Inspection on 20/06/07 for The Leys

This inspection was carried out on 20th June 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.

Other inspections for this house

The Leys 11/06/08

The Leys 03/05/06

The Leys 24/10/05

The Leys 16/05/05

The Leys 13/10/04

The Leys 02/06/04

The Leys 10/11/03

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE The Leys The Leys Old Derby Road Ashbourne Derbyshire DE6 1BT Lead Inspector Claire Williams Unannounced Inspection 09:00 20th June 2007 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 The Leys DS0000036269.V335233.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. The Leys DS0000036269.V335233.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Leys Address The Leys Old Derby Road Ashbourne Derbyshire DE6 1BT 01335 238011 01335 238019 terjeevan.bajwa@derbyshire.gov.uk www.derbyshire.gov.uk Derbyshire County Council 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) Terjeevan Kaur Bajwa Care Home 36 Category(ies) of Old age, not falling within any other category registration, with number (36) of places The Leys DS0000036269.V335233.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd May 2006 Brief Description of the Service: The Leys Residential Care Home is located on the southern edge of Ashbourne. It provides care for 36 residents, who are all aged at least 65 years or older. The home is purpose built and all facilities are on one level. All residents are provided with their own bedroom, although none of these have en-suite facilities. The Home has four lounges and three dining rooms and front and rear gardens, which are well maintained. Information about the service is provided through the Statement of Purpose and Service User Guide, both of which are made available to residents. The pervious inspection report is located in the reception area. Information included on the pre-inspection questionnaire received on 30/03/07 stated that the fees for the home were £365.00. Items not included in this fee are detailed in the Service user guide. The Leys DS0000036269.V335233.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 (CSCI) is upon outcomes for people and their views of the service provided. This process considers the home’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provisions that need further development. Where possible, we include evidence from other sources, notably District Nurses and Social Workers. We also use information gathered throughout the year, to support our judgements. This may include notifications from the provider, complaints or concerns and the pre-inspection questionnaire, which the Registered manager completed prior to a visit to this service. The primary method of inspection used during the visit to this service was ‘case tracking’. This involved selecting three people and tracking the care they receive through the examination of their care plans and associated care records, inspection of their private and communal accommodation, and discussions with them or their representatives and the staff team. During this visit time was spent undertaking a brief tour of the service, looking at records and speaking to the people and staff about their experience of the home. Lunch was spent with the residents and medication was also examined. The Registered manager assisted the inspector with the inspection and all of the key standards were inspected on this occasion. Following discussions with the people who live at this service it was agreed that for the purpose of this report they would be referred to as ‘residents’. What the service does well: Residents have the opportunity to undertake visits to the home and have an assessment completed in order to decide if the home can meet their needs. Feedback from residents and their relatives indicated their satisfaction with the running of the home and the care and support they receive as many positive comments were made about home. Some comments included: “the staff are excellent and work very hard ”. “The food is excellent and choices are always offered”. “The routines are flexible and we have plenty to do if we want to”. “The home has a lovely atmosphere” The Leys DS0000036269.V335233.R01.S.doc Version 5.2 Page 6 Discussions with the staff team confirmed their commitment and knowledge of the resident’s specific needs and preferences and how these are to be met. Good working relationships were observed between the residents and staff and the management. Managers and staff are competent in their roles and knowledgeable about health and safety requirements, legislation, and their practice routinely protects and promotes the safety of people. The manager provides good support to the staff team. Systems are in place in order to obtain feedback from the residents and their representatives about the running of the home and action plans are developed to address any issues or areas for improvement. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. The Leys DS0000036269.V335233.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Leys DS0000036269.V335233.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 1, 2, 3 and 4 (standard 6 not applicable) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are fully assessed prior to moving into The Leys and the people are confident that the home is able to meet their needs. EVIDENCE: A Statement of purpose and Service user guide are available in the service, and meet the required standard. The Terms and conditions of residency or contracts are developed separately depending upon the funding arrangements for that individual. The availability of these documents ensures that the residents have all of the required information to be able to make an informed decision about moving into this home, and feedback from the residents consulted and the surveys confirmed this. The discussions with residents indicated that they generally think the service is well co-ordinated, and they are kept well informed and have access to information, help and advice. They also said that staff was “ friendly, polite and The Leys DS0000036269.V335233.R01.S.doc Version 5.2 Page 9 helpful”; this was also supported by observations made throughout the inspection. The three files examined contained assessments that provided sufficient information to enable the staff team to find out what people needed, in order to delivery the required level of support. The Registered manager routinely confirms in writing that the home is able to meet the resident’s needs following the pre-assessment. The staff spoken with demonstrated a good understanding of the needs of older people and all stated how they are committed to their role. They felt they received enough information, to deliver appropriate care, and received good support from the management team and positive training opportunities which assists them in meeting residents needs The Leys DS0000036269.V335233.