Inspection on 25/07/06 for Crann Mor Nursing Home

This inspection was carried out on 25th July 2006.

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

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

Other inspections for this house

Crann Mor Nursing Home 13/09/07

Crann Mor Nursing Home 26/09/05

Crann Mor Nursing Home 14/06/05

Crann Mor Nursing Home 07/12/04

Crann Mor Nursing Home 02/07/04

Similar services:

Springfield House

The Shelley

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Crann Mor Nursing Home 151 Old Woking Road Pyrford Woking Surrey GU22 8PD Lead Inspector Sandra Holland Unannounced Inspection 25th July 2006 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 Crann Mor Nursing Home DS0000017602.V302218.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. Crann Mor Nursing Home DS0000017602.V302218.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Crann Mor Nursing Home Address 151 Old Woking Road Pyrford Woking Surrey GU22 8PD 01932 344090 01932 344090 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) Mr A M Emambux Mrs M Emambux Care Home 24 Category(ies) of Dementia (5), Old age, not falling within any registration, with number other category (24) of places Crann Mor Nursing Home DS0000017602.V302218.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users may be admitted from the age of 60 years onwards. Date of last inspection 26th September 2005 Brief Description of the Service: Crann Mor is a large two storey detached property, which has been adapted to provide nursing care for up to 24 Older Persons. The home is situated in a residential area not far from the town of Woking. Accommodation is offered mainly in single rooms. There are communal areas consisting of a lounge/dining room and another small sitting area within the home. There are gardens to the front and rear of the property, and there is ample parking to the front of the home. The fees at this service range from £550.00 to £650.00 per week. Crann Mor Nursing Home DS0000017602.V302218.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced “key” inspection was the first to be carried out in the Commission for Social Care Inspection (CSCI) year, April 2006 to June 2007. The inspection was carried out under the CSCI Inspecting for Better Lives programme. As the inspection was unannounced, no-one at the home knew it was to be carried out. The inspection was carried out by Mrs Sandra Holland, Lead Inspector for the service over seven and a half hours. Mr and Mrs Emambux, Registered Providers were present representing the service. Mrs Emambux is the manager of the service. All areas of the premises were seen and a number of records and documents were examined, including care plans, staff files, medication administration record (MAR) charts. Some, but not all of the records relating to health and safety procedures were also seen. Eight residents, one visitor and five staff were spoken with. A pre-inspection questionnaire was supplied to the home. This was completed and returned within the requested timescale. Some of the information from the questionnaire will be referred to in this report. The inspector wishes to thank the residents, staff and management for their hospitality, time and assistance. The people living at the home prefer to be known as residents and that is the term that will be used throughout this report. What the service does well: A very detailed plan of care is held for each resident and residents’ healthcare needs are well met. Staff have a good understanding of residents needs and of the core values of care, including dignity, choice, independence and privacy. The home is furnished and decorated in a homely style, is well maintained and equipped to meet the needs of residents. Hygiene and odour control are very well-managed, even though a number of residents have high needs with regard to continence. Crann Mor Nursing Home DS0000017602.V302218.R01.S.doc Version 5.2 Page 6 Staff receive effective induction and other training to enable them to carry out their role. 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. Crann Mor Nursing Home DS0000017602.V302218.R01.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 Crann Mor Nursing Home DS0000017602.V302218.R01.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The needs of prospective residents are assessed before they are admitted to the home. EVIDENCE: The manager was asked to supply updated copies of the home’s statement of purpose and service user’s guide, as those held on file at CSCI are out of date and this was agreed. The home’s contracts specifying the terms and conditions of residence need to be amended to include the required information. This should include the number of the room to be occupied and should refer to CSCI and not the previous organisation, the National Care Standards Commission. From the records seen and speaking to residents, it was clear that preadmission assessments of the needs of residents have been carried out. The home has its own assessment form which it uses when assessing the needs of prospective residents. For a number of residents, who are supported Crann Mor Nursing Home DS0000017602.V302218.R01.S.doc Version 5.2 Page 9 financially by local authorities, an assessment has been carried out under the care management system. For these residents, a copy of the needs assessment which was carried out, has been obtained and held in the home. The manager stated that the home does not offer intermediate care. A recommendation has been made regarding Standard 2. Crann Mor Nursing Home DS0000017602.V302218.R01.