Inspection on 02/06/05 for Briarwood Rest Home

This inspection was carried out on 2nd June 2005.

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

Briarwood Rest Home 07/11/06

Briarwood Rest Home 26/09/05

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Briarwood Rest Home 1-3 Todd Lane South Lostock Hall Preston PR5 5XD Lead Inspector Denise Upton Announced 2 June 2005 nd 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 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. Briarwood Rest Home F57 F09 S63007 Briarwood Rest Home V228757 060605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Briarwood Rest Home Address 1-3 Todd Lane South Lostock Hall Preston Lancashire PR5 5XD 01772 626177 01772 626177 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Briarwood Rest Home Limited Mrs Indrannee Pumbien Care home only 24 Category(ies) of Old Age (OP 24) registration, with number of places Briarwood Rest Home F57 F09 S63007 Briarwood Rest Home V228757 060605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: The home is registered for a maximum of 24 service users to include up to 24 service users in the category OP (Old Age not falling within any other category). The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Staffing must be provided to meet the dependency needs of the service users at all times and will comply with any guidelines which may be issued through the Commission for Social Care Inspection regarding staffing levels in care homes. Date of last inspection 21st January 2005 Brief Description of the Service: Briarwood Rest Home is currently registered to accommodate up to 24 older people who do not require nursing care. The home is located in a quiet residential area but in close proximity to the main shopping area of Lostock Hall and community facilities and resourses. The accommodation is arranged over two floors with all current service users accommodated in single bedroom accommodation, however shared rooms are available if required. Communal areas of the home consist of a main lounge area, a dining room that leads onto a conservatory and a smaller lounge that is the designated smoking area. Although bedroom accommodation does not provide an ensuite facility, bathing and toilet facilities are sufficient in number, conveniently situated and provided with appropriate aids to promote independence. A passenger lift and stair lift are provided. The grounds to the house are limited in size but carefully laid out and provided with tables and seating for service users to enjoy. Briarwood Rest Home F57 F09 S63007 Briarwood Rest Home V228757 060605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over the course of a day and a short period of time on another day and in total spanned a period of nine hours. The inspector spoke individually with the home’s owner and her husband, the deputy manager, one senior carer, and two members of the care staff team. In addition, three service users were spoken with individually and in-depth discussion also took place with a relative who was visiting at the time of inspection. General discussion also took place with several other residents who were enjoying a social activity in the conservatory during the course of the visit. A number of records and policies and procedures were also examined and a partial tour of the building took place. What the service does well: The home has a group of staff that are enthusiastic and work well together to provide a good quality of care for residents that live there. Residents spoken with felt staff had built up a good relationship with them and work hard to improve their quality of life. Routines within the home are flexible to make sure that the people who live there can enjoy the lifestyle they have chosen for themselves that includes social activities and outings. Residents are encouraged to have their say and are involved in making decisions about how they would like the home to be run through a variety of ways that includes daily discussion with staff, questionnaires and resident meetings. Residents spoke very highly of the support they received from the staff team which was given in a sensitive way and also said they were comfortable living at the home. The home has good systems in place to make sure that service users are kept safe. The health needs of residents are well met with evidence of a good working relationship with medical staff such as the district nurses and doctors who visit the home. Briarwood Rest Home F57 F09 S63007 Briarwood Rest Home V228757 060605 Stage 4.doc Version 1.30 Page 6 What has improved since the last inspection? 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. Briarwood Rest Home F57 F09 S63007 Briarwood Rest Home V228757 060605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Briarwood Rest Home F57 F09 S63007 Briarwood Rest Home V228757 060605 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1 & 3 The home’s Statement of Purpose and Service Users Guide are good at providing service users and prospective service users with details of the services the home provides enabling an informed decision about admission to the home. The pre admission assessment information to identify what the prospective service user can do well and what help may be required is detailed in order to establish if current needs, wants and wishes could be met at the home. EVIDENCE: Prospective service users have the written information they need to make an informed choice about whether to live at the home. As recommended at the last inspection, the Statement of Purpose and Service Users Guide now incorporate the address of the home to supplement the existing information. Although there is evidence that service users questionnaires have been developed and introduced, service users views of the home have not been included in the Service Users Guide. The collated views of service