Inspection on 24/11/05 for Brierfield House Care Centre

This inspection was carried out on 24th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Brierfield House Care Centre 15/07/09

Brierfield House Care Centre 20/08/08

Brierfield House Care Centre 19/03/08

Brierfield House Care Centre 13/08/07

Brierfield House Care Centre 11/10/06

Brierfield House Care Centre 27/04/06

Brierfield House Care Centre 12/10/04

Brierfield House Care Centre 06/04/04

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 Brierfield House Care Centre Hardy Avenue Brierfield Nelson Lancashire BB9 5RN Lead Inspector Mrs Pat White Unannounced Inspection 24th November 2005 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 Brierfield House Care Centre DS0000022499.V252585.R01.S.doc Version 5.0 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. Brierfield House Care Centre DS0000022499.V252585.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Brierfield House Care Centre Address Hardy Avenue Brierfield Nelson Lancashire BB9 5RN 01282 619313 01282 698477 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) Ashbourne Homes Limited Mrs Kathleen Leach Care Home 42 Category(ies) of Dementia - over 65 years of age (15), Old age, registration, with number not falling within any other category (26), of places Physical disability (1) Brierfield House Care Centre DS0000022499.V252585.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection The service is registered to provide personal care for a maximum of 42 service users A maximum of 41 service users who fall into the category of OP (Older People) One named service user who falls into the category of PD. A variation application must be submitted to the CSCI to remove this category when this person no longer resides in the home. 30th June 2005 Date of last inspection Brief Description of the Service: Brierfield House is a residential care home registered to provide care and accommodation for 27 older people and 15 older people with dementia. The 27 older people occupy the ground floor and part of the first floor. They have the use of a lounge, a dining area and a conservatory on the ground floor. The residents with a diagnosis of dementia reside in a self -contained unit which was registered in July 2003, and comprises part of the first floor accommodation. The “dementia unit” has its own dining area, lounge and separate staircase access to the outside grounds, part of which was adapted for exclusive use of the service users in the unit. The home provides custom built accommodation, in its own grounds, on two floors. A passenger lift provided access between the two floors. All bedrooms were single and measured 11 sq m. All but one room were en suite. There were 6 WCs, 3 bathrooms and 2 shower facilities. Mrs Kathleen Leach was the registered manager and “general manager” of Brierfield House. She had many years experience in nursing, and managing a nursing home. There was also a care manager and two unit managers. The home also employed an activities organiser. The care at Brierfield House was underpinned by the corporate policies and procedures of Ashbourne Healthcare, the former owners of the home which had been developed according to the Care Standards Act 2000 and the National Minimum Standards for Older People. Brierfield House Care Centre DS0000022499.V252585.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Summary of the Unannounced Inspection on the 24th November 2005 This inspection was an unannounced inspection, the purpose of which was to check the progress on legal requirements and good practice recommendations made at previous inspections. In addition, other matters, including some important areas of life in the home that should be inspected over the year, were checked. The inspection took 7 hours, and was conducted by two inspectors, Pat White and Marie Matthews. The inspection comprised of, talking to residents, a tour of the premises, looking at residents’ care records and other documents, and discussion with the general manager, Mrs Kathleen Leach. Ten residents were spoken with in the residential part and four in the dementia unit. Others were observed in their routine activities. Two relatives were spoken with. Comment cards from 3 relatives were completed prior to the inspection. A supply of comment cards was left in the home for residents and relatives to complete and return to the CSCI at their convenience. Note The summary is particularly aimed at residents, and staff are asked to make sure some of the residents are able to read it or made aware of it. The home should also ensure that the full report is widely available to all those who are interested. What the service does well: The written plans for residents’ care were detailed and well written, and contained useful information regarding the residents’ health, personal and social care needs. These written plans were regularly reviewed and updated once a year. The relatives spoken with, and those who completed comment cards, stated that they thought their relatives were well looked after. One said that their relative “always says she’s happy”. One resident said, “you can’t ask for better”. The home employs an “activities organiser”, and there was a programme of varied activities, including outings. Brierfield House Care Centre DS0000022499.V252585.R01.S.doc Version 5.0 Page 6 The home provided pleasant, bright and modern accommodation for the residents. It was attractively furnished and decorated. All the bed - rooms are single and en suite. The home regularly carried out its own checks to find out how good the care and services provided in the home are. There was a good programme of staff training, and staff did training according to their own needs and the needs of the residents. Residents’ money was well managed to make sure their finances were safeguarded. Some aspects of the residents’ and staff health and safety were well looked after. The building, the services and the facilities were well maintained. What has improved since the last inspection? What they could do better: Brierfield House Care Centre DS0000022499.V252585.R01.S.doc Version 5.0 Page 7 Further details about health and care needs, should be recorded on the care plans, such as details of bereavements and diet and nutrition. The administration of medication to residents should be further improved and a number of legal requirements have been made. There was a noticeable odour in certain parts of the home and this could be improved. The recruitment of staff could be improved by confirming applicants’ qualifications. 