Inspection on 15/06/05 for Beechwood House

This inspection was carried out on 15th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Beechwood House 15/07/08

Beechwood House 29/01/08

Beechwood House 07/09/07

Beechwood House 29/06/06

Beechwood House 29/11/05

Beechwood House 19/11/04

Beechwood House 23/06/04

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

St Helier`s Residential Hotel

1 Marten Road

St Joseph`s

Ridgemount

Wingham Court

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

CARE HOMES FOR OLDER PEOPLE Beechwood House Woodberry Lane Rowlands Castle Havant PO9 6DP Lead Inspector Pat Trim Unannounced 15 June 2005, 9:30 th 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 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. Beechwood House H54 S49982 Beechwood House V232350 150605.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Beechwood House Address Woodberry Lane, Rowlands Castle, Havant, Hampshire PO9 6DP Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 023 9241 3153 Rowland Court Healthcare Ltd. Care Home 37 Category(ies) of Dementia - over 65 years of age (9), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (9), Old age, not falling within any other category (37) Beechwood House H54 S49982 Beechwood House V232350 150605.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: The home may accommodate a total of nine service users in the categories DE(E) and MD(E). Date of last inspection 19/11/04 Brief Description of the Service: Beechwood House is registered to accommodate thirty-seven older people, including nine with either dementia (DEE) or a mental health problem (MDE). The home is owned by Rowland Healthcare Limited which is part of the Brookvale Group. This organisation owns a number of care and nursing homes in Hampshire. The building was originally a large family home which has been extended to provide thirty-one single and two shared rooms. The majorityof these have en suite facilities. Communal space comprises a large room which is divided into two lounges and a dining area. There are also two areas, one on the ground and one on the first floor, which although are not included in the communal space, provide space that can be used for seeing visitors in private or for residents who wish for some quiet time. The home is located in a quiet residential area, close to the centre of Rowlands Castle and within easy reach of local shops, amenities and public transport. Beechwood House H54 S49982 Beechwood House V232350 150605.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection for the year 2005/2006 and was unannounced. It took one inspector seven hours to complete. During the inspection five residents and three staff were interviewed. Three residents were case tracked to assess a number of core standards. Information provided by the management of the home in the pre-inspection questionnaire was used to provide evidence for this report as were comment cards received from residents and relatives. A partial tour of the environment was completed. This included a joint review of the arrangements for managing the hot water system with the Environmental Health Officer. The current arrangements were found to be unsafe. (See comments under Environment Section). During the inspection the people that lived in the home were asked what term should be used to describe them in this report. They chose the word “resident” and this title is used throughout this report. What the service does well: What has improved since the last inspection? The home is being extensively refurbished. The top floor bedrooms have now been redecorated and provided with new furniture to a high standard. Care plans are being reviewed on a monthly basis to make sure any changes in need are addressed. Beechwood House H54 S49982 Beechwood House V232350 150605.doc Version 1.30 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. Beechwood House H54 S49982 Beechwood House V232350 150605.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Beechwood House H54 S49982 Beechwood House V232350 150605.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3. Standard 6 does not apply. The use of a comprehensive pre admission procedure enables the provider to make sure residents’ needs can be met before they move into the home. EVIDENCE: Pre-admission assessments were seen on file. These included care management assessments and a comprehensive assessment completed by the acting manager. The acting manager stated that it was her practice to visit prospective residents prior to admission and to encourage them to spend a day at the home whenever possible. Residents confirmed they had been able to meet the manager prior to their admission and had answered questions about the help they needed. There was evidence that where the assessment identified the need for a health care professional to be involved, this support was arranged prior to admission. For example, one resident needed to see a community psychiatric nurse on a regular basis and these visits were arranged. Beechwood House H54 S49982 Beechwood House V232350 150605.doc Version 1.30 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 and 10 The information recorded in the care plans for very frail residents is not sufficient to enable staff to meet their needs. Risk assessments do not contain clear guidance to minimise risk so compromise residents’ safety. Staff support residents to have their health care needs met. The systems for the management of medication are good with clear and comprehensive arrangements in place to ensure residents receive the medication they require. Staff provide personal care in a way that promotes residents’ privacy and dignity. EVIDENCE: Residents, able to describe their needs, confirmed staff gave the help they required. Information given by staff about these residents evidenced they did have knowledge of their abilities and needs. Beechwood House H54 S49982 Beechwood House