Care Home: The White House Residential Home

Similar services:

• Claremont House
• Oak Ridge
• Sun Court Nursing Home
• Ashville House
• Bilney Hall
• Hill Barn
• Mabbs Hall Nursing Home
• Henrietta House

What the care home does well The home is well managed and there are procedures in place to ensure that the health, safety and well being of residents and staff are promoted and protected. The White House offers a pleasant, comfortable and well-maintained environment and residents have their personal and health care needs met by staff that are competent and well trained. The homes AQQA was completed thoroughly and evidenced what they do well and where and how they intend to improve. The manager demonstrates a commitment to meeting National Minimum Standards and providing good outcomes for residents. What has improved since the last inspection? There was one requirement made at the last inspection for the home to ensure that staff records included evidence of identity. This requirement had been met at this inspection. The extent of refurbishment and redecoration carried out since the last inspection should also be acknowledged. What the care home could do better: There have been no requirements made at this inspection but the manager agreed to respond to a number of matters raised. The manager agreed to ensure that staff recruitment records clearly specify the date that staff commenced employment and started to work with residents. He agreed to address any shortfalls in training, for staff working with residents with special needs and he agreed to carry out appropriate risk assessments to ensure that hot radiators do not pose a risk to residents. It is also recommended that the home addresses comments made by one visitor about being kept waiting outside so that they can be sure that this is not a common experience for visitors. They should also consult residents about the activities provided and how they can improve in this area to meet their preferences and expectations. CARE HOMES FOR OLDER PEOPLE The White House Residential Home Ashmans Road Beccles Suffolk NR34 9NS Lead Inspector Tina Burns Unannounced Inspection 7th December 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The White House Residential Home DS0000065171.V356330.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The White House Residential Home DS0000065171.V356330.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The White House Residential Home Address Ashmans Road Beccles Suffolk NR34 9NS 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) 01502 717683 01502 710912 manager@thewhitehouse.healthcarehomes.co.u k Healthcare Homes Limited Mr Terry Mason Care Home 33 Category(ies) of Dementia - over 65 years of age (2), Old age, registration, with number not falling within any other category (33) of places The White House Residential Home DS0000065171.V356330.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. To offer care and accomodation to two named older persons with the diagnosis of dementia as per applications dated 5.1.06 and 9.10.06. 16th January 2007 Date of last inspection Brief Description of the Service: The White House is situated in a quiet residential area of Beccles but within close proximity of the shopping centre and railway station. The home has been registered since 1987 and is currently owned by Healthcare Homes. The White House is set in its own grounds. The main house is a Victorian building, which has been purpose extended and adapted to provide comfortable and good quality accommodation for up to 33 older people. The accommodation comprises twenty-nine single and two double bedrooms, the majority of which have an en-suite toilet and wash hand basin. Communal areas, which include two lounges, a dining room and a conservatory, are located on the ground floor and toilet and bathroom facilities are available on both floors. The Registered Manager is responsible for the day-to-day running of the home and is assisted by a senior staff team including a deputy manager, senior care assistants and care assistants. Ancillary staff includes a cook, kitchen assistant, domestic and laundry staff. The White House Residential Home DS0000065171.V356330.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection, which focused on the core standards relating to care homes for older people. The inspection was undertaken by one inspector, on a weekday over a period of approximately seven hours. The report has been written using accumulated evidence gathered prior to and during the inspection. The inspection process included reviewing a range of documents required under the Care Home Regulations including staff and residents records, staff rosters and a number of policies and procedures. A tour of the premises was also undertaken and interaction between staff and residents was observed. The inspector also spoke with several residents, two visitors and staff that were on duty on the day of inspection. The Registered Manager Mr Terry Mason, was present throughout most of the day and fully contributed to the inspection process. Information was also gathered from the homes Annual Quality Assurance Assessment (AQQA) submitted to the Commission in November 2007 and notifications made by the home since the last inspection. Further more a total of forty-two ‘Have Your Say’ surveys were completed and returned to us by three members of staff, six health care professionals, eighteen relatives/carers or advocates and fifteen residents. What the service does well: What has improved since the last inspection? There was one requirement made at the last inspection for the home to ensure that staff records included evidence of identity. This requirement had been met The White House Residential Home DS0000065171.V356330.R01.S.doc Version 5.2 Page 6 at this inspection. The extent of refurbishment and redecoration carried out since the last inspection should also be acknowledged. 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 White House Residential Home DS0000065171.V356330.