users from the questionnaires should be incorporated in the Service Users Guide or alternatively if photocopies of the actual questionnaires are used for this Briarwood Rest Home F57 F09 S63007 Briarwood Rest Home V228757 060605 Stage 4.doc Version 1.30 Page 9 purpose, this should be with the service users consent and any name or identifying detail removed to ensure confidentially. Service users are only admitted to the home following a pre admission assessment by the proprietor of current strengths and needs. In some instances, the information obtained by the proprietor is supplemented by a health and/or social services multi-disciplinary assessment that provides further information regarding the prospective service user. This collated information enables the proprietor to make an informed decision as to whether Briarwood Rest Home could satisfactorily address the prospective service users current strengths, needs, wants and wishes. The information obtained forms the basis of the initial plan of care. Briarwood Rest Home F57 F09 S63007 Briarwood Rest Home V228757 060605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9 & 10 There is a now a clearly written, holistic care plan for all service users that incorporated the outcomes of relevant risk assessments. This provides staff with the written information they need to satisfactorily meet service users needs. The health needs of service users are well met with evidence of good multi disciplinary working taking place on a regular basis. The medication at this home is well managed promoting good health. EVIDENCE: The service user plan of care that is generated from a comprehensive assessment is drawn up with each service user and provides the basis for the care to be delivered. Since the last inspection care plans have been redeveloped to good effect. Care plans evidenced at the time of inspection provided a holistic account of the individual service users health, personal and social care needs that incorporated outcomes of the risk assessment process. The content of the care plan is discussed with the service user and staff sign a form indicating that the discussion has taken place. However it is understood that on some occasions, the service user chooses not to sign the form indicating their understanding of and acceptance of the care plan. In these instances it is recommended that this information be recorded. There was Briarwood Rest Home F57 F09 S63007 Briarwood Rest Home V228757 060605 Stage 4.doc Version 1.30 Page 11 evidence of the individual care plan being reviewed on at least a monthly basis and amended as required. A service user spoken with individually said she was aware of her care plan that had been discussed with her. Although somewhat vague as to the detail of the care plan, this service user was full of praise for the help and support she received from the staff team. It was evidenced through discussion, observation and documentation that service users health needs are fully met. There is a good relationship with health and social care professionals in order to maintain service users health and social well-being. Discussion with service users, staff and a relative who was visiting at the time of inspection confirmed that the maintenance of service users privacy and dignity is upheld at all times. Policies and procedures are in place that guide staff to ensure service users privacy and dignity is respected at all times. The preferred term of address of each service user is identified at the time of admission and always respected. All service users who wish to and have capacity to do so are enabled to selfadminister their own prescribed medication within a risk assessment framework. Medication is stored in a locked cupboard and medicine trolley that is secured to the wall in a dedicated medication room that is also kept locked when not in use. A policy and procedure document in respect of medication was evidenced and all staff with responsibility for medication administration is expected to adhere to the procedures for the receipt, recording, storage, handling, administration and disposal of medication. The pharmacist who is used by the home for the supply of prescribed medication visits on a regular basis to conduct a pharmacy inspection and also provides advise to the home on medication matters. The majority of staff have now undertaken accredited medication training and it is understood that the remaining staff will complete this course of study in the near future. Briarwood Rest Home F57 F09 S63007 Briarwood Rest Home V228757 060605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of the four were assessed at this inspection. EVIDENCE: None of the four standards were assessed at this inspection. Briarwood Rest Home F57 F09 S63007 Briarwood Rest Home V228757 060605 Stage 4.doc Version 1.30 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 & 18 The home has a satisfactory complaints system with evidence that service users feel their views are listened to and acted upon. Arrangements for protecting service users from abuse are in place in order to protect service users from risk of harm or abuse however all staff should undertake specific training in respect of this topic. EVIDENCE: The home has a comprehensive complaint policy and procedures, which outlines the home’s commitment to resolving complaints within 28 days. The complaints procedure is incorporated in the Statement of Purpose and Service Users Guide to inform service users and their relatives how to make a complaint should the need arise. A service user spoken with stated she would have no hesitation about speaking with the proprietor if she had a concern and felt confident that any concern would be taken seriously and acted upon. It is suggested that a complaint form be developed to record detail of any complaint, how the complaint was investigated, the outcome of the