Inspection on 19/04/07 for Belvoir House Care Home

This inspection was carried out on 19th April 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

Belvoir House Care Home 21/04/06

Belvoir House Care Home 20/10/05

Belvoir House Care Home 24/05/05

Belvoir House Care Home 30/12/04

Belvoir House Care Home 02/09/04

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 Belvoir House Care Home Brownlow Street Grantham Lincs NG31 8BE Lead Inspector Moya Dennis Unannounced Inspection 19th April 2007 09:30 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 Belvoir House Care Home DS0000002588.V333945.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. Belvoir House Care Home DS0000002588.V333945.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Belvoir House Care Home Address Brownlow Street Grantham Lincs NG31 8BE 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) 01476 565454 01476 565454 blcarehome@tiscali.co.uk Barnby Gate Ltd Mr Naraindranath Jagroo Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Belvoir House Care Home DS0000002588.V333945.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Belvoir Care Home is registered to provide personal care to male and female service users who fall within the following categories: Old age not falling within any other category (OP) 24 Dementia over the age of 65 years (DE(E) 5 The maximum number of persons to be accommodated at Belvoir Care Home is 24. 21st April 2006 2. Date of last inspection Brief Description of the Service: Belvoir House is a detached, nineteenth-century, stone property, raised above pavement level, situated approximately 200 metres from the town centre of Grantham and a variety of shops and amenities. The home is registered to provide personal care for twenty-four older people of both sexes. Accommodation is situated on two floors and is served by a lift. There are sixteen single and four double bedrooms, one lounge/dining area and a separate lounge. An enclosed patio and garden area is situated at the front of the property. A ramped area gives direct access from the front door to the street. The home does not have its own car park. Copies of inspection reports are held in the manager’s office and are available on request. Fees range between £336 and £416 per week. Belvoir House Care Home DS0000002588.V333945.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit formed part of a key inspection and focussed on standards in the key areas that most affect the quality of life for residents. One inspector conducted the visit over 5 ½ hours, in April 2007. The inspection method used was to case track the care received by a sample of residents by looking at their records and discussing their experiences of care with them and with their relatives. General care practices were observed throughout the visit. A sample of regulatory records and policies and procedures were seen and the inspectors toured the premises. The inspector spoke to ten residents, five care workers, domestic and catering staff, two visiting relatives and two community nurses. Nine residents completed ‘Have your Say’ questionnaires about their experiences of life at Belvoir House, and the information contributed to this report. The deputy manager and a senior carer were present throughout the inspection. The deputy manager was given general feedback about the outcomes at the end of the visit. What the service does well: What has improved since the last inspection? Residents had more leisure opportunities and staff were able to spend time with them. The home catered for residents with dementia related needs. Staff had a thorough understanding of issues associated with the illness. Several parts of the home had been refurbished and redecorated. Problems with the heating had been resolved. Staff teams were more stable, providing continuity of care for residents. Communication between manager, staff, residents and relatives had improved. Belvoir House Care Home DS0000002588.V333945.R01.S.doc Version 5.2 Page 6 One relative remarked, “I’m always kept informed about what’s going on. The management and staff are marvellous”. 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. Belvoir House Care Home DS0000002588.V333945.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 Belvoir House Care Home DS0000002588.V333945.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): 1,2,3,4,5,6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People had access to sufficient information to decide if the home could meet their needs. Prospective resident’s needs were assessed and they had opportunities to visit the home before moving there. EVIDENCE: Prospective residents were given a brochure of the home on initial enquiry. After consultation with them, relatives and any other professionals involved, the deputy manager or a senior carer would visit to assess their needs. Following the assessment process the manager or deputy wrote to confirm whether the home was able to meet the assessed need. If the home was able to meet the assessed needs, prospective residents and/or their relatives would be invited to visit and look round. Relatives confirmed via questionnaires that they had been given the opportunity to do so. All stays were on a trial basis. Belvoir House Care Home DS0000002588.V333945.R01.S.doc Version 5.2 Page 9 All residents, or their relatives, had received a service user guide, statement of purpose, a contract and terms and conditions. This was confirmed by relatives via questionnaires and by visiting relatives. Copies of the statement of purpose were seen in residents’ rooms. Training programmes evidenced that staff had skills and experience to meet assessed needs. The home no longer provided intermediate care. Belvoir House Care Home DS0000002588.V333945.