V232350 150605.doc Version 1.30 Page 10 There was little evidence that residents had been involved in drawing up their care plans, although one resident remembered being asked what help she needed. A new resident said she would like to be and this was fed back to the manager. Following the last three inspections a requirement had been made that care plans should contain details of the action to be taken by staff to ensure all aspects of residents’ health, personal and social care needs are met. On this inspection there was evidence that some development of care plans had taken place. However, the amount of detail recorded in the three care plans seen about individual needs was inconsistent. In some the detail recorded was not sufficient to give new staff clear guidance about what residents could do for themselves and what help they needed. This information is particularly essential for residents who are unable to verbally express their needs. There was evidence that care plans were now being regularly reviewed and any change in need recorded. Risk assessments had been completed for some aspects of daily living, for example the risk of falling, but more detail was required to achieve a consistent approach in managing the risk. Residents said they were able to see a doctor when they wished. Staff confirmed they were able to request a doctor’s visit if they were concerned about residents and the daily records evidenced this. Residents said they were also able to see other health care professionals such as the district nurse, community psychiatric nurse and chiropodist. Two residents were waiting to see a dentist and the manager confirmed she was trying to arrange this. The senior carer explained that medication was ordered from a local pharmacist in a monitored dosage system. The contract with the pharmacist also included a regular review of medication kept at the home and advice on storage. Medication was stored correctly in a locked cupboard. Only senior staff who had received training were permitted to dispense medication. The medication policy gave staff guidance on how to store, administer and record medication. Staff were observed giving out medication at lunchtime in accordance with the Royal Pharmaceutical Guidelines. Where residents were unable to take their medication unaided, this was put onto a spoon to assist them. The senior member of staff signed the medication record after each medication had been dispensed. Residents spoken to confirmed they wanted staff to look after their medication. Residents said they felt staff treated them with dignity and respect. Staff described these values as being of primary importance when giving personal Beechwood House H54 S49982 Beechwood House V232350 150605.doc Version 1.30 Page 11 care and cited examples of how they did this, such as giving people time to do things, making sure bedroom and bathroom doors were shut and addressing people by their chosen titles. During the inspection staff were observed providing care at the resident’s own pace. Beechwood House H54 S49982 Beechwood House V232350 150605.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 and 15 The routines of the home are flexible to enable residents to make choices about how they spend their day. Good relationships between staff and relatives enable families to be involved in the care of residents. Residents are provided with mental stimulation through organised activities and the provision of a selection of books puzzles and games. Dietary needs of residents are well catered for with a menu plan that offers both choice and variety. EVIDENCE: When asked about the routines of the home residents commented “they fit in well with my lifestyle” and “I like to get up early, then call them when I want my breakfast”. Residents were observed moving freely around their home. Some choose to stay in their rooms; others like to sit in the communal areas. Feedback from comment cards confirmed residents felt they were able to make choices about how they spent their day. Beechwood House H54 S49982 Beechwood House V232350 150605.doc Version 1.30 Page 13 Some residents liked to join in organised weekly activities such as arts and crafts, music, exercise class and bingo. Others preferred to make their own entertainment by reading their newspapers, books and chatting to friends. Staff were actively encouraged to spend time with residents, chatting or playing games. A list of weekly activities was displayed on a notice board. This included out of date information in small print. It was recommended that the board should show current activities in large print so residents had up to date information. Feedback from residents and relatives evidenced the fact that visitors were made welcome at any time. Two wide corridors with doors at either end have been comfortably furnished so there are areas where residents may see visitors in private other than their bedrooms. Relatives’ meetings are organised so that information about the home may be shared. Families are actively encouraged to participate in providing support to their relatives. For example, one resident said her daughter preferred to do her mother’s laundry at home, whilst another comes in to wash and set her mother’s hair each week. Staff were observed telling residents what was for lunch. The menu is also displayed on the information board. The print is very small and it was recommended that much large print should be used so that residents remind themselves what the choice is. On the day of the inspection the main meal comprised corned beef hash or sausages with jacket potatoes and fresh vegetables. It was noted that several residents had chosen alternatives of corned beef or mushroom omelette. Residents said meals were very good and comprised “three different vegetables every day”. It was felt there was always plenty to eat and a good choice of meal each day. The manager confirmed that residents could have their meals wherever they wished. Some residents commented they liked to have breakfast in their rooms and this choice was respected. Staff were observed assisting residents to eat by sitting with them and encouraging them to eat. Beechwood House H54 S49982 Beechwood House V232350 150605.