Inspection on 17/01/06 for Chelston Park Nursing Home

This inspection was carried out on 17th January 2006.

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

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

Other inspections for this house

Chelston Park Nursing Home 03/07/08

Chelston Park Nursing Home 12/09/07

Chelston Park Nursing Home 10/08/06

Chelston Park Nursing Home 16/06/05

Chelston Park Nursing Home 23/11/04

Chelston Park Nursing Home 24/06/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Chelston Park Nursing Home West Buckland Road Wellington Somerset TA21 9PH Lead Inspector Barbara Ludlow Announced Inspection 09:30 17 January & 9 February 2006 th th X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Chelston Park Nursing Home DS0000003249.V284605.R01.S.doc Version 5.1 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. Chelston Park Nursing Home DS0000003249.V284605.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Chelston Park Nursing Home Address West Buckland Road Wellington Somerset TA21 9PH 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) 01823 667066 01823 666986 Chelston Park Nursing & Residential Home Limited Mrs Joanne Girdler Care Home 36 Category(ies) of Old age, not falling within any other category registration, with number (36) of places Chelston Park Nursing Home DS0000003249.V284605.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Elderly persons of either sex, not less than 60 years, who require general nursing care. Up to four persons of either sex, in the age range 40-59 years, who require general or nursing care. Up to six places for personal care. Maximum of 30 nursing care place. 16th June 2005 Date of last inspection Brief Description of the Service: Chelston Park is a large house that was adapted and extended to become a care home in 1986 (formerly known as the Pennant). The home offers general nursing care for persons over 60 years of age and has four places for persons aged between 40 – 59 years. Personal care only can be offered to persons who are at least age 65 years on admission. There is a small home in the grounds called The Bungalow this is registered separately, and offers residential care only to more independent residential category clients. All staff operate from and are managed from the main home. The home sits in large landscaped grounds with views of the Blackdown Hills and Wellington Monument. The home is spacious and adapted for purpose. There are assisted bathing and disabled toilet facilities. The plans to develop and extend the kitchen and laundry faciliites in 2005 are now on hold, pending the development of The Bungalows site. Chelston Park Nursing Home DS0000003249.V284605.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out over two days by B Ludlow for CSCI. The home agreed to a request to allow a Specialist Public Health Nurse to attend in an observation capacity, the CSCI Inspection process. The inspector would like to extend her thanks to the management, service users and staff for their acceptance. The inspector met with the homes manager and proprietor to discuss the incoming changes to the inspection programme in line with Inspecting for Better Lives 2. Pre inspection questionnaire had been completed by the manager and was sent to CSCI. Service users and visitor comment cards passed out by the home were returned to CSCI, the analysis of these is incorporated into the body of the report. A tour of the premises was made and the inspector met with service users in the communal areas and in private, in their own rooms. Staff were seen and spoken with, activities were observed and mealtimes on both inspection days. The homes training manager explained the progress with training and the current induction and training offered to staff at the home. This was a very positive inspection that was well received. What the service does well: Chelston Park provides a well-maintained, secure and comfortable environment set in lovely grounds, which meets the needs of the current client group. The home is being redecorated and refurbished to a high standard and continues to improve. The lounges and now the dining room are attractively finished and provide very attractive, pleasant and comfortable communal space. The home has a stable core team of staff and a dedicated staff trainer. There is a strong commitment to staff training and development for all staff. The nursing staff promote and support the care staff undertaking NVQ qualifications and modern apprenticeship. The homes environment is improving. Chelston Park Nursing Home DS0000003249.V284605.R01.S.doc Version 5.1 Page 6 Hand gel for staff hand cleansing is made available throughout the home; this is a commendable good practice measure for infection control. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Chelston Park Nursing Home DS0000003249.V284605.R01.S.doc Version 5.1 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 Chelston Park Nursing Home DS0000003249.V284605.R01.S.doc Version 5.1 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): 1,3,5, NMS6 does not apply Information is provided to enable prospective service users to make an informed choice. The homes Manager or the Deputy Manager assess to ensure the needs of prospective service users can be met prior to a decision being made about admission. EVIDENCE: The pre-inspection information indicated that there has been no alteration to the homes statement of purpose. The home has made available their statement of purpose and service user guide. Prospective service users and their families/carers are welcome to visit the home. The