Inspection on 18/09/07 for Aldergrove Manor Nursing Home

This inspection was carried out on 18th September 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Aldergrove Manor Nursing Home 07/04/10

Aldergrove Manor Nursing Home 14/01/10

Aldergrove Manor Nursing Home 18/08/09

Aldergrove Manor Nursing Home 25/07/06

Aldergrove Manor Nursing Home 14/03/06

Aldergrove Manor Nursing Home 24/08/05

Aldergrove Manor Nursing Home 18/01/05

Aldergrove Manor Nursing Home 18/08/04

Aldergrove Manor Nursing Home 15/03/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Aldergrove Manor Nursing Home 280a Penn Road Penn Wolverhampton West Midlands WV4 4AD Lead Inspector Rosalind Dennis Key Unannounced Inspection 18th September 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 Aldergrove Manor Nursing Home DS0000017175.V346233.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. Aldergrove Manor Nursing Home DS0000017175.V346233.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Aldergrove Manor Nursing Home Address 280a Penn Road Penn Wolverhampton West Midlands WV4 4AD 01902 621840 01902 621841 aldergrovemanor@schealthcare.co.uk www.schealthcare.co.uk Southern Cross Healthcare Services Ltd 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) Mrs Debbie Rowley Care Home 70 Category(ies) of Dementia - over 65 years of age (19), Old age, registration, with number not falling within any other category (27), of places Physical disability (17), Terminally ill (7) Aldergrove Manor Nursing Home DS0000017175.V346233.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The home may accommodate up to 34 elderly persons requiring nursing care of which upto 7 persons may require palliative care. The home may accommodate one named service user under the age of 65 years, who is in need of 24 hours nursing care. Ground Floor Nursing / Palliative Care Unit (34 beds) Unit Manager with 10 supernumerary hours per week Service Users 08:00 21 - 25 26 - 30 31 - 34 08:00-14:00 1 RGN 4 CA 2 RGN 4 CA 2 RGN 5 CA 14:00-20:00 1 RGN 3 CA 1 RGN 4 CA 2 RGN 4 CA 20:001 RGN 1 CA 1 RGN 2 CA 1 RGN 3 CA First Floor Residential EMI Unit (19 beds) Residential Supervisor with 6 hours supernumerary per week Service Users 1-9 10 - 12 13 - 15 16 - 19 08:00 - 14:00 1 Senior CA 1 CA 1 Senior CA 1 CA 1 Senior CA 2 CA 1 Senior CA 3 CA 14:00 - 20:00 1 Senior CA 1 CA 1 Senior CA 1 CA 1 Senior CA 2 CA 1 Senior CA 3 CA 20:00 - 08:00 1 Senior CA 1 Senior CA 1 CA 1 Senior CA 2 CA 1 Senior CA 1 CA Aldergrove Manor Nursing Home DS0000017175.V346233.R01.S.doc Version 5.2 Page 5 Date of last inspection 25th July 2006 Brief Description of the Service: Aldergrove Manor is owned and managed by Southern Cross Healthcare Ltd. The manager is Mrs Debbie Rowley. It is a purpose built, two storey building, standing in its own grounds and is situated on the outskirts of the city of Wolverhampton. The home is set back off the main road on one of the main routes into Wolverhampton. It is on a main bus route, close to the city railway system and within easy access to local shops and community facilities. All 71 bedrooms are single with en-suite, some of which have interconnecting doors for couples. The home consists of a 19 bedded unit for older people with dementia, a 17 bedded unit for younger adults who have physical disabilities and a 34 bedded nursing unit. The range of fees charged by the home varies according to the needs of the individual and whether nursing care is provided. At this inspection it was confirmed that weekly fees are £450 (personal care only) and £398-£550 (nursing care). Aldergrove Manor Nursing Home DS0000017175.V346233.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and was conducted by one inspector over a period of around 7 hours. The inspection involved speaking with people living at the home, visitors, observing interactions between staff and people living at the home, and looking at records. All ‘key’ standards were assessed during the day- that is those areas of service delivery that are considered essential to the running of a care home. Some weeks prior to this inspection the manager had responded to a request by CSCI to complete an annual quality assessment document (AQAA)information within this document demonstrates that the manager, Debbie Rowley is focussed on achieving good outcomes for people living at the home but also recognises where the home could improve and the steps needed to achieve those improvements to benefit people living at the home. The information contained within the AQAA also formed part of the inspection process. What the service does well: Admissions to the home are well managed and an effective assessment procedure takes into account people’s needs including those regarding equality and diversity-care is then planned to take account of these needs, individual likes/dislikes and preferences. The process used to plan care and assess risk is effective and provides staff with the information they require to meet people’s needs. Training opportunities within the home are good and ensure staff are equipped with the skills and knowledge suitable for their role. Sufficient staff working within the home have a recognised palliative care qualification, enabling end of life care to be provided. The home has a stable staff group of varying ages, some staff are able to speak more than one language, and gender specific care can be provided because the home has male and female staff members. Aldergrove Manor promotes the health, safety and welfare of people living, working and visiting the home and the environment is clean and wellmaintained. The manager is focused on positive outcomes for people living at the home and leads and supports a staff team who share the same values. Aldergrove Manor Nursing Home DS0000017175.V346233.R01.S.doc Version 5.2 Page 7 The home continually monitors and reviews processes to ensure that people receive a good range of quality services. One person living at the home has taken on the role of collecting ‘satisfaction surveys’, supported by the home’s staff-this is a positive development in involving people with the running of the home. 