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 The home has a robust complaints procedure that enables residents to be confident their concerns will be listened to and addressed. Staff demonstrate knowledge and understanding of Adult Protection issues, which protect residents from abuse. EVIDENCE: The complaints procedure was displayed in the hallway and residents confirmed they received a copy on admission. Feedback from a relative gave information that she had been invited to a meeting to discuss her concerns and that they had been addressed satisfactorily. The manager confirmed the meeting had taken place but had not recorded it in the complaints procedure. She was advised any complaint should be logged and a record made of the action taken. Other complaints had been recorded, together with the outcome. Residents said they felt able to make complaints to the manager or to ask a member of staff to make one on their behalf. They were confident complaints would be listened to and addressed. The home had a policy and procedure for the Protection of Vulnerable Adults. The care services manager confirmed that any new staff would be checked on the Protection of Vulnerable Adults register, in addition to completing a Criminal Records Bureau Disclosure, prior to employment. Staff spoken with confirmed they had completed training in Adult Protection procedures and were able to demonstrate their understanding of their Beechwood House H54 S49982 Beechwood House V232350 150605.doc Version 1.30 Page 15 responsibility to report abuse in accordance with the home’s Whistle blowing policy. Beechwood House H54 S49982 Beechwood House V232350 150605.doc Version 1.30 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 22 23 25 and 26 The failure to regulate the temperature of water to a safe level at hot water outlets compromises the safety of residents. Stepped access to the communal gardens presents a risk to residents and care staff who have to lift wheelchairs over the steps. The refurbishment of the home to a high standard will enable residents to live in more comfortable bedrooms than are currently provided. Staff follow the guidance in the infection control policy, which protects residents from the risk of infection. EVIDENCE: The home is undergoing a two-year refurbishment programme. The second floor bedrooms have been redecorated to a high standard and new furniture includes lockable storage space as recommended in the last inspection report. Beechwood House H54 S49982 Beechwood House V232350 150605.doc Version 1.30 Page 17 Residents were very happy with their rooms and were looking forward to having them redecorated. The communal areas are showing signs of wear and tear. These will be the last to be renovated and must be monitored to ensure they continue to be fit for purpose. Areas of risk were identified during the inspection. A joint tour of the communal bathrooms and some en suites took place with the Environmental Health Officer. The long-term objective is to fit thermostatic control valves to all hot water outlets. Baths and sinks on the refurbished second floor have had this work completed. However, during the tour the hot water temperature of the remaining baths and sinks was found to be very high, presenting a risk to residents of accidental scalding. It was agreed that as an interim measure steps would be taken to prevent residents using hot water unsupervised. This included taking taps off baths not used. Residents’ agreement to this should be recorded in their individual care plans. It was also agreed that the assisted communal bath should be locked to prevent residents using it unsupervised. A bathing procedure should be put in the bathroom for staff to follow. The providers were given three weeks by the Environmental Health Officer to provide a long-term solution that must include the fitting of thermostatic control valves to communal baths used by residents. A requirement was made following this report that the provider must comply with the Environmental Health Officer’s notice. Another area of risk was access to the enclosed garden. Staff confirmed they had to lift wheelchairs over steps to gain access. Residents said they liked to walk round the garden. The long-term proposal is to improve access but risk assessments in respect of each resident should be completed as an interim measure to ensure staff are able to support residents to access the garden safely. The locks on bedroom doors were of a type no longer recommended as they cannot be opened in a single action and can be difficult for residents to use. It was recommended that their replacement with locks more suitable for the client group should be considered as part of the refurbishment programme. During the inspection it was noted that the alarm pull cord in one bedroom was disconnected. This was rectified immediately. It was also noted that only one cord was provided in a shared room. The management of the home stated that the long-term objective is to replace the system with a new one. They also stated that the current residents did not use the alarm system and instead were regularly checked through the night by staff. Care plans should record this information. Beechwood House H54 S49982 Beechwood House V232350 150605.doc Version 1.30 Page 18 Residents said they were happy with the standard of cleanliness in the home. Some liked to complete domestic tasks in their own rooms and this was recorded in their care plans. The home employs domestics to carry out all heavy cleaning. On the day of the inspection the home was clean but there were unpleasant odours in one or two areas. It was felt these were due to the age of the carpets, which are being replaced. Staff were able to demonstrate their understanding of infection control procedures. They were observed handling soiled linen in accordance with this procedure. The home has a contract for the disposal of soiled waste and staff were clear on the procedure for dealing with this material. Beechwood House H54 S49982 Beechwood House V232350 150605.