Inspection on 27/09/07 for Broomhouse Nursing Home

This inspection was carried out on 27th September 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Broomhouse Nursing Home 30/01/07

Broomhouse Nursing Home 23/01/06

Broomhouse Nursing Home 17/10/05

Broomhouse Nursing Home 21/02/05

Broomhouse Nursing Home 08/09/04

Broomhouse Nursing Home 18/02/04

Broomhouse Nursing Home 25/09/03

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Broomhouse Nursing Home Broomhill Road Old Whittington Chesterfield Derbyshire S41 9EB Lead Inspector Nancy Bradley Key Unannounced Inspection 27th September 2007 09.30 Broomhouse Nursing Home DS0000002047.V341956.R01.S.doc Version 5.2 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 Broomhouse Nursing Home DS0000002047.V341956.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 Adults 18-65. 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. Broomhouse Nursing Home DS0000002047.V341956.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Broomhouse Nursing Home Address Broomhill Road Old Whittington Chesterfield Derbyshire S41 9EB 01246 260697 01246 268065 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) Intacare Limited Jill Askew Care Home 40 Category(ies) of Learning disability (40), Learning disability over registration, with number 65 years of age (0) of places Broomhouse Nursing Home DS0000002047.V341956.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th January 2007 Brief Description of the Service: Broomhouse home provides accommodation and personal care with nursing for up to 40 people with learning disabilities. The home is located in the village of Whittington close to the town of Chesterfield. There are shops, pubs and other amenities nearby. The home is divided into four named ‘houses’ on two floors. Service users are accommodated in each house in accordance with assessed needs and compatibilities. There are well-maintained grounds with mature trees overlooking fields to the rear of the home. Car parking space is provided. Charges are between £392.70 and £1,211.19. Extra charges are made for hairdressing, toiletries, and holidays. Broomhouse Nursing Home DS0000002047.V341956.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection and took place over a total of six hours. The inspector spoke with the Registered Manager and care staff The inspection activity during this site visit was to assess the service against the key National Minimum Standards and these are identified through the report. There were forty service users in the home on the day of the inspection; the home currently has no vacancies. Additionally, time was spent in preparation for the visit, looking at the service history, the previous inspection report and the Annual Quality Assurance Assessment questionnaire. Records were examined relating to the service users and the general running of the home. The Commission for Social Care Inspection sent out sixteen “Have Your Say” questionnaires. The Commission for Social Care Inspection received nine completed questionnaires, from services users who confirmed they were happy at the home and were looked after by the staff. The Homes Statement of Purpose, Service User Guide were displayed in the main entrance to the home. What the service does well: What has improved since the last inspection? No requirements were issued at the pervious inspection. Broomhouse Nursing Home DS0000002047.V341956.R01.S.doc Version 5.2 Page 6 There have been no major service changes. 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. Broomhouse Nursing Home DS0000002047.V341956.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Broomhouse Nursing Home DS0000002047.V341956.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements are in place to ensure that service users needs are fully assessed and met prior to admission. This ensures that all potential service users holistic needs are appropriately met. EVIDENCE: The majority of the service users who are admitted to the home have their needs assessed by social workers or through the care management system. The single assessment then forms part of the planned care service users receive. Also the home undertakes their own individual comprehensive needs assessments. This was in accordance with a recognised care model and provides a person centred record of their individual needs, including identified strengths and needs, long-term goals, and evaluation. As discussed with the Registered Manager this could be developed further to include the service user’s life story and by personalising service user’s care needs. There was evidence on record to show that care management were reviewing the care needs assessment. The home has admitted three new service users in the last twelve months Broomhouse Nursing Home DS0000002047.V341956.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6,7and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a care planning and review system in place, which ensures that service users individual needs are met. EVIDENCE: During the visit care plans of four-service users were examined. The nursing staff had compiled a care plan for each service user and evidence was seen of care plans being reviewed on a regular basis. All service users case tracked had a comprehensive care plan, which was in accordance with their assessed needs and formulated within a risk assessment framework. All care plans were very detailed and comprehensive including services users’ individual lifestyle preferences and choices in the My Wish List document, and interventions prescribed by outside healthcare professionals. Daily records are also maintained on each service user. Not all care plans had been signed by service users or their representatives. As discussed at the site visit the home is looking to develop their care plans in to a more user-friendly style making care plans more personalised as in a Personal Centre Planning model. Broomhouse Nursing Home DS0000002047.V341956.R01.S.doc Version 5.2 Page 10 Service users confirmed that they have access to an independent advocate who visits the home on a regular basis. Information about the service is displayed on an information board within the home. Service users stated that they discuss with the Advocate things that affect their lives Service users’ files also contained a wide range of related risk assessments in such areas as behavioural/psychological issues, matters affecting physical health, tissue viability, nutrition, mobility, risks associated with health and safety and social activities. Activity timetables were included on care files. Risk assessments were also monitored and updated as required. All service users have a named nurse and key-worker. Broomhouse Nursing Home DS0000002047.V341956.