Inspection on 07/12/07 for Bradeney House Care Home

This inspection was carried out on 7th December 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

Bradeney House Care Home 20/05/09

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

CARE HOMES FOR OLDER PEOPLE Bradeney House Care Home Worfield Bridgnorth Shropshire WV15 5NT Lead Inspector Keith Salmon Key Unannounced Inspection 7th December 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 Bradeney House Care Home DS0000069098.V356243.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. Bradeney House Care Home DS0000069098.V356243.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bradeney House Care Home Address Worfield Bridgnorth Shropshire WV15 5NT 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) 01746 716686 01746 716686 None Holy Cross Care Homes Limited Mrs Jane Ferriday Care Home 37 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (37) of places Bradeney House Care Home DS0000069098.V356243.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th September 2007 Brief Description of the Service: Located in a rural setting on the outskirts of the village of Worfield, approximately six miles west of Bridgnorth, Bradeney House is a spacious, detached residence, which has been extended through the incorporation of an adjacent bungalow. The home benefits from having generous, attractive grounds, and there is car-parking provision to the front of the property. The Home is Registered to provide residential accommodation for up to 37 people, of whom 17 may require nursing care. Up to ten of the total number may need care for dementia related conditions. There are two wings - ‘Residential’ and ‘Nursing which between them offer a range of accommodation including single bedrooms (some en-suite), and shared (double) bedrooms. The range of fees, although not available in published information for prospective Residents, is provided by letter when the Home confirms it is able to provide care to meet that persons assessed needs. Bradeney House Care Home DS0000069098.V356243.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Unannounced ‘Key’ Inspection commenced at 9.30am, concluded at 3.00pm, and was conducted by Mr Keith Salmon. Present on behalf of the Home throughout the inspection were Mrs. Jane Ferriday (Registered Manager) and Miss Jane Welsman (Joint Proprietor). In addition to an inspection of ‘Key’ Standards, this Inspection also sought to review progress in meeting ‘Requirements’ arising from the most recent Unannounced ‘Key’ Inspection, held in August 2006 and the ‘Random’ Inspection of September 2007. This Report is based on observations made during a tour of the Home, a review of care related documentation, staff files, training files and duty rotas, plus a range of other documents/records reflecting the general operation of the home. Individual discussions were also held with 4 Residents, 2 Visitors, Miss Welsman, Mrs. Ferriday, and several other members of staff. The inspection visit was further informed by data supplied by the Home’s Manager through our Annual Quality Assurance Assessment (AQAA) document. The AQAA is a self-assessment, which focuses on how outcomes are being met for people using the service, plus any plans the Home may have for future improvements. One recommendation has been made as a result of this visit. What the service does well: What has improved since the last inspection? Two significant areas of improvement have occurred since the last inspection. Firstly, the home has carried out a complete review of meals provision, which has resulted in a more varied and nutritional menu. Secondly, the home has developed quality assurance systems, in particular in the use of questionnaires. Bradeney House Care Home DS0000069098.V356243.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Bradeney House Care Home DS0000069098.V356243.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 Bradeney House Care Home DS0000069098.V356243.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 & 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective Residents, and/or their ‘supporters’, are provided with information, which enables them to make a decision as to the home’s ability to meet care needs and lifestyle wishes. Processes to ensure appropriate and thorough care needs assessment, prior to admission, are effectively applied, and subsequent findings are utilised to ensure appropriate placement and care provision. EVIDENCE: Documentation providing information about the Home e.g. Service User Guide, Philosophy of Care, and the Home’s brochure have all been reviewed and revised, so as to reflect the change of ownership. Review of care plans, and related documentation, evidenced appropriate and thorough care needs assessment is undertaken, by the Manager, prior to admission. Bradeney House Care Home DS0000069098.V356243.R01.S.doc Version 5.2 Page 9 Records further demonstrated the pre-admission assessment is central to each Resident’s care plan - the continued development of which includes input by the resident, their relatives, and the allocated ‘key worker’. Bradeney House Care Home DS0000069098.V356243.