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Inspection on 18/01/07 for Stanecroft

Also see our care home review for Stanecroft for more information

This inspection was carried out on 18th 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

What has improved since the last inspection?

All topical medication creams are now kept in a locked storage facility and additional storage has been provided for medicines. The hours allocated to cleaning the home have been increased since the last inspection. The manager is no longer overseeing another residential care home and this will give reassurance to the relatives of residents who have felt that the manager should be present in the home when on duty.

What the care home could do better:

Medication records must accurately reflect the number of received medicines into the home. This was rectified with immediate effect and therefore a requirement has not been made. It is recommended that a refresher-training programme be provided for the member of staff who has been identified as requiring further guidance, information and support. The manager is to instigate a falls prevention programme to monitor and observe the reasons for the number of falls experienced by some of the residents and to take action to prevent these occurring where possible. The home needs to review the level of activities available for residents and the allocated hours for these tasks. It is recommended that staff ensure that they record any diverse and cultural needs of residents within the care records. The paved garden area must be maintained as planned to ensure that residents have a safe external environment. The pulley ropes for the skylight windows must be secured and not left hanging in the hallway to ensure the safety of residents. This was rectified with immediate effect and therefore a requirement has not been made. Staff recruitment records must identify a full employment history and reference requests must provide confirmation of the reason for leaving the last employment.

