Inspection on 07/08/07 for The Manor House

This inspection was carried out on 7th August 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Manor House 24/08/06

The Manor House 30/11/05

The Manor House 06/07/05

The Manor House 25/10/04

The Manor House 08/06/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 The Manor House Whitton Road Alkborough Scunthorpe North Lincolnshire DN15 9JG Lead Inspector Ms Wilma Crawford Unannounced Inspection 14h August 2007 11.00 The Manor House DS0000002816.V346924.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Manor House DS0000002816.V346924.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Manor House DS0000002816.V346924.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Manor House Address Whitton Road Alkborough Scunthorpe North Lincolnshire DN15 9JG 01724 720742 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) info@prime-life.co.ukwww.prime-life.co.uk Prime Life Limited Ms Shirley Dawson Care Home 12 Category(ies) of Learning disability (12) registration, with number of places The Manor House DS0000002816.V346924.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. That the home can only accept the specified service users, Mr RS and Mr PB, over the age of 65 years. 24th August 2006 Date of last inspection Brief Description of the Service: The Manor House is a large property in its own grounds in the village of Alkborough, providing care and accommodation to up to 12 adults with learning disability. There are 8 single and 2 double bedrooms on the ground and first floor and there is plenty of space within communal areas for residents to use. Information about the home and its service can be found in the statement of purpose and service user guide, both these documents are available from the manager of the home. A copy of the latest inspection report for the home is available in the office. The home has a mini bus, gardens with roaming fowl, and a courtyard for service users to use at will. A local village shop is within walking distance, and the town of Scunthorpe is a short bus ride away. The Manor House DS0000002816.V346924.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection report is based on information received by the Commission for Social Care Inspection (CSCI) since the last key inspection of the home on 24th August 2006 including information gathered during a site visit to the home. The site visit was unannounced and took place over five hours including preparation time. Five people living in the home and three staff were spoken with during the visit. The senior was available throughout the visit. The main method of inspection used was called case tracking which involved selecting three residents and tracking the care they receive through the checking of their records, discussion with them, the care staff and observation of care practices. The premises were looked at and the records of three residents and two staff were inspected. An Annual Quality Assurance Assessment (AQAA) document asking for information about the home was sent out before this visit and information from this was included as part of the inspection process of this service. Nineteen surveys were sent out to people living in the home and staff seven of these were completed and returned. The comments from these and from discussions during the site visit are also included in the report. The costs of living in the home from July/August 2007 range from £319.00 to £916.00.These fees are based on a standard fee and an additional package of hours based on the individuals’ needs. What the service does well: The needs assessment process at the home is robust and thorough, enabling people who access the service to be confident that their needs can be met. The home provides a detailed plan of care for each individual and this is regularly updated. Residents are involved in the care planning process and are regularly consulted. People living in the home are given the opportunity to make decisions about their lives and aspects of the running of the home. They said that the manager and staff ask them what they think about things, through individual discussion, surveys and service users’ meetings. The home is organised and well managed, with trained staff that are supported and have a good knowledge of residents’ needs. People are given the opportunity to engage in a wide range of activities both in the home and within the local community. The Manor House DS0000002816.V346924.R01.S.doc Version 5.2 Page 6 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 Manor House DS0000002816.V346924.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Manor House DS0000002816.V346924.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, & 5 People who use this service experience good quality outcomes in this area. A full needs assessment is carried out and people are given enough information about the home and its facilities before admission, for them to be confident that their needs can be met by the service. The judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager visits prospective service users and a full assessment is completed. A decision is then made as to whether the individual’s needs can be met and the person is invited to visit the home with their family for a meal or an overnight stay. This gives the individual the opportunity to see what they think about the home, before committing to a decision. Each person living in the home has their own individual care plan, which includes a needs assessment from both the home and the funding authority. Care plans are drawn up with input from the individual and their relatives. Comments from people living in the home were that ‘the staff was kind’ Information in individual care plans demonstrated that people here the opportunity to access external advocacy services when required. The Manor House DS0000002816.V346924.