Inspection on 26/03/07 for Craigielea Nursing Home

This inspection was carried out on 26th March 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Craigielea Nursing Home 16/02/06

Craigielea Nursing Home 22/06/05

Craigielea Nursing Home 17/02/05

Craigielea Nursing Home 16/09/04

Craigielea Nursing Home 04/03/04

Similar services:

The Highlands

Turret Villa Retirement Home

Moor House

Blenheim House

1 Lanark Close

Mendip House

Beaconsfield Court Care Home

Ann Charlton Lodge

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

CARE HOMES FOR OLDER PEOPLE Craigielea Nursing Home 739 Durham Road South Low Fell Gateshead Tyne & Wear NE9 6AT Lead Inspector Mr Tom Moody Key Unannounced Inspection 26th March 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 Craigielea Nursing Home DS0000018171.V331936.R02.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. Craigielea Nursing Home DS0000018171.V331936.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Craigielea Nursing Home Address 739 Durham Road South Low Fell Gateshead Tyne & Wear NE9 6AT 0191 487 4121 0191 487 0639 susan@craigieleacare.co.uk 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) Gateshead Dispensary Nursing Home (Craigielea Limited) Mrs Deborah Doran Care Home 29 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia - over 65 years of age (1), Old age, of places not falling within any other category (29), Physical disability (1), Physical disability over 65 years of age (3), Sensory Impairment over 65 years of age (1) Craigielea Nursing Home DS0000018171.V331936.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 1 person may be in category MD(E) for the length of the placement or as long as the home can continue to meet their needs appropriately 1 person may be in category PD for the length of the placement or as long as the home can continue to meet their needs appropriately 16th February 2006 Date of last inspection Brief Description of the Service: This home is a three storey, stone built building with a slate roof. It is a converted building. A sympathetically styled extension has provided additional communal and bedroom space. It is located in a residential area, close by the A167 in the Low Fell area. It has 31 places and is registered to provider care, including nursing care, to elderly persons. The home is run on a not for profit basis by a registered charity. It is close to local facilities and main bus routes. It stands in its own grounds. These are well kept and planted, and are easily accessible to service users. There is limited parking in the home but street parking is possible in the area around the home. Craigielea Nursing Home DS0000018171.V331936.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and was carried out by one Inspector over one day on 26 March. Before the site visit, surveys from service users and their relatives were read. A high number of these were completed and the overwhelming majority were very complimentary about the home and the staff of the home. The inspector spoke to a number of service users, the manager, a number of nursing and care staff. No visitors were seen during the inspection. A sample of records were inspected for service users who were case tracked. These included, care plans, complaints records and medication. Staff files were also seen including training and recruitment documentation. The building was checked to see the facilities and equipment available for residents, and the general maintenance and safety of the property. What the service does well: The home has a varied social programme that is enjoyed by the service users. One service user stated that, “I enjoy the old time singers.” Another said she “enjoyed the music,” in the home Most of the service users can make excursions outside the home and staff support this. The home has it’s own minibus transport and extra staff are brought in to provide escorts if necessary. One service user commented that, “I have been asked many times if I want to go out on a trip. The decisions always mine to go out or not.” The home is clean and odour free, one relative wrote that, “The home is always spotlessly clean.” The home has well maintained and it is very well equipped to meet a wide range of service user needs. The home has accessible gardens that are well planted and pleasantly landscaped. The gardens are used and appreciated by service users. One service user wrote, “Definitely the best place I have lived in, couldn’t be better.” A well-appointed hair salon has been provided. This adds interest to service users lives as well as providing a hair dressing service. Craigielea Nursing Home DS0000018171.V331936.R02.S.doc Version 5.2 Page 6 The staff are strongly committed to providing good care and relatives and service users spoke well of staff’s attitude and enthusiasm. Comments such as, “I could not fault the staff, you couldn’t get better,” and “I am happy here at Craigielea and I feel safe; I am well looked after.” were typical. Staff are well trained and supported by the homes management. One service user stated that, “Staff are observant and act quickly upon any problem which may arise. They will also listen to any problems my family have.” Another wrote that, “The staff are always friendly and nothing is a bother.” The kitchen staff are equally enthusiastic and “home cooking” features strongly on the menu. The quality and timing of meals is good. The majority of rooms are well decorated and have a homely feel. The furnishings in bedrooms reflect the service users own tastes and interests. One relative wrote that they, “ Couldn’t have chosen a better nursing home for my relative.” 