Inspection on 30/01/07 for Durban House Nursing Home

This inspection was carried out on 30th January 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

Durban House Nursing Home 24/10/05

Durban House Nursing Home 01/06/05

Durban House Nursing Home 17/01/05

Durban House Nursing Home 16/09/04

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Newbeech House

Winton House

Treloar College

Rush Court

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

CARE HOMES FOR OLDER PEOPLE Durban House Nursing Home Woodley Lane Romsey Hampshire SO51 7JL Lead Inspector Anita Tengnah Unannounced Inspection 30th January 2007 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Durban House Nursing Home DS0000060803.V321778.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. Durban House Nursing Home DS0000060803.V321778.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Durban House Nursing Home Address Woodley Lane Romsey Hampshire SO51 7JL 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) 020 8954 0239 J Sai Group Limited Post Vacant Care Home 33 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (33), of places Physical disability (6), Physical disability over 65 years of age (33), Terminally ill (6), Terminally ill over 65 years of age (33) Durban House Nursing Home DS0000060803.V321778.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. All service users must be at least 50 years of age Date of last inspection Brief Description of the Service: Durban House is a registered care home providing nursing and personal care to 33 service users in the older person category. The home is situated in a residential area in the village of Romsey on the outskirt of Southampton. Accommodation is provided on two floors with passenger lift and stair lift that allows access to all parts of the home. There are five shared rooms and the rest are single and are all fitted with wash hand basin or en suite facilities. There are a variety of aids and adaptations that are available to maintain and promote service users independence. J.Sai Group Ltd owns the service with another home in the Hampshire area. The current fee charged is £513.50- £681.52 Durban House Nursing Home DS0000060803.V321778.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit to the service was undertaken as part of the inspection on the 30th of January 2007. The process included a tour of the service where a number of the bedrooms, communal areas, kitchen, and bathrooms were viewed. As part of case tracking 6 staff and 5 service users and 2 relatives views were sought and care records were looked at. Information gained from the pre inspection questionnaire was also used and included in this report, as was information gathered by the commission since the last inspection to contribute in assessing judgements in this report. Positive comments were received from the service users regarding the care that they were receiving at the home. Care practices observed at the time of the visit showed that the staff and the service users had developed good relationships and they were supported in a respectful manner. What the service does well: The service provides the service users with a well- maintained, clean and homely environment to live in. The service users’ bedrooms are personalised with the involvement of their family and meet with the satisfaction of the service users. The care planning and assessments are good and ensures that the assessed needs of the service users can be met. The home has dedicated staff members that provide care in a sensitive and respectful way. The recruitment procedures are followed to ensure that all checks are undertaken prior to employment. There is a good procedure for dealing with the service users’ finances that ensures that they are protected from abuse. Durban House Nursing Home DS0000060803.V321778.R01.S.doc Version 5.2 Page 6 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. Durban House Nursing Home DS0000060803.V321778.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 Durban House Nursing Home DS0000060803.V321778.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 3,6 The pre admission assessment process is good and ensures that service users’ needs are assessed and the home can meet them. The home does not provide intermediate care. EVIDENCE: The home has a pre admission assessment procedure in place and records seen indicated that this is carried out prior to admission to the home. The manager assesses the service users and information from other agencies is also sought as part of the pre admission process such as care` managers’ assessments. Durban House Nursing Home DS0000060803.V321778.R01.S.doc Version 5.2 Page 9 The assessments were detailed and with appropriate information about the needs of the service users. These included fall risks assessments and moving and handling, medical history and personal profile. The manager reported that these assessments also form part of the initial care planning on admission. The service users’ relatives are encouraged to participate in the assessment to ensure that all information is up to date as appropriate. A service user confirmed that the manager had visited her in hospital prior to receiving respite care. Comments were that “the staff know what I need and they are all very kind”. The service users are offered the opportunity to visit the home prior to admission. The manager reported that their family does visit as most of the service users are too frail and are unable to do so. A copy of the recently updated statement of purpose and service users’ guide were available to the prospective service users. The manager confirmed that the home does not provide intermediate care. Durban House Nursing Home DS0000060803.V321778.