CARE HOMES FOR OLDER PEOPLE Stanecroft Spook Hill North Holmwood Dorking Surrey RH5 4EG Lead Inspector Cathy Clarke Key Unannounced Inspection 18th January 2007 10:00 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 Stanecroft DS0000028739.V324117.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. Stanecroft DS0000028739.V324117.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stanecroft Address Spook Hill North Holmwood Dorking Surrey RH5 4EG 01306 876567 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) manager.burroughs@careuk.com Care UK Community Partnerships Limited Jennifer Frances Sharman Care Home 50 Category(ies) of Dementia - over 65 years of age (50), Old age, registration, with number not falling within any other category (50), of places Physical disability over 65 years of age (5), Sensory Impairment over 65 years of age (3) Stanecroft DS0000028739.V324117.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Up to two (2) beds may be used for providing respite care for DE(E) (Dementia over 65 years of age) Up to two (2) beds may be used for people under 65 years old but not under 58 years. Of the fifty (50) registered, five (5) beds may be used for PD(E) (Physical disability over 65 years of age) Of the fifty (50) registered, three (3) beds may be used for SI(E) (Sensory Impairment over 65 years) 7th June 2005 Date of last inspection Brief Description of the Service: Stanecroft is a large care home for older people with Dementia situated in North Holmwood in Dorking. The home is on one level and divided into 5 units each running individually to maintain the sense of group living. Each unit has its own kitchenette, dining and lounge areas together with toilet and bathing facilities. The home is generally well maintained and bright. Stanecroft is run by Care U.K. Partnerships Ltd who also run similar establishments in various parts of the country. Charges for the service are £654.00 per week for privately funded individuals. The service has an agreed contractual fee rate for service users who are referred to them by the Local Authority. Stanecroft DS0000028739.V324117.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission for Social Care Inspection undertook an unannounced site visit using the new ‘Inspecting for Better Lives’ (IBL) process. Lead Regulation Inspector Cathy Clarke was assisted throughout the inspection by the Registered Manager Jennifer Frances Sharman representing the establishment. The IBL process involves a pre-inspection assessment of service information from a variety of sources. Initially helping to prioritise the order of inspections and identify areas that require more attention during the inspection process. Details from each source of enquiry are compiled in a new form of inspection record used by the Inspector throughout the inspection process. CSCI inspected information from previous inspections. A presentation on the new IBL Inspection methodology was given to Registered Manager. The inspection of Stanecroft took place over a period of 6 hrs during which samples of; care assessments, care plans, and staff records were inspected. All of the key inspection standards for Older People were assessed. Seven service user, Six relatives/visitors and three Health and Social Care Professionals surveys have been received by CSCI and their comments have been included in this report. Charges for the service are £654.00 per week for private funded individuals. The service has an agreed contractual fee rate for service users who are referred to them by the Local Authority. The inspector would like to extend thanks to the management and staff of Stanecroft for their assistance and hospitality during the inspection. What the service does well: There is a homely atmosphere within the home and this creates a pleasant environment for people to live in. Service users spoken to during the site visit were happy with the home and enjoy living there. The manager has a keen interest in the care of people with Dementia and is planning to undertake a Leadership and Management course to add to her existing qualifications. All staff have undertaken Dementia training and staff are working hard towards completion of their NVQ Care awards. Quality assurance within the service includes service user and relative’s involvement in forums, and surveys. The service benchmarks care practices against an internal audit tool and the Clinical Governance Manager for the Stanecroft DS0000028739.V324117.R01.S.doc Version 5.2 Page 6 organisation checks the audit and gives guidance where needed. The service has taken part in a national audit of Continence Care for Older People. The following are comments received from relatives and visitors: • • Very satisfied with all aspects of care that my mother receives. My mother receives much care and affection from staff and always says how good everyone is to her. The staff have a real gift of making this residential home a place of laughter and warmth. Excellent care, committed manager and staff. My mother’s quality of life physically and mentally is much improved due to the care provided. I am writing to you to commend the staff on Elm unit for the quality of care my mother received throughout her time at Stanecroft. She was always well cared for and loved by the staff on the unit. I have nothing but praise for the members of staff. I would like my appreciation of their devotion and skill in supporting my mother and the other residents to be recorded and commended. • • A care manager has stated the following: • Staff are always very helpful and the majority of service users/carers are very happy with the home. All service users have stated that they like living in the home feel well cared for and that staff treat them well. All have also indicated that their privacy is respected. All those who responded to the surveys have stated that they do not wish to be more involved with the decision making within the home. What has improved since the last inspection? What they could do better: Stanecroft DS0000028739.V324117.R01.S.doc Version 5.2 Page 7 Medication records must accurately reflect the number of received medicines into the home. This was rectified with immediate effect and therefore a requirement has not been made. It is recommended that a refresher-training programme be provided for the member of staff who has been identified as requiring further guidance, information and support. The manager is to instigate a falls prevention programme to monitor and observe the reasons for the number of falls experienced by some of the residents and to take action to prevent these occurring where possible. The home needs to review the level of activities available for residents and the allocated hours for these tasks. It is recommended that staff ensure that they record any diverse and cultural needs of residents within the care records. The paved garden area must be maintained as planned to ensure that residents have a safe external environment. The pulley ropes for the skylight windows must be secured and not left hanging in the hallway to ensure the safety of residents. This was rectified with immediate effect and therefore a requirement has not been made. Staff recruitment records must identify a full employment history and reference requests must provide confirmation of the reason for leaving the last employment. 