Inspection on 10/06/08 for Branston Court Nursing Home

This inspection was carried out on 10th June 2008.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Branston Court Nursing Home 12/09/06

Branston Court Nursing Home 18/01/06

Branston Court Nursing Home 14/07/05

Branston Court Nursing Home 24/01/05

Branston Court Nursing Home 14/09/04

Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOMES FOR OLDER PEOPLE Branston Court Nursing Home Branston Road Burton On Trent Staffordshire DE14 3DB Lead Inspector Joanna Wooller Unannounced Inspection 10th June 2008 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 Branston Court Nursing Home DS0000022316.V365955.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. Branston Court Nursing Home DS0000022316.V365955.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Branston Court Nursing Home Address Branston Road Burton On Trent Staffordshire DE14 3DB 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) 01283 510088 01283 565675 www.bupa.co.uk BUPA Care Homes (CFC Homes) Ltd Miss Donna Waldron Care Home 45 Category(ies) of Dementia (45), Dementia - over 65 years of age registration, with number (45) of places Branston Court Nursing Home DS0000022316.V365955.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The category of DE shall be a minimum age of 60 years One DE under 60 years ( as per letter) Date of last inspection 20th August 2007 Brief Description of the Service: Branston Court is a purpose built Care Home, which offers 24 hour Nursing Care for service users with Dementia Care needs. The home was built in 1989 on the site of a disused school. Originally it was registered for 56 beds but has been altered to 45 beds due to double rooms becoming single and two rooms now being used as lounge areas. Branston Court is set back off Branston Road, Burton-on-Trent. It has close access to public transport and is reasonably close to the main shopping area in Burton. The home consists of single bedrooms with en-suite facilities situated on two floors. Each floor has a spacious lounge and a bright, airy dining area. The ground floor benefits from a quiet room for use of relatives, which can be used by service users also, if accompanied. On the first floor a previous activities room is a quiet lounge. The philosophy of the home is choice, and individual service users make personal choices relating to their day, allowing ample opportunity to join in social activities on a daily basis. Fees Highest £ 674 Lowest £513 The fee information given applied at the time of the inspection; persons may wish to obtain more up to date information from the service. Branston Court Nursing Home DS0000022316.V365955.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 stars. This means that that people who use this service experience good quality outcomes. This unannounced inspection took place on Tuesday 10th June 2008 by the lead inspector. The Manager was in the home and she participated in the inspection. The Deputy manager was in charge of the care for that shift and she was supported by one other trained nurse and seven carers. The inspection included the following elements; A tour of the building, Observation and inspection of records relating to provision of care, Discussions with several service users, Case tracking…where we meet a service user and look at their care plans and lifestyle in the home. Discussions with several of the staff members on duty, Observation and sampling of other services provided such as catering and laundry, and an inspection of the managerial aspects such as staffing issues, training, recruitment and health & safety. Accident records were seen and discussed. We were given all assistance by the staff to gain the evidence required for the report. We had dealt with no complaints. Service Users spoken to at the visit were content and settled. The home manager had previously sent us their annual quality assurance assessment (AQAA) when we asked for it. This document was completed to a good standard and gave us all the information we asked for. What the service does well: The ambiance of the home is a credit to the manager and her staff. The service users benefit from the calm and caring nature of the staff and their ability to assess the service users well. The manager establishes the expectations that service users and relatives have of the home and the service provided to ensure the home could meet their health, social and spiritual needs of the individual with mental health problems. Branston Court Nursing Home DS0000022316.V365955.R01.S.doc Version 5.2 Page 6 They record a comprehensive social history, which then forms the basis of formulating Personal Plans and enables them to get to know a person quickly. This tool establishs their preferences, choices and wishes so that they can then support the resident in having these respected. Bupa policies and procedures give emphasis on Equality and Diversity. They have zero tolerance to any form of discrimination on any grounds to any person. The home welcomes the involvement of relatives and carers to support the individuals daily personal plan. A residents group meet regularly to discuss the care in the home, activities and any issues that have arisen. Relatives meetings are held and records of these were seen. What has improved since the last inspection? What they could do better: • Although we were informed that the home is listed in the refurbishment plan for BUPA care homes there is no definite timescale for completion. The homes environment (in some areas) is appearing worn and tired and in need of an update. The fire evacuation plan although in place should be further personalised to assist staff with the task if necessary. The social care diary does not demonstrate the efforts put in by the activity organiser and staff. This diary should be used daily by all staff to evidence their good work with service users interaction. The privacy locks on bedroom doors have not been fitted and this is again a recommendation. • • • Branston Court Nursing Home DS0000022316.V365955.R01.S.doc Version 5.2 Page 7 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. Branston Court Nursing Home DS0000022316.V365955.