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A detailed plan of care is available to guide staff to the needs of residents. Residents healthcare needs are well met and medication is managed appropriately. EVIDENCE: A detailed and comprehensive plan of the care and support needs of each resident has been drawn up to provide guidance to staff in meeting these needs. A number of the plans were seen and these had been regularly reviewed, contained daily care records and incorporated assessments of risks to residents. The risks to residents that had been assessed included those involved in moving and handling, of developing pressure sores and ensuring adequate nutrition. The assessments also listed actions to be taken or not to be taken, to ensure that these risks were minimised. From the records seen and speaking to staff, it was clear that residents’ healthcare needs are well met and that a number of healthcare professionals Crann Mor Nursing Home DS0000017602.V302218.R01.S.doc Version 5.2 Page 11 are involved in the support of the residents. These include a general practitioner (GP), chiropodist, optician, continence specialist and psychiatrist. The manager advised that the GP visits the home on a weekly basis and at other times on request. An optician service visits the home twice a year or when requested and residents are taken to a local dental surgery for any dental treatment required. Medication at the home appears to be managed appropriately. The deputy manager advised that medication is supplied to the home in blister packs containing one month’s supply of individual medications. These were seen and checked, and the amounts present accurately matched the record held. All medication was seen to be suitably stored in locked provisions, including a lockable medication fridge for medication requiring chilled storage. Staff were observed to speak to residents in an informal, friendly manner and to offer choices and to promote independence. The dignity of residents was respected and personal care or support was given in a way that promoted residents’ privacy. Crann Mor Nursing Home DS0000017602.V302218.R01.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A range of activities are provided to meet residents needs and residents are supported to maintain contact with their families and friends. A well balanced and wholesome diet is offered. EVIDENCE: From the information supplied in the pre-inspection questionnaire, it was noted that a number of activities are carried out in the home, to meet the social and leisure needs of residents. A PAT (Pets As Therapy) dog and handler visit the home every two weeks as does an occupational therapist, who carries out a variety of activities. The manager advised that a member of the care staff carries out exercises and other activities most afternoons. Another member of staff takes the lead for a singing session on Sundays. More formal entertainment by visiting players or musicians is arranged from time to time, the providers advised. Residents and staff said that visitors are welcomed to the home and that refreshments are offered to visitors. Two residents spoke of their family coming to visit them on a regular basis and one family member usually stays for most of the day, to be with their relative in the home. Crann Mor Nursing Home DS0000017602.V302218.R01.S.doc Version 5.2 Page 13 The deputy manager advised that a number of residents go out with their family or friends, either to their homes or to local places of interest. One resident goes out regularly using the dial-a-ride transport scheme to visit a relative. Other residents like to go for walks or short wheelchair trips, close to the home. It was pleasing to hear from a relative that one resident has settled so happily into the home that she has decided to remain there, having originally been awaiting a placement elsewhere. As mentioned previously, some residents prefer to spend their time in their own room and this choice is respected and accommodated. Staff were seen delivering meals and refreshments to residents in their rooms. The manager advised that a church service is held in the home on a weekly basis and that communion is offered to residents individually in their own rooms. Residents were spoken to as they enjoyed their midday meal, which was served to most residents at their tables in the main lounge and to other residents in their rooms. The meal was well balanced, looked appetising and residents spoke appreciatively of the food served at the home. It was pleasing to see that the food was served according to residents’ needs, such as in puree form, and that staff were sitting beside those residents requiring assistance. Crann Mor Nursing Home DS0000017602.V302218.R01.