Inspection on 06/02/07 for Burwood Nursing Home

This inspection was carried out on 6th February 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 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

Burwood Nursing Home 05/09/07

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Burwood Nursing Home 100 Dunyeats Road Broadstone Poole Dorset BH18 8AL Lead Inspector Carole Payne Unannounced Inspection 14:10 6 , 8 and 9 February 2007 th th th 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 Burwood Nursing Home DS0000067456.V329495.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. Burwood Nursing Home DS0000067456.V329495.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Burwood Nursing Home Address 100 Dunyeats Road Broadstone Poole Dorset BH18 8AL 01202 693224 01202 695047 burwood.nh@ntlworld.com 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) Mrs Sarah Jane Jessup Mrs Dawn Holbrook Care Home 26 Category(ies) of Old age, not falling within any other category registration, with number (26) of places Burwood Nursing Home DS0000067456.V329495.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th March 2006 Brief Description of the Service: Burwood Nursing Home is registered with the Commission for Social Care Inspection to accommodate twenty-six people in need of nursing care. Mrs Sarah Jane Jessup is the registered provider and Mrs Dawn Holbrook is the registered manager. The home is situated approximately three quarters of a mile from the village of Broadstone, which has a good selection of amenities. A bus stop is located near the home’s entrance. Burwood is set in well-maintained and attractive grounds. The home comprises of two main buildings, which are linked by a corridor, which opens into a large conservatory, which makes a pleasant lounge area. There is also a homely smaller lounge on the first floor. The home also benefits from a dining room. Accommodation is provided in twenty-two single and two shared rooms. All rooms are currently used as single room occupancy. Current fees are from £630 per week. See the following website for further guidance on fees and contracts: http:/www.csci.org.uk/about_csci/press_releases/better_advice_for_peop le_choos.aspx Burwood Nursing Home DS0000067456.V329495.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection was carried out on the 6th, 8th and 9th February 2007 and took a total of 9 hours, including time spent in planning the visit. The inspector, Carole Payne, was made to feel welcome in the home during the visit. The registered manager, Mrs Dawn Holbrook and the registered provider, Mrs Sarah Jane Jessup, were in the home during the visit and were present to give support with the inspection when required. This was a statutory inspection and was carried out to ensure that the twenty-four residents who are living at Burwood Nursing Home are safe and properly cared for. There were no requirements and recommendations as a result of the last inspection to the home on 10th March 2006. The premises were inspected, records examined and the daily routine observed. Time was spent in discussion with five residents living in the home, who were able to participate in the inspection process and two staff members on duty. The home carried out its own internal audit in April / May of last year. No survey documentation was therefore returned to the Commission for Social Care Inspection on this occasion. Feedback will be sought prior to the home’s next inspection. A detailed pre-inspection questionnaire was received. Throughout the visit the hard work and commitment of the provider, the management team, and staff working in the home, were reflected in the home’s commitment to provide a qualitative service to its residents. What the service does well: A relative visiting the home said there could be ‘no place better’ to live. Pre-admission assessments, and consultation with prospective residents and their families ensures that people do not move into the home without having their needs assessed and being assured that they will be met. Detailed and supportive care plans set out how residents’ health, personal and social care needs are to be met. The home liaises effectively with external healthcare professionals, working hard to ensure that residents’ needs are met. Efficient medication procedures ensure that residents are protected by good practice. Residents are treated with care and respect and their privacy and dignity is promoted. Burwood Nursing Home DS0000067456.V329495.R01.S.doc Version 5.2 Page 6 Social care plans support staff members to provide a varied programme of activities and social opportunities, which meet people’s preferences and needs. Relatives and friends are made welcome at the service, enabling residents to continue to enjoy relationships that are meaningful to them. Residents are supported to make choices about their lifestyle, and to continue to experience control and autonomy over their daily lives. A varied and nutritious diet is provided, enabling people living at the home to enjoy meals in their surroundings of their choice. People living at Burwood Nursing Home and their families and friends can feel confident that any concerns that they have will be listened and responded to. The home is ensuring that policies, procedures and training protect people living at the home from abuse. Burwood Nursing Home provides a pleasant, clean and homely environment for people living in the