manager or her deputy would make an assessment to ensure that care needs can be met at the home. Chelston Park Nursing Home DS0000003249.V284605.R01.S.doc Version 5.1 Page 9 Care plans were seen and those sampled demonstrated evidence of the homes manager making an assessment prior to admission. The Single Assessment Process information had been passed to the home and was on file. There was evidence of the input by the District Nurse assessor and the community CPN when service users were assessed for their level of nursing care input/funding. Sixteen service user comment cards returned to CSCI demonstrated that ten service users liked living at the home, five said sometimes and one said no. Service users spoken with said they were satisfied living at the home one commented that ‘likes it very much’, ‘doesn’t think they would find much better’ another said of the move into care that the staff are wonderful and had ‘made it easier’. Chelston Park Nursing Home DS0000003249.V284605.R01.S.doc Version 5.1 Page 10 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): 7,9,10,11 Care planning has been reviewed following the last inspection and deficits have been addressed. Care plans seen were satisfactory. The privacy and dignity of service users was respected by staff and their care practice at the home. EVIDENCE: Service users were seen and spoken with during the two inspection days. Staff were observed to be kind and considerate with all service interactions. Service users confirmed to the inspector that staff are kind and helpful. Written feedback from sixteen service users was made to CSCI via comment cards. All sixteen respondents felt that staff treat them well and that their privacy is respected. Fifteen felt well cared for and one said sometimes. Two service users added comment, that they are ‘very happy’. Chelston Park Nursing Home DS0000003249.V284605.R01.S.doc Version 5.1 Page 11 Three relatives comment cards returned responded positively to the questions ‘are you able to see your relative in private?’ ‘Are you kept informed of important matters affecting your relative?’ and ‘are you satisfied with the overall care provided at the home?’ Feedback from one GP and one Community Health Care Professional was all positive and no complaints have been heard. Comment included, home is ‘always clean’, ‘residents appear well cared for’ and that the staff are ‘pleasant helpful and caring’. Care plans were sampled; no service users were reported to have pressure sores. Pressure relieving equipment was seen in use and was documented in care plans as being in use. A form has been developed which confirms service user involvement in the care planning process and their access to their own care records. Contact with visiting professionals was documented. Monthly reviews are made, one review was missed in December 05, but the care plan was otherwise satisfactory. The care plans for a very ill service users were examined. These demonstrated that a good standard of care was delivered through the last stages of life. Care plans examined did reflect that where possible funeral arrangements if made, were recorded for individuals on admission. The treatment room door was seen wedged open for the passage of the trolley; this room should be kept locked when not in use. The Medication Administration Records were seen, these were completed to a good standard. All hand transcribed entries had two signatures. The medications fridge was locked and the temperature is checked and recorded each day, this was within a safe range. Chelston Park Nursing Home DS0000003249.V284605.R01.S.doc Version 5.1 Page 12 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): 13.14.15 The home’s arrangement for meeting service users social needs was satisfactory. Service users were able to have choices in regard to their individual daily living. Service users are offered a choice of diet and the opportunity to eat together, in the much improved dining room facility. EVIDENCE: The home offers a range of activities. There were two guests gave a demonstration of wool spinning on the second inspection day. This appealed to some of the service users, one had chance to try the spinning wheel others were interested in the books circulated and the yarn and techniques demonstrated. Good records of activities and service user participation are made in care plans. Chelston Park Nursing Home DS0000003249.V284605.R01.S.doc Version 5.1 Page 13 The feedback from the comment cards indicated that fourteen service users found the activities suitable, one said sometimes and one said no. Fourteen service users said they did not want to be more involved in the running of the home, two said sometimes. Of the food, eleven liked it, four said they liked it sometimes and one respondent said no. One person said that it had very recently been their birthday and they had been taken out for lunch with other service users, they had also celebrated with a birthday cake and music at the home. Service users were asked about the food and one said they enjoyed the food and that there is always a choice. Another service user with special dietary needs commented that they are able to choose from a selection of home made desserts. Teatime was observed on the second day of the inspection. Staff were seen to be assisting more than one service user at a time with their meal. The impression was that this was well meaning and common practice. Staff should be reminded to attend to the service users one to one for dignity, safe practice and to ensure that the service users experience at meal times is the best possible. The inspector