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection The White House Residential Home DS0000065171.V356330.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): 1, 3, 4 & 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their representatives can expect to receive the information they need to choose a home that will meet their needs. EVIDENCE: The home had a resident’s guide and company brochure in place that reflected the aims and objectives of the service and informed prospective residents of the services and facilities offered at The White House. Records examined and feedback from residents and their relatives confirmed that residents are encouraged to visit and stay on a trial basis as part of a planned admission process when ever possible. The AQQA submitted, records examined and surveys returned evidenced that overall the home had thorough assessment procedures in place to ensure that they were clear about the needs of prospective residents and their ability to meet them. The homes assessments covered areas such as maintaining a safe The White House Residential Home DS0000065171.V356330.R01.S.doc Version 5.2 Page 9 environment, mobility, communication, breathing, eating and drinking, personal hygiene and dressing, maintaining body temperature, social care/family involvement, rest and sleep. Further assessments included pressure ulcer risk assessments, nutritional assessments, moving and handling assessments and assessments of risk of falls. Feedback from residents, health care professionals and relatives indicated that overall the home had the capacity to meet service users assessed needs. Discussion with the manager about the special needs of one resident and observations made during the inspection indicated that although there was a gap in knowledge about the resident’s diagnosed condition the resident looked cheerful and well cared for and the manager agreed to seek appropriate specialist support and training resources to ensure that the resident’s needs were fully met. The White House Residential Home DS0000065171.V356330.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 & 11. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect to have their personal and health care needs met. They can also expect to be protected by the homes procedures for the handling and administration of medicines. Further more, residents are assured that at the time of their death, staff will treat them and their family and friends with care, sensitivity and respect. EVIDENCE: Individual care plans were in place in the three residents records examined. The information provided in the care plans was a little repetitive and the format was not entirely service user friendly but overall they did reflect the needs identified in the resident’s pre admission assessments. Feedback from residents, relatives and health professionals indicated that they felt that staff had a good understanding of resident’s personal and health care needs and their needs were met. Comments received included “I get good caring support The White House Residential Home DS0000065171.V356330.R01.S.doc Version 5.2 Page 11 24 hours a day”, “I feel that my ‘relative’ could not have better care anywhere” and “staff know the residents well, no concerns about care”. Residents spoken with, records examined and feedback from surveys confirmed that the home supports residents with their health needs. Daily records also evidenced that the home ensures residents have access to health care services such as GP’s, community nurses and hospital outpatient services. Comments included “The staff are always on the ball when booking appointments” and “Very prompt response to need for medical help”. The home had appropriate procedures in place for the safe handling and administration of medication. Medication was supplied by the local pharmacy in Monitored Dosage Systems (MDS) and stored in a locked medication trolley. Staff responsible for the administration of medications had been suitably trained and Medication Administration Records (MAR sheets) were in place and completed satisfactorily. Feedback from residents and observations made during the inspection indicated that staff respected resident’s privacy and dignity. Personal care was provided in the privacy of the individual’s bedroom or privately in one of the homes bathrooms. Comments included “The staff treat people with gentleness, respect and kindness”. Records examined evidenced that residents and their representatives are approached about their wishes for their end of life arrangements. Although there were some ‘gaps’ in the information held it was clear that the home had approached people about their wishes so that they could handle such occasions with sensitivity and respect. The White House Residential Home DS0000065171.V356330.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 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. Residents cannot be sure that the home will meet their social and recreational expectations. However, they can expect to maintain contact with their friends and family and enjoy healthy balanced meals. EVIDENCE: Feedback from residents and relatives indicated that overall the activities offered by the home do not meet with their expectations. Comments received about activities included “The extent of activities is poor”, “That’s a sore subject, we feel we should have more”, “The home is very poor in providing activities for residents and they appear to have stopped outings”, and “I think there is a need for more social activities”. Although the manager confirmed that the home had a part time activities co-ordinator they were not working on the day of inspection and residents and relatives spoken with advised that they often helped to cover staff shortages instead of providing activities. The homes newsletter for the month of December did list planned activities that included word games, crafts and bingo and there was also two