Inspection on 05/07/07 for Abbeycroft Care and Nursing Home

This inspection was carried out on 5th July 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

Abbeycroft Care and Nursing Home 16/05/06

Abbeycroft Care and Nursing Home 30/11/05

Abbeycroft Care and Nursing Home 07/07/05

Abbeycroft Care and Nursing Home 03/02/05

Abbeycroft Care and Nursing Home 27/04/04

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 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Abbeycroft Care and Nursing Home Burnley Road Loveclough Rossendale Lancashire BB4 8QL Lead Inspector Mr Graham Oldham Unannounced Inspection 5th July 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 Abbeycroft Care and Nursing Home DS0000056843.V338683.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. Abbeycroft Care and Nursing Home DS0000056843.V338683.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Abbeycroft Care and Nursing Home Address Burnley Road Loveclough Rossendale Lancashire BB4 8QL 01706 225582 01706 213636 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) Regency Healthcare (UK) Limited Vacant post Care Home 37 Category(ies) of Old age, not falling within any other category registration, with number (37), Physical disability (37) of places Abbeycroft Care and Nursing Home DS0000056843.V338683.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 37 service users to include up to 37 service users requiring nursing care who fall into the category of OP (over 65 years) Up to 37 service users requiring nursing care who fall into the category of PD(E) Date of last inspection 16th May 2006 Brief Description of the Service: Abbeycroft is registered to provide personal and nursing care for up to 37 older people. Nursing and residential care is provided. The home is purpose built within its own grounds. The home is located in a semi-rural position close to a local bus route with easy access to Burnley or Rawtenstall. There are extensive views over the countryside. Accommodation is provided in single and twin-bedded rooms on three floors. Communal space is available on each floor. There is a dedicated smoking area and a new conservatory was nearing completion. There is a car park to the front of the property and the gardens are accessible to residents. A statement of purpose and service users guide is available for residents or their families to be informed of the facilities and services the home provides. The fees for Abbeycroft range from £315 - £452. Extras residents or their families have to pay include hairdressing, newspapers or periodicals and outings. Abbeycroft Care and Nursing Home DS0000056843.V338683.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection, which included a visit to the home, took place on the 6th July 2007. Much of the information gained was obtained from talking to residents and staff members. The views of residents were obtained on a variety of topics. People living within the home allowed the inspector to call them residents. Three residents were case tracked. Case tracking gave the inspector an overall view of the specific care for the individual resident by checking their plans of care, other documentation and talking to staff about the care they gave each resident case tracked. Two staff members were questioned about the care of the residents case tracked and the training they had undertaken. Some of the views have been reported collectively with specific comments contained within the body of the report. The inspector took detailed notes during the inspection, which have been retained as evidence. Staff were directly and indirectly observed carrying out their tasks and interacting with residents. Paperwork examined included plans of care, assessment documentation, policies and procedures or documents relevant to each standard. A tour of the building was conducted on the day of the inspection. What the service does well: The assessment of residents was excellent prior to admission and ensured the home could meet the needs of residents. Plans of care contained good detail for staff to deliver effective care. Residents case tracked said, “I get assistance when I ask for it”, “I get as much care as I need – they do what they have to do all the time” and “Staff are smashing. They are very helpful and go out of their way sometimes”. One family member said, staff are very attentive and the two sisters know what they are doing. I have found my mother really enjoys this care home. The matron calls meetings to discuss how they can improve the patient’s environment. Residents case tracked were satisfied with the personal care they received. Residents were able to access specialists to ensure their health care needs were met. Abbeycroft Care and Nursing Home DS0000056843.V338683.R01.S.doc Version 5.2 Page 6 Three survey forms were returned to the commission from relatives. • • Two relatives thought they always had enough information from the home and one thought usually. One thought that the care home always met the needs of residents and two usually. Two commented – My mother in laws condition had deteriorated but the home did not keep us informed, as we would have liked. We understand there can be issues of confidentiality but we believe we could have persuaded her to attend the outpatient appointment had we known and we have had concerns about the standard of food – This has been addressed by the new manager. One thought they were always helped to keep in touch, one usually and one added N/A. One relative commented no problems at all. All three thought they were