home. The numbers of staff working in the home satisfactorily meets residents’ needs. Satisfactory recruitment procedures protect residents, keeping people safe. Monitoring of training needs, and thorough training programmes enables people to be cared for in safe hands. Residents benefit from living in a home that is well managed, where there is a caring ethos and the home is well run and organised. The home is developing very thorough systems of quality assurance, which will enable the home to continuously improve and enhance the quality of service provided to residents. The home does not take responsibility for residents’ monies, ensuring that residents’ financial interests are protected. Regular training and the maintaining of equipment and facilities in the home, ensures that the health and safety of residents are protected. What has improved since the last inspection? Burwood Nursing Home DS0000067456.V329495.R01.S.doc Version 5.2 Page 7 The manager confirmed that the home’s range of activities and social opportunities has expanded since the last inspection visit to the home. The management team stated that since the last visit to the home new hospital beds have been acquired. 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. Burwood Nursing Home DS0000067456.V329495.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Burwood Nursing Home DS0000067456.V329495.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Pre-admission assessments, and consultation with prospective residents and their families ensures that people do not move into the home without having their needs assessed and being assured that they will be met. EVIDENCE: Detailed pre-admission assessments were viewed for two residents who had moved into the home since the last inspection. The assessments included reference to all aspects of daily living and specific needs regarding care and support required and wishes about people’s lifestyle choices. The manager said that she visits people prior to making a decision as to whether the home is able to meet prospective residents’ needs. There was also evidence that health professionals had been consulted as part of the pre-admission process. From the home’s own survey in 2006, 83 of people responding felt that they Burwood Nursing Home DS0000067456.V329495.R01.S.doc Version 5.2 Page 10 received sufficient information prior to moving in and 92 of residents responding said that their needs were properly assessed. A relative said there could be ‘no place better.’ Burwood Nursing Home DS0000067456.V329495.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Detailed and supportive care plans set out how residents’ health, personal and social care needs are to be met. The home liaises effectively with external healthcare professionals, working hard to ensure that residents’ needs are met. Efficient medication procedures ensure that residents are protected by good practice. Residents are treated with care and respect and their privacy and dignity is promoted. Burwood Nursing Home DS0000067456.V329495.R01.S.doc Version 5.2 Page 12 EVIDENCE: Detailed care plans were viewed for two residents. Thorough clinical assessments provide supportive individual plans, informing the delivery of sensitive care to people living at Burwood Nursing Home. Thorough daily records are completed and changes in needs are reflected in care plans. Clear personal details are recorded. Written records include reference to residents’ psychological as well as their physical care needs. Clear records are maintained of residents’ healthcare needs, including contacts with General Practitioners and other healthcare professionals. Risk assessments are carried out in respect of manual handling, pressure sore and nutritional risk assessments and corresponding plans of care describe how risks are to be addressed or minimised. During the visit pressure area equipment was seen in use to protect skin integrity, including pressure relieving mattresses and cushions. One resident and their relative described how their health had improved since they had moved into the home. This was also reflected in the care records for another resident and discussion with the manager and a visitor to the home. The home has efficient procedures in place for the ordering, receipt and disposal of medicines received into the home. Accurate tracking of residents’ medication needs, including the auditing of medicines management, supports the home to maintain and support good practice. Medicines received into the home are checked and Medication Administration Records (MAR) charts are signed to confirm medicines received. Two Registered nurses sign to confirm medicines sent for disposal. At the time of the inspection no residents were administering their own medication. A controlled drugs register is maintained and accurate records were evidenced for one resident. Records for one person living in the home were checked against the MAR chart; medicines held corresponded with records maintained. Residents’ medication is kept in people’s rooms in lockable storage cupboards. Allergies were recorded within individual records and on MAR charts; it was advised that if a resident does not have an allergy, ‘none known’ is recorded on each MAR chart, where applicable. The home’s induction programme includes a detailed section regarding the core values of care practice. A completed programme demonstrated that the staff member understood the importance of protecting people’s privacy and dignity. Understanding of these values was reflected in care plans seen and the gentle and sensitive approach of staff members in providing support to residents. Burwood Nursing Home DS0000067456.V329495.