Inspection on 13/09/07 for Belmont Grange Residential Home

This inspection was carried out on 13th September 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

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Stallcombe House

Belma

Hunters Care Centre

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

CARE HOMES FOR OLDER PEOPLE Belmont Grange Residential Home Belmont Grange Belmont Road Ilfracombe Devon EX34 8DR Lead Inspector Jo Walsh Unannounced Inspection 09:00 13th and 17 September 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 Belmont Grange Residential Home DS0000069417.V347047.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. Belmont Grange Residential Home DS0000069417.V347047.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Belmont Grange Residential Home Address Belmont Grange Belmont Road Ilfracombe Devon EX34 8DR 01271 863816 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) kerry.dempsey@btconnect.com Belmont Care (Devon) Limited Mrs Kerry Ann Meldon-Dempsey Care Home 23 Category(ies) of Dementia - over 65 years of age (23), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (23), Old age, not falling within any other category (23) Belmont Grange Residential Home DS0000069417.V347047.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Mental disorder, excluding learning disability or dementia over 65 years of age (Code MD(E)) Dementia over 65 years of age (Code DE(E)) 2. Old age, not falling within any other category (Code OP) The maximum number of service users who can be accommodated is 23. 17th August 2006 Date of last inspection Brief Description of the Service: Belmont Grange is a residential home registered to provide care to 22 service users. The home is also registered for older people with a mental health need and/or dementia type illness. The categories of registration are for people over 65 years of age with or without dementia or mental disorder excluding learning disability or old age not falling within any other category. The home is situated on the outskirts of Ilfracombe town centre making this readily accessible but via a steep hill. There are two spacious lounges and a separate dining room. Service users can choose to have their meals in the dining area, in the lounges or in their own rooms. Pleasant sitting areas have been provided in communal parts of the home. The home is on two floors linked by a lift. The Home has been under new ownership for six months now and is undergoing a programme of refurbishment. The range of fees are £306 to £363 per week. The fees do not include toiletries, hairdressing or chiropody. The inspection report is available in the entrance hall of the home. Belmont Grange Residential Home DS0000069417.V347047.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over two days, during which time the registered manager and registered provider was available for the first day of the inspection. Most staff that was on duty was spoken to and a sample were asked to complete surveys prior to the inspection. The focus of the second day was to spend time with the people who live at Belmont Grange talking to them about their experiences of living at the home and observing care practices. Surveys were also sent to all the people who live at Belmont Grange and their comments are included in this report. The home was asked to complete some information prior to the inspection that helps us to understand how they maintain the environment, recruit and train staff and tells us what policies and procedures are in place to keep residents safe and assist staff to do their job effectively. This information was sent to the commission in good time and provided detailed information that showed the home was working towards improving the service it offers. During this inspection some key documents were looked at in some detail, including plans of care, medication records, accident and incident reports, staff files, training records, records relating to residents finances and the fire log book. All records seen were well maintained and showed the home had good systems in place to maintain a safe environment, monitor residents’ health and wellbeing and safeguard from possible abuse. What the service does well: Belmont Grange provides people who live there with a clean warm and homely environment. Comments included ‘’it’s like home form home, I wouldn’t want to live anywhere else, I really love the way my room has been redecorated.’’ The staff group are trained and supported to provide good quality care and support. People who live at the home said about staff • They look after us really well here • The carers are ever so friendly, even my visitors have commented on this • Staff treat you really well, some better than others • All our needs are taken care of, you could wish for better really. Belmont Grange Residential Home DS0000069417.V347047.R01.S.doc Version 5.2 Page 6 There is a good range and choice of meals available and individuals can choose where they wish to dine, either in the dinning areas or in their rooms. Individual likes and dislikes are taken into consideration and special diets such as diabetes are catered for. There are good systems in place to ensure records are well maintained and kept up to date. The home ensure that people are kept safe by good recruitment practices that mean people are only employed to work in the home once checks and references are obtained. What has improved since the last inspection? What they could do better: Involving the individual and/or their family in their development and review of plans of care to ensure that personal preferences and daily routines that are important are included, could further enhance plans of care. This would enable staff to provide a more person centred approach to care given. Plans of care should include clear guidelines for staff in when any as needed medication (PRN) should be administered. Belmont Grange Residential Home DS0000069417.V347047.R01.S.doc Version 5.2 Page 7 The home needs to consult with the clinical specialist in infection control to ensure that they adopt the most effective ways of dealing with commode pans. There is currently no sluicing facility on the first floor of the building and staff have to use a sink for rinsing out commode pans. This could compromise infection control. 