was shown the kitchen; it was clean, tidy and well organised on the day of inspection. Home baking was evident. Chelston Park Nursing Home DS0000003249.V284605.R01.S.doc Version 5.1 Page 14 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 The home has a complaints procedure. There had been no complaints made since the last inspection. Previous practice was recorded as satisfactory at the last inspection. EVIDENCE: There is a documented Complaints policy and all complaints are dealt with initially within 7 days. At the last unannounced inspection there had been one complaint made to the home. This complaint had been investigated thoroughly, openly and was dealt with appropriately. Any necessary action had been taken and a record was made and was available at the last inspection, CSCI had been informed at the time. Sixteen service user comment cards returned to CSCI indicated that fifteen felt safe at the home and one said sometimes. Thirteen knew who to speak to if unhappy with their care, one said sometimes and two said no. No issues of concern were raised with the inspector at this inspection. Three relatives responding to CSCI said they are aware of the homes complaints procedure and none had ever made a complaint. Chelston Park Nursing Home DS0000003249.V284605.R01.S.doc Version 5.1 Page 15 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): 21,22,23,24,25,26 Service users live in a clean and comfortable environment, which is able to meet the assessed needs of service users living there. Service users have access to specialist equipment where there is an assessed need. EVIDENCE: The home had been suitably adapted to meet the needs of the service user group. The conservatory and dining space has been refurbished since the last inspection to a high standard and provides attractive and more useable dining and living space. The home is being steadily upgraded. The plans for the laundry and kitchen to be refurbished are on hold pending the development of the bungalow site. Chelston Park Nursing Home DS0000003249.V284605.R01.S.doc Version 5.1 Page 16 The existing laundry room has been given extra storage in a small room across the corridor, which was converted for this purpose. Whilst not ideal, as it does not have a tanked and washable floor covering nor tiled and washable walls, it is an improvement. Clean laundry is folded in the corridor as the laundry room is very small, again this is not ideal and care must be taken with all manual handling. The laundry now has the Otex system to reduce the risk of cross infection and use low temperatures for washing. An ozone alarm is fitted and the ventilation has been improved. The laundry wash hand basin was accessible; a foot operated flip top bin would be preferable to the swing top type in use. The sluice rooms were seen, ideally both require a separate sink for hand washing. The ground floor sluice had a sticky floor, there was no separate wash hand basin and it is not tiled. It was used as a place for storing chemicals containers, vases, buckets and mops. An extension lead was seen in use for the machine, this was replaced by the second visit and the washer had been rewired. It was noted, as good practice that hand cleansing gel is available throughout the home. Bathplugs on lengths of soggy string were confirmed as having been replaced between inspection days, using a suitable material that is not permeable. The bathrooms were seen and it was noted that the Parker bathroom toilet seat was broken. The top floor bathroom toilet seat was badly marked; the first floor bathroom raised toilet seat was stained and required sufficient cleansing. One commode was also seen that required sufficient cleansing. The grounds are very attractive and are well maintained. The gardens were not in use as the weather was cold; the paths around the garden and the pond should be checked for safety prior to the warm weather. The building complies with the local fire and environmental health service requirements. The fire safety inspection reported on 19.01.06, a satisfactory standard of fire safety. Three requirements for attention were made and copied to CSCI. These should be met. Chelston Park Nursing Home DS0000003249.V284605.R01.S.doc Version 5.1 Page 17 The home has a large communal lounge; the room is well appointed and comfortably furnished. The large dining area extends into the conservatory, which has been re roofed and refurbished to a high standard. This improvement has greatly enhanced the look of this room and made it much more useable. The home has appropriate domestic style lighting in the communal areas and had good ventilation. All windows above ground floor have been restricted in opening to a safe limit, in line with the Health and Safety requirements for Care Homes. Hot surfaces such as pipe work and radiators have been adequately guarded. Hot water temperatures were monitored ‘in house’ on a monthly basis. The home has an emergency lighting system and an outside contractor services this annually. There is a nurse call system through out the home. Chelston Park Nursing Home DS0000003249.V284605.R01.S.doc Version 5.1 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): 27,28,29,30 The home has a dedicated trainer and staff training is provided to a good level and meets the range of needs of service users. EVIDENCE: Staffing was adequate on the inspection days. The Registered Manager was available and there was also a Registered Nurse on duty on each day. Only one shift was reported to have required agency staff cover, because the homes staff usually choose to work any available extra shifts. Copies