Inspection on 12/03/08 for Brierton Lodge Nursing Home

This inspection was carried out on 12th March 2008.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Brierton Lodge Nursing Home 29/01/07

Brierton Lodge Nursing Home 28/09/05

Brierton Lodge Nursing Home 18/04/05

Brierton Lodge Nursing Home 08/12/04

Brierton Lodge Nursing Home 11/08/04

Similar services:

The Highlands

Turret Villa Retirement Home

Moor House

Blenheim House

1 Lanark Close

Mendip House

Beaconsfield Court Care Home

Ann Charlton Lodge

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

CARE HOMES FOR OLDER PEOPLE Brierton Lodge Nursing Home Brierton Lane Hartlepool TS25 5DP Lead Inspector Mrs Sue Lowther Key Unannounced Inspection 12th March 2008 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Brierton Lodge Nursing Home DS0000000150.V360827.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. Brierton Lodge Nursing Home DS0000000150.V360827.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Brierton Lodge Nursing Home Address Brierton Lane Hartlepool TS25 5DP 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) 01429 868786 01429 267129 barnardc@bupa.com www.bupa.co.uk BUPA Care Homes (ANS) Ltd Mrs Caroline Mary Barnard Care Home 62 Category(ies) of Dementia (31), Mental disorder, excluding registration, with number learning disability or dementia (31), Old age, of places not falling within any other category (31), Physical disability (31) Brierton Lodge Nursing Home DS0000000150.V360827.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home with nursing - Code N To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP, maximum number of places: 31 Dementia - Code DE, maximum number of places: 31 Mental disorder, excluding learning disability or dementia - Code MD, maximum number of places: 31 2. Physical disability - Code PD, maximum number of places: 31 The maximum number of service users who can be accommodated is: 62 29th January 2007 Date of last inspection Brief Description of the Service: Brierton Lodge is a purpose built care home for up to 62 people with nursing needs. The majority of admissions to the home are from hospital through Continuing Health Care arrangements. The home operates two specific units: on the ground floor it provides care for older people and people with physical disabilities; on the first floor care is provided for people with dementia and mental health needs. The home is square shaped, built around a central enclosed garden. The accommodation consists of 54 single bedrooms and 4 double bedrooms all with en suite facilities. Adequate toilet and bathing facilities are provided. The first floor accommodation has recently undergone an extensive refurbishment to provide living accommodation of a high standard. There is a committed team of care and support staff. The current weekly fees charged are between £505 - £604. There are additional charges for hairdressing, newspapers and travel where required. Brierton Lodge Nursing Home DS0000000150.V360827.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 the people who use this service experience good quality outcomes. This unannounced inspection was carried out on the 12th March 2008. The inspector visited the home, talked to people and read what people had written about the home. She sent out surveys to people who live in the home and their relatives to find out what they think about the home. Five people who live in the home filled in the survey forms, with the help of staff. The inspector visited the home and looked around. She met five people who live there and three care staff and the manager. She checked records and paperwork. An ‘Expert by Experience’ helped. An ‘Expert by Experience’ is a person who, because of their shared experience of using services, and/or ways of communicating, visits a service with an inspector to help them get a picture of what it is like to live in or use the service. The Expert looked around the home, talked to staff and spent time with the people who live there. What the service does well: What has improved since the last inspection? All of the people who live in the home have been provided with a statement of terms and conditions so that they know the service they can expect to receive, the amount this will cost and who is responsible for the payment. The last inspection report contained a requirement which stated that the Manager needed to ensure that staff were documenting in full the assessment Brierton Lodge Nursing Home DS0000000150.V360827.R01.S.doc Version 5.2 Page 6 of peoples needs on admission using the correct recording system in the care file. New documentation has been introduced and those looked at contained comprehensive admission documentation. The last inspection report contained one recommendation about the safe disposal of medication. The inspector stated that this could be further improved through the practice of two trained nurses witnessing and documenting the procedure. The manager said that this had been implemented. Another requirement made was about some offensive odours apparent within the home. The manager said that the cause of these had been addressed. There were no offensive odours apparent on the day of this inspection. Staffing levels have been increased following the recommendation made in the last inspection report. The last inspection report also contained one recommendation with regard to the bank account used for the people who live in the home. It recommended that the Manager consider alternative bank accounts in which people’s monies could be deposited to allow those with large sums of money to benefit from interest accruing to balances. The manager said that the account has been changed so that it accrues interest. The amount of interest owed to each person is then calculated on an individual basis. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Brierton Lodge Nursing Home DS0000000150.V360827.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Brierton Lodge Nursing Home DS0000000150.V360827.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 3. The home does not provide intermediate care. Therefore assessment of standard 6 is not required. ‘People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service’. Admissions are well managed and people are provided with information about the home before moving in. EVIDENCE: The home provides a statement of purpose and service user guide, setting out its aims and objectives, the range of facilities and services it offers to people. This enables people to make fully informed choices about whether the home can meet their indivdual needs. The manager said that all of the people who live in the home have been provided with a statement of terms and conditions so that they know the service they can expect to receive, the amount this will cost and who is responsible for the payment. This was a requirement following the last inspection. Brierton Lodge Nursing Home DS0000000150.V360827.R01.S.doc Version 5.2 Page 9 People are only admitted after a full assessment of need is carried out by an appropriately trained person. This is usually the manager. This is to make sure that the home can meet the care needs of the people who go to live there. The last inspection report contained a requirement in this area. It stated that the Manager needed to ensure that staff were documenting in full the assessment of peoples needs on admission using the correct recording system in the care file. New documentation has been introduced and those looked at contained comprehensive admission documentation. The family of one person who had recently gone to live in the home confirmed that they had looked around the home and had been supplied with all of the information they needed to make a decision about whether or not their relative would like to live there. Some of people who responded to the survey said that they had received enough information about the home before they went to live there. Some people said that they had been admitted from hospital and had not been given information. However they said that they were happy living at Brierton Lodge. Brierton Lodge Nursing Home DS0000000150.V360827.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, and 10. ‘People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service’. People’s health care needs are well managed by the home. Systems to administer medication are safe and people living at the home say that they are treated well and that the standard of care is good. EVIDENCE: People spoken to during the inspection said that they are happy with the care received and the level of information given. Most of the people who returned surveys indicated that they are happy with the care and usually get the care that they need. The report from the expert by experience states, “The visitors Brierton Lodge Nursing Home DS0000000150.V360827.R01.S.doc Version 5.2 Page 11 with whom I spoke were delighted with the Home, they felt welcomed and that their parent / husband was well cared for and it took great deal of worry from their shoulders knowing that they were cared for with better provision that they could provide themselves”. Records examined showed that people receive visits from other healthcare professionals. These include district nurses, doctors, and care managers. One professional who returned a survey said, “This is a well run service a good example to others” Medication is administered by qualified nurses. The home has a comprehensive medication policy. The last inspection report contained one recommendation about the safe disposal of medication. The inspector stated that this could be further improved through the practice of two trained nurses witnessing and documenting the procedure. The manager said that this had been implemented. People spoken to said that staff always treat them with dignity and respect. One of the relatives said “ The staff are really good, they are lovely and speak to people nicely”. Brierton Lodge Nursing Home DS0000000150.V360827.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. ‘People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service’. The home provides a range of activities with input from the people that live there. Relatives are made welcome and encouraged to visit the home. People living at the home said that they were able to make choices within all aspects of daily living. There is a varied menu and people likes and dislikes are well catered for. EVIDENCE: The home have an activities coordinator. Routines of daily living and activities are flexible and varied to suit individual expectations, preferences and capabilities. Personal choice is promoted at all times. People’s interests are recorded, there is a daily activity programme which is flexible. People can have visitors at any time and private visiting areas are available. People’s spiritual needs are respected. People are encouraged to make choices and decisions wherever possible and this was observed throughout the day. One person said “I can get up and go to bed when I want. I can also have a bath or shower when I want”. The report by the expert by experience states, “” I asked about activities he said that Brierton Lodge Nursing Home DS0000000150.V360827.R01.S.doc Version 5.2 Page 13 there were four of them who played dominoes together. He also said that there were other activities available but he enjoyed his dominoes. Another resident I spoke with said she felt very well cared for. She said she could have a bath whenever she wanted, the “girls” are marvellous, always got time for you, even when they are busy they will always have a word”. There are two choices of meal. Special dietary needs are catered for and people are assisted to eat if necessary. One person who lives in the home said “The food is excellent. We get a choice and there is definitely plenty”. The report from the expert by experience states, “I spoke with the Cook who was busy preparing the lunch. The cook told me that she does her utmost to please the residents. She is always prepared to cook a breakfast if the residents so wish, meals can and are served in resident’s rooms if desired or where appropriate. Menus are changed very often, and are not a matter of routine, with set days with set menus. Cook explained to me that now winter is almost over a switch will be made to other menus which will include more salads etc. The cook has undergone more training and is well aware of healthy eating and the dietary needs of the residents. The cook does ask residents to name their favourite dishes and she does her best to suit as many residents as possible. The kitchen was spotlessly clean. I visited the dining rooms and observed tables were well spaced and with tables looking attractively set, ready for lunch to be served”. Brierton Lodge Nursing Home DS0000000150.V360827.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. ‘People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service’. Complaints and adult protection matters are supported by clear guidance and training. EVIDENCE: The home has a complaints procedure in place, which is displayed throughout the home. All of the people who returned surveys said that they would know how to make a complaint. The report from the expert by experience states, “One gentleman said he was very happy in the home he had no complaints whatsoever and couldn’t think of why anybody should have any complaints”. One relative said on a survey “If I have a complaint it is dealt with swiftly”. A record is kept in the home of all complaints. Those recorded since the last inspection have been investigated within the home. One complaint is ongoing and is being investigated jointly by the home, social services and the local primary care trust. Staff are trained to recognise and prevent abuse of the people who live in the home. The home has a clear adult protection procedure which links with the local authority procedure for safeguarding adults. The home also has an active whistleblowing policy. All staff spoken with said that they would have no hesitation in telling someone if there was a problem. One member of staff said “I would speak to the manager straight away. If she were not available or if it involved her I would speak to the area manager”. Brierton Lodge Nursing Home DS0000000150.V360827.R01.S.doc Version 5.2 Page 15 Recent training has taken place with regard to the Mental Capacity Act and the law, which links into Safeguarding Adults policies and procedures. Brierton Lodge Nursing Home DS0000000150.V360827.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21 and 26. ‘People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service’. The home is in the main clean, well maintained, furnished and decorated to a good standard. EVIDENCE: The communal areas were bright and nicely decorated. All of the bathrooms have been restored to full working order as required in the last inspection report. The manager confirmed that the smoking arrangements for the people who live in the home have been reviewed and that facilities are now available in the EMI unit Many of the rooms are decorated to the person’s own taste and there was evidence to confirm that people can take in some personal items when they go to live there. This includes pieces of furniture as well as photographs and ornaments. Brierton Lodge Nursing Home DS0000000150.V360827.R01.S.doc Version 5.2 Page 17 The premises were clean and hygenic and in the free from any odours. The manager said that the cause of the odours referred to in the last report had been addressed. Policies for the control of infection are in place and adequate handwashing facilities are available. The report from the expert by experience stated, “Residents rooms all have en-suite facilities, are of a reasonable size, light and airy and well decorated. Curtains bed linen, furniture and fittings are of a high standard. I found the Home to be very clean and odour free”. Brierton Lodge Nursing Home DS0000000150.V360827.