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Inspection on 06/11/06 for Bearwood Nursing Home

Also see our care home review for Bearwood Nursing Home for more information

This inspection was carried out on 6th November 2006.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home is very well presented to prospective clients both in general appearance and through the sources of information about the home provided to prospective service users. Service users receive good standards of care and support delivered in an individual way and in the way the resident wishes by experienced staff in a safe well-maintained environment. The assessment of needs process is very thorough and fully involves the service user and/or responsible person and is responsive to individual wishes. Staff are respectful of the privacy needs of service users and maintain their dignity in their interactions with and during the delivery of care. Care planning is good with contingency plans and a consistent approach to recording evaluations. Meals are well received and the variety and provision of culturally responsive meals is good with Caribbean and Asian meals alongside traditional British. The home provides an extensive programme of training for its care staff and provides them with support and guidance through a well-organised system of supervision.

What has improved since the last inspection?

The home has provided safe supplies of hot water at staff hand wash points including the sluice rooms, kitchen and laundry room. Cold smoke seals have been fitted to fire doors where they were missing and others replaced where they had become covered by paint. The home has improved the practice of always fitting bedrails in pairs and continued monitoring to ensure safety guidelines are met consistently.

What the care home could do better:

It is acknowledged that the sources of information provided to current and prospective clients is of a good standard and it is evidenced that a review was undertaken within the last year but it is considered that inclusion of the date of each review would ensure that users would be able to confirm that they are using the most up to date version. It was a disappointment that some nursing staff continue to follow the hazardous practice of re-sheathing used hypodermic needles. New windows fitted on the first floor have two way opening, in one opening position there requires to be a restrictor fitted. The double rooms are fitted with privacy screens between the beds but do not afford assured privacy to anyone washing in the hand basin. A number of items of furniture were seen in a poor condition and require to be replaced in a timely way. While the home does provide an activities programme largely during the afternoons it was thought that the range shown in the programme was limited and not specifically dementia orientated for the first floor. The number of opportunities to provide outings has been very limited with just one group outing over the summer.