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 Branston Court Nursing Home DS0000022316.V365955.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): Standard 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each prospective service user is only admitted to the home once their needs are identified and assurances are given that they will be met. EVIDENCE: Each prospective service user is assessed prior to admission to ensure their identified needs can be met. Medical assessments and family knowledge are vital to complete the assessment and commence the plan of care. Due to mental health needs the service users relatives or carers may need to give the full history of the individual. There was evidence in those care records seen, that the new care plan system ‘Quest’ is being used at the time of the first assessment. Branston Court Nursing Home DS0000022316.V365955.R01.S.doc Version 5.2 Page 10 Assessment of mental health needs is through multi-disciplinary input and review. The monitoring of mental health is a key factor for the care of the service users and the staff were well trained to look for indicators in changes of behaviour. Their personal plans identified these indicators and the staff have strategies in place with action plans on how to handle a situation. Relatives welcome this as it can avoid stressful and upsetting situations for all those present. The Service User Guide and Statement of Purpose are continually updated and available to be read in the home. Prospective residents and their relatives and or friends are welcome to view the home at anytime and can talk to staff, residents and visitors if they wish. We provide a service user guide detailing our philosophy of care, services and facilities provided and the terms and conditions of admission. Branston Court Nursing Home DS0000022316.V365955.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): Standards 7, 8, 9, and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users health, personal and social care needs are set out in a care plan, which is evidence that their needs are fully met. Service users are treated with respect and are protected by the homes policies and procedures. EVIDENCE: Each individual service user has a Personal Plan which is formulated from a detailed assessment of their needs, and identify a persons wishes and preferences. This assessment also includes a comprehensive social assessment which enables us to get to know the person and is the basis from which the Personal Plan is formulated. The Annual Quality Assessment Audit states that the staff get to know the service users so well, that the staff quickly identify any problems or if someone is not happy and so are able to take appropriate action in reporting changes regardless of how insignificant it may seem. Branston Court Nursing Home DS0000022316.V365955.R01.S.doc Version 5.2 Page 12 Through case tracking four service users care records were looked at and these were found to be up to date and reflected the current condition of the service user. They ensure service users have access to health care services and their health and welfare is promoted at all times ensuring that assessed needs are met. Mental health issues were documented with appropriate reviews taking place and consultation with professionals were noted. There is a comprehensive BUPA medication policy, staff adhere to procedures for the receipt, recording, storage, handling, administration and disposal of medicines. Staff are trained and assessed in management of medication in the home in accordance with the policy. The manager confirmed that positive attempts are made to promote privacy and dignity. This can be a challenge to staff at times due to the nature of the client group who can at times display behaviour such as removing clothes however, staff are skilled in giving appropriate support to minimise embarrassment for the service user. Service users were dressed smartly at this visit and the manager gave assurances that this is so at all times. Many of the service users would benefit from privacy locks on their bedroom doors and this has again been recommended. This item gives the individual the privacy that enables them to feel more independent. Branston Court Nursing Home DS0000022316.V365955.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): Standards 12,13,14,15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users are encouraged to maintain contact with family, friends and community links whilst in the home. Wholesome and appealing meals are cooked in the home and service users benefit from exercising choice and preferences, which are documented. EVIDENCE: The Annual Quality Assurance Assessment tells us that the home has an excellent activities organiser. Once the admission date is set for a resident she sets up the room with a welcome pack including fresh flowers, fresh fruit, welcome card and ensures the room has been deep cleaned and prepared properly. She quickly builds a rappore with both the resident and their families. She knows all the residents extremely well, and builds on this to provide activities centred around their