Inspection on 28/07/07 for Stoneleigh House

This inspection was carried out on 28th July 2007.

CSCI found this care home to be providing an Adequate service.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Stoneleigh House 17/06/09

Stoneleigh House 23/01/08

Stoneleigh House 03/09/07

Stoneleigh House 18/05/06

Stoneleigh House 13/10/05

Stoneleigh House 09/06/05

Stoneleigh House 24/11/04

Stoneleigh House 06/04/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/11/2008.

CARE HOMES FOR OLDER PEOPLE Stoneleigh House Cooper Street Springhead Oldham OL4 4QS Lead Inspector Sandra Buckley Unannounced Inspection 28th July 2008 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Stoneleigh House DS0000005521.V367262.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. Stoneleigh House DS0000005521.V367262.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stoneleigh House Address Cooper Street Springhead Oldham OL4 4QS 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) 0161 624 5983 0161 678 2158 stoneleighhouse@masterpalm.co.uk Masterpalm Properties Limited Manager post vacant Care Home 31 Category(ies) of Dementia - over 65 years of age (8), Old age, registration, with number not falling within any other category (23) of places Stoneleigh House DS0000005521.V367262.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care home only - code PC, to people of the following gender:Either; whose primary care needs on admission to the home are within the following categories: Old age not falling within any other category - Code OP, (maximum number of places: 23); Dementia over 65 years of age - Code DE (E) (maximum number of places: 8). The maximum number of people who can be accommodated is: 31 23rd January 2008 Date of last inspection Brief Description of the Service: Stoneleigh House is a detached property in a semi-rural location. It is situated close to public transport and local amenities. To access the property, service users have to manage a small incline from the main road. The outside of the property is well maintained, with landscaped gardens and views over the local area. Accommodation is provided in 27 single rooms, of which 26 have en-suite facilities. Of the 26 rooms, two share an adjoining en-suite. There are two shared rooms, both of which have en-suite. Communal facilities include three large lounges, one of which is an allocated smoking area and a large dining room. Fees range from £360.00 to £375.00. Stoneleigh House DS0000005521.V367262.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes This was a key inspection that included a site visit to the home. They were not told beforehand that we were coming to inspect, this is called an unannounced inspection. This inspection looked at all the key standards and included a review of all available information received by the Commission for Social Care Inspection (CSCI) about the service provided at the home since the last inspection. There is no registered manager in post; an acting manager is in post. No application for registration had been submitted to the Commission for Social Care Inspection at the time of writing this report. During the site visit information was taken from various sources, including observing care practices and talking to people in the home. The acting manager, relatives and some members of the staff team were also interviewed. A tour of the home was undertaken and a sample of care, employment and health and safety records were seen. Comments from questionnaires returned from residents and their relatives are also included in this report The CSCI requires the home Assessment (AQAA) in order to acting manager had completed from more detail. Comparisons inspection. to complete an Annual Quality Assurance demonstrate the level of care provided. The this document, which would have benefited were made with this document at the time of On this inspection the outcomes for people in the home did reflect that indicated by the acting manager in the AQAA, especially in relation to daily life, personal care and protection. However, the acting manager had recognised what improvements could be made and was taking steps to address the issues. The Commission for Social Care Inspection has not received any complaints about the home since the last inspection. The acting manager had received one, which they had dealt with appropriately. Stoneleigh House DS0000005521.V367262.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: The acting manager has been in post since December 2007 and has not yet submitted an application to register with the Commission for Social Care Inspection, which now must be given priority. Stoneleigh House DS0000005521.V367262.R01.S.doc Version 5.2 Page 7 Although improvements have been made, there still remain a number of issues to address. For example, a care plan must be in place for all of people’s assessed needs and elements of health and safety, such as regular fire alarm test, attention to frayed carpets to avoid accidents in the home and the elimination of smoke through additional ventilation to avoid passive smoking. Any accidents or adverse situations in the home must be reported to the Commission for Social Care Inspection. When a number of accidents occur, an analysis should take place to provide insight into time, place and staff deployment. Activities should be kept under review to ensure a wider participation of people in the home. 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. Stoneleigh House DS0000005521.V367262.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 Stoneleigh House DS0000005521.V367262.