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 Staff are supported to access training that enable them to develop the skills to meet the needs of residents. Staffing levels provided during the evening from 6 to 10 p.m. are insufficient to meet the needs of residents with high care needs. EVIDENCE: Residents felt staff were able to meet their needs, although some did comment that sometimes they thought there might not be enough staff. At the time of the inspection the home was accommodating 24 residents. Two more residents were in hospital. Three care staff; one senior and the manager were working in the home. The manager confirmed that normal staffing would be two care staff and a cook on duty but when the cook was not working a member of staff cooked the main meal of the day. The home also employs domestics to do the cleaning and laundry. At 6 p.m. the staffing levels are reduced to two care staff. At present two residents require two staff to carry out some care. This means there are no staff available to assist other residents should they require it whilst this help is being given. The home is under occupied at present but the admission of more residents could increase demand for assistance considerably. The management team confirmed they were reviewing care provision between 6 and 10 p.m. with a view to providing a more flexible approach. A requirement was made that this review is completed within one month. Beechwood House H54 S49982 Beechwood House V232350 150605.doc Version 1.30 Page 20 Staff on duty had a mixture of training and experience. One had completed an NVQ2, whilst the senior had NVQ3. All staff had completed core training, such as moving and handling and food hygiene. Some had attended training relevant to the needs of service users such as dementia care and Adult Protection training. The pre inspection questionnaire listed future training being arranged in core training such as fire safety and first aid and specialist training such as managing aggression. Beechwood House H54 S49982 Beechwood House V232350 150605.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38 The agreements and contracts with outside contractors ensure equipment is regularly serviced to protect residents and staff. The safety of residents is compromised by the risks identified in the Environment section of this report. EVIDENCE: The pre inspection questionnaire evidence that the home had contracts for the servicing of equipment. During the inspection a random selection of these certificates were seen. Fire safety tests were regularly carried out and staff given fire safety training and fire drills. The home had a fire safety inspection by Hampshire Fire and Rescue Service in May 2005 when requirements were made. These had not yet been complied with. Beechwood House H54 S49982 Beechwood House V232350 150605.doc Version 1.30 Page 22 Requirements from a Health and Safety inspection completed by an Environmental Health Officer had been met with the exception of the hot water controls referred to in the Environment section of this report. Beechwood House H54 S49982 Beechwood House V232350 150605.doc Version 1.30 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 1 x x 2 3 x 2 3 STAFFING Standard No Score 27 2 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x x x x 2 Beechwood House H54 S49982 Beechwood House V232350 150605.doc Version 1.30 Page 24 YES Are there any outstanding requirements from the last inspection? 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 7 Regulation 15(1) Requirement The service users plans set out in detail the action which needs to be taken by staff to ensure that all aspects of their health, personal and social care needs are met. This has been a requirement at the previous three inspections. You are required to complete risk assessments on all residents in respect of their access to the garden. This is an interim measure until access to the garden can be made safe. You are required to make sure all emergency pull cords are working and that every resident has access to an individual pull cord in their bedrooms. Where this is not appropriate due to the fraility of the resident the care plan must contain a risk management strategy to ensure resident safety. You must comply with the Environmental Health Officers requirements within the timescales agreed during this inspection. You are required to review current staffing levels to ensure Timescale for action 1/9/05 2. 19 13(4) 1/9/05 3. 22 13(4) 1/9/05 4. 25 13(4) 7/7/05 5. 27 18(1)(a) 1/8/05 Page 25 Beechwood House H54 S49982 Beechwood House V232350 150605.doc Version 1.30 there are sufficient numbers of staff working at all times to meet the needs of residents and to maintain their safety. 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. 2. Refer to Standard 14 19 Good Practice Recommendations That you ensure information displayed for residents is current and in a format that is easy to read. This will enable them to make informed choices. That during the refurbishment you consider replacing current bedroom door locks with ones more easily used by the residents you accommodate. Beechwood House H54 S49982 Beechwood House V232350 150605.doc Version 1.30 Page 26 Commission for Social Care Inspection Address 1 Address 2 Address 3 Address 4 National Enquiry Line: 0845 015 0120 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 Beechwood House H54 S49982 Beechwood House V232350 150605.doc Version 1.30 Page 27 - 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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