kept up to date with important issues. Two always thought residents were well supported and one usually. One always thought staff had the right skills to look after people properly and two usually. Two commented – they are sometimes short staffed and whilst the team who are in continue to treat my relative well they are put under too much strain and pressure and Staff turnover is high but there is a core of very hard working individuals who keep it running. Two thought the different needs of residents were met and one did not answer. All three knew how to make a complaint and thought the home always responded appropriately to any concerns. Two thought the residents were supported to live the life they chose and one usually. Relatives said the home performed well – it is a welcoming place where the team genuinely care about the people who live there, they look after all the needs of my aunt who has been here for over two years now. She is not the easiest person to deal with but they do try very hard to accommodate her and the care home appears to be well organised and run. The staff are very caring and alert to the needs of residents. The home is clean and has a very pleasant atmosphere of competence and friendliness at whatever time of the day we visit. Two thought the home could improve by – better food and greater access to doctors and come to an agreement with my mother in law and ourselves in an open conversation about what they can and cannot tell us so we are all clear what her wishes are. One relative commented further – Mother has been a resident for only a few weeks but in that short time we have seen a great improvement in her well-being. • • • • • • • • • • Relatives were able to openly discuss their concerns, the majority of answers were positive and helped demonstrate the service was functioning to a good level. Resident’s case tracked said, “staff make sure they close doors and treat me privately”, “they are very good at maintaining privacy – they close the door Abbeycroft Care and Nursing Home DS0000056843.V338683.R01.S.doc Version 5.2 Page 7 and curtains when they assist me” and “they look after my privacy very well”. Residents were satisfied their dignity was maintained by the good attitude of staff. Medication policies and procedures helped protect residents from possible harm. Leisure activities and a choice within the daily routine helped residents retain some independent living. Residents case tracked said, “The food is excellent – I get plenty of choice”, “The food is better now that we have a new cook and there are two new people today who are excellent” and “Food is not bad. Sometimes it’s good and sometimes not so good. At the moment things are fine with food”. One family member said, “My mother enjoys the food”. Residents spoken to on the day of the inspection said food was good. The food served at the home met residents tastes. Resident’s case tracked said, “I have nothing to complain about. Matron says if there is anything at all - come to me” and “I complain to manager but only about small things and she sorts them out”. The open attitude of the new manager gave residents confidence their complaints would be listened to. Residents case tracked said, “Staff all in all are fine”, “I am treated me fine. The girls work so hard. The staff are great but sometimes they seem a bit short of staff” and “staff are very good”, “I am satisfied with my room. They have put in new windows and there is a good view. I have brought some of my own stuff in”, “The room is bigger and a better shape. I can see everyone coming passed – even in the middle of the night entertainment is laid on” and “My room is nice and I have a lot of my own things”. The good attitude of staff and good environment provided a homely atmosphere for residents. Residents case tracked said, “I am still happy and keeping fine”, “The new manager is lovely – but the interim one was a disaster” and “The home is good” Staff members said, “Good open door policy – if have problem we can speak to them. We have a good staff team on board” and “I feel well supported and can talk to anyone here”. Management were open and supportive to residents and staff. . Abbeycroft Care and Nursing Home DS0000056843.V338683.R01.S.doc Version 5.2 Page 8 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Abbeycroft Care and Nursing Home DS0000056843.V338683.R01.S.doc Version 5.2 Page 9 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 Abbeycroft Care and Nursing Home DS0000056843.V338683.R01.S.doc Version 5.2 Page 10 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): OP3 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The assessment process ensured staff had sufficient information to be able to meet the needs of residents and develop plans of care. EVIDENCE: Three residents were case tracked. Plans of care contained assessment documentation. A qualified staff member had assessed each resident prior to admission. Social Services had assessed residents as suitable to be placed at the home. The excellent assessment ensured the service could meet the diverse needs of residents. Abbeycroft Care and Nursing Home DS0000056843.V338683.R01.S.doc Version 5.2 Page 11 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): OP7, OP8, OP9 and OP10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Plans of care and healtcare assessments contained sufficient information about each individual to inform staff of each residents needs. Medication policies, procedures and staff training protected the health and welfare of residents. The