Inspection on 03/12/05 for Chandos Lodge

This inspection was carried out on 3rd December 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Chandos Lodge 08/01/08

Chandos Lodge 06/01/07

Chandos Lodge 27/06/05

Chandos Lodge 08/11/04

Chandos Lodge 15/06/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Chandos Lodge 77 Stourbridge Road Hagley Stourbridge West Midlands DY9 0QT Lead Inspector Andrew Spearing-Brown Unannounced Inspection 3rd November 2005 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Chandos Lodge DS0000018463.V263172.R01.S.doc Version 5.0 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. Chandos Lodge DS0000018463.V263172.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Chandos Lodge Address 77 Stourbridge Road Hagley Stourbridge West Midlands DY9 0QT 01562 885858 01562 887291 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) Chandos Lodge Limited Pearl Bartlett Care Home 24 Category(ies) of Dementia - over 65 years of age (6), Old age, registration, with number not falling within any other category (24), of places Physical disability over 65 years of age (24) Chandos Lodge DS0000018463.V263172.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th June 2005 Brief Description of the Service: Chandos Lodge is a large, detached property situated in a semi-rural position on the main Stourbridge Road in Hagley. There are car-parking facilities at both the front and side of the premises. The home is registered to provide personal care for a maximum of 24 people over the age of 65 years who may also have a physical disability. The home may also accommodate up to 6 service users over the age of 65 years who have a dementia illness. Residents are accommodated on the ground and first floor of the premises in 18 single bedrooms and 3 double bedrooms. Ten of the single bedrooms have en suite facilities. A passenger lift is installed within the home. The home is managed on a day-to-day basis by a registered manager who is supported by an experienced registered provider. Chandos Lodge DS0000018463.V263172.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and undertaken by a regulation inspector and a pharmacy inspector from the Worcester office of the Commission for Social Care Inspection (CSCI). The visit consisted of 6 hours inspection time commencing mid morning. The last inspection at Chandos Lodge took place during June 2005 making this inspection the second statutory visit during the 2005 – 2006 inspection year. Part of this inspection was to assess the progress made in relation to the requirements from the previous inspection. As a pharmacy inspector was present a focus on medication management and practices formed part of this inspection. Throughout the inspection the registered manager was on duty. The registered provider was also present within the home for most of the inspection. Consultation with residents on this occasion was minimal. Some parts of the home were seen. These were primarily communal areas. The care records regarding a sample number of residents were viewed. Other documents seen included medication records, fire records, and some staff records. What the service does well: Chandos Lodge was seen to be homely, clean and free from any offensive odours. Bedrooms were personalised by residents. NVQ (National Vocational Qualification) levels continue to meet the required National Minimum Standard. Continual commitment to NVQ was demonstrated. A suitable Quality Assurance system is in place. The findings of recent surveys were displayed within the home. Chandos Lodge DS0000018463.V263172.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: Pre –admission assessments continue to be either lacking in detail or not in place. These are needed to ensure that staff can meet residents care needs. Both care plans and risk assessments need to be suitably detailed and kept up to date to show changing care needs. Although some good practice was seen regarding the management of medication a number of shortfalls were noted. A number of the shortfalls require immediate action to fully safeguard residents. Carpets identified at the last inspection remain in need of replacement. A number of radiators remain uncovered. As the cooler weather approaches the need to complete this work becomes increasingly urgent. It is evident that a range of training events have taken place. Staff who have not received this training need to do so. Evidence that written references were obtained needs to be available. Chandos Lodge DS0000018463.V263172.R01.S.doc Version 5.0 Page 7 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. Chandos Lodge DS0000018463.V263172.R01.S.doc Version 5.0 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 Chandos Lodge DS0000018463.V263172.