Inspection on 07/11/07 for Crispins and Loadhams Nursing Homes

This inspection was carried out on 7th November 2007.

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

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

Other inspections for this house

Crispins and Loadhams Nursing... 22/01/07

Similar services:

The Shelley

Springfield House

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 Crispins and Loadhams Nursing Homes 43/43a Waverley Lane Farnham Surrey GU9 8BH Lead Inspector Sandra Grainge Unannounced Inspection 7th November 2007 09:45 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 Crispins and Loadhams Nursing Homes DS0000068007.V353233.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. Crispins and Loadhams Nursing Homes DS0000068007.V353233.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Crispins and Loadhams Nursing Homes Address 43/43a Waverley Lane Farnham Surrey GU9 8BH 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) 01252 710574 01252 719007 ashbya@bupa.co.uk www.bupa.com BUPA Care Homes (CFH Care) Limited Mrs Angela Mary Ashby Care Home 37 Category(ies) of Old age, not falling within any other category registration, with number (37) of places Crispins and Loadhams Nursing Homes DS0000068007.V353233.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd January 2007 Brief Description of the Service: Crispins and Loadhams is a care home registered to provide nursing care for up to thirty-seven Older People. It is situated close to the centre of Farnham. The home has been owned by BUPA since September 2005. There are two separate buildings located in large grounds. Each house offers accommodation on two floors and there is a lift in each to give access to the first floors. Both houses can offer single and shared bedrooms, the majority with en-suite bathroom facilities. Shared facilities include dining rooms, lounges and disabled access bathrooms. The attractive grounds are accessible and include a new sensory garden as well as an area for those who wish to grow plants and vegetables. There is parking space available for both houses; public transport services are nearby. The weekly fees are between £650 - £975 Crispins and Loadhams Nursing Homes DS0000068007.V353233.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Mrs Sandra Grainge, Locum Regulatory Inspector, carried out this unannounced key inspection site visit over six hours using the Inspecting for Better Lives process. Mrs Angela Ashby the registered manager arranged to be available for the time of the inspection. A tour of each house was carried out and a number of records and documents were sampled, including policies and procedures, residents’ individual files, medication records, staff recruitment files and management records including the system for holding service user spending money. A number of service users, visitors and staff spoke to me during the visit. An Annual Quality Assurance Assessment (AQAA) had been supplied to the home and this was completed and returned by the registered manager. Information provided in the AQAA informed this report. Prior to the visit a number of CSCI “Have your say about” survey forms were supplied to a selection of service users, their relatives and friends and to healthcare professionals involved in the care of residents. Seven of these were completed and returned. The comments concerning the care given were all very positive and three concerns raised were used to focus this inspection. These included choice of meal, control of bedroom temperature, trees and hedges obscuring the light entering the building and a suggestion that relatives would like a monthly statement of their cash float that is deposited with the home. It was pleasing to find that the manager had heard all of these comments and had already taken action to make improvements. The individual issues are included in the appropriate section of this report. What the service does well: What has improved since the last inspection? Crispins and Loadhams Nursing Homes DS0000068007.V353233.R01.S.doc Version 5.2 Page 6 The recommendations of the last inspection have been adopted; two nurses now sign any hand written MAR charts and the quality assurance process is to include the views of any professional who visits the home. A lot of work has been carried out to standardise the existing care plans. The company has upgraded the heating system so that individuals can have more control over the heating in their rooms. Hedges and trees have been cut back to allow more light to enter the buildings. Service users benefit from the addition of a quiet sensory garden and enjoyed involvement with growing flowers and vegetables. The service now has the use of a transport vehicle to take groups on visits. In addition each person has a plan to help to meet his or her recreational needs. 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. Crispins and Loadhams Nursing Homes DS0000068007.V353233.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 Crispins and Loadhams Nursing Homes DS0000068007.V353233.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5 and 6. Quality in this outcome area is excellent. The statement of purpose has been reviewed and the needs of prospective service users are fully assessed before they are admitted to the home. Each service user has a statement of terms and conditions and keeps a guide to the service his or her bedroom. Trial visits and respire care are offered. