Inspection on 29/05/09 for Carlton Nursing Home

This inspection was carried out on 29th May 2009.

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

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

Other inspections for this house

Carlton Nursing Home 06/05/08

Carlton Nursing Home 01/08/07

Carlton Nursing Home 15/08/06

Carlton Nursing Home 24/01/06

Carlton Nursing Home 07/06/05

Carlton Nursing Home 02/03/05

Carlton Nursing Home 30/04/04

Similar services:

Whiteley House

Tyndale Avenue

2-10 Norfolk Road

Bennfield House Nursing Home

Eastfield Residential Home

Sign Health

Springwood

Fairburn Mews

Extracts from inspection reports are licensed from CQC, this page was updated on 12/10/2009.

Key inspection report CARE HOMES FOR OLDER PEOPLE Carlton Nursing Home Rawdon Cragg Woodlands Drive Rawdon Yorkshire LS19 6JZ Lead Inspector Sean Cassidy Key Unannounced Inspection 29th May 2009 09:00 DS0000001326.V375572.R01.S.do c Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Carlton Nursing Home DS0000001326.V375572.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Carlton Nursing Home DS0000001326.V375572.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Carlton Nursing Home Address Rawdon Cragg Woodlands Drive Rawdon Yorkshire LS19 6JZ 0113 2509633 P/F 0113 2509633 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) Mr John Lamb Mrs Helen Lamb Lisa Ann Turnbull Care Home 29 Category(ies) of Dementia (29), Mental disorder, excluding registration, with number learning disability or dementia (29) of places Carlton Nursing Home DS0000001326.V375572.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 60 Years and Over Date of last inspection 6th May 2008 Brief Description of the Service: The Carlton Nursing Home is a converted Victorian building situated in a residential area on the borders of Leeds and Bradford. Personal care with nursing is provided for older people with dementia or mental disorder. Both men and women are catered for in this 29 bedded home which can provide single bedrooms as well as shared accommodation. The home is set in large grounds, which are not accessible to service users without close supervision. The area is purely residential and as such there are no convenient local shops or other amenities. The home is not accessible by public transport. The current fees are between £540 and £800 per week. Fees do not include personal newspapers and magazines, hair dressing, private chiropody and some outings. Further written information about the services and facilities at the home can be found in the statement of purpose and service user guide that are available at the home. These documents are reviewed annually. Carlton Nursing Home DS0000001326.V375572.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is three star – excellent service. This means the people who use this service experience Good quality outcomes. The accumulated evidence in this report has included: • • A review of the information held on the home’s file since the last inspection. Information obtained from people who use the service, relatives, staff and other health care professionals. One inspector conducted an unannounced visit to the home and it lasted one day. The majority of time was spent speaking to people who live in the home, management, staff and relatives. A number of documents were looked at and some areas of the home used by the people living there. The information required from the service in the form of the Annual Quality Assurance Assessment (AQAA) was obtained before this report was written. Feedback was provided at the end of the inspection to the manager of the service. What the service does well: People are provided with good information to assist them with making their choice about taking a place in the home. People said that they had had the opportunity to look round before deciding to move in. The manager and staff develop good and supportive relationships with people and their families. People provided positive feedback about the care and support they received from from staff. Carlton Nursing Home DS0000001326.V375572.R01.S.doc Version 5.2 Page 6 People said that they are welcomed into the home and staff kept them informed of any changes. Staff treat people with respect and try and promote dignity whenever possible. The systems and processes used to safeguard people living in the home are good. The home is furnished and decorated to a good standard. The staff are recruited following a tight recruitment procedure. There is a good training structure in place. The quality assurance audits and tools used to improve and maintain the standards of care provided in the home are good. What has improved since the last inspection? What they could do better: Carlton Nursing Home DS0000001326.V375572.R01.S.doc Version 5.2 Page 7 People must be provided with care plans where a care need is identified. This will assist staff meet those needs. Risk assessments must be implemented when identified. This will ensure staff have a full awareness of the individual care needs of people living at the home. All medication administered and recorded in the service must be given in line with the Royal Pharmaceutical Guidelines for Great Britain. This will help to ensure people living in the home are properly protected. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Carlton Nursing Home DS0000001326.V375572.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 Carlton Nursing Home DS0000001326.V375572.