Inspection on 11/01/07 for Clevedon Court Nursing Home

This inspection was carried out on 11th January 2007.

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

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

Other inspections for this house

Clevedon Court Nursing Home 30/12/08

Clevedon Court Nursing Home 18/03/06

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 Clevedon Court Nursing Home 32 Dial Hill Road Clevedon North Somerset BS21 7HN Lead Inspector Barbara Ludlow Unannounced Inspection 11th January 2007 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 Clevedon Court Nursing Home DS0000063638.V329538.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Clevedon Court Nursing Home DS0000063638.V329538.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Clevedon Court Nursing Home Address 32 Dial Hill Road Clevedon North Somerset BS21 7HN 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) 01275 872694 01275 342444 Clevedon Court Nursing Home Ltd Mrs Gaynor Allen Care Home 38 Category(ies) of Old age, not falling within any other category registration, with number (38) of places Clevedon Court Nursing Home DS0000063638.V329538.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. May accommodate up to 38 persons aged 65 years and over requiring nursing care. May accommodate one person aged between 18-64 years of age with physical disabilities requiring nursing care. 18th March 2006 Date of last inspection Brief Description of the Service: The home is currently being renovated and upgraded. An extension to the side of the main building has been completed offering a very good standard of accommodation. Work in the main building was still in progress but was nearing completion. Clevedon Court enjoys a quiet position that offers panoramic views over the town and bay. The home’s accommodation is being upgraded to a high standard and two double bedrooms have been converted to increase the communal space and provide a new lounge and dining room. A passenger lift provides easy access to all areas of the home. Not yet completed or commissioned for use is a new lift installation and top floor newly constructed bedroom accommodation. These are scheduled for completion in February 2007 and CSCI have received an application for this. A decked patio has been created to the rear of the home and a new office and staff room have been built adjacent to this. Smoking is permitted only in this staff room. The home has gardens and a driveway that require landscaping to restore them to a good condition post construction work. Therefore the current parking on the quiet wide road outside the home. The current fee range is £600 to £650.00. Clevedon Court Nursing Home DS0000063638.V329538.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a very positive key inspection. The visit to the home was made unannounced, and the inspector spent the day with service users and staff. The home’s Deputy Manager was in charge and stayed on duty to assist with the completion of the inspection visit and receive feedback. The home is undergoing major building works and refurbishment and the current capacity of the home is thirty-eight. There were thirty-six service users in residence at this inspection visit and the remaining two places were taken. A tour of the premises was made and records were sampled. The records sampled included care plans, which were linked with case tracking methodology to monitor the whole service user experience of coming into and being cared for at Clevedon Court Nursing Home. Other records included care contracts, maintenance and regular fire alarm and equipment checks and staff recruitment files. Lunch was observed and the service user’s views on the quality of the food were sought. Feedback was also given to the homes manager who was on holiday, but was in telephone contact with the home. What the service does well: The feedback from service users spoken with was very positive about the care they receive and the respect shown to them individually. One service user felt that staff supported and met their emotional needs with the comfort and kindness offered to them by the staff and the manager. Another said that they couldn’t ‘praise the place enough’ and referred to the chef as ‘excellent’. The written feedback from local Doctors surveyed was positive about the care of service users at Clevedon Court. The written evidence of health and personal care within the care plans sampled also supported this. The environmental upgrading is to a high standard and provides comfortable living accommodation and an effective caring environment. Clevedon Court Nursing Home DS0000063638.V329538.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: The major building works have been in progress for some months, the disruption to the grounds and outside appearance is most noticeable but unavoidable. Care must be taken to ensure ease of emergency access to and from the building where wooden ramps are used to cover the unfinished driveways. The inspector was informed that the landscaping of the grounds was due to commence in one weeks time. Poor weather had delayed the groundwork. Care must be taken to fully record recruitment details; one file seen had a reference and some detail missing. Another file had references that were dated after the start date of the employee. Two satisfactory references must be obtained before the employee commences working at the home. All other recruitment detail was in order. An accident audit is recommended; this may help to detect any patterns emerging where preventative measures could be taken to reduce the risk of future similar occurrences. Records were stored securely however accident reports should be filed in line with data protection legislation and this is recommended at this inspection. Clevedon Court Nursing Home DS0000063638.V329538.