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home’s statement of purpose has been reviewed and up dated. It contains information needed by prospective service users. In the returned surveys service users and their relatives commented that they had sufficient information about the home prior to entry. Each person has an attractive user-friendly guide and directory of services given to him or her to keep in their bedroom. Everyone had a copy of the service’s terms and conditions and since the BUPA takeover of the home a contract is issued at time of entry. The manager has ensured that all those Crispins and Loadhams Nursing Homes DS0000068007.V353233.R01.S.doc Version 5.2 Page 9 who had entered the home under the management of the previous provider have been given BUPA terms and conditions along with a contract for agreement. All service users have their individual needs assessed prior to admission to the home. The Manger or the nurse in charge of Crispins or Loadhams carries out this task in the absence of a deputy manger. A new documentation systemQuest- contains a checklist that has now been adopted for this task. Service users and their chosen representatives relatives are included in the process. In the samples that I case tracked the assessment was found to be completed and comprehensive. A plan of care is generated from the assessments. Nurses use recognised Department of health guidance tools to assess pressure area care, nutritional needs and the amount of registered nurse input needed. The assessment process is inclusive of the issues around equality and diversity. Service users and their relatives are aware that the staff team has the skills to meet assessed need Trial visits are offered; respite care is often the channel for admission. I spoke to one lady who was receiving respite care; she was pleased with the care and attention from the staff and was interested in participating in the activities taking place. The Manager confirmed that intermediate care is not offered in this service and emergency admissions are rarely made. Crispins and Loadhams Nursing Homes DS0000068007.V353233.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 and 11 Quality in this outcome area is good. Service Users were very pleased with the care given in the service by friendly staff. Their health, personal and social care needs are planned and met. The service has adopted recommendations made in the last inspection report concerning the management of medication. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A plan of care is in place for each service user and it contains the actions to be taken to meet each assessed need. The new Quest system adopted by BUPA has been implemented; information from the previous satisfactory system had been transferred to the new format so that all homes in the group use the same system. A lot of work has been carried out to achieve this and staff have received additional training. The system is still new and it remains to be tried and adapted to be suitable for care assistants to be able to use as a record. Risk assessments for pressure area care; continence, nutritional need, falls, and risk assessments are in place. Crispins and Loadhams Nursing Homes DS0000068007.V353233.R01.S.doc Version 5.2 Page 11 Specialist equipment is supplied to match need. Profiling beds are available for all. The Company has its own specialist nurses and the manager has access to specialist nurses from the local Primary care trust. This was demonstrated in one of the cases that I tracked. Complex care had involved the service user, her family, medical staff, specialist nurses, and the home’s staff. Medication is stored correctly in each home. The administration of medication was observed and the policy and procedure was followed. Ordering and disposal of medication is recorded. A recommendation form the previous inspection that two registered nurses sign on hand written MAR sheets has been adopted. The MAR charts that I sampled were completed. One service user has been assessed as capable of self-administration of medication; staff supported her. The supplying Pharmacist inspects the medication system and gives advice. Staff practice towards service users was observed to be polite, respectful and, kind. Service users feel that they are treated with respect and commented positively both in the returned surveys and to me during the visit. Service user privacy is respected; screening curtains are available if shared rooms are used and staff were observed to always knock on each individual’s bedroom door. The care plans contained note of the term of address preferred by each service user. The Quest system includes space for detail of end of life care and preferences. Evidence of good care and appreciation of relatives was seen in “ thank you” letters in the home. Crispins and Loadhams Nursing Homes DS0000068007.V353233.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, and 15. Quality in this outcome area is good. A range of social and leisure activities are offered to residents and they are supported to maintain contact with their families and friends. Nutritional assessments are carried out and a well-balanced and varied diet is enjoyed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Daily routines in home are flexible to meet service user need. Information about activities is displayed and everyone is kept informed and encouraged to participate. Comment in the returned surveys indicated that staff “respect the wishes” of each individual. The relatives felt “welcomed and informed”. The home operates as part of the local community, there is involvement with local organisations and the home participates in the local crime watch group. The last service questionnaire