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are provided with excellent information about the home that assists them with making their choice. People are fully assessed before they move in. This helps the home ensure they can meet the needs of people. EVIDENCE: The manager has reviewed the Statement of Purpose so that it is more informative and up to date. The Service User Guide has also been reviewed so that the people who read it are aware of their responsibilities within the home. The manager has also developed an extra document that contains pictures of the home and its environment. This is used to give people a more intimate view of the service and is seen as good practice. Carlton Nursing Home DS0000001326.V375572.R01.S.doc Version 5.2 Page 10 We found evidence to show people do come and visit the service before they make their choice whether to take a place or not. All files showed that people are assessed before they enter the care service. Evidence was also seen to show people have the opportunity to come and look around the home if they wish to. Intermediate care is not provided at the home and therefore Standard 6 was not inspected. Carlton Nursing Home DS0000001326.V375572.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People’s health care needs are provided for in a way that promotes and protects their privacy and dignity. EVIDENCE: The care files of three people living in the home were closely looked at. All files contained evidence to show a key worker system was now implemented in the service. These documents have been reviewed by the manager and have been altered so that they are now easier to work with. Staff spoken to said the care plans are now easier to follow. Care staff said they have a section that they now complete so that they record the care they have given over the course of each shift. Carlton Nursing Home DS0000001326.V375572.R01.S.doc Version 5.2 Page 12 The care plans and risk assessments seen showed evidence that they were reviewed regularly and that there was involvement of the individual or their representative with consenting to the care package provided. There were some concerns raised about the care planning and risk assessment documentation and these were provided to the manager at feedback. A person identified as being nutritionally at risk had lost weight between February and April but the nutritional risk assessment had not been reviewed during February or March. There was no nutritional care plan in place that advised staff what action was needed to prevent further nutritional deficit. One other person was admitted to the home with deteriorating mental health needs and also inability to meet her own personal hygiene needs. Her care documentation did not include a care plan to assist staff with meeting these needs. The care staff were observed providing care over the course of the day. They did this in a professional and dignified manner. People told me they that they felt staff treated them well and respected their rights. Examples of comments made were, They help me to live as normal a life as I can which I appreciate.” “They are very helpful and nothing seems to be too much bother.” “They really supported me with bringing all my own stuff to the home which was a great help to me. All care plans have been assessed following the Department of Health’s Guidelines on the ‘Deprivation of Liberty’. This is good practice. There were some people in the home that are under section of the Mental Health Act 2005. Some staff were not fully aware of what the implications of these restrictions were in relation to the care they provided. This could mean that unnecessary restrictions could be placed on people. There are a significant number of people in the home with mental health care needs. A discussion was held with the manager regarding supporting people to seek advice and help from independent advocates. It was recommended that advocacy services are displayed prominently around the home so that people are supported to use this facility if they need to. The manager has introduced new auditing tools to monitor the administration, recording and storage of medication in the home. Nursing staff have signed a form that states they are competent to administer medications. There is also a homely remedy policy and all homely medications are recorded on a chart. This is good practice. The medication policy highlights the procedures for assisting people to self medicate. There was one person in the home self-medicating at the time of the site visit. The manager had developed a care plan and risk assessment for him to safely self-administer. He was provided with a lockable storage facility and he showed me how he managed this system. This is good practice. His Medication Administration Chart (MAR) showed that there were gaps with Carlton Nursing Home DS0000001326.V375572.R01.S.doc Version 5.2 Page 13 nursing staff signatures when he had taken his medication. It is good practice to ensure people who self medicate have their records signed so that any audits can help identify whether the medication prescribed is being correctly taken. The home has a controlled drug storage facility and this was checked. The records were viewed and these were correct. It was noted that care staff sign the record book alongside the Registered nurse to say a person has received their controlled drug. It was recommended that these care staff receive some training in medication to assist them with having a better understanding of what their role and responsibility is with this process is. Carlton Nursing Home DS0000001326.V375572.