Inspection on 27/06/07 for Aldridge Court Nursing Home

This inspection was carried out on 27th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Aldridge Court Nursing Home 23/02/06

Aldridge Court Nursing Home 26/07/05

Aldridge Court Nursing Home 08/11/04

Aldridge Court Nursing Home 04/05/04

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 Aldridge Court Nursing Home Aldridge Court Little Aston Road Walsall West Midlands WS9 0NN Lead Inspector Joy Hoelzel Unannounced Inspection 27th June 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 Aldridge Court Nursing Home DS0000020786.V344479.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. Aldridge Court Nursing Home DS0000020786.V344479.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Aldridge Court Nursing Home Address Aldridge Court Little Aston Road Walsall West Midlands WS9 0NN 01922 455731 F/P01922 455731 judy.neadle@aldridgecourt.co.uk Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Jatinder Singh Wasu Mrs Judy Neadle Care Home 57 Category(ies) of Old age, not falling within any other category registration, with number (57) of places Aldridge Court Nursing Home DS0000020786.V344479.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users in the category OP may be 50 years and over. One service user (male) identified in the variation report dated 26 July 2005 may be accommodated at the home in the category DE(E). This category will be for the lifetime of the service user only and whilst the home is able to meet the service users needs without adversely affecting other residents who are accommodated at the home. At such time the registration category will revert back to frail elderly. Date of last inspection Brief Description of the Service: Aldridge Court is a privately owned two-storey Victorian house situated on the outskirts of Aldridge. Set in large grounds, among mature gardens and trees, the Home enjoys extensive views over open countryside with ample car parking. The Home has recently been extended and now provides a Home for up to 57 older people requiring nursing care. Refurbished to a very high standard the accommodation comprises mainly single rooms, with a small number of shared double rooms located in the original building, and five communal lounge/dining areas. Rooms on the first floor are accessed via a shaft lift and services including laundry, catering, housekeeping and maintenance are all provided in-house. Weekly fees for the service range from £725.00 - £850.00. Information of the home and the provision of the service are available in the statement of purpose and service user guide, both documents have recently been revised and are readily available. Commission for Social Care Inspection Reports for this service are available from the provider or can be obtained from www.csci.org.uk Aldridge Court Nursing Home DS0000020786.V344479.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over five hours on Tuesday 27th June 2007. It was conducted by two Commission for Social Care Inspection regulation inspectors. Twenty three of the forty two National Minimum Standards for Care Homes for Older People were inspected as they are viewed as key standards for services. Forty four people are currently living at the home and during the inspection were observed to be accessing all areas of the home. The registered manager was on the premises supported by three registered nurses, six care staff, and ancillary personnel. Four case files were selected for case tracking, relevant documents were inspected, discussions were held with people living at the home, visitors, members of staff and the manager. Observation was made of the various daily activities and a tour of the premises was conducted. An Annual Quality Assurance Assessment (AQAA) had been completed by the manager, prior to this inspection, offering a full overview of the home. On site surveys were distributed during the inspection and completed by people living, working and visiting the home. The comments received are included in this report. Two regulation inspectors conducted a random inspection on the 15th February 2007 to look into concerns that had been raised directly with the Commission for Social Care Inspection. The areas of concern were the installation of the closed circuit television, communication difficulties with some members of staff and moving and handling issues. These areas were looked at again during this inspection and are included in the main body of this report. What the service does well: The home provides a comfortable environment in which to live. People commented that ‘staff look after us well’, and, ‘home is always fresh and clean’. The cleanliness of the home is maintained to a high standard. The staff demonstrated a good in-depth knowledge of the resident group and the conditions and dilemmas associated with the ageing process. Throughout the service there is a highly evolved understanding of the equalities and diversity needs of the individuals who use the service. Aldridge Court Nursing Home DS0000020786.V344479.R01.S.doc Version 5.2 Page 6 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. Aldridge Court Nursing Home DS0000020786.V344479.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 Aldridge Court Nursing Home DS0000020786.V344479.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 & 6 Quality in this outcome area is good. The home provides a Statement of Purpose that is specific to the individual home, and the resident group they care for. Admissions are not made to the home until a full needs assessment has been undertaken and only take place if the service is confident staff have the skills, ability and qualifications to meet the assessed needs of the prospective resident. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Information on the service is detailed in the recently reviewed statement of purpose and service user guide. The documents are available at the home and can be produced in alternative formats if required. The statement of purpose now includes information on the use of CCTV and states ‘ for the security of the nursing home and its residents CCTV cameras Aldridge Court Nursing Home DS0000020786.V344479.R01.S.doc Version 5.2 Page 9 are installed. They are not infringing on the privacy of the residents living areas’. This information was not available in the statement of purpose at the time of the random inspection in February 2007. Four case files were selected for inspection and included the file of the person most recently moving into the home. Information of a persons care needs are obtained prior to offering a placement at the home, with the person and/or relatives being offered introductory visits. The manager discussed the admission procedures and confirmed that a placement is offered only if the care needs of a person can be fully met. One person stated that they made the decision to move into the home permanently after a period of respite care and felt that this was the best decision they could have made. The home does not offer an intermediate care service. Aldridge Court Nursing Home DS0000020786.V344479.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10. Quality in this outcome area is excellent. The individual care plans record a persons personal and healthcare needs and clearly details how the needs will be fully met. Staff ensure that care and personal support is flexible, consistent, and is able to meet the changing needs of the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All people living at the home have a plan of care, which is developed, agreed and reviewed with the involvement of the individual whenever possible and/or their representative. It is acknowledged that some people living at the home do not wish to or are unable to contribute to the care planning processes. One person stated that they ‘let the staff do that sort of thing’ and went on to say that they were fully satisfied with all aspects of life at the home. Aldridge Court Nursing Home DS0000020786.V344479.R01.S.doc Version 5.2 Page 11 The four case files selected for inspection all contained a full plan of care based on the assessed need/ problem, the nursing instructions/the action to be taken and the evaluation/outcomes. An audit form has been introduced for use on a monthly basis to ensure that the care plans are all up to date and contain the relevant information. The plans were last audited in June 2007 by the senior staff. The care plans cover all areas of healthcare including mobility, pressure area care, maintaining a safe environment, continence, nutrition and specialist interventions. The documentation relating to pressure area care is comprehensive and details the advice and support from the tissue viability specialists, the type of dressings to be used, the frequency of the dressing change and any improvement/deterioration of the wound area. Photographs and body maps are used to record and monitor the progress of the treatments, with consent for the use of photography obtained from the individual. Another care plan identified a recent development with inability to sustain good nutrition because of a frail physical condition, the plan included details of the food supplements prescribed and the monitoring of daily fluid and dietary intake. The care plans of two people who have dementia (one with quite advanced dementia – and known to CSCI) were looked at. All evidence points to the specialised care needs of these people are being satisfactorily met Whilst it was not possible to engage them fully in conversation both were well dressed, clean, tidy and quite happy in their surroundings. In addition to these two people, the home has a number of longstanding residents whose cognitive abilities have declined during their time at the home – a situation reported in the home’s annual quality assurance self-assessment (AQAA). On review of a small sample of these residents by one Inspector it was evidenced that they appeared to have mild to moderate dementia and, at the present time, to be well within the caring capacity of the Home. Staff appear to have developed good relationships with service users, with lots of chatter and discussions occurring. Interventions for assisting with personal care were undertaken in private and in an appropriate manner. Inspection of medicine storage and administration records, demonstrated the home’s practices meet the guidelines of the Royal Pharmaceutical Society. Review of policies/procedures related to the management of medicines, records relating to the supply administration (MAR sheets), and disposal of medicines, storage of all medicines including Controlled Drugs showed the home to be in accordance with currently accepted good practice. Staff records showed evidence of staff training in respect of medicine management and administration. Aldridge Court Nursing Home DS0000020786.V344479.