Inspection on 15/08/06 for Burrowbeck Grange Nursing Home

This inspection was carried out on 15th August 2006.

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

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

Other inspections for this house

Burrowbeck Grange Nursing Home 09/09/08

Burrowbeck Grange Nursing Home 12/09/07

Burrowbeck Grange Nursing Home 22/02/06

Burrowbeck Grange Nursing Home 03/11/05

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Burrowbeck Grange Nursing Home Scotforth Road Lancaster Lancashire LA1 4XN Lead Inspector Mrs Christine Marshall Unannounced Inspection 21st August 2006 12:15p 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 Burrowbeck Grange Nursing Home DS0000065247.V306122.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. Burrowbeck Grange Nursing Home DS0000065247.V306122.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Burrowbeck Grange Nursing Home Address Scotforth Road Lancaster Lancashire LA1 4XN 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) 01524 841876 01524 848699 jim.brown@optimacare.co.uk Optima Care Limited Miss Christine Bewsher Care Home 23 Category(ies) of Old age, not falling within any other category registration, with number (22), Physical disability (1) of places Burrowbeck Grange Nursing Home DS0000065247.V306122.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection The service is registered to accommodate a maximum of 23 service users to include Up to 22 service users in the category OP (older persons 65 and over) 1 named service user in the category PD (physical disability) 22nd February 2006 Date of last inspection Brief Description of the Service: Burrowbeck Grange Care Home with Nursing is a detached property, in an elevated position, situated on the main A6 Lancaster Road. The home offers nursing care for 23 residents. There are 17 single bedrooms, one of which has en-suite facilities, and 3 double bedrooms; these are on ground and first floor levels. There is wheelchair access to the home and there is a passenger lift in place. The registered providers are Optima Care Ltd, the Responsible Individual is Mr Jim Brown and the Registered Manager is Mrs Christine Brewsher. At the time of this visit, (21/8/06) the information given to the Commission showed that the fees for care at the home are from £524.00 to £650.00 per week, with added expenses for hairdressing and chiropody. Newspapers are provided by the home. Burrowbeck Grange Nursing Home DS0000065247.V306122.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection process of Burrowbeck Grange included a site visit to the home which was completed in one afternoon, and unannounced, which means that the manager, staff and residents did not know it was taking place until the inspector arrived. Time was spent sitting and talking with people who use the service and observing the day-to-day routines of the home and care staff, as they provided support. A tour of the home was undertaken and included bedrooms, lounges and dining areas, toilets and bathrooms. This was to assess whether the home provided a comfortable, homely environment for the enjoyment of everyone, and to ensure the residents’ safety. Comment cards were sent to the home for residents and relatives to fill in; a good number were returned, and these generally showed satisfaction with the care at Burrowbeck Grange. A pre-inspection questionnaire was completed by the general manager, but not forwarded to the Commission until after the inspection visit; this did offer good information about the home and its policies, but did not enable to Commission to gather comments and feedback from visiting professionals such as GPs, prior to the inspection visit. Discussions took place with the Operations Manager Mr Jim Brown, General Manager Mr Dave Overend, deputy manager Maureen Timms and members of the care staff. Administration records were also looked at. Everyone at the home was friendly, welcoming and co-operative throughout the visit. Although Burowbeck Grange continues to be assessed as a good home, a number of standards have shown shortfalls during this inspection and these need to be addressed if the home is to remain within its status. Burrowbeck Grange Nursing Home DS0000065247.V306122.R01.S.doc Version 5.2 Page 6 What the service does well: In line with the home’s policies and procedures, Burrowbeck Grange tries to make sure that there is equal care given to all residents, considering their individual choices and preferences, and giving equal support to all, irrespective of their race, gender, disability, sexuality, age, religion or beliefs. There is equal consideration given to all prospective employees and there are male, female, and overseas staff, between the ages of 18 and 65 years working at the home; training and development programmes are offered to all members of staff. The home makes sure that residents have equal access all parts of the home through a passenger lift and wheelchair ramps. The home had a very relaxed and friendly atmosphere and the furnishings were comfortable. The carers were friendly and understood the personal needs of each resident; there was good interaction between the staff on duty and the people living at the home. A number of residents were able to voice their opinions; responses to questions and chatting