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. The summary of this inspection report can be made available in other formats on request. Craigielea Nursing Home DS0000018171.V331936.R02.S.doc Version 5.2 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 Craigielea Nursing Home DS0000018171.V331936.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is exellent. This judgment has been made using available evidence including a visit to this service. Service users entering the home have all of their needs accurately assessed by social care and health service staff. The home makes it’s own assessment in addition to this, to ensure it can meet service user’s requirements. Most service users and their family have the opportunity to visit the home before they come to stay, unless there are exceptional circumstances, and accurate information is availale about the home. This allows them to make an informed choice about their stay. EVIDENCE: The home has a satisfactory service user’s guide that provides a good level of information to service users in an easily understood format. It contains the necessary information about the staff and manager of the home. The manager stated that service users can visit the home and all potential service users are provided with a service users guide. A large number of comment cards from service users and their relatives say that they were given a good level of information before moving into the home. Some commented they had been able to visit and take a meal with other service users. Craigielea Nursing Home DS0000018171.V331936.R02.S.doc Version 5.2 Page 9 The manager also stated that service users have contracts. Examples of these were seen. The manger confirmed that the placing authority did their own assessment and that the home did their own assessment of needs independent to this. Records contained both assessments and this provided a comprehensive picture of service users needs, including social, spiritual and aspirational needs. The manager said that service users were encouraged to provide information for their own profile or “life history” and examples of these were also seen. Craigielea Nursing Home DS0000018171.V331936.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is exellent. This judgment has been made from evidence gathered both during and before the visit to this service. Care plans had good information in relation to healthcare needs and demonstrate that the home is meeting all of service user’s healthcare needs. The care that was observed matched the service user’s care plans. The homes medication systems are being adhered to and service users are protected by as safe system of medication that is properly operated by staff. EVIDENCE: The providers self-assessment indicates that there have been few reported incidents and no complaints since the last inspection. There have only been 6 deaths at the home within the last year and accident rates are unremarkable. The providers self-assessment shows the home invests in appropriate equipment and aids for service users. Craigielea Nursing Home DS0000018171.V331936.R02.S.doc Version 5.2 Page 11 Care plans for some service users were examined. They were well written and contained all the information necessary to ensure service user’s needs are met. This includes nutritional assessments, information on pressure damage risk and moving and handling. The care plans indicate the involvement of clinical specialists. There were good risk assessments documented and evidence that this was carried out in practice. The home has a policy on wound care and tissue viability that is based on the local health care trust model, an example of this was seen. This should ensure the treatment is in line with best practice and the current NHS model. The Manager said that relationships with the local GP practice is good and there are good records of GP and other professional’s visits in service users care plans. The home is well equipped and all rooms have variable height beds. Many beds showed evidence of alternative strategies to bed rails, such as foam-wedges. There are a number of pressure relieving cushions and mattresses in use and the home has a variety of hoists and other moving and handling equipment. The home has appropriate policies, and practice to ensure service users receive their medication in a safe way. Observation of the administration and storage indicated this was good and in line with policies. The Medicine Administrations Records that were seen by the inspector were accurate and well kept. Staff were seen to talk respectfully to service users and listened attentively to what they said. Staff knocked before entering service users rooms and gave support in a way that was unhurried and focussed on the individual they were dealing with. Service users confirmed this with comments such as, “Staff are very careful and thoughtful, especially when contact is necessary (for example) toileting, dressing etc.” Craigielea Nursing Home DS0000018171.V331936.