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. Aldergrove Manor Nursing Home DS0000017175.V346233.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 Aldergrove Manor Nursing Home DS0000017175.V346233.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1and 3. Standard 6 is not applicable to this home. Quality in this outcome area is good. The home has a good assessment and admission procedure, which ensures that the home is able to meet people’s needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A good range of information is available about the home and services provided-the statement of purpose has recently been reviewed and provides clear information on the aims and objectives of the service and the service user guide is informative and easy to read. Both documents are available in the reception area of the home, with additional copies of the service user guide in people’s bedrooms. The manager provided confirmation that the guide is available in different languages and audio format. Aldergrove Manor Nursing Home DS0000017175.V346233.R01.S.doc Version 5.2 Page 10 The admission process involves senior staff visiting people prior to admission for the purpose of conducting assessments, which helps to ensure that the home is able to meet people’s needs. Assessments of individual care needs were present on all care files seen, these also incorporated assessments in respect of cultural, spiritual needs and preferences-observation of care plans shows that this information is then used to plan the person’s care. Two people who had recently been admitted to the home confirmed their satisfaction with the admission process. Aldergrove Manor Nursing Home DS0000017175.V346233.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): 7, 8, 9,10 and 11. Quality in this outcome area is good. There is clear and consistent care planning in place, which provides staff with the information they require to meet people’s needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During the inspection discussions took place on each of the three units with people who live at the home-all people confirmed that staff look after them well and provide care, which meets their needs. One person on the younger persons’ unit spoke at length about his daily life at the home and commented ‘staff respect me for who I am’ another five people on this unit provided positive comments about the home, services provided and the staff group. Time was spent observing staff interactions with people living on the ‘dementia care’ unit and this showed that staff are skilled in their approaches with people, showing patience, empathy and appropriate use of humour-all people Aldergrove Manor Nursing Home DS0000017175.V346233.R01.S.doc Version 5.2 Page 12 seen during the inspection appeared well-looked after and showed signs of well-being. Two people who were visiting the home provided very positive comments regarding the care their relative receives and spoke of how staff are quick in communicating any changes with their relatives condition. Observation of a selection of care files for people living in different parts of the home shows that the home assesses and plans care effectively. Care plans were seen to be clear, up to date and reviewed regularly, providing information to staff on how to meet each persons needs including mental health, personal care, mobility, safety, and social care needs. A range of risk assessments provides additional information on any recognised or potential risks to the individual. It was discussed with the manager that recently introduced documentation within care records designed to link in with the Mental Capacity Act, needs reviewing to ensure it is appropriate. Sufficient staff working within the home have a recognised palliative care qualification to provide end of life care and additional specialist support and guidance is provided by community hospice staff as required. All people spoken with confirmed that their privacy is maintained. Since the last key inspection the home has improved the way medication is stored and observation of a selection of individual medication administration records (MAR) demonstrates good recording, with all medication signed and accounted for. Aldergrove Manor Nursing Home DS0000017175.V346233.