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): Standard 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. Residents are involved in decisions about their lives and have an active role in the planning of their care and the support they receive, which meets their personal, health and social needs EVIDENCE: The residents spoken with confirmed that they are consulted about the development of their plan of care and there was evidence in the files to confirm this. The staff members also understand the importance of residents being involved in this process and to be supported to take control of their lives. The care plans for residents are now completed electronically using a prescribed system, and then a copy is printed for their files and for staff and residents to access. This new system was implemented six months ago and replaced all other previous documents. All three files examined contained the required documentation to provide the staff with sufficient information to meet the individual needs of residents. However it would be recommended that more detailed information was provided in the care plan, that is based upon The Leys DS0000036269.V335233.R01.S.doc Version 5.2 Page 11 individual preferences on how residents would like the support to be provided. This information was available previously, but has not been transferred to the new records due to the limited space. Information in relation to the marital status and culture background was not available in one file, and all three files did not contain any information about the individual’s backgrounds, life history, preferred routine, and hobbies. This results in a support plan not reflecting a person centred plan of care as it mainly focuses on the physical support and help individuals need. The files contained the required assessments to identity any risk and support requirements in relation to moving and handling, tissue viability, and falls. The health care needs and arrangements for residents to access outside health care professionals and for the purposes of routine and specialist healthcare screening were generally well accounted for and records were maintained in respect of these. Residents confirmed that they are involved in the monthly reviews of their care plans and those that are able sign to say that they agree with the contents. The medication practices and storage was examined and these were found to be generally satisfactory. There had been a medication incident that occurred the previous week, and in response to this the Registered manager has implemented an audit system to try and minimise any further incidents. The management team administer the medication and the Registered manager stated that they have undertaken accredited training and there practices are assessed as part of the work undertaken for their National Vocational Qualification (NVQ). Observations and feedback indicated that the staff deliver care in a manner that upholds individuals privacy and dignity, and residents stated that the staff “always knock” before entering their room. Residents stated that support is “always provided in a courteous and respectful manner”, and that they are able to exercise choice in the home such as what they can wear and how they occupy their time. The residents stated that their needs are “adequately met” by the staff team, but comments were made about regular staff shortages and one survey received stated, “ the staff are always very busy”. It was observed that there appeared to be good relationships between residents and staff and that staff were respectful in their approach to residents. The Leys DS0000036269.V335233.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): Standard 12, 13, 14, and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have access to social, cultural and recreational activities that meet their expectations. Residents received a healthy, varied diet according to their assessed requirements and preferences. EVIDENCE: Residents confirmed in their feedback that they felt the home was relaxed, the routines were flexible, and they indicated they “are always consulted and given choices on a daily basis”. Residents also stated that the staff team “work really hard and look after us well”. Details of entertainments and social activities were posted on the resident’s notice boards and they were mentioned in the monthly newsletter. A variety of in house activities were organised, including bingo, board and card games, sing-along and arts and crafts. Residents have access to library, which provides books in large print and talking books. On the day of the visit residents were observed listening to music, and some had their hair done by the visiting hairdresser. The Leys DS0000036269.V335233.R01.S.doc Version 5.2 Page 13 A quality assurance survey that had been previously undertaken by the registered provider had identified that one of the outcomes for priority development would be the range of activities available. There was many relatives, family and friends visiting throughout the day, and those spoken with stated how they are welcomed into the home; one comment made included: The staff are always friendly and always ask us if we want a drink even when they are