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. 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. Social care plans support staff members to provide a varied programme of activities and social opportunities, which meets people’s preferences and needs. Relatives and friends are made welcome at the service, enabling residents to continue to enjoy relationships that are meaningful to them. Residents are supported to make choices about their lifestyle, and to continue to experience control and autonomy over their daily lives. A varied and nutritious diet is provided, enabling people living at the home to enjoy meals in their surroundings of their choice. EVIDENCE: A varied and interesting activities programme was displayed in the home’s reception area. Events include visits from entertainers, the mobile library and Burwood Nursing Home DS0000067456.V329495.R01.S.doc Version 5.2 Page 14 from pets. One resident said that they go out to church each Sunday and the pre-inspection questionnaire submitted by the home states that church services are also held at the home. Discussion with a staff member and individual records kept reflected that shared time is spent with residents in individual companionship. During the visited it was noted that one resident was sat listening to music in their own room. Another resident had text on their screen, and was enjoying watching the television. Small touches, which are important to the quality of life of people living in the home, are prioritised. At the time of the afternoon visits to the service, no residents were using the home’s communal areas. However at lunchtime some people living in the home were starting to gather in small groups to enjoy lunch together. One resident commented that they felt so much better in the care of the home that they looked forward to having more opportunities to enjoy the companionship of other residents. A relative and visitor to the home said that they feel very welcome when they visit. One relative was staying for supper. Throughout the inspection relatives came and spoke with the manager and consulted her regarding the care of their relatives. From the home’s own survey 100 of residents responding said that their families and friends are made welcome in the home. Burwood Nursing Home DS0000067456.V329495.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. 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. People living at Burwood Nursing Home and their families and friends can feel confident that any concerns that they have will be listened and responded to. The home is ensuring that policies, procedures and training protect people living at the home from abuse. EVIDENCE: The home has a detailed complaints procedure, which is very clear and is made available to residents and people visiting the home. According to the home’s pre-inspection questionnaire the home has not received any complaints in the past twelve months. This was also verbally confirmed during the inspection by the manager. During the visit it was noted that family members approached the manager to discuss their family member’s well being, feeling confident that they could consult the manager at any time and that their views would be listened to. The home has an adult protection and whistle blowing policy. It was advised that it is made clear in the home’s policy that in the case of an allegation of abuse, this would be reported to social services in accordance with the Dorset No Secrets guidance. The manager confirmed that this amendment would be Burwood Nursing Home DS0000067456.V329495.R01.S.doc Version 5.2 Page 16 made at the time of the inspection. A staff member spoken with demonstrated an understanding of the local protocol and this was reflected within a staff member’s written induction pack. Burwood Nursing Home DS0000067456.V329495.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Burwood Nursing Home provides a pleasant, clean and homely environment to people living in the home. Risk assessments and consultation with external professionals, support the management team to ensure that the home minimises any risks within the environment and promotes the safety of residents. EVIDENCE: The home has a welcoming and homely environment. A gradual programme of refurbishment and redecoration is taking place in the home. Individual rooms are personalised and there is a homely atmosphere. Burwood Nursing Home DS0000067456.V329495.R01.S.doc Version 5.2 Page 18 Two rooms visited had beds against the walls and residents in occupancy required the use of a hoist. There was evidence that the home was ensuring by risk assessments, consultation with external professionals and the acquiring of appropriate equipment, that risks identified are minimised. Some unguarded radiators in corridors were very hot and presented a risk of scalding. A staff member helping a resident to get about the home demonstrated an awareness of risks and caution in manoeuvring a chair down the home’s corridors. Risk assessments ensure that residents are kept safe. There is a small lounge on the first floor and a large conservatory on the ground floor. There is a dining room, which offers a pleasant area for residents to the share dining experience. Two other areas of communal space were set out to support residents wishing to dine together in a smaller group. One of the home’s assisted bathrooms was seen during the visit and offers a pleasant and supportive environment for residents to enjoy bathing. The home has a spacious laundry, which is well organised. There were no unpleasant odours in the home. Infection control training is part of the home’s mandatory programme of training for staff members. Burwood Nursing Home DS0000067456.V329495.