Inspection on 31/07/07 for Coatham Nursing Home

This inspection was carried out on 31st July 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 9 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Coatham Nursing Home 30/06/10

Coatham Nursing Home 07/07/09

Coatham Nursing Home 10/07/08

Similar services:

Ashlea Mews Residential Home

Eastwood

West Lodge

Arran House

Avenue Community Nursing Home

Cosin Lodge

Farmborough Court

Cragston Court

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

CARE HOME ADULTS 18-65 Coatham Nursing Home Coatham Road Redcar Cleveland TS10 1RA Lead Inspector Jane Bassett Key Unannounced Inspection 31st July 2007 09:30 Coatham Nursing Home DS0000068492.V347051.R01.S.doc Version 5.2 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 Coatham Nursing Home DS0000068492.V347051.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 Adults 18-65. 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. Coatham Nursing Home DS0000068492.V347051.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Coatham Nursing Home Address Coatham Road Redcar Cleveland TS10 1RA 01642 482208 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) Gradestone Limited Mr Peter John Joy Care Home 21 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (21) of places Coatham Nursing Home DS0000068492.V347051.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection. Brief Description of the Service: Coatham Road is a 21-bedded care home for Adults aged 18-65 who have a mental disorder. The home is a converted property on three floors with the majority of bedrooms being on the first and second floors. There are fifteen single bedrooms and three double bedrooms. On the ground floor there are two lounges, as well as the kitchen and dining room. The home is situated near to Redcar town centre and is within short walking distance from the beach. It has easy access to local amenities and is directly on a bus route. Many of the Residents have lived in the home for a number of years. The home has recently changed ownership and this is the first inspection since that change. The home charges fees in the range £354 to £500 per week. Coatham Nursing Home DS0000068492.V347051.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection report includes information obtained from an Annual Quality Assurance Assessment completed by the Responsible Individual for the home. Two visits to the home were carried out, the first visit was unannounced. During the visits, which lasted six hours the inspector walked around the building and looked at documentation including staff records and residents files. The inspector spoke to five residents, two staff members and the manager. As the inspector walked around the home she carried out indirect observation of interactions between residents and staff. Two relatives returned surveys to CSCI. Six residents completed surveys with support from relatives or staff at the home. What the service does well: What has improved since the last inspection? The new providers have introduced a range of new documentation including records used in assessment and care planning, a number of policies and procedures have been reviewed and updated. A lot of work has been carried out both internally and externally to improve the environment. New carpets, curtains lighting, and furnishing have either already been provided or awaiting delivery. Residents have been consulted about choice of décor within their own rooms. Residents also spoke of the regular contact with the Responsible individual who spends time talking and listening to them whilst carrying out monthly Regulation 26 visits Coatham Nursing Home DS0000068492.V347051.R01.S.doc Version 5.2 Page 6 What they could do better: Further work is required to develop the assessment, care planning, and review process so that it consistently reflects the current needs of all the residents and how these are to be met. All concerns must be reported to the appropriate authority in the given timescale and prior to any internal investigation. Staff training and supervision must be developed to promote the safety and well being of the residents. A programme of activities that allow residents social, emotional educational needs to be met must be developed and implemented. and Work should continue to develop the quality assurance systems, records of resident’s personal monies, and the remainder of policies and procedures used within the home. Work should also continue to improve the environment for the resident’s comfort and safety. 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. Coatham Nursing Home DS0000068492.V347051.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Coatham Nursing Home DS0000068492.V347051.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Outcomes for standard 2 were looked at. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents’ needs are assessed prior to them being admitted to the home which should ensure that the home can provide the care required. EVIDENCE: During the inspection two files of residents recently admitted to the home were examined. Each file was seen to contain information relating to the individuals needs, which was obtained, from the authority funding the care and given to the home prior to admission. The manager told the inspector that where ever possible he carries out a visit to prospective residents, however information gathered during this visit is not recorded. An assessment of need was carried out by the home following admission and information recorded. The assessment includes activities of daily living, physical health care needs and mental health care needs. Evidence was seen that indicated residents have been involved and agreed to plans of care written following the assessment. Coatham Nursing Home DS0000068492.V347051.