attitude of staff protected the privacy and dignity of residents. EVIDENCE: Three plans of care were examined during the case tracking process. Plans of care had been developed with the assistance of family members or residents. Plans of care had been reviewed but not on a regular basis dependent upon which member of staff completed the plans. Plans of care contained sufficient information for staff to read and deliver effective care. Resident’s case tracked had been risk assessed for falling, nutritional and pressure area needs. A recognised assessment tool for each resident’s nutritional needs would provide better protection. Evidence was obtained from residents case tracked and within the plans of care that residents had access to specialists and professionals. A physiotherapist was employed to help residents Abbeycroft Care and Nursing Home DS0000056843.V338683.R01.S.doc Version 5.2 Page 12 mobilise. Residents had access to specialist to ensure their changing health care needs were met. Trained nursing staff administered medication. Policies and procedures for the administration of medication had been reviewed using the Royal Pharmaceutical Societies Guidelines. There was a controlled drug cupboard and register. There was a dedicated fridge to keep medication cool. The medication administration charts had been maintained accurately. Medication policies, procedures and staff training helped reduce the risk of any medication errors. Staff were observed carrying out personal care to residents. Staff were pleasant to residents and ensured their privacy was maintained when delivering care. Resident’s case tracked said care was given privately. The good attitude of staff ensured residents were comfortable with the personal care they received. Abbeycroft Care and Nursing Home DS0000056843.V338683.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): OP12, OP13, OP14 and OP15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Leisure activities provided were suitable to resident’s tastes and helped provide a fulfilling life. Visiting was open, unrestrictive and encouraged socialising with family and friends. Residents were able to exercise choice to retain some independent living. Food served at the home met residents nutritional needs. EVIDENCE: Resident’s case tracked said they had a choice within the routine of the home and were able to spend their time enjoying leisure activities individually or as a group. This included playing cards, reading, watching television or socialising. The registered manager said activities such as indoor board games, physiotherapy, exercise events, quiz nights and themed evenings such as an Italian evening were held on a regular basis. Families were able to participate in some of the activities. The registered manager also said residents were taken shopping and some residents were able to walk to the local shops. On the day of the inspection suitable music was playing. Residents were able to spend the day as they wished to maximise their enjoyment. Residents case tracked said they had choices at the home such as meals and mealtimes and when they wanted to get up or go to bed. Staff spoken to were able to explain how they were able to offer choice. The manager held meetings Abbeycroft Care and Nursing Home DS0000056843.V338683.R01.S.doc Version 5.2 Page 14 with residents and their families to help improve the service. The routines of the home were suitably flexible to allow residents to retain some control over their lives. Resident’s case tracked said visiting was unrestricted and allowed them to keep in touch with family and friends. Abbeycroft Care and Nursing Home DS0000056843.V338683.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): OP16 and OP18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Policies, procedures and staff training help protect residents from harm and abuse. Residents and their families were able to voice their concerns. EVIDENCE: There was a complaints procedure, which meets current guidelines. There is a reference to time scales, which meets our criteria. There have not been any complaints to the CSCI since the last inspection. One complaint made to social services was unfounded. The manager said no complaints had been made to the service. Three resident case tracked said they did not have any complaints but felt able to approach staff if they wished. Two staff spoken to were aware of the complaints procedure. Residents were able to make a complaint and expected to get a fair hearing and satisfactory result. There were policies and procedures for the protection of vulnerable adults. The service used the Lancashire County Council adult abuse procedures to follow a local initiative. The manager said no allegations of abuse had been made this year. There was a copy of the ‘NO Secrets’ document and a whistle blowing policy. The manager is using the new safeguarding adults document. Not all staff had attended a protection of vulnerable adults course. Two staff members questioned were aware of abuse issues. Residents were protected from possible abuse. Abbeycroft Care and Nursing Home DS0000056843.V338683.