analysis carried out by the manger indicated that Service users wanted more outings and activities. In response, arrangements have been made to share a transport bus with another BUPA home. There was evidence of a recent trip to Wisley, several service users told me how much they had enjoyed this. Crispins and Loadhams Nursing Homes DS0000068007.V353233.R01.S.doc Version 5.2 Page 13 Each person has map of life in their file that includes activities that are liked. Arrangements are then made. An indoor golf tournament was taking place during the visit; service users from each house, staff and relatives were clearly enjoying this. A service user commented that the activities organiser “is a real enthusiast” and supports people to join in if they wish. Each bedroom is individual and contains fittings, furnishings and personal items that reflect the taste of the individual and there is evidence that they are encouraged to bring personal possessions with them to the home. Each person has a nutritional assessment on entry to the home. Likes and dislikes are recorded with respect being given to cultural and religious needs as well as preference. Staff have new sit-on weighing scales to monitor service user weight to check on nutritional need. An anonymous returned survey included a comment that “ the evening meal is often not suitable for me to eat”. I met the chef and looked at menus. Choice is always available and in addition there are always “light” alternatives on offer. There was evidence of this in the menus and service users confirmed the availability of alternatives to the main menu. The chef checks all menus for nutritional content using the Company nutritional computer programme. Cultural and religious dietary needs can be met. The lunch tables were attractively set with fresh flowers. All service users who spoke to me liked the food. One person, who chooses to eat in her own room, commented that the food was cold when it arrived. With her permission, this information was shared with the chef and nurse in Loadhams. The main meals are prepared in Crispins and transferred in a hot trolley to Loadhams where they are served. In addition there is a microwave oven available in the Loadhams kitchen; this will be used to ensure that food served in bedrooms is always hot. A new range of nighttime snacks has been introduced for those who are hungry outside the normal meal times. There are enough staff on duty to give assistance to those who need help to eat. Crispins and Loadhams Nursing Homes DS0000068007.V353233.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. Few complaints have been received and these had been appropriately managed. Staff are aware of their role to safeguard the service users who feel protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Manger had recorded five complaints that had been received by the service in the last year; all had been managed in the set timescale; none was founded and the complainants were satisfied with the outcome. No complaints had been received by CSCI. I asked service users and relatives asked during visit if they were aware of the procedure to complain; they replied in the affirmative. The same outcome was found in the returned CSCI surveys. The complaint procedure was seen to be available in the service. Service users told me they feel safe in the home. They demonstrated great trust in the Manager. Staff informed me that they have been trained and know how to manage an allegation of abuse. A copy of latest local authority multi disciplinary guidance is available in the service. In the returned surveys a relative suggested that it would be helpful to have “ monthly statements of the cash float deposited”. I inspected the procedure and records for the management of service user personal accounts held in the Crispins and Loadhams Nursing Homes DS0000068007.V353233.R01.S.doc Version 5.2 Page 15 home and there was a robust system in place. Statements are already available to service users and their relatives. Crispins and Loadhams Nursing Homes DS0000068007.V353233.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 25 and 26. Quality in this outcome area is good. Service users live in a safe, well-maintained environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Both houses are well maintained and in good order. The layout meets the requirements for registration as a care home with nursing. A comment was made in a returned survey that “hedges obscure light”. The grounds are tidy and all the hedges had been cut back; there was no restriction of light to rooms in either house. A sensory garden for those who have a visual impairment has been created during the year and in addition, service users had enjoyed being involved with a garden for growing flowers and vegetables. A service user commented in the returned survey “her room was too hot” Crispins and Loadhams Nursing Homes DS0000068007.V353233.R01.S.doc Version 5.2 Page 17 The manager reported that work has been carried out on the heating system and the houses have new boilers and fittings to make the central heating more responsive and allow service users to control the temperature in their own bedroom. During the visit I observed a care assistant responding to a request from a service user who wanted her to increase the heating because she was cold. This was done to her satisfaction. The service still consists of two separate houses. One kitchen in Crispins is now used to cook main meals and food is transported to the other house in a heated trolley. The other kitchen in Loadhams is used to prepare breakfasts, teas and drinks and for the