Inspection on 12/10/05 for Chapel View Nursing Home

This inspection was carried out on 12th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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

Chapel View Nursing Home 21/01/09

Chapel View Nursing Home 29/01/08

Chapel View Nursing Home 12/09/06

Chapel View Nursing Home 31/05/05

Chapel View Nursing Home 04/03/05

Chapel View Nursing Home 06/05/04

Similar services:

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Hawkhills

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The Grove Waltham

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Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Chapel View Nursing Home Spark Lane Mapplewell Barnsley South Yorkshire S75 6BN Lead Inspector Mrs Jayne White Unannounced Inspection 12th October 2005 09:00 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 Chapel View Nursing Home DS0000006474.V254936.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. Chapel View Nursing Home DS0000006474.V254936.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Chapel View Nursing Home Address Spark Lane Mapplewell Barnsley South Yorkshire S75 6BN 01226 388181 01226 380270 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) Chapelfield View Limited Mrs Lynda Jackson Care Home 39 Category(ies) of Old age, not falling within any other category registration, with number (39) of places Chapel View Nursing Home DS0000006474.V254936.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Persons accommodated shall be aged 60 years and above There are 19 beds registered for nursing (N) and 20 for personal care (PC). 31st May 2005 Date of last inspection Brief Description of the Service: Chapel View is owned by Four Seasons Healthcare Limited. The home provides nursing and personal care and accommodatiom to thirty nine older people. The home occupies a central position in the village of Mapplewell in Barnsley, close to shops, pubs, the post office and other local amenities. The home is a two storey building. There are thirty five single bedrooms and two double bedrooms. There is a passenger lift. The home has a garden area that was well maintained and accessible. Chapel View Nursing Home DS0000006474.V254936.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over two half days. The first day was five hours from 8:15 to 13:15, the second, two and a quarter hours from 10:00 to 12:15. On the first day an inspection poster was placed in the entrance to inform visitors an inspection was taking place should they wish to speak to an inspector. Opportunity was taken to make a partial inspection of the premises, inspect a sample of records, observe care practices and talk to residents, relatives, staff, the nurse in charge and the manager. The inspector spoke in more detail to two of the staff on duty about their knowledge, skills and experiences of working at the home, seven of the thirty three residents about their views on aspects of living at the home and three relatives. What the service does well: What has improved since the last inspection? What they could do better: The information contained in the service user guide was now more comprehensive but there was still no information on the terms and conditions. The care plan did not contain sufficient detailed and specific information on how resident’s care needs were to be met. The storage of medication and recruitment practices may not sufficiently promote and safeguard the welfare of residents’. The home was instructed to take immediate action. Chapel View Nursing Home DS0000006474.V254936.R01.S.doc Version 5.0 Page 6 During the last unannounced inspection, some residents raised concerns about the attitudes of some care staff. A requirement was made to identify the problems and address the findings. This had not been completed and there were still residents’ who were unhappy with the respect offered to them by staff. The presentation of liquidised diets and assistance with eating did not take account of good practice guidelines. This has been raised on previous inspections. A positive choice at lunch-time would enhance the meal time for residents’. Policies/procedures to protect residents’ from abuse were in place but contact details of the local adult protection agencies were not included and staff needed to undertake training and refresher training in adult abuse. Discussions with residents’, relatives, staff and observations of staff identified staffing levels were not sufficient to meet the needs of residents’ and previous arrangements to identify minimum staffing levels need reviewing. There was evidence of a staff training programme, but not all staff were up to date with training in infection control and health and safety. The supervision of staff had commenced but some staff had not yet benefited from it. 