of duty rotas were sent to CSCI for this inspection and two weeks worked rotas were supplied as photocopies at the inspection, these indicated that minimum staffing levels were maintained. Domestic and catering hours also appeared adequate. Three relatives comment cards sent to CSCI indicated that in their opinion there is always enough staff on duty at the home. The homes Trainer met with the inspector and explained the current training at the home for their staff and the training given to students coming to work at the home on placement. The home reports having, 27 care staff, 12 have NVQ 2 this figure included three overseas trained staff. Two staff are studying NVQ 3. Four staff are Chelston Park Nursing Home DS0000003249.V284605.R01.S.doc Version 5.1 Page 19 studying NVQ 2 and 4 NVQ 3, 4 staff are waiting to start NVQ 2 including one modern apprenticeship. 3 newly recruited staff will be starting their NVQ training after their first 6 months employment. Induction training was confirmed. This includes POVA training awareness, fire training, manual handling training and supervision. Training records are made. Staff meetings are held the last general staff was held on 10.10.05 when 27 staff attended. Trained staff met on 04.01.06 and carers had a meeting on 03.01.06. There are no separate catering/domestic staff meetings. Chelston Park Nursing Home DS0000003249.V284605.R01.S.doc Version 5.1 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): 31.32,33,34,36,37,38 The home is well managed. Good attention is paid to health and safety matters at the home. Records maintained and are safely held. EVIDENCE: The Registered Manager is Mrs Joanne Girdler. She is a Registered nurse and has relevant experience and qualifications. She has taken relevant updating and training to maintain her competencies and holds an Open University Management Diploma. Individual staff induction, training and supervision records were made available. It was confirmed to the inspector that all staff have received fire and manual handling training. Chelston Park Nursing Home DS0000003249.V284605.R01.S.doc Version 5.1 Page 21 Infection control training includes food hygiene and is run at two monthly intervals. This also covers COSHH and HACCUP and is managed by an outside trainer. Records were sampled for maintenance: Hot water, checked for reaching hot enough temperature at source. Cold water temperatures checked. Risk assessments included the hot water. A risk assessment for the paths was last reviewed on 12/05/05; this should be reviewed for the paths and the pond in 2006, before the weather warms up. Legionella risk assessment was dated 2002. Electrical records: PAT 21.06.05. In house auditing of infection control, beds, and first aid boxes (09.09.05) are carried out. On the first day of this inspection the bath thermometers on string were brought to the attention of the management, these had been more appropriately replaced by the second day. Some areas of the home seemed dull, the inspectors was informed that spent light bulbs were regularly replaced and that a brighter light was added to the first floor bathroom, between the inspections days. The home displayed the Registration certificate and appropriate Employers Liability Insurance. Business and financial plans were not examined during this inspection. There is ongoing investment and development in the home. It was evident from the inspection that there is a programme of refurbishment and upgrading. The kitchen was clean and well organised. One carpet identified as a trip hazard was made safe and other tasks were attended to between the inspection days. The home has an emergency lighting system and an outside contractor services this annually with the main alarm, done: January 06. In house test 01.06. Annual Gas safety certificate 10.06.05. Six monthly hoist servicing 12.01.06. Chelston Park Nursing Home DS0000003249.V284605.R01.S.doc Version 5.1 Page 22 In house monthly wheelchair checks to 06.12.05. Monthly bed rail checks to 21.12.05, due, aware and scheduled. Chelston Park Nursing Home DS0000003249.V284605.R01.S.doc Version 5.1 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 3 X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 3 11 3 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 X X X 3 3 3 3 3 1 STAFFING Standard No Score 27 3 28 3 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X 3 X 3 3 2 Chelston Park Nursing Home DS0000003249.V284605.R01.S.doc Version 5.1 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 OP26 Regulation 13(3) Requirement Attention must be paid to the cleaning of toilet seats, commodes and sluice areas. Timescale for action 28/03/06 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 2 3 4 Refer to Standard OP9 OP15 OP26 OP19 Good Practice Recommendations The treatment room door should not be wedged open; it should be locked shut when unattended. Assistance at meal times should be one staff to one service user. An audit of the infection control at the home and an improvement strategy should be planned for the deficits identified. The fire safety officer’s requirements for 1. Preparation of a single document emergency plan. 2. Staff fire training records should have more detail in them. 3. Alternatives to door wedges should be risk assessed and installed. Your plans to meet these should be notified to CSCI with your inspection response. Chelston Park Nursing Home DS0000003249.V284605.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 Chelston Park Nursing Home DS0000003249.V284605.R01.S.doc Version 5.1 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!