Inspection on 25/09/07 for Thornlea Rest Home

This inspection was carried out on 25th September 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

Thornlea Rest Home 06/02/07

Thornlea Rest Home 08/12/05

Thornlea Rest Home 23/06/05

Thornlea Rest Home 05/10/04

Thornlea Rest Home 05/04/04

Thornlea Rest Home 13/08/02

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Thornlea Rest Home 308 St Annes Road Blackpool Lancashire FY4 2QP Lead Inspector Mrs Ruth Edgington Unannounced Inspection 25th September 2007 09:40 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 Thornlea Rest Home DS0000009737.V347134.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. Thornlea Rest Home DS0000009737.V347134.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Thornlea Rest Home Address 308 St Annes Road Blackpool Lancashire FY4 2QP 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) 01253 345574 01253 406568 www.thornlearesthome.co.uk Mr Timothy Davies Wood vacant post Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places Thornlea Rest Home DS0000009737.V347134.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection The service is registered to accommodate a maximum of 15 service users in the category OP (older persons 65 and over) to include Up to 15 service users in the category OP (older persons 65 and over) Up to 1 service users in the category PD (Adults with Physical Disability) 6th February 2007 Date of last inspection Brief Description of the Service: Thornlea is a large detached bungalow situated in a residential area of South Blackpool, on a main road, which is an advantage in respect of public transport and local amenities. The home is registered to accommodate a maximum of 15 persons aged 65 years and over. Permission had previously been given to include one named person under this age, however this person is no longer accommodated in the home and therefore the registration certificate requires amending to reflect this. The accommodation consists of 13 single bedrooms and one double bedroom, none of which have en-suite facilities. There are two lounges and a dining room. The bathing and toilet facilities are sufficient to meet the number of residents accommodated. Sufficient information about the home is provided to all prospective residents in order that they can make an informed decision about the care and service provided. The home has a Statement of Purpose and Service User Guide containing information about the care provided, the qualifications and experience of the owner and staff and what services residents can expect if they choose to live at the home. This information is displayed in the hallway of the home along with a copy of the last report from the Commission for Social Care Inspection for anyone to read. Information received (25/09/07) from the homeowner showed that the fees for care at the home ranged from £287.91 to £336.49 per week, with additional charges for hairdressing, newspapers and chiropody, however in these charges are now being included in the fees for new residents. Thornlea Rest Home DS0000009737.V347134.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced site visit was undertaken as part of the homes Key Inspection. The site visit commenced at 9.40am and took place over four hours. During the visit the provider, three staff members, one relative and a number of residents were spoken to. The deputy manager was later spoken to as part of this inspection. Comment cards were completed by three residents, two relatives and two members of staff providing their views about the home. A random selection of residents, staff and administrative records were looked at and a tour of the home took place. Every year the registered person is asked to provide us with written information about the quality of the service they provide and to make an assessment of the quality of the service. This information in part has been used to focus our inspection activity and is included in this report. What the service does well: What has improved since the last inspection? The programme of upgrading and refurbishing of the home continues. Work commenced on the day of the visit to provide a ramp to the side of the home to enable residents to move about independently. The work to landscape the rear garden was in the process of being completed, which will benefit those residents who like to sit outdoors in the good weather. Thornlea Rest Home DS0000009737.V347134.R01.S.doc Version 5.2 Page 6 Several rooms in the home have been redecorated and recarpeted and the roof section at the rear of the home has been replaced following damage caused by a leak. The shortfalls in the recruitment procedures identified in the last report have been rectified and recruitment of staff was found to be robust and were being complied with fully to ensure that residents are safeguarded. 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. Thornlea Rest Home DS0000009737.V347134.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 Thornlea Rest Home DS0000009737.V347134.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): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission and assessment procedures were clear to ensure that the care needs of residents are met. EVIDENCE: The home’s admission procedure requires that a formal assessment is carried out before any resident is admitted to the home to ensure that their needs can be met. The records of three residents were looked at in detail and evidence was gained that the admission process had been followed in each case. Comments received from residents and a relative who completed questionnaires confirmed that they had received enough information about the home before they made a decision about moving into Thornlea. One resident said that they had been unsettled at first after leaving their home, but that they now felt happy and comfortable, “It is a homely place to live in”. Thornlea Rest Home DS0000009737.V347134.R01.S.doc Version 5.2 Page 9 The members of staff on duty were able to demonstrate that they were fully aware of the needs of the individual residents and had access to the residents’ information. This home does not provide intermediate care. Thornlea Rest Home DS0000009737.V347134.