Inspection on 11/03/08 for Bewick Lodge

This inspection was carried out on 11th March 2008.

CSCI found this care home to be providing an Good service.

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

Bewick Lodge 15/01/07

Bewick Lodge 15/05/06

Bewick Lodge 04/01/06

Bewick Lodge 20/06/05

Bewick Lodge 12/10/04

Bewick Lodge 15/06/04

Extracts from inspection reports are licensed from CQC, this page was updated on 18/06/2009.

CARE HOMES FOR OLDER PEOPLE Bewick Lodge Waverly Crescent Lemington Newcastle Upon Tyne NE15 8AN Lead Inspector Suzanne McKean Key Unannounced Inspection 11th March 2009 10:00 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 Bewick Lodge DS0000000419.V374352.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. Bewick Lodge DS0000000419.V374352.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bewick Lodge Address Waverly Crescent Lemington Newcastle Upon Tyne NE15 8AN 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) 0191 264 7267 0191 264 7296 bewick.lodge@fshc.co.uk Bewick Waverley Ltd Manager post vacant Care Home 45 Category(ies) of Dementia - over 65 years of age (45) registration, with number of places Bewick Lodge DS0000000419.V374352.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Up to 8 beds can be used for service users who do not require nursing care, category DE(E). 12th March 2008 Date of last inspection Brief Description of the Service: Bewick Lodge is a 45-bedded care for older people with enduring mental health problems. The home provides nursing care to those residents who have been assessed as requiring it and social care to the residents not needing nursing care. The home is purpose built and is physically attached to another home on the same site. The home is set in large landscaped gardens, close to local amenities and has good local transport links. The home has 45 single bedrooms 18 of which have en-suite facilities. There are two floors with lounges and dining rooms on each floor. There are sufficient bathing and toilet facilities in all areas. Stairs and a passenger lift access the first floor. The home charges fees of £427 per week. As the home provides nursing care the free nursing care element of the funding is provided in addition to the costs charged to the resident. The home provides information about the service through the service user guide. A copy of the last inspection report from The Commission for Social Care Inspection is available in the entrance to the home. Bewick Lodge DS0000000419.V374352.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. Before the visit we looked at: • • • • • Information we have received since the last visit on 12th March 2008. How the service dealt with any complaints & concerns since the last visit. Any changes to how the home is run. The provider’s view of how well they care for people. The views of people who use the service & their relatives, staff & other professionals, including surveys. The Visit: An unannounced visit was made on 12th March 2008 over seven hours. During the visit we: • Talked with people who use the service, relatives, staff, the new manager & visitors. • Looked at information about the people who use the service & how well their needs are met, • Looked at other records which must be kept, • Checked that staff had the knowledge, skills & training to meet the needs of the people they care for, • Looked around the building/parts of the building to make sure it was clean, safe & comfortable. • Spoke to the Manager and the regional manager of the company. We told the manager and the regional manager what we found. What the service does well: The home is well managed by a competent and experienced manager who has worked hard to improve the service. The company has very good quality assurance systems, which make sure that they are always looking at ways to improve the service provided to the people who live in the home. Care assistants were attentive to the needs of the residents. They worked hard through the day to make sure that people received the care they needed and the assistance was provided sensitive and professional way. The staff were kind and friendly and gave help or reassurance to the residents when it was needed. The atmosphere in the home was calm and organised. Bewick Lodge DS0000000419.V374352.R01.S.doc Version 5.2 Page 6 The residents in the home are not all able to say how their feel about living in the home however one spoken too made the following comments: “they are nice” when referring to the staff and another said, “the food is lovely” when speaking about the food being provided at the lunchtime. The home is well decorated and was odour free, pleasant and comfortable. What has improved since the last inspection? What they could do better: Bewick Lodge DS0000000419.V374352.R01.S.doc Version 5.2 Page 7 No requirements were made as a result of this inspection. One recommendation has not yet been addressed and that was that home should provide a safe; secure garden area for residents to freely use and enjoy when the weather permits them to spend time outside. Two new recommendations have been identified they are: The home should continue with the plans to develop further the specialist dementia care element of the care in line with “best practice” initiatives. The home should review the way that the dining rooms are set out so that the residents can be given the best possible experience. These recommendations will support the people living in the home to live more satisfying and fulfilled lifestyle and maximise their independence. 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. Bewick Lodge DS0000000419.V374352.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 Bewick Lodge DS0000000419.V374352.