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8 and 9 People who use this service experience good quality outcomes in this area. People using the service are able to make decisions and everyday choices as part of an independent lifestyle. The judgement has been made using available evidence including a visit to this service. EVIDENCE: Individual care plans examined covers health, personal and social care needs. Risk management strategies are in place for all areas of need and cover daily living skills as well as specific behaviours. A sample of three care plans seen showed that they are kept under review and are updated, as individual needs change. An annual review is also held with individuals, their families and other professionals involved or sooner if the need arises. People living in the home said that they are involved in the review and development of their care plans. Discussion with people living in the home indicates that they respect the individual’s right to make decisions and this is promoted via the regular residents meetings and through 1:1 time with key workers. Professionals said ‘Most of the staff especially the seniors, know the service users very well and The Manor House DS0000002816.V346924.R01.S.doc Version 5.2 Page 10 take into consideration their needs, likes differences and opinions. They feel they have always had a good and productive relationship with the home and that the manager and the staff know and respect the service users and do their best to promote the choices and wishes of the service users’. The Manor House DS0000002816.V346924.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,16,and 17 People who use this service experience good quality outcomes in this area. People using the service have opportunities to access a variety of leisure activities, are supported to maintain relationships and have their nutritional needs met. The judgement has been made using available evidence including a visit to this service EVIDENCE: Some of the people living in the home had previously attended a local day services centre, which has recently closed. The home has looked into the activities plan and discussed with people living in the home, what type of activities they would like to participate in. As well as providing a range of activities within the home, people are also supported to access local college courses and community based activities. Examples of the activities provided include; regular outings, Lincolnshire show, steam rally, attending a gym, swimming, and pool clubs. trips to the museum, glass painting, board games, painting, literacy and numeracy groups, computer courses, oil painting, monetary skills, shopping and knitting. There is adequate staff available to support individuals where this is necessary and in some cases additional hours The Manor House DS0000002816.V346924.R01.S.doc Version 5.2 Page 12 are provided for some people to enable this. People living in the home and staff spoken with said that there was a range of activities available to access and that people were also encouraged to pursue their own hobbies and interests. During the visit all but one of the service users were out of the home, participating in different activities in the local community. People living in the home also have the opportunity to go on holiday. Examination of individual files further evidenced that people participate regularly in a range of activities. People spoken with said that they were happy about the way in which staff looked after them and that they felt safe in the home. Observations of interactions between staff and people living in the home showed that they respected their privacy and dignity and that there is a good relationship between the two groups of people. Examination of individual care plans and discussion with people living in the home showed that there is contact with relatives and that they are welcomed into the home. There is no menu available currently in the home. However, discussion with people living in the home and staff demonstrated that there is a choice of food available and that special diets are catered for. Service users meetings minutes showed that menu are discussed and that people in the home contribute to planning of meals and shopping for ingredients. One person explained how they had been picking blackberries and how these were used in the dessert the previous evening. Records kept by the home of food provided, showed that blackberry sponge had been prepared the previous evening. Theme nights are also used to give people living in the home the opportunity to try new dishes that they may not have had before and as part of the consultation process, recent theme nights have been based on Mexican and Italian dishes. This was supported in discussion with people living in the home. Nutritional assessments are maintained in individual care plans. A recommendation has been made in respect of a menu being made available within the home. The Manor House DS0000002816.V346924.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 People who use this service experience good quality outcomes in this area. Residents receive appropriate health care and personal support. The judgement has been made using available evidence including a visit to this service. EVIDENCE: The information in care plans showed that people living in the home has their own preferred routine and discussion with staff supported that they had a good understanding of the wishes and choices made by each individual. This was also confirmed in feedback from professionals. Each individual’s care plan documents the visits made and input each person receives from outside professionals for example GP’s, chiropodist, psychologist, dentist, optician, and out patient appointments. Staff and service users confirmed that they support individuals with hospital appointments. Professionals said ‘that they felt they had a good and productive relationship with the home. Staff working in the home are all female, whilst the majority of the people living