Inspection on 18/10/06 for Thornton Leigh Care Home

This inspection was carried out on 18th October 2006.

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

Thornton Leigh Care Home 19/02/08

Thornton Leigh Care Home 16/02/06

Thornton Leigh Care Home 02/12/05

Thornton Leigh Care Home 21/03/05

Thornton Leigh Care Home 13/10/04

Thornton Leigh Care Home 25/03/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Thornton Leigh Care Home 42 Huyton Lane Huyton Knowsley Merseyside L36 7XG Lead Inspector Mr Paul Kenyon Unannounced Inspection 09:30 22 November 2006 nd 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 Thornton Leigh Care Home DS0000021485.V312920.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. Thornton Leigh Care Home DS0000021485.V312920.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Thornton Leigh Care Home Address 42 Huyton Lane Huyton Knowsley Merseyside L36 7XG 0151-489-1950 0151 480 9703 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) Mr Ronald William Baker Mrs Valerie Elizabeth Baker Mr Ronald William Baker Mrs Valerie Elizabeth Baker Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15), Physical disability over 65 years of age of places (15) Thornton Leigh Care Home DS0000021485.V312920.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 15 OP and up to 15 PD (E) Date of last inspection 7th April 2006 Brief Description of the Service: Thornton Leigh is owned and managed by Mr and Mrs Baker. Both are retired nurse tutors who also hold a recognised nursing qualification. The home is an older property, which has been well maintained and has many original features. This helps to promote a comfortable and homely atmosphere. Thornton Leigh benefits from an established garden, which is readily accessible to residents. The home is situated on a main road within walking distance of the shopping facilities of Huyton Village. The home is managed around the Christian Ethos. Prayer meetings are held twice weekly and daily readings from the bible are read at lunchtime for those residents who follow a Christian faith and wish to be involved. Residents who are non-Christians are also welcome at the home. Fees are currently charged at £327 per week with charges for hairdressing and chiropody. Thornton Leigh Care Home DS0000021485.V312920.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first key inspection to be held at Thornton Leigh this inspection year. A random inspection was undertaken in the home in April of 2006. The inspection was unannounced and was spread over two days. The first part of the inspection included discussion with residents, a tour of the premises, observation of care practice and examination of a number of records relating to the care of residents. The second part of the inspection included the examination of further care records. National Minimum Standards for older people were used to assess the quality of care provided in the home. Any comments made by residents are included within this report. What the service does well: The service is good at identifying the needs of prospective residents by obtaining assessments before they come to live at Thornton Leigh. The service is good at ensuring that a summary of the needs of residents is included within their care plans. Residents benefit from having their health needs identified by the service. Residents benefit from a safe system of medication. Residents benefit form having their privacy and dignity upheld. Residents are able to maintain their own routines and have the choice to participate in activities. Residents are able to maintain contact with the wider community. Residents benefit from having their independence maintained for as long as possible. The nutritional needs of residents are met and residents are provided with a choice of meals. Residents live in a clean and hygienic environment. Residents benefit from being supported by a well trained and qualified staff team in sufficient numbers to meet their needs. Residents are protected through the recruitment process. Thornton Leigh Care Home DS0000021485.V312920.R01.S.doc Version 5.2 Page 6 An experienced individual manages the home and residents in turn benefit from this. Residents benefit from having their financial interests safeguarded and have their health and safety promoted. 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. Thornton Leigh Care Home DS0000021485.V312920.R01.S.doc Version 5.2 Page 7 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Thornton Leigh Care Home DS0000021485.V312920.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Thornton Leigh Care Home DS0000021485.V312920.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. 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 the service. Standard 6 is not applicable to Thornton Leigh at present. New residents have their needs assessed prior to them coming to live at Thornton Leigh EVIDENCE: Three residents have been admitted into the home since the last inspection. Assessments relating to two of these residents were viewed. One person is privately funded and has had their needs assessed by the home prior to them coming to live there. The areas covered highlighted the main issues with this persons care, in particular her mobility given a health need that she has. Another resident had been admitted into the home a few days before the inspection. The Local Authority was funding this person and assessment information had been made available prior to her moving in. It was noted that this person had had respite breaks in the home prior to this permanent arrangement and as a result was already familiar to the staff team. Thornton Leigh Care Home DS0000021485.V312920.