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The assessment of resident needs are comprehensive and help to identify the level and type of care people need before admission. This makes sure that people’s need’s can be met by the home. EVIDENCE: Individual residents’ files contained a copy of a needs assessment carried out by the referring care manager as well as a detailed assessment completed by the home staff. The pre-admission assessments contained a range of appropriate information about people’s diverse needs. These are used to draw up both these initial assessments and the home’s subsequent service user plans. Bewick Lodge DS0000000419.V374352.R01.S.doc Version 5.2 Page 10 All prospective service users and their representatives are invited to visit the home prior to admission to the home. Relatives who were in the home during the visit said that they had been given sufficient information prior to their relative’s admission and that it proved to be accurate. Care plans show that a range of specialist services was provided to service users and staff confirmed that this was so. Staff also demonstrated they had a range of relevant training and experience. During the inspection visit a relative arrived at the home without appointment and was given information regarding the service the home has to offer. The service was not the appropriate one for the needs of the individual but the manager was able to give the visitor the information she needed. Bewick Lodge DS0000000419.V374352.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good systems ensure that health and social care needs are delivered in a respectful way and the care plan documentation is completed in sufficient detail to show that the resident’s needs are being met. EVIDENCE: The Company have an extensive range of documentation and each resident has an individual plan of care. The documentation available is varied and includes, a variety of assessment tools including those for a dependency, skin integrity, falls, nutrition, and general risk assessments. The home is using the company documentation and as a result the care plans contain a large amount of information and are detailed and describe the care being given. They now reflect the changing needs of the residents and are person centred. The care plans had been reviewed to the necessary frequency in line with the company policies and procedures. It was therefore possible to assess from the Bewick Lodge DS0000000419.V374352.R01.S.doc Version 5.2 Page 12 plans that the residents psychological, health and personal care needs are being monitored and met with preventative care being delivered. There are plans to develop the specialist dementia care element of the care being provided. This is being managed by the company by a central strategy which the home is taking part in. This will enhance the wellbeing of the residents and bring the care delivery in line with “best practice”. Although the home is registered to provide nursing care for residents with dementia and the home also has some residents who also have general nursing needs. The home has the necessary equipment to provide for the needs of these residents including intermittent pressure-relieving mattresses and patient lifting hoists. Residents are provided with services available to the wider community for example chiropody, dentistry and other therapeutic services according to assessed need. The staff obtain advice from specialists from the local Primary Health Care team as necessary and the Tissue Viability Nurse (TV nurse) is currently attending the home to provide advice to support the staff to care for an individual resident. Residents are weighed regularly and staff make changes in the care provided to take into account any changes. Dietary needs are identified and met for those residents who have specific religious, and cultural needs. Other choices and preferences are accommodated. Care plans include information about the individual cultural and religious needs of residents and this is considered when care is being provided. Staff knocked on bedroom doors before they entered but residents could not say if this was usual practice. Two relatives said that they felt that their relatives were offered privacy when receiving personal care. Any examinations by medical or nursing staff are carried on in the resident’s own room. The record of the administration of medicines including the way the home orders, manages and stores it is appropriate. Residents are receiving there prescribed medication in line with the relevant legislation and good practice guidelines. There is adequate recording of medicines given, and regular auditing is carried out to ensure that they are being handled in line with best practice and the homes policies and procedures. Bewick Lodge DS0000000419.V374352.R01.S.doc Version 5.2 Page 13 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are supported to make choices about how they spend their time to live satisfied and fulfilled lives and the records are in place to show how staff achieve this. Residents receive a nutritious and varied diet that helps ensure they stay healthy. EVIDENCE: Residents are offered a selection of social activities. There is an activities coordinator employed on a full time basis. These activities are recorded on an individual basis and the variety offered to individual residents depends upon their dependency level, needs and interests. The residents are offered some choice and there is a programme available including cards, dominoes and ground netball. It is acknowledged that engaging people with dementia can be challenging but the home are now using more creative ways of achieving this. During the visit care staff confirmed that there was usually something planned to occupy the residents during the day. Bewick Lodge DS0000000419.V374352.R01.S.doc Version 5.2 Page 14 The improvement to the care plans has resulted in them now containing better information to show the preferences and abilities of the residents and improved social activity planning. During the visit the residents were occupied playing a card game or listening to music. One resident explained that he goes out every day for