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. Belmont Grange Residential Home DS0000069417.V347047.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Belmont Grange Residential Home DS0000069417.V347047.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Potential new people benefit from a good admission and assessment process, which ensures that the home can meet their needs. EVIDENCE: The assessment information for the new newest people was looked at and this gave information about the individuals’ personal and health care needs. The registered manager said that wherever possible they will visit the person in their own home or hospital initially to assess their needs and they would then be given the opportunity to visit the home to decide if they liked it. One lady said ‘’ I came here for a respite stay to try it out and I liked it so much I have decided to stay.’’ Staff spoken to said that prior to a new person moving in they discuss what their assessment says and this helps them to plan for their care. Staff Belmont Grange Residential Home DS0000069417.V347047.R01.S.doc Version 5.2 Page 10 appeared to have a good understanding of all residents needs including those who were new to the home. Belmont Grange Residential Home DS0000069417.V347047.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals’ care is well planned so that staff have good information to ensure that personal, health and social needs are met. EVIDENCE: Four plans of care were looked at in some detail and it was clear that the registered manager and provider had worked hard to ensure plans were well organised, recorded important information about each individual and detailed not just what care and support was needed, but how this was done. Health care needs are well recorded and easy to follow up on as the plan of care is now divided up into different sections. Two staff did comment that although the plans were now better organised the actual files were not robust enough for every day use and said that some sections that are used on a daily basis keep coming out of the file. This comment was passed onto the management team who agreed to look into using different files. Belmont Grange Residential Home DS0000069417.V347047.R01.S.doc Version 5.2 Page 12 Plans are reviewed monthly and any changes to care are well recorded. The daily records show what support and care staff have provided to each individual as well as comments about their general well being. Plans of care could be further improved by including the individual or their representative in the development and review of them where possible. This would also help to give more of a picture in terms of their preferred routines and social needs. The registered manager did explain that staff are currently working on individual life books with residents that gave a social history of the individual and included all their personal likes and dislikes. These books are seen as the possession of the individual and are kept in their rooms. The medication storage, administration and recording was looked at and discussed with the senior staff member on duty. The home has a locked medical cabinet that is kept in a locked office. All medications are recorded when they are received into the home and well maintained records are kept of all medications given to individuals. One person had been prescribed promazine when required (PRN) and the senior staff member stated that this was given when the individual became very agitated. There was one occasion when this medication had been administered but there was no record of why in their daily records, although on other occasions it was well recorded why it was given. The home is advised that guidance should be given to staff for all when required medicines are given to accurately record why it is given. The senior carer said that only staff who have had training in the safe handling, recording and administration of medications were able to take on this role, and they were in the process of doing a further training module with a local pharmacist. People who live in the home said • They look after us really well here • The carers are ever so friendly, even my visitors have commented on this • Staff treat you really well, some better than others • All our needs are taken care of, you could wish for better really. Staff were observed to be providing care and support in a respectful manner. One carer was observed spending time talking to a person who appeared distressed, speaking to them in a calm and reassuring way. Staff were observed knocking on doors before entering rooms and talking to people about what was happening throughout the day. The atmosphere of the home appeared calm and relaxed. Bedrooms do have locks fitted, but they are individual keys as opposed to a master key system. The registered manager is aware this is not ideal for safety Belmont Grange Residential Home DS0000069417.V347047.R01.S.doc Version 5.2 Page 13 reasons but said at present very few people choose to use the locks. As part of the refurbishment the bedroom doors are being painted white, and the manager said