Inspection on 25/08/06 for Bereweeke Court Nursing Home

This inspection was carried out on 25th August 2006.

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

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

Other inspections for this house

Bereweeke Court Nursing Home 27/10/08

Bereweeke Court Nursing Home 12/12/05

Bereweeke Court Nursing Home 03/08/05

Bereweeke Court Nursing Home 25/11/04

Bereweeke Court Nursing Home 12/07/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Bereweeke Court Nursing Home Bereweeke Road Winchester Hampshire SO22 6AN Lead Inspector Feargal Gallen & Pat Griffiths Unannounced Inspection 10:00 25 August 2006 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 Bereweeke Court Nursing Home DS0000012165.V308794.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. Bereweeke Court Nursing Home DS0000012165.V308794.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bereweeke Court Nursing Home Address Bereweeke Road Winchester Hampshire SO22 6AN 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) 01962 878999 01962 863663 hilliert@bupa.com www.bupa.co.uk BUPA Care Homes (CFCHomes) Limited Mrs Tracey Louise Hillier Care Home 56 Category(ies) of Dementia (10), Dementia - over 65 years of age registration, with number (56), Mental disorder, excluding learning of places disability or dementia (3), Mental Disorder, excluding learning disability or dementia - over 65 years of age (15), Old age, not falling within any other category (56) Bereweeke Court Nursing Home DS0000012165.V308794.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. All service users must be at least 60 years of age. Date of last inspection 12th December 2005 Brief Description of the Service: Bereweeke Court is a care home providing nursing care. The home is registered to accommodate 56 service users from 60 years of age, who have dementia and mental health care needs. The home is situated in a pleasant residential area on the outskirts of the city of Winchester and is close to local amenities, which residents can access with the support of relatives or staff. The home is owned by a large national organisation. The building was originally part of a private hospital and lends itself to being fragmented. Thirteen single bedrooms have en-suite facilities. The fees for the home are based on individual assessments and range from £750 - £850 per week, with extras charged separately, such as £8.90 for chiropody and hairdressing from £6.50. Bereweeke Court Nursing Home DS0000012165.V308794.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Two inspectors visited the home for six hours and examined all key standards of the national minimum standards for care homes for older people. The opportunity was taken to tour the home, view records, policies and procedures and talk with residents and staff. The inspectors also had the opportunity to observe the lunchtime meal and residents and staff interactions. The manager was on holiday on the day of the visit and the deputy manager assisted throughout the visit and all staff very friendly and helpful, especially when the inspector’s car wouldn’t start at the end of the visit. What the service does well: What has improved since the last inspection? What they could do better: The service users guide and statement of purpose should be reviewed and amended to provide up to date and accurate information for any prospective service users and their relatives or friends. Bereweeke Court Nursing Home DS0000012165.V308794.R01.S.doc Version 5.2 Page 6 Nursing staff need to review their methods of medication administration to ensure they sign for any drugs administered and that all records are completed properly. 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. Bereweeke Court Nursing Home DS0000012165.V308794.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 Bereweeke Court Nursing Home DS0000012165.V308794.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. Arrangements ensure that the home completes a pre-admission assessment to ensure that the needs of the prospective resident can be met before a place is offered in the home. Standard 6 does not apply to this service EVIDENCE: The inspector noted that the service users guide has not been reviewed and updated and still contains out of date information, such as NCSC instead of CSCI. The inspector looked at three care plans and found that each file contained a completed pre-admission assessment record, and it was evident from these completed documents that the admissions to the home had all been properly planned. The assessments are comprehensive, containing information about the health, social and personal needs of the resident, which had been used to write the care plans. The home does not provide intermediate care. Bereweeke Court Nursing Home DS0000012165.V308794.R01.S.doc Version 5.2 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 the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. Arrangements ensure that the personal, emotional and health care needs of the residents are well looked after. The care plans in place provide staff with the information they need to meet most of the residents’ needs. Arrangements ensure that the administration of medication procedures are clear and comprehensive to protect the staff and residents EVIDENCE: Three care plans were examined and found to contain detailed information, based on the pre-admission assessments the home had carried to identify the service users needs. The care plans identified the