hobbies, interests and life in general. The choice of activities is led by the residents, how they are feeling and their responses to activities offered - this tends to be spontaneous formulated from a core plan Branston Court Nursing Home DS0000022316.V365955.R01.S.doc Version 5.2 Page 14 rather than a dictatorial activities plan which is diarised. For example, one male person was becoming increasingly anxious that the shrubs on boundary wall needed pruning, which he could see from the upstairs window. The activities organiser approached the home owner who gladly gave permission for the person to tend to the plants. They duly went out, the resident dressed in his bib n braces ready for the job! The home have links with the church, local schools and also a residential home which is close by, service users there have accepted invitations from the home to attend events and occassions here. Service users have a variety of activities to join in such as; gardening, day trips shopping, monthy entertainment and relative and service users meetings. The home strives to empower service users to make choices and exert control over their lives as much as possible. Although they are unable to manage their own finances the staff do support them in spending their own money, this is by arranging shopping trips for items they want to purchase for themselves or to choose birthday cards and presents for family members. Service users are offered a varied nutritious diet, and special dietary requirements are catered for. The service users were eating their breakfast when we arrived and they were seated in the places they prefferred. Some sat at the dining room table, others in their rooms and some were seated so they could look out onto the secure garden. The chef manager attends the Chefs Best and has recently completed the training offered. She has also currently undertaken NVQ II training in professional cookery and is nearing completion of the course. Visitors who, sadly, have lost their loved ones have maintained close links with the home and still come to visit and have remained close friends with the other relatives in the home. On the day of the visit relatives were interacting with service users. One lady spoken to said, “Its lovely here, the staff are lovely” The documentation of activities doesnt always reflect the hard work of all the staff put into the home which promotes a happy, peaceful life for the service users. Branston Court Nursing Home DS0000022316.V365955.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): Standards 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A robust policy and procedure is evident throughout the home to deal with complaints and concerns. Relatives and service users felt able to raise concerns with confidence that it would be dealt with promptly. EVIDENCE: The complaints procedure is evident throughout the home and within the statement of purpose and service user guide. No complaints had been received by the CSCI since the last inspection. Five complaints had been received in the home and the manager had dealt these and the issues resolved. Four complaints were not upheld and one was upheld. Legal rights of service users are protected, and preferences are documented within their individual files. No safeguarding issues were outstanding at the time of the inspection. Service users and relatives are encouraged to express any concerns they may have, and reassured that if they are not happy about something then we want to put it right, as the home wants to provide a high standard of care. Complaints are dealt with objectively and they endeavour to try and resolve Branston Court Nursing Home DS0000022316.V365955.R01.S.doc Version 5.2 Page 16 issues and acknowledge when this has resulted in an improvement in service offered. The Annual Quality Assurance Assessment tells us that “Protection of Vulnerable Adults / Prevention of abuse begins at interview level when recruiting staff - we establish their understanding of what abuse is, how they would react to a situation if they witnessed abuse occur and explanation given about the whistleblowing policy which forms part of their terms and conditions.” At induction further training is given about prevention of abuse in the form of policies are issued, and a DVD and distance learning work book are available. Staff are also nominated to attend formal workshops when offered by Bupa. The independent quality audit sent on behalf of BUPA showed that relatives did feel that any concerns would be listened to any concerns would be addressed in a timely manner. Branston Court Nursing Home DS0000022316.V365955.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users do live in a clean, safe and well-maintained environment. Specialist equipment to assist individuals is available as required. EVIDENCE: The environment of the home was found to be clean, hygienic and tidy in all areas inspected. The home was evidenced to be well maintained, with a maintenance folder of records available to demonstrate this. Each service user is able to personalise their bedroom as they so wished and there was evidence that this is appreciated. Specialist equipment is evident in the home and within the maintenance folder this is also noted to be well maintained. Branston Court Nursing Home DS0000022316.V365955.R01.S.doc Version 5.2 Page 18 Independence is encouraged and promoted throughout the day with assistance given as required to each individual in varying degrees. Communal areas are light and airy with varying seating arrangements. The dining areas are also in a designated area; tables are laid with cloths and were appealing to the eye. The manager plans to make use of Infection control guidelines and implement control of infection tools developed by the department of health. Within the plan she will appoint one of her senior nurses to take ownership of this and be responsible for maintaining/improving the control of infection in the home. The service users have access to an enclosed garden and patio area with seating and shade if they wish to sit outside. • Although we were informed that the home is listed in the refurbishment plan for BUPA care homes there is no definite timescale for completion. The homes environment (in some areas) is appearing worn and tired and in need of an update. The bedrooms are in need of the most update along with the corridors. Branston Court Nursing Home DS0000022316.V365955.