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents benefit from being supported in line with care plans, which in turn have been recently reviewed. Residents benefit from these plans being reviewed yet more attention should be paid to outlining the social needs and interests of residents within care plans. Residents benefit from having their health needs met. Medication systems are safe. Residents have their privacy and dignity upheld. EVIDENCE: Six care plans examined relating to residents were examined. In all cases there was evidence that these had been reviewed in October 2006 yet no changes had been needed in the support provided to these individuals. Care plans are centred around a nursing model and it is recommended that these are broadened to include social care needs.It had been required at past inspections for the involvement of residents or their families in agreeing with care plans. There was evidence that this ahd been done yet only four family members had Thornton Leigh Care Home DS0000021485.V312920.R01.S.doc Version 5.2 Page 11 returned their signed agreements with the contents of the plan. This indicated that efforts had been made by the Manager to address this. The Inspector spoke with three residents. All were able to provide clear information about their care. Evidence was in place outlining that all residents have been registered with local doctors and have their health needs monitored through care plans as well as through healthcare appointments. Examples of health care appointments included: blood tests. otician visits, appoitments with the continence advisor, General Practitioner appointments and visits by the chiropodist. Other appointments included an ongoing involvement with a Community Psychiatric Nurse for one person. All residents have had the opportunity to have an influenza injection and have had their susceptibility or otherwise to developing pressure areas assessed and recorded on a regular basis. Medication is securely stored and a copy of the homes medication procedure is available for staff.All medication records were examined and found that these had been appropriately signed with no ommissions. Evidence is available through training records suggesting that only senior staff administer medication and that these individuals have receive training from the pharamcy supplier. Three resdeints confirmed that they consider to have their privacy respected and that they feel that they are treated in a dignified manner. The Laundry provided evidence that clothing is discreetly marked and that all items once laundered are stored in individual boxes to prevent clothes being mixed up. Staff were observed interacting with residents in a dignified manner especially with providing assistance in personal care tasks. A Senior staff member ensured that one resident was willing to meet with the Inspector and promoted her privacy by knocking on the door and ensuring her dignity. The Manager also initially informed the Inspector that some resdeints would not be up yet in order to preserve their privacy. All preferred terms of address of residents are recorded in care plans. Thornton Leigh Care Home DS0000021485.V312920.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents benefit from being provided with activities both inside and in the local community. Residents are able to maintain links with their families and friends and benefit in the main from being as independent as possible. Residents receive a good standard of nutrition. EVIDENCE: A List of activities are prominently displayed and include both activities within the home as well as those further afield. In-house activities include: Light Exercise, Aromatherapy, Music Entertainers, Videos, Games and Christian meetings in line with the ethos of the home. Trips had been made or were about to be made to Southport and Wirral. Two residents stated that they were able to come and go as they pleased. One person drives, and, until recently used her car to access the local commmunity freely. The home is ideally situated close to the local town centre and all facilities are within walking distance. Three residents commented that they were able to follow their own routines in relation to getting up or going to bed. Thornton Leigh Care Home DS0000021485.V312920.R01.S.doc Version 5.2 Page 13 Evidence suggested that families visit on a regular basis and that these continued. On one day of the inspection, one resident was going out with friends for a meal and this for others was a common occurence . Evidence also available that while visits occur, families also maintain contact through telephone calls. A tour of the premises noted that many residents have been able to bring their own furniture into their rooms have been able to personalise them as much as possible. Information prior to the inspection suggested that the majority of resdeints are either able to deal with their own finances or relied on their families to do this with involvement by the home with only one person. This involvement reflected practical issues as opposed to control of this person’s finances. In respect of independence, one person until recently used their own vehicle and this was catered for. Care plans suggested that there was only one individual at present that had any dietary needs related to health needs. This was in relation to a specific allergy. This was confirmed by the Cook. Information was available in care plans for two people which suggested that some aids were needed to enable them to take meals themselves and in this way their independence is promoted. This