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. Brierfield House Care Centre DS0000022499.V252585.R01.S.doc Version 5.0 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 Brierfield House Care Centre DS0000022499.V252585.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 & 4. Standard 6 was not applicable. Residents had useful information about the home in their bedrooms. The admission procedures ensured that prospective resident’s needs were assessed before going to live in the home, and helped to determine whether or not Brierfield House could meet their needs. EVIDENCE: Brierfield House had a combined statement of purpose and service user guide called the “Statement of Purpose”. This document was seen in residents’ bedrooms. This contained all the relevant details of the home but according to standard 1 should contain a copy of the summary of the most recent inspection report. The residents’ records viewed, both in the residential part and in the dementia unit, showed that pre admission assessments of residents’ needs had been undertaken with the most recently admitted residents. Copies of social work assessments for those residents admitted under care management Brierfield House Care Centre DS0000022499.V252585.R01.S.doc Version 5.0 Page 10 arrangements had also been obtained. The assessment documentation covered all the matters listed in 3.3 and was completed in sufficient detail for staff to understand the residents’ needs. One resident who had recently been admitted stated that he had settled “alright”, and was “trying to make the best of it”. Another resident stated that she liked living in the home, as it was better than living on her own. Just prior to the inspection a complaint had been received at the CSCI from staff at Brierfield House, indicating that older people in the residential part of the home had dementia and should be in specialist care, and that some residents needed “nursing care”. The CSCI had passed the complaint to the home to investigate under its own complaints procedure. At the time of the inspection there was no evidence that residents were inappropriately placed, though some were highly dependent, and one residents’ needs were being reassessed by Social Services. However the home must constantly keep the staffing levels under review and increase as necessary to ensure that the needs of all the residents are met (see standard 27). The dementia unit offered specialist care and all the staff working in the unit had completed dementia training delivered by Ashbourne Health Care’s training section. Brierfield House Care Centre DS0000022499.V252585.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 The care plans were detailed and well written, and contained useful information about all aspects of residents’ health, personal and social care needs to assist the care staff in providing care to residents. The residents’ health care needs were promoted and maintained, but some aspects of medication management in the home must be improved. The residents’ rights to privacy and dignity were upheld. EVIDENCE: The care plans of 6 residents were viewed. All the care plans contained detailed information to help staff to meet the resident’s needs. Since a complaint made in July 2005 all details regarding residents’ moving and handling requirements were written in the care plans. Appropriate risk assessments had been completed, including those for risk of falling, risk of pressure sores and the use of bed rails. However further detail should be included regarding bereavement, and the emotional support needed, and details relating to “Guardianship Orders” under the Mental Health Act. Care plans had been reviewed and updated regularly according to the company’s Brierfield House Care Centre DS0000022499.V252585.R01.S.doc Version 5.0 Page 12 policy. There was evidence to support that relatives had been asked to be involved in the care plan process. There was evidence that the residents’ health was monitored and maintained and residents had access to all the health care services. Most health matters were recorded in detail on the care plans, including pressure areas, continence issues and mental health and psychological issues. In general there were good links between the risk assessments, the measures identified for the management of risk and the details on the care plans. There was appropriate intervention and treatments by the district nurses, including that for pressure areas, and there was evidence of intervention by the specialist continence advisor. There was a useful format for nutritional screening and the registered person should ensure that this is completed when residents are admitted, and reviewed. This was particularly pertinent to one resident whose records were viewed and whose care plan showed there were matters of concern re nutrition and diet. There were detailed policies and procedures to support staff in the safe handling and administration of medication. All senior staff were being trained in the management of medicines. However the procedures were not always followed. Handwritten directions were not always witnessed by a second person, there were no clear directions for medicines that were given only infrequently and a random check of the controlled drug register showed gaps in recording. The details on one resident’s medication chart differed from the label on the medicines The residents’ privacy and dignity were upheld. Some residents who were spoken with were able to say that they were cared for in the right way and that staff were kind and caring. All rooms were single and en suite and residents were called by their preferred name. Brierfield House Care Centre DS0000022499.V252585.