showed that they were happy and content in their environment and with their carers. Resident’s comments included – “It is lovely here, I have everything I need.” “I am here for respite, but I would certainly come again, it is lovely.” “The staff are very good indeed, they really look after us.” Visiting relative said that they were happy with everything at the home and had no complaints to make. All residents looked comfortable and happy. The home has achieved over 62 of the care staff trained to National Vocational Qualification (NVQ), which means that the residents are looked after by suitably qualified staff. Over the past twelve months the home has undergone great changes in that there are new owners in place and the established manager has gone on longterm leave. These huge changes do not seem to have affected the residents at all, as they all said that they were happy, supported and felt safe and secure. This shows that the residents are of paramount concern to the new owners, managers and care staff. Burrowbeck Grange Nursing Home DS0000065247.V306122.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? What they could do better: An up to date statement of purpose and service users guide is in the final process of being produced: This needs to be completed as a matter of priority. Care records must be fully completed, reviewed and up-dated; although the residents gave good reports on their care, and the observed practice of daily assistance showed a good interaction between carer and resident, written records must reflect this so that a clear plan and picture of each resident’s care is in place. Bathrooms remain in need of some refurbishment and some are not used; although there are plans to extend the home and this will involve the re-siting and refurbishment of bathrooms and toilets, the existing facilities should be improved for the comfort and convenience of the residents. A plan for this is being developed as a matter of priority. The carpets in the dining, lounge and passenger lift area were stained and although assurances were given that they had been cleaned within the past two weeks, a programme of deep cleaning or replacement of carpets must be developed. Again, this is being addressed as a matter of priority. The general laundry such as sheets and towels is currently taken by an outside laundry agency; some personal laundry is done at the home. There are plans to completely re-site laundry facilities when the plans for extension to the home are approved; however during this visit the laundry area was found to be untidy, with clothing left on the floor and the general area not left clean and hygienic. The Operations Manager addressed this immediately and gave assurances that this did not reflect the usual practice at the home. Burrowbeck Grange Nursing Home DS0000065247.V306122.R01.S.doc Version 5.2 Page 8 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. Burrowbeck Grange Nursing Home DS0000065247.V306122.R01.S.doc Version 5.2 Page 9 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 Burrowbeck Grange Nursing Home DS0000065247.V306122.R01.S.doc Version 5.2 Page 10 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): 3. Standard 6 does not apply to this home. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home gathers enough information about prospective residents to ensure that their needs can be met. EVIDENCE: Standards 1 and 4 have not been fully assessed on this visit, however there remains a requirement from the previous inspection visit, to review and update this information. Pre-admission assessments were looked at and were completed satisfactorily; they include all aspects of physical, social and psychological care, making sure that the prospective resident’s needs are identified and that the home can provide the care that is needed. These assessments are done by a the deputy manager and agreed by the resident and/or their family. All residents are assessed by the same tool, thus promoting equality of assessment and care provision. Burrowbeck Grange Nursing Home DS0000065247.V306122.R01.S.doc Version 5.2 Page 11 A resident who was on respite care, was able to say that she had been assessed before going into the home, and members of staff said that they knew about the assessments and what was in them. Advice was given in respect of completing pre-admission assesments, to make sure that all areas of the format are completed, irrespective of whether or not they are relative to the care that is being assessed; for example, if a prospective resident does not need any help or assistance with mobility, then this section of the assessment should indicate this, rather than being left blank. A recommendation has ben made in respect of this a the enf of this report. Burrowbeck Grange Nursing Home DS0000065247.V306122.R01.S.doc Version 5.2 Page 12 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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The residents health and social care needs are mostly met and people are treated with dignity and respect at this home. EVIDENCE: Care plans are written records that describe the care that is given to each resident. These were looked at and found to be in need of review and updating. The care plan system is currently being reviewed and changed and that is why there were shortfalls in the