was further reinforced by the presence of adapted cutlery and plates available in the dining room. The dining room is a pleasantly decorated area, a smaller dining area is available within one of the lounge areas. The kitchen is well-equipped and organised. A cook is on duty throughout the week. Menus are available and these indicated that alternatives were available if preferred. Three residents commented positively about the food provided. Hot drinks are also available during the day and a list was noted in the kitchen outlining individual preferences in relation to breakfast. Kitchen refridgerators and freezers were well stocked with fresh fruit and vegetable also available. The chef has obtained a number of certificates including a foundation certificate in food hygiene, a certificate from the Local Authority relating to Safer Food, Better Business and foundation certificate in creative craft in cookery. Thornton Leigh Care Home DS0000021485.V312920.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents and their families have the information to make a complaint if the need arises. Residents are in the main protected from abuse although the home must provide explicit information about their involvement in the financial affairs of residents. EVIDENCE: Complaints procedures are located in each bedroom that the Inspector visited. Three residents stated that while they did not have any complaints, they knew who to refer to if the situation arose. A complaints book is available and includes reference to the nature of complaints and action to be taken. No complaints were recorded. The complaints procedure is clear yet outlines a previous regulator for the referral for complaints as opposed to the Commission for Social Care Inspection. It is recommended that this be addressed. A similar reference to a previous regulator was also included in the whistle blowing procedure and this is included in the above recommendation. This, however, does not diminish the principles of whistle blowing. The home has a Local Authority procedure on the reporting of allegations of abuse and this is available to staff. This has been accompanied by a training Thornton Leigh Care Home DS0000021485.V312920.R01.S.doc Version 5.2 Page 15 programme for staff in respect of abuse awareness as confirmed through training records and discussions with staff. A policy is in place in respect of physical or verbal aggression displayed by residents although this is not an issue at present. The home does not have a policy in relation to the receipt of gifts by staff, their involvement in the financial affairs and wills of residents. It is required that a policy is devised precluding them from involvement in these areas in order to better protect the financial interests of residents. Thornton Leigh Care Home DS0000021485.V312920.R01.S.doc Version 5.2 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 22 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents live in a well decorated and well maintained home that is clean and hygienic. The service cannot establish whether the aids and adaptations in place meet the mobility needs of residents EVIDENCE: A tour of premises was undertaken. Ten bedrooms were viewed and all were found to be decorated to a good standard and appeared to be clean and comfortable. There was evidence that residents had been able to bring items of their own furniture and other personal possessions into their rooms. Lounge areas and the dining room are also well decorated and home-like in appearance. Information received prior to the inspection suggested that redecoration had been done in some bedrooms and that other areas had been re-carpetted. All areas of the home are accessible to residents. Thornton Leigh Care Home DS0000021485.V312920.R01.S.doc Version 5.2 Page 17 One person who spoke with the Inspector relies on a wheelchair and confirmed that she was able to get from her room to other areas of the house. Her bedroom is close to a passenger lift which serves all floors to assist with this. A stair lift also aids access from one part of the house to lounge and dining room areas. It transpired during the inspection that the premises have never been assessed by an occupational therapist to ensure that all possible aids and adaptations are in place to meet residents’ needs. This is raised as a requirement in this report. Grounds are accessible to service users and are well maintained. This area is located to the rear of the building and receives sunlight in finer weather. A requirement from the Environmental Health Department in respect of window restrictors has now been complied with. The tour of the premises included an examination of the laundry area. This is well-organised and well-equipped faility with industrial wahing and drying appliances in place. A sluice is also available in this area. Floors are nonporous and handwashing facilities are available close by. Protective clothing is available to staff and are located in the laundry. No offensive odours were noted in any part of the building during the visit. Two domestic members of staff were on duty during the inspection. Thornton Leigh Care Home DS0000021485.V312920.R01.S.doc Version 5.2 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The needs of residents are met by staffing levels. Residents benefit from receiving care from a staff team that is well qualified and receive training. EVIDENCE: The rota indicates that a minimum of four care staff are usually on duty during the morning with three on in the evening and two waking nights. The Manager lives on the premises and is contactable if needed. In addtion