health, personal care and social needs of the individual service users and set out the actions staff had to take to meet those needs. Care plans were also seen to contain a residents ‘Map of Life’, which contained information such as the place where they were born, where they married and details about their children and grandchildren, pets, hobbies and interests. Bereweeke Court Nursing Home DS0000012165.V308794.R01.S.doc Version 5.2 Page 10 Risk assessments concerning falls and moving and handling had also been completed and included in the care plans. It was apparent that the care plans are reviewed monthly and information updated as necessary. Not all residents are involved in the review of their care plans, some through choice and some because of their deteriorating health. The inspectors observed the staff interacting with the residents and found them to be attentive and professional. The inspector noted that there were staff present most of the time in the communal areas and the deputy manager explained that part of the home’s continuing strategy for reducing falls was to ensure that a member of staff is always present in each of the communal lounge/diners. It had been noted from the Regulation 37 Incident Reports that have been sent to the commission that the number of falls by residents has not diminished. The deputy manager explained that when residents are found on the floor it is not always apparent whether they fell down or if they sat down, and there are rarely any injuries sustained, so all incidents are reported as falls. The deputy manager also said that five members of staff had attended a training session on falls prevention, which had been organised by the PCT (Primary Care Trust) and only one other person attended, so the training will not be run again. The home has written policies and procedures for the management and administration of medication. It was noted that the home has suitable arrangements in place for the disposal of unused or unwanted medication. The deputy manager said that one of the residents administers their own medication. The home uses medication administration record sheets (MAR) to record the receipt, administration and disposal of medication in the home. The MAR sheets were checked by the inspector and it was found that two doses of Temazepam (sleeping tablets) had not been signed for by the staff when the tablets had been given to one resident, and there was a signature missing in another record, the rest had been completed and signed appropriately. This was discussed with the deputy manager. Bereweeke Court Nursing Home DS0000012165.V308794.R01.S.doc Version 5.2 Page 11 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 the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The home organises a range of social activities and also promotes residents self-determination, enabling residents to exercise choice about most aspects of their daily life. Residents are encouraged to maintain links with relatives and representatives. A balanced and varied selection of food is available to meet the tastes and choices of residents. EVIDENCE: The inspector spoke to the activities organisers who have recently started work in the home. They said that they are in the home for six hours each weekday and undertake a variety of activities with the residents. They have both completed some training with Age Concern for an overview on suitable activities for the residents and plan to do some art and music training. They had recently taken some of the residents on a boat trip from Hythe to Ocean village, which had been arranged by a local charity group, which had been enjoyed by everyone. Activities planned for the week following the inspection included cookery, making chocolate rice crispie cakes, making scrap books, making an ‘aquarium’ collage and walks in the garden to collect ‘bits and pieces’ for floral decorations in the home. It was noted that social and Bereweeke Court Nursing Home DS0000012165.V308794.R01.S.doc Version 5.2 Page 12 recreational activities have been recorded in the residents’ activity reports in their care plans. There is a visitors’ book in reception and visitors were seen to have signed in, there is also information nearby about the home and advocacy services for those who want impartial or confidential advice for themselves or their relatives. One visitor who spoke to the inspectors said ‘the staff are jolly kind – to me and the residents, I have two relatives here and one died recently – the staff were wonderful, they sent me flowers’ the visitor said that she visited every two days and was very happy with the care provided and said ‘I don’t know how they (the staff) manage to keep coming back to do the job’ The deputy said that the Chef Manager plans the menu, which has seasonal variations. The kitchen has been refurbished and the new floor is in place. There is always a choice of main meals, as well as alternatives such as sandwiches. The deputy manager explained that the home provides small portions at mealtimes and offers second helpings, rather than putting out large portions which some residents found off-putting and resulted in them eating nothing. The inspectors noted that lunch was served in stages, to ensure that there were enough staff to help the residents that needed assistance, and it was unhurried and relaxed. The deputy also discussed the plans for ‘protected meal times’, when it is hoped that staff and residents can concentrate on the meals with no external interruptions. Fruit was