in the home are male. This does not allow people living in the home a choice of which gender of staff they prefer to have their care needs met by. Discussion with people living in the home suggested that they did not have an The Manor House DS0000002816.V346924.R01.S.doc Version 5.2 Page 14 issue with this currently, but indicated that they would prefer a choice if this was possible. A recommendation has been made in respect of this. The medication policy, states that people coming into the home can self – medicate if they wish to after a risk assessment has been completed and agreed. No one currently chooses to administer their own medicines. The medication system and records were found to be accurate up to date and well managed. Staff have received regular ongoing training from the pharmacist supplying the home. A trained staff member only administers medication. The Manor House DS0000002816.V346924.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 People who use this service experience good quality outcomes in this area. People using the service feel able to air their concerns without any fear of repercussions. The staff vetting procedure is sufficiently robust to ensure the safety of the service users. The judgement has been made using available evidence including a visit to this service. EVIDENCE: People living in the home spoken with were able to describe how they could use the complaints process and were confident that they could talk to any of the staff if they had any problems. No complaints have been received by the home during the last twelve months. A recent safeguarding investigation completed by the organisation, was felt to prejudice the safeguarding team investigation, in the timescales taken to submit information requested. However action taken by the organisation in respect of the outcome of their investigation was appropriate. A recommendation has been made in respect of this. Information provided in the AQAA document indicates that the home has a complaints, safeguarding adults and a whistle blowing policies in place. Staff spoken with showed that they had a good understanding of their role in dealing with Safeguarding Adults issues and the complaints process. Staff training records also shows that staff have received training in relation to safeguarding. A recruitment procedure is in place and the manager is very clear about the calibre of staff that he wishes to recruit. The manager oversees the recruitment process. An application form, two written references, a Criminal Records Bureau check and a protection of vulnerable adults check are undertaken prior to a person starting employment. The Manor House DS0000002816.V346924.R01.S.doc Version 5.2 Page 16 The risk of harm to people is minimised due to the stringent procedures in place. Two staff files were examined, and these were found to be up to date. However one staff member had commenced work before their Criminal Records Bureau check had been received. Discussion with the individual and the senior indicated that the individual had been supervised during this time by the senior or the manager and had not been involved in any aspect of personal care during this period of time. A recommendation was made in respect of this. The Manor House DS0000002816.V346924.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 People who use this service experience good quality outcomes in this area. The residents have been provided with a homely environment that is clean and has been decorated to a good standard, with both private and communal space being suitable for their needs. The judgement has been made using available evidence including a visit to this service. EVIDENCE: Refurbishment work has begun at the home to provide new bungalows in the grounds of the home and to completely refurbish the existing home. A tour of the communal areas of the home revealed the house to be suitable for its purpose, clean and comfortable. Although the home is scheduled for refurbishment, there has been some redecoration within the home, to maintain a comfortable environment for the people living there. An area of damp was seen on the ceiling of the corridor of the upstairs fire escape and a requirement made in respect of this to have it repaired. People living in the home expressed satisfaction with the accommodation. People sharing rooms had been consulted about this and a record of this The Manor House DS0000002816.V346924.R01.S.doc Version 5.2 Page 18 maintained in their care plans. Rooms were personalised, full of videos and games, and very organised. Some service users have keys to their rooms, but others have been risk assessed as unsafe to do so do not. The house is satisfactorily maintained, decorated and furnished. The home was clean and odour free. Professionals said that they felt the environment had improved. The Manor House DS0000002816.V346924.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33, 34 35 and 36 People who use this service experience good quality outcomes in this area. Staff that are supervised and undertake training supports people living in the home. The staff vetting procedure is sufficiently robust to ensure the safety of the residents. The judgement has been made using available evidence including a visit to this service. EVIDENCE: Two staff 2 staff have achieved a National Vocational Qualification at level 2 a further three are working towards this award and five are registered to commence the award. Written and verbal feedback from the staff, residents and relatives state that they feel there is adequate staff available to support individual needs. The information from the AQAA document and discussion with the senior explained the number of staffing hours provided and the dependency levels of the service users. The staff on duty on day of site visit corresponded to the rota for that day and included the necessary cover to support those individuals who had been identified as requiring additional