preparation of home made pastries and cakes. There is a laundry in Loadhams that has capacity for both houses and has laundry equipment capable of hot wash and sluice cycles to infection control standards. The Manager has improved the care of clothes by arranging to have the laundry fitted with more shelves, hanging space and supplying a trolley to move clothes. Throughout the houses hand washing facilities are available together with paper towels, liquid soap and disinfectant. Staff are aware of good infection control practice. Fire regulations are adhered to and the system is checked regularly. The premises were clean, tidy and odour free on the visit day; a relative commented on this in the returned survey, “The home is always clean, smells fresh”. Each service user’s room is individually decorated and furnished and contains their own personal possessions and belongings. The décor and furnishings in the shared areas are attractive; I noticed that the carpet in Loadhams is worn along the corridors where is secured with hazard tape to make it safe. Stair carpet in Loadhams and in Crispins is worn and due for replacement. Crispins and Loadhams Nursing Homes DS0000068007.V353233.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. A full team of trained and suitably recruited staff are employed to meet the needs of service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The number of staff employed in the home is appropriate to meet the assessed needs of the service users. The returned surveys contained evidence of the high regard that both service users and their relatives have for the staff and their skills. One said, “Care tailored to needs of the person, different abilities and conditions treated according to needs” and another “well looked after, Mother is very content”. The home employs a staff training coordinator who was not on duty at the time of the visit; there was evidence in staff files of training certificates and 80 of carers have achieved NVQ 2 or above. Agency nurses are not used because the service has its own staff and a bank of registered nurses. However, a deputy manager is needed and recruitment is in progress to fill this vacancy. The Manager is currently covering the post and the senior nurses are acting up. A thorough recruitment practice is followed and there was evidence of this in the staff files. Crispins and Loadhams Nursing Homes DS0000068007.V353233.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35, and 38. Quality in this outcome area is excellent. The home is effectively managed, run in the best interests of service users and provides good environment in which to live and work. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager has recently achieved the registered managers award; in addition she was given a company award for Management. Both service users and staff told me that all hold her in high regard. There is a good team spirit in the two houses. Senior nurses informed me that the implementation of the Quest recording system has been a major task; it Crispins and Loadhams Nursing Homes DS0000068007.V353233.R01.S.doc Version 5.2 Page 20 involved changing all the existing systems; the manager has successfully led and motivated the staff without the support of a deputy. Quality assurance and monitoring systems are in place. Service users have a life plan and are consulted about the care they receive and the operation of the service. Company quality surveys had been sent out on the morning of the visit. The manger plans to follow the recommendation of the previous inspection visit to send a survey to all professionals who are associated with the service. The results of the previous survey had been analysed and there was evidence that actions had been taken to address any issues raised. The accounting practice for the management of service user monies held as petty cash was inspected and found to be in order. It is recommended that periodically two people should check the sum used as petty cash. There was evidence that current insurance cover for the home is in place. Copies of recent provider inspection reports are available in the home. Staff confirmed that they receive regular supervision that is documented and relates to their training programme. There was robust record keeping practice in place for fire safety, health and safety and management of hot water temperatures. All accidents are recorded and risk assessments are in place. The Manager reports all incidents and deaths to CSCI and has been referred to the CSCI guidance to use the official format and to avoid over reporting. Crispins and Loadhams Nursing Homes DS0000068007.V353233.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 4 3 4 4 3 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 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X X X 3 3 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 4 3 3 3 3 X X 3 Crispins and Loadhams Nursing Homes DS0000068007.V353233.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP19 Regulation 23 Timescale for action The registered provider to send a 31/12/07 plan for replacement of worn carpets on stairs in both buildings and along corridors in Crispins. Requirement RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Crispins and Loadhams Nursing Homes DS0000068007.V353233.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South Cowley Oxford OX4 2SU 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 Crispins and Loadhams Nursing Homes DS0000068007.V353233.R01.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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