows and internal doors is needed. EVIDENCE: The home was clean and generally well maintained. A programme of refurbishment is underway and needs to be continued. Communal areas were homely with good quality furnishings and adaptations. The premises were on the whole safe, comfortable and bright. The communal space appears to be within existing environmental standards, but this includes a conservatory area which really can be only used in the warmer weather and which restricts space for service users within a small lounge area for eight service users most of the year. The manager explained that there are plans to extend the lounge at a later date. As the room is Rufford Court Care Home DS0000055281.V323947.R01.S.doc Version 5.2 Page 18 overcrowded when all service users are using the small lounge, it is recommended that this work be considered sooner rather than later to improve space and comfort for service users. The home and grounds are accessible to wheelchair users. There is continuous maintenance of all areas, with planned decoration and renewal programmes. Windows and internal doors are being replaced on a rolling programme and carpets have been renewed. The manger reported that others are on order. Two bedrooms were examined and these were noted to be personalised clean and safe. Low surface temperature radiators are in situ or covered. Lighting is domestic in style and water systems were identified to be in place. Laundry and sluice facilities were satisfactory. CCTV operates outside of the building for security purposes only. Care is needed to ensure clinical waste bins are firmly closed shut after use. The home is inspected by the local Fire and Environmental agencies. Infection Control strategies were noted to be in place. Staff wore antibacterial hand scrubs and these were sited around the home in strategic places. Staff were observed to wash their hands regularly and prior to and after sreving food. Rufford Court Care Home DS0000055281.V323947.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): 32,24,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected by robust recruitment systems and practices. Service users individual and joint needs are met by appropriately trained staff. EVIDENCE: A sample of four staff members’ personal files was examined. All were satisfatory. A training budget is held both locally and organisationally and evidence of staff training was seen for manual handling, fire awareness, basic food handling and hygiene, health and safety, basic first aid, infection control, COSHH, Abuse, POVA and whistle blowing, nutrition, Non Violent Crisis Intervention. Other training is accessed if beneficial to the home such as Dementia and Challenging Behaviour. All new staff undertakes an induction to skills for work standards. The induction process takes on average six weeks and training needs are assessed Rufford Court Care Home DS0000055281.V323947.R01.S.doc Version 5.2 Page 20 on starting and depending on what the employee has already attained, training or refreshers are arranged according to need. All staff have a training and development plan. The manager and a senior staff member have attended training on equality and diversity and are dveloping a package to cascade to all staff. Rufford Court Care Home DS0000055281.V323947.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 excellent. This judgement has been made using available evidence including a visit to this service. Service users and staff benefit from a well run home. Service users and their representatives can be confident their views underpin all self monitoring, review and development of the home, service users health and safety is protected. EVIDENCE: Staff and relatives reported that the home was run well and that they were confident in the management. Staff said the manager and deputy were lovely and that there was good team work and regular staff meetings held. Records of formal supervision were seen and staff confirmed that these took place regularly. Quality monitoring systems are in place and include Regulation 26 visits by the provider, six monthly service user/relative/supporter questionnaires and audits. Rufford Court Care Home DS0000055281.V323947.R01.S.doc Version 5.2 Page 22 The manager has recently obtained The Quality Tree assessment tool. One relative said that the home is the best that their family had stayed in and that they were very happy there. Health and Safety practices in general appeared satisfactory. Food safety practices were notabally improved. Good systems were in place for stock rotation, food probing etc. A sample of health and safety records was viewed, including risk assessments, the five yearly electrical certificate and annual gas safety certificate. Rufford Court Care Home DS0000055281.V323947.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 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 4 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 X 4 X X 4 X Rufford Court Care Home DS0000055281.V323947.R01.S.doc Version 5.2 Page 24 NO 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. Standard Regulation Requirement Timescale for action 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 YA2 Good Practice Recommendations Further develop the assessment documentation in relation to Equality and Diversity. Service users relatives said they were not aware of how to access a copy of the inspection report. It is recommended that this information be posted within the home. Where service users prefer to have medication adminstered with yoghurt or chocolate this should be documented within the care plan and detailed on the medication adminsitration record. Although the contract states that the individual must fund any meals taken outside of Rufford Court, it is recommended that meals provided at day centres should be provided within the homes fee charges. Service users would benefit from extension to the lounge facilities on the ground floor. 2 YA20 3 YA23 4. YA24 Rufford Court Care Home DS0000055281.V323947.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Rufford Court Care Home DS0000055281.V323947.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!