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are provided with good opportunities to get involved with social activities both inside and outside the home. EVIDENCE: The entrance of the home has evidence in place to show what activities people have been involved with recently. The manager has developed a quarterly magazine that contains information about what has happened in the home and what is planned to take place. All residents are provided with an activity planner and social assessments developed. The manager showed evidence of improvement with supporting people to access the local community and services. People told me that they did get supported to go out to local amenities such as the cinema, restaurants and local pubs as well. Two people I spoke to said they lefty the home and walked around the local woodland areas, which they said they really enjoyed. Carlton Nursing Home DS0000001326.V375572.R01.S.doc Version 5.2 Page 15 One lady had not been out for three years. Her care package has now been reassessed and she has been supported to go to a local Marks and Spencer’s store on a number of occasions which she really enjoyed. The care documentation of two people did not contain sufficient information to show evidence what those people were involved in during the course of each day. It was recommended to the manager that staff are encouraged to record all activities each individual has been involved in during the day. This will provide evidence that people are supported to engage with focussed activity. Evening groups have commenced. These centre around, films, music and dance. A teatime buffet is now provided on a Saturday evening and visitors are encouraged to come along and join in. This is also proving successful. Staff told me that that they now have a car available to take people out. They ask them were they wanted to go on a daily basis. The mealtimes were observed and these were seen as relaxed social occasions. There were two dining areas in the home. People who needed more assistance with their meals sat in a separate dining room. Staff were observed to assist people with their meals. They did this in a helpful way, providing people with time to eat each mouthful, giving regular drinks also. I did point out to the manager that one member of staff was observed assisting two people to eat at the same time and that this was not good practice as it could be seen as compromising individuals’ dignity. A pictorial menu is also available to assist people who have difficulty with communicating their food choices to staff. Three people said they were happy with the food that was prepared by the home. The manager and the cook have worked hard together to develop a menu that incorporates people’s likes and dislikes. The routines for meals are flexible so that they fit in with people’s routines. This is good practice. Carlton Nursing Home DS0000001326.V375572.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are protected by the systems and processes used by the home to safeguard their care. EVIDENCE: The home does have a complaints policy and procedure that is displayed at the entrance of the home. It was recommended that the manager display this policy more prominently so that people are more aware of the process. It was placed in the hallway at a height that was difficult to see. There have been no complaints made at the home since the last inspection. People are provided with training in safeguarding adults at the home. The staff spoken to proved me with a very good understanding of the safeguarding process and what their role was within it. There is a safeguarding policy and procedure, which is reviewed regularly. Carlton Nursing Home DS0000001326.V375572.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are provided with an environment that suits there needs. It is clean and comfortable. EVIDENCE: The home has recently undergone refurbishment, particularly in the bedrooms. A random inspection of the bedrooms showed the refurbishment had been carried out to a good standard. The roof of the home has been inspected and repaired. The lounge and conservatory have also been redecorated. Some stairways have had new carpets laid. The hallways of the home have also been refurbished and painted. Carlton Nursing Home DS0000001326.V375572.R01.S.doc Version 5.2 Page 18 The home has ample gardens that are accessible to those who are assessed as being able to do so. Those who are not are supported by staff to walk around them. A smoking room has been provided for people living in the home and the appropriate health and safety checks have been completed. The window area of one of the dining areas has been carpeted with a table and chairs put in it. This is an attempt to create a sitting area for people and visitors, which seem to have been well received. A telephone is available in the dining/lounge room and people are able to make free calls. The home has a good house keeping system in place. The housekeeper on duty during the inspection gave a good account of his responsibilities and clearly understood his role. The home appeared clean and tidy in all areas. All bedrooms now have soap dispensing facilities and paper hand towels in place. This promotes good infection control. The environment is now regularly audited and this evidence was seen during the inspection. Staff are now provided with a training room facility and also a room where they can have quiet time and take their breaks. Carlton Nursing Home DS0000001326.V375572.