they plan to make them more like a front door by adding a doorknocker, false letterbox and nameplate. It is hoped this will give individuals a better sense of privacy, that this is their front door and their privacy is respected. Belmont Grange Residential Home DS0000069417.V347047.R01.S.doc Version 5.2 Page 14 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. People who live at Belmont Grange have a range of activities that suits their needs and are supported to exercise choice and control over their lives. EVIDENCE: The home has introduced a programme of activities that take place mainly in the early afternoons. Several people who live at the home commented on the fact that there was now more to do. One person said ‘’ we have been making Christmas decorations, playing bingo and there is a lady that comes into to talk to us about the old days, which I really love.’’ Another person said, ‘’I like to join in the activities as it keeps my mind active, I really enjoys quizzes.’’ Staff spoken to said that they try to ensure they offer different activities and they have now been given a supply of arts and crafts materials. One staff member said they are waiting to do some further training to look at other ways of entertaining residents. Another staff member said they had been doing some potting up of plants, which people had really enjoyed. Two staff said they would like the opportunity to take residents out for trips occasionally. Belmont Grange Residential Home DS0000069417.V347047.R01.S.doc Version 5.2 Page 15 People who live at Belmont Grange are able to have visitors whenever they like and one visitor said that they are always made welcome. There is a phone available for people to receive and make calls and they are able if they wish to have their own telephone line installed. Post is given to people unopened and if letters are needing to be posted staff will ensure this is done. One person said ‘’my family visit most days and if they call, staff always let me know and I can call them anytime.’’ People who live at Belmont Grange are able to choose where and how they spend their days. One small group always meet in the morning in a particular sitting area and enjoy crosswords and reading their papers together. Another person said ‘’ I like to have a long lay in as I am more comfortable in bed, and staff come and check with me when I want to get up.’’ One person was going out with a friend and said ‘’As long as we tell the staff that we are going out, we can do what we like pretty much, I often go out and staff will ask if I need a meal saving for later.’’ The home provides a good range and choice of meals and drinks are offered throughout the day. People who live at the home said. • The meals are all pretty good • Very tasty, I enjoy everything and if you say you don’t like a particular thing they will leave that off for you. • There is now more fresh fruit and vegetables, there is always a fresh fruit salad available. The registered manager said that they had altered their menus in line with some feedback they had received from a residents survey, and as far as she was concerned people were happy with the menu. Belmont Grange Residential Home DS0000069417.V347047.R01.S.doc Version 5.2 Page 16 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. People who live at Belmont Grange can be confident that their concerns will be listened to and acted upon. EVIDENCE: People who completed surveys and those spoken to all said that they could talk to staff or the manager about any concerns they had. The home has a stated complaints procedure and document how they have worked to resolve any issues raised. Staff spoken to said the new manager is approachable and they feel confident that if they have any concerns they can go to her. The staff group have had training in helping them to understand what abuse is and what the warning signs are. They also undergo checks prior to being employed at the home to ensure they are suitable to work with vulnerable people. This helps to keep people who live at Belmont Grange safe. Belmont Grange Residential Home DS0000069417.V347047.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is suitable for its stated purpose and people can be assured that the environment will be clean, homely and well maintained. EVIDENCE: During this inspection a tour was made of all communal areas and most of the bedrooms. The registered provider is working to update and refurbish bedrooms and communal areas. The registered manager said they had just been awarded a capitals grant and they are planning to create a sensory garden, raised flower beds, landscape areas so that the garden is more accessible safe and a pleasant and simulating place for people to enjoy. One person said they were very please their room had been redecorated and said they had helped to choose the colour scheme. The rooms that have been Belmont Grange Residential Home DS0000069417.V347047.R01.S.doc Version 5.2 Page 18 completed have been done to a high standard and people appeared to be really pleased with the changes to improve the environment. The home was clean and most areas were free form odour, although one or two bedrooms did have an unpleasant smell. The manager said that there were plans to replace carpets and refurbish bedrooms throughout the home. The downstairs basement areas, used by staff had an unsafe floor in a corridor area. The registered providers agreed to rectify this as soon as possible and it was fixed by the second day of the inspection. The home employs sufficient cleaners to ensure the home is clean and well maintained. There are policies and procedures in place to ensure that staff understand infection control. The only area of concern is that staff had raised in surveys that there was no sluicing facility on the upstairs floor and so they were using a sink to rinse out commode pans. This is not acceptable practice as it could compromise infection control. The registered manager was advised they need to contact the specialist in infection control to seek advice on how best to ensure commode pans are dealt with effectively. Belmont Grange Residential Home DS0000069417.V347047.