seen to be available and residents can choose where to have their meals. Residents that spoke to the inspectors said that they like their meals and that there are choices available for them. During the visit the inspector observed a resident becoming aggressive and hitting out at a male member of staff. The carer explained that he should not be hitting the staff and left the resident to calm down. A female carer then helped the resident to the bathroom, explaining what she was doing all the time. The male care told the inspector that he had received training for situations like this, which was apparent from the way he handled the situation. Bereweeke Court Nursing Home DS0000012165.V308794.R01.S.doc Version 5.2 Page 13 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 the following standard(s): 16 and 18 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The home had a clear complaints procedure to address the concerns of residents and relatives/representatives. Arrangements are in place to protect service users from the risk of abuse. EVIDENCE: The manager and the deputy clearly have an ‘open door’ style of management and residents, visitors and staff feel able to speak to either about their concerns or problems. The home has written policies and procedures about how complaints can be made about the service that is provided. All residents and relatives spoken to were confident about raising any concerns with the home’s manager and did say ‘I have nothing to complain about’. The deputy manager said that there had been one complaint made to the home, which had been resolved. No complaints, concerns or allegations have been made to the commission since the last inspection in December 2005. The home had written procedures available regarding adult protection. These are intended to provide guidance and information for the staff to ensure that that the risk of residents suffering harm was prevented. Staff spoken to said that they received training, which is undertaken by the manager, about protecting vulnerable adults and an examination of staff training records confirmed this. The deputy manager said that the home also has other Bereweeke Court Nursing Home DS0000012165.V308794.R01.S.doc Version 5.2 Page 14 guidance such as ‘No secrets’ and is awaiting the up- to -date copy of the local authority procedure for adult protection. Bereweeke Court Nursing Home DS0000012165.V308794.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The home’s environment is usually safe and well maintained. Arrangements are in place to ensure that the home is clean and hygienic. EVIDENCE: The inspectors toured the home, and were able to see the communal areas, laundry, kitchen and some of the bedrooms and bathrooms. The home looked clean and tidy, with a warm and friendly atmosphere. There were no unpleasant odours noted in the home, except for an area in the hallway outside the sitting room, which was discussed with the deputy manager. The bedrooms that were seen had been personalised and made homely with the resident’s own possessions, such as pictures, photographs and ornaments. During the tour of the home the inspectors noticed that several bedroom doors were ‘jammed’ open because the residents prefer to spend time in their Bereweeke Court Nursing Home DS0000012165.V308794.R01.S.doc Version 5.2 Page 16 rooms, but still be able to see what is going on outside. These doors did not have door guards fitted, which are usually linked to the fire alarm and would have closed the door in the event of a fire. The inspectors also noticed that the new fire doors that had been fitted to the laundry were too small, which left a sizable gap between them. This was discussed with the deputy manager as they represented a serious fire hazard. The estates manager was contacted and by the end of the visit it had been arranged for the contractors to return to fix the doors and a smoke alarm had been fitted outside the door as a temporary measure for the weekend. It was also arranged for the homes maintenance staff to fit door guards to the bedroom doors of the residents who like to stay in their rooms with the doors open. A telephone call to the manager following the inspection confirmed that all this work had been completed to a satisfactory standard. The home has a small courtyard garden at the rear of the home, which was being enjoyed by several of the residents, as it was a warm day. There were tables and chairs with umbrellas available, which were easily accessible and external doors had ramps leading out to the garden. It was noted that the bathroom and lavatory doors are very clearly labelled with large red symbols, which the deputy manager said made it easier for the residents to identify them. There were several wheelchairs and hoists parked in the bathrooms, which made use of the room awkward as the sinks, paper towels and waste bins were not always accessible. The deputy said that storage of this equipment was a problem as there was never enough storage room for everything, but that equipment was moved out if anyone had a bath or shower. The inspectors saw the homes fire policy, which is in two parts, one is corporate for the organisation and the other local for Bereweeke Court. The fire safety records indicated that weekly fire alarm checks are carried out and recorded by the maintenance staff. Bereweeke Court Nursing Home DS0000012165.V308794.