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 good. People who live at the home are involved in meaningful daytime activities of their own choice and according to their individual interests and capabilities. The meals are balanced and nutritional and cater for the dietary needs of the individuals using the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A social activity coordinator is employed Monday to Friday from 9am –3pm to organise and facilitate recreational and leisure activities. Most people during the morning were listening to music, watching TV, or reading the newspapers. One person stated that there was ‘not too much to do’ but went on to say ‘ at my age I do not want to do much at all except to read the newspaper, sleep and watch the world go by’. Many people were seen visiting the home and were made welcome by the staff. Aldridge Court Nursing Home DS0000020786.V344479.R01.S.doc Version 5.2 Page 13 Relatives meetings are arranged periodically, following the recent meeting a newsletter has been produced to inform of issues that may arise from time to time and any points of interest. During the tour of the premises many bedrooms contained personal possessions, one person sated that by having ‘bits and pieces’ around, the room became a ‘home from home’. The dining room was prepared in advance with linen cloths and napkins, condiments and flowers on the tables. The hostess serves the meals in the dining room from a heated trolley ensuring that each person has a choice of fare. People living, visiting and working at the home commented in the on site survey ‘food is varied and nutritious’, ‘good staff and food’, and ‘there have been recent improvements in the way the food is served’. One member of staff was observed to be assisting a lady discreetly with the meal and was very patient and understanding. Aldridge Court Nursing Home DS0000020786.V344479.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. Residents and others involved with the service say that they are happy with the service provision, feel safe and well supported by an organisation that has their protection and safety as a priority. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a comprehensive complaints policy, guidance on how to make a complaint, what to do if ‘you have a complaint or concern’ and a complaints notice. Records are kept of each complaint received together with the action taken and the outcome of the investigation. The statement of purpose contains a section on complaints and concerns. People spoken with said they didn’t have any complaints but would feel very comfortable to speak with the manager or staff at any time. One case file inspected contained details of a concern raised by a relative with the manager and included discussions with the relative and staff, the outcome and the actions taken to reduce the risk of the incident occurring again. The manager discussed the recent concerns raised and offered a good account of handling the concerns and the action that was taken. The Walsall Multi Agency Adult Protection Procedures together with the homes own procedures are available for reference if needed. Training in Adult Protection is ongoing for all staff. Aldridge Court Nursing Home DS0000020786.V344479.R01.S.doc Version 5.2 Page 15 Any cash that is held on behalf of service users for sundry expenses is held in a separate bank account, individual recording sheets are used to record each transaction with invoices produced at regular intervals. Receipts for expenditure are kept. Aldridge Court Nursing Home DS0000020786.V344479.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): 19,26 Quality in this outcome area is excellent. The living environment is appropriate for the particular lifestyle and needs of the residents and is homely, clean, safe, comfortable and well maintained. There is a selection of communal areas both inside and outside of the home, this means that people have a choice of place to sit quietly, meet with family and friends or be actively engaged with other people who use the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All private and communal rooms are furnished to a high standard, people living in the home state they are very comfortable and satisfied with the environment. One person spoke of the imminent plans for their room, which was previously double occupancy, to be furnished into a bed sitting room and stated that ‘it couldn’t be better’. Aldridge Court Nursing Home DS0000020786.V344479.R01.S.doc Version 5.2 Page 17 The gardens are well maintained, with the patio area provided with outside seating. Many people commented on the lovely views of the garden and surrounding countryside. There are five sitting and lounge areas around the home ensuring that people are able to choose where to sit during the day. The environmental health officer visited in September 2006, the findings were satisfactory, including comment that the organisation and management of the kitchen merited of the ‘Clean Food Premises Award’. All bedroom doors have been fitted with a self-closing device offering the choice of having the door open and equally ensuring their safety in the event of an emergency. Locks have been fitted to all doors with keys available upon request. Two people stated that they didn’t bother to lock their doors as they felt perfectly at ease with the security of the premises. The statement of purpose includes information on the use of CCTV and states ‘for the security of the nursing home and its residents CCTV cameras are installed. They are not infringing on the privacy of the residents living areas’. The manager confirmed that CCTV is used solely for the security of the premises. The laundry has been divided into clean and dirty areas. Staff demonstrated a good knowledge of infection control procedures. Hand wash facilities have been provided in all communal areas and at the point of the delivery of care. All areas of the clean were spotlessly clean; the staff responsible for the household cleaning must be commended on maintaining such high standards. Aldridge Court Nursing Home DS0000020786.V344479.