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints are appropriately managed and staff are aware of their responsibilities in the protection of residents. EVIDENCE: The home’s complaints policy and record was seen and two complaints had been recorded since the last inspection. These had been appropriately responded to and managed, and the record had been signed by the deputy manager. Although residents said that they were not aware of the home’s formal complaints procedure, they stated that they felt able to tell the providers or manager if they had any concerns or worries. Staff spoken to were aware of their responsibilities in the protection of residents. Staff stated that they would report any concerns regarding the abuse or any suspicion of abuse of residents, to the manager or the person in charge. From the records seen, most staff have undertaken training in the protection of vulnerable adults (now referred to as Safeguarding Adults). The manager stated that the home would follow the Surrey Multi-Agency Procedure for the Protection of Vulnerable Adults, in the event that an allegation of abuse was made. A copy of this procedure is held in the home, but it was noted that this was an outdated version. It is recommended that the updated version issued in February 2005 be obtained. Crann Mor Nursing Home DS0000017602.V302218.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 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 furnished and decorated in a homely style to meet residents’ needs and is well maintained. Hygiene in the home is effectively managed and the home presents as clean and pleasant. EVIDENCE: A full tour of the premises was carried out and all areas were seen to be clean, tidy and well-maintained. The providers keep a record of decoration and maintenance that is carried out and this was seen to include carpet cleaning, bedroom decoration and improvements in the kitchen. The decoration and furnishing of the home is of a homely and comfortable style and is suited to the needs of residents. Adaptations such as hand-rails and easy access baths have been fitted to promote and assist residents’ independence, although the providers and staff advised that the majority of residents require assistance with their activities of daily living. Crann Mor Nursing Home DS0000017602.V302218.R01.S.doc Version 5.2 Page 16 Hygiene in the home is maintained effectively. Hand-washing facilities are available at appropriate places, with liquid soap and paper towels provided. Where required to prevent the spread of infection, alcohol hand-wash solution was present. Staff were seen to wear appropriate personal protective equipment such as gloves and aprons. Given the number of residents with a high level of continence needs, the staff and management of the home are to be congratulated for the freshly aired atmosphere in the home. Only one resident’s room required odour control and appropriate measures were in place to address this. An attractive rear garden is available to residents and was seen to be planted with shrubs and seasonal flowers and this could be accessed by a ramp. Tables, chairs and sun umbrellas were available, but it was much too hot on the day of inspection for residents to go outside. Crann Mor Nursing Home DS0000017602.V302218.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A stable team of staff are employed to meet the needs of residents. Staff recruitment and training are effectively carried out. EVIDENCE: From the staff list provided with the pre-inspection questionnaire, it was clear that a stable team of staff are employed to meet the needs of residents. These include qualified nurses, care staff, a cook and a housekeeper. Most of these staff have been employed at the home for a number of years, providing consistency and continuity of care and support for the residents. The housekeeper was spoken to and advised that she had started working at the home only recently and had received induction from senior staff. As required at the last inspection, the induction record had been signed and dated by the member of staff being inducted and the senior member of staff providing the induction. It was pleasing to see that personal protective equipment was used and to hear that the housekeeper was aware of health and safety precautions regarding the products in use. It was clear from speaking to staff that they had a good knowledge and understanding of residents’ needs. Staff are aware of core values of care, including offering residents choice, encouraging their independence and Crann Mor Nursing Home DS0000017602.V302218.R01.S.doc Version 5.2 Page 18 promoting privacy and dignity. Staff were able to provide examples of how they incorporate these principles into the care and support they provide. The manager advised that a number of care staff have achieved or are undertaking National Vocational Qualifications (NVQ’s) in care to level two or above. Staff advised that assessors from two local colleges provide support to enable them to achieve these qualifications. Staff files were seen and it was clear that the recruitment of staff is generally carried out effectively, with the required information and documents being obtained. It was noted however, that for one member of staff a full employment history had not been obtained, and the provider stated that this would be obtained. For another member of staff a written record had not been retained of the induction that had been carried out. The provider was advised to ensure this was recorded for the protection of the staff member and the providers. Staff spoke enthusiastically of the training that is provided to enable them to carry out their roles. From the records seen, it was evident that staff receive training required by law, including fire safety, food hygiene and first aid as well as other training to develop their knowledge and skills, such as infection control, understanding dementia and skin and wound care. There is cultural and racial diversity amongst the staff group, although this is not reflected in the resident group. Requirements have been made regarding Standards 29 and 30. Crann Mor Nursing Home DS0000017602.V302218.R01.