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The home does not achieve the national target of 50 of care staff with national vocational qualifications in care. Suitable recruitment procedures are in place to ensure that staff and residents are not put at risk. EVIDENCE: Most staff, residents and relatives indicated that the staffing levels in the home were sufficient and visitors and residents also expressed confidence in the abilities and competence of the staff to meet their needs. Visitors and residents that spoke to the inspectors agreed that the staff are ‘caring, friendly, helpful and there when they are needed.’ The recruitment process within the home now appears to be thorough. The manager and the relevant head of department interview all applicants and there is a written record of the interview in the staff file. The inspector looked at five staff files, where it was apparent that the statutorily required information and checks had been obtained and conducted before staff had started work in the home, this included two references, one from the last place of employment and a CRB and POVA check (Criminal Records Bureau and Protection of Vulnerable Adults). The trained nurses that are recruited should always have their professional qualifications checked with the NMC (Nurses and Midwives Council), but the home has been accepted the statement of entry to Bereweeke Court Nursing Home DS0000012165.V308794.R01.S.doc Version 5.2 Page 18 the nursing register as proof of qualification for some of the nurses. This was discussed with the administrator whose job it is to check all applications, who said that in future it would be done for all nursing applicants. The pre-inspection questionnaire, which was completed by the manager and returned to the commission before the inspection, indicated that the staff in the home consists of twelve registered nurses, thirty-four care staff and twenty-five ancillary staff. Six of the care staff and four of the overseas nurses have completed an NVQ 2 or above, which means that that 18 (or 29 if the overseas staff are included) have completed an NVQ in care. This is an improvement on last years’ numbers, when only 10 of care staff had a qualification in care. It was a national expectation that 50 of all care staff in each care home would achieve an NVQ by 2005. The deputy manager explained that the corporate decision that only carers over 25 years of age are eligible to undertake the NVQ training is still in place, which is why the target of 50 has not been met. Concerns were expressed that the home’s programme to increase the quality of care provision through supporting carers to achieve qualifications in care has been set back. The training programme for the next year includes sessions on manual handling, fire training, prevention and management of aggression, food hygiene, health and safety, COSHH (Control of substances hazardous to health) and ‘personal best’. Bereweeke Court Nursing Home DS0000012165.V308794.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. Arrangements ensure that the home is well managed, with evidence that the views of the residents and their relatives are sought, listened to and acted upon. The service users financial interests are safeguarded and their welfare is promoted through sound policies and procedures. EVIDENCE: The manager is a registered general and mental health nurse and has also completed her Registered Manager’s Award. She has had twenty months experience in running a nursing home and is supported by a very able deputy. This was evident in the smooth running of the service during the manager’s absence. Staff that spoke with the inspectors said the home was a nice place to work, with good support and training. They felt that there was a clear line of authority within the home and felt that the manager and the deputy were approachable and supportive. Bereweeke Court Nursing Home DS0000012165.V308794.R01.S.doc Version 5.2 Page 20 The residents stated that the home help them to look after their money safely. The administrator of the home showed the inspector the electronic recording System on the computer for the resident’s monies, as wells as receipts and balances for each resident. The electronic records were clear and each resident had their own account line and the system is audited regularly by the organisation. The inspector was shown the electronic records and recent receipts kept at the home, which corresponded to the electronic record. The deputy manager said that head office sends out quality assurance questionnaires to the relatives of service users, collates the information and then inform the home of the results. Information in the pre-inspection questionnaire confirmed that all maintenance, services and checks on equipment in the home have been completed and are up to date. Bereweeke Court Nursing Home DS0000012165.V308794.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 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 3 STAFFING Standard No Score 27 3 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 Bereweeke Court Nursing Home DS0000012165.V308794.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 Refer to Standard OP1 Good Practice Recommendations The service users guide should be reviewed and amended to contain up to date information, such as CSCI instead of NCSC. Bereweeke Court Nursing Home DS0000012165.V308794.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Bereweeke Court Nursing Home DS0000012165.V308794.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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. 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