records. The Operations Manager agreed immediately to give the deputy manager one week’s allocated time, for the completion of all of the care plans. Some of the residents were unable to say that they knew about their care plans; others were able to confirm that they knew about them, but that they were not really interested. Burrowbeck Grange Nursing Home DS0000065247.V306122.R01.S.doc Version 5.2 Page 13 Carers said that they know about the care plans and that they could contribute to what was in these if they found any changes in the care that was given to the residents. Health care opportunities are offered equally to all residents and there were records of GP, chiropody and physiotherapy visits. The medication system needs to be reviewed as there were some shortfalls in the records. A visit from the Pharmacy Inspector is going to be arranged for advice and guidance. The residents were seen to be treated with respect, privacy and dignity, and there were good personal interactions between residents and carers. Burrowbeck Grange Nursing Home DS0000065247.V306122.R01.S.doc Version 5.2 Page 14 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 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents benefit by being supported, so as to promote the quality of their daily lives. EVIDENCE: There were records of activities programmes for the residents that included personal care, such as manicures and hand massage, activities such as carpet bowls, bingo, reminiscence, group games, board games, seasonal activities and some outings and musical entertainment. Most of the residents said that they enjoyed the activities that were provided; some said that they preferred a quiet time in their rooms. A visiting relative said that she was always made welcome at the home and that her relative had good choices of daily living. The home is aware of the need to help people who have no relatives, to get advice from advocacy services and information about this is made available on request. Burrowbeck Grange Nursing Home DS0000065247.V306122.R01.S.doc Version 5.2 Page 15 Religious ministers visit the home and during this visit, choice, privacy and dignity were observed for all residents. The menu is on a four-weekly basis and regularly reviewed by the cook and the deputy manager, who take into account the preferences and stated choices of the residents. There are options if the food on the menu is not to the liking of any resident. The lunchtime meal was presented in an appetising way. Diabetic and vegetarian diets are also catered for providing equality of choice for all residents. Equality of care and nutrition was again shown in that pureed food was served in an appetising way and help was given in a dignified way. Residents who were able told the inspector that the food was good. Burrowbeck Grange Nursing Home DS0000065247.V306122.R01.S.doc Version 5.2 Page 16 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents benefit by being supported, so as to promote the quality of their daily lives. EVIDENCE: There are policies and procedures in place for complaints, whistle-blowing and adult abuse issues, and staff said that they were aware of these. There have been no complaints either to the home or to the Commission for Social Care Inspection. Residents mostly knew about the complaints procedure and who to speak to if they were unhappy; all of those spoken to said that they had no complaint to make at all. Burrowbeck Grange Nursing Home DS0000065247.V306122.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The residents are mostly provided with a comfortable environment and bedrooms are personalised. This means that residents feel at home with their belongings around them. EVIDENCE: A tour of the home showed that the general environment was satisfactory; furnishings were comfortable and there is a refurbishment programme in place for the home. There is equal access to all areas of the home for residents and visitors with mobility problems, in that there are ramps and a passenger lift inplace. There are some aids and adaptations in place to give acces and to help with the residents’ toilet and bathing needs. Burrowbeck Grange Nursing Home DS0000065247.V306122.R01.S.doc Version 5.2 Page 18 Some of the bathrooms remain in need of refurbishing and are not used, and this limits the facilities for the residents. The home is currently addressing this as a matter of priority, to make sure that there is equal access for those residents who suffer from mobility problems and have difficulty with bathing routines. A requirement in respect of this has been made at the end of this report. Most of the residents were able to say that they were happy with their rooms, and all the bedrooms that were visited were clean, personalised and comfortable. Carpets by the passenger lift, in the dining room and the lounge were stained. The carpets had apparently been recently cleaned, however they remained quite heavily stained. These were to be assessedd and a plan for their replacement developed. Policies are in place for the prevention of any cross infection but the laundry area was not kept tidy and clean. This was addressed as an immediate issue by the Operations Manager. To make sure that these issues do not arise again, a housekeeper is going to be recruited in the near future, to oversee the practical and domestic aspects of the home. A requirement in respect of cleaning the carpets and maintaining the cleanliness of the laundry has been made at the end of this report. Generally, the home was kept clean and hygienic. The domestic staff, who are contracted into the home from an outside agency, said that they knew about cross infection and the Control of Substances Hazardous to Health (COSHH) guidelines for the use of laundry and cleaning solutions. Burrowbeck Grange Nursing Home DS0000065247.V306122.