Inspection on 06/12/07 for Beauvale Court Care Home

This inspection was carried out on 6th December 2007.

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

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

Other inspections for this house

Beauvale Court Care Home 28/06/06

Beauvale Court Care Home 02/11/05

Beauvale Court Care Home 13/07/05

Beauvale Court Care Home 07/03/05

Beauvale Court Care Home 04/05/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Beauvale Court Care Home Wellington Place Eastwood Nottingham NG16 3GD Lead Inspector Rob Cooper Unannounced Inspection 10:00 6 December 2007 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 Beauvale Court Care Home DS0000058980.V341099.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. Beauvale Court Care Home DS0000058980.V341099.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beauvale Court Care Home Address Wellington Place Eastwood Nottingham NG16 3GD 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) 01773 768183 01773 913143 jeannette.timms@nottscc.gov.uk Nottinghamshire County Council Mrs Angela Christine McNally Care Home 44 Category(ies) of Dementia (28), Dementia - over 65 years of age registration, with number (28), Old age, not falling within any other of places category (44), Physical disability (5) Beauvale Court Care Home DS0000058980.V341099.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Out of the total number of beds (44), there will be 28 beds for DE 55 and over and/or DE(E) Out of the total number of beds (44), 5 may be used for PD 55 and over Service users shall be within category OP Date of last inspection 28th June 2006 Brief Description of the Service: Beauvale Court is owned and run by Nottinghamshire County Council Social Services and is a purpose-built care home for up to 44 older people. The home was built in the 1980s and is situated within 150 yards of the town centre of Eastwood, which has a good range of services and facilities. The accommodation is cited on two floors with a shaft lift assisting independent access. All of the bedrooms are for single occupancy and are fitted with wash hand basins; there are no en-suite facilities. There is a well-maintained enclosed rear garden that is accessible to all residents. Fees: The fees for those residents supported by Social Services, is fixed following assessment by a social worker. Beauvale Court Care Home DS0000058980.V341099.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit as part of the key inspection process – so that no one at Beauvale Court knew that this inspection visit was going to take place. The visit took approximately four and a half hours through the middle of the day, with one inspector present. The methods used during this key inspection and were to visit Beauvale Court, where a method called case tracking was used; this involved identifying four residents and looking at their individual files and making a judgement about the quality of care they are receiving, and if their needs are being met. In addition to case tracking a Short Observational Framework for Inspection (a SOFI) was used, this involved sitting in a communal area and observing the activities and staff interactions, and making notes on which to base judgements and observations. This was followed by a partial tour of Beauvale Court, looking at the activities on offer, and talking to two residents, three relatives and three members of staff about the quality of the service, and their experiences of living and working at Beauvale Court. During 2007 the Commission for Social care inspection introduced an Annual Quality Assurance Assessment (known as an AQAA) as part of the inspection methodology, this allows care homes like Beauvale Court to self assess their service. Information provided by Beauvale Court helped to form the judgements in this report. We also received six surveys from members of staff, which also helped with the judgements that we made. The registered manager Angela McNally provided much of the information during this key inspection visit. On the day of this inspection there were thirty-seven residents in residence. Prospective residents can obtain information about Beauvale Court direct from the care home, and this would include seeing previous inspection reports prepared by the Commission for Social Care Inspection. What the service does well: Beauvale Court provide good information for prospective residents, and that information is available in a variety of formats, including through the County Council’s website. Beauvale Court has good activities for residents with a good Beauvale Court Care Home DS0000058980.V341099.R01.S.doc Version 5.2 Page 6 variety, and external entertainers coming in to perform for the residents. This includes using a ‘petting service’ with animals coming into be petted by the residents. 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. Beauvale Court Care Home DS0000058980.V341099.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 Beauvale Court Care Home DS0000058980.V341099.