Inspection on 25/05/07 for Doulton Court Care Home

This inspection was carried out on 25th May 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

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Doulton Court Care Home Alford Road Sutton on Sea Lincolnshire LN12 2HF Lead Inspector Kathryn Emmons Key Unannounced Inspection 25th May 2007 09:30 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 Doulton Court Care Home DS0000068350.V337534.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. Doulton Court Care Home DS0000068350.V337534.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Doulton Court Care Home Address Alford Road Sutton on Sea Lincolnshire LN12 2HF 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) 01507 441026 01507 442815 doulton.court@fshc.co.uk Doulton Court Limited Mrs Lynda Cunnington Care Home 45 Category(ies) of Old age, not falling within any other category registration, with number (45), Physical disability (9) of places Doulton Court Care Home DS0000068350.V337534.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Residents requiring nursing care at Doulton Court Care Home will not be accommodated in the bungalows. Doulton Court Care Home is registered to accommodate: Old age (OP) 45 Physical disability (PD) 9 aged 52 and over. Doulton Court Care Home is registered to accommodate a maximum of 48, not to include more than 9 PD beds. New service 3. Date of last inspection Brief Description of the Service: Doulton Court Lodge is a purpose built care home, opened twenty years ago. It provides nursing and personal care for up to 48 older people of both sexes, including up to nine people over 52 years of age with a physical disability. Even though the home has been operating for many years as Four Seasons Health Care, the service was registered as a subsidiary in November 2006 there for making this a key inspection of a newly registered establishment. The registered manager of the service remains the same. The home is situated on the outskirts of the town of Sutton-on-Sea. Public transport is available and the shops and local facilities in the town are about 100 metres away. The two-storey building provides 44 bedrooms in total. There are 35 single rooms and seven doubles, five of which are currently used as single rooms. Eight rooms, four singles and four doubles, have en-suite facilities, either with toilet and sink or with a bath as well. Access to the first floor is by stairs or a passenger lift. In the grounds are also two self-contained bungalows, which can house up to two residents in each. For communal use, there is a large lounge and dining room as well as smaller sitting rooms on both floors. There are five bathrooms and eight toilets and it is planned to create a ‘wet room’ shower room in the near future for the increasing number of people who prefer a shower to a bath. Outside, there is an enclosed central courtyard with a fishpond and a grassed area, where residents sit out in good weather. To the front of the building is a large car park for visitors and staff. The philosophy of care is to provide an atmosphere in which all people in their Doulton Court Care Home DS0000068350.V337534.R01.S.doc Version 5.2 Page 5 care, whatever their physical, psychological & spirit needs, feel able to live their lives contentedly in a pleasant and safe environment. The fees range from £380 - £510 per week depending on the room occupied and the residents care needs. Doulton Court Care Home DS0000068350.V337534.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection took place on 25 May 2007 and the visit to the home was carried out over 6 hours on one day. Care received by three residents was looked at in detail. This is a method called case tracking. This included looking at their personal records, a range of general home records and staff records. Residents were also spoken to including those who care was not looked at in detail. Staff and the manager were spoken with and the care they provided was observed. We also looked at how the provider makes information about their service, including CSCI reports available to prospective service users. The service was sent residents comment cards and a pre inspection questionnaire. The manager returned the Pre inspection questionnaire and this gave us information about the service provided. Comment cards were made available by us to enable residents to make comments about the home. At the time of the inspection only one had been returned but there were extra copies on display at the home so residents were able to make comments if they wanted to. During the visit we spoke to six of the residents living at the home, four visitors and several members of staff. Residents made comments such as ‘they are always nice to me” and “they will be patient even if it takes me a while to explain what I want”. Other comments made by residents and staff can be seen in the main body of the report. What the service does well: Residents said that feel safe living in the home and that they are cared for by kind staff. The environment in clean and comfortable with aids and adaptations too enable residents to be as independent as possible. Residents are able to access the local community and staff are available to support this activity. Residents are consulted about the meals they are provided with and said that staff also listen to their views. Resident and staff meetings are held every couple of months. Staff are recruited safely and an induction takes place for new employees. Staff are supported to undertake National Vocational Qualifications (NVQ) in care, and other areas such as housekeeping which enables them to gain a knowledge and skill base in order to provide safe care to residents. Doulton Court Care Home DS0000068350.V337534.