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. Chapel View Nursing Home DS0000006474.V254936.R01.S.doc Version 5.0 Page 7 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 Chapel View Nursing Home DS0000006474.V254936.R01.S.doc Version 5.0 Page 8 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): The outcomes for standards 1, 2 & 3 were inspected. Prospective residents did not have the full information they needed to make an informed choice about where to live as the terms and conditions of their stay was yet to be compiled. Contracts were in place for residents at the home. Residents had their needs assessed prior to admission and confirmation was provided that the home could meet their needs. EVIDENCE: The service user guide contained the majority of details or where that information could be obtained. Information on the home’s terms and conditions was not included but was in the process of being compiled. A contract for a resident was inspected. It contained all the details required in the regulation. The file of a resident who had been recently admitted to the home identified that their needs were assessed prior to moving into the home. A summary assessment had not been obtained from the care manager of the placing authority. Chapel View Nursing Home DS0000006474.V254936.R01.S.doc Version 5.0 Page 9 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): The outcomes for standards 7, 9 & 10 were inspected. Residents’ had their health and personal care needs identified in an individual plan of care, but the information was not necessarily up to date or contain the relevant information. Staff were not following the home’s policy/procedure for the safe storage, recording and administration of medication and therefore the safety and welfare of residents’ may be placed at risk. Some residents felt staff did not treat them with respect and dignity. EVIDENCE: One care plan was briefly inspected. The file identified nursing care was required but nursing needs were not clearly identified within the plan. There was information in the care plan that was vague, for example, ‘assist with hygiene needs’ instead of specifying what these needs were. The daily report did not state what hygiene needs had been met. Reference was made within the plan to refer to a reviewed risk assessment but this was blank. Care plans were reviewed, but the one inspected had not been reviewed for approximately three months. The information contained in the daily report did not confirm what hygiene needs had been met. Chapel View Nursing Home DS0000006474.V254936.R01.S.doc Version 5.0 Page 10 There was a policy and procedure for medication but this was not being adhered to and several incidents and practises were observed which could put residents at risk. These included medication cabinets left open and unattended in public areas and an open door to an area where medication, including controlled medication and oxygen cylinders were stored. An immediate requirement was issued for these potentially unsafe practices. Instructions identified on the MAR sheet regarding the dosage of one type of medication did not identify where that information had been obtained from and it wasn’t in the care plan. Discussions with the manager confirmed the administration was correct. For handwritten entries on MAR sheets the quantity of medication received had not been recorded and there were gaps in the recording. A system to identify which supplement drinks were which resident’s had not been implemented. The majority of residents’ spoken with said that the majority of staff were very good, that their privacy was observed and their personal care needs were met. Staff were able to describe the ways in which they maintained residents’ privacy and dignity. During the last unannounced inspection the attitudes of some staff had been raised. A requirement was made to identify the problems and address the findings. This had not been completed and there were still some residents’ who were unhappy with the respect offered them by some staff. The inspector observed that residents were clean and appropriately dressed. The telephone was easily accessible and could be transported to individual bedrooms if privacy was required. Chapel View Nursing Home DS0000006474.V254936.R01.S.doc Version 5.0 Page 11 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): The outcome for standard 15 was inspected. A balanced diet was provided and served in a pleasant dining area; however, the presentation of liquidised diets did not follow good practice guidelines. Likewise staffing levels were insufficient to promote good practice guidelines when assisting residents at meal times. Breakfast was not served at an appropriate time for all residents’. EVIDENCE: The inspector observed breakfast and lunch. The routine for breakfast was uncoordinated resulting in some residents’ being kept waiting for varying lengths of time both before and after meals. Some residents had fallen asleep whilst waiting for their breakfast. When the meals were served they were unhurried and residents’ were given sufficient time to eat, however, the practice of assisting residents’ to eat was not done on an individual basis. Previous discussions with staff identified they were aware this was not good practice. In the main positive comments were made by residents’ about the meals and that there was a choice of meal at breakfast and tea. The residents’ said there was not a choice at the lunchtime meal although if they didn’t like the meal they could have something else. Residents’ were unable to say what was for lunch. Discussions with the manager and assistant cook identified a member of staff asked them what they would like and recorded this. Chapel View Nursing Home DS0000006474.V254936.R01.S.doc Version 5.0 Page 12 The inspector saw menus and a good range of food was recorded, however, the menu on display in the inspector’s opinion was inappropriate as it was on A4 paper, included the menus for the week and was in small writing and not easily seen on the notice board. A number of residents’ were on special diets for health reasons. Discussions with the assistant cook identified liquidised diets were not presented in line with good practice guidelines but was able to show me utensils that would enable the appropriate presentation to be facilitated. Chapel View Nursing Home DS0000006474.V254936.R01.S.doc Version 5.0 Page 13 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): The outcomes