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,15,16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There were arrangements in place to enable service users to maintain and develop appropriate relationships and to participate in activities both in the home and outside in the wider community in accordance with their preferences and wishes. EVIDENCE: During the visit the inspector spoke with service users and care staff about the activities service users were engaged in and the arrangements for these. The home employs a full time activity organiser who is responsible for group activities, outings and general entertainment. The care records of all service users provided detailed needs assessment and care planning information regarding their social, recreational, educational and occupational activities both within the home and outside in the community. The service users’ personal goals, choices and preferences were identified and properly recorded risk assessments were in place for each service user in relation to the activities they were engaged in. Broomhouse Nursing Home DS0000002047.V341956.R01.S.doc Version 5.2 Page 12 Service users spoke about how they were looking forward to the forth-coming holiday to Butlins. The holidays are tailored to the individual needs and abilities of the service user. Information on service users’ records indicated that contact with family and friends were appropriate and that they play an important part in their lives, the home maintains good contact with them. The home has an open door policy for friends and family who are encouraged to take part in activities within the home. Examination of the menus indicates the home is providing a healthy wellbalanced and nutritious diet with some service users on special diets. The service users are given a choice if they do not like the options on the menu. The cook in consultation with the care staff and service users compiles menus. Service user’s weekly weights are recorded. Broomhouse Nursing Home DS0000002047.V341956.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18,19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive personal and health care support in a way, which promotes their independence and is in accordance with their preferences and beliefs. EVIDENCE: Many of the service users were not able to express themselves verbally and to directly contribute to the site visit. During the tour of the home several service users spoke with the inspector indicating that the staff cared for them and that they liked it at the home. Also they get appropriate help when they need it and are able go out to the shops and on trips. Those service users who were less able to express themselves looked relaxed, and were involved in the day’s activities. Service users were all dressed in clothes appropriate to their age and personal preference. During the visit it was clear that the service users’ privacy and dignity are respected, and where service users need supervision during personal care this is recorded in their care plan. Staff were routinely observed knocking on service users’ bedrooms doors and bathrooms before entering. Examination of records and discussions with staff indicate service users’ health and personal needs were being met Broomhouse Nursing Home DS0000002047.V341956.R01.S.doc Version 5.2 Page 14 Service users were generally healthy and records showed that staff promptly contacted the appropriate medical services when necessary. All service users attended services within the community including optician, podiatry, and dentist. Records examined showed that specialist advice and relevant reviews were routinely obtained from Ash Green Community Hospital for people with learning disabilities. Service users weekly weight is recorded. The home operates and monitors service users medication. None of the service users are able to administer their own medication. All staff have received training on medication training procedures. The arrangements for receipt, storage, administration and disposal of medication were also examined. Examination of records revealed gaps in medication records. Discussions with staff confirmed that medication had been administered, however this had not been recorded as service users and staff were on a day trip. The Registered Manager agreed to re-assess current practice and consult with the Royal Pharmaceutical procedures. Broomhouse Nursing Home DS0000002047.V341956.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements are in place to safeguard service users’ welfare and ensure that their concerns are listened to and acted upon. EVIDENCE: Service users are made aware of the home’s complaints procedure through the service user guide and via their key worker. A copy is displayed on the service users’ notice board. The Registered Manager has developed a user-friendly complaint form for service users. Any concerns and complaints made by service users are investigated within the agreed time scales. The Registered Manager maintains a record of all complaints made by service users, details of the investigation action and outcome. The procedure contains the current contact details of the Commission for Social Care Inspection and informs the complainants that they are able to contact the Commission at any stage of the complaints process if they wish to do so. Completed service user questionnaires confirmed that they would talk with care staff and family about any concerns they may have. Records seen indicated that no complaints had been received from service users or their representatives about their care since the last inspection. The home has a vulnerable adult protection policy and procedures however this does not make reference to local procedures, or reflecting the change of policy to the Safeguarding of Adults. Broomhouse Nursing Home DS0000002047.V341956.R01.S.doc Version 5.2 Page 16 From discussions with the care staff and from records examined there has been no reported incidents or allegations under the safeguarding of adults procedure since the last inspection. The staff confirmed they had received training on the protection of vulnerable adults however this needs updating to the safeguarding of adults. Details of how they could access this were discussed with the Registered Manager. On examination of service users’ financial records it was evident that they were being charged for bedding, curtains and lounge chairs and in one instance a hoist. This was discussed with the Registered Manager and the inspector referred her to the National Minimum Standard 26 and 29. The National Minimum Standard clearly shows that it’s the Registered Provider responsibility for providing furniture, fittings and specialist equipment. All other records regarding service users monies were satisfactory. Broomhouse Nursing Home DS0000002047.V341956.