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. Stanecroft DS0000028739.V324117.R01.S.doc Version 5.2 Page 8 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 Stanecroft DS0000028739.V324117.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All prospective service users are assessed prior to moving into the home. Intermediate care is not offered by this service. EVIDENCE: Residents assessment records sampled showed that prospective residents are assessed prior to their admission to the home. One new resident had two overnight stays prior to moving into the home. The manager confirmed that the home does not offer intermediate care. Stanecroft DS0000028739.V324117.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Health care needs of residents are recorded in their plan of care. Policies and procedures are in place for the administration, storage and recording of medication. The residents right to privacy and dignity and how this is to be managed is recording in the plan of care. EVIDENCE: Records sampled showed that residents and their representatives are involved and included in their care reviews. There is a computerised system for recording all aspects of the planned health and care needs of residents. Records showed regular GP, dental and optician appointments. The chiropodist was visiting the home during the site visit. One resident spoken to was receiving district-nursing support. The manager is to instigate a falls prevention programme to monitor and observe the reasons for the number of falls experienced by some of the residents and to take action to prevent these occurring where possible. Stanecroft DS0000028739.V324117.R01.S.doc Version 5.2 Page 11 The manager stated that she was in the process of requesting one GP to be attached to the home to improve continuity. At present residents receive visits from three different surgeries. Medication is audited on a regular basis and there is a dedicated member of staff responsible for this task. On the site visit it was noted that the number of tablets recorded as being received the day before for a new resident were incorrectly counted. Following discussion with the manager it was agreed that the member of staff concerned would receive a refresher-training course in the administration, receipt, storage and recording of medication. All medicines from the blister packs sampled were correct. The controlled drugs register was correctly completed and tablets counted as correct. The keys for the cupboard are kept securely in another locked key cupboard. There are three medication trolleys for the home, kept in a dedicated room. All medication assessments, policies and procedures are kept in a cupboard for ease of access. Signatures of those staff trained to administer medication are recorded in the front of the medication folder. There is a protocol in place for medication administration records. The way in which privacy and dignity is to be provided for residents was recorded in their plan of care. Resident’s individual likes and dislikes have been recorded. One care plan identified that the resident likes to have her door closed at night and the sink light left on. Please see recommendations section of this report. Stanecroft DS0000028739.V324117.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are encouraged to take an active part in activities and these are individually matched to their preferences. Family and friends are welcome at the home. Residents are assisted to exercise choice and control over their lives within the parameters of their individual risk assessments. A range of choices is available on the menu. EVIDENCE: Activities are individually assessed and recorded on the plan of care. Records sampled included activities such as dominoes, reading, singing and dancing. The local church visitors were visiting some of the residents during the site visit. The manager stated that residents often visit the local garden centre and like to have a meal in the local pubs. Often relatives will visit and take the residents out. There is an activities co-ordinator who has been trained and likes to keep up to date by attending individual courses. It is recommended that the home review the present hours and arrangements available for activities. One resident commented that she would like to do more activities but that the co-ordinator was not on duty in the afternoon and that sometimes she is on the other units. Stanecroft DS0000028739.V324117.R01.S.doc Version 5.2 Page 13 During the visit family were visiting their relatives and one spoken to stated that the staff in the home were friendly. It was also stated that the manager had been assisting with the management of another home. Discussion was held with the manager regarding this and she confirmed that she was no longer visiting the other home. Residents spoken to were happy in the home liked the staff and most enjoyed their meals. One resident who had not eaten any of her meal stated that she was still full from breakfast. This was discussed with the manager who stated that on a Thursday morning residents were offered a cooked breakfast and that some residents then found it difficult to eat lunch. It is planned to review the menu plans for this particular lunchtime and offer a cooked meal in the evening on this day. Staff spoken to were very aware of the individual likes and dislikes of the residents with regard to their preferred meal choices. There was good interaction between staff and residents. Tables were set with cloths and napkins and each resident had a drink with their meal. One service user was asked whether she would prefer a more culturally diverse meal and she stated that she liked her meals and did not like anything too spicy. The manager stated that should they require different cultural meals that the home would be able to order this from their external provider. One resident who recently celebrated her 90th birthday had had a party and the manager always buys a birthday cake. Stanecroft DS0000028739.V324117.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are policies and procedures in place for concerns and complaints and “Safeguarding Adults”. EVIDENCE: There have been two complaints made since the last inspection. The home has responded to both complaints in line with their complaints procedure and have taken action where required. There have been no safeguarding adults referrals or investigations since the last inspection. Stanecroft DS0000028739.V324117.