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): OP19 – OP26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents lived in a clean, tidy and safe environment. The good facilities provided a comfortable setting and met resident’s environmental needs. EVIDENCE: The home was warm, clean and free from offensive odours. The lounges and dining room contained good furnishings and were domestic in character. The décor was homely and there were plans to improve the home further. Bedrooms had been personalised to resident’s tastes and contained a reasonable amount of equipment. A tour of the building was conducted during the inspection. There was a plan of maintenance and a development plan. Several areas of the home had been upgraded and this included new carpets and double-glazing to the rear of the property. Baths were assisted and corridors had grab rails. There was a passenger lift. Lighting was sufficient to meet the needs of residents. The garden was accessible to the disabled and Abbeycroft Care and Nursing Home DS0000056843.V338683.R01.S.doc Version 5.2 Page 17 furniture was available for residents to use in good weather. Residents case tracked were very satisfied with their personal space. The homely atmosphere provided satisfactory living space for residents. There were infection control policies for staff to follow and deliver safe practice. The laundry contained equipment suitable to provide a good service to residents. The walls and floors could be cleaned and maintained. Hand washing facilities and paper towels were available where clinical waste was produced. There was a sluice to dispose of contaminated material. Infection control policies and procedures protected the health and welfare of residents. Abbeycroft Care and Nursing Home DS0000056843.V338683.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): OP27, OP28, OP29 and OP30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There were sufficient numbers of qualified and experienced staff to meet the needs of residents. The recruitment procedures protected residents from possible abuse. EVIDENCE: The staffing rota showed there were sufficient numbers of staff on duty on the day of the inspection. Resident’s case tracked said staff were very good. One family survey form indicated there was a good staff core but it appeared as if there was occasionally a staff shortage. More than 50 of staff had completed NVQ2 or 3 training. Staff received recognised induction training. Two staff files demonstrated training was ongoing. Both staff members involved in the inspection process confirmed sufficient training was offered and they were encouraged to improve. Two staff files examined during the inspection demonstrated the recruitment procedures were robust and ensured staff were fit to be employed at the care service. Abbeycroft Care and Nursing Home DS0000056843.V338683.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): OP31, OP33, OP35 and OP38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The views of residents, staff and stakeholders had been obtained to assist the manager to react to the changing needs of residents. There was a safe system to protect residents from possible financial abuse. Health and safety policies, procedures, staff training and the regular maintenance of equipment helped protect the health and welfare of residents and staff. EVIDENCE: The manager was a qualified nurse with many years experience catering for the resident group accommodated at the home. The manager was completing NVQ4 training. The manager needed to be registered with the CSCI. Residents case tracked were complimentary about the new manager and thought she was committed to the role. A survey returned from a family member thought the home was improving since the manager had been employed. The manager Abbeycroft Care and Nursing Home DS0000056843.V338683.R01.S.doc Version 5.2 Page 20 needed to complete training and register with the CSCI to meet current regulations. The systems used handle any residents finances were safe and protected residents from possible financial abuse. The manager held recorded meetings with residents, staff and occasionally family members to help improve the service. There was a business plan. Quality assurance questionnaires had been completed by some of the people involved at the home and demonstrated the service responded to the changing needs of those connected with the home. There was a health and safety policy. Staff spoken to said they had undertaken health and safety related training although the number who had undertaken first aid training could be improved. Electrical and gas appliances and installation had been maintained to a good level. Fire alarms and other safety related equipment had been maintained. Health and safety policies, procedures and staff training helped protect the health and welfare of residents. Abbeycroft Care and Nursing Home DS0000056843.V338683.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 2 Abbeycroft Care and Nursing Home DS0000056843.V338683.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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. 3. 4. 5. Refer to Standard OP7 OP8 OP31 OP31 OP38 Good Practice Recommendations The manager should ensure all aspects of the plan of care are reviewed every month. The manager should ensure any nutritional assessment is carried out using a proven tool. The manager should complete relevant training as soon as possible. The registered person should ensure there is a suitably qualified and experienced manager who is registered with the CSCI as soon as can be arranged. The manager should ensure more staff have access to a first aid course. Abbeycroft Care and Nursing Home DS0000056843.V338683.R01.S.doc Version 5.2 Page 23 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 Abbeycroft Care and Nursing Home DS0000056843.V338683.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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