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Clevedon Court Nursing Home DS0000063638.V329538.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Clevedon Court Nursing Home DS0000063638.V329538.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is information about the home for prospective service users. Pre admission assessments are made and contracts are issued. The Registered Nurse Care Contribution (RNCC) is fully refunded to the privately funded service user. EVIDENCE: The home has information available for prospective service users. The homes Statement of Purpose and Service User Guide will need to be updated on completion of the building works. The manager or her deputy visit prospective service users to make a pre admission assessment to ensure that their care needs can be met at the home. Two people had been assessed for admission and plans were in place for their admission the next day. Clevedon Court Nursing Home DS0000063638.V329538.R01.S.doc Version 5.2 Page 10 The home’s administrator was seen and access was given to sample contracts. The fee range was confirmed and the Registered Nurse Care Contribution (RNCC) paid for the privately funded service users (in line with their nursing care needs assessment) was evidenced to be fully refunded to the service user. A private chiropodist visits the home every six weeks and a charge of £8.00 is made for routine care. The hairdresser rates vary as per attention given and newspapers are charged for at cost and delivery charge. Clevedon Court Nursing Home DS0000063638.V329538.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10,11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans were well recorded and reviewed. Medical and health care needs were seen to be met. Medications management was safely practiced. Service users were heard to be treated with respect and consideration. EVIDENCE: Service users and one visitor were seen during the inspection day. Those who were asked and were able to respond spoke very positively about the care and service they receive at the home. There is a period of time allotted for handover for staff coming in to work and staff meetings are held. A key working system is in place and a service user positively commented on this. The home’s staff spoken with knew the service users well and was able to Clevedon Court Nursing Home DS0000063638.V329538.R01.S.doc Version 5.2 Page 12 tell the inspector information such as who goes out and who has visitors and families living close by. Five service user care plans were sampled; the Standex system is used for recording. The plans chosen included where there is nursing input for wound care; the detailed wound care and reviews are held in a separate wound care file. Personal details and contacts are recorded along with a photograph for identification. Risk assessments are made for pressure sore risk and for manual handling and weight. Allergies were recorded and there were daily records of health and well being and a log for visits or contact with the Doctor. Feedback from two General Practitioners demonstrated that they were happy to visit the home and with the service it offered. One service user said that they were well cared for; staff were praised for being ‘friendly’ and ‘kind’. Another felt ‘as happy here as anywhere away from home’ and their message to relatives would be ‘ forget your worries’ as it ‘couldn’t be better’. One relative described the care as ‘brilliant’; problems could be discussed with the senior nurse on duty or the manager. They had been involved in the care assessments and review with their relative. One service user identified their key worker and reported that they had a good rapport with them and that it was useful to have someone to help them. Clevedon Court Nursing Home DS0000063638.V329538.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users were spending their time as they wish. Activities are organised both at the home and in the community. Visiting relatives confirmed that they are made welcome and supported. The meals offer choice and variety to meet the service users tastes and nutritional needs. EVIDENCE: Service users were spoken with in their rooms and in the communal areas of the home. Service users said they spend their time as they wish and commented that visitors are always made welcome. One service user stated that time is spent with other service users, socially as a ‘group’. The written responses to CSCI from service users were positive; one person felt it was a shame that the minibus wasn’t available in the winter months. The staff received praise for being ‘attentive and cheerful’. The atmosphere was described as ‘pleasant and relaxing’. Clevedon Court Nursing Home DS0000063638.V329538.R01.S.doc Version 5.2 Page 14 The interactions between staff and service users were heard to be respectful, caring and friendly. Socially the home has an activities organiser and trips out are arranged to local events and outside entertainers come into the home. The home held a Christmas party with entertainment and a buffet for families and friends. Families had been invited at Christmas to have lunch with their relative; this was reported to have been successful. One service user commented that they had seven guests to lunch at Christmas. The deputy stated that no costs are passed on