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13 & 14 Some routines appeared flexible enough to suit individual’s expectations and preferences. Residents were encouraged and supported to maintain contact with relatives and friends who were made welcome in the home at any reasonable time. Residents were encouraged to make choices and keep control over their lives if possible. EVIDENCE: Residents could rise and retire at times of their choosing and could eat in a place of their choice. There was a choice of two main meals, served at lunch time. An “activities organiser” was employed in the home and organised a varied programme of activities and events. These included quizzes, cookery demonstrations and musical afternoons. Residents’ interests and hobbies were recorded on the care plans, as were their religious observances. One resident was encouraged to continue her interest in painting and another was encouraged to play the home’s piano. Relatives spoken with, and those who completed comment cards, stated that they were welcome in the home at any reasonable time. Visits could be made in the privacy of residents’ bedrooms should this be preferred. Those relatives who completed comment cards stated that the home communicated with them Brierfield House Care Centre DS0000022499.V252585.R01.S.doc Version 5.0 Page 14 about changes and matters of concern regarding the resident. However one relative who had made a complaint to the CSCI in July had not been satisfactorily informed of two of her mother’s accidents. Links with the community were encouraged and maintained, partly through the activities that were organised. These included fundraising events, trips out to shows and visiting groups such as choirs. Residents were encouraged to make choices and keep control over their lives. In reality few can manage their own finances but this is encouraged if possible. An independent advocate was assisting one resident living in the dementia unit. Residents brought small personal items of furniture for their bedrooms. Brierfield House Care Centre DS0000022499.V252585.R01.S.doc Version 5.0 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 The home had a suitable complaints procedure which was used by relatives and which made sure that concerns and complaints were investigated properly. The home’s policies and procedures and staff training helped to protect the residents from abuse. EVIDENCE: The home had a complaints procedure that complied with the Regulation and standard. A copy of this procedure was seen in the information documentation in residents’ rooms. Relatives/visitors were encouraged to use the complaints procedure and a number of complaints had been investigated since the previous inspection. One complaint had been investigated by the CSCI and some of its different elements have been referred to in the relevant sections in the report. A number of requirements and recommendations were made following the investigation and these were dealt with at that time. Brierfield House had policies and procedures for the protection of residents from abuse that were in accordance with standard 18 and Government guidelines. There had been no recent allegations or suspicions of abuse. Staff completed in house training on the protection of vulnerable adults. Brierfield House Care Centre DS0000022499.V252585.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 26 The home was clean and pleasant in appearance. The laundry system and cleanliness had improved since the previous inspection although there were still areas of the home that needed further attention. EVIDENCE: Since the previous inspection a complaint was investigated by the CSCI which involved the laundry systems and malodours in certain areas of the home. There had been an ongoing problem with the laundry and offensive odours in certain areas of the home. Since that time a new housekeeper had been employed and it was felt that the laundry procedures and the general cleanliness of the home had improved although there were some areas of the home that continued to be malodorous and required extra attention. Brierfield House Care Centre DS0000022499.V252585.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Staffing levels were at the minimum required by the registration authority and were sufficient for meeting the physical needs of the residents most of the time. These levels must be kept under review. The home’s staff training programme was in accordance with the residents’ needs and Government guidance. The home’s staff recruitment policies and procedures had improved and were more likely to protect residents from unsuitable staff. EVIDENCE: At the time of the inspection both areas of the home were staffed according to the levels agreed with the registration authority. However at the time of the inspection a complaint was being investigated regarding staffing levels being insufficient to meet the needs of the residents. Also in July a complaint about staffing levels was investigated by the CSCI. It was concluded that at the time referred to by the complainant, the home did not have sufficient staff on duty to meet the needs of the residents. The registered person must ensure that staffing levels are kept under constant review, and increase them if need be. Some residents indicated that members of staff were very nice but “didn’t have a lot of time”. 