his newspaper when a carer accompanies him. Another said that she enjoyed sometimes accompanying them when they go out. A resident described a recent trip out to the coast when they said that they had a lovely time. Records in the home including the care plans show that residents are making decisions about their daily lives. Although this can be in small ways it includes issues such as what time they get up and go to bed and what they eat and wear as well as taking part in social activities. All residents are supported to maintain links with their families. During the visit some relatives were visiting the home and those spoken to were positive about the way they are welcomed and made to feel comfortable. The staff were helping the residents in a sensitive and respectful manner with service users and although the residents were not able to verbally confirm if the staff respect their dignity they were comfortable with staff. The menus are developed by the company and operate around a four-week programme. The menus are varied and nutritional, special diets are provided as needed. One resident said that the food “is lovely” and another that “we choose what we have”. During the lunchtime meal all of the residents were asked for their choice at the time of serving and some were offered an alternative when they did not appear to be eating the food they were served. The choices on the day of the visit were, the meal was tasted by the inspector and was well cooked and tasty, and was served at the appropriate temperature. However the way the dining room was set out on the first floor could have been improved, as it was not set out in the same way as the ground floor. It is acknowledged that the residents may disrupt the table settings putting themselves and others at risk, however this should be managed through risk assessments and supervision. The way that residents are supported must be individualised and they must be given opportunities to maximize their independence. Bewick Lodge DS0000000419.V374352.R01.S.doc Version 5.2 Page 15 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The complaints and safeguarding procedures are clear and well known to all. The manager follows these to make sure that any issues are dealt effectively. EVIDENCE: The complaints policy is in the service user guide and it is displayed in the home. The records show the way that complaints were being managed; they were kept in good order and contained the records of the investigation and the correspondence. There was good evidence of the way the complainants are communicated with, particularly to inform them of the outcome of the complaint or if any improvements were planned as a result of the investigation. The home has policies and procedures in relation to the prevention of abuse and whistle blowing; the staff are trained in these areas of practice, which is included in the induction programme and the ongoing in house training programmes. Bewick Lodge DS0000000419.V374352.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents live in a well decorated, clean and well furnished home which is safe and well maintained. EVIDENCE: The home is purpose built over two floors and it is set in extensive wellmaintained gardens which residents can only access when supervised by staff. There is no free access to a safe, secure area for residents who have mental health problems. The improvements to the decoration noted at the last inspection have continued and the decoration is now to a good standard. The communal areas are decorated and furnished to a good standard and the rooms are big used for a variety of activities. Bewick Lodge DS0000000419.V374352.R01.S.doc Version 5.2 Page 17 A random inspection of the bedrooms found that they were clean tidy and well decorated. They were personalised to the taste and preferences to the resident who lives in them. The new furniture and bedding make the rooms look homely in style. There are bathrooms and toilets close to all communal areas and bedrooms. Eighteen of the bedrooms have en-suite facilities. There are sufficient numbers of bathrooms / showers for the number of residents in the home. As there are both assisted baths and showers the residents have choice about how they will receive their personal care. Two bathrooms were not being used and they would need to be brought back into service if the resident numbers increase. The sluices were tidy and generally clean. The sluices were locked and the disinfector was working. A cleaning schedule is in place and all areas of the home were clean. The clinical waste is securely stored outside the building. Liquid soap and paper towels are available in resident areas and in all resident’s bedrooms allowing staff, visitors and residents to wash their hands without leaving the room. The laundry is separate from resident areas and was clean and free from odours. Lighting levels were sufficient and there was emergency lighting throughout the home. Water is stored at over 60°C. Valves are in place at water outlets to ensure water is provided close to 43°C to prevent scalding. Bewick Lodge DS0000000419.V374352.R01.S.doc Version 5.2 Page 18 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are skilled, well trained, and competent staff employed in sufficient numbers to make sure that they can provide good care to the residents. EVIDENCE: During the visit to the home there were sufficient staff to meet the needs of the residents including qualified nurses, carers, domestic and catering staff. Staff records are completed according to the company policies and procedures, including two references and a completed application form. The requirement to have a CRB and POVA check is applied to all of the staff in the home. The manager has reviewed the training programme in the home and has organised a varied programme to provide a large spectrum of both clinical and statutory areas of training. The training records were looked at. There is statutory training