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The content, organisation and quality of entries within care plans, indicate Residents’ individual assessed care needs are fully met. The storage, reception, disposal, and record keeping, relating to medicines’ administration are all in accordance with accepted ‘good practice.’ The care provided is delivered considerately and effectively with Residents’ privacy and dignity being respected. EVIDENCE: Review of care related documentation relating to three ‘case tracked’ Residents’ demonstrated Care Plans were well organised, relevant, easy to understand, and up-to-date. Care Plans include a high level of detail, which relate to the Residents’ individual needs, together with clear statements of care to be provided. This detail ensures Carers are enabled to fully meet identified needs in an informed and safe manner, regardless of who is providing direct care at any given time, and this was confirmed by discussions with ‘case tracked’ Residents. Bradeney House Care Home DS0000069098.V356243.R01.S.doc Version 5.2 Page 11 Evidence was also observed, which confirmed regular care needs review is undertaken by the Manager on at least a monthly basis. The home’s medicines management involves the manual transfer of Resident’s prescription details on to the home’s Medicine Administration Record Sheets (MAR). Whilst the home would prefer a monitored dose system (e.g. ‘Nomad’) the two local GP practices, who provide medical cover to the home, and also provide their own ‘in-house’ medicine dispensing, are unable to comply with the homes preference. The home’s arrangements for addressing this matter, so as to ensure residents’ safety appear sound, i.e. all copy entries are made by the Manager or Acting Deputy Manager, backed by a second person checking, together with signatures of both persons. General inspection of the home’s systems and administration records demonstrated their practices meet the guidelines of the Royal Pharmaceutical Society. Bradeney House Care Home DS0000069098.V356243.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 good. This judgement has been made using available evidence including a visit to this service. Residents are able to choose their life style, social activity and keep in contact with family and friends. A good range of activities is offered, which are consistent with Resident’s capabilities and expectations. Opportunities for contact with family/friends/community are established and encouraged. The Home provides a daily choice of attractive and nutritious meals based on Residents’ preferences. EVIDENCE: The ‘events’ calendar has been broadened to include activities identified through the bi-monthly Residents’ Meeting, ensuring the calendar now reflects topics preferred by persons who use the service. The application of the programme is lead by a member of staff whose primary function is in this area of care. Activities include visits to pubs (a Christmas pub lunch has been arranged, which includes Resident’s Relatives and Bradeney House Care Home DS0000069098.V356243.R01.S.doc Version 5.2 Page 13 Friends), canal boat trips, shopping trips (e.g. into Bridgnorth), visits to garden centres, craft activities, painting and visits from entertainers and singers. In addition to programmed activities the activities specialist ensures Residents with differing needs, or reduced mobility, such as those in the nursing wing, receive specific 1:1 attention. There has been a review of meals provision and development of a menu to ensure enhanced nutritional value and more variety. This has also enabled Residents’ preferences to be incorporated. A choice is always available if the main dish of the day is not to an individuals liking. Residents, and relatives, informed us they have noticed an improvement in the range and quality of meals since the change of ownership. Minutes of the Residents/Relatives Meetings reflected an interesting range of topics including a reference to a problem with flies during the summer, which was resolved by the purchase of mosquito nets for Residents who wished to use them; an ongoing report item on plans and progress in relation to the substantial building works; matters relating to the Residents’ trolley service which provides toiletries, cosmetics etc, and a reminder that alcoholic drinks are available for Residents. Other items for discussion were the planning of the annual garden party, and the entry of the home’s float in the Bridgnorth Carnival, for which the home has won first place in recent years. Bradeney House Care Home DS0000069098.V356243.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. The home has a satisfactory complaints system with evidence that Service Users and relatives feel their views are listened to and acted upon. Robust procedures and practices are in place to ensure that individuals are protected from abuse. Service Users are provided with up-to-date information about adult protection. EVIDENCE: Evidence was observed demonstrating all Policies and Procedures relating to ‘complaints and protection’ have been reviewed and revised. The home has a complaints procedure, which is clear, relevant and includes contact details for the Commission. A copy was observed displayed in the hallway of the home giving ready access to interested parties. The Manager maintains a complaints/concerns/suggestions log, which evidenced an interesting mix of compliments and concerns. The Proprietor, or Manager, had entered a written response immediately below each entry, including action proposed. Comments made to us, by Residents and Relatives, indicated they are aware of the home’s complaints procedure, and would feel confident in raising any matters that were of concern to them. Bradeney House Care Home DS0000069098.V356243.R01.S.doc Version 5.2 Page 15 Since the previous Key Inspection, held in January 2007, there have been no complaints made to the Home or to the Commission. Training records evidenced an ongoing programme of staff training in relation to complaints and in the protection of vulnerable people. Bradeney House Care Home DS0000069098.V356243.