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Outcomes for standards 6, 7, & 9 were looked at. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Individuals are involved in decisions about their lives and play a role in planning the care and support they receive. EVIDENCE: During the inspection it was noted that the new providers have introduced a range of new documentation to record the assessed needs and plans of care for residents. The files of 5 residents were examined during the inspection. Each was seen to contain evidence of assessment including activities of daily living, physical health needs, mental health needs and challenging behaviour. All files contained specific plans of care as well as general plans for day and night. Some of the documentation used either was not signed and dated or had no space for a signature and date. It was therefore difficult to ascertain if the information was current and a true reflection of the residents care needs. Coatham Nursing Home DS0000068492.V347051.R01.S.doc Version 5.2 Page 10 In four of the files examined there had been no recent review and evaluation of the plans of care. Files were seen to contain assessment of identified risks, only one of the assessments seen included evidence of discussion and agreement by the individual resident. Other risk assessments had the signature of one member of staff. Other information documented included pen profiles of residents and their preferences, records of daily events, visits by GP’s and other professionals. The Residents’ that spoke to the Inspector said that they were happy living in the home and they were happy with the care they received. One Resident stated ‘the staff are good they help me’, another stated ‘ I am happy living here’. Staff who spoke to the inspector had a good knowledge of the resident’s daily lives and their individual preferences. Coatham Nursing Home DS0000068492.V347051.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Outcomes for standards 11, 12, 13, 15, 16, & 17 were looked at. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People who use the service are able to make choices about their life styles. EVIDENCE: The home employs an activities coordinator for 20hrs per week. Records are kept of activities that have taken place, however this is limited. The inspector was told activities included shopping, visits to the pub for meals, watching TV, and nail care for the ladies. Staff told the inspector there were plans for a trip to Whitby and the cinema to see a movie that was partly filmed in the local area. Staff also spoke of some residents visiting groups such as MIND, local churches and attending college. Coatham Nursing Home DS0000068492.V347051.R01.S.doc Version 5.2 Page 12 Residents who spoke to the inspector said they were generally satisfied with the social activities, however one person said ‘ I would like to do something else apart from watching TV’. There was little evidence of any meaningful and therapeutic activities being provided to the Residents’ living within the home. The inspector was told by both staff and residents that residents can engage in personal relationships if they wish. Six residents who spoke to the inspector were generally satisfied with the meals provided. All said breakfast and lunch were very good and ‘tasty’, however two residents commented on the limited menu offered at teatime and suppertime. The manager told the inspector that he was aware of the concerns raised and has ensured residents are offered a varied menu. He said staff were recording food diaries for a number of residents to monitor nutritional intake. Other comments included ‘ the food is all homemade and good’, and ‘ I have no grumbles, I like the food’. Coatham Nursing Home DS0000068492.V347051.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Outcomes for standards 18, 19, & 20 were looked at. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The health and personal care that people receive is generally based on individual need. The principles of dignity and privacy are put into practice. EVIDENCE: Residents files seen during the inspection contained information including some social/family history, and preferences relating to lifestyle and diet. Plans of care seen all contained residents signatures and those who spoke to the inspector told her staff talk to them about their care. One file examined contained information that indicated the person had a degree of behaviour that was challenging. However there was no evidence of any consistent monitoring, assessment and evaluation of these episodes. Other documentation included records of contacts with GP’s and other health professionals. Coatham Nursing Home DS0000068492.V347051.R01.S.doc Version 5.2 Page 14 The home operates a key worker and named nurse system. The manager told the inspector that a system of quality audit of care documentation was to be introduced. Residents who spoke to the inspector told her they were generally happy with the care they receive at the home, one stated ‘ the staff are good, they spend time with me’ another said ‘ I am happy living here’. Staff who spoke to the inspector were able to describe the care that is offered to individual residents. A sample audit of the medication system found no major concerns, however it was noted that the medication return book was not always signed by the representative of the pharmacy receiving the medication. Staff at the home have access to a BNF, however this is dated 2004 and therefore does not contain up to date information regarding prescribed medication. The providers have recently purchased a new fridge for the storage of medication. Coatham Nursing Home DS0000068492.V347051.