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Doulton Court Care Home DS0000068350.V337534.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 Doulton Court Care Home DS0000068350.V337534.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 3,6, A satisfactory admission procedure ensures that prospective residents receive an assessment before admission so they can be confident that the service can meet their assessed needs. EVIDENCE: Through case tracking we looked at records for a resident who had recently been admitted to the home. We could see that pre admission assessments had taken place and that the resident had received a letter confirming that the service could meet their assessed needs. A relative we spoke to was also able to talk about the admission process for their relative. We were told that they had been given information about the home in brochure form. The service has two documents, which provide information about living at the home. These are called the statement of purpose and service users guide. Both of these were up to date and are kept in a folder with the most recent inspection report in the Doulton Court Care Home DS0000068350.V337534.R01.S.doc Version 5.2 Page 10 main reception area of the home. These enable residents and visitors to the home to have information to make a decision about living in the home and what to expect if they move in. The resident and relative we spoke with also said that they had been offered to visit the home to look around and ask any questions. The manager confirmed that all prospective residents are encouraged to visit the home at least once before deciding if they would like to stay. The service does not offer intermediate care but people are able to stay for a short while under a term called respite care. Doulton Court Care Home DS0000068350.V337534.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 7,8,9,10 Residents are treated with respect and their dignity is maintained. They are protected by the homes medication systems and their care needs are made known by clear written records. Systems in place provide access to health care professionals. EVIDENCE: All of the residents we spoke with said they knew there was information held about them. One resident said he had seen his information when one of the nursing team had discussed the content with him. One of the nurses spoken with was able to explain the care plan process and how the plans were written and reviewed. Risk assessments were also in place with explanations given if residents were not able to undertake an activity such as self-medicating. There were also risk assessments in all files for the use of bedrails and all residents had signed to give consent for these to be used if necessary. Doulton Court Care Home DS0000068350.V337534.R01.S.doc Version 5.2 Page 12 At each shift change there is a verbal handover of information and a written record is also made. The information in the plan was in enough detail for the support to be given in a safe way. Residents and staff told us and we saw records to show that opticians and chiropodists had visited the home regularly to meet people’s health care needs. Residents said they were able to see a doctor if they needed to and one of the staff said the local doctors would visit the home when requested. Approximately half of the residents in the home receive personal care only so the local district nursing service will visit when needed. The home has satisfactory policies and procedures concerning the receipt, storage, administration and disposal of medications. Qualified nurses administer medications using printed medication sheets, which are sent to the home with the medication. Records regarding the receipt, administration and disposal of medications had been completed satisfactorily. We saw residents being spoken to in a courteous manner and staff were giving help at lunchtime in a discreet manner. Residents told us that the staff “are lovely and kind” and “always smiling even though they are kept busy all the time”. A relative said that they often visited unannounced and that they always found staff speaking to their relative in “a gentle and thoughtful way”. Doulton Court Care Home DS0000068350.V337534.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 12,13,14,15 Residents are able to make their own choices about how they want to live their lives, and what they want to do. Catering preferences and needs are catered for. Activities are varied to meet the choices and abilities of residents. EVIDENCE: Residents spoken with said that they enjoyed living at the home and we were given examples from residents about how they spend their days. An activities coordinator works in the service for 25 hours a week. An activities coordinator works in the service for 4 hours a week. One resident said they were able to “join in with the activities when I want to”. Another resident said they would like to go out to the seaside but was not sure if this could happen. This was discussed with the manager who confirmed that one to one activities do take place as well as group activities. We saw evidence of this when we were told by other residents that they had spent time talking with the activities co coordinator. There were photographs around the home of various entertainment evenings such as a Halloween party and Easter bonnet Doulton Court Care Home DS0000068350.V337534.R01.S.doc Version 5.2 Page 14 competition Residents meeting minutes showed that a discussion had taken place regarding a summer fete. During the afternoon of the inspection residents were arranging to go to one of the lounges to pay bingo. Some of the residents in the home have a dementia condition. Reminiscence post cards and folders were on display These were used as prompts