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): Standard 3. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. An assessment of need is obtained from professionals to ensure people’s needs can be met within the home. EVIDENCE: Three case files were examined; two had a full assessment of need. One person’s file showed they had been a resident for some time. In this instance, regular reviews had taken place in order to re-assess the initial assessment and make adjustments accordingly. Each person had a statement of purpose and service user guide on the bedroom door for reference. Stoneleigh House DS0000005521.V367262.R01.S.doc Version 5.2 Page 10 The acting manager had stated on the Annual Quality Assurance Assessment they recognised the need for the statement of purpose and service user guide to be updated in line with changes in the home. Stoneleigh House DS0000005521.V367262.R01.S.doc Version 5.2 Page 11 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): Standards 7, 8, 9 & 10 Quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. Improvements started in care planning need be carried through all documentation to ensure people’s needs will be met. The lack of accident analysis being completed may pose a risk to people in the home. EVIDENCE: Since the last inspection, the acting manager has started to make improvements to care planning. Three case files were examined; one included a detailed care plan, which was in line with the person’s assessment of need. Weighing was undertaken regularly and a nutritional assessment-screening tool had been used. A falls risk assessment had been completed to ensure safe use of a wheelchair and transfers. Daily notes reflected choice and staff actions, for example, ‘woke early could not sleep, tea and omelette made for resident’. Pressure relieving equipment had been provided and included a special mattress and pressure cushion. Stoneleigh House DS0000005521.V367262.R01.S.doc Version 5.2 Page 12 In contrast to this, one person admitted into the home in March still had an incomplete care plan. Their assessment identified vascular epilepsy, angina and Parkinson’s. No care plans were in place. There was evidence that the person was receiving medication for these conditions. People’s preferences in their daily lives and likes and dislikes were recorded alongside any professional visits. Another file examined was in relation to a person who had been in the home for some time. In this instance, reviews of care had taken place and a care plan had been updated, however not all information had been transferred from the assessment process. Risk assessments were linked to the environment and the medical history for diabetes was recorded with information for staff on observations to be made in case of any adverse reactions. Since March 2008 50 accidents had occurred in the home, some requiring hospital admission. The acting manager had failed to inform the Commission for Social Care Inspection, under Regulation 37, that these accidents had occurred. Several of the accidents had been sustained by a small number of residents. The acting manager said they had requested the falls prevention nurse to visit on several occasions. In this instance, an accident analysis should be undertaken to provide an overall view of times and places where they have occurred, in order to evaluate how these may be prevented or staff deployment reviewed. Moving and handling equipment was in place to promote independence. The inspector noted that, on occasion, people were being moved without footplates on wheelchairs, making the process unsafe. One person had contracted MRSA while in hospital and protective gloves and aprons were available for staff use. One relative interviewed said, ‘Mum’s care has been very good here.’ Also, ‘Mum likes it here and the staff.’ Another said, ‘I come on a regular basis and never see anything inappropriate.’ People in the home commented, ‘Staff are always polite to people’. One relative said ‘My wife is always clean and tidy and nails are done’, ‘My wife has her own teeth, staff clean them and the dentist has been.’ Also, ‘A bed has been bought for pressure care and a new wheelchair, she is very comfortable in this.’ Stoneleigh House DS0000005521.V367262.R01.S.doc Version 5.2 Page 13 Examination of medication procedures found them to be recorded and administered and prescribed. Stoneleigh House DS0000005521.V367262.R01.S.doc Version 5.2 Page 14 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): Standards 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. People’s needs and preferences are assessed on an individual basis EVIDENCE: Care planning had improved to reflect people’s interests and hobbies. people’s assessments stated they wished to continue church worship. acting manager said that ministers of two denominations visit the home. Two The One case file recorded a person’s wish to have tea-making facilities in their room. The acting manager had undertaken a risk assessment to ensure health and safety is maintained. We spoke to this person who was pleased with the outcome. They also went on to say, ‘I asked for a new carpet and a week later I got one, they also asked me what colour I wanted.’ Another person said, ‘I share a room and we were asked if we wanted privacy screens but we have en-suite facilities and prefer not to have them.’ Stoneleigh House DS0000005521.V367262.R01.S.doc Version 5.2 Page 15 We dined with people in the home and found that routines were flexible, providing a relaxed atmosphere. People who needed assistance with meals were helped sensitively by staff. People were complimentary about the food and the new cook. They said staff came round in the morning to inform them what was for lunch and took their order. On the day of our visit, the meal was a choice of a lamb dinner or cheese and onion pie followed by syrup sponge and custard. Diabetic meals were modified to enable people the same choice of sweet or ice cream. One person said, ‘there is a new cook and food is much better.’ ‘I have had a full cooked breakfast this morning.’ The acting manager had made contact with Oldham’s mobile library and talking book service. One person said, ‘I have settled well and you get to know people here, also you always get good food.’ Sunday papers and TV magazines were ordered for general use and paid for out of funds raised by staff. An activity person is employed between 9.30 and 12.00 however a limited number of people chose to participate in these activities. The acting manager had recognised in the Annual Quality Assurance Assessment that there is room for improvement and outside activities. One person said, ‘A lady comes and does activities and we do a bit with staff sometimes.’ People also told us that the hairdresser comes in once a fortnight and that their laundry is washed okay. Stoneleigh House DS0000005521.V367262.R01.S.doc Version 5.2 Page 16 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): Standards 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. People are able to voice any concerns they may have and are protected through staff training in the protection of vulnerable adults. EVIDENCE: The complaints procedure is displayed in the hallway. The Commission for Social Care Inspection has not received any complaints since the last inspection. The acting manager had received one complaint since the last inspection relating to a relative’s concern over personal care. The acting manager met with the family and recorded that immediate action was taken with staff being spoken to about the level of care and hygiene required. One relative interviewed said, ‘I have no concerns but if I had, I would see the manager.’ One person in the home said, ‘Things have improved, you can go to the office now with a complaint and know someone will do something about it.’ Stoneleigh House DS0000005521.V367262.R01.S.doc Version 5.2 Page 17 Twenty-two care staff are employed, 11 of who have completed POVA training. Others have been enrolled to complete the training through Oldham Social Services training in partnership. Staff interviewed demonstrated an awareness of how abuse may present and their responsibility in responding to any issues. Stoneleigh House DS0000005521.V367262.R01.S.doc Version 5.2 Page 18 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): Standard 19 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. People live in a clean environment, which they have personalised, however their safety may be compromised unless health and safety issues are addressed. EVIDENCE: All communal areas and a selection of bedrooms were inspected. Some refurbishment had taken place, for example, one of the lounges had new carpet, chairs and television. A selection of new chairs had also been purchased for the other two lounges and some bedrooms had new carpets and bedroom furniture. People had chosen to personalise bedrooms and they were actively encouraged to do this by management. Stoneleigh House DS0000005521.V367262.R01.S.doc Version 5.2 Page 19 The odour from the smoking lounge still filters into other parts of the home. There is a small extractor fan, which does not have sufficient capacity to remove all odours. Steps had been taken to freshen the air with deodorisers. However, this does not eliminate the effect of passive smoking on other residents. The acting manager recognised in the Annual Quality Assurance Assessment that improvements could still be made to reduce the amount of smoke in this area and is reviewing the situation. All areas of the home were clean, tidy and well presented, with the exception of the main stairs carpet which was frayed in a number of places and may pose a tripping risk to people in the home, especially people with walking sticks or frames. The acting manager recorded maintenance issues, for example, failed double glazing units, with four windows being replaced. Externally, the home is well maintained with landscaped gardens and seating areas for people in the home. Stoneleigh House DS0000005521.V367262.R01.S.doc Version 5.2 Page 20 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): Standards 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Procedures for the recruitment of staff were robust and offered protection for people in the home. Training and the numbers of staff ensured the needs of people were met. EVIDENCE: Examination of the staff duty rota showed that for 19 residents there are five carers, including the manager and deputy throughout the day; evenings and night staff consist of three carers. There is also a full-time cook and ancillary staff. These staffing numbers will rise on full occupancy levels. The manager or the deputy manager covers weekends to ensure continuity of care. Staff routines were flexible and there were systems in place to ensure the accountability of staff. Induction training was in line with Skills for Care through Oldham’s Training in Partnership and 50 of staff had achieved NVQ level 2or above. The acting manager had recognised in the Annual Quality Assurance Assessment that improvements could be made in completing induction booklets on time and enabling staff to access training relevant to their