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Outcomes for standards 22 & 23 were looked at. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People at the service area able to express their concerns and have access to a complaints procedure, are protected from abuse and have their rights protected. EVIDENCE: The home has a policy and procedure in relation to complaints, and this was seen to be available to both residents and staff. There is no reference within the policy to the complaints procedures of those authorities funding care at the home. The complaints record examined on the day of the inspection indicated that the last complaint received by the home was in 2002. CSCI are aware of complaints received by the home and the previous owners since that date. Residents who spoke to the inspector all said they would raise any concerns with the staff or the manager. The home has a policy on protection of vulnerable adults from abuse refers to the ‘ no secrets’ guidance. CSCI are aware that the home reported concerns raised, however this was not always done within procedural timescales and after an internal investigation had taken place. Staff told the inspector that training in relation to prevention of abuse planned to take place. Coatham Nursing Home DS0000068492.V347051.R01.S.doc Version 5.2 that has the was Page 16 Residents personal monies were seen to be recorded, however there was not always two signatures for each transaction. One resident who spoke to the inspector raised a concern that receipt of weekly personal allowances was inconsistent and he occasionally had to wait extra days. The manager told the inspector that a new policy and procedure was being developed. Coatham Nursing Home DS0000068492.V347051.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Outcomes for standards 24 & 30 were looked at. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home enables people who use the service to live in a well maintained and comfortable environment. EVIDENCE: During the inspection it was noted that the new providers had commenced a programme of refurbishment throughout the home. New carpets have been provided in the ground floor lounge, corridors, stairs and the majority of the bedrooms. Light fittings in lounges have been changed to give a more homely appearance. New curtains had been delivered and were awaiting to be put up in the lounges and bedrooms. Coatham Nursing Home DS0000068492.V347051.R01.S.doc Version 5.2 Page 18 The inspector saw evidence that new furniture had been ordered for bedrooms and delivery was expected. The majority of bedrooms and bathrooms have been decorated. Residents who spoke to the inspector confirmed they were consulted as to colour schemes for their individual bedrooms. The manager told the inspector that further work was to be done including, the remaining bedrooms, flooring to bathrooms and toilets, and radiator covers throughout the home. On the day of the inspection the home was found to be clean, tidy and odour free. Externally the small front garden has been cleaned out and improved and planted. To the rear of the building a covered and heated smoking area has been installed. Coatham Nursing Home DS0000068492.V347051.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Outcomes for standards 32, 34, 35, & 36 were looked at. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. A programme of training for staff has commenced. There are sufficient numbers of staff to support the people who live at the home. EVIDENCE: On the first day of the inspection the inspector was told the home had employed one new member of staff. The file in relation to the recruitment checks carried out was not available to inspect. On the second day of inspection the inspector was able to examine the file. The file was found to contain an application form, 2 references, one of which was the previous employer and a PoVA first check. The responsible individual for the home has confirmed in writing the date the persons employment commenced. Four files of staff employed by the previous owners were also examined. Three of the files contained evidence that CRB disclosures had been obtained, the fourth contained no evidence of CRB. The inspector did not find any evidence that indicated the PIN for qualified staff employed at the home and their eligibility to practice had been checked with the appropriate authority. Coatham Nursing Home DS0000068492.V347051.R01.S.doc Version 5.2 Page 20 Staff who spoke to the inspector told her that a programme of training had commenced. Records seen indicated 3 staff have completed a days course on care of medication, 4 on diabetes and 4 on fire safety. New documentation for formal supervision of staff has been introduced and a programme of supervision has commenced. Coatham Nursing Home DS0000068492.V347051.