to the service user for trips out or where a relative is takes a meal or refreshments. The food received praise including, ‘excellent’ and ‘on the whole very good’. The home offers a seasonal menu, the current two week winter menu offers a good choice for each meal and the breakfast menu has a varying hot option each day. Lunch was reported to have been very good, one service user enjoying a fruit dessert said the main meal had been ‘excellent’ and went on to say that a special request for cold meat and pickles had been made and it had been specially prepared for them, they regarded the chef as ‘excellent’. Service users requiring help with their meals were seen being assisted by with care, by staff. One visitor had come in to assist their spouse with lunch and commented that the staff offer care that is ‘brilliant’. Drinks were served mid morning with biscuits and mid afternoon with cake, the menu lists supper drinks and biscuits or toast being offered. The teatime menu offers sandwiches, soups, a hot option such as scrambled egg and a sweet such as fruit trifle and cream or creamed rice pudding and jam sauce. The teatime menu was not monitored at this inspection. The kitchen was seen, this was clean, tidy and well fitted out, the environmental health inspection in October was reported to have been satisfactory. The gas appliance checks had been made two months before and electrical appliance checks a week ago. Clevedon Court Nursing Home DS0000063638.V329538.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a complaints procedure. Attention is paid to make sure that participation in electoral processes can be made such as postal voting. Recruitment procedures support the protection of vulnerable people. EVIDENCE: The home has a complaints procedure. No complaints have been raised with the home or with CSCI. Service users asked said that they would feel able to raise any concerns with the staff and management of the home. One visitor said they would be comfortable speaking to the senior staff if there was a problem with their relative. A member of staff was heard to be assisting a service user with their postal voting arrangement. Staff recruitment was examined and was satisfactory with the exception of one staff file with no second reference and one file with references dated after the employee’s start date. All checks for identification, CRB check and POVA First checks were in place before the staff members commenced working at the home. Staff spoken with confirmed their awareness and responsibility for the protection of service users from abuse. Clevedon Court Nursing Home DS0000063638.V329538.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is undergoing substantial refurbishment, and extension. The environment is being finished to a high standard. The home is kept very clean and hygienic. EVIDENCE: The building works are nearing completion but work was taking place around the main living areas in the home. The contractors were making every effort but the home on this particularly windy day was draughty and attention was paid to making sure the service users remained comfortable. Clevedon Court Nursing Home DS0000063638.V329538.R01.S.doc Version 5.2 Page 17 Service users asked were not troubled by the building works, the draughts on this day or the noise which were a feature of this day in particular as a ceiling was replaced in a ground floor room below the main lounge floor. In fact most service users were interested in the building events and the stormy weather. The cleaners were working hard to maintain the environment to a very good standard in spite of the building works and the redecoration in progress within the home. Service users asked were pleased with their accommodation. The new wing was in full use and the rooms were comfortable and had been made homely. The environment has the potential to be excellent but could not be fully assessed with the work still in progress. Infection control is well managed; staff have access to protective clothing such as gloves and aprons. There are staff hand washing facilities and hand cleaning gel dispensers around the home for staff to use. Waste disposal and laundry facilities were satisfactory. The grounds outside the home were untidy but unfinished, plans were in place to complete the drive way and gardens the week after this inspection visit. The weather was responsible for some of the debris and for the restricted access for the maintenance/ builders to safely work outdoors. However care must be taken with the wooden ramps and boards used for walkways across the broken ground to ensure that there is safe and easy access to and from the building. Clevedon Court Nursing Home DS0000063638.V329538.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has sufficient staff in number and skill mix to provide a service that meets the service user’s needs. Staff recruitment with the exception of reference procedure in two cases was satisfactory. All staff had CRB, POVA First checks before commencing work at the home. Staff receive induction and training and supervision for safe working and the protection of service users from harm. EVIDENCE: The home had six care staff one registered nurse and the deputy manager on duty at this inspection. This was sufficient in number to ensure that care needs were timely and well managed during the morning and at lunchtime. The catering staff taking an active role in ensuring that drinks were served between meals further complimented the number of care staff on duty. The home has a registered nurse on duty at all times. The care staff