to engage residents. This shows that the service has an understanding of the various needs and abilities of residents. Braille books are provided or one resident. Residents said they were supported to attend the local churches and that Christian festivals such as Easter and Christmas were celebrated in the home. Staff spoken with gave examples of various social and cultural needs of residents living at the service and said that they had received training in how to understand equality for residents and for staff members. One staff member whose cultural background and religion was not the same as many of the other staff said that the staff treated them with respect and understanding. In addition the home has a policy on equality and diversity. Currently the mix of staff in the home is both male and female. Residents said that they were confident they could chose who cared for them and that their privacy was maintained at all times. Visitors are welcomed into the home at all times. A relative said that staff would always inform them of the welfare of their relative. One resident said that their visitors “seemed to be able to visit at all times “. When we visited the home breakfast was still available for residents and two residents said they could have snacks if they asked for them. One resident said they would like to see more fresh fruit made available. The manager said that fresh fruit was always available and that she would review the practice to enable residents to chose fruit from the tea trolley which was taken around to residents at least four times a day. Lunch was seen being served and this was done in a laid back manner and assistance was given to those residents who needed support to take their meals. Food is taken to the two dining areas in heated trolleys and residents are able to say how much food they would like. The menus we saw show that a varied menu is available. All of the residents spoken to said they like the food. Residents told us “you always get enough” and “I like the choice we get at tea times”. Doulton Court Care Home DS0000068350.V337534.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 16 and 18 Residents are confident that their concerns will be listened to and dealt with. Safeguarding adult polices and training protects residents. EVIDENCE: There is a complaints policy on display in the home, in the reception area and details are also in the service user guide, which is also on display. The resident who completed our comment card and those who were spoken to on the inspection all said that they know who to speak to if they had any concerns, and were confident that if they raised concerns these would be responded to promptly and the manager would take their comments in a proactive way. A record is maintained of all comments made. One relative said they had raised a concern and this was addressed immediately. Another relative said, “I have no hesitation in speaking with Linda (manager) and know it will get sorted out straight away”. Staff records showed and discussion with staff confirmed that safeguarding adult training has taken place. Staff from both the housekeeping side and care staff were spoken to and were able to give examples of what abuse meant and what action they would take if they thought abusive practice was happening. Doulton Court Care Home DS0000068350.V337534.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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. 19,20,21,24,26. Residents live in a clean and pleasant service. The home is furnished, decorated, maintained and cleaned to a high standard .The services infection control and hygiene polices protect residents, staff and visitors. The provision of a shower room would benefit some residents. Renewing of some bed linen would enhance resident’s comfort. EVIDENCE: During the inspection a tour of the home was carried out. All areas of the home were clean with no obvious hazards, and smelt pleasant. The residents who were spoken to say they were satisfied with the cleanliness of the home. Furniture was in a good state of repair and there were various aids and adaptations like a lift, hoists and handrails to assist residents to move around the home. One resident said that they were not able to have a full body wash as they couldn’t use the bath and the shower room had still not been installed. Doulton Court Care Home DS0000068350.V337534.R01.S.doc Version 5.2 Page 17 The manger said that action was being taken to install a shower room. The shower room had been planned for installation last June. It is recommended that action be taken to ensure all residents have access to appropriate bathing facilities. Bathrooms and toilets seen were spacious and had assisted baths. Baths have thermostatic valves fitted to prevent residents from scalding. Gloves and aprons were in place for staff to use. All chemicals were stored appropriately. The housekeeper said that additional bed linen had recently been purchased however some duvet covers and pillowcases viewed were becoming worn. The manger said that another order was due to be placed shortly. The home is set around a landscaped courtyard, which is well maintained. All footpaths were clear from hazards and furniture is available for residents to use so they can sit outside in warmer weather. Various communal areas enable resident to receive visitors in private. Communal areas were spacious with sufficient space for those residents who use wheelchairs to move around freely. Doulton Court Care Home DS0000068350.V337534.