Inspection on 14/03/07 for Croft House Nursing Home

This inspection was carried out on 14th March 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

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Snydale Care Home

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Whiteley House

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Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

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

CARE HOMES FOR OLDER PEOPLE Croft House Nursing Home 52a High Street Gawthorpe Ossett West Yorks WF5 9RL Lead Inspector Stephen French Key Unannounced Inspection 14th March 2007 09:00 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 Croft House Nursing Home DS0000068602.V325902.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. Croft House Nursing Home DS0000068602.V325902.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Croft House Nursing Home Address 52a High Street Gawthorpe Ossett West Yorks WF5 9RL 01325 351100 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) CC Care Ltd *** Post Vacant *** Care Home 68 Category(ies) of Dementia (1), Dementia - over 65 years of age registration, with number (24), Mental Disorder, excluding learning of places disability or dementia - over 65 years of age (24), Old age, not falling within any other category (44) Croft House Nursing Home DS0000068602.V325902.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. To accommodate one named male person aged under 65 years of age, category DE New Service Date of last inspection Brief Description of the Service: Croft House is a two-storey purpose built care home that provides accommodation for 68 older people requiring either residential care, general nursing care and/or dementia care. Qualified nurses are employed at the home and a good number of care staff are trained to National Vocational Qualification standards (NVQ Level 2 or above). The home employs an activities organiser. The home, which is situated off the main road in Gawthorpe, Ossett has two pleasant gardens and is situated close to local shops. There are local public transport links to the towns of Dewsbury, Wakefield and Leeds and access by private transport to the motorway network. The home has three distinct units each with lounges and dining areas. Quiet rooms provide space for service users and visitors to sit and relax away from main lounges or as a change of environment from their own bedrooms. The provider informed the Commission for Social Care Inspection on 14/03/07 that fees range from £359.00 to £386.00 per week. Additional charges include hairdressing, private chiropody, newspapers and some selected activities. Information about the home and the services provided are available from the home in the statement of purpose and service user’s guide. The last inspection report can also be obtained by contacting the home. Croft House Nursing Home DS0000068602.V325902.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit carried out on the 14th March 2007. The inspector arrived at the home at 9:00 am and left 4:30pm. This was the homes first visit since the home was acquired by CC Care Ltd. During this visit the inspector spoke to some of the service users, some of the staff and the home’s management. The inspector read care records, audited a sample of medication, reviewed staff recruitment and training records and carried out a brief tour of the building. Prior to the inspection 10-service user questionnaires were sent to the home to obtain service users’ views about living at the home. Three completed questionnaires were returned and these gave some positive comments about the care that is provided. Some service users in the home are very frail and would not be able to complete a questionnaire. There were fifty-seven service users resident in the home on the day of this visit. Relative surveys were also sent out and seven were returned, comments included, “I am pleased at the way I get to know what’s happening”, “The skills of the care staff are very good”. Some negative comments included, “Some of the care staff don’t seem to understand the needs of different individuals, especially the younger care staff”. “There should be more staff on duty especially at night”, “More care staff and more training for people’s individual needs”. One questionnaire received from a visiting professional stated, “Recent changes in ownership and management has led to dissatisfied staff and high staff turnover”. One visiting professional spoken to said that they were concerned about the number of staff who had left since the new providers had purchased the home, and whether the standards of care would deteriorate. Other information used in the inspection process included notifications from the provider to the Commission for Social Care Inspection about deaths, illnesses, accidents and incidents at the home, copies of the monthly management visit reports produced by the provider and a pre inspection questionnaire completed by the manager. The inspection has concluded that residents’ needs, both personal and recreational, are met. However there are still improvements to be made to ensure the expectations of the service users are being met. Croft House Nursing Home DS0000068602.V325902.R01.S.doc Version 5.2 Page 6 What the service does well: 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 Croft House Nursing Home DS0000068602.V325902.R01.S.doc Version 5.2 Page 7 be made available in other formats on request. Croft House Nursing Home DS0000068602.V325902.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Croft House Nursing Home DS0000068602.V325902.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,6 Pre admission assessment processes are good and Service users have the information they require in order for them to decide if they wish to move into the home. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager said Service users are able to obtain information about the home and the services it offers by requesting a copy of the service user’s guide and reading the home’s statement of purpose. The homes statement of purpose and service users guide was examined to ensure that the home has amended the information to reflect the new management structure and update the number and qualifications of staff. Croft House Nursing Home DS0000068602.V325902.R01.S.doc Version 5.2 Page 10 The manager stated that she, or one of the unit managers visits each prospective service user prior to them being admitted to the home. The purpose of the visit is to complete a pre-admission assessment to ensure the home is able to meet the needs of the service user. Completed pre-admission assessments were seen for three recently admitted service users, these confirmed that the home were following their admission procedures. Following admission service users are issued with a terms and conditions of admission (Contract) which informs them of, amongst other things, the fees they are required to pay and what is and is not included in those fees. Three service users contracts were examined and these had been signed by the service user or their representative. The manager stated that the home does not offer intermediate care. Croft House Nursing Home DS0000068602.V325902.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Generally service users health care needs are being met but need to be further developed. Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager said that each service user has an individual care plan which has been developed from information gathered from the community care assessment, members of the multidisciplinary team, service users and relatives. The care plans seen informed the staff of the actions they are to take to help the service users maintain their personal and psychological well-being. It was noted that the home is currently introducing new care plan documentation, which contains, amongst other things, comprehensive risk assessments to enable staff to identify service users who may be at risk. Croft House Nursing Home DS0000068602.V325902.R01.S.doc Version 5.2 Page 12 Five service users care plans were examined and care plans were in place for issues identified in the assessments. Risk assessments were in place e.g. for nutrition, oral health, moving and handling and skin integrity. On the whole, where assessments identified that the service user was at risk, a detailed care plan was in place. There was one care plan that had not been reviewed since October 2006 and one care plan, which had not been completed fully, identified the service user as having a red area to their sacral area but there was no care plan in place to inform staff of the actions they are to take in order to prevent further deterioration of the service user’s skin. This was discussed with the manager who said she would make sure that the care plan was completed fully, she would also discuss with the staff involved why this had not been completed. There was evidence in individual case files that the staff had accessed other members of the multidisciplinary team such as GP’s district nurses, opticians and chiropodists. Although the content and detail of the service users’ care files read was satisfactory there are still areas, which need to be addressed, E.g. to ensure that the appropriate care is being given to the service users. A service user spoken to said that the staff were marvellous and were always willing to help. Staff were observed respecting service user’s privacy by knocking on service user’s doors before entering their rooms, and were heard speaking to them respectfully. Seven relative questionnaires received by the commission stated that the health care needs of the service users are being met and that staff respect the privacy and dignity of the service users. The manager said that qualified nursing staff are responsible for the administration of medication within the home. Five amounts of service users medication was audited against the administration records held within the home. One medication stock balance did not tally with the medication administration records held by the home. And another did not have the previous stock balance of medication transferred to the current month recorded. This was discussed with the manager and was rectified immediately. She also stated that she would speak to individual staff to make sure this was continued. Croft House Nursing Home DS0000068602.V325902.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Service users are able to choose what they do. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager said that the home employs a full time social activities organiser who is responsible for arranging activities for the service users; a part time assistant supports her in her role. The timetable of social activities are displayed in the reception area as well as on each unit so service users are aware of what activities are taking place. Activities include beauty therapy, dominoes and arts and crafts. For service users who have a dementia type illness there is also aromatherapy and reminiscence therapy, records of these sessions were seen in care files examined. On the day of the visit preparations were in place for the Easter period and the manager said that some service users were making Easter bonnets. Croft House Nursing Home DS0000068602.V325902.R01.S.doc Version 5.2 Page 14 Once a month the home is visited by the local clergy, who performs communion for service users who wish to participate. The manager said should a service user wish to visit the church then the staff would support them in doing so. The manager said that family and friends are able to visit the home at any time. The home has a four-week menu in place and all the service users spoken to said how