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents care needs are met through adequate staff provisions who are appropriately trained. EVIDENCE: The home’s equal opportunities policy is reflected in that there are male and female staff, between the age of 18 and 65, inlcuding overseas carers, working at the home. The duty rotas showed that there was enough staff on duty to take care of the residents. National Vocational Qualification (NVQ) training is offered to all staff and there are currently 61 of the carers who have achieved this. The staff who have completed their NVQ training have done a unit covering Equality and Diversity issues and this means that they will be aware of how they can make sure that the residents are treated equally, and given care according to individual choice and preference. Recruitment files were in order, and all staff had undergone pre-employment checks. Burrowbeck Grange Nursing Home DS0000065247.V306122.R01.S.doc Version 5.2 Page 20 The staff training records that were examined showed that induction and training and the mandatory health and safety training programmes were in in place. Carers confirmed that they had regular mandatory training. Burrowbeck Grange Nursing Home DS0000065247.V306122.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are supported and there are quality systems in place to make sure that they are protected EVIDENCE: The registered manager is currently on long-term leave and the deputy manager is looking after the clinical aspects of care. There is a General Manager, Mr Dave Overend and Operations Manager Mr Jim Brown, both are overseeing and supporting the management of the home. There is a quality monitoring system in place and regular staff meetings are held. The deputy manager speaks to the residents on a daily basis and the General Burrowbeck Grange Nursing Home DS0000065247.V306122.R01.S.doc Version 5.2 Page 22 Manager and Operations Manager spend time with the residents on a weekly basis. When asked, the residents were able to identify the management of the home. Any personal monies that are kept on behalf of the residents are recorded and kept in a safe. Safety and maintenance certificates were current and the maintenance manager is in the process of developing a fire risk assessment and updating the fire drill training for the staff. Advice was given about the recording of staff fire drills, to make sure that all staff have regular experience of responding to fire alarms. The maintenance manager also oversees another of the Company’s (Optima Care) homes and it is recommended that he undertake a Fire Marshal course, so that he is fully qualified to train staff, monitor fire prevention and take control in the event of fire emergencies. Burrowbeck Grange Nursing Home DS0000065247.V306122.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 2 3 3 3 3 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Burrowbeck Grange Nursing Home DS0000065247.V306122.R01.S.doc Version 5.2 Page 24 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 OP1 OP4 Regulation 4&5 Requirement Timescale for action 01/12/06 2 OP7 17 An up to date statement of purpose and service users guide must be produced. This is a requirement from the previous inspection visit that has been given an extended timescale. Care records must be fully 01/10/06 completed and include information on residents’ strengths as well as needs. They should be reviewed and up-dated regularly. The manager must make sure that all hand-written drug instructions have two signatures and that all destroyed medicines are recorded on the MAR sheet. Carpets by the ground floor lift, the dining room and the main lounge must be deep cleaned and as agreed, a plan developed for them to be replaced. Adequate and suitably furbished bathroom facilities must be provided according to agreed DS0000065247.V306122.R01.S.doc 3 OP9 13 01/10/06 4 OP19 16 01/12/06 5 OP21 16 01/12/06 Burrowbeck Grange Nursing Home Version 5.2 Page 25 plan, to facilitate the levels of need of the residents. This has been strongly recommended on all previous inspection reports and must now be addressed. 6 OP26 16 The laundry area must be kept in 01/12/06 a clean, hygienic and tidy state. 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 OP3 Good Practice Recommendations Pre-admission assessment records should be reviewed to incorporate relevant information about the assessed needs of the resident. The maintenance manager should undertake a recognised Fire Marshal training course. 2 OP38 Burrowbeck Grange Nursing Home DS0000065247.V306122.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Burrowbeck Grange Nursing Home DS0000065247.V306122.R01.S.doc Version 5.2 Page 27 - 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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