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. ‘People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service’. Staffing numbers support people’s health needs. The home has a commitment to staff training and recruitment practices protect people living in the home. EVIDENCE: From the rota supplied at the inspection there was sufficient care staff on duty to meet the assessed care needs of the people who were using the service. The manager said that staffing levels had been increased following the recommendation made in the last inspection report. People said that staff were usually around and answered the call bells quickly. The expert by experience stated, “Whilst I was in the Home I noticed that there was no delay between a bell being rung and it being answered this was probably due to the fact that there appeared to be a lot of Staff on duty. I observed a great deal of care and contact between nursing staff, care assistants and the residents. Nurses and care assistants were sitting holding hands with residents, one or two on their knees and thus at the same level as the resident and either talking to them or listening. I visited one very elderly gentleman. He told me that the Staff “are wonderful, they will help you with anything you ask, they are always cheerful and are very kind”. The home had staff files in place, which provided evidence that the appointment of new members of staff is made through proper recruitment Brierton Lodge Nursing Home DS0000000150.V360827.R01.S.doc Version 5.2 Page 19 processes. This includes the vetting of staff through the use of Criminal Record Bureau (CRB) checks, Protection of Vulnerable Adult checks (POVA) and written references. Training has recently taken place in moving and handling, basic life support and infection control. A large number of care staff are trained to NVQ level 2. Certificates to confirm this were seen in staff files. Staff spoken to confirmed that there is plenty of training available. Brierton Lodge Nursing Home DS0000000150.V360827.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. ‘People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service’. The home is well managed and relatives and people using the service are regularly consulted about the service they receive. Financial arrangements are good and health and safety systems and practices protect people. EVIDENCE: The manager is a qualified nurse and has several years experience in working with older people. Staff, the people who live in the home and visitors were in the main complimentary about the manager. One member of staff said “The manager is very approachable and I would not hesitate to approach her if I had a problem”. However one relative who returned a survey felt that communication between the manager and relatives could be improved. Another relative said, “The manager has been very supportive to me and my Brierton Lodge Nursing Home DS0000000150.V360827.R01.S.doc Version 5.2 Page 21 family. My relative is very happy here”. The report by the expert by experience states,” I spoke with the Senior Nursing Sister on duty and later to another senior nursing member of Staff. I also spoke with Care Assistants and one of the Cleaners. Every member of Staff spoke very highly of their Manager and said that she was very supportive of them and particularly caring to her residents. I did actually observe for myself interaction between the Manager and a couple of residents which confirmed the Staffs views and opinions. Staff also felt that they were really encouraged to do extra training provided by the Company”. There are clear lines of accountability within the home. Staff, relatives and those living at the home are actively involved in the decision making process of the home. The home has an annual plan for quality assurance which includes meetings staff. These are held monthly and information from these are included in quality monitoring. Relatives and the people who live in the home can approach the manager at any time as she operates an open door policy. The area manager completes a regulation 26 visit monthly. This is an audit which covers all aspects of the environment and the care delivered. The manager said that during this audit the area manager speaks to staff, the people who live in the home and visitors about their views. Any suggestions made are considered and improvements made where possible. Personal finances are kept in the home for people who request this. Two signatures are obtained and receipts are kept to ensure peoples’ financial interests are safeguarded. The last inspection report recommended that the Manager should consider alternative bank accounts in which people’s monies could be deposited to allow those with large sums of money to benefit from interest accruing to balances. The manager said that the account has been changed so that it accrues interest. The amount of interest owed to each person is then calculated on an individual basis. Health and safety systems were looked at. Safe working practices are maintained in line with current regulations and appropriate risk assessments are available. All safety checks for maintenance are carried out by external contractors as designated by law. All accidents are recorded and reported appropriately. Brierton Lodge Nursing Home DS0000000150.V360827.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 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 4 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Brierton Lodge Nursing Home DS0000000150.V360827.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15 Requirement Written information about the care people require should be readily available for all staff to access. Timescale for action 30/04/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Brierton Lodge Nursing Home DS0000000150.V360827.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Brierton Lodge Nursing Home DS0000000150.V360827.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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