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is exellent. This judgment has been made from evidence gathered both during and before the visit to this service. The service users can make full use of all of the homes facilities and show signs of having their own interests and possessions. There is evidence of visitors involvement in service users care and recreation. Service users enjoy an appetizing selection of meals in well-decorated and pleasant surroundings. All of this indicates most service users needs and preferences are being met by the home and that they have choice and control over many areas of their lives. EVIDENCE: The home has a well-kept garden with level access. Service users confirmed that they were able to, “go out when the weather is fine.” Service users spoke of taking part in recreational activities, commenting, “We have lot’s of activities and even trips out, I enjoy these.” The provider’s self-assessment indicates a varied social programme is available for service users. There were posters to inform people of entertainers that were due to perform in the home and one service user said, “I enjoy the music, we always have lovely music.” Craigielea Nursing Home DS0000018171.V331936.R02.S.doc Version 5.2 Page 13 The home has it’s own minibus and staff are trained to drive it. The manager said that the home does have visits from ministers of religion, and lay church visitors, and provided “in house” services for service users. There were notices posted to inform service users and visitors of the times of these. Service user’s bedrooms reflect their personal tastes and contain items that reflect the individuality of the occupant. Service users were able to choose where they spend their time, some preferring to stay in their room. Comments in survey forms also indicated service users had the choice of whether to participate or not. Someone stated, ”I am never forced to do anything I don’t want to, I always have the choice to participate or not.” Relative’s comments on survey forms indicate that they are made welcome and the great majority have a high opinion of staff member’s skills, although there were some isolated comments indicating staff may “cut corners” when the Manager is not in the home. The manager is already aware of this and has taken measures to deal with this problem. There is a good assessment of social needs in service users care plans. Kitchen staff are enthusiastic and the kitchen was clean and well ordered. The meal that was served was appetising and well presented. Staff were seen to support service users, who needed help, in a sympathetic and relaxed way. This support was always unhurried and focussed on the individual. Menus were available and indicated a variety of meals were available and that there were alternatives if these were not acceptable. Service users indicated the food was of a good standard and to their personal taste when speaking to me or when replying to survey forms. Comments such as, “If I do not like what’s on the menu the chef will make anything I fancy” and “I enjoy all of my meals, I can make choices at each mealtime what I would like,” were typical and indicated service users were able to exercise choice and control over what they ate. Craigielea Nursing Home DS0000018171.V331936.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgment has been made from evidence gathered both during and before the visit to this service. Service users and most relatives are comfortable about raising issues with staff and the manager. They are sure that issues will be dealt with appropriately by the manager. Staff have had training and have a good awareness of protection issues. The local authoritys strategy, the managers ethical approach and the company’s policy should combine to protect service users from abuse. EVIDENCE: The home has suitable policies. The complaints procedure is available and is displayed in the home. This gives clear information about how, and whom complaints can be made to. The information is also in the Service Users Guide. The manager spoke of seeking early resolutions and dealing with potential problems by having a good level of contact with relatives and service users. Concerns are recorded in service users care plans under, relative’s comments section. Complaints are only recorded as “Complaints” if they are unresolved at this stage. There are only a few complaints that are recorded at this stage. The manager said that she organised relative meetings to provide another avenue for relative to air their views. Relative’s comments in survey forms indicate they were confident that the manager and staff would take up any issues they had. One person said, “Matron (manager) is always ready to listen to anything you need to say.” Craigielea Nursing Home DS0000018171.V331936.R02.S.doc Version 5.2 Page 15 One service user commented in their survey that, “The staff are always friendly, approachable and professional.” Staff receive training in this area and the local authority have a robust adult protection strategy that the staff are aware of. Craigielea Nursing Home DS0000018171.V331936.R02.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): Quality in this outcome area is good. This judgment has been made from evidence gathered both during and before the visit to this service. The home is clean, tidy, and it is well maintained. Bedrooms are well furnished with service user’s possessions and are generally suited to their needs. The home has aids and adaptations, and provides a suitable environment that will meet service users needs and safeguard staff. EVIDENCE: The grounds and garden are well designed and maintained. There are paved areas accessible to service users. The home was warm, well ventilated and well decorated. Heating is provided from a safe, low surface-temperature source. No extremes of temperatures were experienced during the inspection. The home has good levels of natural and artificial light in all areas. Craigielea Nursing Home DS0000018171.V331936.R02.S.doc Version 5.2 Page 17 All communal areas are clean, bright, attractive and homely in appearance, are tastefully decorated and furnished with co-ordinating furnishings and curtains, and are domestic and varied in style. The home does have a “loop” induction coil system, for hearing aid users, installed and working in the lounge. There is a large screen television in the main lounge and the clearer picture this provides, is appreciated by service users. The home