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. Residents’ independence and development were promoted and supported by comprehensive risk assessments. EVIDENCE: Three residents’ care was case tracked. Care plans set out assessed health needs and evidenced that these were monitored. One resident was being cared for in bed at the time of the inspection. Appropriate fluid intake and nutritional charts were used for all high dependency residents. Plans were reviewed monthly, or more often if needed and there was evidence that residents or their representatives had been involved in reviews. Risk assessments were completed for activities of daily living, such as bathing, dressing, falls, and managing challenging behaviour. Belvoir House Care Home DS0000002588.V333945.R01.S.doc Version 5.2 Page 11 Referrals to health care specialists were made, as necessary. Residents saw health professionals in the privacy of their rooms or in the treatment room. None of the residents whose records were looked at in detail looked after or took their medicines themselves. During the inspection, a medication round was observed and correct procedures were seen to be followed. The carer dispensing medication had received appropriate training and confirmed the homes’ homely remedy policy. This, and policies for administration, recording, storage, training, ordering and safe returns of medication were robust. General care practices were observed throughout the inspection. Staff addressed residents by the preferred name recorded on their care plans. Staff said the need to be respectful to residents at all times was paramount. They were aware of the home’s policies regarding privacy, dignity, choice, rights and independence. Care plans gave details of end of life wishes, when these had been made known. Staff had not received specific training in giving palliative care. However, they were aware of the need to support relatives, as well as residents, during the end of life stages. Belvoir House Care Home DS0000002588.V333945.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 adequate. This judgement has been made using available evidence including a visit to this service. Residents were offered a limited range of leisure activities. However, residents were limited as to when they could make and receive telephone calls because there were no designated facilities for them. Meals were well balanced and varied and all residents were assisted to make choices. EVIDENCE: Previous inspection reports identified insufficient activities for residents. Staff said there had been improvements. “There’s something happening every day. We have time allocated to spend doing activities with residents”. However, they said that many residents had very high needs and it was not always possible to spend as much time on activities as they would wish. Via questionnaires, one resident said there was ‘always’ something going on that they could take part in, 3 ‘usually’, 4 ‘sometimes’ and 1 ‘never’. During the inspection residents were taking part in impromptu sing-a-longs with staff. One visitor mentioned dominoes, softball, Connect4, and musical events as activities their relative often took part in. Belvoir House Care Home DS0000002588.V333945.R01.S.doc Version 5.2 Page 13 Many residents were unable to take part in organised activities so staff spent time with them on a one-to-one basis, reminiscing or providing hand and nail care. One resident remarked, “I need more as I get bored just sitting”. Few residents were able to maintain links with the wider community but relatives said they were made welcome. One resident regularly received phone calls from their family. As there was no separate phone for residents, it was necessary for staff to take them to the small office, which also doubles as a staff room. There had been a pay phone for residents’ use but this had been disconnected. A requirement was made that this be reviewed. There was information on the notice board about how to contact local advocacy services and access reflexology treatment. Two residents welcomed the inspector into their rooms. These were clean, warm and homely. Visitors confirmed that the standard of hygiene was consistently high and that beds were well made each morning. Six residents said via questionnaires that they ‘always’ enjoyed the food, 2 ‘usually’ and 2 ‘sometimes’. One visitor said their relative had all her meals in her room. When she moved to the home staff had asked what type of things she liked to eat and she enjoyed the meals. Catering staff were aware of the dietary needs of all residents; provided soft, liquidised, low fat and diabetic options as required and were confident that the home would be able to provide for the dietary needs and preferences of people from ethnic minorities As identified at previous inspections, meals were liquidised together, rather than each part separately. The deputy said that residents did not seem to mind. However, one meal had been liquidised separately, on the resident’s request. A visitor said their relative had meals liquidised together and would prefer them to be presented in a more appetising manner. A recommendation was made that this practice be reviewed to promote equality for residents unable to voice their own preferences. Staff sat with residents who needed support with eating and gave help in an unhurried, discreet way. They said that seven people needed help to eat and it was difficult to help them all at meal times. Some residents had to wait. One relative said that residents had no drinks between lunch and teatime and no milky drinks were available at supper, only tea. However, the deputy manager confirmed that drinks are taken round after lunch, juice is available at all times, and residents can have milky drinks whenever they prefer. Belvoir House Care Home DS0000002588.V333945.