nice the food was. There is a choice of two main dishes and on the day of the visit the lunch consisted of chicken pie, mashed potatoes and a selection of vegetables, followed by rhubarb and custard. Service users are able to eat their meals in their own rooms or in the dining room, during lunch time the inspector saw service users sitting in the dining room as well as two service users being served their lunch in their own room. On the day of the visit the inspector observed staff assisting those service users who required help with feeding in a sensitive manner. Service users spoken to said that the meals were nice and that if you didn’t like what was on the menu an alternative was available. The manager said that there are hot and cold drinks and snacks available throughout the day and night and that specialist diets such as those for diabetics are available. The home has converted one of the small lounges into a café for the use of relatives as some of them travel a long distance. This idea had been put forward by some of the service users and the manager said that it has been well received by both service users and their relatives. Croft House Nursing Home DS0000068602.V325902.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Service users are safe and complaints are acted upon. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a complaints procedure that is up to date, clearly written, and easy to understand. The complaints procedure is displayed in the entrance area of the home so that anyone visiting the home has access to it. Any complaints received are fully investigated and responses given to complainants within the timescale set out in the policy and procedure. There have been four complaints received by the home since October 2006. Records of complaints received by the home were seen during this visit and these had been dealt with appropriately. All the relatives questionnaires received said that they were aware of the home’s complaints policy. The policies and procedures regarding the protection of vulnerable people are satisfactory. Training of staff in the area of protection is arranged six monthly by the home, training records examined confirmed this. Croft House Nursing Home DS0000068602.V325902.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): 19,21,22,23,24,25,26 The home is satisfactorily maintained but service users will have a better quality of life when further areas are redecorated. Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. EVIDENCE: As part of the inspection a tour of the building was conducted, this included a number of service users’ bedrooms, bathrooms and communal lounges and dining room. Service users’ bedrooms were personalised with their own belongings such as ornaments, pictures and small pieces of furniture. Some of the bedrooms have been recently redecorated and new bedroom furniture has been purchased. Croft House Nursing Home DS0000068602.V325902.R01.S.doc Version 5.2 Page 17 There has been some redecoration of the unit, which cares for service users who have a dementia type illness. Bedroom doors have been painted in pastel colours and the manager said new door furniture is to be purchased to enable service users to identify their own rooms. The manager also said that she was hoping to have picture boxes fitted to the outside of the door. These are to contain photographs and objects, which may help the service users to identify their rooms. To provide extra stimulation the manager said she hopes to have tactile pictures, which service users can touch, placed around the unit. The small conservatory is being decorated to resemble a beach hut, and has had flooring laid which looks like a pebbled beach. Although there has been a lot of redecoration within the home there are still areas, which appear dark and uninviting and are in need of redecoration. The lounge/ dining areas are very spacious but lack a personal feel to them. The manager said she was aware of this and a redecoration program is in place. There are also plans to have a more defined dining area with laminate flooring and new dining furniture. A small lounge that is currently used as a storage area is to be redecorated and put back into use for service users and a surplus bathroom is to be made into a hairdressing salon. All the service users’ bedrooms have an en suite. There are a number of bathrooms and toilets within close proximity of communal areas. Bathrooms have assisted baths in them for use of service users who have mobility problems. The manager said that four of the bathrooms are to be converted into shower rooms, as some of the service users prefer a shower. Croft House Nursing Home DS0000068602.V325902.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Staff have difficulty in meeting the needs of the service users especially at night. Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staff duty rota was examined for the months of February and March. The pre inspection questionnaire completed by the manager prior to the visit stated that bank or agency staff has covered ninety-nine shifts in the last eight weeks. The inspector spoke to staff who expressed concern that they did not have time to complete the documentation that was required of them, and staff said that an extra member of staff should be allocated to enable them to do this. This was discussed with the manager who stated that extra care hours had been allocated following the change of ownership of the home but staff had not utilised the hours properly so they were withdrawn. Croft House Nursing Home DS0000068602.V325902.R01.S.doc Version 5.2 Page 19 The commission has received two concerns regarding the staffing of the home at night, these were referred to the Provider for their investigation. Concerns were raised that there is only one member of staff on duty to cover the Enduring Mental Illness (EMI) unit, which