has a dedicated hairdressing facility that is bright and modern. Residents are encouraged to bring into the home personal items and furniture of their own. A number of rooms were viewed to confirm this as they were personalised to suit individuals. This home has reduced the overall number of bedrooms to provide larger and more pleasant rooms. A further reduction is underway as two bedrooms are being converted to provide an improved clinical area and quiet room for visitors. All areas of the home were clean, odour free and generally well maintained. The home provides very good levels of equipment, such as hoists and pressure relieving aids. All rooms have variable height beds and the manager said that more bathrooms are to be furnished with assisted baths, of differing design, to accommodate service users with differing levels of ability. Craigielea Nursing Home DS0000018171.V331936.R02.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): Quality in this outcome area is good. This judgment has been made from evidence gathered both during and before the visit to this service. The number of staff on duty was sufficient to meet service users care needs. The homes recruitment policy and practice safeguards service users. Training is provided and is evident in all practice. EVIDENCE: The staff on duty were engaged with service users and service users did not have to wait for attention. Care was given in an unhurried manner and call buzzers were answered promptly. Recruitment policies and procedures are appropriate. Most records indicate that these policies are adhered to and that recruitment is carried out in a safe manner although one reference was not of the required standard. Providers self-assessment and staff records indicate training takes place and staff confirm they receive an induction. The home has high levels of staff that have achieved NVQ level 2 or above. Staff spoke of being encouraged to take up NVQ training and on the achievement of level two they take part in an award ceremony that includes a gift of champagne. The company also offers an increase in the hourly rate as an incentive for staff to achieve the required levels of training and staff feel valued by the home because of this. Craigielea Nursing Home DS0000018171.V331936.R02.S.doc Version 5.2 Page 19 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): Quality in this outcome area is exellent. This judgment has been made using available evidence including a visit to this service. The home has good systems, policies and procedures. Resources are provided to ensure service users have a safe and comfortable environment. The manager is professional in her approach, committed to the home and is supported by the provider. Service users will benefit from the way the home is managed. EVIDENCE: The Registered Manager is an experienced Registered Nurse and has managed the home successfully for some time. She has completed the “Registered Managers Course”. The staff confirm that they can approach the manger and that staff meetings take place. Relatives and service users said that they feel that they can approach the manager and senior staff. Staff and manager have a relaxed but respectful attitude to one another. Craigielea Nursing Home DS0000018171.V331936.R02.S.doc Version 5.2 Page 20 Service users and relatives comments also indicate satisfaction with the management of the home, one relative wrote that, “The Matron is the backbone of this home.” Another relative stated, “Matron is always ready to listen to anything you need to say.” The manager said the home is about to introduce a new quality audit system. She also spoke of doing a “walk around” on each shift and observing different shifts in the home to ensure staff are working according to the companies policies. The service user’s personal allowance is kept safely and accounted for in a foolproof way and the manager said that this had not changed. The home’s policies cover induction and training. Inspection of records and discussion with staff confirm this takes place, and that training is of good quality and provided by reputable agencies. The manager said supervision also takes place within an established framework and records confirmed this. Issues of health and safety are satisfactorily addressed. Risk assessments are carried out and records, and my observations, indicate that the home is well maintained and very well equipped. Discussions with the management team indicate that they forward plan to anticipate problems and invest in appropriate equipment before it is needed. The use of positive incentives, such as increased pay and award ceremonies, to encourage staff to take up NVQ qualifications is an excellent example of good management practice. Craigielea Nursing Home DS0000018171.V331936.R02.S.doc Version 5.2 Page 21 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 4 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 4 3 4 3 4 3 4 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 4 4 3 X 3 3 4 Craigielea Nursing Home DS0000018171.V331936.R02.S.doc Version 5.2 Page 22 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. Standard Regulation Requirement Timescale for action 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 OP29 Good Practice Recommendations The home should ensure all recruitment policies are followed. Craigielea Nursing Home DS0000018171.V331936.R02.S.doc Version 5.2 Page 23 Commission for Social Care Inspection South Shields Area Office 4th Floor St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Craigielea Nursing Home DS0000018171.V331936.R02.S.doc Version 5.2 Page 24 - 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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