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 4. Standard 6 is not applicable. The assessment process is not sufficient or consistent to ensure that staff are able to establish care needs and therefore their ability to meet them appropriately. Without suitable assessments and training there is no assurance that care needs will be met. EVIDENCE: A small sample of residents’ files were viewed as part of this inspection. These files included two persons who had received respite care and one recently admitted long stay resident. Two files contained an initial assessment form while the third had no pre admission assessment. The initial assessments contained basic information only, which was insufficient to establish whether care needs could be meet. More extensive documentation was completed upon admission. A potentially serious care need was highlighted on one assessment form. This information was not transferred to the care plan and had no risk assessment drawn up in relation to it. The file without an assessment was in relation to an emergency admission however a Community Care Assessment from the placing authority should have been obtained. Chandos Lodge DS0000018463.V263172.R01.S.doc Version 5.0 Page 10 Chandos Lodge is registered to accommodate up to 6 persons with a dementia type illness. It is therefore imperative that carers are suitably trained in order to provide the level of care necessary. It was noted that 9 members of staff received dementia training during August 2005. The content and remit of this training was not explored however suitable training should also be provided for the remaining carers who have not as yet received training. Chandos Lodge DS0000018463.V263172.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8,and 9 Limited progress has been made with regard to improving care plans to ensure that residents care needs are met. Care plans need to be updated when care needs change to ensure that residents are not at potential risk. Although the home demonstrated some good practice for medicine management a number of shortfalls were identified. The registered manager needs to improve the management of medication further in order to fully safeguard residents. EVIDENCE: Individual plans of care are available and some of those seen showed that progress had been made since the previous inspection to ensure that all aspects of heath, personal and social care needs of residents are identified and planned for. Once in place care plans are reviewed on a monthly basis but in one case the plan did not take into account recent changes in care needs. Failure to up date care plans could lead to serious repercussions such as care needs being overlooked or places an over reliance on care staff memorising such details. Chandos Lodge DS0000018463.V263172.R01.S.doc Version 5.0 Page 12 Risk assessments were in place. Some instructions were unqualifiedly such as ‘regular checks at night’ and ‘ observed regularly due to wandering and dementia’. In addition documentation made reference to nurses; as Chandos Lodge is a care home providing personal care no nursing staff are employed. These references need to be removed and replaced with more appropriate terms. The receipt of medication and the MAR (Medication Administration Record) sheets for residents were clear to follow. Hand written MAR sheets were double-checked and signed by two staff, which is good practice. Self medication was supported by a procedure, risk assessment and signed consent from the residents. It was evident that staff had failed to check that medication appertaining to a recent respite resident was correct. Two separate drugs both prescribed as a sedative were administered together when it is likely one of them had been stopped and the other commenced. It is vital that staff thoroughly check medication brought into the home and seek guidance from a medic in the event of any queries or concerns. The date of opening of medication was not documented and balances of medication were not always carried over onto new MAR sheets therefore a full audit could not be carried out in all instances. Variable dosages did not show the actual dose given. An antibiotic administration audit undertaken for one resident was correct. There was no current up to date list of medication available in the residents’ individual care plan. Any medication changes made to a treatment regime were documented into the service users care plan, however the changes made on the MAR charts were sometimes not clear due to alterations and crossings out made, which could increase the potential for an administration error. Controlled Drug (CD) records were not up to date at the inspection. Controlled Drugs were not stored in a CD cabinet that meets The Misuse of Drugs Regulations (Safe Custody) 1973. External preparations were stored together with internal preparations. A bottle of Hibiscrub (Chlorhexidine based cleansing solution for external use) was found in a toilet used by service users. Chandos Lodge DS0000018463.V263172.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13 and 14 Activities provided offer stimulation and interest for people living in the home. Systems need to be in place to evidence that activities are suitable to residents needs. Contact with family members is open and well maintained. EVIDENCE: Some evidence of activities taking place was obtained during this inspection. The main lounge was the hub of activity with staff involving residents in music including sing a long and dancing. A notice was in place regarding a coffee morning, which had taken place the day prior to this inspection. No separate documentation is maintained regarding the activities undertaken. Information gleaned from the small number of files seen regarding activities undertaken was minimal as the majority of entries in the daily records concentrated on the physical care provided rather than social or emotional. Information regarding the availability of advocacy services was available within the home for residents and their representatives. Chandos Lodge DS0000018463.V263172.R01.S.doc Version 5.0 Page 14 No meals were seen as part of this inspection and will therefore need to form part of a forthcoming