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): 11, 12, 13, 14 and 15 Quality in this outcome area is good. Aldergrove Manor provides a range of activities for people to take part in if they choose. The meals at the home are good, offering variety and catering for different nutritional needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Aldergrove Manor has 3 part time “activity co-ordinators” and observation of people’s care records show that a range of activities are provided which take into account individual capabilities and preferences. The environment on the dementia care unit shows that the home is aware of good practice guidance in dementia care, objects seen throughout the unit are placed to promote and encourage responses from people living here. Staff were seen initiating different activities, which resulted in positive reactions from people. People on the younger person unit spoke of how staff enable them to access the community, such as the local pub and shops. People felt that the home Aldergrove Manor Nursing Home DS0000017175.V346233.R01.S.doc Version 5.2 Page 14 has improved the way it consults with them and observation of minutes for ‘residents meetings’ confirms that people’s views on living in the home are sought and taken into account. Records show that people who find it difficult to leave their room, because of frailty or their general condition have regular contact with staff and ‘activities’ may consist of one-one discussions or hand care. Information on different advocacy services is available within the reception area. Observation of menus shows that the home continues to provide a variety of meals with opportunity for people to request alternatives to the menu if they choose. People’s views on meals forms part of the home’s own process of monitoring quality with regular questionnaires sent to people living at the home-observation of a selection of these questionnaires shows that most people are satisfied and the home takes action when negative responses are received. Most people spoken with during the inspection were very complimentary about the meals served. Care records show that suitable assessments and monitoring processes are in place to ensure that people at risk from poor nutrition receive adequate interventions. Aldergrove Manor Nursing Home DS0000017175.V346233.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. The home ensures that people have access to a clear complaints procedure, which enables concerns or complaints to be dealt with promptly and professionally. Staff are provided with training to equip them with the knowledge and skills to safeguard adults from the risk of abuse or neglect This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home’s complaints procedure is readily available within the service user guide and at reception. The manager provided confirmation that the home has received one complaint in the past twelve months and that any complaints are dealt with immediately. The actual process of how the home deals with complaints was looked at during a random inspection to the home in February 2007, which showed that a robust and organised process exists. People living at the home spoke of how they would feel comfortable to inform staff or management if there was something that they didn’t like or to discuss an issue that concerned them. Two visitors confirmed awareness of the complaints procedure and spoke of how they were more than satisfied with all aspects of the home –one visitor described the home as ‘excellent’ and stated ‘I couldn’t find a better place for my relative’. Aldergrove Manor Nursing Home DS0000017175.V346233.R01.S.doc Version 5.2 Page 16 The manager and deputy manager have demonstrated that they have a good knowledge of adult protection processes and procedures and evidence was available to show that staff have attended adult protection training. Aldergrove Manor Nursing Home DS0000017175.V346233.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. The standard of the environment is good providing people with an attractive, clean and homely place to live. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home continues to be maintained to a good standard providing safe, clean accommodation. Information was available to show how the home continually monitors the environment and equipment to ensure that it is well maintained. The home has recently looked at improving access to the home for people who use wheelchairs and a review of the large gardens provides an enhanced use of outside space. People on the younger persons unit spoke proudly of their involvement and development of one section of the garden and the introduction of a ‘sensory garden’ is a positive development. Aldergrove Manor Nursing Home DS0000017175.V346233.R01.S.doc Version 5.2 Page 18 Observation of a selection of bedrooms shows that the home encourages people to personalise their bedrooms and people spoke of their satisfaction with their rooms. All bedrooms have en-suite facilities and sufficient bathrooms are available-a bathroom previously identified as needing repair has been refurbished. The home provides confirmation that it has an infection control policy, procedure and puts systems in practice, for example staff were seen using protective clothing for different tasks and all parts of the home were very clean. Aldergrove Manor Nursing Home DS0000017175.V346233.