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): 12&3 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service. Prospective residents at Beauvale Court had sufficient information before they moved in to make an informed choice about where to live. EVIDENCE: Both the statement of purpose and service user guide for Beauvale Court were seen. Both documents contained all of the information, which Care Homes Regulations say that they should, and provide residents and prospective residents with enough information to be able to make an informed choice about living at Beauvale Court. Evidence was also seen that residents have been given copies of the Service User Guide. Additional information about residential care provided by the county council is available at: www.nottinghamshire.gov.uk/home/social_care/residentialcare/carehomes.ht m. Beauvale Court Care Home DS0000058980.V341099.R01.S.doc Version 5.2 Page 9 This will also provide a link to the Commission for Social Care Inspection’s web site where previous inspection reports for Beauvale Court can be seen. As part of the case tracking process four resident’s files were seen, each one contained a copy of terms and conditions of residence, and the individual resident had signed each one, or if they were not able, a relative had signed on their behalf. Each of the files seen contained an assessment of need, which had been completed either in-house or by the resident’s Social Worker. This included two Shared Nottinghamshire Assessment Profiles (SNAP’s), which are Nottinghamshire’s preferred assessment tool for older people, and two assessments by Social Services staff. There was evidence that the resident’s care needs at Beauvale Court had been based upon those assessments. Beauvale Court Care Home DS0000058980.V341099.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 & 11 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service. The residents have their health and personal care well managed, supported and recorded by the staff at Beauvale Court. EVIDENCE: Each of the four resident’s files that were seen contained a plan of care, which had been produced from the assessments and identified personal goals and needs and how to meet them. There was evidence that care plans were being reviewed regularly, and the files also contained risk assessments to accompany care plans for identified individual risks. All of the files that were seen contained care plans related to resident’s health needs, and these were clear and detailed. The files also contained ‘personal wellbeing surveys’ which had a health care focus, to help guide the staff. Two residents were asked about seeing their doctor, and both said that there was no problem, and they always saw a doctor when they needed one. Evidence was also seen that Beauvale Court use Vision Call, a community based Beauvale Court Care Home DS0000058980.V341099.R01.S.doc Version 5.2 Page 11 opticians who specialise in visiting residential care homes to carry out eye exams and prescription services. A local chemist provides Beauvale Court with their medication. An inspection of the storage, and booking in and out procedures showed that medication is handled safely and there is a clear audit trail for medication from the point of ordering to administration and/or disposal. Administration records were inspected and found to be complete, without any errors or gaps. The lunchtime medication round was partially observed, and there were no concerns seen in the administration procedures. No resident at Beauvale Court currently self-medicates, however the district nurse visits on a daily basis to administer insulin to those residents who have diabetes and require insulin. During this inspection visit a Short Observational Framework for Inspection (known as a SOFI) was used. The SOFI showed that the staff were caring and spoke to residents in a friendly yet respectful manner. Staff were aware of resident’s needs and wishes, and when offering residents a choice of drinks, staff were seen to be asking individuals, and trying to meet their differing choices. The SOFI also showed that residents were not left unattended for long periods, rather that staff were involved in conversation with residents. When moving around the building, staff were observed knocking on doors, and speaking to residents in a manner that showed care and thought. Each of the resident’s files contained the details outlining the resident’s wishes at the time of their death, and there was evidence of the resident’s families being involved, including their contact telephone numbers. Beauvale Court Care Home DS0000058980.V341099.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; this judgement has been made using available evidence including a visit to this service. Residents at Beauvale Court have a lifestyle that reflects their cultural, social and religious interests, and needs. EVIDENCE: Discussions with a resident and her relatives evidenced that there are a good range of activities on offer at Beauvale Court, which was supported by the documentation that was seen. During the morning of the inspection visit, a singer came to Beauvale Court and entertained the residents, while he sang residents and staff waltzed around the lounge, and sang along to the 40’s 50’s & 60’s songs. In the afternoon a local school choir came in and sang to the residents, again the lounge was full, and residents took an active part in the activity. The relatives also talked about a dog coming into Beauvale Court from a petting service, so that the residents can stroke the dog and pet him (if they want to). Three relatives were spoken with, and they all said they were very happy with the service being offered at Beauvale Court. There are occasional relatives meetings, where information is given, and there is the opportunity to meet Beauvale Court Care Home DS0000058980.V341099.R01.S.doc Version 5.2 Page 13 with the staff. This is often tied to a social event and residents are also involved. Each of the relatives said