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. There appear to be enough staff available to meet the needs of the people using the service, with the staffing structure based around delivering outcomes for the people using the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A review of duty rosters, and discussion with staff confirmed that staffing numbers and skill mix enable a service provision, which meets the care needs of the people living at the home. Staff were observed to carry out their duties in an enthusiastic and professional manner. All service users looked well groomed and it was obvious that the staff assisted people with maintaining high standards of personal care. The on site surveys completed by relatives specified ‘Staffing levels stabilised, improved communication between staff and relatives’. Staff are subject to a thorough, and relevant, orientation/induction programme with evidence of on-going training including a very high proportion having attained relevant National Vocational Qualifications. Staff spoken with discussed the training opportunities arranged for them and confirmed of recent training in moving and handling and fire safety with dementia care planned for later on in the year. Aldridge Court Nursing Home DS0000020786.V344479.R01.S.doc Version 5.2 Page 19 Overseas staff have been assisted with training, to improve their English communication skills, with the manager stating improvements have been made in this area. Records examined showed they contained all the necessary information, which demonstrates potential staff are well screened before they are deemed suitable to start work at the home. The home has been criticised in previous inspection reports in that documents supporting applications by overseas candidates for employment e.g. references, identification documents have not been in English. Review of documents relating specifically to these staff members showed that relevant full written translation (by a validated translation service) has now been obtained, and the content to be in accordance with the expectations of the Standard. Management systems and staff records relating to provision of training were found to be well organised and clearly presented. They showed evidence that staff had completed appropriate courses relevant to their level of training need e.g. induction, foundation, development (including NVQ). Aldridge Court Nursing Home DS0000020786.V344479.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 excellent. The registered manager has the required qualification and experience, is highly competent to run the home and meets its stated aims and objectives. She works to continuously improve services and provide an increased quality of life for residents with a strong focus on equality and diversity issues. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Judy Neadle has been the registered manager for 3 years but has been at the home for a considerable period of time. Mrs Neadle demonstrated a sound knowledge and understanding of the client group and the difficulties and dilemmas associated with ageing. Aldridge Court Nursing Home DS0000020786.V344479.R01.S.doc Version 5.2 Page 21 Her management style is one of openness and inclusion, supporting and involving people with all aspects of life at the home. She is well supported by the owner of the home. People living and working at the home offered positive comments of the style of leadership and stated that the manager was ‘ very supportive, and approachable, and would have no hesitation but to ask to see her if there were any concerns’. Staff, resident and relative meetings occur on a regular basis with minutes kept of the content of the meetings. Quality assurance and monitoring of the home continues with quality reviews and self-development audits including the homes profile, business objectives and the managers and personal objectives. Medication and care plan audits have been introduced. Service users comment cards were distributed in February 2007, together with a quality audit undertaken in April 2007, the findings have been audited and the improvements/changes actioned. Any cash that is held on behalf of service users for sundry expenses is held in a separate bank account, individual recording sheets are used to record each transaction with invoices produced at regular intervals. Receipts for expenditure are kept. Weekly, monthly and annual testing of the equipment and premises are conducted with records kept. The fire risk assessment was last reviewed in April 2007. Aldridge Court Nursing Home DS0000020786.V344479.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 4 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 Aldridge Court Nursing Home DS0000020786.V344479.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. Refer to Standard Good Practice Recommendations Aldridge Court Nursing Home DS0000020786.V344479.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Birmingham Local Office 1st Floor, Ladywood House 45-56 Stephenson Street Birmingham B2 4UZ 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 Aldridge Court Nursing Home DS0000020786.V344479.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. 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