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is clean, and service users find the atmosphere pleasant. There is some work to be undertaken to ensure that the outdoor garden area is safe for residents to access. EVIDENCE: A full tour of the premises took place and residents stated that they were comfortable in the home. The manager has stated that the home is to review the current dining arrangements in each of the units to ensure that there is sufficient space for residents to move around. There are plans to renew four of the baths in the home and these are to be replaced one at a time so as to reduce any inconvenience to residents. All units were nicely decorated and flowers and pictures on the walls and in the hallways gave the home a welcoming atmosphere. Stanecroft DS0000028739.V324117.R01.S.doc Version 5.2 Page 16 The roots of a small tree in the patio area of the garden have raised the paving stones and made it necessary to cordon off the area to ensure the safety and welfare of the residents. Ouotes have been obtained for the maintenance of the patio and work will commence in the near future. The kitchen was clean and tidy and the appropriate fridge and freezer checks had been carried out. The temperature of food is checked before going out to the units. A further twelve hours has been allocated for cleaning and bank staff. The home was clean and tidy during the visit. Please see recommendations section of this report. Stanecroft DS0000028739.V324117.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Sufficient staff with the required skills to meet their needs supported residents. Some improvements are required to ensure recruitment procedures meet statutory requirements. EVIDENCE: There are two staff on the most dependent unit and one member of care staff on each of the other units with one member of staff floating between. There are two team leaders on duty on most days. Staff spoken to during the site visit were keen to complete their NVQ Training and some were meeting with their assessor on the day. The home has a laptop with an e-learning tool for staff training. An in-house trainer provides manual handling training. Sixteen staff hold NVQ at the required level. Eight more staff are registered to undertaken their NVQ Training shortly. Staff confirmed that they had received protection of vulnerable adults training. Recruitment records for new staff did not contain a full employment history and dates recorded need to include the month as well as the year. The manager agreed to immediately update all records for staff employed after 2004 in line with the regulations. Any gaps in employment are to be explored and explanations recorded. The reference requests are to be reviewed to Stanecroft DS0000028739.V324117.R01.S.doc Version 5.2 Page 18 ensure that the reasons for employees leaving their last employment is requested and can therefore be verified. Stanecroft DS0000028739.V324117.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run in the best interests of service users and the home has the required policies and procedures in place. EVIDENCE: The manager has a keen interest in the care of people with Dementia and is planning to undertake a Leadership and Management course to add to her existing qualifications. The manager is no longer overseeing the management of one of the other residential care homes, which will be more agreeable to residents and relatives who have missed her presence within the home. Stanecroft DS0000028739.V324117.R01.S.doc Version 5.2 Page 20 Quality assurance within the service includes service user and relative’s involvement in forums, and surveys. The service benchmarks care practices against an internal audit tool and the Clinical Governance Manager for the organisation checks the audit and gives guidance where needed. The service has taken part in a national audit of Continence Care for Older People. An external consultant will be looking and collating the data received from the recent customer satisfaction surveys. A service user involvement report is to be issued once the analysis of the data is complete. The following are comments received from relatives and visitors: • • Very satisfied with all aspects of care that my mother receives. My mother receives much care and affection from staff and always says how good everyone is to her. The staff have a real gift of making this residential home a place of laughter and warmth. Excellent care, committed manager and staff. My mother’s quality of life physically and mentally is much improved due to the care provided. I am writing to you to commend the staff on Elm unit for the quality of care my mother received throughout her time at Stanecroft. She was always well cared for and loved by the staff on the unit. I have nothing but praise for the members of staff. I would like my appreciation of their devotion and skill in supporting my mother and the other residents to be recorded and commended. • • A care manager has stated the following: • Staff are always very helpful and the majority of service users/carers are very happy with the home. All service users have stated that they like living in the home feel well cared for and that staff treat them well. All have also indicated that their privacy is respected. All those who responded to the surveys have stated that they do not wish to be more involved with the decision making within the home. Financial arrangements on behalf of residents are managed by either the family or through solicitors. Representatives are invoiced for day-to-day expenses and Care UK Head Office receives payments. Health and safety policies and procedures are in place and checks to ensure compliance with these policies are undertaken. Stanecroft DS0000028739.V324117.R01.S.doc Version 5.2 Page 21 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 X 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 2 X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Stanecroft DS0000028739.V324117.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP20 Regulation 23 (2) (b) Requirement The paved garden area must be maintained as planned to ensure that residents have a safe external environment. Staff recruitment records must identify a full employment history and reference requests must provide confirmation of the reason for leaving the last employment. Timescale for action 28/02/07 2. OP29 19 (5) (d) (i) schedule 2 05/02/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP9 Good Practice Recommendations It is recommended that a medication refresher-training programme be provided for the member of staff who has been identified as requiring further guidance, information and support. It is recommended that the service instigate a falls prevention programme to monitor and observe the DS0000028739.V324117.R01.S.doc Version 5.2 Page 23 2. OP10 Stanecroft reasons for the number of falls experienced by some of the residents and to take action to prevent these occurring where possible. 3. 4. OP12 OP14 The home needs to review the level of activities available for residents and the allocated hours for these tasks. It is recommended that staff ensure that they record any diverse and cultural needs of residents within the care records. Stanecroft DS0000028739.V324117.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Stanecroft DS0000028739.V324117.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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