that they could visit when they wanted to, and that the staff made them very welcome, and always told them if there was any relevant information relating to their relative. All three relatives were very positive about the staff, and their overall experiences of Beauvale Court. Each person saying that his or her relative was very happy living there. As already indicated by the SOFI residents appeared to be offered a good deal of choice and control in their day to day lives, although the SOFI only offers a snapshot on the day of the inspection visit. The two residents who were spoken with both said they thought they could make choices in their lives, one being very certain that she decided such things as when to get up and when to go to bed. A requirement set at the last key inspection relating to the Data Protection Act 1998 has been addressed in the Service User Guide. Observation of the lunchtime meal showed that the quantities and quality of the food were very good, with a choice of savoury mince or sausage roll (or a vegetarian option) on offer for lunch. Two residents when asked said that the food was: “Excellent! I have no complaints about the food at all.” and “The food is very good.” The relatives also said they thought the food was very good: “plenty of it, and very tasty.” Was how one relative described it. The menu showed a good variety and selection of food available, and all of the records relating to food storage and preparation evidenced that there was good and safe practice within the kitchen. Beauvale Court Care Home DS0000058980.V341099.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; this judgement has been made using available evidence including a visit to this service. Residents at Beauvale Court are safe, and their complaints are taken seriously and dealt with. EVIDENCE: Since the last key inspection in June 2006, Beauvale Court have not received any formal complaints. Concerns raised by residents and relatives are noted and action is taken to meet them, which the manager thought probably worked to prevent issues escalating to full blown complaints. Two residents were asked about making complaints; and both said they had not had to make a complaint, but knew how to, and who to complain to if the need arose. Each of the relatives spoken with also said that they knew who to complain to, but they had not felt the need as they are very happy with the care their relative is receiving. A review of the training records showed that there is a planned programme for all staff to receive training in safeguarding adults, this training is aimed at raising staff awareness of abuse, and through raising the issues, offering residents greater protection against abusive practice, while also teaching the staff the correct policy and procedure to follow if abusive practice is found. Discussions with three members of staff showed that staff had been trained in safeguarding adults procedures. Beauvale Court Care Home DS0000058980.V341099.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): 19 & 26 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service. Residents at Beauvale Court live in a safe, clean and comfortable home, with their personal possessions around them. EVIDENCE: Beauvale Court was built in 1960’s/1970’s when building design featured a great deal of ‘open plan’, as a result there is a great deal of open space within the building, and this takes away from it’s homeliness. Staff have worked hard to overcome this problem, and the creation of smaller sitting areas has helped, although both the lounge and dining room are large, and therefore lack privacy or intimacy. There are good signs around the building to tell residents and visitors what different rooms function is, and these signs are also in Braille and have raised letters for those who are either blind or partially sighted. There is also a range of different bathing options, with walk in showers and baths with hoists and chair lifts to help those with restricted mobility to bathe. Beauvale Court Care Home DS0000058980.V341099.R01.S.doc Version 5.2 Page 16 Staff were seen cleaning in various areas of Beauvale Court during the inspection, and the building was found to be clean. Two residents were asked about the cleanliness, and both said that they were quite happy, and that they thought the staff worked hard to keep the home clean and tidy. Two visitors when asked about the cleanliness of the building also thought it was very clean, with one saying: “there are never any bad smells.” Beauvale Court Care Home DS0000058980.V341099.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): 27 28 29 & 30 Quality in this outcome area is adequate; this judgement has been made using available evidence including a visit to this service. Staff at Beauvale Court are trained to do their jobs, however not all staff have two written references which leaves residents potentially at risk. EVIDENCE: A review of the staffing rota and staffing levels at Beauvale Court showed that there were enough staff currently employed to meet the resident’s needs. There are approximately fifty staff employed to work at Beauvale Court, and the rota showed a good skill mix, with different grades of staff performing different roles, and with a very obvious structure and management throughout the team. Two residents were asked about staffing levels, and both said that they thought there were enough staff, and the three visitors who were spoken with, said they were not aware of any problems with staff numbers. The care