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): 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 The care plans for long term service users are good. However the lack of detailed information for some newly admitted people with regards to manual handling, pressure care must be rectified. The health care needs and access to external agencies are well managed. The medication management was satisfactory. The medication ordering procedure needs reviewing to reduce the large stock of certain dressing. The service users are treated with respect and their right to privacy maintained. EVIDENCE: Durban House Nursing Home DS0000060803.V321778.R01.S.doc Version 5.2 Page 11 The care plans of 4 service users were seen as part of this visit to look at how the home plans to meet the needs of the service users. The care plans seen were detailed and contained clear information about the assessed needs of the service users. These included information about the use of hoist as assessed for some service users and the type of support needed with personal care. The care plans were reviewed regularly to reflect any changes in the needs of the service users. Daily records of activities/ care given were available and included visits from external professionals such as chiropodist and doctors’ visits. The assessments in three of the care plans were detailed and included records of past medical history, manual handling assessment, risk assessments, dietary needs, communication, skin integrity, and fall risk assessments. The manager reported that the care plan for a recently admitted service user was being developed. The manager should ensure that care plan regarding moving and handling and skin integrity assessments are in place whilst care plans are being developed to ensure that care is administered safely for new service users as these were not available for one of the service users. All the service users are registered with the local surgery. The GP undertook a weekly visit to the home and was available at other times as required. Staff said that they had good relationship with the local surgery and felt supported. The chiropodist visited the home at regular intervals, however the staff reported that some of the service users did not get seen for twelve weeks. This was brought to the attention of the manager and she stated that she would be taking action to rectify this problem and discuss with the chiropodist. A service user spoken with said that her access to healthcare was very good and that the staff were very helpful. A sample of the Medication Administration Record (MAR) sheets was seen and lunchtime medication administration was observed. This indicated that all medication administered were recorded appropriately. The registered nurses are responsible for medication at the service. All medication was stored securely and including medication that should be maintained in the fridge and controlled drugs. It was noted that the home had a large stock of cleaning fluids/ dressing and that storage facility in the cupboard was limited. The manager reported that she would be dealing with this problem and review the home’s ordering procedure for dressing. The drug storage room was dusty and in poor state of repair with missing ceiling tiles. The manager confirmed that this would be rectified in the next few days. Comments received from 2 relatives and 5 service users spoken with confirmed that the home provided a good service and they had autonomy and choice regarding the activities of daily living. Practices observed throughout the day indicated that staff had good knowledge of the service users’ needs and attended to them with respect and kindness. Five relatives spoken with on the Durban House Nursing Home DS0000060803.V321778.R01.S.doc Version 5.2 Page 12 day of the visit expressed a high degree of satisfaction with the care that their relatives were receiving at the home. Some of the comments received included “My husband is very well looked after and the staff are good”. “ I have nothing but praise for the staff”. “ “Staff are wonderful and kind and my mum is happy living here”. Another service user said that she chose the time that she wanted to get up and she preferred to spend her time in her room that the staff respected. It was noted that some personal information about the service users’ care needs were written on the board where it could be seen by visitors/ relatives. This is poor practice and does not respect the privacy of the service users. The manager must ensure that any information about the service users’ needs are recorded in their care plans to inform practice. Durban House Nursing Home DS0000060803.V321778.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 The development of activities for the service users meets with their satisfaction. The service users are supported to maintain links with their family and friends and their choices are respected. The meals are very good and meet with the satisfaction of the service users EVIDENCE: The home has developed an activity programme for the service users and an activity coordinator attends the home on a part time basis. The activities were planned for a few hours in the afternoon and a list of what was available was displayed. The activity staff reported that she visited the service users and informed them of what was available on the day and offered them the choice of joining in. The manager reported that having activities in the afternoon was a benefit to the service users and was aware that further development in the provision of activities for the service users with dementia need to be looked at. Durban House Nursing Home DS0000060803.V321778.R01.S.doc Version 5.2 Page 14 This should include the flexibility of staff to provide these activities at different times of the day according to the needs of the service users. Information received showed that some of the activities included singing, outings, piano music and sing along, aromatherapy. The schoolchildren from the local school also attend the home. The home