for standards 16 & 18 were inspected. The complaints procedure was included in the service user guide and clearly identified the procedure to be followed should anyone wish to make a complaint. The adult protection procedure needed updating and staff needed training and refresher training to update their knowledge. EVIDENCE: The service user guide contained a copy of the home’s complaints procedure and complaints were recorded in a bound book. No complaints had been made since the last inspection and discussions with the manager confirmed she would now include further detail of the investigation methods should a complaint be made. The manager stated that the adult protection policy and procedure had not been updated with the required information since the last inspection. A copy of the local multi agency procedures had been obtained. A staff member was able to describe what they thought constituted abuse and they would report it to the appropriate person. They were unable to confirm whether they had attended training on adult protection although training records confirmed they had but two years ago. Chapel View Nursing Home DS0000006474.V254936.R01.S.doc Version 5.0 Page 14 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): The outcomes for standards 19, 22, 23, 24 & 26 were inspected. The home was clean and on the whole well maintained and the residents spoken with found the home comfortable. One bathroom area was unable to be used because of the inappropriate storage of equipment. EVIDENCE: The building was clean and free from offensive odours and residents had access to all parts of the home. The home was well maintained and the grounds were tidy, safe, attractive and accessible. A routine programme of maintenance was in place but there was no written contingency plan in the event of the lift being out of order again. The manager said she would formalise this. Ongoing refurbishment in the lounges continued including the replacement of occasional tables. Residents’ bedrooms were personalised with their own possessions. Equipment continued to be stored in a bathroom making it unavailable to residents. Laundry facilities were sited away from all food preparation and storage areas. A sluicing disinfector was in place. Chapel View Nursing Home DS0000006474.V254936.R01.S.doc Version 5.0 Page 15 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): The outcomes for standards 27, 29 & 30 were inspected. Discussions with residents’, relatives, staff and observations of the inspector identified staffing levels were not sufficient to meet the needs of residents’ and previous arrangements to identify minimum staffing levels need reviewing. The recruitment procedure was not sufficiently robust enough to protect the welfare of residents’. A training and development programme was in place. Some staff required refresher training to update their knowledge and competence. EVIDENCE: The staff rota for the week of the inspection did not demonstrate that minimum staffing levels were met, however, on the first half day of the inspection two agency staff were working and were not identified on the rota. The staff rota was not clear. Comments made in regard to the level of staffing had not improved since the last inspection although there was one resident who thought the staffing levels were adequate. Comments included ‘they’re always short staffed – everybody keeps leaving’, ‘always getting agency carer’s’, ‘I think they’ve a bit to do – some residents’ need a lot doing for them’, ‘I can be sat waiting half an hour sometimes’, ‘staff are always in a rush to get away – they’re always short handed’ and ‘sometimes they do their jobs quickly and we feel rushed’. For those residents’ who didn’t think staffing levels were sufficient they were asked, how does it affect you? They said ‘you just have to wait a bit longer sometimes’, ‘it would make it better’ and ‘they’d bother with you a bit more’. Chapel View Nursing Home DS0000006474.V254936.R01.S.doc Version 5.0 Page 16 Comments about the staff themselves were that they did a very good job and their care needs were met. Comments by relatives and staff confirmed the comments made by residents’ about staffing levels. The manager also confirmed staffing was currently a problem. The inspector observed it was 10:45 on the first half day and 11:20 on the second half day before all residents were up and had, had breakfast. Morning drinks were served at 11:30. (See also Daily Life and Social Activities) The staff file that was inspected did not contain all the required information – only one written reference had been received. The manager said there was a member of staff working without a current POVA first check. An immediate requirement was issued as this is an unsafe practice and may not protect the welfare of residents. The home had no information on file of agency staff who worked at the home therefore the manager could not confirm their suitability. One staff member said they had attended various training courses that included protection of vulnerable adults, moving and handling, infection control and fire but some refresher training was needed in order to enable staff to update their knowledge of changing practices and legislation. Discussions with the manager identified approximately forty three per cent of care staff held NVQ Level 2 in Care or equivalent. Chapel View Nursing Home DS0000006474.V254936.R01.S.doc Version 5.0 Page 17 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): The outcomes for standards 36, 37 & 38 were inspected. Supervision had been implemented, however, not all staff had yet benefited from this. Improvements were required