complaint, any resulting action, and the date the complainant was informed of the outcome. The home also has a policy in place, which contains robust procedures for responding to an allegation of abuse. It is essential that these procedures be followed should an allegation of abuse be made in order to protect the people concerned and allow for a full investigation to take place within a multi disciplinary framework. The home also has a whistle blowing policy. Policies are also in place in respect of physical and verbal aggression, and service users monies and financial affairs however it could not be evidenced that there is Briarwood Rest Home F57 F09 S63007 Briarwood Rest Home V228757 060605 Stage 4.doc Version 1.30 Page 14 written information advising staff that they must not become involved in assisting in the making of or benefiting from service users wills and should be developed. To date, eight members of staff have completed an Adult Abuse Training course. In order to fulfil the requirements of regulation all staff should attend this course of study. Briarwood Rest Home F57 F09 S63007 Briarwood Rest Home V228757 060605 Stage 4.doc Version 1.30 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 21 & 22 The standard of the environment within this home is good providing service users with an attractive and homely place to live. EVIDENCE: The proprietor is in the process of refurbishing all areas of the home that is providing a comfortable and relaxed environment for service users to live. Re decoration is ongoing, carpets have been replaced, new furniture has been provided in the lounge area and new beds have been purchased along with new laundry equipment and a dishwasher. There are easily accessible toilet facilities for service users that are clearly marked and in close proximity to lounge, dining and bedroom accommodation. There are three bathrooms, two of which contain an assisted bath. The proprietor is in the process making arrangements to have a further assisted shower provided on the ground floor of the building to supplement the existing facilities. Briarwood Rest Home F57 F09 S63007 Briarwood Rest Home V228757 060605 Stage 4.doc Version 1.30 Page 16 Appropriate aids and adaptations are provided to promote independence or to assist staff to attend to the personal care needs of service users accommodated. A nurse call system is provided in all areas of the home. At the last inspection, it was recommended that consideration be given to the installation of grab rails on the first floor. The proprietor has undertaken a risk assessment and feels that this facility is not required at this present time however this will be kept under review and provided if and when required. Service users spoken with were please with the accommodation provided. It was evident through observation and confirmed by a service user spoken with that service users can take into the home items of a personal nature including small pieces of furniture to personalise their own bedroom accommodation and make it homely. Briarwood Rest Home F57 F09 S63007 Briarwood Rest Home V228757 060605 Stage 4.doc Version 1.30 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 28,29 & 30 Required recruitment processes had not been followed resulting in service users receiving care from three staff members who had not been properly vetted. This potentially leaves people who use the service at risk. Nationally recognised training for care workers is ongoing in order to provide a skilled and knowledgeable staff group that can offer a high quality service to residents accommodated. Further training should be made available to all staff that have not undertaken the required training in order to increase their skills and knowledge. EVIDENCE: At present two members of the care staff team have achieved an NVQ Level 3 qualification in care with another member of staff pursuing this award. In addition, the majority of the remaining care staff are currently undertaking NVQ Level 2 with recently appointed members of the care staff team hoping to begin this course of study in the near future. To supplement this nationally recognised training, a number of staff have also undertaken further short course training that includes, medication handling, health and safety training, dementia care and food safety. Whilst it is recognised that staff training has been given priority, all staff that have not done so must undertake the specific training required by regulation. Induction training to ensure newly appointed care staff have the basis skills is provided, however it could not be confirmed that the current induction training programme has been evidenced against the ‘Training Organisation For The Personal Social Services’ (TOPSS) specifications to ensure compliance. It is recommended that this be undertaken to make sure newly appointed care staff Briarwood Rest Home F57 F09 S63007 Briarwood Rest Home V228757 060605 Stage 4.doc Version 1.30 Page 18 receive the recommended full induction-training programme. Whilst foundation training to TOPSS specifications has not been developed and introduced, it is expected that in future, all newly appointed staff who do not have a qualification will commence NVQ training within the first six months of their appointment. Three new members of staff took up employment at the home in recent months however a Criminal Record Bureau clearance and POVA first clearance that is required had not be submitted as part of the recruitment process. These clearances should have been obtained and deemed to be satisfactory prior to the applicants taking up post. An immediate requirement notice was issued for the proprietor to ensure that these checks are taken up retrospectively and that all appropriate clearances are taken up prior to any further new members of staff starting work at the home. Staff spoken with were enthusiastic about the