roles. Stoneleigh House DS0000005521.V367262.R01.S.doc Version 5.2 Page 21 At interview, staff discussed the training they had undertaken which included ‘Yesterday, Today and Tomorrow’ course on dementia care, protection of vulnerable adults, and moving and handling. They discussed work allocation and routines in the home and demonstrated a good knowledge of people’s needs. One staff member discussed their induction process, saying how people have choice in their daily lives and how to maintain people’s privacy and dignity. One new member of the team said “I get a lot of support from staff”. Recruitment procedures had improved since the last inspection. Two files were examined and found to contain appropriate documentation, applications forms, references and a Criminal Record Bureau check. Stoneleigh House DS0000005521.V367262.R01.S.doc Version 5.2 Page 22 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): Standards 31, 33, 35 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to this service. The home has improved by using an open and inclusive atmosphere, however the lack of consistent record keeping may impact on the service provided. EVIDENCE: The acting manager has been in post since December 2007 and has not yet submitted an application to register with the Commission for Social Care Inspection, which now must be given priority. They hold NVQ level 4 and are a trained moving and handling facilitator. Stoneleigh House DS0000005521.V367262.R01.S.doc Version 5.2 Page 23 There is also a deputy manager in post to management. The acting manager has recognised Assurance Assessment, which stated that during planned to have consistent management cover in outcomes for service users. maintain consistency of this on the Annual Quality the next 12 months it is order to maintain positive Record keeping has improved since the last inspection but there were still inconsistencies in recording people’s care needs from their assessment of need. The acting manager had also recognised this on the Annual Quality Assurance Assessment in the section “could do better” stating record keeping to be more in-depth. The Commission for Social Care Inspection requires managers to inform us of any adverse incidents or serious accidents in the home. The acting manager had failed to notify us on the issues identified in this report. (See section on Health and Personal Care.) Staff supervision had begun and records were available for inspection. A system was in place seeking views of relatives of people in the home; however, these were not dated when sent or returned. Examples of comments from these questionnaires are: ‘All staff are helpful’ and ‘Good atmosphere and friendly staff.’ Although there were outstanding issues, progress has been made in addressing concerns of the previous inspection. Residents are consulted, the last meeting being on 1st July 2008 with 13 residents participating. The agenda consisted of requests for trips out, especially Knowsley Safari Park. A staff meeting was held on 4th July 2008 to discuss staff make sure people are clean and tidy when leaving the table and that confidentiality is maintained. Health and safety checks on equipment had taken place. Fire alarm tests were not undertaken on a weekly basis as required. Example of three residents’ finances had been recorded accurately stating incomings and outgoings and receipts for expenditure. Comments received from people in the home and their relatives said that the management team were making progress in improving standards. Stoneleigh House DS0000005521.V367262.R01.S.doc Version 5.2 Page 24 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 X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 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 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 2 Stoneleigh House DS0000005521.V367262.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 15 Requirement All assessed needs must be reflected in care planning in order for staff to provide adequate care and ensuring peoples needs are met. Timescale of 28/2/08 met in part) People in the home must not be moved in wheelchairs without footplates, in order to ensure their health and safety. An application for the registration of a manger must be submitted to the Commission for Social Care Inspection for processing. Timescale for action 31/10/08 2 OP8 12(1) 30/09/08 3 OP38 8 31/10/08 Stoneleigh House DS0000005521.V367262.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 OP8 Good Practice Recommendations An analysis of accidents in the home should take place, in order to provide time and place of accident and staff availability. This information will aid the assessment of staff deployment and areas of need. Keep under review activities in the home, ensuring a wider choice is offered to enable more people the opportunity of participation. Review ways of preventing smoke from the smoking lounge infiltrating into non-smoking areas. Make safe areas where the carpet has frayed in order to prevent accidents in the home. Ensure that quality assurance questionnaires are dated when sent and on return. Fire alarm checks to be undertaken weekly to ensure safety of people in the home. 2 3 4 5 6 OP12 OP19 OP26 OP33 OP38 Stoneleigh House DS0000005521.V367262.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Manchester Local Office Unit 1, 3rd Floor Tustin Court Port Way Preston PR2 2YQ 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 Stoneleigh House DS0000005521.V367262.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. 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