industry considers National Vocational Qualifications (NVQ) to level II in care to be the basic qualification for staff working in residential care. A review of the training records showed that currently there are ten staff with NVQ level II qualifications, a further six have their NVQ level III, while four are currently studying for their NVQ level II, and four more for their NVQ level III. In addition one person has their NVQ level IV, and three more are studying for that level of qualification. It is recommended that a minimum 50 of the care Beauvale Court Care Home DS0000058980.V341099.R01.S.doc Version 5.2 Page 18 team are NVQ qualified, and the staff team at Beauvale Court are currently working towards this figure. Four staff files were seen, to check that these contained all of the information that would show that staff had been recruited in a safe manner – in that applicants had to fill out an application form, provide two written references and undergo a Criminal Records Bureau check. A review of the documentation showed that, some staff had been in post for many years and these staff did not have all of the necessary documentation, which means it was not possible to prove the process had worked to protect residents. Two written references should be obtained and held on file for every member of staff regardless of how long they have been in post. A review of the staff training records showed that Beauvale Court does have a training plan for its staff, and that there are staff training courses planned for the coming months. The records showed that staff were receiving the skills training to be able to do their jobs, and discussions with three members of staff supported this view, and provided evidence of the different training courses staff had attended, including training in the mandatory areas – fire, food hygiene etc. Beauvale Court Care Home DS0000058980.V341099.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): 31 33 35 36 & 38 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service. Beauvale Court is a safe, well-managed care home with good systems for ensuring it’s quality in place. EVIDENCE: The registered manager has been through the Commission for Social Care Inspection’s ‘fit person’ process, and has been judged to be fit to manage a residential care home. Evidence was seen that the manager is suitably experienced and qualified, having been in post for five years. Beauvale Court has a quality assurance system, which relies on questionnaires being filled in by residents and visitors. Copies of the questionnaire were seen together with evidence that the questionnaires had been evaluated, and an action plan produced. Resident’s meetings are currently taking place Beauvale Court Care Home DS0000058980.V341099.R01.S.doc Version 5.2 Page 20 approximately monthly, and this allows residents to raise issues and have a voice. These meetings tend to be smaller peer group meetings, rather than large meetings everyone, so as all of the residents get a chance to voice their views and opinions. In addition there are relatives meetings 2-3 times a year, where relatives are able to talk to staff and raise issues. The resident’s at Beauvale Court have a small cash system for their cash needs. This is operated on their behalf by the staff, and four resident’s finances were checked at random. All of the cash tallied with the records, and receipts were seen, which enabled a clear audit trail of resident’s expenditure to be seen. Two residents were asked about their cash, and both said they were happy for the staff to look after their cash, and they were able to get their money when they wanted it. Beauvale Court operates a supervision system, with staff having formal supervision approximately six times a year. Records relating to the staff’s formal supervision were seen and these indicated that staff members were properly supervised. Three staff members were spoken with about formal supervision and said that they were having a formal supervision session approximately every eight weeks. All of the staff spoken with said they felt they were very well supported by the management team at Beauvale Court, and thought that they could raise issues, as the management team were approachable. A range of different health & safety records were seen, including the fire safety records – weekly tests, emergency lighting tests and extinguisher maintenance records, and the Control of Substances Hazardous to Health (COSHH) records, all were found to be correct and up-to-date, which evidenced that the residents and the staff are living and working in a safe environment. A requirement made at the last key inspection relating to the testing of the emergency lighting had been met. Beauvale Court Care Home DS0000058980.V341099.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 4 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Beauvale Court Care Home DS0000058980.V341099.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 OP29 Regulation Requirement Timescale for action 29/02/08 Regulation All staff working at Beauvale 19 Court, however long they have been in post, must have two written references in place as evidence that they are fit to work with vulnerable people. 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 Beauvale Court Care Home DS0000058980.V341099.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Beauvale Court Care Home DS0000058980.V341099.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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