occasions where entertainers had been arranged. However, there were no records held to The White House Residential Home DS0000065171.V356330.R01.S.doc Version 5.2 Page 13 evidence that activities had taken place. On the day of inspection there were no planned or structured activities taking place. Residents seen in the communal lounge were not engaged in activities and although the television was on no one appeared to be watching it. Surveys returned and observations made during the inspection confirmed that residents were able to maintain contact with their families and friends. Residents could receive visitors in the communal areas or in the privacy of their own room or a small ‘visitors room’. One regular visitor to the home said that staff were often slow to answer the door and they were often kept waiting outside. Residents spoken with confirmed that they had brought some of their own furniture and personal belongings with them when they moved into the home. They also continued to manage their own financial affairs with the help of a relative or representative where necessary. The manager advised that the home had regular residents meetings to enable residents to participate in decisions about the home however this was not confirmed by the residents spoken with during the inspection and minutes of the meetings were not provided. Surveys returned and residents spoken with confirmed that most residents were happy with the standard of meals provided. On the day of inspection the main meal was fish and chips or quiche and baked potato with salad or vegetables. There was also a range of other options available. The menu for the day was displayed elegantly on the table and stated “special diets will be catered for – alternatives always available”. Meals could be taken in the dining room, lounge or privacy of the resident’s bedrooms. The inspector joined three of the residents for lunch in the dining room. The meal looked and tasted appetising. The dining room was warm and comfortable, staff and residents chatted amongst themselves and there was a general sense of occasion about the meal. Tables were laid nicely with matching table clothes and napkins and there was a water jug and condiments on each table. Comments from residents included “The food has improved a lot, there is a nice variety too”, “not one meal in four years have I had to complain about” and “meals have recently got better but much more improvement is required”. Discussion with the manager and information provided in the homes AQQA indicated that the menu had been developed by a ‘menu committee’ that included residents. The cook on duty at the time of inspection confirmed that they spoke with residents personally and regularly about their menu options. They had a good understanding of their dietary requirements and their likes and dislikes. The White House Residential Home DS0000065171.V356330.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect their complaints to be taken seriously and acted upon. Further more, they can expect to be safeguarded from abuse. EVIDENCE: Since the last inspection the commission received one verbal complaint from a residents relative about the quality of care provided by the home to their relative. However, although the complainant agreed to contact the homes manager to make a direct complaint there was no evidence that the complaint had been made. The AQQA submitted by the home states that no complaints have been received since the last inspection and the manager confirmed this on the day of inspection. Feedback from residents and relatives surveys and residents spoken with on the day of inspection did however indicate that staff and managers were approachable and residents knew how to complain. The complaints policy was also available in the statement of purpose and residents guide. The homes AQQA and discussion with the manager indicated that there had been no safeguarding adult referrals since the last inspection. Records seen and staff spoken with indicated that care workers had received training to recognise the signs and symptoms of abuse and understood their roles and responsibilities regarding concerns and allegations. The homes Abuse Policy The White House Residential Home DS0000065171.V356330.R01.S.doc Version 5.2 Page 15 reflected local authority multi disciplinary guidelines for the protection of vulnerable adults. The White House Residential Home DS0000065171.V356330.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 25 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect to live in a safe, well-maintained and comfortable environment. EVIDENCE: The AQQA submitted by the home detailed a comprehensive list of improvements made to the environment in the last twelve months and a tour of the building confirmed that the improvements detailed had been carried out. Improvements included redecoration to three bathrooms, two toilets, two corridors, the laundry area, the lounge, the conservatory and the dining areas. Flooring and furnishings had also been replaced in a number of areas and the kitchen had been fully refurbished. The home had also converted the disused day centre into two spacious single bedrooms with en suite facilities and this had reduced the number of double rooms in the home from six to two. There The White House Residential Home DS0000065171.V356330.R01.S.doc Version 5.2 Page 17 had also been work carried out to the grounds to make them more accessible to residents. Discussion with the manager and information provided in the AQQA confirmed that the home has five communal bathrooms, three were ‘assisted’ baths and all were in working order at the time of inspection. The hoists provided were regularly serviced and well maintained. During the last twelve months the home had purchased a number of mobility aids including eight ‘comfy’ belts, a new stand aid, an electronic hoist, two raised toilet seats and two specially sized slings for specific individuals. On the day of inspection the home was warm, clean, and free from unpleasant odours. Appropriate laundry facilities and infection control procedures were in place. The White House Residential Home DS0000065171.V356330.