including moving and handling, fire training and food handling and hygiene and clinical training given in line with the company policy. There is a very small number of staff that have not received some statutory training, however these are due to individual circumstances and there is an action plan in place to address the shortfall. Bewick Lodge DS0000000419.V374352.R01.S.doc Version 5.2 Page 19 Fifty per cent of the care staff have achieved National Vocational training level two or three and a programme is in place for others to complete courses depending upon the training needs of the individual staff member. There is a very comprehensive induction programme in place which is well documented and given to all staff on their commencing their employment. This includes moving and handling, fire training and food handling and hygiene. Specialist advisors are asked to see individual residents and the staff are given training as part of this process as necessary. There have been a number of staff changes since the last inspection visit including the manager, nursing and care staff. Staff that were spoken to were positive about the recent changes to the management arrangements and felt that they were being listened to. Staff interviewed were knowledgeable about the residents needs. On the day of the visit there were the following staff in the home: The manager Two qualified nurses both of which were Registered Mental Nurses Four care staff The administrator The handyman One domestic One laundry assistant This is one more carer than would be usual for this number of residents of this client group and takes into account the dependency of the people living in the home. It was noted that when sickness and staff holidays occur home staff usually covers the shortfall. Late reporting of sickness particularly at holiday times and weekends does result in fewer staff being on duty for occasional shift periods, however the manager is aware of this and tries to minimise the times this occurs by the use of agency staff. Bewick Lodge DS0000000419.V374352.R01.S.doc Version 5.2 Page 20 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed in line with good health and safety practices and in the best interest of the residents, making sure that their needs are met and that the staff are supported in the roles they undertake. EVIDENCE: There has been a change in the management of the home since the last inspection. The manager, Donna Dove has been in post since June 2008 and is currently undertaking the process of registering with the Commission for Social Care Inspection. Bewick Lodge DS0000000419.V374352.R01.S.doc Version 5.2 Page 21 She has experience working with older people for approx thirteen years and has managed a care home before this one. She has worked with older people and with people with a learning difficulty. She has a qualification in management and has qualifications in nursing and social care. She has continued to develop her practice and a teachers certificate in both moving and assisting and first aid. During the inspection visit the Regional Manager for the Company was present. She is confident that there had been a recent improvements in the standards and has been involved in putting into place an action plan. She was confident about the lines of accountability both within the home and with the senior managers of the company. Staff interviewed were clear about the their responsibilities. Those spoken to were positive about the new management systems saying they were encouraged to contribute to the development of the service. Reviewing of the care and service delivered takes place through a process of regular audit and there are a number of reporting processes in place to allow the senior managers to monitor the performance of the home. The records of the residents personal finances were examined and were being kept in detail with records of money spent being signed by either the resident their representative or by two staff. The receipts and the recordings were in order. The home follows good fire detection and prevention practices, regular maintenance checks are carried out and recorded. However, although the staff have received their initial statutory training their regular updates are not up to date and the fire practices have not been held in frequent enough intervals (see requirement in training section). There was information, which verified that appropriate maintenance contracts for the home are in place. Water storage tanks, gas and electrics are checked annually. Relative and resident meetings are held the last one being in October 2008 and the next one planned for 20th March 2009. Staff meetings are held as necessary, the last formal meeting was on 5th January 2009 and there have been informal meetings with staff since then. Bewick Lodge DS0000000419.V374352.R01.S.doc Version 5.2 Page 22 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 3 3 3 3 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 Bewick Lodge DS0000000419.V374352.R01.S.doc Version 5.2 Page 23 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 OP19 Good Practice Recommendations The home should provide a safe; secure garden area for residents to freely use. This will give them a more satisfying and fulfilled lifestyle. The home should continue with the plans to develop further the dementia care element of the care in line with “best practice” initiatives. This will give them a more satisfying and fulfilled lifestyle and maximise their independence. The home should review the way that the dining rooms are set out so that the residents can be given the best possible experience. This will maximise their independence and help them to enjoy the experience of meal times. 2. OP8 3. OP15 Bewick Lodge DS0000000419.V374352.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Bewick Lodge DS0000000419.V374352.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. 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