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. Training opportunities within the home are good which ensures that staff are appropriately skilled and competent to carry out the duties for which they are employed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is divided into three main areas, which enables individuals with a range of conditions to reside at the home and be cared for by specific staff groups-discussions with people living at the home, visitors and the staff group provide confirmation that sufficient staff are available to meet people’s needs. Training records demonstrate that the home continues to provide a good cross section of training to provide staff with the knowledge and skills to meet people’s needs and new employees receive comprehensive induction training-it was discussed with the manager that it would be useful if all staff received training on recently introduced mental health legislation. Information provided by the manager demonstrates that the home has a stable staff group of varying ages, some staff are able to speak more than one language, and gender specific care can be provided because the home has male and female staff members. Staff files that were observed contained all the required pre-employment checks confirming that the home operates a Aldergrove Manor Nursing Home DS0000017175.V346233.R01.S.doc Version 5.2 Page 20 robust recruitment procedure, and evidence was available to show that staff have regular appraisals and access to formal supervision. Staff are supported to obtain qualifications for their role, and at least 50 of care staff have achieved or in the process of achieving NVQ Level 2 in care. Aldergrove Manor Nursing Home DS0000017175.V346233.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 39. Quality in this outcome area is excellent. The manager is focused on positive outcomes for people living at the home, leading and supporting a skilled staff team. The home is continually monitoring and reviewing processes to ensure that people receive a good range of quality services. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager, Debbie Rowley, has considerable experience of managing care services and has the supportive qualifications and skills to manage the home. The deputy manager demonstrates a good awareness of the day to day running of the home and provides continuity if the manager is not available. Aldergrove Manor Nursing Home DS0000017175.V346233.R01.S.doc Version 5.2 Page 22 The manager and deputy manager provide good leadership to the nursing and care team. For the purpose of this inspection the manager had responded to a request by CSCI to complete an annual quality assessment document (AQAA)- information within this document demonstrates that the manager is continually monitoring the service provided and is focussed on achieving good outcomes for people living at the home. Information was available to show that the home continues to operate a comprehensive process of auditing quality and practice, which includes catering, health and safety, recruitment and medication. To obtain feedback about the services provided questionnaires are sent out randomly on a monthly basis to people living at the home, relatives and staff. Although the home collates responses and will make these available to people on request, it was discussed that the process would be enhanced by publishing the overall results of survey’s so that people are regularly kept informed of action taken by the home in response to any feedback. One person living at the home has taken on the role of collecting these questionnaires, supported by the home’s staff-this is a positive development in involving people with the running of the home. Staff confirmed access to supervision, which enables regular reflection on care practice to take place and observation of documentation shows that the home has a well-organised system to ensure that supervision, appraisal and training sessions are up to date. Observation of a selection of individual financial records demonstrates that the home has robust systems in place to safeguard people’s financial interests and regular audits are undertaken of financial records to confirm accuracy. The manager provided detailed information within the AQAA submitted to CSCI that servicing and maintenance of equipment is consistently undertaken and policies and procedures are regularly reviewed. The home has fitted a suitable self closing device to a fire door by the reception area, which had previously been seen propped open during a random inspection to the home in February 2007. The fire safety book shows that all fire safety checks are consistently undertaken and notices area available throughout the home provide information for staff and visitors on what to do in the event of a fire. Aldergrove Manor Nursing Home DS0000017175.V346233.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 3 11 3 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 4 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 3 3 4 Aldergrove Manor Nursing Home DS0000017175.V346233.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP33 Good Practice Recommendations It is recommended that the home looks at ways to increase access to the results of ‘satisfaction’ survey’s-this is to keep people living at the home and/or their significant others informed of action taken by the home in response to any feedback. Aldergrove Manor Nursing Home DS0000017175.V346233.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor Chapter House South Abbey Lawn Abbey Foregate Shrewsbury, SY2 6BQ 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 Aldergrove Manor Nursing Home DS0000017175.V346233.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. 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