support in their contracts. The home has a recruitment policy and procedure that the manager and senior understands and uses when taking on new members of staff. Checks of two staff files showed that Pova, CRB checks, written references, health checks and The Manor House DS0000002816.V346924.R01.S.doc Version 5.2 Page 20 past work history are all obtained and satisfactory before the person starts work. One other staff file showed that the employees had started work before their CRB check had been obtained by the home. This person had been employed as a support staff and had been supervised by the senior staff member on duty to ensure that they did not have unsupervised contact with service users. Information from the AQAA document and the staff training files shows that the home provides a rolling programme of staff training that covers mandatory subjects and an NVQ programme designed for learning disabilities. Specialist training also takes place. BILD safe practitioners, Understanding Abuse, First Aid appointed person, Learning Disability Award Framework, Challenging Behaviour, British Sign Language, Non Abusive psychological and physical Intervention. Staff supervision files showed that individuals attend formal supervision sessions with their line managers; but records showed this was only every 3-6 months, a recommendation was made in respect of this. Staff meetings monthly and records of these are kept. Information from the staff minutes and discussion with the staff indicate they can attend meetings every month and are encouraged to express their views and opinions. Feedback from professionals was that most of the staff especially the seniors, know the service users very well and take into consideration their needs, likes differences and opinions. They also felt they have always had a good and productive relationship with the home. It is also felt that the manager and the majority of her staff know and respect the service users and do their best to promote their choices and wishes. There is also overall good communication between the home and other professionals. The Manor House DS0000002816.V346924.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 &43 People who use this service experience good quality outcomes in this area. People using the service benefit from a safe and well-managed place to live. The judgement has been made using available evidence including a visit to this service. EVIDENCE: The senior on duty said that the manager has completed the RMA and has almost completed NVQ level 4. The senior has achieved NVQ level 2 and is working towards level 3. Written and verbal feedback from the relatives, service users, professionals and staff is positive about the manager. Professionals said that the manager is a positive person to work with who has a good understanding of individuals. Information from the staff minutes and discussion with the staff indicate they can attend meetings every month and are encouraged to express their views and opinions. The Manor House DS0000002816.V346924.R01.S.doc Version 5.2 Page 22 People living in the home are involved in contributing to the development of the service via the Quality audit review and through service users meetings, which one person living in the home records the minutes of. The home has a Prime Life Limited Quality Assurance system in place and audits of the service are carried out on a regular basis. An annual development plan has been created from the results of these audits; however this does not include specific timescales. A development plan is created from the results of this, which is discussed with the staff team at staff meetings. Quality assurance surveys are also completed periodically with people living in the home, relatives, visitors and professionals and the results of these collated and action plans developed from these if required. Progress from these surveys is also discussed at service users meetings. Maintenance certificates are in place and up to date for the utilities and equipment within the building and training records show that staff have attended safe working practice up dates. Information examined in the home corresponds to that provided in the AQAA. Discussion with the senior and examination of records shows that Legionella checks are now being completed. Checks of the accident books found that incidents are accurately recorded. The Manor House DS0000002816.V346924.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 3 3 3 X 3 X 3 X X 3 3 The Manor House DS0000002816.V346924.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 2. Standard YA24 Regulation 23 (2) b Requirement The registered person should ensure that the damp patch to the upstairs fire escape corridor is repaired and redecorated Timescale for action 30/11/07 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. 2. Refer to Standard YA17 YA23 Good Practice Recommendations The manager should provide a menu that is displayed in the home, allowing people to see what choices of food is available in the home. The organisation should consider how information requested relating to safeguarding issues could be provided to the nominated safeguarding contact within the agreed timescales. The manager should ensure that staff is not started within the home before CRB clearance checks have been received. The manager should consider the gender mix of staff team, when staff are being recruited to the home, to enable people living in the home a choice of staff of the same sex to offer them support. The manager should provide the staff team with DS0000002816.V346924.R01.S.doc Version 5.2 Page 25 3. 4. YA33 YA34 5. YA36 The Manor House supervision at least six times a year. The Manor House DS0000002816.V346924.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Manor House DS0000002816.V346924.R01.S.doc Version 5.2 Page 27 - 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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