CARE HOMES FOR OLDER PEOPLE Bearwood Nursing Home 86 Bearwood Road Smethwick West Midlands B66 4HN Lead Inspector Mr Richard Eaves Key Unannounced Inspection 6th November 2006 09:00 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 Bearwood Nursing Home DS0000052879.V318367.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. Bearwood Nursing Home DS0000052879.V318367.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bearwood Nursing Home Address 86 Bearwood Road Smethwick West Midlands B66 4HN 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) 0121 558 8509 0121 555 5182 Bearwood Nursing Home Ltd Chiedza Edith Ndoro Care Home 74 Category(ies) of Dementia - over 65 years of age (42), Old age, registration, with number not falling within any other category (60) of places Bearwood Nursing Home DS0000052879.V318367.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One service user (male) identified in the variation report dated 21.1.2005 may be accommodated at the home in the category of LD. This will remain until such time that the service users placement is terminated. Two service users (male and female) identified in the variation report dated 21.1.05 accommodated at the home in the category of OP may be 60 years and over. This will remain until such time that the service users placements are terminated One service user (female) identified in the variation report dated 21.1.05 may be accommodated at the home in the category of MD(E). This will remain until such time that the service users placement is terminated. Service users to include up to 60 OP and up to 42 DE(E), not exceeding the total number registered for. Service users in the category DE(E) may be 60 years and over. One service user (male) aged 55 years and over, identified in the variation dated 17.11.05 may be accommodated at the home in the category of OP. This will remain until such time that the service users placement is terminated. 16th January 2006 2. 3. 4. 5. 6. Date of last inspection Brief Description of the Service: Bearwood Nursing Home is a large converted building, which has been registered since 1988. The home provides nursing care for up to 74 elderly residents and is privately owned by Mr and Mrs Sandu who purchased the home in January 2004. The two-storey building has a large car park to the front and patio/gardens to the rear. A porch entrance leads to a spacious reception area, which is staffed during daytime hours. Seating and a drinks machine are available in this area. Lounge and dining rooms are provided on both the ground and the first floor for communal use. Accommodation is provided in a combination of single and double rooms some having en-suite facilities. The home is close to local amenities and is on a local bus route. Bearwood Nursing Home DS0000052879.V318367.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection visit was undertaken by a single Inspector from the Commission for Social Care Inspection using the following information: the action plan submitted by the home to the unannounced inspection during January 2006, reports from the organisation relating to the conduct of the home, the pre-inspection questionnaire and records held at the home. The inspection involved a full tour of the home including, bedrooms, communal rooms, service areas and provided an opportunity to speak with many service users, visitors and staff. What the service does well: What has improved since the last inspection? The home has provided safe supplies of hot water at staff hand wash points including the sluice rooms, kitchen and laundry room. Cold smoke seals have been fitted to fire doors where they were missing and others replaced where they had become covered by paint. The home has improved the practice of always fitting bedrails in pairs and continued monitoring to ensure safety guidelines are met consistently. Bearwood Nursing Home DS0000052879.V318367.R01.S.doc Version 5.2 Page 6 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. Bearwood Nursing Home DS0000052879.V318367.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 Bearwood Nursing Home DS0000052879.V318367.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): Quality in this outcome area is good. Standards 1 – 5 were inspected. Service users, prospective clients and their supporters are provide with good sources of information about the home and are invited to spend time at the home prior to admission to enable them to make an informed decision about entering the home. The staff group are stable well established and collectively have the knowledge and skills to assess needs and meet the needs of the current service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The statement of purpose and service users guide are kept under review and provide current and prospective service users with a good sources of information from which to make informed decisions about the suitability of the home and the services they offer. A copy of the service user guide has been issued to each room. Each of these documents require to include a date for review. Bearwood Nursing Home DS0000052879.V318367.R01.S.doc Version 5.2 Page 9 Each case file includes a contract and a letter confirming that the agreed assessed needs can be met by the home, the letter also invites prospective service users to take the opportunity to visit and trial the services offered. The home does not offer an intermediate care service. The assessment process is based on an activities of daily living model with additional specific risks of manual handling, pressure sore risk and bed rail need, falls, nutrition risk and continence assessments, the file identifies names all persons involved in the assessment process. All assessments viewed show that they are kept under regular review. Bearwood Nursing Home DS0000052879.V318367.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): Quality in this outcome area is good. Standards 7 – 10 were looked at. Care plans are derived from a comprehensive range of assessments and provide the basis for the delivery of care and detail the actions required of staff to meet the identified needs. Medications are well managed all facilitating the promotion of service users health. Service users are treated with respect and their privacy upheld. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A sample of 3 case files were selected at random on each floor of the home to be inspected and case tracked. The care plans were seen to be drawn from the assessed needs process, were relevant and maintained to a good standard. The care plans reflect actual care requirements and the service users preferences of how it should be delivered. The review process clearly show individual progress, one individual having progressed to taking a soft diet having been PEG fed over an extended period and was putting weight on. The service user himself said it had greatly improved his life. Bearwood Nursing Home DS0000052879.V318367.R01.S.doc Version 5.2 Page 11 All service users are registered with a GP and other allied medical and chiropodist visit regularly. Medication administration is undertaken by nursing staff using the NOMAD monitored dosage system provided by a local Chemist who also undertake the quarterly monitoring visit and issues a report on standards at the home, these were seen to be satisfactory. Discussion with staff and observation of practice confirms that medication administration record (MAR) charts are completed at the time of administrating the medication. The MAR charts examined were completed accurately and are subject to weekly internal audit. Arrangements for all aspects of medication management are robust. There remains evidence that some staff continue to re-sheath used hypodermic needles. The case files include records of the individuals stated preferences for their daily routine such as rising, retiring and bathing. The staff record the life story for each resident that gives insight and understanding of the person of how they were prior to their admission to the home. In conversation with service users one lady said that she could choose her routine on a daily basis, and on this day she had had a lie in which is unusual for her. Bearwood Nursing Home DS0000052879.V318367.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): Quality in this outcome area is good. Standards 12 – 15 were looked at. The home provides limited but varied social and recreational activities that provide interest and pleasure for the residents. Visitors are welcome and help to keep service users informed about the wider community. Many aspects of care evidences that service users exercise choice and control over their lives. The meals at Bearwood Nursing Home are good, offering both choice and variety and catering well for special dietary needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has an activities programme that is displayed on the main notice board and which forms the basis of routine events which is expanded by more ad-hoc and spontaneous events such as exercises, music and movement, entertainers, individual shopping trips, a group visited Sandwell Valley for a day out. One service user attends college and went on holiday to Great Yarmouth over the summer. Hairdressing, aromatherapy, manicure and pedicures are regularly available. The spiritual needs are met with frequent church visits and services and a number of service users attend the temple close by. Bearwood Nursing Home DS0000052879.V318367.R01.S.doc Version 5.2 Page 13 The home has an open visiting policy, which was observed in action with visitors arriving and leaving during the inspection. Visitors spoken with said they felt they are welcome at any time. Care plans identify residents individual likes and dislikes and choices about their individual routines, these are carried out flexibly to provide for choice of the moment. A number of service users continue to handle their financial affairs although most are handled by their families. A number of bedrooms were observed to be extensively personalised with possessions and furniture The menus provide for a balanced and nutritious diet and is well received by the residents many able to recall the choices offered at each of the meals and that the three main meals offered a cooked option. The menus have been assessed as nutritionally sound and are put together using a high proportion of fresh produce. Each meal has a choice that meets cultural wishes and is produced in-house. The lunch taken was well received with all of the choices seen to be served. Staff were seen to offer assistance where necessary. Bearwood Nursing Home DS0000052879.V318367.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): Quality in this outcome area is good. Standards 16 - 18 were looked at. The home complaints and protection policies are robust providing a safe environment in which service users feel they can voice concerns and that these will be listened and responded to. Service users rights are protected and staff demonstrate excellent knowledge and understanding of adult protection issues which contributes in providing an environment safe from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has an appropriate complaints procedure and maintains a detailed record of the complaint investigation and the outcome, Five complaints were recorded and resolved to the complainants satisfaction two of these were investigated under adult protection procedures. Advocacy services are displayed in the main reception area and the manager identified that the electoral roll is completed each year and confirmed that postal votes had been arranged for the last election. Service user meetings are held monthly and are a good platform for developing ideas whether in respect of planning events or adapting the menus. The home has robust procedures for responding to any suggestion of abuse and training is given to staff in adult protection procedures. Bearwood Nursing Home DS0000052879.V318367.R01.S.doc Version 5.2 Page 15 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): Quality in this outcome area is good. The home provides a good standard of accommodation, décor, furnishings and managed services providing a safe environment and an attractive, comfortable and homely place to live. The home is clean, free from odours and hygienic. Individual private space is comfortable, personalised and decorated to service users liking. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Bearwood Nursing Home is a large converted two-storey building, there is a large car park to the front and patio/gardens to the rear. Lounge and dining rooms are provided on both the ground and the first floor. Individual accommodation is provided in a combination of single and double rooms some having en-suite facilities. During the tour of the building it was observed that the extensive alterations on the first floor are now complete and all areas in use. New windows which have two way opening were observed to have no restrictor fitted in one of the Bearwood Nursing Home DS0000052879.V318367.R01.S.doc Version 5.2 Page 16 open positions. A sink plug was missing from one of the new rooms and no light shade fitted. Following the alterations the carpets in the corridors are damaged in places, a programme of replacement is due to begin. A proportion of bedrooms were inspected and these meet standards for space, furniture, heating and lighting with hot water subject to control by mixing valves and monitored frequently. The double rooms are fitted with privacy curtains, these were noted as not providing for privacy at the hand basin or restricting the