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 and relatives benefited from a clear complaints procedure and they were assured that any concerns would be listened to. Residents were protected from abuse by well-trained staff. EVIDENCE: The home’s complaints procedure was clear, giving stages and time scales for the process. The information was included in the service user guide and displayed in the hall. No complaints had been received since the last inspection. Relatives and residents said they had had no cause to complain but knew how to do so, if necessary. They said they would approach any member of staff. One visitor said, “I’d just tell the (deputy) manager; she’d sort it”. Staff had received recent training and were knowledgeable about adult protection issues. They identified various types of abuse and said they could approach the deputy at any time with concerns. They were aware of the ‘whistle blowing’ process and said they felt able to approach management at any time if they had any concerns. The adult protection policy reflected local authority procedures. Belvoir House Care Home DS0000002588.V333945.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): 19,20,21,22,26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents enjoyed a homely environment. Their safety was compromised by the faulty call bell system. However, the owners offered assurances that this would be resolved within 3 weeks of the inspection. EVIDENCE: The home was generally well maintained. Outside areas were tidy and residents had access to the small garden. The lounge/dining room had been redecorated and the new furniture was arranged in informal seating groups. Dining tables were set up café style. Lighting throughout the building was sufficiently bright for all tasks. Bathrooms had been repainted and were bright, clean and welcoming. Belvoir House Care Home DS0000002588.V333945.R01.S.doc Version 5.2 Page 16 Privacy screens were provided in all shared rooms. Residents were able to bring personal items from their former homes. Two residents showed the inspector their rooms. Visitors said the home was … ”always clean and tidy”. One remarked that she was grateful for the high standards, as her mother had always been ‘fussy’ about cleanliness. Call bells were not working in some rooms and an immediate requirement was made that this be rectified. The owners provided written confirmation that a new system would be installed within three weeks of the inspection. There was no designated staff room. Staff took their breaks in the manager’s office. When relatives needed to speak to the manager, or other professionals wished to discuss confidential issues, they would have to leave. Previous problems with the central heating had been resolved. Residents and visitors said the home was always warm. Standards of cleanliness were high throughout the building. Two domestics were employed during the day and night staff completed cleaning tasks on s rota basis. Belvoir House Care Home DS0000002588.V333945.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. Residents’ needs were met by well-trained, committed staff. However, staffing levels need to be reviewed to reflect the higher level of need associated with dementia. EVIDENCE: The home’s registration had recently been changed and it provided care for people with dementia. Staff had received training and were knowledgeable about dementia related issues. However, they and the deputy manager confirmed that staffing levels had not increased, despite the increase in residents’ needs. Of the returned questionnaires, 7 responses were that staff were ‘usually’ available when needed and 2,’sometimes’. Relatives said that the home …”appeared to be understaffed”., “There isn’t any cover in the lounge/dining room”., “There’s no call bell if they were to have a fall”., “Staff are marvellous, with the patience of Job, but they can’t be everywhere”. There was no provision for extra staff during particularly busy times of the day; something all staff said would be of help. Staff said they had to cover for catering staff at weekends, leaving few staff to meet residents’ needs. They said that pressures on staff, lack of working call bells, the split level layout of the home and number of residents with very high Belvoir House Care Home DS0000002588.V333945.R01.S.doc Version 5.2 Page 18 needs made it, “very difficult to monitor residents as closely as they need”. A requirement was made that staffing levels be reviewed. Fewer than 25 of staff had attained or were training for NVQ awards; half the number required by National Minimum Standards. The