with some of the records kept by the home to safeguard residents’ rights and best interests. The storage of medication and recruitment practices did not sufficiently promote and safeguard the welfare of residents’. EVIDENCE: A system for staff supervision had been implemented, however, not all staff had yet benefited from this. A sample of the records that the home was required to keep was inspected. These have been commented upon throughout the report and where necessary requirements made. Chapel View Nursing Home DS0000006474.V254936.R01.S.doc Version 5.0 Page 18 Safety posters were on display. When the building was inspected no fire exits were blocked. One staff member said they’d had fire training and records confirmed this. Measures were in place to ensure the security of the premises and prevent intruders. Notifiable incidents were being reported as required by the regulations. The manager stated a bedroom was now being used as a staff room. She was not clear if it was the home’s intention to reduce their bed numbers. Also please see outcome for standard 9 and 27. Chapel View Nursing Home DS0000006474.V254936.R01.S.doc Version 5.0 Page 19 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 2 3 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 1 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 2 3 x x 2 3 3 x 3 STAFFING Standard No Score 27 2 28 2 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x 1 x x 1 2 1 Chapel View Nursing Home DS0000006474.V254936.R01.S.doc Version 5.0 Page 20 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 OP1 Regulation 5 Requirement To compile the terms and conditions of residence and include in the Service User Guide. The care plan must contain all the needs of the resident including their nursing needs and describe how those needs are to be met. It must be reviewed monthly. The daily report must contain sufficient detail to describe how the resident’s care needs have been met. Previous timescale of 31 July 2005 not met. Risks assessments must be completed. Medication must be safely stored at all times. The MAR sheet/care plan for the medication identified must contain information on where instructions for the dosage of medication to be administered can be found. The quantity of all medication received must be recorded and there must be no gaps in the DS0000006474.V254936.R01.S.doc Timescale for action 31/12/05 2 OP7 15 31/12/05 3 OP7 15 31/12/05 4 5 6 OP7 OP9 OP38 OP9 OP7 15 13 13 31/12/05 12/10/05 31/12/05 7 OP9 13 31/12/05 Chapel View Nursing Home Version 5.0 Page 21 8 OP9 13 9 OP10 12 10 OP15 12 11 OP15 12 12 OP18 13 13 14 OP18 OP22 13 13 & 23 15 OP27 18 16 OP29 19 record of medication. A system must be implemented to identify which supplement drinks are for each different resident. Previous timescale of 30 April 2005 not met. Documented discussions must be held with every resident, where possible, to obtain their views on how they are treated by care staff. Action must be taken to address the findings. Previous timescale of 30 September 2005 not met. Staff offering assistance in eating to residents must do this individually. Previous timescale of 30 April and 30 September 2005 not met. Liquidised meals must be served in line with good practice guidelines and presented in a manner that is attractive in terms of texture, flavour and appearance. Contact details of the local adult protection officer, social services must be included within the home’s procedure for adult protection. Previous timescale of 30 April 2005 not met. All staff must receive up to date training on protection of vulnerable adults. Equipment must be appropriately and safely stored. Previous timescale of 31 July 2005 not met. Staffing levels must be reviewed to meet the needs of residents. Previous timescale of 30 September 2005 not met. The manager must not employ staff unless a thorough recruitment programme has DS0000006474.V254936.R01.S.doc 31/12/05 31/12/05 31/12/05 31/12/05 31/12/05 28/02/06 31/12/05 31/12/05 31/12/05 Chapel View Nursing Home Version 5.0 Page 22 17 18 OP29 OP38 OP29 OP38 19 19 19 OP30 13 20 OP30 18 21 OP33 24 22 23 OP36 OP37 18 17 been used and documentation is in place that meets the regulation. Previously required on all inspections since 1/4/02. Staff must not commence work until a POVA first check has been issued. Agency staff must not commence work at the care home unless it can be demonstrated they are a fit person to do so in accordance with the regulations. All staff must be trained in infection control and health and safety. Previous timescales of 30 September 2003, 31 July 2004 and 30 June 2005 not met. All staff must received Food Hygiene training. Previous timescale of 30 September 2005 not met. A review of the quality of care and the service provided must be undertaken in consultation with residents and their representatives and a copy of the findings of that report must be supplied to them and the CSCI. All staff must receive appropriate supervision. Records as required by the regulations must be up to date and accurate. 14/10/05 31/12/05 31/12/05 31/12/05 31/12/05 31/05/06 31/12/05 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 Chapel View Nursing Home DS0000006474.V254936.R01.S.doc Version 5.0 Page 23 1 2 15 15 The menu for the day must be provided in an appropriate format. That a positive choice of main meal is offered at luch time. Chapel View Nursing Home DS0000006474.V254936.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Chapel View Nursing Home DS0000006474.V254936.R01.S.doc Version 5.0 Page 25 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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