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff group are experienced and sufficiently trained and supported to ensure the needs of the people who live at the home are well met. EVIDENCE: The home has sufficient carer and ancillary staff to ensure that care and support needs are met and the home is kept clean. There is normally four care staff on during the morning, 3 during the afternoon/evening and 2 waking night staff. The home also employs a cook and kitchen support for the teatime meal. Staff spoken to said they had good opportunities to train, complete NVQ training and do additional training that helps them better understand their role and do their job effectively. Training records showed that all core training such as fire safety, moving and handling, basic food hygiene, first aid and understanding issues around abuse have all been done or have been booked for staff to attend. The registered manager is trained and accredited to do a specialist dementia care course called ‘’ yesterday, today, tomorrow’’ which runs over several weeks and course work is externally verified by The Alzheimer’s society. She Belmont Grange Residential Home DS0000069417.V347047.R01.S.doc Version 5.2 Page 20 intends to have all staff trained in this, which would give an excellent grounding for staff to understand of dementia care. Over 50 of staff has completed a national vocational certificate in care at level 2 or above, and the manager stated that they fully support any staff member who wants to gain further training. The staff files of the three newest members of staff were seen and relevant checks and references had been taken up to ensure that individuals were suitable to work with vulnerable adults. Belmont Grange Residential Home DS0000069417.V347047.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and run in the best interests of the people who live there. EVIDENCE: The registered manager is experienced and qualified and together with the registered provider they work to ensure that quality of care is reviewed. This is achieved by using surveys with the people who live there. The results of the most recent surveys have been used to look at menu changes and to include more activities for people to engage in. The manager said that she Belmont Grange Residential Home DS0000069417.V347047.R01.S.doc Version 5.2 Page 22 hoped to introduce residents meetings, which would give further opportunities for people to have a say. People spoken to said that they could voice their concerns and they were listened to. One person said ‘’since the new manager, there is a more friendly atmosphere and she listens to us.’’ Staff spoken to confirmed that they have regular team meetings and have started to have 1:1 supervision sessions, where they can talk about how their work is going and any training they might need to do their job more effectively. The home has a quality assurance programme in place that uses surveys to help them improve the quality of care and support. One person who lived at the home said they had completed a survey and asked for more fresh fruit and this was now happening. The registered provider completes monthly-unannounced visits and reports on this, these reports should be held in the home for inspection, and the registered provider has agreed to do this. Residents’ finances that are held at the home were looked at and found to be well maintained with a good audit trail. This helps to safeguard their financial interests. Information provide by the home prior to the inspection shows that they have up to date policies and procedures in place for all safe working practices, staff have training in these areas to ensure both they and the people they support are safe. The fire logbook and accident and incident book were seen during this inspection and were well maintained and up to date. All new staff has an induction programme to ensure that they understand working safely. Records of induction were not viewed on this occasion, but one staff member confirmed the process, and said it was recorded. Belmont Grange Residential Home DS0000069417.V347047.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 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 Standard No Score 16 3 17 X 18 3 3 X X X X X X 2 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 X X 3 Belmont Grange Residential Home DS0000069417.V347047.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP7 OP9 Good Practice Recommendations Plans of care should be developed and reviewed with the individual or their representative. Where an individual is prescribed PRN medication, clear guidance should be available to staff as to when PRN medication is to be considered, and daily notes should record reasons why it has been given. The home should ensure all doors are accessible to staff in an emergency, this includes residents’ bedroom doors. This needs to be checked with the local Fire Authority The home should consult with the clinical nurse specialist regarding best practice in dealing with sluicing of commode pans. 3. 4. OP24 OP26 Belmont Grange Residential Home DS0000069417.V347047.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Belmont Grange Residential Home DS0000069417.V347047.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!