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a comfortable environment, which enhances their quality of life and maintains their independence. EVIDENCE: A full tour of the home was undertaken and all communal areas were seen. Service users’ bedrooms were inspected with their agreement and all rooms had been decorated and furnished to their personal choice and were being personalised. There are substantial grounds with space for service users to sit outside when the weather is fine. The home employs a maintenance man to undertake minor decoration and repairs. The home has a rolling programme for repairs and decoration. The home was free of any unpleasant odours as was on the day of the visit. The home has satisfactory hygiene procedures in place. Broomhouse Nursing Home DS0000002047.V341956.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32,34,35 and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has robust recruitment and selection procedures in place to ensure that the appropriate staff are employed to care for vulnerable people EVIDENCE: The home has a good percentage of staff who hold a NVQ level 2 or above. The home has registered with the Skills for Care Council national data set. The home operates with two qualified nurses on each shift and four-care staff each day. Staffing levels at the home were examined and remain satisfactory and meet the needs of the service users. There are currently no staff vacancies. The home has a robust recruitment procedure in place, which ensures that their staff are suitable to work with vulnerable people. Several staff personnel records were examined which confirmed that thorough employment checks were carried out. All new staff are required to provide two references, a full employment history, have a clear Criminal Records Bureau clearance and complete a three-month probationary period. On examination of Criminal Records Bureau clearance the home is not recording the disclosure number, only the persons name and date of the disclosure. For an audit trail purpose the disclosure number is required. Broomhouse Nursing Home DS0000002047.V341956.R01.S.doc Version 5.2 Page 19 The records contained all required information has detailed in Schedule 2 of the National Minimum Standard, Care Homes for Adults 2001. The staff personnel records were well presented and organised. From discussions with the staff and from examination of records the home is providing good training and development opportunities. Details of staff training together with training planned were provided by way of the Annual Quality Assurance Assessment questionnaire. Details of how to access training on the Mental Capacity Act were discussed with the Registered Manager. All new staff undergo a twelve-week induction programme as set out by the Skills for Care Council. Records examined and discussions with the staff confirmed that the home has a formal structure for supervision of staff. However records did not confirm that supervision is meeting the National Minimum Standard 36.4. The inspector discussed with the Registered Manager about a suitable format for this to be achieved. Annual appraisals are undertaken. Broomhouse Nursing Home DS0000002047.V341956.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37,39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems are in place to ensure that service users’ have a voice and is run in their best interest. EVIDENCE: The Registered Manager has considerable knowledge and experience in caring for adults with a learning disability and challenging behaviour and has worked at Broomhouse for a number of years. Examination of her personnel record confirmed she had a contract and relevant job description detailing her role and responsibilities. From direct observation the Registered Manager has a good working relationship with the staff. At present all the main management duties are undertaken by the Registered Manager this includes on call at evenings and weekends. The deputy manager resigned several months ago and the post has yet to be filled. This issue should be re assessed. The Registered Manager has almost completed a recognised managers award. Broomhouse Nursing Home DS0000002047.V341956.R01.S.doc Version 5.2 Page 21 The home has a policy and procedures for assessing its quality of care. The Regulation 26 visits by the Registered Provider to the home include details of consultation with service users and staff. Questionnaires are given out to both staff and service users as part of the homes quality assurance procedures. The Registered Manager reviews the home’s aims and objectives and compiles an annual report for the Registered Provider. The home consulting and seeking views from family, friends or stakeholders about the services it provides could further develop quality assurance procedures. The information on the home’s health and safety procedures and maintenance was provided by way of the Annual Quality Assurance Assessment questionnaire. This confirmed that all the relevant checks had been undertaken Broomhouse Nursing Home DS0000002047.V341956.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 Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 3 X Broomhouse Nursing Home DS0000002047.V341956.R01.S.doc Version 5.2 Page 23 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. YA20 2. YA23 3. YA34 $. YA36 Schedule 4 Schedule 2 19 18 Standard Regulation 13 Requirement The home must maintain an accurate record of all medication administered. This includes when service users go out on trips. Service users’ monies must not be used to purchase future fittings or any specialist equipment The home must have a clear adult trail for all Criminal Records Bureau checks for the staff it employs. The registered person must ensure that formal supervision occurs at least six times a year. This is a previous requirement. Timescale for action 31/10/07 31/12/07 31/10/07 31/12/07 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. Refer to Standard YA6 YA6 Good Practice Recommendations The home should consider undertaking Life Story work with service users. The home should consider making care plans more DS0000002047.V341956.R01.S.doc Version 5.2 Page 24 Broomhouse Nursing Home 3. 4. 5. 6. 7. 8. YA6 YA23 YA23 YA37 YA39 YA39 personal as a way of developing service users’ involvement in their care. Service users’, or their representatives’, involvement in care plan should be confirmed by means of a signature All staff should undertake a refreshing course in the Safeguarding of Adults The homes policy on adult protection must be revised and updated to reflect current The home should look at employing a deputy manager to assist with the overall management of the home The Registered Person must consult with stakeholder’s family and friends as part of the homes quality assurance review. The home should make public its quality assurance findings. Broomhouse Nursing Home DS0000002047.V341956.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Broomhouse Nursing Home DS0000002047.V341956.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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