movement of the second person while the first is using it. Revision is recommended. A number of items of furniture were seen to be damaged and require replacement. The home was found to be clean, hygienic and free from odours, each floor has sluice disinfection facilities and the newly commissioned modern laundry is fitted with washing machines with sluicing and disinfection programmes and all surfaces are washable. The hot water supply to staff hand wash sinks has been controlled and assists in the promotion of good hand washing practice. The exterior patio areas are not much used at this time of year but require to be kept maintained and free from weeds. During the inspection it was noted that an overflow was running, which was advised as being attended to. Bearwood Nursing Home DS0000052879.V318367.R01.S.doc Version 5.2 Page 17 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): Quality in this outcome area is good. The home has a good mix of staff in sufficient numbers to provide consistency of care that meets service users needs. The home has been proactive in developing a skilled staff group with understanding of service users needs. Recruitment and selection processes are to a good standard protecting vulnerable people. This judgement has been made using available evidence including a visit to this service. EVIDENCE: An inspection of the current staff rotas show that sufficient care and nursing staff with the necessary experience are allocated to cover the full 24-hour day with appropriate support of ancillary staff. Each of the floors are staffed separately, in addition to the manager each has a nurse in charge and 5 carers during the day and at night a nurse and 3 carers occasionally increased to 4 to meet dependency needs. At the time of this inspection the numbers of staff holding an NVQ was identified as 55 of carers. The training matrix identifies good progress in achieving mandatory targets for moving and handling, fire safety food hygiene, adult protection and health and safety. Other training includes pressure care, care planning, administration of medicines, infection control, dementia awareness and continence management, wound care and nutrition. A training file indexes all training given with copies of certificates issued. Bearwood Nursing Home DS0000052879.V318367.R01.S.doc Version 5.2 Page 18 Recruitment and selection procedures are completed to a good standard and includes all necessary checks such as CRB, POVA and nursing registration. The sample of three staff files inspected also show that two references are obtained and a record kept of the interview. New staff were engaged on an extensive induction and foundation programme. Bearwood Nursing Home DS0000052879.V318367.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Leadership of this home is good and staff demonstrate an awareness of their roles and responsibilities and service users benefit from this consistency. The home regularly reviews its performance which includes consultation and seeking the views of service users and their families and evidenced that it is acted upon. The arrangements for safekeeping of service users money safeguards their interests personal and financial. Staff receive supervision and direction to ensure that the service users receive consistent quality care. The safety and welfare of service users is protected. This judgement has been made using available evidence including a visit to this service. Bearwood Nursing Home DS0000052879.V318367.R01.S.doc Version 5.2 Page 20 EVIDENCE: The manager is a registered nurse with extensive experience in care home management and holds the NVQ level 4 award in care management. Many staff gave the view that morale at the home is high and that the senior staff are very approachable and work closely with staff. Regular staff meetings also support this with good communication. Service users views are regularly surveyed using a range of questionnaires that between them cover all aspects of service. A quarterly surgery is held for relatives to proactively seek their views about the service and notes and actions / responses are also kept. The home does not act as appointee for service users but have in place good accounting practice to assist service users in keeping their personal allowance safe. Supervision notes seen by the inspector demonstrate an effective formal supervision process for staff of at least six times per year. Annual appraisals have also been undertaken. Policies and procedures are available for staff to read. Health and Safety is given appropriate priority with an extensive range of monitoring and maintenance in place. During the tour of the building it was observed that all corridors and fire escape ways were clear. An inspection of the monitoring records shows these to have satisfactory results and kept in good order. Staff training in health and safety and fire safety training is satisfactory. Bearwood Nursing Home DS0000052879.V318367.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 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 3 X 3 X 3 3 X 3 Bearwood Nursing Home DS0000052879.V318367.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP1 Regulation 6(a) Requirement The registered person must include the date of the last review of the statement of purpose and service user guide in the documents. The registered person must ensure the safe handling and disposal of sharps used in the administration of medicines. The practice of re-sheathing used hypodermic needles must discontinue. The registered person must ensure that the programme of carpet replacement in the corridors goes ahead in a timely way. The registered person must ensure that all opening windows on upper levels of the home are subject to restriction. The registered person must ensure that furniture is maintained in good order and replaced when damaged in a timely way. The registered person must revise screening in double rooms to ensure privacy for DS0000052879.V318367.R01.S.doc Timescale for action 31/12/06 2. OP9 13(2) 31/12/06 3. OP19 23(2) 31/03/07 4. OP19 23(2) 31/12/06 5. OP24 16(2)(c) 31/12/06 6. OP24 23(2) 31/03/07 Bearwood Nursing Home Version 5.2 Page 23 personal care can be maintained 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 OP12 Good Practice Recommendations The manager should broaden the range of activity provision and opportunities for outings. Bearwood Nursing Home DS0000052879.V318367.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Halesowen Record Management Unit Mucklow Office Park, West Point, Ground Floor Mucklow Hill Halesowen West Midlands B62 8DA 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 Bearwood Nursing Home DS0000052879.V318367.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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