has an open visiting policy and the records of visitors to the home seen indicated that there was no restriction on visiting times. Two visitors spoken with also confirmed that they visit at different times of the day and always feel welcomed. There are a variety of rooms/ areas in the home that relatives can use. The vicar held a monthly service at the home and two service users spoken with said they enjoyed this. The home has a planned menu that is rotated on a 4 weekly basis. The service users spoken with and comments received indicated a high degree of satisfaction with the meals that they received. Five service users commented that the meals are “excellent and very good”. The lunchtime meal was observed and appeared wholesome and well presented with choices available. The manager reported that most of the service users are unable to participate fully with menu choices and this was achieved by showing them the choices available at the time. As part of the assessments the likes and dislikes are recorded and this information is given to the chef on admission. Meals were taken in the newly built communal dining room. A relative said that she attended the home most days and assisted her husband with his lunch and found the meals “very good”. The meals were well presented, appeared wholesome and nourishing. The staff was available to offer support with meals as required. Durban House Nursing Home DS0000060803.V321778.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. The complaint management is good and the service users are confident that their complaints would be listened to. Staff have an understanding of adult protection and further training for staff in adult protection would be beneficial. EVIDENCE: The home has a complaint procedure and the relatives and four service users spoken with said that they were “very happy” with the care provided and would approach the staff or the manager if they had any concerns. The home had received one complaint since the last visit. The complaint log seen showed that this had been investigated and responded to appropriately. Comment received and staff spoken with indicated that the staff were aware of the procedure, would feel confident in reporting any malpractice and that the manager would deal with this. A relative commented that “she would approach the manager without any hesitation” if she had any concerns. The home has the Hampshire adult protection procedure and staff spoken with said that they could access this document if needed. The home had reported one allegation of abuse to the Commission and Social Services. The allegation was made against a staff member and the manager took appropriate action in dealing with this. The investigation is ongoing at the time of the visit. Staff spoken with stated that training in adult protection was available, however Durban House Nursing Home DS0000060803.V321778.R01.S.doc Version 5.2 Page 16 they said that not of all of them had completed the training and feel this would be beneficial. The manager confirmed that she had completed the train the trainer course in adult protection and training will be cascaded to all the staff. Durban House Nursing Home DS0000060803.V321778.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 19,26 The home provides the service users with a well maintained, homely and accommodation that meets their needs. The infection control procedures at the home are good and ensure that the service users are protected. EVIDENCE: A tour of the service was undertaken as part of the visit where a number of bedrooms and communal areas were viewed. The home was homely and well maintained. There is an ongoing programme of refurbishment and the recent extension providing large dining room and sitting room has benefited the service users. The service users spoken with were complimentary about their bedrooms and the dining room as this was not available previously. The Durban House Nursing Home DS0000060803.V321778.R01.S.doc Version 5.2 Page 18 service users’ bedrooms seen were personalised and equipment such as hi-low beds were available to meet their needs. There was a passenger lift and variety of equipments such as grab rails, assisted baths to support and maintain the service users independence. Toilets facilities were available close to the communal areas and included disabled facilities. The stair lift on the first floor allows access to the service users to the communal bathrooms and other parts of the home. Comments from the service users included “this is a lovely home”. Another service user said that she was very comfortable and she has settled in well and “everybody is so kind”. A relative said that the home is always clean and the recent extension on the ground floor has increased the communal facilities for the service users and that “was very good”. The service also benefits from a large wellmaintained garden with easy access for wheelchair users and people with limited mobility. There is a laundry and staff reported that all the service users’ laundry was undertaken internally. The laundry was well maintained and clean. The staff were observed to follow infection control procedures. The soiled laundry was managed appropriately, which ensured that infection control risks are minimised. The laundry was equipped with appropriate washing machines and driers. The washing machines had recently been renewed and were fitted with a sluicing programme. A hand washing facility was also available in the laundry and the laundry floor was clean and in good state of repair. Durban House Nursing Home DS0000060803.V321778.R01.S.doc Version 5.2 Page 19 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 The staffing numbers and skills mix are adequate to meet the present needs of the service users. The home has system in place to ensure that staff have the skills to deliver care safely. The recruitment process is good and ensures