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. 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 numbers of staff working in the home satisfactorily meets residents’ needs. Continuity in staff working in the home and the support and development of their skills ensures that residents are cared for in safe hands. Satisfactory recruitment procedures protect residents, keeping people safe. Monitoring of training needs, and thorough training programmes enables people to be cared for in safe hands. EVIDENCE: Rosters seen, staffing levels on the three days of the visit and comments from visitors to the home reflect that satisfactory staffing levels ensure that people’s needs are satisfactorily met. It was advised that tippex is not used to make alterations to the rosters so that alterations are clearly visible. Burwood Nursing Home DS0000067456.V329495.R01.S.doc Version 5.2 Page 20 At the time of the inspection two members of care staff had completed an assessors course for the National Vocational Qualification (NVQ) in Care. One member of staff has an NVQ level 2 and 3 in Care. There are thirty one members of care staff working in the home. The manager is undertaking the Registered Manager’s Award. From talking to staff, feedback from residents and observation, staff members are supported to develop the individual skills that they need to meet residents’ needs. Satisfactory recruitment records were seen for two members of staff working in the home. A thorough interview is conducted. It is ensured that new members of staff do not start work in the home prior to the receipt of a satisfactory POVAFirst (check of the Protection of Vulnerable Adult’s register.) A new member of staff had completed a detailed induction. Great care is taken to ensure that staff members complete a thorough programme of training ensuring that they develop the skills necessary to keep residents in safe hands. A summary list and individual training records are maintained to ensure that staff members maintain the competencies required to safely care for residents. Burwood Nursing Home DS0000067456.V329495.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. 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. Residents benefit from living in a home that is well managed, where there is a caring ethos and the home is well run and organised. The home is developing very thorough systems of quality assurance, which will enable the home to continuously improve and enhance the quality of service provided to residents. The home does not take responsibility for residents’ monies, ensuring that residents’ financial interests are protected. Regular training and the maintaining of equipment and facilities in the home, ensures that the health and safety of residents are protected. Burwood Nursing Home DS0000067456.V329495.R01.S.doc Version 5.2 Page 22 EVIDENCE: The manager of the home is at present undertaking the Registered Manager’s Award. Throughout the visit relatives and residents approaching the manager, did so with confidence that she would be able to answer any queries. A provider who takes a personal interest in the day-to-day running of the service, demonstrates caring and effective relationships with the manager. The manager has compiled a very detailed system of consultation with people involved with the life of the home. From the consultation undertaken last year the home has committed to expanding the programme of NVQs this year. Regular informal consultation was observed throughout the visits, reflecting regular feedback. The manager confirmed that the service does not hold any monies on behalf of residents, or take responsibility for any personal finances. Regular training in aspects of areas of health and safety were recorded within summary records seen. The home’s pre-inspection questionnaire confirms that most regular maintenance of facilities and services in the home takes place. The provider confirmed that routine checks of portable electrical appliances are undertaken. Burwood Nursing Home DS0000067456.V329495.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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 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 3 X X X X X X 3 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 Burwood Nursing Home DS0000067456.V329495.R01.S.doc Version 5.2 Page 24 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. Standard Regulation Requirement Timescale for action 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 OP28 Good Practice Recommendations 50 of care staff working in the home should hold a National Vocational Qualification (NVQ) in Care. Burwood Nursing Home DS0000067456.V329495.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Burwood Nursing Home DS0000067456.V329495.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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