team has a high proportion with National Vocational Qualifications in care, in excess of 50 . Clevedon Court Nursing Home DS0000063638.V329538.R01.S.doc Version 5.2 Page 19 Staff training reported on the pre inspection questionnaire information included mandatory training in fire, health and safety, manual handling and specialist training at the hospice for palliative care and nursing techniques such as subcutaneous fluid administration. On going training events with the Primary Care Trust (PCT) are available for the home to access. The recruitment files for four new starters since the last inspection were examined. All had identification information, Criminal Record Bureau (CRB) checks and POVA First checks in place before they commenced working at the home. Evidence was on file for their induction training and supervision appraisals. One recruitment file did not have detail to demonstrate that work history had been explored where gaps in work history could be identified and a second reference was missing with no recorded supporting evidence of a telephone reference having been taken up. Another file had references that were dated after the start date of the employee. Two satisfactory references must be obtained before the employee commences working at the home. A requirement is made at this inspection. Not much agency staffing was reported to be used. The deputy manager said that agency staff that have been to the home before would be requested if staff were needed, this provides some continuity of care. Clevedon Court Nursing Home DS0000063638.V329538.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,35,36,37,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a strong management team that are open and approachable giving good support to service users and staff. The home is well maintained. Records are stored safely. EVIDENCE: The home has an experienced registered nurse manager; the home is professionally run and has a strong commitment to the training and development of staff. Staff receive formal appraisal and supervision. Clevedon Court Nursing Home DS0000063638.V329538.R01.S.doc Version 5.2 Page 21 Service users expressed their satisfaction with the care and service offered at Clevedon Court. The manager received praise as a nurse and as someone who is approachable and caring. The home is being upgraded as part of the redevelopment of the premises and the facilities with considerable financial and time investment being made by the owners of the home. Formal quality assurance was not fully examined at this inspection. There was strong evidence of informal quality assurance and monitoring from service users, their relatives and staff. Attention is paid to the details of their care and support and this was highly praised by all spoken with at this inspection. Staff have regular shift handovers; staff meetings are held and staff receive supervision; all of which provide opportunities for feedback to the management on the service provision. Records were sampled, the homes administrator provided access to contracts and personnel data for inspection. No Power of Attorney or appointees are held by the home. Small amounts of personal monies are held on request with restricted access, receipts and records held to support this. These were satisfactory at the last inspection and the management systems seen had not changed at this inspection. Accident records are held together in a file. No audit of accidents was seen, this is recommended to identify any emerging pattern that could be influenced by change and preventative measures to reduce further occurrences. All reports were fully were completed but their storage was not Data Protection Act compliant. Storage should be reviewed; the forms should be placed into individual files. The home has a new handy person who was seen briefly during this inspection. Maintenance records for fire safety checks were inspected. Weekly fire alarm tests were recorded; emergency lighting was checked on a monthly basis. Annual servicing of the system and fire extinguishers was seen. New fire alarm systems in the new wing had been installed and commissioned during 2006. The last entry for day staff fire training was November 2006 and for night staff December 2006. Wheelchairs receive a monthly service check. Clevedon Court Nursing Home DS0000063638.V329538.R01.S.doc Version 5.2 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 4 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X X 3 3 3 3 Clevedon Court Nursing Home DS0000063638.V329538.R01.S.doc Version 5.2 Page 23 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 OP29 Regulation 19 (b) Schedule 2 Requirement The registered person must obtain two satisfactory references for new staff before they commence working at the home. Timescale for action 08/03/07 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 OP38 Good Practice Recommendations Accident reports should be filed in line with data protection legislation. • An accident audit should be introduced to help to detect any patterns emerging where preventative measures could be taken to reduce the risk of future similar occurrences. Care should be taken to ensure ease of emergency access to and from the building where wooden ramps and boards are used to cover the unfinished driveways. • 2. OP38 Clevedon Court Nursing Home DS0000063638.V329538.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Clevedon Court Nursing Home DS0000063638.V329538.R01.S.doc Version 5.2 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. 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