has ten service users who have mental health problems. The manager stated that she had worked a night duty herself and was confident that the staffing levels were appropriate at this time. Two care files examined evidenced that at the time of the visit there were two service users who’s care plans stated two staff were needed to cared for them and that they required assistance at night. At the moment staff from the ground floor have to go to the first floor when assistance is required this then depletes the number of staff on the ground floor who also have service users who require two staff to assist them. The inspector discussed with the manager concerns about the number of staff on duty at night and she said she would bring this to the attention of the registered provider. . Three relatives questionnaires expressed concern that there did not appear to be enough staff on duty. One relative was concerned that there was only one night carer on the EMI unit at night. A sample of seven recruitment records was audited and these were found to hold the correct information. Staff are recruited from a varied cultural background. There was evidence of induction and ongoing training. Staff members confirmed that training is available. NVQ (National Vocational Qualification) training is progressing and the home currently has thirteen of the thirty-six care staff with an N.V.Q level 2 training. Croft House Nursing Home DS0000068602.V325902.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,36,38 The acting manager is working to continue to improve the service. Systems are in place to protect the health and safety of service users and staff. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is managed by a qualified nurse who has managed the home for the past four months, She is aware of the needs of the service users and has worked hard in improving the standards within the home and she is aware of the shortfalls, which she needs to address in order to continue to improve the Croft House Nursing Home DS0000068602.V325902.R01.S.doc Version 5.2 Page 21 care provided. Care staff and service users said that she was very approachable. Two questionnaires stated that since the new providers have taken over the management of the home the care and management of the home has improved Evidence was seen that the manager completes an annual quality audit as well as monthly audits to ensure the care and service offered by the home meet the expectations of the service users. Questionnaires are sent out to service users and their relatives to gain their views on the home and the care that they receive. Results of the December survey were examined and were very positive although there were a number of negative comments but this was directed at the home being purchased by a new provider and not about the care received. Resident meetings are held monthly and the minutes are displayed on the notice board. Service users’ personal monies are kept in a central account held by the providers, this is a non-interest account and individual records of all transactions are kept for each service user. Should a service user wish to purchase small items of clothing or pay for hairdressing then this is taken out of the account and a receipt is issued. A copy of transactions undertaken is available to the service user or relative and is kept on file. Staff receive supervision from their line managers. During these supervision sessions staff discuss future training needs as well as the philosophy and aims and objectives of the home. Records examined confirmed that staff have received regular supervision. The home’s fire alarm system is tested weekly and the fire logbook was examined. There is a fire risk assessment in place. Staff have attended a fire prevention course and have also receive training in health and safety and moving and handling. Generic risk assessments were seen to be in place and have been reviewed. Certification in relation to gas, electricity and water is up to date. Outside contractors are responsible for the servicing of the nurse call system, moving and handling equipment and the disposal of clinical waste. Croft House Nursing Home DS0000068602.V325902.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 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 3 3 X 3 3 3 2 2 3 STAFFING Standard No Score 27 2 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Croft House Nursing Home DS0000068602.V325902.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 OP7 Good Practice Recommendations To ensure the service users’ care is not compromised the care plan and risk assessments should be fully completed and reviewed at regular intervals. Daily entries should reflect the choices made by the service users and how care has been provided by staff. 2 3 4 5 OP9 OP19 OP21 OP27 The stock balances of the previous months medication should be recorded on the new M.A.R sheets. Staff should ensure that any medication administered is signed for. The refurbishment planed for communal areas should take place as soon as possible to improve the environment in which the service users live. The work to convert the bathrooms into shower rooms should be completed as soon as possible. The provider should monitor the dependency levels of the service users and increase the numbers of staff DS0000068602.V325902.R01.S.doc Version 5.2 Page 24 Croft House Nursing Home accordingly, especially at night, to ensure their needs are continuing to be met. 6 OP28 The provider should have an action plan in place to ensure 50 of care staff have an N.V.Q level 2 qualification. Croft House Nursing Home DS0000068602.V325902.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 Croft House Nursing Home DS0000068602.V325902.R01.S.doc Version 5.2 Page 26 - 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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