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive their care package from a staff group that is trained and recruited to a good standard. EVIDENCE: The manager has developed new systems that enable her ensure that the appropriate skill mix is on duty at all times. The numbers of staff on duty during the day of the inspection appeared to be suitable to meet the needs of the people living in the home. Staff appeared unrushed in their roles and had time to spend chatting with people. Staff spoken to said there were enough people on duty. They said, “The staffing levels are much better than they were. We have time to spend with people.” “The manager is very aware of the staffing levels and responds appropriately to people’s needs.” The staff training matrix was looked at and evidence was seen to show staff are provided with a good standard of training relevant to the needs of the people they are providing care packages to. Examples of the training were: Bipolar Disorder; Psychotic Symptoms; Managing aggression and Mental Carlton Nursing Home DS0000001326.V375572.R01.S.doc Version 5.2 Page 20 Capacity Act training. Manager showed evidence that more than 50 of the staff team have been trained to NVQ Level 2 or above. The recruitment files showed evidence that people are recruited following the home’s recruitment procedure. They are provided with an induction programme that is developed around Skills for Care induction Standards. Part of the induction pack includes a care plan pack that assists the new starter with having a better comprehension of the documentation used in the home. Staff are provided with regular supervision and team meetings. All spoken to provided positive evidence about the improved staff morale in the home since the manager has taken over. They said, “The home has changed tremendously over the last twelve months. People’s care needs are the priority.” “The manager has improved the training which makes us more confident.” Carlton Nursing Home DS0000001326.V375572.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive an overall package of care that is managed in their best interests. EVIDENCE: The new manager has provided us with information in the Annual Quality Assurance Assessment that shows a very clear understanding of how to manage a registered care home. She has clear plans for the future that can only benefit those that live and work there. People spoken to in the home knew who the manager was. Staff gave good positive feedback about the changes the new manager has made since she started work at the home. Carlton Nursing Home DS0000001326.V375572.R01.S.doc Version 5.2 Page 22 The manager provided evidence of regular audits of the care that is provided. This included care plans, risk assessments, wounds and environment. Evidence was seen to show that action is taken when care concerns have been identified. This is good practice. The manager has started to send questionnaires to the relatives of people who live in the home. There has not been a great response to these but the manager said she would continue to look at ways of improving the process. Evidence was seen to show staff meetings take place as well as supervision. The manager is currently undergoing leadership training that will surely benefit the management of the home. The system for managing people’s monies was seen. These were randomly looked at and found to be in order. The system enables people to have access to monies at all time. The health and safety policies and procedures for the home were regularly reviewed and up to date. Evidence was seen to show health and safety audits take place regularly. Carlton Nursing Home DS0000001326.V375572.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 4 x 4 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 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 Carlton Nursing Home DS0000001326.V375572.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. 1 Standard OP7 Regulation 15 Requirement People who have identified care needs must be provided with care plans to assist staff meet these needs. Risk assessments must be implemented when identified. This will ensure staff have a full awareness of the individual care needs of people living at the home. All medication administered and recorded in the service must be given in line with the Royal Pharmaceutical Guidelines for Great Britain. This will help to ensure people living in the home are properly protected. Timescale for action 31/08/09 2 OP9 13 31/08/09 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Carlton Nursing Home DS0000001326.V375572.R01.S.doc Version 5.2 Page 25 1 2 3 OP10 OP13 OP15 The use of advocacy services should be promoted within the home. Care staff should be encouraged to record all the activities a person has been involved with in the daily records. People should be individually assisted to eat their meals. Carlton Nursing Home DS0000001326.V375572.R01.S.doc Version 5.2 Page 26 Care Quality Commission Yorkshire & Humberside Region Citygate Gallowgate Tyne & Wear NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries.yorkshirehumberside@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Carlton Nursing Home DS0000001326.V375572.R01.S.doc Version 5.2 Page 27 Carlton Nursing Home DS0000001326.V375572.R01.S.doc Version 5.2 Page 28 - 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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