busy which is most of the time”. Residents spoke about the forthcoming garden fete and the reception area was full of gifts donated for the raffle that will be drawn on the day of the fete. The home has good links with the community and improvements have been made to the public access to the recycling bins, which is on this site. Comments from residents and information within the surveys confirmed that residents were satisfied with the meals provided. The inspector joined the residents for their lunchtime meal. The tables were set with napkins and a jug of water and individuals were served their meals by the staff. The meal was relaxed and conducted at the residents pace, and residents commented on how nice the food usually is. The care staff were observed asking each resident their preferred choice during the morning period, and residents confirmed that choices are always offered. A number of individuals required support to eat their meals, and this was provided in a dignified manner. The Leys DS0000036269.V335233.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): Standard 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to express their concerns and have access to an effective complaints procedure. The safeguarding adults procedures and trained staff team protect their rights and safety. EVIDENCE: Residents stated that they felt able and confident to raise any concerns they had with the Registered manager, who they stated would listen and resolve any issues. Residents are aware of the procedures in place, and stated that they have no concerns at this time, and any issues they did have, they would usually raise in the residents meetings or directly to their key worker or to the management team. The Registered manager confirmed that no complaints have been received since the previous inspection visit, but she did state that sometimes concerns are raised but these are responded to immediately. Procedures are in place in relation to safeguarding adults from risk of abuse and around whistle blowing. The staff members spoken to confirmed access to this training and had a good awareness of the procedures to follow. The Registered manager confirmed that all care staff have undertaken training in safeguarding adults but not all of the catering or domestic staff have and this was recommended as it is important they are aware of their responsibilities in relation to an important issue. The Leys DS0000036269.V335233.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): Standards 19 23, and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s benefit from a well maintained, comfortable and safe environment, which they like and call ‘their home’. EVIDENCE: The feedback from resident’s indicated that the home is “always clean and never smells”. One resident stated; the home is usually kept to the same good standard on a daily basis. Residents felt that the environment was homely safe and spacious as there are four lounge areas. A kitchenette is available in one of the lounges which residents or their families can use, and this area is part of the renewal programme which the Registered manager hopes will encourage people to utilise the facility more. Some residents gave the inspector permission to view their rooms, which were personalised with their belongings. Residents commented on how they liked their rooms, and they confirmed they had places to lock their valuables and The Leys DS0000036269.V335233.R01.S.doc Version 5.2 Page 16 are given the choice to have a key to their room if they wish. Although the bedrooms do not have en-suite facilities there are toilets located nearby to both the bedrooms and lounge areas. These areas are on a rolling programme to be upgraded so that the toilet can be repositioned to enable better access, and to make them more homely. Residents stated that they had access to various aids and equipment to support them in their mobility or in accessing the bathrooms area. Residents have access to several outside areas, which have a variety of seating areas available. Plans have been developed in consultation with the residents for a sensory garden to be built. The outside areas were well maintained and colourful with various hanging baskets, and flowers; bird boxes are situated in areas close to the windows to encourage wildlife into the garden. Care staff undertake laundry tasks as part of their routine work. Residents commented that they were satisfied with the service provided. The Leys DS0000036269.V335233.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): Standard 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. A competent, stable and experienced staff team that have been recruited and vetted to ensure residents are safeguarded. However due to the staffing levels the support delivered can at times be compromised. EVIDENCE: The number of staff on duty on the day of the inspection was not consistent with the numbers identified on the planned staffing rota, due to ongoing staffing shortages. The planned rota identified that there should be at least three staff members on duty for the evening shift but the rota had been amended to reflect that two staff would be on duty, and this was the planned level for the remainder of that week. Three care staff are due to commence employment at the home and are currently awaiting final checks or have commenced their induction. These vacancies are being covered by the existing staff team, or by the relief staff, but on occasion difficulties can arise due to their availability, as majority of the cover is required for the afternoon shift. Feedback from residents and the staff indicated that at times the staff shortages does result in reduced time with each individual when providing support. Comments made in the surveys include the following; “The care provided is good, but it would be better if the home was fully staffed” The Leys DS0000036269.V335233.R01.S.doc Version 5.2 Page 18 “the staff try very hard to please but they are often short staffed so have very little time”. From discussions with the residents it