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): 19,25 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a comfortable, safe environment, which is clean, pleasant and hygienic. Disruption to Resident’s lives during building work has been very effectively minimised. EVIDENCE: Although the home is currently undergoing extensive remodelling, the tour of the Home demonstrated it offers comfortable, clean, and homely accommodation, located over two wings (nursing and residential). With a total of 3 sitting rooms and 2 dining rooms there is ample communal area provision. Bedrooms were pleasant, comfortable and evidenced Residents bring their own personal possessions into the Home. Bradeney House Care Home DS0000069098.V356243.R01.S.doc Version 5.2 Page 17 The substantial building works, ongoing at the time of this inspection, form part of a 4 year programme, comprising three phases – the first two phases addressing the need for extensive upgrading and refurbishment of the existing accommodation, with the third phase being a proposed new build development involving demolishing a currently unused part of the property. Phase one, which is on target to be completed by the end of December 2007, is situated in the central ‘core’, which includes entrance hall, office/reception, lift, and ensuite bedrooms above. The completion of the first two phases will see all bedrooms being single use, and ensuite - some with ‘wet-rooms’. A noteworthy achievement, in respect of the building works, is the way in which the noise, dust, and general threats to safety accompanying such work, have not been permitted to intrude into either of the immediately adjacent wings. Residents and relatives informed the Inspector they were fully aware of the work going on, as they were kept informed through the Residents’ Meetings, and daily contact with the Proprietors and Manager – one Resident stating they were more …“interested than troubled by it.” At the present time hot water outlets in the ‘residential’ wing, which are accessible to Residents, are not guarded by a thermostatic valve. A random sampling of the water from some of these outlets showed temperatures to be in excess of 43o Celsius and, as such, present a potential hazard to infirm residents, particularly those with dementia. Although signs warning of… “Very Hot Water” are displayed above wash hand basins, and regular temperature checks are taken, it is recommended the risk of scalding to residents is assessed and that a programme to install temperature control valves is instigated, commencing with those that pose the greatest threat to Resident safety. Bradeney House Care Home DS0000069098.V356243.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): 27, 28, 29, & 30. Quality in this outcome area is good. Judgement has been made using available evidence including a visit to this service. Staff numbers on duty and skill-mix were sufficient to meet the assessed care needs of current Residents. There is a committed, effective, and well-supported staff group, with the skills and knowledge to ensure Residents enjoy a quality of life, which meets their individual requirements and aspirations. Recruitment and employment practices are consistent with the safeguarding of Residents. The Home’s approach to providing training for Care Staff enables them to be competent to carry out their role in providing safe care to Residents. EVIDENCE: A review of duty rosters, and discussion with staff, confirmed staffing numbers and skill-mix enable a service provision, which comfortably meets the care needs of the Service Users. Staff were observed to carry out their duties in an enthusiastic and professional manner. Recruitment at the home is thorough and all elements required by Care Home Regulations are completed and evidence retained on file. The files of the three most recently recruited staff were found to be satisfactory, containing all required elements and in accordance with the Standard. Bradeney House Care Home DS0000069098.V356243.R01.S.doc Version 5.2 Page 19 Staff were very complimentary regarding the induction, support and supervision they receive. Arrangements for foundation training are good, with all staff completing this well within the first six months of employment, followed by appropriate on-going training. The home continues to support staff to undertake National Vocational Qualifications (NVQ), with records evidencing well in excess of the required 50 of staff having achieved NVQ Level 2 or higher. Specifically, from a total complement of twenty-five care staff, eighteen (72 ) have attained NVQ Level 2, nine of whom have further achieved NVQ Level 3. Three staff members are currently working towards Level 2, with four working towards Level 3. A review of staff personal files, and discussions with staff, provided evidence they receive thorough induction, with mentor support from the Manager, plus foundation training, e.g. moving and handling, first aid, fire safety, food hygiene, infection control, plus ‘on-going’ development training, e.g. NVQ, and the Manager undertakes regular ‘supervision’ of each staff member. Bradeney House Care Home DS0000069098.V356243.