deputy manager said that new staff had shown interest in training for the award and it was hoped that the number of staff with NVQs would increase in the near future. Three staff files were inspected. All contained the information required by Schedule 2 of the Care Homes Regulations. One member of staff had been recently recruited. Evidence showed they had not started work before a satisfactory Criminal Record Bureau (CRB) check had been received. New staff spent time at the home, learning about working policies and procedures, getting to know residents, observing general care practice and becoming familiar with the layout of the home. They shadowed experienced staff throughout the induction process. One member of staff said that within the last few months they had received training in fire safety, moving and handling, food and hygiene, dementia care, infection control and adult protection and fire safety. All had a thorough understanding of issues relating specifically to dementia. Belvoir House Care Home DS0000002588.V333945.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): 31,33,35,38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s experienced management team had fostered good working relationships with other professionals. Residents and their families were able to give feedback through a quality monitoring system. The health and safety of service users and staff was promoted through safe working practices. EVIDENCE: The registered manager visited the home every week, keeping in contact by phone. The deputy manager, with many years experience in providing care for Belvoir House Care Home DS0000002588.V333945.R01.S.doc Version 5.2 Page 20 older people, was responsible for the day to day running of the home in his absence and was considered to be the manager by most residents and their relatives. Staff said the deputy was, “very supportive … there’s no friction between staff … you can go to her with anything”. Relatives’ comments included, “She lets me know what’s going on … I can walk away from here knowing my mother is well looked after. I never have to worry … I have every confidence in the (deputy) manager and her staff … if I had any concerns I know she’d find the time to discuss things with me”. Visiting community nurses said they had every faith in the deputy’s judgement and had no concerns about the quality of care. There was an annual quality assurance system to gather feedback about the service. The responses were collated and used to identify shortfalls and improve the service. Relatives managed personal allowances for some residents. The home held monies for others. Two residents’ personal allowances were inspected. Recording and accounting systems were appropriate and balances correct. Two signatures were required for all transactions. Only the manager, deputy, or senior carer had access to personal allowances and monies were kept securely. The home’s health and safety policies and procedures gave guidance to staff and servicing records were maintained. Appropriate risk assessments had been completed for service users and the premises. All accidents and injuries were reported and recorded. The accident book was made available for inspection. Two staff injuries had been recorded since the last inspection. Records showed that servicing and maintenance checks in relation to fire equipment, gas appliances and electrical installation had been carried out. Lifting equipment, such as bath aids, were serviced on a regular basis. Staff received awareness training on health and safety and infection control. Belvoir House Care Home DS0000002588.V333945.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 X 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 2 13 2 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 3 2 X X X 3 STAFFING Standard No Score 27 2 28 2 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 Belvoir House Care Home DS0000002588.V333945.R01.S.doc Version 5.2 Page 22 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 OP13 Regulation 16 (2)(b) Requirement Timescale for action 04/07/07 2. OP19 23 (3)(a) (i)(ii) 3. OP22 23 (2) © (n) 4. OP27 18(1) (a) The manager must make arrangements to ensure that residents can make or receive phone calls in private whenever they choose. The manager must provide 06/08/07 alternative staff facilities. The present arrangements offer no privacy and limit residents’ rights of confidentiality. All residents must have access to 14/05/07 working call bell systems. These systems must be maintained in good working order. The manager provided written confirmation that a new system would be installed within 3 weeks following the inspection. The manager must review 04/07/07 staffing levels, taking into account the increased needs of people with dementia. This will ensure that staff can meet the assessed needs of all residents. Belvoir House Care Home DS0000002588.V333945.R01.S.doc Version 5.2 Page 23 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP28 Good Practice Recommendations At least 50 of staff should have NVQ awards. Staff should be supported to demonstrate their professional expertise by training for the award. Belvoir House Care Home DS0000002588.V333945.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Belvoir House Care Home DS0000002588.V333945.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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