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Outcomes for standards 37, 39, 40, & 42 were looked at. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The new providers for the home have implemented a range of documentation, policies and procedures that should promote the quality of service offered to the people who live at the home. EVIDENCE: Both residents and staff who spoke to the inspector told her the Responsible Individual makes regular visits to the home and spends time talking to the people who live and work there. Regulation 26 visit reports have been made available to CSCI. A residents meeting was held in May 2007 and minutes were available. Coatham Nursing Home DS0000068492.V347051.R01.S.doc Version 5.2 Page 22 The manager told the inspector that a system for quality auditing of care plans is to be introduced. The majority of policies and procedures have been reviewed in February 2007, the manager told the inspector the remainder were to be reviewed in the near future. The manager currently has 12hrs supernumerary time. Documentation seen during the inspection indicated that accidents are reported appropriately, hot water temperatures are checked and recorded regularly, fire alarms are checked weekly and there has been a recent fire drill and practice evacuation. Other records indicated that fire safety equipment and portable electrical equipment were inspected as required, however there was no evidence of a current gas safety certificate. Coatham Nursing Home DS0000068492.V347051.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 2 3 X 4 X 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 2 35 2 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 2 x LIFESTYLES Standard No Score 11 2 12 2 13 2 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 2 x 2 X 2 2 X 2 x Coatham Nursing Home DS0000068492.V347051.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? 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 YA6 Regulation 15 (2) Requirement The registered person must be taken to ensure that resident’s assessments, risk assessments and plans of care are reviewed and evaluated as necessary, and documentation is signed and dated as this occurs. The registered person must be taken to ensure wherever possible residents are consulted in relation to assessment of risk and evidence of this is documented. The registered person must ensure that all identified areas of need are assessed and evaluated as necessary. The registered person must ensure that residents personal monies held by the home are managed and recorded appropriately to promote prevention of abuse. The registered person must ensure that any allegations of abuse are reported as required within the ‘ no secrets’ guidance and prior to any internal investigation taking place. Timescale for action 01/11/07 2 YA7 14 (2) 01/11/07 3 YA19 14 (2) 01/11/07 4 YA23 17 (2) 01/10/07 5 YA23 13 (6) 01/09/07 Coatham Nursing Home DS0000068492.V347051.R01.S.doc Version 5.2 Page 25 6 YA34 19 7 YA34 19 8 YA35 18 13 13 23 (1) (c) (4) (6) (4) (d) The registered person must ensure that all existing staff have undertaken an appropriate and satisfactory CRB. The registered person must ensure that the PIN of qualified staff are checked with the appropriate authority to confirm eligibility to practice. The registered person must ensure that staff receive appropriate training to the work they perform and the specific needs of the residents this should include ● first aid ● Safeguarding vulnerable adults ● safe food handling ● Fire safety The registered provider must ensure that the gas system and equipment are inspected as required and documentation to confirm compliance is obtained. 01/10/07 01/10/07 01/12/07 9 YA42 23 (2) 01/10/07 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 YA2 Good Practice Recommendations All information gathered by the home prior to the admission of a resident should be recorded and included within the assessment process, to ensure all the needs of a prospective resident can be met. The registered person should further develop programmes which allow for residents to develop social, emotional, communication and independent living skills. The registered person should further develop programmes with residents to enhance their work life, educational and leisure skills. Staff at the home should have access to an up to date DS0000068492.V347051.R01.S.doc Version 5.2 Page 26 2 3 YA11 YA12 4 YA20 Coatham Nursing Home 5 6 7 8 9 YA20 YA22 YA36 YA39 YA40 BNF. The registered person should ensure that records of returned medication include a signature to confirm collection by the pharmacy. The homes complaints policy should be developed further to include reference to the authority funding the resident’s care. Work should continue to develop a formal programme of staff supervision. Work should continue to develop the quality assurance within the home. Work should continue to develop the homes policies and procedures. Coatham Nursing Home DS0000068492.V347051.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Darlington Area Office No. 1 - Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Coatham Nursing Home DS0000068492.V347051.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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