inspection. Residents consulted were pleased with the food on offer and were looking forward to their lunch. Chandos Lodge DS0000018463.V263172.R01.S.doc Version 5.0 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 There is a clear and accessible complaints procedure in place in addition some staff training has taken place in relation to adult protection together these areas assist in safeguarding residents. EVIDENCE: The complaints log was viewed. No new entries were within this log making the last complaint recorded during July 2004. The Commission for Social Care Inspection has received no formal complaints in relation to this home. The homes complaints procedure was displayed in the entrance hall. A number of staff recently attended training upon the recognition of abuse. This training needs to be provided for the remaining staff. Chandos Lodge DS0000018463.V263172.R01.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 23, 25 and 26 Improvements have taken place in the standard of the environment. Further improvement need to take place to ensure that residents have a safe and comfortable place to live. EVIDENCE: The main lounge and a smaller lounge off it are comfortable and homely in appearance. At the last inspection it was noted that some of the cushions on the chairs did not match the actual chair. A number of ‘old’ chairs were outside the side of the home awaiting the arrival of a skip. All the chairs in the lounge, with the exception of one where the cushion was missing, matched. The lounge and a number of the bedrooms have pleasant views onto the garden. Despite the time of year and bad weather on the day of this inspection the grounds looked well maintained. Part of the garden is easily accessible to residents, including anybody with limited mobility who wish to have a short walk or enjoy the warmer weather. Chandos Lodge DS0000018463.V263172.R01.S.doc Version 5.0 Page 17 At the time of the previous inspection it was noted that some dining room chairs appeared fatigued. It was pleasing to see that two tables had new chairs provided accounting for about 40 of the chairs in that area. Additional chairs are to be purchased in the near future which will result in 80 replacement and the removal of all the damaged or stained chairs. A small number of bedrooms were seen. Those bedrooms seen were suitably homely and it was evident that residents are able to bring in personal items with them. The carpet in one bedroom was worn. The carpet in another bedroom had ridges in it which need either stretching to remove or replacing. One bedroom seen had a new carpet fitted prior to the current occupant transferring to it from another bedroom within the home. The carpet on the main staircase is showing signs of wear and tear. A carpet in a corridor leading out of the library area is badly worn; this carpet is due to be changed in the near future. The top panel of the window in a bedroom was cracked and needs replacing. Some radiators are currently uncovered. A requirement to ensure all hot surface temperatures are restricted to 43° C, or are safely guarded to prevent accidental injury through contact burns remains unmet. The registered persons stated that measurements had been taken and that suitable covers are now on order. At the time of the previous inspection an upstairs bathroom was used for the purpose of washing and soaking commodes. This room is currently being adapted into a sluice for the purpose of emptying and cleaning commodes. The reduction of a bathroom leaves the home with two communal bathrooms in addition to those provided within the en-suites of bedrooms in the newer extension. A passenger lift and other aids such as a bath hoist are provided. The home was seen to be clean, tidy and free of any offensive odours. It was evident that protective clothing and gloves are freely available to carers. Chandos Lodge DS0000018463.V263172.R01.S.doc Version 5.0 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28 and 29 A sufficient number of staff were on duty. Recruitment procedures were found insufficient and could potentially place residents at risk. A commitment to National Vocational Qualification (NVQ) training is evident to provide staff with the necessary skills and knowledge to promote good practice. EVIDENCE: The staffing rota for the current week was viewed. It confirmed that 3 persons including the manager are on duty throughout the waking day. During the night 2 carers are on duty. It was evident that a cook and a domestic are on duty each morning seven days per week. A total of 7 out of the 14 carers hold a NVQ (National Vocational Qualification) level 2. In addition 2 of these members of staff have also achieved their level 3 award. A matrix showing mandatory training undertaken by carers was viewed as part of this inspection. Other training including induction was not inspected and will therefore need to form part of a forthcoming inspection. Chandos Lodge DS0000018463.V263172.R01.S.doc Version 5.0 Page 19 The staff file of one person employed since the previous inspection had undertaken a number of checks. It was evident that the registered manager had taken up verbal references. These references were obtained two days before commencement of work, it was not possible to ascertain when written references were obtained as these are held at head office and documentation held did not demonstrate any relevant dates. Evidence that a POVA (Protection of Vulnerable Adults) first check was