training opportunities provided and felt that the training undertaken had had a positive effect in providing a high quality service for residents accommodated. Staff also commented that they felt that the home was well managed with a good staff group who supported each other. Likewise service users spoken with spoke highly of the staff team and of the support and care received. Briarwood Rest Home F57 F09 S63007 Briarwood Rest Home V228757 060605 Stage 4.doc Version 1.30 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,33 & 38 The proprietor is experienced and qualified and has a clear development plan for the home that is effectively communicated to service users, staff and other stakeholders. The home reviews aspects of its performance through a programme of self-review and consultation which includes seeking the views of service users, staff and relatives. EVIDENCE: The registered proprietor is a registered mental health nurse with extensive experience of working with older people and is therefore qualified, competent and experienced to run the home and meet its stated purpose. In addition, the proprietor is currently completing an NVQ Level 4 qualification and has recently undertaken a variety of short course training to increase her skill and knowledge. Effective quality assurance systems have been developed and the home has achieved the ‘Investors In People’ award. Service user and relative Briarwood Rest Home F57 F09 S63007 Briarwood Rest Home V228757 060605 Stage 4.doc Version 1.30 Page 20 questionnaires have been developed and introduced that was evidenced at the time of inspection however consideration could also be given to developing a specific questionnaire for other stakeholders as this would also inform the internal quality audit. Key workers ensure that they speak individually with each service user on a daily basis to elicit their views and opinions and it was evidenced that policies, procedures and practiced are reviewed although a number of policies currently require amendment to ensure they contain up to date information. The proprietor ensures as far as is reasonable practicable the health, safety and welfare of service users, staff and visitors. The majority of the staff team have undertaken moving and handling training, first aid and fire safety training. It is understood that staff that have not completed this training will do so in the near future. A policy is in place that addresses the issue of infection control and the home has a clinical waste contract. To strengthen staff understanding of infection control, it is recommended that staff training be provided in respect of this topic. Equipment is inspected and serviced on a regular basis and the home has a satisfactory Legionella certificate. Water temperatures are tested every four weeks to ensure the maximum temperature delivered from hot water outlets remains constant. A policy is in place that deals with issues of safe working practices and environmental risk assessments were in place. Although induction training is in place, it could not be evidenced that all of the recommendations in respect of the TOPSS induction health and safety specifications are provided to newly appointed staff. Briarwood Rest Home F57 F09 S63007 Briarwood Rest Home V228757 060605 Stage 4.doc Version 1.30 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 x x x 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 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION x x 3 3 x x x x STAFFING Standard No Score 27 x 28 2 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 2 x 3 x x x x 3 Briarwood Rest Home F57 F09 S63007 Briarwood Rest Home V228757 060605 Stage 4.doc Version 1.30 Page 22 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 29 Regulation 19 Requirement Newly appointed staff must only take up employment at the home when all the required references and clearances have been received and deemed to be satisfactory. Timescale for action Immediate 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. 5. Refer to Standard 1 7 9 16 18 Good Practice Recommendations The Service User Guide should incorporate the views of service users accommodated. It is recommended that if a service user chooses not to sign their care plan this is recorded. The remaining staff that have not undertaken accredited medication training should do so. It is recommended that a form be devised to record details of any complaint that may be raised. All staff who have not undertaken Adult Abuse training should do so. A policy should be devised to advise staff and service users that staff cannot become involved in the making of or benfiting from service user wills. The registered manager should continue with installing an assisted bath or shower on the ground floor. At least 50 of the care staff team should have achieved F57 F09 S63007 Briarwood Rest Home V228757 060605 Stage 4.doc Version 1.30 Page 23 6. 7. 21 28 Briarwood Rest Home 8. 9. 10. 11. 30 31 33 38 at minimum NVQ Level 4 by 2005. Current induction training should be evidenced against TOPSS specifications to ensure compliance. The registered manager should continue to work towards achieving an appropriate NVQ Level 4 qualification. Consideration could be given to developing a questionnaire for other stakeholders to supplement the questionnaires already developed in respect of service users and relatives. It is recommended that staff training be provided in respect of infection control. Briarwood Rest Home F57 F09 S63007 Briarwood Rest Home V228757 060605 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection Unit 1, Tustin Court Portway Preston PR2 2YQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Briarwood Rest Home F57 F09 S63007 Briarwood Rest Home V228757 060605 Stage 4.doc Version 1.30 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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