was clear that they felt that there needs were met and positive comments about the staff were made. Residents stated that they enjoy having one to one time, with the staff and this is what they felt was compromised when shortages occur. Discussion with staff members also confirmed the difficulties experienced during periods of shortages. Staff were observed supporting people with patience and sensitivity, and when possible they took every opportunity to engage them with conversation. Staff demonstrated a clear understanding of their roles and responsibilities and confirmed that they have positive training opportunities. The recruitment of staff is organised through the personnel department, although the management team are involved in the selection and interview process. All original recruitment records are therefore held centrally, which can result in difficulties to assess all of the recruitment practices. There were photocopies available in the staff files and the three files checked did contain majority of the required recruitment checks. A document that could be implemented to standardise all of the files was given to the Registered manager to discuss with her line manager. Evidence of training undertaken was available in the three staff training files examined and these indicted that the staff had undertaken the required mandatory training. The staff also access training in subjects relating to the different support needs of older people. The Registered manager confirmed that an induction programme is provided which includes a service specific induction and the new ‘skills for care’ induction. The pre-inspection questionnaire stated that 15 care staff have achieved a National Vocational Qualification to level 2 or above, which exceeds the timescale and percentage required by the regulations; the manager and staff should be commended for this work undertaken. The Leys DS0000036269.V335233.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): Standard 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 residents are actively involved in the running of this service and about the future arrangements, which results in an inclusion service being provided. EVIDENCE: Residents stated that they felt they were consulted about day-to-day issues, and found the Registered manager to be approachable and receptive to new ideas. Feedback from the residents indicated that generally the home was well managed and a good rapport between the residents and the management team was observed. Staff stated that they found majority of the management team to be supportive and provide guidance and direction, and they confirmed access to regular supervision and team meetings. The Leys DS0000036269.V335233.R01.S.doc Version 5.2 Page 20 The Registered manager and the deputies are experienced in working with this client group, and the Registered manager has completed the NVQ level 4 in care and management. All of the management team attend the training courses with the staff team in order to maintain their skills and knowledge. The home had several quality assurance measures in place, including residents meetings, satisfaction questionnaires for residents, relatives and staff in order to measure the success of the home in meeting its stated aims and objectives. A report of the findings from the questionnaires was displayed in several areas of the home. The Registered manager confirmed that there are internal audits and measures in place, which she uses to monitor the general running of the home. A delegate of the registered provider visits the service on a monthly basis to undertake an unannounced visit and reports were available in the home of the findings. The inspector examined the Residents finances, which are managed through a computer system, and each resident has their own finance sheet detailing all of their transactions. The systems in place were clear and easy to follow with a effective audit trail in place. Staff files indicated that staff have undertaken training in mandatory health and safety subjects or are due to attend courses. A recent fire inspection has been undertaken and requirements have been made, which are in the process of being addressed. The pre-inspection questionnaire indicated that all of the records for the Health and Safety monitoring and the servicing of systems and appliances were up to date. The Leys DS0000036269.V335233.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 3 3 3 3 X N/a HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 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 3 X X X 3 X X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 The Leys DS0000036269.V335233.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 OP7 Regulation 15 (1) Requirement Timescale for action 01/09/07 2. OP27 18 (1) (a) Residents plans of care must be completed from a person centred perspective and include their preferences so that staff can deliver individualised care. The staffing levels must be 01/09/07 reviewed to ensure they are in accordance with the dependency needs of the residents. 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 OP7 Good Practice Recommendations The resident plans of care should include information about their life history, preferences, routines, and past times so that staff can deliver care in accordance with individual’s preferences. Information about individual’s martial status should be recorded in their files. Detailed information about individuals preferences should DS0000036269.V335233.R01.S.doc Version 5.2 Page 23 2. 3 The Leys OP7 OP15 4 OP15 be recorded in their files, so that catering staff can ensure individuals receive the food they prefer The residents who are self-managing should have food prepared in terrines so that they can help themselves and maintain their independence. The Leys DS0000036269.V335233.R01.S.doc Version 5.2 Page 24 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 The Leys DS0000036269.V335233.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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