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 27,28,29,30 Resident’s needs are met by suitably trained staff who have been safely recruited. Staffing levels have improved and enable residents to receive an improved service. EVIDENCE: On the day of the inspection the manager was on duty with one trained nurse and five care staff. Two cooks and a team of house keeping staff were also on duty. Staffing levels remain the same throughout the week. At the time of the inspection there were thirty people living at the home. Staff spoken with said that the morning staff level had increased and this had enables the mornings to “run easier and have more time for the residents” A group of staff were asked if they thought the increased staffing level had made any difference to the way they worked. Comments made were “its unbelievable how an extra person can make a difference” and “we don’t have to leave what we are doing to go and help someone else”. One resident said that call bells were answered quickly and we saw this during a walk around the ground floor of the home. Doulton Court Care Home DS0000068350.V337534.R01.S.doc Version 5.2 Page 19 Staff records viewed showed that staff are recruited safely and there are references, a completed application form and evidence of identification and qualifications. When new staff start work at the home they receive an induction programme during which time they learn about the polices and procedures of the home and how to provide the necessary support to the residents. Pre inspection information and discussion with staff evidenced that training had taken place for moving and handling, fire safety, first aid and food hygiene, dementia care and issues surrounding residents who are dying. More training is planned for the next few months. Currently 30 of care staff have completed their National vocational qualification (NVQ) level 2 in care. The service also provides NVQ’S in customer care, catering and housekeeping. This enables residents to receive care and services from a trained work force. Residents we spoke to made positive comments about staff such as “the staff are hardworking but have time to help you”, “I get on with all of them most of the time, they know when to leave me be” and “they are all so kind and ready to help if you need them” Staff spoken with were clear on their job role and were able to identify the needs of residents. They felt they received adequate training and enjoyed a good relationship with all of the residents. Doulton Court Care Home DS0000068350.V337534.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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. 31,33,35,38. A manager who has a good rapport with resident’s staff and visitors manages the service. Quality assurance systems evidence how the service is run in the best interests of residents and that their views are at the centre of the way the service operates. Residents are protected by the home polices and procedures. EVIDENCE: The registered manager is Mrs Linda Cunnington. Mrs Cunnington is a trained nurse with many years experience of caring for older people and has been the registered manager of the home for four years and has worked in the home for 11 years. Staff spoken to said they have a good relationship with the manager and that she was open and responsive to any questions or opinions they had. Doulton Court Care Home DS0000068350.V337534.R01.S.doc Version 5.2 Page 21 Residents and relatives made comments such as “She alright, always there to speak to”, “she is lovely and you can always ask to see her” and “I can say what I want and it will be sorted out.” The duty rotas showed that the manger is not counted in the staff levels. A deputy manager works full time and is responsible for managing the shift and this enables the manager to keep up to date with paper work and ensure the whole service operates smoothly. Residents told us that they thought the atmosphere is the home was “alright” and “easy to settle into” and that they could make suggestions regarding how the home operated. A quality assurance system is in place so residents and visitors to the home can see how the providers intend to improve the service and action any points residents raise. The manager confirmed that a supervision system has been set up for all staff and most have received at least one session. Staff confirmed this to us and we saw records of the sessions. The manager said that a new operations manager has been recruited and now visits the home at least monthly and produces a report recording the conduct of the home. We were told that the home does not manage any resident’s money but do keep small amounts for safe keeping. Records were not looked at on this inspection, however one resident spoken to said they thought their money was kept safe. Pre inspection information evidenced that polices and procedures and maintained. Records are in place at the home, which show that servicing of equipment and systems such as the fire safety system are up to date and serviced regularly. Doulton Court Care Home DS0000068350.V337534.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 x x 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 3 3 3 2 x x 2 x 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 3 x 3 x 3 3 x 3 Doulton Court Care Home DS0000068350.V337534.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? N/a 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 2 Refer to Standard OP21 OP24 Good Practice Recommendations It is recommended that a shower room is installed so that all residents are able to have facilities available which enables then to bath. It is recommended that all bed linen used is in good repair and condition. This will enhance comfort for residents. Doulton Court Care Home DS0000068350.V337534.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Doulton Court Care Home DS0000068350.V337534.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. 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