to care staff, anciallry staff are employed. These include two domestic members of staff including a chef. A management structure is included within the home and this includes the Manager, Deputy Manager and Senior Care Assistants. Staff present on the day of the inspection included: 1x 1x 3x 2x 1x Deputy Manager Senior Care Assistant Care Assistants Domestic staff Cook Thornton Leigh Care Home DS0000021485.V312920.R01.S.doc Version 5.2 Page 19 This represented a greater number of staff that was usually on but was planned given that the Manager would not be present in the home for most of the day. Records received prior to the inspection noted that all but two care staff had attained an National Vocational Qualification at Level 2 and some individuals had further attained Level 3 or had commenced this qualification. This was confirmed through discussions with the Deputy Manager. Only one member of staff has been recruited to the home since the last inspection. The personnel file relating to this individual was examined and found to be in order and included two references, a criminal records check and proof of their identity. Training continues to be undertaken. Information within the home and on display for staff reference suggested that a number of courses had been undertaken in the past few months and that some future training had been identified. In some cases, staff had been allocated to attend this training. Courses included: -Advanced Medication training -Basic medication training and managing medicines -Abuse awareness training -Fire prevention -Tissue viablity Future training included: -Continence -Further abuse awareness -Food Hygiene -Moving and handling Records suggested that a dementia awareness course had been arranged yet this was cancelled by the training providers. Thornton Leigh Care Home DS0000021485.V312920.R01.S.doc Version 5.2 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents benefit from receiving a service managed by an experienced individual. Residents have their views taken into account. Residents benefit from having their financial interests safeguarded in the main. The health and safety of residents is promoted. EVIDENCE: Mrs Valerie Baker manages the home. She has been the Manager for a number of years and was formally a nurse tutor and holds a nursing qualification. The Manager is included on the rota and is directly involved in providing personal care to residents. The Manager has responded to the requirements at the previous key inspection in relation to abuse training and quality assurance. Thornton Leigh Care Home DS0000021485.V312920.R01.S.doc Version 5.2 Page 21 Since the last inspection, the Manager has sought to include and gain the views of families whose relations live at Thornton Leigh. All relatives have been sent questionnaires yet only four have returned. This does, however, indicate an awareness of quality assurance issues that were not prevalent at the last key inspection. Throughout the inspection, the Inspector was able to speak with residents in private and have access to all parts of the building. The home is not involved with the finances of residents and only assists with the collection of one person’s pension for practical reasons. The home has not devised a policy in relation to staff’s involvement in residents’ financial affairs. This has already been raised as requirement in Standard 18 of this report. Training has been provided to staff in relation to mandatory topics such as infection control, first aid, manual handling and fire awareness. There was evidence that fire detection systems are checked on a regular basis and this includes fire instruction and drills for staff. A fire risk assessment is also in place. The Manager has devised a health and safety checklist, which forms the basis of a risk assessment. This includes reference to all aspects of the environment and includes water temperatures, the use of facilities, first aid boxes, radiator covers and electrical testing. Accident records are maintained and indicated that staff and residents have experienced few accidents over the past few months. Thornton Leigh Care Home DS0000021485.V312920.R01.S.doc Version 5.2 Page 22 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 N/A 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X 2 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 Thornton Leigh Care Home DS0000021485.V312920.R01.S.doc Version 5.2 Page 23 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 OP18 Regulation 13 Timescale for action The registered person shall make 31/01/07 suitable arrangements, by training or by other measures, to prevent service users being harmed or suffering abuse or being placed at risk of harm or abuse The registered person shall 31/03/07 ensure that suitable adaptations are made, equipment and facilities as may be required are provided for service users who are old, infirm or physically disabled Requirement 2 OP22 23 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 OP7 OP16 Good Practice Recommendations Care plans should be widened to include the general needs of residents rather than just health needs The complaints procedure should include reference to the Commission for Social Care Inspection as opposed to a DS0000021485.V312920.R01.S.doc Version 5.2 Page 24 Thornton Leigh Care Home previous regulator Thornton Leigh Care Home DS0000021485.V312920.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG National Enquiry Line: 0845 015 0120 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 Thornton Leigh Care Home DS0000021485.V312920.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!