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): 31,32,33,35,36 & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed by an experienced and well-qualified individual, who promotes a professional ethos, possesses sound leadership skills and carries out her responsibilities effectively. The Manager is well supported by the joint proprietors with lines of accountability being clearly defined and observed. The ambience is warm, friendly, and inclusive, with the central purpose being ‘the best interests of Residents’. Views of Residents, and other interested parties, are actively sought by the Home, and acted upon. Service Users are safeguarded by the financial procedures operated within the Home. All Staff are subject to effective support with regular supervision, and appeared involved and happy in their work. Bradeney House Care Home DS0000069098.V356243.R01.S.doc Version 5.2 Page 21 Health and Safety Policies/Procedures/Practices are satisfactory. EVIDENCE: The Registered Manager/Matron is a first level nurse, holds the Registered Managers’ Award, and undertook the post at Bradeney House, in February 2007, following a transfer from the post of care manager at another home operated by the parent company. She has over 14 years experience working in the field of care provision to Older People, and has worked as both a deputy manager and manager of both Residential and Nursing homes. Mrs Ferriday is currently undertaking the Registered Managers Award and hopes to complete in May 2007. She is also an accredited Moving and Handling Trainer. She has been employed as the Care Manager of Holy Cross Care Home since 31 January 2005. From observation during the Inspection it was evident there are clear lines of responsibility within the home. Comments from Residents, Staff and Visitors, supported our view the Home is currently being very well managed. The Proprietors are closely involved in running the home, with a presence on several days each week, attendance at bi-monthly Residents/Relatives Meetings, in additional to making monthly, unannounced visits as required by Regulation 26. From conversation with Residents, Relatives, and staff it is clear their regular presence is appreciated and seen as a very positive aspect of the home’s routine. The Home has no involvement in the management of Resident’s personal monies. Expenditure incurred for items such as hairdressing is initially met by the home and invoiced to Residents’ representatives. Staff personal files and training records provided evidence of regular supervision of staff, including annual appraisal, and in accordance with the relevant Standard. Since the change of ownership the Proprietors and Manager have invested considerable time and effort into developing the home’s quality assurance systems, which include use of questionnaires for Residents, relatives and visiting clinical and social care professionals. A sample questionnaire and results and analysis of returned questionnaires were observed. It was also interesting to note that a member of staff has undertaken ‘An Investigation into the Quality of Service Provided at Bradeney House’ as part of studies for the Registered Managers’ Award. This is perceived as a useful baseline measure with plans to replicate the study on a regular basis. Bradeney House Care Home DS0000069098.V356243.R01.S.doc Version 5.2 Page 22 A certificate of public liability insurance was on display with provision in accordance with the Standard. At the time of this inspection, despite major building works being undertaken, no potential hazards to Residents were identified. A review of relevant records provided evidence that Health and Safety Policies/ Procedures/Practices are satisfactory, with all COSHH requirements met. Records were observed providing evidence the Home has satisfactorily undertaken appropriate maintenance of equipment, including electrical, lifts, hoists, and gas appliances. Bradeney House Care Home DS0000069098.V356243.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 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 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 4 4 3 X 3 3 X 3 Bradeney House Care Home DS0000069098.V356243.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP25 Good Practice Recommendations It is recommended the risk to Residents of scalding, at unguarded hot water outlets, be assessed and that a programme to install temperature control valves is instigated. Bradeney House Care Home DS0000069098.V356243.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Bradeney House Care Home DS0000069098.V356243.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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