available. Chandos Lodge DS0000018463.V263172.R01.S.doc Version 5.0 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33 and 38 Quality monitoring and staff training assist in provided a service, which safeguards residents interests. EVIDENCE: The accident book, which is in line with new data protection requirements, was briefly viewed and found to be in a satisfactory order. The fire log was also found to be satisfactory. Supervision records and residents financial records were not inspected on this occasion and will need to form part of a forthcoming inspection. A staff training matrix indicated that a considerable amount of mandatory training has taken place over recent months for all members of staff. The registered manager was aware of the shortfalls where staff had not undertaken Chandos Lodge DS0000018463.V263172.R01.S.doc Version 5.0 Page 21 these training events. A priority needs to be placed upon the training needs of night staff in relation to moving and handling and basic food hygiene. The registered manager has in the past notified the CSCI of certain events as required under Regulation 37 of the Care Homes Regulations. One event was seen within the records viewed whereby the manager had failed to send the necessary notification. The results of quality assurance surveys were available on a notice board. The programme in operation involves residents as well as professionals such as visiting doctors. Chandos Lodge DS0000018463.V263172.R01.S.doc Version 5.0 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 2 2 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 2 X X 3 X 2 3 STAFFING Standard No Score 27 3 28 3 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X X X X 2 Chandos Lodge DS0000018463.V263172.R01.S.doc Version 5.0 Page 23 Are there any outstanding requirements from the last inspection? Yes 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 OP3 Regulation 14 Requirement Written assessments completed before the admission of any service user in accordance with the requirements of Regulation 14 and Standard 3 must be comprehensive in terms of information content. (Previous timescale of immediate and on going not met). 2 OP7 15 (2) (b) The registered manager must ensure that care plans are up to date. The registered manager must ensure that care plans and risk asessments contain sufficent detail to enable care needs to be met. The registered manager must ensure that preparations containing Chlorhexidine used for skin cleansing are not routinely kept in residents toilets. 03/11/05 Timescale for action 03/11/05 3 OP7OP8 13 (4) 14 (2) (a) 03/11/05 4 OP9 13 (2) 03/11/05 Chandos Lodge DS0000018463.V263172.R01.S.doc Version 5.0 Page 24 5 OP9 13 (2) The registered manager must ensure that alterations or amendments made to residents medication is re-written clearly onto the MAR sheets. Two staff must check and sign for any amendments made. The registered manager must ensure that when a variable dosages is prescribed the actual dose given is recorded. The registered manager must ensure that residents current medication details are documented within individual care plans. The registered manager must ensure that controlled drug records are kept current and up to date. The registered manager must ensure that external preparations are stored separately from internal medication. The registered manager must ensure that medication is checked on arriving at the care home. Any concerns must be brought to the attention of a medic. A service-specific medication policy must be developed and implemented. (Not inspected on this occasion. Previous timescale of 31/12/04 remains in place). 03/11/05 6 OP9 13 (2) 03/11/05 7 OP9 13 (2) 31/12/05 8 OP9 13 (2) 03/11/05 9 OP9 13 (2) 03/11/05 10 OP9 13 (2) 03/11/05 11 OP9 13 (2) 31/12/04 12 OP19 13 (4) All areas of the home must be DS0000018463.V263172.R01.S.doc 31/01/06 Page 25 Chandos Lodge Version 5.0 23 (2) (b) kept in good repair and good order. (Previous timescale of 31/08/05 not met – new timescale given). 13 OP25 12(1)(a), 23(2)(p) Ensure that all hot surface temperatures are restricted to a maximum of 43ºC, or are safely guarded to prevent accidental injury through contact burns. (Previous timescale of 28/02/05 not fully met – new timescale given). 30/11/05 14 OP38 18 (1) The registered manager must ensure that all staff undertake mandatory training. The registered manager must ensure that events under Regulation 37 of the Care Homes Regulations 2001 are reported to the Commission. A copy of the most recent fire officers report must be forwarded to the CSCI once it arrives at the home. (As the home awaits this report the timescale is extended) 31/01/06 15 OP38 37 03/11/05 16 OP38 23 (4) 31/01/06 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 OP9 Good Practice Recommendations It is strongly recommended that the dates of opening of all DS0000018463.V263172.R01.S.doc Version 5.0 Page 26 Chandos Lodge 2 OP9 medication containers are recorded and any balances carried over for audit purposes. It is strongly recommended that a Controlled Drug cabinet which meets the Misuse of Drugs Regulations (Safe Custody) 1973 is obtained. Chandos Lodge DS0000018463.V263172.R01.S.doc Version 5.0 Page 27 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW 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 Chandos Lodge DS0000018463.V263172.R01.S.doc Version 5.0 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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