CARE HOMES FOR OLDER PEOPLE
Ashwood Lodge Nursing Home Bedale Avenue Billingham Stockton-on-Tees TS23 1AJ Lead Inspector
Sue Lowther Key Unannounced Inspection 09:00 27 June & 31st July 2008
th 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 DS0000066294.V370217.R02.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. DS0000066294.V370217.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Ashwood Lodge Nursing Home Address Bedale Avenue Billingham Stockton-on-Tees TS23 1AJ 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) 01642 361122 01642 363710 ashwoodlodge@hotmail.co.uk Nationwide Healthcare Ltd Christine Rosemary Scoby Care Home 27 Category(ies) of Dementia (5), Old age, not falling within any registration, with number other category (27) of places DS0000066294.V370217.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The registered person may provide the following category of service only: Care Home, with nursing - Code N Whose primary need on admission to the home are within the following categories: Old Age, not falling within any other category - Code OP, maximum number 22 2. Dementia, Code DE, maximum number 5 The maximum number of service users who can be accommodated is 27 29th June 2007 Date of last inspection Brief Description of the Service: Ashwood Lodge is a care home registered to provide both personal and nursing care for 27 older people. The home is situated in a residential area of Billingham. All rooms used and occupied by the residents are on the ground floor. The home provides both single and shared bedroom accommodation. Two of the bedrooms have en suite toilet facilities. Both lounge and dining areas are provided for those residents who wish to socialise. The home has a lawned garden, and has external areas accessible to residents. The home provides car-parking facilities for visitors. The fees at this home are between £370 and £477 per week. This does not include the cost of newspapers, hairdressing and chiropody. DS0000066294.V370217.R02.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes.
This unannounced inspection of Ashwood Lodge commenced on the 27th June 2008 and ended on 31st July 2008 when feedback was given to the providers. During the two visits to the home records were examined and a tour of the building took place. Time was spent talking to people living at the home, staff and visitors. The manager supplied some information for the second day of the inspection on a form called an AQAA. This is an annual quality assurance assessment for home’s to provide information about their service. The inspection focussed on key standard outcomes for people living at the home. We also checked whether requirements from the previous report had been met. Following the first day of the inspection the provider recruited a general manager to oversee the home. He has provided the CSCI with a written plan as to how he intends to address some of the issues raised following the first visit. Reference is made to this throughout the report. What the service does well: What has improved since the last inspection?
Whilst Care Plans now include risk assessments and some details of how needs will be met, they must be developed further to make sure that all needs are met. Most of the people said that activities are now suitable. The last inspection identified that this home was not meeting the standard with regard to this. The
DS0000066294.V370217.R02.S.doc Version 5.2 Page 6 manager said that a designated member of staff is allocated this task each day. She said that the member of staff speaks to people on a daily basis about what they would like to do. The manager also intends to speak to people about this both informally and at meetings. The cleaning rotas are now kept up to date; so that the manager can monitor all cleaning tasks have been completed. The last inspection report made a recommendation about bedroom door locks. The manager said that people have been consulted and those people who requested a lock have been provided with one. Since the last inspection the home has recruited a new manager who has been registered with the CSCI. She is a qualified nurse and has applied to commence an appropriate management course in September 2008. Residents meetings are now held and minutes kept. This gives people an opportunity to have a say in how they want the home to be run. The manager has introduced a series of quality audits to identify problems and put systems in place to improve the home. The manager has introduced a system for staff supervision and has confirmed that these will be carried out at least six times a year. Risk assessments have been carried out with regard to the Control of Substances Hazardous to Health. This helps to make sure people are safe. What they could do better:
Where an assessment identifies a potential risk then a care plan must be available to show how that risk will be monitored. For example where a nutritional assessment identifies a risk, then a plan must be available to tell staff what they must do to look after that person. Food provision must be kept under constant review to make sure that it is nutritious and balanced. The complaints procedure should be amended to include contact details of the local social services helpline and the Primary Care Trust so that people are aware of the other agencies they can contact. One person who had complained to the home felt that nothing had been done about her concerns. The registered person must give a clear explanation to people about what is being done when they make a complaint. An audit of bathrooms and bedroom furniture must take place. Items that are shabby or broken must be repaired or replaced to make sure that people are safe.