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is effectively managed and the quality of the service provided is reviewed. The health and safety of those using the service is generally wellmanaged. EVIDENCE: The home has been owned and run by the providers for a number of years with one of the providers carrying out the management role, whilst the other provider oversees the business and the premises. It is clear from the standard of the record keeping, the stability of the staff and the occupancy levels, that the home is effectively managed. The providers advised that they are members of a national nursing home association, from which they receive professional information which helps them Crann Mor Nursing Home DS0000017602.V302218.R01.S.doc Version 5.2 Page 20 to keep up to date with developments in the care sector. The providers also attend local meetings organised by the association. A deputy manager is employed to support the manager and was present for part of the inspection. The deputy is undertaking the NVQ Registered Manager’s Award to develop her management skills. A residents’ survey was undertaken in June this year, the manager stated. Of twenty-three surveys that were supplied, fifteen have been returned and the manager is awaiting the remainder, before compiling a summary or an action plan if required. The surveys that had been returned were seen to contain positive comments in the main. The providers stated that they are not involved in residents’ financial affairs and do not hold monies for them. If residents require assistance with their finances, this is provided by their family or representatives. Any personal expenses incurred by residents, such as for hairdressing or chiropody are paid for by the home and the resident or their representative are then invoiced for these amounts. Health and safety is generally well managed in the home and a number of records relating to health and safety in the home were seen, including fire safety records, food safety records, gas and electrical certificates. These had been recorded to the required frequencies and were within appropriate ranges. A visit had been made to the home by the Environmental Health Officer in March this year and a satisfactory report was made. Products hazardous to health are stored in a locked provision and the staff using them was aware of the precautions needed. A Health and Safety At Work poster and an Employer’s Liability insurance certificate were both displayed, as is required. Two shortfalls in respect of health and safety were noted. A window in the upstairs shower-room was not fitted with a restrictor to prevent it opening fully and did not safeguard against a person falling from it. The provider stated that the restrictor had been moved when a toilet paper fitment was installed and had not been replaced. Holes in the window indicated that a restrictor of the same type as on adjacent windows, had been in place previously. In one resident bedroom, the fitting designed to hold the door open and to be released when the fire alarm was activated, had been broken and the door was wedged open. The wedge would prevent the door closing in the event of a fire and was immediately removed by the manager. An immediate requirement was made regarding Standard 38. Crann Mor Nursing Home DS0000017602.V302218.R01.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 x 2 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 2 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 2 Crann Mor Nursing Home DS0000017602.V302218.R01.S.doc Version 5.2 Page 22 No 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 OP29 Regulation 19 (1) (b) & Sch 2 Requirement Timescale for action 25/07/06 2 3 OP30 OP38 17 & Sch 4 13 (4) (a) A person must not be employed to work at the care home unless the information and documents specified in Schedule 2 have been obtained in respect of that person. Specifically, a full employment history must be obtained. A record of the induction training 25/07/06 undertaken, must be kept for each person employed. All parts of the home to which 25/07/06 residents have access, must be free from hazards to their safety. The window in the upstairs shower-room must be fitted with a restrictor to prevent it opening fully and to safeguard against anyone from falling. Doors designed to close automatically in the event of the fire alarm being activated must not be wedged open. Fittings designed to hold doors open, but to close when the fire alarm is activated, must be maintained in working order. Crann Mor Nursing Home DS0000017602.V302218.R01.S.doc Version 5.2 Page 23 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP2 OP18 Good Practice Recommendations Contracts supplied to residents should record the room to be occupied and should refer to CSCI and not NCSC (National Care Standards Commission). It is recommended that an updated copy (Feb. 2005) of the Surrey Multi-Agency Procedure for the Protection of Vulnerable Adults is obtained and kept in the home. Crann Mor Nursing Home DS0000017602.V302218.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Crann Mor Nursing Home DS0000017602.V302218.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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