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27 to 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users needs are being met by the carefully recruited staff that is suitably trained and professional in their manner. EVIDENCE: The Annual Quality Assessment Audit tells us “We are often staffed over and above minimum requirements which is approprite to the assessed needs of our residents and skill mixes adjusted accordingly. All staff are actively encouraged to enrol on NVQ course if they have not already achieved it. Current percentage of staff holdoing NVQ II/III is 80 . We are now nominating staff that wish to undertake NVQ level III. We have a robust recruitment policy which is adhered to.” This information was evidenced to be correct at the inspection - along with the following. • Off duty rotas showing staffing levels maintained in accordance with or DS0000022316.V365955.R01.S.doc Version 5.2 Page 20 Branston Court Nursing Home • • • • above minimum levels. All new starters are offered the chance to enrol on NVQ training regardless of age. Training matrix shows training delivered to staff to date. Human resources - Policies and Procedures. Managers recruitment and selection handbook. The staff approached service users calmly and at their level, the atmosphere in the home was quiet and restful. The carers appeared to organise their working tasks well and the atmosphere remained calm during the busier times which assisted the service users to remain calm and settled. The carers spoken to were friendly and knowledgeable about the service users and the home. The feedback on the BUPA Quality Audit stated that the staff were well trained, friendly and approachable. Branston Court Nursing Home DS0000022316.V365955.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 33, 35 and 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 run and managed for the benefit of the service users. Staff are suitably supervised and they and the service users are safeguarded by the policies and procedures in home. The health, safety and welfare of service users and staff is promoted. EVIDENCE: It was evident whilst in the home that the establishment is run in the best interest of the service users. Staff confirmed that the service users wishes and choices are promoted within the home. Service users spoken to said ‘this was home’. Branston Court Nursing Home DS0000022316.V365955.R01.S.doc Version 5.2 Page 22 The registered manager has over 13 years management experience in care homes and holds RMA (Registered Managers Award), NVQ IV certificate, ENB N11 and HEA 529 Mental Health Law (Masters level). This is in addition to BUPA suites of excellence and other courses attended. Staff informed us that regular staff meetings are held at various times of the day to maximise attendance by as many staff as possible. Heads of department and health and safety meetings are held quarterly. Records of this are kept. Administration staff receives appropriate BUPA training to enable them to carry out their duties competently. They also receive appropriate support from a Senior Financial administrator and relevant personnel from Central and regional offices. Financial issues were all satisfactory and policies and procedures protected service users financial interests. The ethos and leadership within the home is positive and open. The manager and her team are highly thought of by service users and their relatives and or representatives. The health, safety and welfare of staff and service users is promoted `and protected by the rigorous testing, recording and monitoring of systems within the home. The maintenance person (temporary) maintains the home and the records we saw evidenced this. Branston Court Nursing Home DS0000022316.V365955.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 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 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 Branston Court Nursing Home DS0000022316.V365955.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 Refer to Standard OP10 OP12 OP24 OP38 Good Practice Recommendations The service users right to privacy should be maintained with the use of privacy locks on their bedroom doors. Involvement of all staff in social diary for each individual to evidence the excellent work carried out. The home should be considered for refurbishment of bedrooms and corridors to reflect the standard of care being delivered in the home Further personalisation of the evacuation plan in case of fire to be completed to increase safety and protect people who use the service. Branston Court Nursing Home DS0000022316.V365955.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection West Midlands Office West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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 Branston Court Nursing Home DS0000022316.V365955.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!