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 &10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Promotion of health is taken seriously, residents’ welfare is closely monitored and health needs were met EVIDENCE: Individual care records are kept for each resident and the information recorded covers their health, personal and social care needs. The documentation also includes risk assessments in relation to nutrition and mobility and their dependency levels, ensuring that all their needs are identified and met. The records of three residents were looked at and evidence was seen that where possible they or their relatives had been involved in agreeing the care provided. Care plans are reviewed on a monthly basis and up dated if there are any changes in order that their care needs continue to be met. Significant events were also recorded, which included visits by their doctor, district nursing service and referrals to other health care professionals. Thornlea Rest Home DS0000009737.V347134.R01.S.doc Version 5.2 Page 11 A daily record of events is kept informing staff of any changes to the needs of the residents and referring them to the individual care plans for more detailed information. However in the case of one resident it was noted that some of the daily information that had been recorded had not been transferred to the individual’s care plan for a number of days. Whilst this did not affect the care being provided the home owner and staff on duty agreed to review the recording process in order that this did not occur in the future to ensure that the residents needs continue to be identified and met. From observations and discussions with the staff during the visit evidence was gained that they were fully aware of the healthcare needs of the residents and that these were closely monitored. During the visit the staff contacted the district nursing service in relation to one resident whose health was deteriorating. The district nurses visited and confirmed that they had a good working relationship with the staff in the home who kept them informed and they were confident that the resident in question was receiving the care that they required. Later in the visit the home owner took one resident to the hospital for a routine appointment. This provided the resident with the support they required and ensured that staff were made aware of any changes to the care needs of this resident. Throughout the visit observations were made of the caring approach of the staff towards the residents and the practices in the home ensured that residents were treated with respect, their right to privacy was upheld and their diverse needs were being met. One relative commented that the home provided “Total personal care that treats the person as an individual with dignity and respect”. Comments received from staff confirmed that they felt that they were meeting the needs of the residents to the best of their ability and that they kept family informed of any changes to the health or other situations that affected the individual residents. This was confirmed by one relative who said, “I have an excellent relationship with all at Thornlea they regularly keep me informed” One relative commented that the home was “excellent”, the staff were “very good and caring”. A relative spoken to during the visit said that they came on a regular basis and had no concerns about the care that was being provided. It was also noted that the relative interacted very well with the staff, there was a relaxed atmosphere and the relative spoke to other residents and assisted her relative with their meal. During the visit the residents individual medication records were checked and were found to be up to date and correct. Examination of the controlled drugs cabinet indicated a discrepancy, however this problem was later resolved and Thornlea Rest Home DS0000009737.V347134.R01.S.doc Version 5.2 Page 12 no further action was needed. The correct recording procedures were being followed. The home owner stated that they were in the process of changing to a different chemist, who would provide a monitored dosage system that they felt would be more appropriate than the present system. The staff who administer medication had all received training to ensure that they had the basic knowledge of how medicines are used and how to recognise and deal with any problems. The home owner confirmed that the new service will ensure that staff training is updated and that regular checks are carried out to the medication procedures in the home for the protection of the residents. Thornlea Rest Home DS0000009737.V347134.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 & 15. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Social activities and meals should be managed to ensure that individual needs and preferences are meet. EVIDENCE: Examination of individual care records showed that information was recorded in relation to their social, cultural, religious, recreational interests and their life history, which all assisted the staff to identify how their needs could be met. From observations and discussions during the visit evidence was gained that a number of residents had deteriorated since the last visit, which had affected their abilities to join in activities in the home. The home owner stated that it was difficult at times to get residents to join in either because of their abilities or not wanting to take part. A list of daily activities was displayed in the home to keep residents and visitors aware of what was taking place. The need to ensure that residents were given the opportunity for stimulation through leisure and recreational activities was discussed. The deputy manager was spoken to following the visit and she confirmed that additional staff were to be brought on duty in a morning to enable the staff to spend more time Thornlea Rest Home DS0000009737.V347134.R01.S.doc Version 5.2 Page 14 with residents in an afternoon between 1pm-3pm, when social activities were to be undertaken to meet the preferences and capabilities of the individuals and the group as a whole. Any arrangements should ensure that routines within the home are flexible to ensure that resident’s expectations can be met. From observations and discussions evidence was gained that equality was actively promoted by treating people as individuals and ensuring people with diverse needs were having these met. One resident who previously went out on a daily basis no longer wanted to undertake this activity and staff respected this decision. Residents are encouraged to maintain links with the community and their family and friends. Three residents attend a day care facility, one resident goes to church every Sunday and another receives communion in the home. Confirmation was received from a relative that visitors are made welcome at any time. Residents are provided with a varied and balanced diet and those residents who have special dietary needs are catered for. The day’s menu was displayed near to the kitchen and showed the choices available. The member of staff responsible for cooking the lunch on the day of the visit was overheard asking residents what they wanted for their lunch and evening meal. The main meal of the day is at lunchtime when a three-course meal is provided and the residents spoken to said that they liked their meals. The home does not employ a member of staff as a cook, this role is undertaken by a designated person on duty. Prior to the visit one resident commented “ Sometimes I wish a good cook was engaged leaving the others free to attend to other duties”. The home owner said that in the past cooks had been employed but they had not always understood the dietary needs of the elderly. It was suggested that consideration be again given to this matter. Residents are able to have their meals where they wish , which may be in either of the lounges, their bedroom or the dining room and are encouraged to remain independent for a long as possible. From observations and comments made by one resident it was evident that given the layout of the home and the present dependency of the some residents, difficulties were being encountered in providing the assistance and supervision that individual residents required. This was discussed with the homeowner and staff on duty who agreed to look at the situation in order to ensure that individual needs were being met appropriately. Thornlea Rest Home DS0000009737.V347134.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements in place for handling complaints ensure that people feel confident that their complaints will be listened to, taken seriously and they will be protected at all times. EVIDENCE: The home has a complaints procedure in place, a copy of which is displayed in the hallway. Information is also included in the Service User Guide, a copy of which is kept in each resident’s bedroom for residents and their relatives to refer to. Comments received prior to the visit confirmed that people would know who to complain to if required and that they felt that their concerns would be listened to and acted upon. The homeowner stated that feedback from professionals who visit the home was also used to ensure that any concerns were identified and resolved for the benefit of the residents. There is a procedure in place in the event of any allegation of abuse or neglect. The homeowner and members of staff spoken to had a good understanding of the procedures to be followed. Some staff had previously received training in relation to these issues and these issues are covered during NVQ training (National Vocational Training) that the majority of the staff have undertaken. Thornlea Rest Home DS0000009737.V347134.R01.S.doc Version 5.2 Page 16 Since the last inspection visit there has been one complaint brought to the attention of the Commission for Social Care Inspection under the Safeguarding Adults Procedures in relation to financial matters. This was being dealt with appropriately, however the outcome was yet to be reached. From the information completed by the home owner prior to the visit, evidence was gained that it is intended to engage the services of a number of external agencies including advocacy. This will ensure that residents and their relatives have contact with people outside of the home that can offer advice if required in regard to their legal rights and any concerns that they have that they do not wish to discuss with people in the home. Thornlea Rest Home DS0000009737.V347134.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents live in a safe, comfortable and homely environment. EVIDENCE: A tour of the home confirmed that the programme of redecoration and refurbishment was continuing. The residents’ bedrooms were personalised with their own possessions and were bright and cheerful. The home owner had indicated previously that he intended to provide a ramp to the side of the building to benefit the residents who had problems with their mobility. On the day of this visit contractors arrived to commence this work and also to complete the landscaping of the garden to the rear of the home. Work had also begun on the provision of a new laundry room and purchase of new equipment, which will improve the facilities for the staff and ensure that the needs of the residents in regard to clean clothing and bedding being available at all times continues to be met. Thornlea Rest Home DS0000009737.V347134.R01.S.doc Version 5.2 Page 18 Aids were observed around the home to ensure that residents can remain independent within their capabilities and to assist the staff in meeting individual residents needs. The home was found to be clean and hygienic ensuring a pleasant environment in which to live. Thornlea Rest Home DS0000009737.V347134.