71 of care staff had successfully completed NVQ courses to at least level 2. Brierfield House had a training programme for staff in accordance with Ashbourne Health Care’s corporate programme and the National Minimum Brierfield House Care Centre DS0000022499.V252585.R01.S.doc Version 5.0 Page 18 Standard. In addition some specialist training had been undertaken such as in dementia and some staff had completed training in pressure sore care. The staff files viewed showed that staff recruitment had improved since the previous inspection, and this will help ensure that only suitable staff are employed in the home. Staff had not commenced work with residents until CRB and POVA checks and written references had been obtained. Gaps in employment had been explored and a record of Induction training was completed. However proof of qualifications must be obtained for the member of staff identified. Brierfield House Care Centre DS0000022499.V252585.R01.S.doc Version 5.0 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 The registered manager is a qualified nurse with many years experience in managing nursing homes and Brierfield House. She had almost completed the Registered Managers Award. The home regularly carried out quality monitoring exercises according to the company policy and systems, and some of these audits involved the residents. Residents’ finances were well managed and safeguarded. The home’s health and safety procedures and processes ensured a safe environment for residents and staff. EVIDENCE: Brierfield House Care Centre DS0000022499.V252585.R01.S.doc Version 5.0 Page 20 The registered manager (the general manager) is a registered general nurse with many years nursing experience and about 12 years experience as manager of Brierfield House. Mrs Leach had almost completed the Registered Managers Award. She demonstrated that she had undertaken periodic training to ensure she remained up to date in caring for older people. There were clear lines of accountability within the home and the organisation, with the general manager being responsible for 2 unit managers, the teams of care staff and the ancillary staff. She in turn was responsible to a senior general manager. The regional manager carries out monthly visits to the home under Regulation 26. Brierfield House has used the well - developed quality monitoring systems of Ashbourne Ltd, to carry out regular quality monitoring exercises according to company policy. Residents and relatives were involved in some of these. The results were forwarded to the CSCI. Residents’ monies were managed safely and efficiently and appropriate records were kept. Individual personal allowances were kept separate and stored securely in the home’s safe. The company carried out its own audits of residents’ finances. The health and safety of the residents and staff were promoted and protected. There was a rolling programme of staff training in moving and handling, fire safety, food hygiene, health and safety and first aid. The fire equipment, gas installations, electrical wiring, portable appliances and water supply had current certificates of testing. Accidents and injuries were recorded and reported appropriately. Brierfield House Care Centre DS0000022499.V252585.R01.S.doc Version 5.0 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 x 3 4 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X X X X 2 STAFFING Standard No Score 27 2 28 4 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Brierfield House Care Centre DS0000022499.V252585.R01.S.doc Version 5.0 Page 22 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 OP9 Regulation 13 (2) Requirement The registered person must ensure staff adhere to medication policies and procedures and that medicines are administered by appropriately trained staff. The registered person must ensure the home is kept free from offensive odours. The registered person is required to keep the staffing levels within the home under review and ensure that at all times suitably qualified, competent and experienced persons are working at the care home in such numbers as are appropriate for the health and welfare of service users. The registered person must ensure that staff files contain documentary evidence of qualifications. This includes those for the member of staff identified. Timescale for action 24/11/05 2 3 OP26 OP27 16 (2)(k) 18(1)(a) 24/12/05 24/11/05 4 OP29 Am’d Reg 19 sch 2 23/12/05 Brierfield House Care Centre DS0000022499.V252585.R01.S.doc Version 5.0 Page 23 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP1 Good Practice Recommendations The statement of purpose should contain the summary of the most recent inspection report, the views of the service users about the home and the contact numbers of the Health Authority and the Social Services. The care plans should include details regarding bereavement and the emotional support needed and details relating to “Guardianship Orders” under the Mental Health Act. The registered person should ensure that nutritional screening is completed and reviewed 2 OP7 3 OP8 Brierfield House Care Centre DS0000022499.V252585.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection East Lancashire Area Office 1st Floor, Unit 4 Petre Road Clayton Business Park Accrington BB5 5JB 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 Brierfield House Care Centre DS0000022499.V252585.R01.S.doc Version 5.0 Page 25 - 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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