DS0000066294.V370217.R02.S.doc Version 5.2 Page 7 One staff member was concerned about staffing levels during the night when only two staff members are on duty, in case one took ill. A written protocol should be available so that staff know what to do if this occurs. The general manager confirmed that this has been put in place since the inspection. Some of the people who live in the home felt that staff couldn’t always respond as quickly as they would like. Staffing levels must be kept under constant review to make sure they meet the assessed dependency levels of the people who live in the home. There are some systems in place to manage the personal allowances for people who request this. However this system requires regular audit by two people to make sure it is robust and that individual balances are correct. At the time of the inspection fire training has not taken place at the required intervals. The manager told the inspector that this training was scheduled. The general manager has confirmed that this has been carried put since the inspection. This must be carried out at regular intervals to make sure that people are safe. There was no evidence to confirm that the servicing of fire alarms and smoke detectors had been carried out. The provider agreed to arrange this as a matter of urgency. The general manager has confirmed that this has been carried out since the inspection. Written confirmation is required to confirm that the issues raised following a recent inspection by the environmental health department have been actioned. It is also recommended that weekly tests of bath water temperatures are carried out as recommended by the Health and Safety Executive. This is also to make sure that people are safe. 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. DS0000066294.V370217.R02.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 DS0000066294.V370217.R02.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): 3. People who use the service experience good quality outcomes in this area. Assessment procedures are in place to ensure that the home can meet the needs of the people who live there. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: People are only admitted after a full assessment of need is carried out by an appropriately trained person. This is usually the manager. This is to make sure that the home can meet the care needs of the people who go to live there. The family of one person who had recently gone to live in the home confirmed that they had looked around the home and had been supplied with all of the information they needed to make a decision about whether or not their relative would like to live there. Most of the people who responded to the survey said that they had received enough information about the home before they went to live there. One person who lives in the home said, “I looked around before I
DS0000066294.V370217.R02.S.doc Version 5.2 Page 10 came to live here”. Another said, “I came to live here because I had heard about it from other people”. The home does not admit people for intermediate care therefore assessment of standard 6 is not required. DS0000066294.V370217.R02.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. People who use the service experience adequate quality outcomes in this area. People’s health care needs are generally well managed by the home. However care plans require further development to make sure all of the needs of people are met. Systems to administer medication are safe and people living at the home say that they are treated well. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: The manager said that all of the people who live in the home have care plans so that staff know how to look after people on an individual basis. Three were examined during the inspection. Whilst Care Plans now include risk assessments and some details of how needs will be met, they must be developed further to make sure that where an assessment identifies a potential risk then a care plan is available to show how that risk will be monitored. For example where a nutritional assessment identifies a risk, then a plan must be available to tell staff what they must do to look after that person.
DS0000066294.V370217.R02.S.doc Version 5.2 Page 12 There was evidence to show that people are now involved with reviews and when there are any changes to the plan. Records examined showed that people receive visits from other healthcare professionals. These include district nurses, doctors, and care managers. One professional said, “The staff are able to give good explanation of the needs of people and any concerns they have. They consider the needs of individuals and their families ”. Medication is administered by qualified nurses . The home has a comprehensive medication policy. Accurate records of all medicines received, administered and those leaving the home are maintained. People spoken to said that staff always treat them with dignity and respect. One relative said, “ Staff are very kind to my relative and attentive to her needs”. Another said, “My relative is quite content and happy”. DS0000066294.V370217.R02.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): 12, 13, 14 & 15. People who use the service experience adequate quality outcomes in this area. The activities are varied and provide recreation for some of the people who live in the home. Family and friends can visit at any time and are made to feel welcome. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Most of the people said that activities are now suitable. The last inspection identified that this home was not meeting the standard with regard to this. The manager said that a designated member of staff is allocated this task each day. She said that the member of staff speaks to people on a daily basis about what they would like to do. The manager also intends to speak to people about this both informally and at meetings. Relatives said that they could visit at any time and that they are always made welcome. One said, “Staff here are really good. They are polite, friendly and always keep me advised about any changes I need to know about”.