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. 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. Overall, residents can expect their needs to be met by staff that are appropriately trained, skilled and sufficient in numbers. EVIDENCE: Feedback from surveys indicated that most people were happy with staffing levels at the home and felt that they were sufficient to meet resident’s needs. On the day of inspection discussion with the residents, observations made throughout the day and examination of the rota confirmed that the home was adequately staffed. In addition to the care staff employed there was also a team of ancillary staff that included three domestics, a cook and a kitchen assistant. The manager was also on duty and supernumerary. Information provided in the homes AQQA confirms that over fifty percent of care staff employed at the home have National Vocational Qualifications in Care at Level two or above. Three staff files were examined and included evidence of enhanced Criminal Records Bureau Checks (CRB), written references, declarations of health, verification of ID and application forms. However records examined did not include start dates so it was not clear whether or not newly appointed care workers commenced employment before or after all appropriate ‘checks’ had The White House Residential Home DS0000065171.V356330.R01.S.doc Version 5.2 Page 19 been undertaken. Information provided in the AQQA and discussion with the manager did indicate that satisfactory checks were undertaken before starting new workers and POVA first checks were carried out for any new staff starting work before the outcome of their CRB check had been received. The manager confirmed that new staff starting under these circumstances did not work unsupervised. The manager also agreed to ensure that in the future recruitment records would include clearer information about employee start dates to evidence that all required checks had been undertaken first. Feedback from staff and training records examined confirmed that care workers undertake appropriate induction programmes and receive on going and relevant training. Staff training included Safeguarding Vulnerable Adults, Moving and Handling, Health and Safety, Safe Food Handling, First Aid, Fire Training and Medication Training. The manager advised that all staff were also offered dementia training. Some discussion then took place about the need to ensure that all staff working with service users with special needs received appropriate training. The manager agreed to address any shortfalls in training through the homes supervision and appraisal system. The White House Residential Home DS0000065171.V356330.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. 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. Overall the home is well managed and the health, safety and well being of residents and staff is promoted and protected. EVIDENCE: Information submitted in the AQQA, feedback from surveys and observations made during the inspection confirmed that the home is well managed. There are clear lines of responsibility in the home and senior staff were reported to be helpful and approachable. Quality assurance and monitoring systems were in place and included the use of surveys to gather feedback from a range of professionals, the staff team The White House Residential Home DS0000065171.V356330.R01.S.doc Version 5.2 Page 21 and the residents. The homes AQQA was completed thoroughly and to a good standard and detailed what the home does well, where they needed to improve and how they intended to improve. Records relating to health and safety and the maintenance of equipment were in order. These included electrical and gas safety certificates and fire safety and system checks. Staff had undertaken appropriate training in areas such as infection control, food hygiene and moving and handling. Observation on the day of inspection was that overall the home was safe and well maintained although there was some concern that radiators were not covered and this was a potential risk to residents. The manager advised that all of the radiators were thermostatically controlled and did not reach scalding temperatures however they agreed to undertake thorough risk assessments as a matter of urgency to ensure that residents were not at risk from burns. The manager advised that resident’s families are encouraged to support them with their financial affairs and where necessary manage them on their behalf. The AQQA says that staff are instructed not to be involved with residents finances. Residents have secure facilities for valuables in their rooms. In some cases the home will keep small amounts of money on behalf of residents. In such instances appropriate records are held and receipts given. The White House Residential Home DS0000065171.V356330.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 3 X 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 X X 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 The White House Residential Home DS0000065171.V356330.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. 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. 2. Refer to Standard OP13 OP12 OP14 Good Practice Recommendations The home should monitor whether or not visitors are routinely kept waiting out side and look at whether or not improvements need to be made in this area. The home should fully consult residents about social and recreational activities so that the activities offered match their expectations and preferences. The White House Residential Home DS0000065171.V356330.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 White House Residential Home DS0000065171.V356330.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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!