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The recruitment procedures and training provided for staff ensure that the residents are protected and cared for by staff who are competent and qualified to undertake their role. EVIDENCE: The records of two staff members who had recently been appointed were looked at in detail. These were found to contain all the documentation to confirm that the correct recruitment procedures had taken place before the staff commenced working in the home, ensuring that residents were protected. Comments received through questionnaires also confirmed that the staff had undergone a formal recruitment and induction procedure. Staff spoken to said that they were clear about their role and worked well as a team to ensure the individual and collective needs of the residents are met. They said that they felt supported and very involved in all aspects of the residents’ care. Comments received from staff prior to the visit indicated that they felt that they looked after the residents well and they kept the families informed of any changes in the care needs of the individual residents. Thornlea Rest Home DS0000009737.V347134.R01.S.doc Version 5.2 Page 20 Training records showed that over 50 of staff had achieved a National Vocational Qualification and had attended relevant training courses ensuring that the residents were being looked after by a well trained and competent staff team. Comments received from a relative were very positive and confirmed that they felt that the staff were considerate and caring. Residents also conveyed that they were happy with the care that they received from the staff group. A positive and caring interaction was observed between the staff and the residents accommodated. Thornlea Rest Home DS0000009737.V347134.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has policies and procedures in place to ensure the health and safety of residents and staff are promoted and protected. EVIDENCE: The homeowner is very involved on a daily basis and has the experience and qualifications required. He is supported by a deputy who is competent and experienced and who is responsible for ensuring that the needs of the residents are met by the care practices in place. The deputy also ensures that staff receive the training and support that they require to meet the needs of the residents. Staff spoken to said that could discuss with the homeowner and the deputy any matters that arose of concerns that they had. Observations were made of Thornlea Rest Home DS0000009737.V347134.R01.S.doc Version 5.2 Page 22 the relaxed approach and positive interaction between the staff and the homeowner. One resident commented that the homeowner was a very kind and caring person regarding the residents and staff. Systems were in place for quality assurance, which included obtaining the views of residents and staff by regular meetings and on a one to one basis. Questionnaires were available in the hallway of the home for anyone to complete, however the homeowner said that in the main these are used infrequently as people are confident to make their views known verbally if they wished to. The home holds the IIP (Investors in People)Award, which is an external quality award that demonstrates the owner’s commitment to staff training and development. All policies and procedures were in place and reviewed on a regular basis. The policies included equality, diversity and anti discrimination, which all staff are made aware of to ensure that these policies are promoted and incorporated to the care of the residents to ensure that no one is disadvantaged in any way. Information received prior to the visit confirmed that facilities and equipment were being maintained as required by health and safety legislation to provide a safe environment for residents and staff. A record is kept of all monies handled by the homeowner in behalf of the residents and all monies and records are kept securely locked up. The financial records of two residents for whom the homeowner keeps monies on their behalf were examined and no concerns were raised. Thornlea Rest Home DS0000009737.V347134.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 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 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 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 3 x 3 x 3 x x 3 Thornlea Rest Home DS0000009737.V347134.R01.S.doc Version 5.2 Page 24 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP12 Good Practice Recommendations Arrangements for activities both inside and outside of the home should be flexible to ensure that residents’ individual needs, preferences and capabilities are met. Consideration should be given to where residents have their meals to enable staff to observe and give assistance to residents when required, whilst encouraging independence and freedom of choice. Work should continue to improve the laundry facilities by providing a new laundry room would not only benefit the staff but would ensure that the home continues to provide a clean, hygienic environment free from offensive odours. 2 OP15 3 OP26 Thornlea Rest Home DS0000009737.V347134.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway 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 Thornlea Rest Home DS0000009737.V347134.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!