DS0000066294.V370217.R02.S.doc Version 5.2 Page 14 People said that they have a choice about how they like to spend their day. They can also choose what time to get up and go to bed and when they would like to have a shower or bath. However they said that they might have to wait a while if staff are busy. Comments about the food were mixed. Some people said that there was always enough and that there is a choice. Others were unhappy with the portion sizes. This was discussed with the provider at the time. The daily menu is now displayed in the dining room as recommended in the last report. The cook speaks to people about their likes and dislikes and keeps written records. The lunchtime meal was observed. Staff who were helping people were doing this in a discreet and dignified manner. One of the people who lives in the home said, “The food is not very good, although you get a choice, there is not always enough meat”. Another said, “Some days the food is better than others but on the whole it is ok. I like the sponges and pies. There are always two choices available”. The general manger has confirmed that he has discussed food provision with both the provider and the cook. He has confirmed that there are adequate supplies of both nourishing and varying foodstuffs available. The home plan to introduce new nutritional training and documentation for all staff. DS0000066294.V370217.R02.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 & 18. People who use the service experience adequate quality outcomes in this area. Although people said they know how to complain, the complaints policy requires review and update. Safeguards are in place to protect people from abuse. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Information about complaints, how and who to make them to, is made available to the people who live in the home and their families through information displayed in the entrance to the home and in the ‘Service Users Guide’. This should be amended to include contact details of the local social services helpline and the Primary Care Trust so that people are aware of the other agencies they can contact. The CSCI have received two complaints since the last inspection. Both have been referred back to the provider for investigation. The second complainant felt that nothing had been done about her concerns. The registered person must give a clear explanation to people about what is being done when they make a complaint. One person said, “If I had a problem I would get my family to tell the manager”. One relative said, “I always make the staff on duty aware of my concern at that time. So far it has not been necessary to make a formal complaint. Staff usually respond straight away”.
DS0000066294.V370217.R02.S.doc Version 5.2 Page 16 The home had a comprehensive adult protection procedure. This gives staff the support they need to make a referral should this be required. The staff spoken to during the inspection were asked about abuse and what they would do if they saw or heard anything inappropriate. All said that they would tell someone, for example the manager, or make a referral themselves if this was more appropriate. Training is provided for all staff in adult protection. One member of staff said, “I would always report to the manager any concerns voiced to me from any client or relative. The staff are always willing to listen to any concerns the clients or their families may have and we give them our support”. DS0000066294.V370217.R02.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 & 26. People who use the service experience adequate quality outcomes in this area. The home is clean and maintained to an adequate standard. It provides a homely environment for the people who live there. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: During a tour of the building the inspector saw that many of the rooms are decorated to the person’s own taste and there was evidence to confirm that people can take in some personal items when they go to live there. This includes pieces of furniture as well as photographs and ornaments. However some of the furniture was broken and shabby. The provider told the inspector that she has plans for a major refurbishment of the whole home. Until this takes place, an audit of all bedrooms should be carried out and where needed furniture should be repaired or replaced. The last inspection report made a
DS0000066294.V370217.R02.S.doc Version 5.2 Page 18 recommendation about bedroom door locks. The manager said that people have been consulted and those people who requested a lock have been provided with one. There was a range of equipment seen around the home to support people with bathing and mobility. However the bath panel in one bathroom was broken and requires repair or replacement. The inspector found the building to be in the main clean, tidy and free from offensive odours. The cleaning rotas are now kept up to date; so that the manager can monitor all cleaning tasks have been completed. DS0000066294.V370217.R02.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 & 30. People who use the service experience good quality outcomes in this area. The home has a settled and well-led staff team, in sufficient numbers to meet the needs of the people who currently live in the home. Training is provided for all staff. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: From the rota supplied at the inspection there was sufficient care staff on duty to meet the assessed care needs of the people who were using the service. People said that staff were usually around and answered the call bells quickly. One person said, “The staff come quickly when I need them, they are no bother”. However another said, “I sometimes have to wait a long time for attention, mainly in the morning”. One staff member was concerned about staffing levels during the night when only two staff members are on duty, in case one took ill. A written protocol should be available so that staff know what to do if this occurs. The general manager confirmed that this has been put in place since the inspection. Other staff members felt that they cannot always respond to requests for attention as quickly as they would like to because they are busy. Staffing levels must be kept under constant review to make sure they meet the assessed dependency levels of the people who live in the home. DS0000066294.V370217.R02.S.doc Version 5.2 Page 20 The home had staff files in place, which provided evidence that the appointment of a new staff member is made through proper recruitment processes. This includes the vetting of staff through the use of references, POVA first checks and Criminal Record Bureau (CRB) checks. There is a commitment at the home to having a trained workforce with most of the staff having an NVQ at level 2 or above. Training is provided for staff. As well as some mandatory training, recent training has also taken place in adult protection and health and safety. However fire training has not taken place recently. The manager told the inspector that this training was scheduled. The general manager has confirmed that this has been carried put since the inspection. Staff said that they are also supported with regard to personal training needs. Staff comments in this area were positive. Comments included “Always have had adequate training. New manager has organised several training sessions in mandatory requirements. Most staff have NVQ or are working towards them. We have recently have had First Aid and Moving and Handling”. Another said, “We are offered very good training. I feel the residents are well cared for”. DS0000066294.V370217.R02.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 & 38. People who use the service experience adequate quality outcomes in this area. The home’s registered manager provides clear leadership, support and guidance to those living and working at the home. However some health and safety issues potentially place people at risk. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Since the last inspection the home has recruited a new manager who has been registered with the CSCI. She is a qualified nurse and has applied to commence an appropriate management course in September 2008. DS0000066294.V370217.R02.S.doc Version 5.2 Page 22 There was an open and friendly culture between the management team and staff working at the home. There was evidence in staff files to show that supervision was taking place and that the staff were being appraised. Staff confirmed that supervision now takes place on a regular basis and that they are well supported. People living at the home and visitors who were spoken to during the inspection confirmed that the manager is approachable and that they would go to her if they had any concerns. One staff member said, “The present manger has only been with the company for a short time. However she is willing to listen to any concerns”. Residents meetings are now held and minutes kept. This gives people an opportunity to have a say in how they want the home to be run. The manager has introduced a series of quality audits to identify problems and put systems in place to improve the home. There are some systems in place to manage the personal allowances for people who request this. However this system requires regular audit by two people to make sure it is robust and that individual balances are correct. The manager has introduced a system for staff supervision and has confirmed that these will be carried out at least six times a year. The manager confirmed that all equipment in the home is regularly checked. The maintenance certificates that were seen at this inspection were found to be in order. Health and Safety checks are carried out regularly to safeguard people living and working at the home. However there was no evidence to confirm that the servicing of fire alarms and smoke detectors had been carried out. The provider agreed to arrange this as a matter of urgency. The general manager has confirmed that this has been carried out. Written confirmation is required to confirm that the issues raised following a recent inspection by the environmental health department have been actioned. It is also recommended that weekly tests of bath water temperatures are carried out as recommended by the Health and Safety Executive. This is to make sure that people are safe. DS0000066294.V370217.R02.S.doc Version 5.2 Page 23 DS0000066294.V370217.R02.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 2 3 X 2 DS0000066294.V370217.R02.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 12 Requirement Where an assessment identifies a potential risk, then a care plan must be available to tell staff what they must do to meet the needs of the person. Food provision must be kept under constant review to make sure that it is nutritious and balanced. The registered person must give a clear explanation to people about what is being done when they make a complaint. An audit of bathrooms and bedroom furniture must take place. Items that are shabby or broken must be repaired or replaced to make sure that people are safe. Staffing levels must be kept under constant review to make sure they meet the assessed dependency levels of the people who live in the home. The current system for the safe keeping of personal allowances
DS0000066294.V370217.R02.S.doc Timescale for action 30/09/08 2. OP15 12 30/09/08 3. OP16 22 30/09/08 4. OP19 16 31/10/08 5. OP27 18 30/09/08 6. OP35 20 30/09/08 Version 5.2 Page 26 requires regular audit by two people to make sure it is robust and that individual balances are correct. 7. OP38 16 Written confirmation is required to confirm that the issues raised following a recent inspection by the environmental health department have been actioned. 30/09/08 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 OP16 Good Practice Recommendations The complaints procedure should be amended to include contact details of the local social services helpline and the Primary Care Trust so that people are aware of the other agencies they can contact. It is also recommended that weekly tests of bath water temperatures are carried out as recommended by the Health and Safety Executive. 2. OP38 DS0000066294.V370217.R02.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 DS0000066294.V370217.R02.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