that the service users are protected. There is an ongoing training programme in place to ensure that staff are supported in their work. EVIDENCE: Information received and a copy of the duty roster showed that the home has appropriate numbers and staff with varied skills in order to meet the needs of the service users. Record indicated that there is 2 trained staff and 6 carers on the morning and afternoon shifts had 1 trained and 5 carers, night duty had 1 trained staff and 2 carers. The home has an activity coordinator that worked Durban House Nursing Home DS0000060803.V321778.R01.S.doc Version 5.2 Page 20 from 1300-1730 pm to undertake activities and the staff said that this worked well. The manager reported that further development of activities is planned to allow flexibility. The 3 service users spoken with said that staff were available when required and they “did not have to wait long”. The inspector observed that on two occasions the staff responded to the call bells without delay. The home has the National Vocational Training (NVQ) in place for the carers and record showed that the home had 10 carers who had achieved NVQ level 2. There is an induction programme in place and the manager is aware that this programme should be as “Skills for Care” guidance. The records of three newly recruited staff were seen as part of the visit. The home has a recruitment procedure and records indicated that the home followed a good recruitment procedure where references and all checks including Criminal Record Bureau (CRB) and POVA first are completed prior to employment. The manager interviewed all the prospective employees and staff are provided with the terms and conditions of employment at the point of starting work. The home has an ongoing training programme for staff. The manager and a senior staff member had completed train the trainer courses in adult protection, infection control, and moving and handling. Recent updates/ training included medication management, dementia awareness, and infection control. Staff spoken with reported that training in dementia care could be further developed as most of them had only seen the video and all would benefit from a more structured training in dementia care and adult protection. The manager is aware of this and said that this would be put in place. Five staff members had completed the appointed first aid training. Durban House Nursing Home DS0000060803.V321778.R01.S.doc Version 5.2 Page 21 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 The home has a manager who has clear lines of accountability for the service. The financial interests of the service users are safeguarded through good accounting. A structured process of auditing the service users’ views needs to be developed. The health and safety of the service users are promoted. Durban House Nursing Home DS0000060803.V321778.R01.S.doc Version 5.2 Page 22 EVIDENCE: The home has a manager who demonstrated clear lines of accountability in discharging her responsibilities. The manager is a registered nurse and undertakes regular updates to maintain her nursing skills and staff training. The manager submitted an application to register with the Commission in October 2006 and is waiting to go through the registration process. The home does not manage any of the service users’ personal allowance. The manager and administrator reported that invoices are raised for items that are not covered by the fees. These are sent to the service users’ family/ appointee who dealt with their financial affairs. Receipts of all transaction s were maintained at the home and records were kept securely. The administrator confirmed that a review of the contacts would be undertaken and a breakdown of fees including amount for nursing care would be included in them. The responsible person undertakes monthly visits to the home and report of these are sent to the commission. The manager said that she went to see the service users daily and any issues are addressed. The home was in the process of developing an internal audit where questionnaires would be sent to the service users/ relatives and external agencies to monitor how the home was meeting its obligation as stated in the statement of purpose. The home had information on health and safety and all substances that may be hazardous to health were maintained safely. Information received indicated that all equipment are serviced at regular intervals which included fire safety equipments, hoists, emergency lighting. The fire doors were fitted with automatic door releases as appropriate. The staff undertook weekly fire alarm testing and regular fire drills and records of these were maintained. The environmental health officer visited the home in January 07 where a number of recommendations were made. These included daily records of food management safety, disposal of kitchen waste, mending light canopy and food hygiene certificates for staff. The manager reported that these are being addressed. Durban House Nursing Home DS0000060803.V321778.R01.S.doc Version 5.2 Page 23 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 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 X X X X 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 X X 3 Durban House Nursing Home DS0000060803.V321778.R01.S.doc Version 5.2 Page 24 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 OP7 Regulation 15(1) 12(1) Requirement The registered person must ensure that the service users’ care plan sets out in details the needs of the person to ensure that staff can meet all aspects of their care. Timescale for action 15/03/07 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 Durban House Nursing Home DS0000060803.V321778.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Durban House Nursing Home DS0000060803.V321778.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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